Evidence map›Paper›PMID 32369774›Full record

ArticleThe Journal of endocrinology2020

The selective glucocorticoid receptor antagonist CORT125281 has tissue-specific activity.

Lisa L Koorneef, Jan Kroon, Eva M G Viho, Lucas F Wahl, Kim M L Heckmans, Marloes M A R van Dorst, Menno Hoekstra, René Houtman, Hazel Hunt, Onno C Meijer

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

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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

10 authors at 3 institutions in 2 countries.

Lisa L KoorneefDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-1130-227X
Jan KroonDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Eva M G VihoDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Lucas F WahlDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Kim M L HeckmansDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Marloes M A R van DorstDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Menno HoekstraDivision of BioTherapeutics, Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands.
René HoutmanPamgene International, Den Bosch, The Netherlands.
Hazel HuntCorcept Therapeutics, Menlo Park, California, USA.
Onno C MeijerDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLCentre for Human Drug Research · NLCorcept Therapeutics (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucocorticoids mediate numerous essential processes in the human body via binding to the glucocorticoid receptor (GR). Excessive GR signaling can cause disease, and GR antagonists can be used to treat many symptoms of glucocorticoid-induced pathology. The purpose of this study was to characterize the tissue-specific properties of the selective GR antagonist CORT125281. We evaluated the antagonistic effects of CORT125281 upon acute and subchronic corticosterone exposure in mice. In the acute corticosterone setting, hypothalamus-pituitary-adrenal-axis activity was investigated by measurement of basal- and stress-induced corticosterone levels, adrenocorticotropic hormone levels and pituitary proopiomelanocortin expression. GR signaling was evaluated by RT-PCR analysis of GR-responsive transcripts in liver, muscle, brown adipose tissue (BAT), white adipose tissue (WAT) and hippocampus. Pretreatment with a high dose of CORT125281 antagonized GR activity in a tissue-dependent manner. We observed complete inhibition of GR-induced target gene expression in the liver, partial blockade in muscle and BAT and no antagonism in WAT and hippocampus. Tissue distribution only partially explained the lack of effective antagonism. CORT125281 treatment did not disinhibit the hypothalamus-pituitary-adrenal neuroendocrine axis. In the subchronic corticosterone setting, CORT125281 partially prevented corticosterone-induced hyperinsulinemia, but not hyperlipidemia and immune suppression. In conclusion, CORT125281 antagonizes GR transcriptional activity in a tissue-dependent manner and improves corticosterone-induced hyperinsulinemia. Tailored dosing of CORT125281 may allow tissue-specific inhibition of GR transcriptional activity.

Indexed as

Adipose Tissue, BrownAdipose Tissue, WhiteAnimalsCorticosteroneHippocampusHyperinsulinismHyperlipidemiasHypothalamo-Hypophyseal SystemLiverMiceMifepristoneMusclesPituitary-Adrenal SystemReceptors, GlucocorticoidCorticosteroneMifepristoneReceptors, Glucocorticoidcoregulatorscorticosteroneglucocorticoid receptorGR antagonistHPA-axismifepristoneRU486tissue-specificity

Identifiers

PMID32369774
PMCPMC7274539
OpenAlexW3021691043

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.