Evidence map›Paper›PMID 38877584›Full record

ReviewOrphanet journal of rare diseases2024

Novel developments in the study of estrogen in the pathogenesis and therapeutic intervention of lymphangioleiomyomatosis.

Jingye Tai, Shihua Liu, Xinping Yan, Luantai Huang, Yingxin Pan, Hongyuan Huang, Zhen Zhao, Beini Xu, Jie Liu

Abstract readReview
In one paragraph

Review in Orphanet journal of rare diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Brazilian Thoracic Association recommendations for the management of lymphangioleiomyomatosis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Guideline
  2. Article
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  6. 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.

Jingye Tai *Nanshan College of Guangzhou Medical University, Guangzhou, 510515, China.
Shihua Liu *The First Clinical College of Guangzhou Medical University, Guangzhou, 510515, China.
Xinping Yan *Nanshan College of Guangzhou Medical University, Guangzhou, 510515, China.
Luantai HuangThe First Clinical College of Guangzhou Medical University, Guangzhou, 510515, China.
Yingxin PanThe First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, China.
Hongyuan HuangThe First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, China.
Zhen ZhaoThe First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, China.
Beini XuThe First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, China.
Jie LiuDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, China. ljgird001@163.com.ORCID 0009-0005-6892-276X

Funding

Guangdong Provincial Natural Science Foundation Top Project 2021A1515011352Guangzhou Municipal Research Collaborative Innovation Projects 02-408-2203-2106Health Medical Collaborative Innovation Program of Guangzhou ZNSA-2020013National Key Research and Development Programme: Key Special Project for Precision Medicine Research 2016YFC0901502Natural Science Foundation of Guangdong Province 2023A1515010308Special Fund Project for Science and Technology Innovation Strategy of Guangdong Province A2015018
6 · The paper itself

Abstract

objectiveThis study aimed to enhance the understanding of the role of estrogen in lymphangioleiomyomatosis(LAM) and to conclude the impact of estrogen-altering events on the condition and recent advances in estrogen-based treatments for LAM.

resultsLAM development is strongly linked to mutations in the tuberous sclerosis gene (TSC1/2) and the presence of estrogen. Estrogen plays a significant role in the spread of TSC2-deficient uterine leiomyoma cells to the lungs and the production of pulmonary LAM. Menstruation, pregnancy, estrogen medication, and other events that cause an increase in estrogen levels can trigger the disorder, leading to a sudden worsening of symptoms. Current findings do not support using estrogen-blocking therapy regimens. However, Faslodex, which is an estrogen receptor antagonist, presents new possibilities for future therapeutic approaches in LAM.

conclusionEstrogen is crucial in the development and spread of LAM. The use of estrogen inhibitors or estrogen receptor antagonists alone does not provide good control of the disease or even poses a greater risk, and the use of a combination of mTOR receptor inhibitors, complete estrogen receptor antagonists, estrogen inhibitors, and autophagy inhibitors targeting important signaling pathways in LAM pathogenesis may be of greater benefit to the patient.

Indexed as

EstrogensLymphangioleiomyomatosisFemaleHumansEstrogensEstrogenEstrogen receptor inhibitorLAMPregnancy

Identifiers

PMID38877584
PMCPMC11179233

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.