Evidence map›Paper›PMID 34253781›Full record

ArticleScientific reports2021

Dual effects of 9-cis retinoic acid on ACTH-dependent hyperplastic adrenal tissues.

Francesca Pecori Giraldi, Antonella Sesta, Laura Tapella, Maria Francesca Cassarino, Luigi Castelli

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 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
0.7field-weighted citation impact, top 28% 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, 6 citations in OpenAlex.

  1. Review
  2. Review
  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

5 authors at 4 institutions in 1 country.

Francesca Pecori GiraldiDepartment of Clinical Sciences and Community Health, University of Milan, 20122, Milan, Italy. francesca.pecorigiraldi@unimi.it.
Antonella SestaNeuroendocrinology Research Laboratory, Istituto Auxologico Italiano IRCCS, Via Zucchi 18, 20095, Cusano Milanino, MI, Italy.
Laura TapellaNeuroendocrinology Research Laboratory, Istituto Auxologico Italiano IRCCS, Via Zucchi 18, 20095, Cusano Milanino, MI, Italy.
Maria Francesca CassarinoNeuroendocrinology Research Laboratory, Istituto Auxologico Italiano IRCCS, Via Zucchi 18, 20095, Cusano Milanino, MI, Italy.
Luigi CastelliOspedale San Carlo, Reparto di Chirurgia, 20037, Paderno Dugnano, MI, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIRCCS Istituto Auxologico Italiano · ITOspedale San Carlo · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retinoids play a pivotal role in adrenal development and differentiation. Recent clinical trials revealed therapeutic potential of both all-trans and 9-cis retinoic acid in patients with cortisol excess due to a pituitary ACTH-secreting adenoma and indicated that retinoids might act also on the adrenal. Aim of the present study was to evaluate the effect of 9-cis retinoic acid on adrenals from patients with ACTH-dependent Cushing's syndrome. Adrenal specimens from six patients with Cushing's disease were incubated with 10 nM-1 µM 9-cis retinoic acid with and without 10 nM ACTH. Cortisol secretion was measured by immunoassay and expression of genes involved in steroidogenesis as well as retinoic acid action were evaluated by real-time RT-PCR. Incubation with 10-100 nM 9-cis retinoic acid increased spontaneous cortisol secretion and expression of STAR and CYP17A. On the other hand, in wells treated with ACTH, 9-cis retinoic acid markedly diminished ACTH receptor upregulation and no stimulatory effect on cortisol secretion or steroidogenic enzyme synthesis was observed. ACTH itself increased ligand-induced retinoic acid receptor expression, possibly enhancing sensitivity to retinoic acid. Our findings indicate that the effect of 9-cis retinoic acid in presence of ACTH is distinct from unchallenged wells and support the hypothesis of a direct adrenal action in patients with Cushing's disease.

Indexed as

Adrenal GlandsAdrenocorticotropic HormoneAlitretinoinCushing SyndromeHumansHydrocortisonePituitary ACTH HypersecretionReceptors, Retinoic AcidTranslational Research, BiomedicalTretinoinAdrenocorticotropic HormoneAlitretinoinHydrocortisoneReceptors, Retinoic AcidTretinoin

Identifiers

PMID34253781
PMCPMC8275666
OpenAlexW3178258186

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.