Evidence map›Paper›PMID 30753518›Full record

ArticleThe Journal of clinical endocrinology and metabolism2019

11-Oxygenated C19 Steroids Do Not Decline With Age in Women.

Aya T Nanba, Juilee Rege, Jianwei Ren, Richard J Auchus, William E Rainey, Adina F Turcu

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05973175 (The RolE oF Androgen Excess in MUscle Energy MetaboLism in Women With PolyCystic Ovary Syndrome), which is not on this map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT05973175 unknown statusnot on this mapstarted 2023, after this paper: background citation

The RolE oF Androgen Excess in MUscle Energy MetaboLism in Women With PolyCystic Ovary Syndrome (The REFUEL PCOS) Study 1

TypeobservationalSponsorRoyal College of Surgeons, IrelandRan2023 to 2025Enrolled40ConditionsPolycystic Ovary Syndrome
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Approach to the patient: investigation of postmenopausal androgen excess.The Journal of clinical endocrinology and metabolism · 2026
    Review
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  10. Review
  11. Article
  12. Article
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  14. Review
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  16. Observational
  17. Human Gonads Do Not Contribute to the Circulating Pool of 11-Oxygenated Androgens.The Journal of clinical endocrinology and metabolism · 2025
    Article
  18. Review
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Aya T NanbaDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
Juilee RegeDepartment of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan.
Jianwei RenDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
Richard J AuchusDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
William E RaineyDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
Adina F TurcuDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
University of Michigan · US

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
The contemporary endocrinology of congenital adrenal hyperplasiaK08DK109116 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TURCU, ADINA F · 2016 to 2020
$832k
NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR002240NIA NIH HHS P30 AG024824NIDDK NIH HHS K08 DK109116
6 · The paper itself

Abstract

contextThe ovaries and adrenals are sources of androgens in women. Although dehydroepiandrosterone (DHEA), DHEA sulfate (DHEAS), and testosterone (T) all decline with age, these C19 steroids correlate poorly with parameters of androgen action in postmenopausal women.

objectiveTo comprehensively compare the androgen profiles of pre- and postmenopausal women.

methodsWe quantified 19 steroids-including DHEA; DHEAS; T; androstenedione (A4); and the following adrenal-specific 11-oxygenated C19 steroids (11oxyandrogens): 11β-hydroxytestosterone (11OHT), 11-ketotestosterone (11KT), 11β-hydroxyandrostenedione (11OHA4), and 11-ketoandrostenedione (11KA4)-using liquid chromatography-tandem mass spectrometry in morning serum obtained from 100 premenopausal (age 20 to 40 years) and 100 postmenopausal (age ≥ 60 years) women. Double immunofluorescence of 3β-hydroxysteroid dehydrogenase type 2 (HSD3B2) with cytochrome b5 (CYB5A) or sulfotransferase 2A1 (SULT2A1) was performed in normal adrenal glands obtained from eight premenopausal and eight postmenopausal women.

resultsDHEA, DHEAS, A4, and T were significantly higher in pre- than in postmenopausal women (2.9, 2.8, 2.9, and 1.6-fold, respectively; P < 0.0001). In contrast, the 11-oxyandrogens did not decrease with aging, and the 11OHT/T and 11OHA4/A4 ratios showed strong positive correlations with age (r = 0.5 and 0.8, respectively; P < 0.0001). Double immunofluorescence analysis showed that with the involution of the zona reticularis in the old adrenals, the sharp zonal segregation of HSD3B2 and CYB5A becomes less distinct, and areas of HSD3B2 and CYB5A overlap are observed.

conclusionsUnlike DHEA, DHEAS, A4, and T, the 11oxyandrogens do not decline in aging women. Structural changes within the adrenal cortex might explain the evolution of androgen profiles in aging women.

Indexed as

Adrenal CortexAdultAgedAgingAndrostenesCytochromes b5FemaleHumansMiddle AgedOxygenPostmenopauseProgesterone ReductaseSulfotransferasesYoung Adult3 beta-hydroxysteroid dehydrogenase type IIalcohol sulfotransferaseAndrostenesCYB5A protein, humanCytochromes b5OxygenProgesterone ReductaseSulfotransferases

Identifiers

PMID30753518
PMCPMC6525564
OpenAlexW2913786411

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.