Evidence map›Paper›PMID 34468399›Full record

ArticleEndocrine connections2021

Female-dominant estrogen production in healthy children before adrenarche.

Maki Igarashi, Tadayuki Ayabe, Kiwako Yamamoto-Hanada, Keiko Matsubara, Hatoko Sasaki, Mayako Saito-Abe, Miori Sato, Nathan Mise, Akihiko Ikegami, Masayuki Shimono and 10 more

Open access · goldAbstract read
In one paragraph

Article in Endocrine connections, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 41% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. ADHD and Sex Hormones in Females: A Systematic Review.Journal of attention disorders · 2025
    Pooled it
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  12. Influence of biological sex in inflammatory bowel diseases.Nature reviews. Gastroenterology & hepatology · 2025
    Review
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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

20 authors at 7 institutions in 1 country.

Maki IgarashiMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
Tadayuki AyabeMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
Kiwako Yamamoto-HanadaMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
Keiko MatsubaraDepartment of Molecular Endocrinology, National Research Institute for Child Health and Development, Setagaya, Tokyo, Japan.
Hatoko SasakiMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
Mayako Saito-AbeMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
Miori SatoMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
Nathan MiseDepartment of Environmental and Preventive Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Akihiko IkegamiDepartment of Environmental and Preventive Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Masayuki ShimonoRegional Center for Pilot Study of Japan Environment and Children's Study, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.
Reiko SugaRegional Center for Pilot Study of Japan Environment and Children's Study, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.
Shouichi OhgaDepartment of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan.
Masafumi SanefujiDepartment of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan.
Masako OdaDepartment of Public Health, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto, Japan.
Hiroshi MitsubuchiDepartment of Neonatology, Kumamoto University Hospital, Chuo-ku, Kumamoto, Japan.
Takehiro MichikawaJapan Environment and Children's Study Programme Office, National Institute for Environmental Studies, Tsukuba, Ibaraki, Japan.
Shin YamazakiJapan Environment and Children's Study Programme Office, National Institute for Environmental Studies, Tsukuba, Ibaraki, Japan.
Shoji NakayamaJapan Environment and Children's Study Programme Office, National Institute for Environmental Studies, Tsukuba, Ibaraki, Japan.
Yukihiro OhyaMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
Maki FukamiMedical Support Center for Japan Environmental and Children's Study, National Center for Child Health and Development, Setagaya, Tokyo, Japan.ORCID 0000-0001-9971-4035
National Center For Child Health and Development · JPNational Institute for Environmental Studies · JPJichi Medical University · JPKyushu University · JPUniversity of Occupational and Environmental Health Japan · JPKumamoto Health Science University · JPKumamoto University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUltra-sensitive hormone assays have detected slight sex differences in blood estradiol (E2) levels in young children before adrenarche. However, the origin of circulating E2 in these individuals remains unknown. This study aimed to clarify how E2 is produced in young girls before adrenarche.

designThis is a satellite project of the Japan Environment and Children's Study organized by the National Institute for Environmental Studies.

methodsWe collected blood samples from healthy 6-year-old Japanese children (79 boys and 71 girls). Hormone measurements and data analysis were performed in the National Institute for Environmental Studies and the Medical Support Center of the Japan Environment and Children's Study, respectively.

resultsE2 and follicle stimulating hormone (FSH) levels were significantly higher in girls than in boys, while dehydroepiandrosterone sulfate (DHEA-S) and testosterone levels were comparable between the two groups. Girls showed significantly higher E2/testosterone ratios than boys. In children of both sexes, a correlation was observed between E2 and testosterone levels and between testosterone and DHEA-S levels. Moreover, E2 levels were correlated with FSH levels only in girls.

conclusionsThe results indicate that in 6-year-old girls, circulating E2 is produced primarily in the ovary from adrenal steroids through FSH-induced aromatase upregulation. This study provides evidence that female-dominant E2 production starts several months or years before adrenarche. The biological significance of E2 biosynthesis in these young children needs to be clarified in future studies.

Indexed as

paediatric endocrinologypuberty

Identifiers

PMID34468399
PMCPMC8494404
OpenAlexW3196805611

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.