Evidence map›Paper›PMID 40003944›Full record

ArticleInternational journal of molecular sciences2025

Immunophenotypic Implications of Reverse-Circadian Glucocorticoid Treatment in Congenital Adrenal Hyperplasia.

Hanna F Nowotny, Hannah Choi, Selina Ziegler, Natalie Doll, Ariane Bäuerle, Ann-Christin Welp, Ilja Dubinski, Katharina Schiergens, Uta Neumann, Lea Tschaidse and 4 more

Abstract readMulticenter Study
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

Hanna F NowotnyDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0000-0003-3791-9929
Hannah ChoiDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Selina ZieglerDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Natalie DollDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Ariane BäuerleDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Ann-Christin WelpDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0009-0000-6065-0732
Ilja DubinskiDepartment of Pediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Katharina SchiergensDepartment of Pediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Uta NeumannKlinik für Pädiatrische Endokrinologie und Diabetologie, Charité Universitätsmedizin Berlin, 13353 Berlin, Germany.
Lea TschaidseDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Matthias K AuerDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Simon RothenfusserDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, 80337 Munich, Germany.ORCID 0000-0003-1151-7614
Heinrich SchmidtDepartment of Pediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Nicole ReischDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency (CAH) requires lifelong glucocorticoid replacement to manage cortisol deficiency and excessive androgen production. Conventional circadian treatment (CT) tries to mimic natural cortisol rhythms, whereas reverse-circadian treatment (RC) prioritizes the suppression of adrenal androgen excess overnight through evening dosing. Limited data exist on the immunological impact of these regimens. A bi-centric study was conducted, including 41 pediatric and adolescent CAH patients. Peripheral blood samples were collected from patients on conventional treatment (

Indexed as

Adrenal Hyperplasia, CongenitalCircadian RhythmGlucocorticoidsAdolescentChildChild, PreschoolCytokinesFemaleHumansImmunophenotypingInfantKiller Cells, NaturalMaleCytokinesGlucocorticoidscircadiancongenital adrenal hyperplasiaglucocorticoidsimmunophenotype

Identifiers

PMID40003944
PMCPMC11855454

What OpenQuestion holds

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LicenceCC BY
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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.