Evidence map›Paper›PMID 40297608›Full record

ArticleJournal of the Endocrine Society2025

Elevated Liver Enzymes in Turner Syndrome: The Role of Low-grade Inflammation and Hormonal Imbalances.

Lukas Ochsner Reynaud Ridder, Jesper Just, Christian Lodberg Hvas, Mette Mølby Nielsen, Holger Jon Møller, Henning Grønbæk, Claus H Gravholt

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Sex Hormones and Metabolic Dysfunction-Associated Steatotic Liver Disease.International journal of molecular sciences · 2025
    Review
  2. The Ovary-Liver Axis: Molecular Science and Epidemiology.International journal of molecular sciences · 2025
    Review
  3. Article
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

7 authors.

Lukas Ochsner Reynaud RidderDepartment of Endocrinology, Aarhus University Hospital, 8200 Aarhus, Denmark.ORCID https://orcid.org/0000-0003-1110-748X
Jesper JustDepartment of Molecular Medicine, Aarhus University Hospital, 8200 Aarhus, Denmark.ORCID https://orcid.org/0000-0002-3825-0000
Christian Lodberg HvasDepartment of Clinical Medicine, Aarhus University, 8200 Aarhus, Denmark.ORCID https://orcid.org/0000-0001-7973-7184
Mette Mølby NielsenDepartment of Clinical Biochemistry, Aarhus University Hospital, 8200 Aarhus, Denmark.ORCID https://orcid.org/0000-0001-6935-8287
Holger Jon MøllerDepartment of Clinical Medicine, Aarhus University, 8200 Aarhus, Denmark.ORCID https://orcid.org/0000-0001-7687-5995
Henning GrønbækDepartment of Clinical Medicine, Aarhus University, 8200 Aarhus, Denmark.ORCID https://orcid.org/0000-0001-8998-7910
Claus H GravholtDepartment of Endocrinology, Aarhus University Hospital, 8200 Aarhus, Denmark.ORCID https://orcid.org/0000-0001-5924-1720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Turner syndrome (TS) is a chromosomal disorder in females characterized by the partial or complete absence of 1 X chromosome. Women with TS face a higher risk of liver disease, elevated enzymes and fibrosis, potentially linked to inflammation, and hormonal imbalances, though the cause remains unclear. Objective: This paper investigates the associations between liver parameters, inflammatory markers, and hormonal factors in women with TS compared with age-matched female controls. Methods: We included 82 women with TS and 59 female controls. Participants underwent clinical examinations, anthropometric measurements, and fasting biochemical assessments of liver enzymes ( γ-glutamyl transferase [GGT], aspartate aminotransferase [AST], alanine aminotransferase [ALT], FIB-4), inflammatory markers (C-reactive protein [CRP], soluble CD163 [sCD163]), sex hormones, and 11-oxygenated C19 steroids. We also assessed myeloperoxidase (MPO) and neutrophil elastase gene expression levels and performed FibroScan and dual-energy X-ray absorptiometry. Results: Women with TS had higher levels of liver enzymes (GGT, AST, ALT) and FIB-4 than controls ( Conclusion: Women with TS have elevated liver enzymes associated with low-grade chronic inflammation and hormonal imbalances. These findings highlight the importance of regular monitoring of liver function, inflammatory markers, and hormonal levels in women with TS to enable early intervention and potentially improve clinical outcomes.

Indexed as

inflammationliver dysfunctionTurner syndrome

Identifiers

PMID40297608
PMCPMC12037259

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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.