Evidence map›Paper›PMID 33112833›Full record

ArticleEndocrine connections2020

From adrenarche to aging of adrenal zona reticularis: precocious female adrenopause onset.

Emanuelle Nunes-Souza, Mônica Evelise Silveira, Monalisa Castilho Mendes, Seigo Nagashima, Caroline Busatta Vaz de Paula, Guilherme Guilherme Vieira Cavalcante da Silva, Giovanna Silva Barbosa, Julia Belgrowicz Martins, Lúcia de Noronha, Luana Lenzi and 7 more

Open access · goldAbstract read
In one paragraph

Article in Endocrine connections, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Normal and Premature Adrenarche.Endocrine reviews · 2021
    Review
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

17 authors at 5 institutions in 2 countries.

Emanuelle Nunes-SouzaPelé Pequeno Príncipe Research Institute, Água Verde, Curitiba, Parana, Brazil.
Mônica Evelise SilveiraLaboratório Central de Análises Clínicas, Hospital de Clínicas, Universidade Federal do Paraná, Centro, Curitiba, Paraná, Brazil.
Monalisa Castilho MendesPelé Pequeno Príncipe Research Institute, Água Verde, Curitiba, Parana, Brazil.
Seigo NagashimaServiço de Anatomia Patológica, Hospital de Clínicas, Universidade Federal do Paraná, General Carneiro, Alto da Glória, Curitiba, Parana, Brazil.
Caroline Busatta Vaz de PaulaServiço de Anatomia Patológica, Hospital de Clínicas, Universidade Federal do Paraná, General Carneiro, Alto da Glória, Curitiba, Parana, Brazil.
Guilherme Guilherme Vieira Cavalcante da SilvaServiço de Anatomia Patológica, Hospital de Clínicas, Universidade Federal do Paraná, General Carneiro, Alto da Glória, Curitiba, Parana, Brazil.
Giovanna Silva BarbosaServiço de Anatomia Patológica, Hospital de Clínicas, Universidade Federal do Paraná, General Carneiro, Alto da Glória, Curitiba, Parana, Brazil.
Julia Belgrowicz MartinsPelé Pequeno Príncipe Research Institute, Água Verde, Curitiba, Parana, Brazil.
Lúcia de NoronhaServiço de Anatomia Patológica, Hospital de Clínicas, Universidade Federal do Paraná, General Carneiro, Alto da Glória, Curitiba, Parana, Brazil.
Luana LenziDepartamento de Análises Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
José Renato Sales BarbosaPelé Pequeno Príncipe Research Institute, Água Verde, Curitiba, Parana, Brazil.
Rayssa Danilow Fachin DoninCentro de Genética Molecular e Pesquisa do Câncer em Crianças (CEGEMPAC) at Universidade Federal do Paraná, Agostinho Leão Jr., Glória, Curitiba, Parana, Brazil.
Juliana Ferreira de MouraPós Graduação em Microbiologia, Parasitologia e Patologia, Departamento de Patologia Básica - UFPR, Curitiba, Brazil.
Gislaine CustódioFaculdades Pequeno Príncipe, Rebouças, Curitiba, Parana, Brazil.
Cleber Machado-SouzaPelé Pequeno Príncipe Research Institute, Água Verde, Curitiba, Parana, Brazil.
Enzo LalliInstitut de Pharmacologie Moléculaire et Cellulaire CNRS, Sophia Antipolis, Valbonne, France.
Bonald Cavalcante de FigueiredoPelé Pequeno Príncipe Research Institute, Água Verde, Curitiba, Parana, Brazil.
Universidade Federal do Paraná · BRHospital de Clínicas Universidade Federal do Paraná · BRPontifícia Universidade Católica do Paraná · BRCentre National de la Recherche Scientifique · FRHospital de Clínicas de Porto Alegre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAdaptive changes in DHEA and sulfated-DHEA (DHEAS) production from adrenal zona reticularis (ZR) have been observed in normal and pathological conditions. Here we used three different cohorts to assess timing differences in DHEAS blood level changes and characterize the relationship between early blood DHEAS reduction and cell number changes in women ZR. MATERIALS AND

methodsDHEAS plasma samples (n = 463) were analyzed in 166 healthy prepubertal girls before pubarche (<9 years) and 324 serum samples from 268 adult females (31.9-83.8 years) without conditions affecting steroidogenesis. Guided by DHEAS blood levels reduction rate, we selected the age range for ZR cell counting using DHEA/DHEAS and phosphatase and tensin homolog (PTEN), tumor suppressor and cell stress marker, immunostaining, and hematoxylin stained nuclei of 14 post-mortem adrenal glands.

resultsWe confirmed that overweight girls exhibited higher and earlier DHEAS levels and no difference was found compared with the average European and South American girls with a similar body mass index (BMI). Adrenopause onset threshold (AOT) defined as DHEAS blood levels <2040 nmol/L was identified in >35% of the females >40 years old and associated with significantly reduced ZR cell number (based on PTEN and hematoxylin signals). ZR cell loss may in part account for lower DHEA/DHEAS expression, but most cells remain alive with lower DHEA/DHEAS biosynthesis.

conclusionThe timely relation between significant reduction of blood DHEAS levels and decreased ZR cell number at the beginning of the 40s suggests that adrenopause is an additional burden for a significant number of middle-aged women, and may become an emergent problem associated with further sex steroids reduction during the menopausal transition.

Indexed as

adrenarcheadrenopausedehydroepiandrosteroneDHEA-SDHEASfemalephosphatase and tensin homologPTENsulfated-dehydroepiandrosterone

Identifiers

PMID33112833
PMCPMC7774755
OpenAlexW3093878201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.