Professor Nils P Krone
MD, FRCPCH
Clinical Medicine, School of Medicine and Population Health
Professor of Paediatric Endocrinology
Honorary Consultant Paediatric Endocrinologist
+44 114 271 7508
Full contact details
Clinical Medicine, School of Medicine and Population Health
Room 16, The Damer Street Building
Sheffield Children's Hospital
Western Bank
Sheffield
S10 2TH
- Profile
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For enquiries please contact - ClinMed-Operational@sheffield.ac.uk
I graduated from the Ludwig-Maximilian’s University, Munich, Germany, where I was also awarded my MD for studies into the genotype-phenotype correlation in congenital adrenal hyperplasia. I have trained in General Paediatrics and Paediatric Endocrinology at the University Children’s Hospital, Munich and University of Kiel Children’s Hospital, Germany (1999-2006). I have been working at the University of Birmingham as Wellcome Trust Clinician Scientist and Senior Clinical Lecturer (2006-2015).
I was appointed at the University of Sheffield in 2015 and work as Honorary Consultant Paediatric Endocrinologist at Sheffield Children’s Hospital, where I lead the adrenal and disorders/ differences of sex development (DSD) clinical service.
Current PhD Opportunities:
- Research interests
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My main clinical and basic research interests are inborn errors of steroid hormone biosynthesis and steroid hormone metabolism in health and disease. This is closely interlinked with my main clinical interests into inborn errors of steroidogenesis, congenital adrenal hyperplasia (CAH), disorders/ differences of sex development (DSD), and PCOS.
Ongoing work of my group explores the systemic consequences of disrupted steroid hormone synthesis and action on whole organism employing zebrafish as a model organism in translational steroid hormone research. This research is based at the Bateson Centre.
The main focus of my clinical research program is on CAH. I led on several projects to establish the evidence basis on the current health status in children and young people with congenital adrenal hyperplasia in the UK as well as standardisation of healthcare provision.
In addition, I work on a program to improve health care deliver for children and young people with DSD .
Current projects
- Understanding the systemic consequences to disrupted steroidogenesis.
- Long-term pathophysiology of glucocorticoid deficiency
- Health status of children and young persons with congenital adrenal hyperplasia (CAH-UK).
- Improving biomarkers for therapy monitoring in CAH.
- Current practice of CAH healthcare delivery in the UK.
- Publications
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Show: Featured publications All publications
Featured publications
Journal articles
- Interrenal development and function in zebrafish. Molecular and Cellular Endocrinology, 535, 111372-111372.
- Adrenal insufficiency. The Lancet, 397(10274), 613-629.
- 11β-Hydroxylase loss disrupts steroidogenesis and reproductive function in zebrafish. Journal of Endocrinology, 247(2), 197-212. View this article in WRRO
- The P450 side chain cleavage enzyme Cyp11a2 facilitates steroidogenesis in zebrafish. Journal of Endocrinology, 244(2), 309-321. View this article in WRRO
- Measurement of Salivary Adrenal-Specific Androgens as Biomarkers of Therapy Control in 21-Hydroxylase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 104(12), 6417-6429.
- Exquisite sensitivity of adrenocortical carcinomas to induction of ferroptosis. Proceedings of the National Academy of Sciences, 116(44), 22269-22274.
- Ferredoxin 1b deficiency leads to testis disorganization, impaired spermatogenesis and feminization in zebrafish.. Endocrinology. View this article in WRRO
- GENETICS IN ENDOCRINOLOGY: Approaches to molecular genetic diagnosis in the management of differences/disorders of sex development (DSD): position paper of EU COST Action BM 1303 ‘DSDnet’. European Journal of Endocrinology, 179(4), R197-R206. View this article in WRRO
- Glucocorticoid deficiency causes transcriptional and post-transcriptional reprogramming of glutamine metabolism. EBioMedicine, 36, 376-389. View this article in WRRO
- Expression and activity profiling of the steroidogenic enzymes of glucocorticoid biosynthesis and the fdx1 co-factors in zebrafish. Journal of Neuroendocrinology, 30(4). View this article in WRRO
- Genetic disruption of 21-hydroxylase in zebrafish causes interrenal hyperplasia. Endocrinology, 158(12), 4165-4173. View this article in WRRO
All publications
Journal articles
- 6437 Analysis of 17-OH-progesterone (17OHP) and androstenedione (A4) profiles to rationalise biochemical monitoring of CAH patients. Journal of the Endocrine Society, 8(Supplement_1). View this article in WRRO
- Biomarkers in congenital adrenal hyperplasia.. Clin Endocrinol (Oxf).
- Assessing the Response of Biomarkers to Anti-Inflammatory Medications in PIMS-TS by Longitudinal Multilevel Modeling: Real-World Data from a UK Tertiary Center. Pediatric Allergy, Immunology, and Pulmonology, 36(3), 94-103.
- Factors associated with response to growth hormone in pediatric growth disorders: results of a 5-year registry analysis. Journal of the Endocrine Society, 7(5).
- PMON191 Current Management of Acute Adrenal Insufficiency Related Adverse Events in Children with Congenital Adrenal Hyperplasia- Results of an International Survey of Specialist Centres. Journal of the Endocrine Society, 6(Supplement_1), A621-A621.
- LBMON197 Predictors Of Response To Growth Hormone Treatment In Pediatric Growth Disorders: Analysis From The Answer Program And Nordinet® IOS. Journal of the Endocrine Society, 6(Supplement_1), A592-A592.
- Health status of children and young persons with congenital adrenal hyperplasia in the UK (CAH-UK): a cross-sectional multi-centre study. European Journal of Endocrinology, 187(4), 543-553.
- Adrenal Gland Function and Dysfunction During COVID-19. Hormone and Metabolic Research, 54(08), 532-539.
- Management Of Acute Adrenal Insufficiency Related Adverse Events In Children With Congenital Adrenal Hyperplasia - Results Of An International Survey Of Specialist Centres. Hormone Research in Paediatrics.
- Treatment of congenital adrenal hyperplasia in children aged 0-3 years: A retrospective multicenter analysis of salt supplementation, glucocorticoid and mineralocorticoid medication, growth and blood pressure. European Journal of Endocrinology.
- The broad phenotypic spectrum of 17α-hydroxylase/17,20-lyase (CYP17A1) deficiency : a case series. European Journal of Endocrinology, 185(5), 729-741.
- Peptide hormone analysis in diagnosis and treatment of Differences of Sex Development: joint position paper of EU COST Action ‘DSDnet’ and European Reference Network on Rare Endocrine Conditions.
- Gonadectomy in conditions affecting sex development: a registry-based cohort study. European Journal of Endocrinology, 184(6), 791-801.
- Interrenal development and function in zebrafish. Molecular and Cellular Endocrinology, 535, 111372-111372.
- Society for Endocrinology UK Guidance On The Initial Evaluation Of A Suspected Difference or Disorder Of Sex Development (DSD) (Revised 2021).. Clin Endocrinol (Oxf).
- Genetic analysis of pediatric primary adrenal insufficiency of unknown etiology: 25 years’ experience in the UK. Journal of the Endocrine Society.
- Quality of Life in Children and Young People With Congenital Adrenal Hyperplasia in the United Kingdom - Nationwide Multicentre Assessment. Journal of the Endocrine Society, 5(Suppl 1), a720-a720.
- Health Status of Children and Young Persons With Congenital Adrenal Hyperplasia in the United Kingdom: Results of a Multi-Center Cohort Study. Journal of the Endocrine Society, 5(Suppl 1), a717-a717.
- Adrenal insufficiency. The Lancet, 397(10274), 613-629.
- International practice of corticosteroid replacement therapy in congenital adrenal hyperplasia - data from the I-CAH registry. European Journal of Endocrinology.
- 11β-Hydroxylase loss disrupts steroidogenesis and reproductive function in zebrafish. Journal of Endocrinology, 247(2), 197-212. View this article in WRRO
- Peptide hormone analysis in diagnosis and treatment of differences of sex development: Joint position paper of EU COST action ‘DSDnet’ and european reference network on rare endocrine conditions.
- MondoA regulates gene expression in cholesterol biosynthesis-associated pathways required for zebrafish epiboly. eLife, 9.
- Peptide hormone analysis in diagnosis and treatment of Differences of Sex Development: joint position paper of EU COST Action ‘DSDnet’ and European Reference Network on Rare Endocrine Conditions. European Journal of Endocrinology, 182(6), P1-P15.
- The P450 side chain cleavage enzyme Cyp11a2 facilitates steroidogenesis in zebrafish. Journal of Endocrinology, 244(2), 309-321. View this article in WRRO
- Plasma Renin Measurements are Unrelated to Mineralocorticoid Replacement Dose in Patients With Primary Adrenal Insufficiency. The Journal of Clinical Endocrinology & Metabolism, 105(1), 314-326.
- Measurement of Salivary Adrenal-Specific Androgens as Biomarkers of Therapy Control in 21-Hydroxylase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 104(12), 6417-6429.
- Exquisite sensitivity of adrenocortical carcinomas to induction of ferroptosis. Proceedings of the National Academy of Sciences, 116(44), 22269-22274.
- Alternative pathway androgen biosynthesis and human fetal female virilization. Proceedings of the National Academy of Sciences, 116(44), 22294-22299. View this article in WRRO
- Ferredoxin 1b deficiency leads to testis disorganization, impaired spermatogenesis and feminization in zebrafish.. Endocrinology. View this article in WRRO
- Update on adrenal steroid hormone biosynthesis and clinical implications. Archives of Disease in Childhood. View this article in WRRO
- Next generation sequencing (NGS) to improve the diagnosis and management of patients with disorders of sex development (DSD).. Endocrine Connections. View this article in WRRO
- Stress-inducible-stem cells: a new view on endocrine, metabolic and mental disease?. Molecular Psychiatry, 24(1), 2-9.
- Causes, patterns and severity of androgen excess in 487 consecutively recruited pre- and post-pubertal children. European Journal of Endocrinology. View this article in WRRO
- Management of Gonads in Adults with Androgen Insensitivity: An International Survey. Hormone Research in Paediatrics, 90(4), 236-246.
- GENETICS IN ENDOCRINOLOGY: Approaches to molecular genetic diagnosis in the management of differences/disorders of sex development (DSD): position paper of EU COST Action BM 1303 ‘DSDnet’. European Journal of Endocrinology, 179(4), R197-R206. View this article in WRRO
- Glucocorticoid deficiency causes transcriptional and post-transcriptional reprogramming of glutamine metabolism. EBioMedicine, 36, 376-389. View this article in WRRO
- Expression and activity profiling of the steroidogenic enzymes of glucocorticoid biosynthesis and the fdx1 co-factors in zebrafish. Journal of Neuroendocrinology, 30(4). View this article in WRRO
- International survey on high- and low-dose synacthen test and assessment of accuracy in preparing low-dose synacthen. Clinical Endocrinology, 88(5), 744-751. View this article in WRRO
- Quantitative Brain MRI in Congenital Adrenal Hyperplasia: In Vivo Assessment of the Cognitive and Structural Impact of Steroid Hormones. The Journal of Clinical Endocrinology & Metabolism, 103(4), 1330-1341. View this article in WRRO
- Genetic disruption of 21-hydroxylase in zebrafish causes interrenal hyperplasia. Endocrinology, 158(12), 4165-4173. View this article in WRRO
- Birth weight in different etiologies of disorders of sex development. Journal of Clinical Endocrinology and Metabolism, 102(3), 1044-1050. View this article in WRRO
- DIAGNOSIS OF ENDOCRINE DISEASE: Steroid Hormone Analysis in Diagnosis and Treatment of DSD Position Paper of EU COST Action BM 1303 "DSDnet".. European Journal of Endocrinology. View this article in WRRO
- Cardiovascular health, growth and gonadal function in children and adolescents with congenital adrenal hyperplasia.. Archives of Disease in Childhood. View this article in WRRO
- Extensive Regulation of Diurnal Transcription and Metabolism by Glucocorticoids. PLoS Genetics, 12(12). View this article in WRRO
- Modified release and conventional glucocorticoids and diurnal androgen excretion in congenital adrenal hyperplasia. The Journal of Clinical Endocrinology & Metabolism, jc.2016-2855-jc.2016-2855. View this article in WRRO
- Society for Endocrinology UK guidance on the initial evaluation of an infant or an adolescent with a suspected disorder of sex development (Revised 2015). Clinical Endocrinology, 84(5), 771-788. View this article in WRRO
- Natural history of retinopathy in children and young people with type 1 diabetes. Eye, 30(7), 987-981. View this article in WRRO
- Ferredoxin 1b (Fdx1b) Is the Essential Mitochondrial Redox Partner for Cortisol Biosynthesis in Zebrafish. Endocrinology, 157(3), 1122-1134. View this article in WRRO
- Characterization of the molecular genetic pathology in patients with 11β-hydroxylase deficiency. Clinical Endocrinology, 83(5), 629-635.
- Adrenal Steroid Metabolites Accumulating in Congenital Adrenal Hyperplasia Lead to Transactivation of the Glucocorticoid Receptor. Endocrinology, 156(10), 3504-3510.
- 5α-Reductase Type 2 Regulates Glucocorticoid Action and Metabolic Phenotype in Human Hepatocytes. Endocrinology, 156(8), 2863-2871.
- Current and novel approaches to children and young people with congenital adrenal hyperplasia and adrenal insufficiency. Best Practice & Research Clinical Endocrinology & Metabolism, 29(3), 449-468.
- Influence of 17-Hydroxyprogesterone, Progesterone and Sex Steroids on Mineralocorticoid Receptor Transactivation in Congenital Adrenal Hyperplasia. Hormone Research in Paediatrics, 83(6), 414-421.
- Keeping the pressure on mineralocorticoid replacement in congenital adrenal hyperplasia. Clinical Endocrinology, 82(4), 478-480.
- Identification of a Novel Large CYP17A1 Deletion by MLPA Analysis in a Family with Classic 17a-Hydroxylase Deficiency. Sexual Development, 9(2), 91-97.
- Low estriol levels in the maternal marker screen as a predictor of X-linked adrenal hypoplasia congenita: Case report. Srpski arhiv za celokupno lekarstvo, 142(11-12), 728-731.
- Changes Over Time in Sex Assignment for Disorders of Sex Development. PEDIATRICS, 134(3), e710-e715.
- Relationship Between Final Height and Health Outcomes in Adults With Congenital Adrenal Hyperplasia: United Kingdom Congenital Adrenal Hyperplasia Adult Study Executive (CaHASE). The Journal of Clinical Endocrinology & Metabolism, 99(8), E1547-E1555.
- Diminished 11β-Hydroxysteroid Dehydrogenase Type 2 Activity Is Associated With Decreased Weight and Weight Gain Across the First Year of Life. The Journal of Clinical Endocrinology & Metabolism, 99(5), E821-E831.
- Care provision in congenital adrenal hyperplasia - all doom and gloom or light at the end of the tunnel?. Clinical Endocrinology, 80(4), 469-470.
- Novel Associations in Disorders of Sex Development: Findings From the I-DSD Registry. The Journal of Clinical Endocrinology & Metabolism, 99(2), E348-E355.
- 46,XY Disorder of Sex Development in a Sudanese Patient Caused by a Novel Mutation in theHSD17B3Gene. Sexual Development, 8(4), 151-155.
- Testicular Adrenal Rest Tumors Develop Independently of Long-Term Disease Control: A Longitudinal Analysis of 50 Adult Men With Congenital Adrenal Hyperplasia due to Classic 21-Hydroxylase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 98(11), E1820-E1826.
- A Diagnosis Not to Be Missed: Nonclassic Steroid 11β-Hydroxylase Deficiency Presenting With Premature Adrenarche and Hirsutism. The Journal of Clinical Endocrinology & Metabolism, 98(10), E1620-E1625.
- Redefining the Initiation and Maintenance of Zebrafish Interrenal Steroidogenesis by Characterizing the Key Enzyme Cyp11a2. Endocrinology, 154(8), 2702-2711.
- Quality of life in adults with congenital adrenal hyperplasia relates to glucocorticoid treatment, adiposity and insulin resistance: United Kingdom Congenital adrenal Hyperplasia Adult Study Executive (CaHASE). European Journal of Endocrinology, 168(6), 887-893. View this article in WRRO
- Prenatal Diagnosis of Congenital Adrenal Hyperplasia Caused by P450 Oxidoreductase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 98(3), E528-E536.
- Novel H6PDH mutations in two girls with premature adrenarche: ‘apparent’ and ‘true’ CRD can be differentiated by urinary steroid profiling. European Journal of Endocrinology, 168(2), K19-K26.
- Glucocorticoid treatment regimen and health outcomes in adults with congenital adrenal hyperplasia. Clinical Endocrinology, 78(2), 197-203.
- Genotype-Phenotype Correlation in 153 Adult Patients With Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency: Analysis of the United Kingdom Congenital Adrenal Hyperplasia Adult Study Executive (CaHASE) Cohort. The Journal of Clinical Endocrinology & Metabolism, 98(2), E346-E354.
- Delayed diagnosis of adrenal insufficiency in a patient with severe penoscrotal hypospadias due to two novel P450 side-change cleavage enzyme (CYP11A1) mutations (p.R360W; p.R405X). European Journal of Endocrinology, 167(6), 881-885.
- A Missense Mutation in the Human Cytochrome b5 Gene causes 46,XY Disorder of Sex Development due to True Isolated 17,20 Lyase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 97(3), E465-E475.
- Genotype-Phenotype Analysis in Congenital Adrenal Hyperplasia due to P450 Oxidoreductase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 97(2), E257-E267.
- Urine Steroid Metabolomics as a Biomarker Tool for Detecting Malignancy in Adrenal Tumors. The Journal of Clinical Endocrinology & Metabolism, 96(12), 3775-3784.
- Differences in metabolic effects of twice daily versus multiple daily insulin injections in children with type 1 diabetes. Practical Diabetes, 28(9), 384-387.
- A Novel Entity of Clinically Isolated Adrenal Insufficiency Caused by a Partially Inactivating Mutation of the Gene Encoding for P450 Side Chain Cleavage Enzyme (CYP11A1). The Journal of Clinical Endocrinology & Metabolism, 96(11), E1798-E1806.
- Premature adrenarche: novel lessons from early onset androgen excess. European Journal of Endocrinology, 165(2), 189-207.
- UK guidance on the initial evaluation of an infant or an adolescent with a suspected disorder of sex development. Clinical Endocrinology, 75(1), 12-26.
- Pubertal Presentation in Seven Patients with Congenital Adrenal Hyperplasia due to P450 Oxidoreductase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 96(3), E453-E462.
- Pubertal Presentation in Seven Patients with Congenital Adrenal Hyperplasia due to P450 Oxidoreductase Deficiency. Endocrinology, 152(2), 741-742.
- Pubertal Presentation in Seven Patients with Congenital Adrenal Hyperplasia due to P450 Oxidoreductase Deficiency. Endocrine Reviews, 32(1), 155-155.
- Health Problems in Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency. Hormone Research in Paediatrics, 76(2), 73-85.
- Health Status of Adults with Congenital Adrenal Hyperplasia: A Cohort Study of 203 Patients. The Journal of Clinical Endocrinology & Metabolism, 95(11), 5110-5121.
- Gas chromatography/mass spectrometry (GC/MS) remains a pre-eminent discovery tool in clinical steroid investigations even in the era of fast liquid chromatography tandem mass spectrometry (LC/MS/MS). The Journal of Steroid Biochemistry and Molecular Biology, 121(3-5), 496-504.
- Concomitant Mutations in the P450 Oxidoreductase and Androgen Receptor Genes Presenting with 46,XY Disordered Sex Development and Androgenization at Adrenarche. The Journal of Clinical Endocrinology & Metabolism, 95(7), 3418-3427.
- No Correlation between Androgen Receptor CAG and GGN Repeat Length and the Degree of Genital Virilization in Females with 21-Hydroxylase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 95(5), 2443-2450.
- Functional Consequences of Seven Novel Mutations in the CYP11B1 Gene: Four Mutations Associated with Nonclassic and Three Mutations Causing Classic 11β-Hydroxylase Deficiency. Endocrinology, 151(2), 839-839.
- Functional Consequences of Seven Novel Mutations in theCYP11B1Gene: Four Mutations Associated with Nonclassic and Three Mutations Causing Classic 11β-Hydroxylase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 95(2), 779-788.
- Thoughts on paediatric diabetes care in the UK. The British Journal of Diabetes & Vascular Disease, 9(6), 259-267.
- Nonclassic Lipoid Congenital Adrenal Hyperplasia Masquerading as Familial Glucocorticoid Deficiency. The Journal of Clinical Endocrinology & Metabolism, 94(10), 3865-3871.
- Steroid 17α-Hydroxylase Deficiency: Functional Characterization of Four Mutations (A174E, V178D, R440C, L465P) in theCYP17A1Gene. The Journal of Clinical Endocrinology & Metabolism, 94(8), 3058-3064.
- An overlooked cause of glucocorticoid deficiency?. Nature Reviews Endocrinology, 5(7), 362-363.
- How to improve blood-glucose control in type-1 diabetes. Paediatrics and Child Health, 19(7), 309-315.
- InactivatingPAPSS2Mutations in a Patient with Premature Pubarche. New England Journal of Medicine, 360(22), 2310-2318.
- Genetics of congenital adrenal hyperplasia. Best Practice & Research Clinical Endocrinology & Metabolism, 23(2), 181-192.
- Functional characterization of threeCYP21A2sequence variants (p.A265V, p.W302S, p.D322G) employing a yeast co-expression system. Human Mutation, 30(2), E443-E450.
- Revealing a subclinical salt-losing phenotype in heterozygous carriers of the novel S562P mutation in the α subunit of the epithelial sodium channel. Clinical Endocrinology, 70(2), 252-258.
- Congenital Adrenal Hyperplasia due to 11-Hydroxylase Deficiency – Insights from Two Novel CYP11B1 Mutations (p.M92X, p.R453Q). Hormone Research, 72(5), 281-286.
- Extreme Hyponatremia in an Infant with Congenital Adrenal Hypoplasia due to a Novel NR0B1 (DAX-1) Mutation. Klinische Pädiatrie, 220(05), 287-290.
- Functional and Structural Consequences of a Novel Point Mutation in theCYP21A2Gene Causing Congenital Adrenal Hyperplasia: Potential Relevance of Helix C for P450 Oxidoreductase-21-Hydroxylase Interaction. The Journal of Clinical Endocrinology & Metabolism, 93(7), 2891-2895.
- Cushing's syndrome in women with polycystic ovaries and hyperandrogenism. Nature Clinical Practice Endocrinology & Metabolism, 3(11), 778-783.
- Age-specific changes in sex steroid biosynthesis and sex development. Best Practice & Research Clinical Endocrinology & Metabolism, 21(3), 393-401.
- Differential Inhibition of CYP17A1 and CYP21A2 Activities by the P450 Oxidoreductase Mutant A287P. Molecular Endocrinology, 21(8), 1958-1968.
- Congenital adrenal hyperplasia and P450 oxidoreductase deficiency. Clinical Endocrinology, 66(2).
- Adult Consequences of Congenital Adrenal Hyperplasia. Hormone Research in Paediatrics, 68(5), 158-164.
- Four Novel Missense Mutations in the CYP21A2 Gene Detected in Russian Patients Suffering from the Classical Form of Congenital Adrenal Hyperplasia: Identification, Functional Characterization, and Structural Analysis. The Journal of Clinical Endocrinology & Metabolism, 91(12), 4976-4980.
- Elucidating the Underlying Molecular Pathogenesis ofNR3C2Mutants Causing Autosomal Dominant Pseudohypoaldosteronism Type 1. The Journal of Clinical Endocrinology & Metabolism, 91(11), 4552-4561.
- Analyzing the Functional and Structural Consequences of Two Point Mutations (P94L and A368D) in the CYP11B1 Gene Causing Congenital Adrenal Hyperplasia Resulting from 11-Hydroxylase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 91(7), 2682-2688.
- Structure-function relationships in congenital adrenal hyperplasia due to 11-hydroxylase deficiency - insights from two novel mutations (M92X, R453Q) in the CYP11B1 gene. HORMONE RESEARCH, 65, 17-17.
- Naturally occurring mineralocorticoid receptor mutations causing autosomal dominant pseudohypoaldosteronism type 1 (PHA1) - different pathogenetic molecular mechanisms resulting in diverse clinical phenotype. HORMONE RESEARCH, 65, 17-17.
- Functional characterization of a novel missense mutation (P341L) in the HSD3B2 gene causing classic 3beta-hydroxysteroid dehydrogenase deficiency (3 beta-HSD) congenital adrenal hyperplasia (CAH). HORMONE RESEARCH, 65, 116-116.
- The residue E351 is essential for the activity of human 21-hydroxylase: evidence from a naturally occurring novel point mutation compared with artificial mutants generated by single amino acid substitutions. Journal of Molecular Medicine, 83(7), 561-568.
- Disproportionate stature but normal height in hypochondroplasia. European Journal of Pediatrics, 164(6), 397-399.
- Congenital Adrenal Hyperplasia: The Molecular Basis of 21-Hydroxylase Deficiency in H-2aw18 Mice. Endocrinology, 146(6), 2563-2574.
- Congenital Adrenal Hyperplasia Due to 11-Hydroxylase Deficiency: Functional Characterization of Two Novel Point Mutations and a Three-Base Pair Deletion in theCYP11B1Gene. The Journal of Clinical Endocrinology & Metabolism, 90(6), 3724-3730.
- Thirteen novel mutations in theNR0B1(DAX1) gene as cause of adrenal hypoplasia congenita. Human Mutation, 25(5), 502-502.
- Population spectrum ofACADMgenotypes correlated to biochemical phenotypes in newborn screening for medium-chain acyl-CoA dehydrogenase deficiency. Human Mutation, 25(5), 443-452.
- Early manifestation of calcinosis cutis in pseudohypoparathyroidism type Ia associated with a novel mutation in the GNAS gene. European Journal of Endocrinology, 152(4), 515-519.
- Functional Characterization of Two Novel Point Mutations in theCYP21Gene Causing Simple Virilizing Forms of Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency. The Journal of Clinical Endocrinology & Metabolism, 90(1), 445-454.
- Autosomal-Dominant Pseudohypoaldosteronism Type 1 in a Turkish Family Is Associated with a Novel Nonsense Mutation in the Human Mineralocorticoid Receptor Gene. The Journal of Clinical Endocrinology & Metabolism, 89(5), 2150-2152.
- Treatment of Pubertal Gynecomastia with the Specific Aromatase Inhibitor Anastrozole. Hormone Research in Paediatrics, 62(3), 113-118.
- Long-Term Follow-Up of Spontaneous Development in a Boy with Familial Male Precocious Puberty. Hormone Research in Paediatrics, 62(4), 177-181.
- Identification of a Novel Mutation in the Human Mineralocorticoid Receptor Gene in a German Family with Autosomal-Dominant Pseudohypoaldosteronism Type 1: Further Evidence for Marked Interindividual Clinical Heterogeneity. The Journal of Clinical Endocrinology & Metabolism, 88(4), 1683-1686.
- Chromatographic system for the simultaneous measurement of plasma 18-hydroxy-11-deoxycorticosterone and 18-hydroxycorticosterone by radioimmunoassay: reference data for neonates and infants and its application in aldosterone-synthase deficiency. Journal of Chromatography B, 785(2), 293-301.
- Multiplex Minisequencing of the 21-Hydroxylase Gene as a Rapid Strategy to Confirm Congenital Adrenal Hyperplasia. Clinical Chemistry, 48(6), 818-825.
- Management of Congenital Adrenal Hyperplasia: Results of the ESPE Questionnaire. Hormone Research in Paediatrics, 58(4), 196-205.
- Mothers with congenital adrenal hyperplasia and their children: outcome of pregnancy, birth and childhood. Clinical Endocrinology, 55(4), 523-529.
- CYP21 mutations in simple virilizing congenital adrenal hyperplasia. Journal of Molecular Medicine, 79(10), 581-586.
- Predicting phenotype in steroid 21-hydroxylase deficiency? Comprehensive genotyping in 155 unrelated, well defined patients from southern Germany. Journal of Clinical Endocrinology and Metabolism, 85(3), 1059-1065.
- A novel frameshift mutation (141delT) in exon 1 of the 21-hydroxylase gene(CYP21) in a patient with the salt wasting form of congenital adrenal hyperplasia. Human Mutation, 14(1), 90-91.
- Comprehensive analytical strategy for mutation screening in 21-hydroxylase deficiency. Clinical Chemistry, 44(10), 2075-2082.
- The Constitutional Court of the Russian Federation - A judicial institution caught between constitutional duty and political reality. OSTEUROPA, 48(3), 253-267.
- Glucocorticoid replacement therapy in congenital adrenal hyperplasia and its associations with growth outcomes - real world data analysis from an international cohort of 1500 patients. Endocrine Abstracts.
- Analysis of real-world data on the care provision of children with congenital adrenal hyperplasia (CAH) in the united kingdom. Endocrine Abstracts.
- Adipokine analysis in relation to the glucocorticoid dose and androgen concentrations in the paediatric CAH-UK cohort. Endocrine Abstracts.
- Temporal Trends In Acute Adrenal Insufficiency Events In Children With Congenital Adrenal Hyperplasia During 2019-2022. Journal of the Endocrine Society.
- Service evaluation suggests variation in clinical care provision in adults with congenital adrenal hyperplasia in the UK and Ireland. Clinical Endocrinology.
- National service evaluation of the quality of care for children and young people with congenital adrenal hyperplasia in the United Kingdom: survey responses from patients and clinicians. Hormone Research in Paediatrics.
- An international study of the association between local health care resources and acute adrenal insufficiency events in children with congenital adrenal hyperplasia. Endocrine Abstracts.
- Association of newborn screening of congenital adrenal hyperplasia with outcomes in the first 90 days of life: a multi-centre I-CAH registry analysis of contemporary practice. Endocrine Abstracts.
- Service evaluation suggests variation in clinical care provision in adults with congenital adrenal hyperplasia in the UK and Ireland. Endocrine Abstracts.
- CaHASE2: Current clinical practice and future research. Endocrine Abstracts.
- Long‐term health consequences of congenital adrenal hyperplasia. Clinical Endocrinology.
- Blood Pressure in Children with Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency. Hormone Research in Paediatrics, 1-11.
- Glucocorticoid Receptor regulates protein chaperone, circadian clock and affective disorder genes in the zebrafish brain. Disease Models & Mechanisms.
- Quality of Life in Children and Young People With Congenital Adrenal Hyperplasia—UK Nationwide Multicenter Assessment. The Journal of Clinical Endocrinology & Metabolism.
- Emergency and perioperative management of adrenal insufficiency in children and young people: British Society for Paediatric Endocrinology and Diabetes consensus guidance. Archives of Disease in Childhood.
- Recommendations for hydrocortisone doses for emergency management and peri-operative care for childhood adrenal insufficiency. BSPED consensus guidelines. Endocrine Abstracts.
- Analysis of therapy monitoring in the International Congenital Adrenal Hyperplasia Registry. Clinical Endocrinology.
- Current management of acute adrenal insufficiency related adverse events in children- results of an international survey of specialist centres. Endocrine Abstracts.
- Surgical Practice in Girls with Congenital Adrenal Hyperplasia: An International Registry Study. Sexual Development, 1-7.
- The role of regulated necrosis in endocrine diseases. Nature Reviews Endocrinology.
- Real-World Estimates of Adrenal Insufficiency–Related Adverse Events in Children With Congenital Adrenal Hyperplasia. The Journal of Clinical Endocrinology & Metabolism.
- Regulation of lipogenesis in human hepatocytes by androgens, glucocorticoids, and 5[alpha]-reductase. Endocrine Abstracts.
- Alternative pathway synthesis dominates androgen production in patients with congenital adrenal hyperplasia and is decreased by Chronocort®more than by conventional glucocorticoid therapy. Endocrine Abstracts.
- Initially Elevated TSH and Congenital Central Hypothyroidism Due to a Homozygous Mutation of the TSH Beta Subunit Gene: Case Report and Review of the Literature. Experimental and Clinical Endocrinology & Diabetes, 114(05), 227-234.
- Absence of Exercise-Induced Leptin Suppression Associated with Insufficient Epinephrine Reserve in Patients with Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency. Experimental and Clinical Endocrinology & Diabetes, 114(03), 105-110.
- Three Novel Point Mutations of the CYP21 Gene Detected in Classical Forms of Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency. Experimental and Clinical Endocrinology & Diabetes, 114(03), 111-117.
- The novel mutation S562P in the pore region of the epithelial sodium channel causes pseudohypoaldosteronism type 1 by modifying molecular sieving. Experimental and Clinical Endocrinology & Diabetes, 114(S 1).
- Congenital Adrenal Hyperplasia - How to Improve the Transition from Adolescence to Adult Life. Experimental and Clinical Endocrinology & Diabetes, 112(07), 343-355.
- Bidirectional crosstalk between hypoxia-inducible factor and glucocorticoid signalling in zebrafish larvae. PLOS Genetics, 16(5). View this article in WRRO
Chapters
- Disorders of the Adrenal Gland in Children and Adolescents, Endocrinology (pp. 115-184). Springer International Publishing
- Disorders of the Adrenal Gland in Children and Adolescents, Endocrinology (pp. 1-70). Springer International Publishing
- Genetics of Congenital Adrenal Hyperplasia, Oxford Textbook of Endocrinology and Diabetes 3e (pp. 931-941). Oxford University Press
- Congenital adrenal hyperplasia, Oxford Textbook of Medicine (pp. 2360-2373). Oxford University Press
- Physiologie der Hormonsynthese und -wirkung bei Kindern und Jugendlichen, Pädiatrische Endokrinologie und Diabetologie (pp. 3-9). Springer Berlin Heidelberg
- Physiologie der Hormonsynthese und -wirkung bei Kindern und Jugendlichen, Pädiatrische Endokrinologie und Diabetologie (pp. 1-7). Springer Berlin Heidelberg
- Steroid Biochemistry, Understanding Differences and Disorders of Sex Development (DSD) (pp. 41-52). S. KARGER AG
- Congenital adrenal hyperplasia, Oxford Textbook of Endocrinology and Diabetes (pp. 865-878). Oxford University Press
- The adrenal cortex In Kronenberg HM, Larsen PR, Melmed S, Polonsky KS & Williams RH (Ed.), Williams Textbook of Endocrinology (pp. 479-544). Philadelphia: Elsevier Health Sciences.
- The Adrenal Cortex, Williams Textbook of Endocrinology (pp. 479-544). Elsevier
- Molecular Genetics of 21-Hydroxylase Deficiency John Wiley & Sons, Ltd
- Molecular Genetics of Congenital Adrenal Hyperplasia John Wiley & Sons, Ltd
Conference proceedings papers
- Trends in glucocorticoid prescribing practice in CAH over the last 6 years (2017-2023). SEXUAL DEVELOPMENT, Vol. 17 (pp 42-45)
- Fifteen years of exome sequencing involving >800 cases of DSD. What have we learned?. SEXUAL DEVELOPMENT, Vol. 17 (pp 73-75)
- Development of the I-HH registry to develop best practice management for hypogonadotropic hypogonadism. SEXUAL DEVELOPMENT, Vol. 17 (pp 95-96)
- Evidence Driven Care in CAH. SEXUAL DEVELOPMENT, Vol. 17 (pp 12-12)
- Acute Adrenal Insufficiency Related Adverse Events In Children With Congenital Adrenal Hyperplasia (CAH): Changes During The Period 2019-2022 In I-CAH. HORMONE RESEARCH IN PAEDIATRICS, Vol. 96 (pp 136-137)
- Management of congenital adrenal hyperplasia in the first 90 days of life: a multi-centre I-CAH analysis of contemporary practice. HORMONE RESEARCH IN PAEDIATRICS, Vol. 96 (pp 29-30)
- National service evaluation project analysing the quality of care for children and young people with congenital adrenal hyperplasia in the United Kingdom: Data from patients and clinicians. HORMONE RESEARCH IN PAEDIATRICS, Vol. 96 (pp 418-419)
- Metabolic effects of cortisol insufficiency are sex-depended in a zebrafish model of 21-hydroxylase deficiency. HORMONE RESEARCH IN PAEDIATRICS, Vol. 96 (pp 135-135)
- The pathophysiologic response of central nervous system due to differently impaired steroidogenesis. HORMONE RESEARCH IN PAEDIATRICS, Vol. 96 (pp 27-28)
- Use of Aromatase inhibitors to improve height outcomes in children with Congenital Adrenal Hyperplasia due to 21 hydroxylase deficiency. HORMONE RESEARCH IN PAEDIATRICS, Vol. 96 (pp 142-143)
- Towards understanding the metabolic phenotype of glucocorticoid deficiency in 21-hydroxylase deficiency. HORMONE RESEARCH IN PAEDIATRICS, Vol. 95(SUPPL 2) (pp 79-79)
- Blood pressure (BP) status in Congenital Adrenal Hyperplasia (CAH) - longitudinal analysis of real world data from the I-CAH registry. HORMONE RESEARCH IN PAEDIATRICS, Vol. 95(SUPPL 2) (pp 112-113)
- Current Management Of Acute Adrenal Insufficiency Related Adverse Events In Children- Results Of An International Survey Of Specialist Centres. HORMONE RESEARCH IN PAEDIATRICS, Vol. 94(SUPPL 1) (pp 125-125)
- Genetic analysis of paediatric primary adrenal insufficiency of unknown aetiology over 25 years. HORMONE RESEARCH IN PAEDIATRICS, Vol. 94(SUPPL 1) (pp 187-188)
- Variation of glucocorticoid dose and biomarkers in children with congenital adrenal hyperplasia longitudinal analysis of real world data from the I-CAH registry. HORMONE RESEARCH IN PAEDIATRICS, Vol. 94(SUPPL 1) (pp 26-26)
- International practice of therapy monitoring in congenital adrenal hyperplasia - Real World data from the I-CAH registry. HORMONE RESEARCH IN PAEDIATRICS, Vol. 94(SUPPL 1) (pp 67-68)
- Re-appraising the use of urinary steroid profiles for assessing therapy control in children with 21-hydroxylase deficiency - results from the CAH-UK cohort study. HORMONE RESEARCH IN PAEDIATRICS, Vol. 94(SUPPL 1) (pp 27-27)
- Growth-Related Characteristics of Patients < 18 Years of Age with Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency (21OHD): Real-World Evidence from the I-CAH Registry. HORMONE RESEARCH IN PAEDIATRICS, Vol. 94(SUPPL 1) (pp 65-65)
- Contemporary surgical approach in CAH 46XX-Results from the I-DSD/I-CAH Registries. HORMONE RESEARCH IN PAEDIATRICS, Vol. 91 (pp 96-97)
- Development Of An International Benchmark For Sick Day Episodes As A Core Clinical Outcome In People With Congenital Adrenal Hyperplasia. HORMONE RESEARCH IN PAEDIATRICS, Vol. 91 (pp 209-210)
- Global Practice of Glucocorticoid and Mineralocorticoid Treatment in Children and Adults with Congenital Adrenal Hyperplasia - Insights from the I-CAH Registry. HORMONE RESEARCH IN PAEDIATRICS, Vol. 91 (pp 132-133)
- Investigating the roles of androgens in male reproductive development, maintenance and function by characterisation of androgen and cortisol deficient 11 beta-hydroxylase mutant zebrafish lines. HORMONE RESEARCH IN PAEDIATRICS, Vol. 91 (pp 50-50)
- Health status of children with Congenital Adrenal Hyperplasia due to 21-hydroxylase deficiency in the United Kingdom: results of a multi-centre cohort study. HORMONE RESEARCH IN PAEDIATRICS, Vol. 91 (pp 129-130)
- Development of novel non-invasive strategies for monitoring of treatment control in patients with congenital adrenal hyperplasia. HORMONE RESEARCH IN PAEDIATRICS, Vol. 91 (pp 107-107)
- The P450 side-chain cleavage isozyme cyp11a2 facilitates interrenal and gonadal steroid hormone biosynthesis in developing and adult zebrafish. HORMONE RESEARCH IN PAEDIATRICS, Vol. 91 (pp 66-67)
- Improved diagnosis and management of patients with Disorders of Sex Development (DSDs) Using Next Generation Sequencing. EUROPEAN JOURNAL OF HUMAN GENETICS, Vol. 26 (pp 202-203)
- The relationship of baseline, incremental and peak cortisol following a Short Synacthen Test - single-centre analysis of three years' data. Hormone Research in Paediatrics, Vol. 90(Suppl 1) (pp 128-129), 27 September 2018 - 29 September 2018. View this article in WRRO
- Borderline peak plasma cortisol following Synacthen stimulation - single-centre analysis of three years' data. Endocrine Abstracts, Vol. 90(S1) (pp 146-146), 27 September 2018 - 29 September 2018. View this article in WRRO
- SDgeneMatch, A New Tool to Aid the Identification of the Genetic Causes of DSD. HORMONE RESEARCH IN PAEDIATRICS, Vol. 90 (pp 540-540)
- Revisiting the Diagnosis: Next Generation Sequencing (NGS) Identifies Concurrence of PAIS in a Previously Reported Case of Klinefelter Syndrome (47,XXY) with Hypospadias. HORMONE RESEARCH IN PAEDIATRICS, Vol. 90 (pp 562-563)
- Glucocorticoid Deficiency Causes Differentially Dysregulated Oxidative Stress Depending on the Steroidogenic Defects. HORMONE RESEARCH IN PAEDIATRICS, Vol. 90 (pp 71-72)
- The Roles of Steroids in Gonadal Development and Maintenance - Insights from a Zebrafish Model of Androgen and Cortisol Deficiency. HORMONE RESEARCH IN PAEDIATRICS, Vol. 90 (pp 53-53)
- View this article in WRRO DEFINING THE DOSE, TYPE AND TIMING OF GLUCOCORTICOID AND MINERALOCORTICOID REPLACEMENT IN 256 CHILDREN AND ADULTS WITH CONGENITAL ADRENAL HYPERPLASIA (CAH) IN THE I-CAH REGISTRY. HORMONE RESEARCH IN PAEDIATRICS, Vol. 88 (pp 358-358)
- THE PREVALENCE OF ADULTS WITH DSD CONDITIONS AT RISK OF HYPOGONADISM IN THE INTERNATIONAL DISORDERS OF SEX DEVELOPMENT REGISTRY. HORMONE RESEARCH IN PAEDIATRICS, Vol. 88 (pp 557-558)
- 17-HYDROXYLASE DEFICIENCY: RARE CAUSE OF DELAYED PUBERTY. HORMONE RESEARCH IN PAEDIATRICS, Vol. 88 (pp 255-256)
- MANAGEMENT OF FLUDROCORTISONE AND SALT THERAPY IN 0-3 YEAR OLD CHILDREN WITH CONGENITAL ADRENAL HYPERPLASIA (CAH) - PRELIMINARY ANALYSIS. HORMONE RESEARCH IN PAEDIATRICS, Vol. 88 (pp 251-252)
- Androgen Receptor Activation Stimulates Hepatic Lipid Accumulation in Human Hepatocytes. ENDOCRINE REVIEWS, Vol. 35(3)
- Phenotypic Variability and Uncommon Forms of Congenital Adrenal Hyperplasia. JOURNAL OF MEDICAL GENETICS, Vol. 48 (pp S29-S29)
- Pubertal Presentation in Congenital Adrenal Hyperplasia Due to P450 Oxidoreductase Deficiency.. ENDOCRINE REVIEWS, Vol. 31(3)
- Evidence for the Existence and Significance of an Alternative Pathway towards Androgen Synthesis in the Human Fetal Adrenal.. ENDOCRINE REVIEWS, Vol. 31(3)
- Urinary Steroid Profiling as a High-Throughput Screening Tool for the Detection of Malignancy in Patients with Adrenal Tumors.. ENDOCRINE REVIEWS, Vol. 31(3)
- The relationship of baseline, incremental and peak cortisol following a Short Synacthen Test - single-centre analysis of three years' data. Endocrine Abstracts
- Pitfalls in the diagnosis of an infant with 46,XX DSD with Congenital Adrenal Hyperplasia due to Cytochrome P450 Oxidoreductase deficiency - the value of simultaneous genetic analysis to the diagnosis in DSD. Endocrine Abstracts
- Mass spectrometry-based assessment of childhood androgen excess in 487 consecutive patients. Endocrine Abstracts
- The role of a next generation sequencing panel in the diagnostic pathway in disorders of sex development. Endocrine Abstracts
Preprints
- Bidirectional crosstalk between Hypoxia-Inducible Factor and glucocorticoid signalling in zebrafish larvae, Cold Spring Harbor Laboratory.
- Regulation of neuron-specific gene transcription by stress hormone signalling requires synaptic activity in zebrafish, Cold Spring Harbor Laboratory.
- Alternative pathway androgen biosynthesis and human fetal female virilization, Cold Spring Harbor Laboratory.
- Teaching interests
-
I deliver undergraduate teaching as well as postgraduate medical training and education. I teach on the MBChB course in phase 1, 2 and 3 and I am Endocrinology Phase 1 Teaching Lead.
I am module lead for the MED6100 module on the Clinical Research MSc course.
I am Deputy Director Clinical Academic Training, Sheffield Medical School and South Yorkshire and Humber Deanery. Furthermore, I am Academic training lead for paediatric clinical academic posts, University of Sheffield.
- Professional activities and memberships
-
Editorship
- Associate Editor: Frontiers Genomic Endocrinology since 2014
- Editorial Board: Journal of Clinical Endocrinology & Metabolism (2013-2019)
- Editorial Board: International Journal Endocrinology since 2015
- Editorial Board: Endocrine Connections, 2012-2015
National committees (selected)
- Chair of the Adrenal/ CAH Special Interest Groups of The British Society of Paediatric Endocrinology and Diabetes (since 2021, Founding Chair)
- Member, Clinical guideline development "Diagnosis of disorders of sexual development (DSD); Member of Joint Society for Endocrinology/ BSPED DSD taskforce (2009-2011); revision of guidance in 2015, 2021
- Member of the Society for Endocrinology Program Organising Committee (2016-2020)
- Chair of the Disorders of Sex Development Special Interest Groups of The British Society of Paediatric Endocrinology and Diabetes (BSPED DSD SIG) (2014-2020); Founding Member of the BSPED DSD SIG 2011-2013)
International Activities (selected)
- Chair of the European Society for Paediatric Endocrinology (ESPE) program organising committee and ESPE Council Member (since 2019)
- Member of the European Society for Paediatric Endocrinology (ESPE) program organising committee (POC) (2013-2019)
- UK Representative to Management Committees for COST Action DSDnet (2013-2018)
- Member of the I-DSD/CAH Registry (http://www.i-cah.org/) Scientific Panel (since 2018)