Evidence map›Paper›PMID 34038819›Full record

ArticlePsychiatry research. Neuroimaging2021

Cortical gray matter structure in boys with Klinefelter syndrome.

Lara C Foland-Ross, Maureen Gil, Sharon Bade Shrestha, Lindsay C Chromik, David Hong, Allan L Reiss

Open access · greenAbstract read
In one paragraph

Article in Psychiatry research. Neuroimaging, 2021. 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
0.9field-weighted citation impact, top 24% 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, 8 citations in OpenAlex.

  1. Article
  2. Fractionation of sex differences in human cortical anatomy.bioRxiv : the preprint server for biology · 2025
    Article
  3. 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

6 authors at 2 institutions in 1 country.

Lara C Foland-RossCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States. Electronic address: lfolandross@stanford.edu.
Maureen GilCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States.
Sharon Bade ShresthaCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States.
Lindsay C ChromikDivision of Child Neurology, Stanford University School of Medicine, Stanford, CA, United States.
David HongCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States.
Allan L ReissCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States; Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States; Department of Radiology, Stanford University School of Medicine, Stanford, CA, United States.
Stanford University · USStanford Medicine · US

Funding

TRAINING FOR CHILD PSYCHIATRY AND CHILD DEVELOPMENTT32MH019908 · NIMH · STANFORD UNIVERSITY · PI IAN H GOTLIB, DAVID S HONG · 1993 to 2026
$6.3M
Gene, Brain and Behavior in Turner SyndromeR01HD049653 · NICHD · STANFORD UNIVERSITY · PI REISS, ALLAN L · 2006 to 2016
$6.0M
Brain and Behavior during Puberty in Klinefelter Syndrome.R01HD092847 · NICHD · STANFORD UNIVERSITY · PI REISS, ALLAN L, ROSS, JUDITH L · 2018 to 2023
$3.4M
Brain Development & Sex Chromosomes: Imaging of Turner and Klinefelter SyndromesR21MH099630 · NIMH · STANFORD UNIVERSITY · PI REISS, ALLAN L · 2013 to 2014
$432k
NICHD NIH HHS R01 HD049653NICHD NIH HHS R01 HD092847NIMH NIH HHS R21 MH099630NIMH NIH HHS T32 MH019908
6 · The paper itself

Abstract

Klinefelter syndrome (KS, 47,XXY) is a common sex chromosome aneuploidy in males that is associated with a wide range of cognitive, social and emotional characteristics. The neural bases of these symptoms, however, are unclear. Brain structure in 19 pre- or early-pubertal boys with KS (11.5 ± 1.8 years) and 22 typically developing (control) boys (8.1 ± 2.3 years) was examined using surface-based analyses of cortical gray matter volume, thickness and surface area. Boys in the KS group were treatment-naïve with respect to testosterone replacement therapy. Reduced volume in the insula and dorsomedial prefrontal cortex was observed in the KS relative to the TD group, as well as increased volume in the parietal, occipital and motor regions. Further inspection of surface-based metrics indicated that whereas KS-associated increases in volume were driven by differences in thickness, KS-associated reductions in volume were associated with decreases in surface area. Exploratory analyses additionally indicated several correlations between brain structure and behavior, providing initial support for a neural basis of cognitive and emotional symptoms of this condition. Taken together, these data add support for a neuroanatomical phenotype of KS and extend previous studies through clarifying the precise neuroanatomical structural characteristics of that give rise to volumetric alterations.

Indexed as

Klinefelter SyndromeBrainGray MatterHumansMalePhenotypeBrain structureGeneticsKlinefelter syndromeMRITestosteroneXXY

Identifiers

PMID34038819
PMCPMC8321133
OpenAlexW3157370900

What OpenQuestion holds

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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.