Evidence map›Paper›PMID 20133465›Full record

ArticleThe Journal of clinical endocrinology and metabolism2010

Estrogen negative feedback on gonadotropin secretion: evidence for a direct pituitary effect in women.

N D Shaw, S N Histed, S S Srouji, J Yang, H Lee, J E Hall

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00386022 (The Effect of Aging on the Isolated Pituitary Response to Gonadotropin Releasing Hormone at Baseline and With Low Dose Estrogen Administration), which is not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00386022 phase2 / phase3unknown statusnot on this map

The Effect of Aging on the Isolated Pituitary Response to Gonadotropin Releasing Hormone at Baseline and With Low Dose Estrogen Administration

TypeinterventionalSponsorMassachusetts General HospitalRan2002 to 2018Enrolled19ConditionsHealthyArmsGnRH, NAL-GLU GnRH antagonist, Estrogen patch
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Differential effects of aging on estrogen negative and positive feedback.American journal of physiology. Endocrinology and metabolism · 2011
    Trial
  4. Review
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  12. Behavioral, Endocrine, and Neuronal Responses to Odors in Lampreys.Animals : an open access journal from MDPI · 2025
    Review
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  16. Acute Exposure to Ozone Affects Circulating Estradiol Levels and Gonadotropin Gene Expression in Female Mice.International journal of environmental research and public health · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

N D ShawReproductive Endocrine Unit, BHX-5, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
S N Histed
S S Srouji
J Yang
H Lee
J E Hall
Massachusetts General Hospital · USBoston Children's Hospital · US

Funding

ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
AGING AND THE HYPOTHALAMIC-PITUITARY REPRODUCTIVE AXISR01AG013241 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HALL, JANET E · 1995 to 2014
$4.0M
TRAINING PROGRAM IN REPRODUCTIVE &DEVELOPMENTAL BIOLOGYT32HD007396 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI CROWLEY, WILLIAM FRANCIS · 1991 to 2018
$2.5M
Effect of sleep apnea on nocturnal GnRH/LH secretion in children in early pubertyF32HD062315 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI SHAW, NATALIE DARA · 2010 to 2011
$124k
NCRR NIH HHS M01 RR001066NCRR NIH HHS M01 RR01066NIA NIH HHS R01 AG013241NIA NIH HHS R01 AG13241NICHD NIH HHS 5T32 HD007396NICHD NIH HHS F32 HD062315NICHD NIH HHS T32 HD007396
6 · The paper itself

Abstract

contextStudies in humans and animals indicate that estrogen negative feedback occurs at the level of the hypothalamus, but it is unclear whether estrogen also exerts an inhibitory effect directly at the pituitary.

objectivesThe aim of the study was to determine whether estrogen has a direct negative feedback effect at the pituitary and whether this varies with aging. DESIGN AND

settingA GnRH antagonist and graded doses of GnRH were used to isolate pituitary responsiveness before and after estrogen administration in Clinical Research Center studies at an academic medical center. SUBJECTS: Subjects were healthy postmenopausal women aged 48-56 yr (n = 8) or 70-75 yr (n= 8).

interventionsA suppressive dose of the NAL-GLU GnRH antagonist was administered, followed by graded doses of GnRH before and after 1 month of estrogen administration.

resultsLH and FSH responses to GnRH decreased after estrogen administration (P = 0.01 and P = 0.0001, respectively). The ratio of FSH to LH amplitudes decreased in response to estrogen (P = 0.04) indicating a greater sensitivity of FSH than LH to inhibition by estrogen. The inhibitory effect of estrogen on FSH was attenuated with aging (P = 0.02), but was maintained for LH (P = 0.4).

conclusionsStudies that control for endogenous GnRH and estradiol demonstrate a direct pituitary site of estrogen negative feedback on LH and FSH responsiveness to GnRH in women. The effect of estrogen on FSH responsiveness is greater than on LH and is attenuated with aging. These studies indicate that estrogen negative feedback occurs directly at the pituitary and contributes to the differential regulation of FSH and LH secretion.

Indexed as

Administration, CutaneousAdultAgedAgingDose-Response Relationship, DrugEstradiolEstrogen Replacement TherapyEstrogensFeedback, PhysiologicalFemaleFollicle Stimulating HormoneGonadotropin-Releasing HormoneGonadotropinsHumansLuteinizing HormoneMiddle AgedEstradiolEstrogensFollicle Stimulating HormoneGonadotropin-Releasing HormoneGonadotropinsLuteinizing Hormone

Identifiers

PMID20133465
PMCPMC2853991
OpenAlexW2137215560

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.