Evidence map›Paper›PMID 21051591›Full record

ReviewEndocrine reviews2011

Development and function of the human fetal adrenal cortex: a key component in the feto-placental unit.

Hitoshi Ishimoto, Robert B Jaffe

Abstract readReview
In one paragraph

Review in Endocrine reviews, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 139 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed, 1 pooled it
16.9field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

139 citing papers in PubMed, 1 synthesis or guideline pooled it, 370 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Glucocorticoid trajectories in preterm infants-born too soon, wired differently.The Journal of clinical endocrinology and metabolism · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Placental Protein Release and Uptake From the Fetal Circulation in Healthy Term Pregnancies-A Human In Vivo Exploratory Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Adrenocortical stem cells in health and disease.Nature reviews. Endocrinology · 2025
    Review
  18. Article
  19. Article
  20. Review

79 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 2 countries.

Hitoshi IshimotoCenter for Reproductive Sciences, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.
Robert B Jaffe
Reproductive Science Center · USUniversity of California, San Francisco · US

Funding

PRIMATE ENDOCRINE REGULATION IN THE PERINATAL PERIODR37HD008478 · NICHD · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI JAFFE, ROBERT B · 1994 to 2003
$1.2M
GENETIC ANALYSIS OF HIV 1 IN THE FEMALE GENITAL TRACTF32HD008478 · NICHD · WADSWORTH CENTER · PI PHILPOTT, SEAN M · 1998 to 2000
$39k
PRIMATE ENDOCRINE REGULATION IN THE PERINATAL PERIODR01HD008478 · NICHD · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI JAFFE, ROBERT B · 1985 to 1992
–
NICHD NIH HHS F32 HD008478NICHD NIH HHS HD08478
6 · The paper itself

Abstract

Continuous efforts have been devoted to unraveling the biophysiology and development of the human fetal adrenal cortex, which is structurally and functionally unique from other species. It plays a pivotal role, mainly through steroidogenesis, in the regulation of intrauterine homeostasis and in fetal development and maturation. The steroidogenic activity is characterized by early transient cortisol biosynthesis, followed by its suppressed synthesis until late gestation, and extensive production of dehydroepiandrosterone and its sulfate, precursors of placental estrogen, during most of gestation. The gland rapidly grows through processes including cell proliferation and angiogenesis at the gland periphery, cellular migration, hypertrophy, and apoptosis. Recent studies employing modern technologies such as gene expression profiling and laser capture microdissection have revealed that development and/or function of the fetal adrenal cortex may be regulated by a panoply of molecules, including transcription factors, extracellular matrix components, locally produced growth factors, and placenta-derived CRH, in addition to the primary regulator, fetal pituitary ACTH. The role of the fetal adrenal cortex in human pregnancy and parturition appears highly complex, probably due to redundant and compensatory mechanisms regulating these events. Mounting evidence indicates that actions of hormones operating in the human feto-placental unit are likely mediated by mechanisms including target tissue responsiveness, local metabolism, and bioavailability, rather than changes only in circulating levels. Comprehensive study of such molecular mechanisms and the newly identified factors implicated in adrenal development should help crystallize our understanding of the development and physiology of the human fetal adrenal cortex.

Indexed as

Adrenal CortexFemaleFetal DevelopmentHumansNeovascularization, PhysiologicParturitionPlacentaPregnancy

Identifiers

PMID21051591
PMCPMC3365797
OpenAlexW1969689856

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.