Evidence map›Paper›PMID 41600604›Full record

ArticleToxics2026

Age-Dependent Effects of Heavy Metals on the Hypothalamic-Pituitary-Testicular Axis-Related Hormones in Men.

Yayuan Mei, Yongfu Yan, Shenglan Ke, Weihui Su, Zhangjia Luo, Xiaobao Chen, Hui Xu, Weitao Su, Ang Li

Abstract read
In one paragraph

Article in Toxics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Yayuan MeiBig Data Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
Yongfu YanChinese Center for Disease Control and Prevention, Beijing 100050, China.
Shenglan KeXianning Medical College, Hubei University of Science and Technology, Xianning 437100, China.
Weihui SuXianning Medical College, Hubei University of Science and Technology, Xianning 437100, China.
Zhangjia LuoXianning Medical College, Hubei University of Science and Technology, Xianning 437100, China.
Xiaobao ChenXianning Medical College, Hubei University of Science and Technology, Xianning 437100, China.
Hui XuBig Data Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
Weitao SuCentral Laboratory, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.
Ang LiHebei Key Laboratory of Environment and Human Health, Shijiazhuang 050017, China.

Funding

China Postdoctoral Science Foundation 2023M730317China Postdoctoral Science Foundation 2023T160066Fundamental Research Funds for the Central Universities 3332023042Noncommunicable Chronic Diseases-National Science and Technology Major Project 2023ZD0513200Open Project of Hebei Key Laboratory of Environment and Human Health 202301Open Project of Hebei Key Laboratory of Environment and Human Health 202303Programs of the National Natural Science Foundation of China 82404278Programs of the National Natural Science Foundation of China 82404365
6 · The paper itself

Abstract

The effect of heavy metals on male hormonal regulation-particularly the hypothalamic-pituitary-testicular (HPT) axis-remains poorly characterized. We aim to investigate associations between heavy metal exposure and HPT axis-related hormones. We analyzed data, including male participants aged 3-80 years, from a nationally representative survey. Five metals and twelve sex hormones were measured. We used multivariate linear regression and restricted cubic splines to assess associations and dose-response relationships. Mixture effects were quantified using quantile-based g computation. The modifying effects of vitamin D and folate were examined. The underlying mechanisms were explored through a narrative review and integrative bioinformatics analysis. A total of 6547 males were included. Metal exposure was predominantly associated with hormonal perturbations in adolescents and older adults. Specifically, metal mixture was associated with hormones in adolescent males [effect range: -5.10% (95% CI: -9.24, -0.76) to 18.12% (95% CI: 9.80, 27.07)] and older males [effect range: 3.17% (95% CI: 0.07, 6.37) to 10.94% (95% CI: 4.82, 17.43)]. Effect modifications were observed for vitamin D in children and adolescents, and for folate across all age groups. The

Indexed as

joint effectmalemetal elementssex hormonesvitamin D

Identifiers

PMID41600604
PMCPMC12846245

What OpenQuestion holds

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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.