Evidence map›Paper›PMID 33610812›Full record

ReviewAgeing research reviews2021

Late-onset hypogonadism: Clinical evidence, biological aspects and evolutionary considerations.

Nikolai Jaschke, Andrew Wang, Lorenz C Hofbauer, Martina Rauner, Tilman D Rachner

Open access · greenAbstract readReview
In one paragraph

Review in Ageing research reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 19 citations in OpenAlex.

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  11. Antioxidants (Basel, Switzerland) · 2024
    Article
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  17. Impact of Andropause on Multiple Sclerosis.Frontiers in neurology · 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

5 authors at 2 institutions in 2 countries.

Nikolai JaschkeDepartment of Medicine III & Center for Healthy Aging, Technische Universität Dresden, Dresden, Germany. Electronic address: nikolaipirmin.jaschke@uniklinikum-dresden.de.
Andrew WangDepartment of Medicine (Rheumatology, Allergy & Immunology), Yale University School of Medicine, New Haven, CT, USA; Department of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.
Lorenz C HofbauerDepartment of Medicine III & Center for Healthy Aging, Technische Universität Dresden, Dresden, Germany.
Martina RaunerDepartment of Medicine III & Center for Healthy Aging, Technische Universität Dresden, Dresden, Germany.
Tilman D RachnerDepartment of Medicine III & Center for Healthy Aging, Technische Universität Dresden, Dresden, Germany.
TU Dresden · DEYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Regulation of Metabolic Programs for Host Tolerance to InflammationK08AI128745 · NIAID · YALE UNIVERSITY · PI WANG, ANDREW · 2017 to 2021
$784k
NCATS NIH HHS UL1 TR001863NIAID NIH HHS K08 AI128745
6 · The paper itself

Abstract

The growing life expectancy in modern societies has raised scientific interest in identifying medical interventions to alleviate age-associated pathologies such as vascular calcification, cognitive decline, sarcopenia, osteoporosis and sexual dysfunction. Although no such single treatment has thus far been established in humans, some clinicians and patients have set their hopes on testosterone replacement therapy (TRT) as a potential "fountain of youth" for aging men. While TRT has proven effective in ameliorating distinct symptoms of late-onset hypogonadism (LOH), its safety remains to be demonstrated. Besides humans, multiple other species exhibit age-related reductions in circulating testosterone levels, raising the question whether such changes are an inherent, pathological feature of growing organismal age or rather reflect an adaptive response. In this manuscript, we apply key principles of evolutionary medicine to testosterone biology and LOH to provide a novel perspective on these two fields. Additionally, we discuss insightful data derived from the animal kingdom to illustrate the plasticity of individual testosterone trajectories across the lifespan, outline cost-benefit-considerations of TRT in LOH and highlight potential caveats of such therapies.

Indexed as

HypogonadismOsteoporosisAdolescentAgingHormone Replacement TherapyHumansMaleTestosteroneTestosteroneEndocrinologyEvolutionHormonesLate-onset hypogonadismTestosteroneTRT

Identifiers

PMID33610812
PMCPMC8043243
OpenAlexW3129792936

What OpenQuestion holds

Textmetadata
LicenceTDM
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.