Evidence map›Paper›PMID 26397949›Full record

ArticleThe New England journal of medicine2015

Pregnancy, Primary Aldosteronism, and Adrenal CTNNB1 Mutations.

Ada E D Teo, Sumedha Garg, Lalarukh Haris Shaikh, Junhua Zhou, Fiona E Karet Frankl, Mark Gurnell, Lisa Happerfield, Alison Marker, Mariann Bienz, Elena A B Azizan and 1 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The New England journal of medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
14.1field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Sexual dimorphism in benign adrenocortical tumours.European journal of endocrinology · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Double somatic mutations inFrontiers in endocrinology · 2024
    Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Primary Aldosteronism: State-of-the-Art Review.American journal of hypertension · 2022
    Article
  17. Genetics of Primary Aldosteronism.Hypertension (Dallas, Tex. : 1979) · 2022
    Review
  18. Review
  19. Targeted Mutational Analysis of Cortisol-Producing Adenomas.The Journal of clinical endocrinology and metabolism · 2022
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Ada E D TeoFrom the Clinical Pharmacology Unit, Centre for Clinical Investigation, Addenbrooke's Hospital, University of Cambridge (A.E.D.T., S.G., L.H.S., J.Z., E.A.B.A., M.J.B.), Department of Medical Genetics, Division of Renal Medicine, University of Cambridge (F.E.K.F.), University of Cambridge Metabolic Research Laboratories, Wellcome Trust-Medical Research Council (MRC) Institute of Metabolic Science, Addenbrooke's Hospital (M.G.), Department of Pathology, Addenbrooke's Hospital (L.H., A.M.), and MRC Laboratory of Molecular Biology (M.B.) - all in Cambridge, United Kingdom; and the Department of Medicine, National University of Malaysia Medical Centre, Kuala Lumpur (E.A.B.A.).
Sumedha Garg
Lalarukh Haris Shaikh
Junhua Zhou
Fiona E Karet Frankl
Mark Gurnell
Lisa Happerfield
Alison Marker
Mariann Bienz
Elena A B Azizan
Morris J Brown
Addenbrooke's Hospital · GBUniversity of Cambridge · GBMRC Laboratory of Molecular Biology · GBUniversity Kebangsaan Malaysia Medical Centre · MY

Funding

British Heart Foundation FS/11/35/28871British Heart Foundation FS/14/12/30540British Heart Foundation FS/14/75/31134British Heart Foundation PG/07/085/23349British Heart Foundation SP/08/002/24118Medical Research Council MC_U105184273Medical Research Council MC_U105192713Medical Research Council MR/K501050/1Medical Research Council U105192713Wellcome Trust 085686/Z/08/AWellcome Trust 100140
6 · The paper itself

Abstract

Recent discoveries of somatic mutations permit the recognition of subtypes of aldosterone-producing adenomas with distinct clinical presentations and pathological features. Here we describe three women with hyperaldosteronism, two who presented in pregnancy and one who presented after menopause. Their aldosterone-producing adenomas harbored activating mutations of CTNNB1, encoding β-catenin in the Wnt cell-differentiation pathway, and expressed LHCGR and GNRHR, encoding gonadal receptors, at levels that were more than 100 times as high as the levels in other aldosterone-producing adenomas. The mutations stimulate Wnt activation and cause adrenocortical cells to de-differentiate toward their common adrenal-gonadal precursor cell type. (Funded by grants from the National Institute for Health Research Cambridge Biomedical Research Centre and others.).

Indexed as

AdenomaAdrenal Gland NeoplasmsAdultAldosteronebeta CateninFemaleHumansHyperaldosteronismHypertensionHypokalemiaMiddle AgedPostmenopausePregnancyPregnancy Complications, NeoplasticReceptors, LHReceptors, LHRHAldosteronebeta CateninCTNNB1 protein, humanReceptors, LHReceptors, LHRH

Identifiers

PMID26397949
PMCPMC4612399
OpenAlexW2320400149

What OpenQuestion holds

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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.