Evidence map›Paper›PMID 25145448›Full record

ArticlePituitary2015

Effects of leukemia inhibitory receptor gene mutations on human hypothalamo-pituitary-adrenal function.

Tulay Guran, Omer Guran, Cem Paketci, Osman Kipoglu, Irfan Firat, Serap Turan, Zeynep Atay, Belma Haliloglu, Abdullah Bereket

Abstract read
PubMed Publisher
In one paragraph

Article in Pituitary, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Stüve-Wiedemann syndrome with a novel mutation in a Saudi infant.International journal of pediatrics & adolescent medicine · 2022
    Article
  4. Article
  5. 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 3 institutions in 1 country.

Tulay GuranDepartment of Pediatric Endocrinology, Faculty of Medicine, Marmara University Hospital, Fevzi Cakmak Mh.Mimar Sinan Cd.No 41., Ustkaynarca/Pendik, 34899, Istanbul, Turkey, t.guran@bham.ac.uk.
Omer Guran
Cem Paketci
Osman Kipoglu
Irfan Firat
Serap Turan
Zeynep Atay
Belma Haliloglu
Abdullah Bereket
Marmara University · TRZeynep Kamil Hospital · TRŞişli Etfal Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStuve-Wiedemann syndrome (STWS) (MIM #601559) is a rare autosomal recessive disorder caused by mutations in the leukemia inhibitory factor receptor (LIFR) gene. STWS has a diverse range of clinical features involving hematopoietic, skeletal, neuronal and immune systems. STWS manifests a high mortality due to increased risk of sudden death. Heterodimerization of the LIFR mediates leukemia inhibitory factor (LIF) signalling through the intracellular Janus kinase (JAK)/STAT3 signalling cascade. The LIF/LIFR system is highly expressed in and regulates the hypothalamo-pituitary-adrenal (HPA) axis.

objectivesHPA function was investigated in three STWS patients to characterise consequences of impaired LIF/LIFR signalling on adrenal function.

designSix genetically proven STWS patients from four unrelated Turkish families were included in the study. Sudden death occurred in three before 2 years of age. Basal adrenal function tests were performed by measurement of early morning serum cortisol and plasma ACTH concentrations on at least two different occasions. Low dose synacthen stimulation test and glucagon stimulation tests were performed to explore adrenal function in three patients who survived.

resultsAll patients carried the same LIFR (p.Arg692X) mutation. Our oldest patient had attenuated morning serum cortisol and plasma ACTH levels at repeated measurements. Two of three patients had attenuated cortisol response (<18 μg/dl) to glucagon, one of whom also had borderline cortisol response to low dose (1 μg) ACTH stimulation consistent with central adrenal insufficiency.

conclusionsSTWS patients may develop central adrenal insufficiency due to impaired LIF/LIFR signalling. LIF/LIFR system plays a role in human HPA axis regulation.

Indexed as

Adrenal InsufficiencyAdrenocorticotropic HormoneChildChild, PreschoolCohort StudiesExostoses, Multiple HereditaryFemaleHumansHydrocortisoneHypothalamo-Hypophyseal SystemInfantLeukemia Inhibitory Factor Receptor alpha SubunitMaleMutationOsteochondrodysplasiasPituitary-Adrenal SystemAdrenocorticotropic HormoneHydrocortisoneLeukemia Inhibitory Factor Receptor alpha SubunitLIFR protein, human

Identifiers

PMID25145448
OpenAlexW2061527829

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.