Evidence map›Paper›PMID 41907687›Full record

ArticleJournal of the Endocrine Society2026

Parathyroid histology in normocalcemic and hypercalcemic primary hyperparathyroidism with hypercalciuric renal stones.

Bénédicte Blanchard, Safia Hadjadj, Ellie Tang, Jennifer Kervadec, Souhila Ouchelouche, Perrine Frere, Olivier Traxer, Isabelle Wagner, Diane Evrard, Pierre Riebler and 4 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Bénédicte BlanchardINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Safia HadjadjINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Ellie TangINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Jennifer KervadecINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Souhila OucheloucheINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Perrine FrereINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Olivier TraxerSorbonne Université, Paris, France.
Isabelle WagnerService ORL et Chirurgie Cervico-Faciale, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris 75020, France.
Diane EvrardService ORL et Chirurgie Cervico-Faciale, Hôpital Bichat, Université Paris Cité, Assistance Publique-Hôpitaux de Paris, Paris 75018, France.
Pierre RieblerService ORL et Chirurgie Cervico-Faciale, CHU Tours, Tours 37044, France.
David BuobINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Emmanuel LetavernierINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.ORCID https://orcid.org/0000-0002-6053-8975
Jean-Philippe HaymannINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.
Caroline HalimiINSERM, Unité Mixte de Recherche 1155, Kidney Research Centre, Hôpital Tenon, Paris 75020, France.ORCID https://orcid.org/0000-0003-1586-3637

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Hypercalcemic (HPHPT) and normocalcemic primary hyperparathyroidism (NHPT) are distinct conditions with different biological and histological characteristics. Understanding their histological patterns could improve disease characterization. Objective: This study aimed to compare the histological features of NHPT and HPHPT parathyroid glands, but also rims of normal tissue, focusing on the expression of calcium-sensing receptor (CaSR), 1-α hydroxylase (CYP27B1), and vitamin D receptor (VDR). Methods: A retrospective observational study was conducted on histological and immunohistochemical data from parathyroid gland samples. The study included 50 hypercalciuric renal stone patients, of whom 18 had NHPT and 32 had HPHPT. Histological and immunohistochemical analyses were performed to evaluate cell distribution and marker expression. Parathyroid gland weight, cell distribution, and CaSR, CYP27B1, and VDR expression were analyzed and compared between NHPT, HPHPT, and rim biopsies. Results: Parathyroid gland weight and cell distribution were similar in both groups. A rim of normal tissue was more frequent in HPHPT (69% vs 37%; Conclusion: The NHPT hallmark phenotype is normal CaSR, CYP27B1/VDR expression in chief cells, with decreased VDR expression in oxyphil cells. HPHPT chief cell patterns show a marked CaSR decreased expression along with an increased CYP27B1/VDR expression, suggesting an appropriate autocrine/paracrine counterregulation to hypercalcemia/high PTH.

Indexed as

calcium-sensing receptorCYP27B1hypercalcemic primary hyperparathyroidismnormocalcemic primary hyperparathyroidismVDR

Identifiers

PMID41907687
PMCPMC13026408

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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.