Evidence map›Paper›PMID 25210767›Full record

ArticlePloS one2014

Common genetic variants of the human steroid 21-hydroxylase gene (CYP21A2) are related to differences in circulating hormone levels.

Márton Doleschall, Julianna Anna Szabó, Júlia Pázmándi, Ágnes Szilágyi, Klára Koncz, Henriette Farkas, Miklós Tóth, Péter Igaz, Edit Gláz, Zoltán Prohászka and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. SomeJournal of clinical medicine · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Sarcopenia and Variation in the Human Leukocyte Antigen Complex.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
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  7. 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

14 authors at 3 institutions in 2 countries.

Márton Doleschall3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary; Molecular Medicine Research Group, Hungarian Academy of Sciences and Semmelweis University, Budapest, Hungary; William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Julianna Anna Szabó3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Júlia Pázmándi2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Ágnes Szilágyi3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Klára Koncz2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary; "Lendület" Hereditary Endocrine Tumours Research Group, Hungarian Academy of Sciences and Semmelweis University, Budapest, Hungary.
Henriette Farkas3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Miklós Tóth2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Péter Igaz2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Edit Gláz2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Zoltán Prohászka3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Márta KorbonitsWilliam Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Károly RáczMolecular Medicine Research Group, Hungarian Academy of Sciences and Semmelweis University, Budapest, Hungary; 2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
George Füst3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Attila PatócsMolecular Medicine Research Group, Hungarian Academy of Sciences and Semmelweis University, Budapest, Hungary; "Lendület" Hereditary Endocrine Tumours Research Group, Hungarian Academy of Sciences and Semmelweis University, Budapest, Hungary.
Semmelweis University · HUHungarian Academy of Sciences · HUWilliam Harvey Research Institute · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSystematic evaluation of the potential relationship between the common genetic variants of CYP21A2 and hormone levels.

methodsThe relationships of CYP21A2 intron 2 polymorphisms and haplotypes with diverse baseline and stimulated blood hormone levels were studied in 106 subjects with non-functioning adrenal incidentaloma (NFAI). The rationale for using NFAI subjects is dual: i) their baseline hormone profiles do not differ from those of healthy subjects and ii) hormone levels after stimulation tests are available.

resultsThe carriers (N = 27) of a well-defined CYP21A2 haplotype cluster (c5) had significantly elevated levels of cortisol (p = 0.0110), and 17-hydroxyprogesterone (p = 0.0001) after ACTH stimulation, and 11-deoxycortisol after metyrapone administration (p = 0.0017), but the hormone values were in normal ranges. In addition, the carriers (N = 33) of the C allele of the rs6462 polymorphism had a higher baseline aldosterone level (p = 0.0006). The prevalence of these genetic variants of CYP21A2 did not differ between NFAI and healthy subjects.

conclusionsThe common CYP21A2 variants presumably exert the same effect on hormone levels in the healthy and disease-affected populations. Therefore, they may contribute to complex diseases such as some cardiovascular diseases, and may influence the genotype-phenotype correlation in patients with congenital adrenal hyperplasia (CAH) including the individual need for hormone substitution.

Indexed as

17-alpha-HydroxyprogesteroneAdenomaAdrenal Gland NeoplasmsAdrenal Hyperplasia, CongenitalAdultCase-Control StudiesFemaleGene FrequencyHaplotypesHeterozygoteHumansHydrocortisoneLinkage DisequilibriumMaleMiddle AgedPolymorphism, Genetic17-alpha-HydroxyprogesteroneCYP21A2 protein, humanHydrocortisoneRanitidineSteroid 21-Hydroxylase

Identifiers

PMID25210767
PMCPMC4161435
OpenAlexW1975566335

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Registered trials

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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.