Evidence map›Paper›PMID 35135181›Full record

ArticleJournal of clinical research in pediatric endocrinology2022

Mutations in

Neşe Akcan, Oya Uyguner, Firdevs Baş, Umut Altunoğlu, Güven Toksoy, Birsen Karaman, Şahin Avcı, Zehra Yavaş Abalı, Şükran Poyrazoğlu, Agharza Aghayev and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical research in pediatric endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 46% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Molecular Diagnosis of 46,XY Disorders of Sex Development: An Efficient Initial Molecular Analysis Using a Custom-Designed Targeted Gene Panel in a Single-Center Study.Sexual development : genetics, molecular biology, evolution, endocrinology, embryology, and pathology of sex determination and differentiation · 2026
    Article
  4. Article
  5. Article
  6. Article
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  8. 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

14 authors at 5 institutions in 4 countries.

Neşe AkcanNear East University Faculty of Medicine, Department of Pediatric Endocrinology, Nicosia, CyprusORCID 0000-0003-2583-5736
Oya Uygunerİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0002-2035-4338
Firdevs Başİstanbul University, İstanbul Faculty of Medicine, Department of Pediatric Endocrinology, İstanbul, TurkeyORCID 0000-0001-9689-4464
Umut Altunoğluİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0002-3172-5368
Güven Toksoyİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0002-8103-9980
Birsen Karamanİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0001-8640-0176
Şahin Avcıİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0001-9545-6657
Zehra Yavaş Abalıİstanbul University, İstanbul Faculty of Medicine, Department of Pediatric Endocrinology, İstanbul, TurkeyORCID 0000-0002-8971-6181
Şükran Poyrazoğluİstanbul University, İstanbul Faculty of Medicine, Department of Pediatric Endocrinology, İstanbul, TurkeyORCID 0000-0001-6806-9678
Agharza Aghayevİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0001-8066-0428
Volkan Karamanİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0001-8777-3548
Rüveyde BundakUniversity of Kyrenia, Faculty of Medicine, Department of Pediatric Endocrinology, Kyrenia, CyprusORCID 0000-0001-5097-6448
Seher Başaranİstanbul University, İstanbul Faculty of Medicine, Department of Medical Genetics, İstanbul, TurkeyORCID 0000-0001-8668-4746
Feyza Darendelilerİstanbul University, İstanbul Faculty of Medicine, Department of Pediatric Endocrinology, İstanbul, TurkeyORCID 0000-0003-4786-0780
Istanbul University · TRKoç University · TRHampshire Constabulary · GBNear East University · CYUniversity of Kyrenia · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Androgen insensivity syndrome (AIS) and 5α-reductase deficiency (5α-RD) present with indistinguishable phenotypes among the 46,XY disorders of sexual development (DSD) that usually necessitate molecular analyses for the definitive diagnosis in the prepubertal period. The aim was to evaluate the clinical, hormonal and genetic findings of 46,XY DSD patients who were diagnosed as AIS or 5α-RD. Methods: Patients diagnosed as AIS or 5α-RD according to clinical and hormonal evaluations were investigated. Sequence variants of steroid 5-α-reductase type 2 were analyzed in cases with testosterone/dihydrotestosterone (T/DHT) ratio of ≥20, whereas the androgen receptor ( Results: A total of 128 DSD patients from 125 non-related families were enrolled. Birth weight SDS and gestational weeks were significantly higher in 5α-RD group than in AIS and undiagnosed groups. Completely female phenotype was higher in all subgroups of both AIS and 5α-RD patients than in the undiagnosed subgroups. In those patients with stimulated T/DHT <20 in the prepubertal period, stimulated T/DHT ratio was significantly lower in AIS than in the undiagnosed group, and higher in 5α-RD. Phenotype associated variants were detected in 24% (n=18 AIS, n=14 5α-RD) of the patients, revealing four novel AR variants (c.94G>T, p.Glu32*, c.330G>C, p.Leu110=; c.2084C>T, p.Pro695Leu, c.2585_2592delAGCTCCTG, p.(Lys862Argfs*16), of these c.330G>C with silent status remained undefined in terms of its causative effects. Conclusion: T/DHT ratio is an important hormonal criterion, but in some cases, T/DHT ratio may lead to diagnostic confusion. Molecular diagnosis is important for the robust diagnosis of 46,XY DSD patients. Four novel

Indexed as

Disorder of Sex Development, 46,XYReceptors, Androgen3-Oxo-5-alpha-Steroid 4-DehydrogenaseAndrogensDihydrotestosteroneFemaleHumansHypospadiasMaleMembrane ProteinsMutationSteroid Metabolism, Inborn ErrorsTestosterone3-Oxo-5-alpha-Steroid 4-DehydrogenaseAndrogensAR protein, humanDihydrotestosteroneMembrane ProteinsReceptors, AndrogenSRD5A2 protein, humanTestosterone46,XY disorders of sex development5α-reductase deficiencyandrogen insensitivity syndromeandrogen receptor genemutationsSRD5A2 gene mutations

Identifiers

PMID35135181
PMCPMC9176093
OpenAlexW4210913454

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.