Evidence map›Paper›PMID 31325085›Full record

Trial reportEndocrine2019

Bone and body composition response to testosterone therapy vary according to polymorphisms in the CYP19A1 gene.

Lina E Aguirre, Georgia Colleluori, David Robbins, Richard Dorin, Vallabh O Shah, Rui Chen, Irum Zeb Jan, Clifford Qualls, Dennis T Villareal, Reina Armamento-Villareal

Abstract readClinical Trial
In one paragraph

Trial report in Endocrine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Association between the aromatase (Archives of endocrinology and metabolism · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Association of theJournal of clinical medicine · 2022
    Article
  10. Article
  11. Article
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

10 authors.

Lina E AguirreNew Mexico VA Health Care System, Albuquerque, NM, USA.
Georgia ColleluoriBaylor College of Medicine, Houston, TX, USA.
David RobbinsNew Mexico VA Health Care System, Albuquerque, NM, USA.
Richard DorinNew Mexico VA Health Care System, Albuquerque, NM, USA.
Vallabh O ShahNew Mexico VA Health Care System, Albuquerque, NM, USA.
Rui ChenBaylor College of Medicine, Houston, TX, USA.ORCID 0000-0003-2513-506X
Irum Zeb JanNew Mexico VA Health Care System, Albuquerque, NM, USA.
Clifford QuallsNew Mexico VA Health Care System, Albuquerque, NM, USA.
Dennis T VillarealBaylor College of Medicine, Houston, TX, USA.
Reina Armamento-VillarealBaylor College of Medicine, Houston, TX, USA. reina.villareal@bcm.edu.

Funding

ZUNI HEALTH INITIATIVE-PILOT STUDYP20RR016480 · NCRR · NEW MEXICO STATE UNIVERSITY LAS CRUCES · PI GRIFFITH, JEFFREY K · 2001 to 2011
$33.7M
Aromatase Inhibitors and Weight Loss in Severely Obese Men with HypogonadismR01HD093047 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI VILLAREAL, REINA C · 2017 to 2022
$1.9M
CSRD VA I01 CX000424NCRR NIH HHS P20 RR016480NICHD NIH HHS R01 HD093047
6 · The paper itself

Abstract

purposeTo evaluate the influence of single nucleotide polymorphisms (SNPs) of CYP19A1 on the response and susceptibility to side effects from testosterone therapy. This is a prospective, single-arm study of men with low-morning serum testosterone (<10.68 nmol/l) administered testosterone cypionate 200 mg intramuscularly every 2 weeks for 18 months.

methodsWe measured areal bone mineral density (aBMD) and body composition by dual energy X-ray absorptiometry, tibial volumetric BMD and geometry by peripheral quantitative computer tomography, bone turnover markers by enzyme-linked immunosorbent assay, testosterone, and estradiol by liquid-chromatography/mass-spectroscopy, genotyping by microarray, CYP19A1 expression by quantitative polymerase chain reaction, hematocrit and prostate-specific antigen (PSA).

resultsWe enrolled 105 men (40-74-years-old). SNPs rs1062033 and rs700518 were associated with significant differences in outcomes at 18 months. The GG genotype in rs1062033 had significant increase in whole body aBMD, but had significant decrease in tibial bone size compared to the CG and CC genotypes. Body composition analysis showed that the CC genotype of rs1062033, and the AA genotype of rs700518, had significant increase in total lean and appendicular lean mass compared to CG and GG, and AG and GG, respectively. The GG genotype of rs700518 had significant increase in PSA (GG = 105.8 ± 23.3% vs. AG + AA = 53.4 ± 11.3%, p = 0.046) while hematocrit changes were comparable among genotypes. CYP19A1 expression was highest in GG genotype in both SNPs.

conclusionsFor the first time, we demonstrated that CYP19A1 SNPs influence response to testosterone therapy in hypogonadal men, highlighting the importance of genetic profiling in therapeutics even for common clinical conditions.

Indexed as

Absorptiometry, PhotonAdultAgedAromataseBody CompositionBody Mass IndexBone and BonesBone DensityBone RemodelingHumansMaleMiddle AgedMusculoskeletal SystemPolymorphism, GeneticPolymorphism, Single NucleotideProspective StudiesAromataseCYP19A1 protein, humanProstate-Specific AntigenTestosteroneAromataseBody compositionBone mineral densityCYP19A1Testosterone

Identifiers

PMID31325085
PMCPMC8077393

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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.