Cited by 284Sexual Differentiation and DisordersAdrenal Hormones and DisordersEstrogen and related hormone effects

The DOI matches its Crossref record; 42 of the 43 references it cites were found in a registry or an index.

In humans, early cortisol biosynthesis provides a mechanism to safeguard female sexual development

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Goto, M.·2006·Journal of Clinical Investigation

Abstract

In humans, sexual differentiation of the external genitalia is established at 7-12 weeks post conception (wpc). During this period, maintaining the appropriate intrauterine hormone environment is critical. In contrast to other species, this regulation extends to the human fetal adrenal cortex, as evidenced by the virilization that is associated with various forms of congenital adrenal hyperplasia. The mechanism underlying these clinical findings has remained elusive. Here we show that the human fetal adrenal cortex synthesized cortisol much earlier than previously documented, an effect associated with transient expression of the orphan nuclear receptor nerve growth factor IB-like (NGFI-B) and its regulatory target, the steroidogenic enzyme type 2 3beta-hydroxysteroid dehydrogenase (HSD3B2). This cortisol biosynthesis was maximal at 8-9 wpc under the regulation of ACTH. Negative feedback was apparent at the anterior pituitary corticotrophs. ACTH also stimulated the adrenal gland to secrete androstenedione and testosterone. In concert, these data promote a distinctive mechanism for normal human development whereby cortisol production, determined by transient NGFI-B and HSD3B2 expression, provides feedback at the anterior pituitary to modulate androgen biosynthesis and safeguard normal female sexual differentiation.

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Metadata

Authors
Goto, M.
Affiliations
University of Southampton (GB)
Corresponding author
Goto, M.
Venue
Journal of Clinical Investigation
Published
2006-03-23
Volume
116
Issue
4
Pages
953-960
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2115432253
Cited by
284
References
43
Citations by year
2026: 7 · 2025: 13 · 2024: 11 · 2023: 17 · 2022: 16 · 2021: 17 · 2020: 15 · 2019: 21 · 2018: 21 · 2017: 14 · 2016: 18 · 2015: 11 · 2014: 13 · 2013: 12 · 2012: 8
FWCI
5.57
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (acceptedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
Funders
University of Southampton
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Sexual Differentiation and Disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
Keywords
fetal adrenal cortex, cortisol production, external genitalia development, Nur77, HSD3B2, ACTH, negative feedback, androgen production, androstenedione, testosterone, congenital adrenal hyperplasia, masculinization
MeSH terms
Adrenal Cortex, Androgens, DNA-Binding Proteins, Female, Gene Expression Regulation, Gestational Age, Humans, Hydrocortisone, Models, Biological, Pituitary Gland, Anterior, Receptors, Steroid, Sex Differentiation, Transcription Factors, 3-Hydroxysteroid Dehydrogenases, Receptors, Cytoplasmic and Nuclear, Sexual Development, Nuclear Receptor Subfamily 4, Group A, Member 1

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