Evidence map›Paper›PMID 35178494›Full record

ArticleJournal of the Endocrine Society2022

17α-Hydroxylase/17,20-Lyase Deficiency in 46,XY: Our Experience and Review of Literature.

Madhur Maheshwari, Sneha Arya, Anurag Ranjan Lila, Vijaya Sarathi, Rohit Barnabas, Khushnandan Rai, Vishwambhar Vishnu Bhandare, Saba Samad Memon, Manjiri Pramod Karlekar, Virendra Patil and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 20% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. 17α-Hydroxylase/17,20-lyase Deficiency (17-OHD): A Meta-analysis of Reported Cases.The Journal of clinical endocrinology and metabolism · 2025
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. 17α-hydroxylase deficiency with a novelTranslational pediatrics · 2025
    Article
  8. Review
  9. Rare Types of Congenital Adrenal Hyperplasias Other Than 21-hydroxylase DeficiencyJournal of clinical research in pediatric endocrinology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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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

13 authors at 3 institutions in 1 country.

Madhur MaheshwariDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
Sneha AryaDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
Anurag Ranjan LilaDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.ORCID https://orcid.org/0000-0002-9623-4471
Vijaya SarathiDepartment of Endocrinology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore 560066, India.ORCID https://orcid.org/0000-0002-0243-0448
Rohit BarnabasDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
Khushnandan RaiDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Powai, Mumbai 400076, India.
Vishwambhar Vishnu BhandareDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Powai, Mumbai 400076, India.
Saba Samad MemonDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
Manjiri Pramod KarlekarDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
Virendra PatilDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
Nalini S ShahDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
Ambarish KunwarDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Powai, Mumbai 400076, India.
Tushar BandgarDepartment of Endocrinology, Seth G S Medical College & KEM Hospital, Mumbai 400012, India.
College of Medicine & JNM Hospital · INIndian Institute of Technology Bombay · INInstitute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThere are more than 100 pathogenic variants in

objectiveWe aimed to describe 46,XY patients with 17OHD from our center and review the literature.

methodsWe retrospectively analyzed genetically proven index cases of 17OHD from our 46,XY disorders of sex development cohort and reviewed similar cases from the literature (n = 150). Based on the phenotype, 17OHD probands were classified into combined severe deficiency (n = 128) and combined partial deficiency (n = 16). Additionally, patients with the apparent isolated 17,20-lyase deficiency (n = 7, from 6 families) were noted. Residual enzyme activities with the observed mutant enzymes were divided in 2 categories as < 1% and ≥ 1%, each for hydroxylase and lyase.

resultsWe present 4 index cases of 46,XY 17OHD with a complete spectrum of undervirilization and 2 novel variants in

conclusionWe report the first monocentric case series of Asian Indian 46,XY patients with 17OHD. We propose that a phenotype of severe undervirilization with milder cortisol deficiency may represent a distinct subtype of combined severe 17OHD with residual 17α-hydroxylase activity but severe 17,20-lyase deficiency (>1%/<1%), which needs further validation.

Indexed as

17-hydroxylase/1717OH deficiency20-lyase deficiency46,XY DSDCYP17A1

Identifiers

PMID35178494
PMCPMC8845120
OpenAlexW4210671949

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.