Evidence map›Paper›PMID 36428160›Full record

ArticleBritish journal of anaesthesia2023

Sex-specific hypnotic effects of the neuroactive steroid (3β,5β,17β)-3-hydroxyandrostane-17-carbonitrile are mediated by peripheral metabolism into an active hypnotic steroid.

Francesca M Manzella, Omar H Cabrera, Davis Wilkey, Brier Fine-Raquet, Jelena Klawitter, Kathiresan Krishnan, Douglas F Covey, Vesna Jevtovic-Todorovic, Slobodan M Todorovic

Open access · hybridAbstract read
In one paragraph

Article in British journal of anaesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. New directions in neurosteroid therapeutics in neuropsychiatry.Neuroscience and biobehavioral reviews · 2025
    Review
  4. Experimental biology and medicine (Maywood, N.J.) · 2025
    Article
  5. 5β-Dihydrosteroids: Formation and Properties.International journal of molecular sciences · 2024
    Review
  6. Review
  7. 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

9 authors at 2 institutions in 1 country.

Francesca M ManzellaDepartment of Anaesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Neuroscience Graduate Program, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Omar H CabreraDepartment of Anaesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Davis WilkeyDepartment of Anaesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Brier Fine-RaquetDepartment of Anaesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Jelena KlawitterDepartment of Anaesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Kathiresan KrishnanDepartment of Developmental Biology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Douglas F CoveyDepartment of Developmental Biology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA; Taylor Family Institute for Innovative Psychiatric Research, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Vesna Jevtovic-TodorovicDepartment of Anaesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Department of Pharmacology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Slobodan M TodorovicDepartment of Anaesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Neuroscience Graduate Program, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: slobodan.todorovic@cuanschutz.edu.
University of Colorado Anschutz Medical Campus · USWashington University in St. Louis · US

Funding

Voltage-gated calcium channels as target for anestheticsR35GM141802 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI Slobodan M. Todorovic · 2021 to 2026
$3.1M
Novel neurosteroid anesthetics and developmental synaptogenesisR01HD097990 · NICHD · UNIVERSITY OF COLORADO DENVER · PI JEVTOVIC-TODOROVIC, VESNA · 2019 to 2023
$2.9M
NICHD NIH HHS R01 HD097990NIGMS NIH HHS R35 GM141802
6 · The paper itself

Abstract

backgroundThe novel synthetic neuroactive steroid (3β,5β,17β)-3-hydroxyandrostane-17-carbonitrile (3β-OH) blocks T-type calcium channels but does not directly modulate neuronal γ-aminobutyric acid type A (GABA

methodsWe used a combination of behavioural loss of righting reflex, neuroendocrine, pharmacokinetic, in vitro patch-clamp electrophysiology, and in vivo electrophysiological approaches in wild-type mice and in genetic knockouts of the Ca

resultsAdult male mice were less sensitive to the hypnotic effects of 3β-OH compared with female mice, and these differences appeared during development. Adult males had higher 3β-OH brain concentrations despite being less sensitive to its hypnotic effects. Females metabolised 3β-OH into the active GABA

conclusionsThe sex-specific differences in the hypnotic effect of 3β-OH in mice are attributable to differences in its peripheral metabolism into the more potent hypnotic metabolite 3α-OH.

Indexed as

Calcium Channels, T-TypeNeurosteroidsAndrostanolsAnimalsFemaleHypnotics and SedativesMaleMiceNitrilesRatsReceptors, GABA-ASteroids3-hydroxyandrostane-17-carbonitrileAndrostanolsCalcium Channels, T-TypeHypnotics and SedativesNeurosteroidsNitrilesReceptors, GABA-ASteroidscalcium channelselectroencephalogrammetabolismneuroactive steroidpharmacokineticssex-specific pharmacology

Identifiers

PMID36428160
PMCPMC10080470
OpenAlexW4309640009

What OpenQuestion holds

Textmetadata
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.