Evidence map›Paper›PMID 24015330›Full record

ReviewPulmonary circulation2013

Gender, sex hormones and pulmonary hypertension.

Eric D Austin, Tim Lahm, James West, Stevan P Tofovic, Anne Katrine Johansen, Margaret R Maclean, Abdallah Alzoubi, Masahiko Oka

Open access · bronzeAbstract readReview
In one paragraph

Review in Pulmonary circulation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
7.3field-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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. A Systematic Review of Novel Therapies of Pulmonary Arterial Hypertension.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Pooled it
  2. Trial
  3. Article
  4. Second to Fourth Digit Ratio (2D:4D) in Hypertension Disease.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Sex-Steroid Signaling in Lung Diseases and Inflammation.Advances in experimental medicine and biology · 2021
    Article
  16. Article
  17. Article
  18. QuantitativeScientific reports · 2020
    Article
  19. Article
  20. Article

2 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

8 authors at 4 institutions in 2 countries.

Eric D AustinDepartment of Pediatrics, Division of Allergy, Immunology, and Pulmonary Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Tim Lahm
James West
Stevan P Tofovic
Anne Katrine Johansen
Margaret R Maclean
Abdallah Alzoubi
Masahiko Oka
Zero to Three · USVanderbilt University · USRichard L. Roudebush VA Medical Center · USUniversity of Pittsburgh · US

Funding

Variations in estrogen exposures may modify pulmonary arterial hypertensionK23HL098743 · NHLBI · VANDERBILT UNIVERSITY · PI AUSTIN, ERIC DOUGLAS · 2010 to 2014
$652k
British Heart Foundation FS/10/019/28205British Heart Foundation RG/11/7/28916NHLBI NIH HHS K23 HL098743
6 · The paper itself

Abstract

Most subtypes of pulmonary arterial hypertension (PAH) are characterized by a greater susceptibility to disease among females, although females with PAH appear to live longer after diagnosis. While this "estrogen paradoxȍ of enhanced female survival despite increased female susceptibility remains a mystery, recent progress has begun to shed light upon the interplay of sex hormones, the pathogenesis of pulmonary hypertension, and the right ventricular response to stress. For example, emerging data in humans and experimental models suggest that estrogens or differential sex hormone metabolism may modify disease risk among susceptible subjects, and that estrogens may interact with additional local factors such as serotonin to enhance the potentially damaging chronic effects of estrogens on the pulmonary vasculature. Regardless, it remains unclear why not all estrogenic compounds behave equally, nor why estrogens appear to be protective in certain settings but detrimental in others. The contribution of androgens and other compounds, such as dehydroepiandrosterone, to pathogenesis and possibly treatment must be considered as well. In this review, we will discuss the recent understandings on how estrogens, estrogen metabolism, dehydroepiandrosterone, and additional susceptibility factors may all contribute to the pathogenesis or potentially to the treatment of pulmonary hypertension, by evaluating current human, cell-based, and experimental model data.

Indexed as

bone morphogenetic protein receptor type IIdehydroepiandrosteroneestrogenpulmonary hypertensionserotonin

Identifiers

PMID24015330
PMCPMC3757824
OpenAlexW2074318487

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.