Evidence map›Paper›PMID 28320971›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2017

Neuroendocrine androgen action is a key extraovarian mediator in the development of polycystic ovary syndrome.

Aimee S L Caldwell, Melissa C Edwards, Reena Desai, Mark Jimenez, Robert B Gilchrist, David J Handelsman, Kirsty A Walters

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 1 pooled it
24.5field-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

116 citing papers in PubMed, 1 synthesis or guideline pooled it, 215 citations in OpenAlex.

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  10. The Plasma Glycome Differences Between Women with PCOS and Healthy Controls.International journal of molecular sciences · 2026
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Aimee S L CaldwellAndrology Laboratory, ANZAC Research Institute, University of Sydney, Sydney, NSW 2139, Australia.
Melissa C EdwardsAndrology Laboratory, ANZAC Research Institute, University of Sydney, Sydney, NSW 2139, Australia.
Reena DesaiAndrology Laboratory, ANZAC Research Institute, University of Sydney, Sydney, NSW 2139, Australia.
Mark JimenezAndrology Laboratory, ANZAC Research Institute, University of Sydney, Sydney, NSW 2139, Australia.
Robert B GilchristDiscipline of Obstetrics and Gynaecology, School of Women's and Children's Health, University of New South Wales, Sydney, NSW 2052, Australia.
David J HandelsmanAndrology Laboratory, ANZAC Research Institute, University of Sydney, Sydney, NSW 2139, Australia.ORCID 0000-0002-4200-7476
Kirsty A WaltersAndrology Laboratory, ANZAC Research Institute, University of Sydney, Sydney, NSW 2139, Australia; k.walters@unsw.edu.au.
The University of Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polycystic ovary syndrome (PCOS) is a complex hormonal disorder characterized by reproductive, endocrine, and metabolic abnormalities. As the origins of PCOS remain unknown, mechanism-based treatments are not feasible and current management relies on treatment of symptoms. Hyperandrogenism is the most consistent PCOS characteristic; however, it is unclear whether androgen excess, which is treatable, is a cause or a consequence of PCOS. As androgens mediate their actions via the androgen receptor (AR), we combined a mouse model of dihydrotestosterone (DHT)-induced PCOS with global and cell-specific AR-resistant (ARKO) mice to investigate the locus of androgen actions that mediate the development of the PCOS phenotype. Global loss of the AR reveals that AR signaling is required for all DHT-induced features of PCOS. Neuron-specific AR signaling was required for the development of dysfunctional ovulation, classic polycystic ovaries, reduced large antral follicle health, and several metabolic traits including obesity and dyslipidemia. In addition, ovariectomized ARKO hosts with wild-type ovary transplants displayed normal estrous cycles and corpora lutea, despite DHT treatment, implying extraovarian and not intraovarian AR actions are key loci of androgen action in generating the PCOS phenotype. These findings provide strong evidence that neuroendocrine genomic AR signaling is an important extraovarian mediator in the development of PCOS traits. Thus, targeting AR-driven mechanisms that initiate PCOS is a promising strategy for the development of novel treatments for PCOS.

Indexed as

Disease Models, AnimalAndrogensAnimalsCells, CulturedEstrous CycleFemaleGranulosa CellsMiceMice, KnockoutNeuronsNeurosecretory SystemsPolycystic Ovary SyndromeReceptors, AndrogenAndrogensAR protein, mouseReceptors, Androgenandrogenanimal modelneuroendocrinePCOS

Identifiers

PMID28320971
PMCPMC5402450
OpenAlexW2600823667

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.