Evidence map›Paper›PMID 30669598›Full record

ArticleJournal of clinical medicine2019

Evidence for a Common Genetic Origin of Classic and Milder Adult-Onset Forms of Isolated Hypogonadotropic Hypogonadism.

Biagio Cangiano, Paolo Duminuco, Valeria Vezzoli, Fabiana Guizzardi, Iacopo Chiodini, Giovanni Corona, Mario Maggi, Luca Persani, Marco Bonomi

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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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 4 institutions in 1 country.

Biagio CangianoDepartment of Clinical Sciences and Community Health, University of Milan, 20100 Milan, Italy. biagio.cangiano@live.com.ORCID 0000-0002-2658-744X
Paolo DuminucoIRCCS Istituto Auxologico Italiano, Division of Endocrine and Metabolic Diseases & Lab. of Endocrine and Metabolic Research, 20149 Milan, Italy. p.duminuco@auxologico.it.
Valeria VezzoliIRCCS Istituto Auxologico Italiano, Division of Endocrine and Metabolic Diseases & Lab. of Endocrine and Metabolic Research, 20149 Milan, Italy. valeria.vezzoli@gmail.com.
Fabiana GuizzardiIRCCS Istituto Auxologico Italiano, Division of Endocrine and Metabolic Diseases & Lab. of Endocrine and Metabolic Research, 20149 Milan, Italy. f.guizzardi@auxologico.it.
Iacopo ChiodiniDepartment of Clinical Sciences and Community Health, University of Milan, 20100 Milan, Italy. iacopo.chiodini@unimi.it.ORCID 0000-0001-7594-3300
Giovanni CoronaEndocrinology Unit, Medical Department, Azienda USL, Maggiore-Bellaria Hospital, 40133 Bologna, Italy. jocorona@libero.it.
Mario MaggiDepartment of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, 50139 Florence, Italy. m.maggi@unifi.it.
Luca PersaniDepartment of Clinical Sciences and Community Health, University of Milan, 20100 Milan, Italy. luca.persani@unimi.it.ORCID 0000-0003-2068-9581
Marco BonomiDepartment of Clinical Sciences and Community Health, University of Milan, 20100 Milan, Italy. m.bonomi@auxologico.it.ORCID 0000-0001-5454-6074
University of Milan · ITIRCCS Istituto Auxologico Italiano · ITAzienda USL di Bologna · ITUniversity of Florence · IT

Funding

IRCCS Istituto Auxologico Italiano (Ricerca Corrente) O5C202_2012Italian Ministry of Health (Young Investigators funds) GR-2008-1137632
6 · The paper itself

Abstract

Multiple metabolic and inflammatory mechanisms are considered the determinants of acquired functional isolated hypogonadotropic hypogonadism (IHH) in males, whereas classic IHH is a rare congenital condition with a strong genetic background. Since we recently uncovered a frequent familiarity for classic IHH among patients with mild adult-onset hypogonadism (AO-IHH), here we performed a genetic characterization by next generation sequencing of 160 males with classic or "functional" forms. The prevalence of rare variants in 28 candidate genes was significantly higher than in controls in all IHH patients, independently of the age of IHH onset, degree of hypogonadism or presence of obesity. In fact, it did not differ among patients with classic or milder forms of IHH, however particular genes appear to be more specifically associated with one or the other category of IHH. ROC curves showed that Total Testosterone <6.05 nmol/L and an age of onset <41 years are sensitive cutoffs to identify patients with significantly higher chances of harboring rare IHH gene variants. In conclusion, rare IHH genes variants can frequently predispose to AO-IHH with acquired mild hormonal deficiencies. The identification of a genetic predisposition can improve the familial and individual management of AO-IHH and explain the heritability of congenital IHH.

Indexed as

BMIGnRHIHHKallmann’s SyndromeLate onset hypogonadismobesityoligogenicitytestosterone cutoff

Identifiers

PMID30669598
PMCPMC6352096
OpenAlexW2909289557

What OpenQuestion holds

Textmetadata
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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.