Evidence map›Paper›PMID 25074984›Full record

Trial reportAmerican journal of physiology. Endocrinology and metabolism2014

Testosterone alters iron metabolism and stimulates red blood cell production independently of dihydrotestosterone.

Luke A Beggs, Joshua F Yarrow, Christine F Conover, John R Meuleman, Darren T Beck, Matthew Morrow, Baiming Zou, Jonathan J Shuster, Stephen E Borst

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of physiology. Endocrinology and metabolism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 54 citations in OpenAlex.

  1. Exploring the efficacy and safety of a novel standardized ashwagandha (Journal of psychopharmacology (Oxford, England) · 2023
    Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Prevalence of secondary erythrocytosis in men receiving testosterone therapy A matched-cohort analysis of intranasal gel, injections, and pellets.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Anabolic androgenic steroid-induced liver injury: An update.World journal of gastroenterology · 2022
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Hepcidin Therapeutics.Pharmaceuticals (Basel, Switzerland) · 2018
    Review
  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

9 authors at 5 institutions in 1 country.

Luke A BeggsResearch Service, Departments of Applied Physiology and Kinesiology.
Joshua F YarrowResearch Service, Departments of Applied Physiology and Kinesiology.
Christine F ConoverResearch Service.
John R MeulemanGeriatric Research, Education, and Clinical Center, and.
Darren T BeckDepartment of Kinesiology, University of Rhode Island, Kingston, Rhode Island.
Matthew MorrowResearch Pharmacy, Malcom Randall Veterans Affairs Medical Center, University of Florida, Gainesville, Florida;
Baiming ZouBiostatistics, and.
Jonathan J ShusterHealth Outcomes and Policy, University of Florida, Gainesville, Florida; and.
Stephen E BorstGeriatric Research, Education, and Clinical Center, and Departments of Applied Physiology and Kinesiology, seborst@ufl.edu.
Geriatric Research Education and Clinical Center · USCancer Research And Biostatistics · USUniversity of Florida · USUniversity of Florida Health · USUniversity of Rhode Island · US

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
NCATS NIH HHS UL1 TR000064NIA NIH HHS P30 AG028740
6 · The paper itself

Abstract

Testosterone (T) stimulates erythropoiesis and regulates iron homeostasis. However, it remains unknown whether the (type II) 5α-reduction of T to dihydrotestosterone (DHT) mediates these androgenic effects, as it does in some other tissues. Our purpose was to determine whether inhibition of type II 5α-reductase (via finasteride) alters red blood cell (RBC) production and serum markers of iron homeostasis subsequent to testosterone-enanthate (TE) administration in older hypogonadal men. Sixty men aged ≥60 yr with serum T <300 ng/dl or bioavailable T <70 ng/dl received treatment with TE (125 mg/wk) vs. vehicle paired with finasteride (5 mg/day) vs. placebo using a 2 × 2 factorial design. Over the course of 12 mo, TE increased RBC count 9%, hematocrit 4%, and hemoglobin 8% while suppressing serum hepcidin 57% (P < 0.001 for all measurements). Most of the aforementioned changes occurred in the first 3 mo of treatment, and finasteride coadministration did not significantly alter any of these effects. TE also reduced serum ferritin 32% (P = 0.002) within 3 mo of treatment initiation without altering iron, transferrin, or transferrin saturation. We conclude that TE stimulates erythropoiesis and alters iron homeostasis independently of the type II 5α-reductase enzyme. These results demonstrate that elevated DHT is not required for androgen-mediated erythropoiesis or for alterations in iron homeostasis that would appear to support iron incorporation into RBCs.

Indexed as

AgedAged, 80 and overDihydrotestosteroneDouble-Blind MethodDrug InteractionsErythrocyte CountErythrocytesFerritinsFinasterideHumansIronMaleMiddle AgedPlacebosTestosteroneTransferrinDihydrotestosteroneFerritinsFinasterideIronPlacebosTestosteronetestosterone enanthateTransferrinandrogenfinasteridehematocrithepcidinhypogonadaltestosterone

Identifiers

PMID25074984
PMCPMC4154071
OpenAlexW2097918018

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.