Evidence map›Paper›PMID 23386646›Full record

ArticleThe Journal of clinical endocrinology and metabolism2013

Liquid chromatography-tandem mass spectrometry analysis of human adrenal vein 19-carbon steroids before and after ACTH stimulation.

Juilee Rege, Yasuhiro Nakamura, Fumitoshi Satoh, Ryo Morimoto, Michael R Kennedy, Lawrence C Layman, Seijiro Honma, Hironobu Sasano, William E Rainey

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

106 citing papers in PubMed, 2 syntheses or guidelines pooled it, 231 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Approach to the patient: investigation of postmenopausal androgen excess.The Journal of clinical endocrinology and metabolism · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Human Gonads Do Not Contribute to the Circulating Pool of 11-Oxygenated Androgens.The Journal of clinical endocrinology and metabolism · 2025
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. C11-hydroxy and C11-oxo CInternational journal of molecular sciences · 2023
    Article

46 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

9 authors at 5 institutions in 2 countries.

Juilee RegeDepartment of Physiology, Georgia Health Sciences University, Augusta, Georgia 30912, USA.
Yasuhiro Nakamura
Fumitoshi Satoh
Ryo Morimoto
Michael R Kennedy
Lawrence C Layman
Seijiro Honma
Hironobu Sasano
William E Rainey
Tohoku University · JPASKA Pharmaceutical (Japan) · JPAugusta University · USAugusta University Health · USUniversity of Michigan–Ann Arbor · US

Funding

Molecular Mechanisms of AdrenarcheR01DK069950 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RAINEY, WILLIAM E · 2005 to 2019
$4.4M
NIDDK NIH HHS DK069950NIDDK NIH HHS R01 DK069950
6 · The paper itself

Abstract

contextA broad analysis of adrenal gland-derived 19-carbon (C19) steroids has not been reported. This is the first study that uses liquid chromatography-tandem mass spectrometry to quantify 9 C19 steroids (androgens and their precursors), estrone, and estradiol in the adrenal vein (AV) of women, before and after ACTH stimulation.

objectiveThe objective of this study was to define the adrenal androgen metabolome in women before and after ACTH infusion.

designThis was a retrospective study. PATIENTS: Seven women, aged 50.4 ± 5.4 years, with suspected diagnosis of an adrenal aldosterone-producing adenoma were included in the study.

methodsAV and iliac serum samples were collected before and after administration of ACTH (15 minutes). AV samples were analyzed using for concentrations of 9 unconjugated C19 steroids, estrone, and estradiol. Dehydroepiandrosterone sulfate (DHEA-S) was quantified by radioimmunoassay.

resultsAV levels of DHEA-S were the highest among the steroids measured. The most abundant unconjugated C19 steroids in AV were 11β-hydroxyandrostenedione (11OHA), dehydroepiandrosterone (DHEA), and androstenedione (A4). ACTH significantly increased the adrenal output of 9 of the 12 steroids that were measured. ACTH increased the mean AV concentration of DHEA-S by 5-fold, DHEA by 21-fold, A4 by 7-fold, and 11OHA by 5-fold. 11β-Hydroxytestosterone and testosterone were found to be potent androgen receptor agonists when tested with an androgen-responsive cell reporter model.

conclusionThe current study indicates that the adrenal gland secretes primarily 3 weak androgens, namely DHEA, 11OHA, and A4. Active androgens, including testosterone and 11β-hydroxytestosterone, are also produced but to a lesser degree.

Indexed as

Adrenal CortexAdrenocorticotropic HormoneAndrogensAndrostenedioneAndrostenolsCells, CulturedChromatography, LiquidDehydroepiandrosteroneDehydroepiandrosterone SulfateEstradiolEstroneFemaleHormonesHumansMetabolomeMiddle AgedAdrenocorticotropic HormoneAndrogensAndrostenedioneAndrostenolsDehydroepiandrosteroneDehydroepiandrosterone SulfateEstradiolEstroneHormonesReceptors, AndrogenTestosterone

Identifiers

PMID23386646
PMCPMC3590473
OpenAlexW2120466082

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.