Evidence map›Paper›PMID 34223260›Full record

ArticleF&S reports2020

Elevated activity levels of activating autoantibodies to the GnRH receptor in patients with polycystic ovary syndrome.

Elizabeth A Weedin, Heather R Burks, Xichun Yu, Hong Liang Li, Christopher E Aston, David C Kem, LaTasha B Craig

Open access · goldAbstract read
In one paragraph

Article in F&S reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Pharmaceuticals (Basel, Switzerland) · 2026
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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

7 authors at 2 institutions in 1 country.

Elizabeth A WeedinSection of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Oklahoma City, Oklahoma.
Heather R BurksSection of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Oklahoma City, Oklahoma.
Xichun YuSection of Endocrinology, Department of Medicine, Oklahoma City, Oklahoma.
Hong Liang LiSection of Endocrinology, Department of Medicine, Oklahoma City, Oklahoma.
Christopher E AstonDepartment of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
David C KemSection of Endocrinology, Department of Medicine, Oklahoma City, Oklahoma.
LaTasha B CraigSection of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Oklahoma City, Oklahoma.
Oklahoma Blood Institute · USUniversity of Oklahoma Health Sciences Center · US

Funding

Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI PAUL G SPICER · 2013 to 2026
$68.2M
NIGMS NIH HHS U54 GM104938
6 · The paper itself

Abstract

objectives1) To confirm the correlation of GnRH receptor (GnRHR) activating autoantibody (AAb) activity with polycystic ovary syndrome (PCOS) diagnosis in large well defined cohorts; and 2) to evaluate suppression of AAb activity with GnRH antagonist medication in transfected GnRHR cells exposed to serum of PCOS patients.

designCross-sectional matched case-control study.

settingUniversity-based research facility. PATIENTS: Sera from 200 patients with PCOS from the Pregnancy in Polycystic Ovary Syndrome II (PPCOS II) trial and from 200 race, parity-, age-, and body mass index (BMI)-matched ovulatory unexplained infertile control patients from the Assessment of Multiple Intrauterine Gestations from Ovarian Stimulation (AMIGOS) trial were obtained and used for this study.

interventionsGnRHR AAb activity was determined with the use of the GeneBlazer cell-based fluorescence resonance energy transfer assay with and without cetrorelix, a GnRH antagonist.

main outcome measures1) GnRHR AAb activity in PCOS patients compared with control subjects; and 2) effectiveness of GnRH antagonist in suppressing GnRHR AAb activity.

resultsGnRHR AAb activity levels in the PCOS group were significantly higher than in the control group. With cetrorelix, GnRHR AAb activity was largely suppressed in the PCOS group but not in the control group. These differences remained significant after adjusting for within-pair differences in age, BMI, and antimüllerian hormone (AMH) levels.

conclusionsWe confirmed higher GnRHR AAb activity levels in the sera of a large cohort of PCOS patients compared with unexplained infertile control subjects. Addition of cetrorelix resulted in significant suppression of AAb activity levels in PCOS patients as a group whereas control subjects were unaffected. GnRHR AAb, along with patient age and AMH level, may provide a promising future diagnostic test for PCOS.

Indexed as

activating autoantibodies (AAbs)antimüllerian hormone (AMH)GnRHR-cell activityPolycystic ovarian syndrome (PCOS)unexplained infertility

Identifiers

PMID34223260
PMCPMC8244267
OpenAlexW3092226393

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.