Volume 103, Issue 10, October 2018
Case Reports
Early Identification of Primary Hypothyroidism in Neonates Exposed to Intralymphatic Iodinated Contrast: A Case Series
This case series identifies neonates who developed severe, primary hypothyroidism soon after exposure to intralymphatic iodinated contrast.
PD-1 Inhibitor Immune-Related Adverse Events in Patients With Preexisting Endocrine Autoimmunity
Cancer immunotherapy targeting PD-1 on lymphocytes can cause immune-related adverse events; we present cases in which these are rapid and severe in patients with preexisting endocrine autoimmunity.
Meta-Analysis
Does AMH Relate to Timing of Menopause? Results of an Individual Patient Data Meta-Analysis
In this IPD meta-analysis, we aimed to overcome pitfalls in AMH-based menopause predictions. AMH was a significant predictor of especially early menopause; however, predictions remain imprecise.
Mini-Review
17q12 Deletion Syndrome as a Rare Cause for Diabetes Mellitus Type MODY5
In this review, we characterize the clinical manifestation and management of patients with deletion of the 17q12 chromosomal region, the most common genotype of diabetes mellitus type MODY5.
Clinical Research Articles
Cardiovascular Benefits of Acarbose vs Sulfonylureas in Patients With Type 2 Diabetes Treated With Metformin
Our study results suggest that add-on acarbose to metformin treatment is associated with a lower risk of major atherosclerotic events, ischemic stroke, and hypoglycemia compared with sulfonylureas.
Clinical Characteristics and Postoperative Outcomes of Primary Aldosteronism in the Elderly
The analysis of a large primary aldosteronism (PA) database in Japan revealed that elderly patients with PA could benefit from adrenalectomy if determined in strict accordance with AVS.
Glucocorticoid Receptor Mutations and Hypersensitivity to Endogenous and Exogenous Glucocorticoids
A prismatic syndrome is described, involving compound mutations of GRβ coupled with one of glucocorticoid α, which resulted in severe glucocorticoid hypersensitivity.
Pilot Dose Comparison of Apatinib in Chinese Patients With Progressive Radioiodine-Refractory Differentiated Thyroid Cancer
We preliminarily evaluated the safety and efficacy of apatinib in Chinese patients with RAIR-DTC. The 500-mg dosing approach was less toxic but comparatively effective compared with the 750-mg schedule.
Youth With Type 1 Diabetes Have Adipose, Hepatic, and Peripheral Insulin Resistance
Youth with T1D have worse multitissue insulin sensitivity compared with healthy controls assessed by four-phase hyperinsulinemic euglycemic clamp, and these changes occur regardless of obesity.
The Relation Between Thyroid Function and Anemia: A Pooled Analysis of Individual Participant Data
This individual participant data meta-analysis found higher odds of having anemia in both participants with decreased and increased thyroid function.
Stimulatory TSH-Receptor Antibodies and Oxidative Stress in Graves Disease
Both polyclonal (sera from patients with untreated hyperthyroid Graves disease) and human monoclonal TSHR-stimulating autoantibodies induce oxidative damage and lipid peroxidation.
Interferon-α Triggers Autoimmune Thyroid Diseases via Lysosomal-Dependent Degradation of Thyroglobulin
Interferon-α triggers thyroglobulin degradation in a lysosomal-dependent manner in a setting of increased endoplasmic reticulum stress and autophagy.
Differences in Upper and Lower Body Adipose Tissue Oxygen Tension Contribute to the Adipose Tissue Phenotype in Humans
Oxygen tension (pO2) was higher in abdominal than femoral adipose tissue in women with obesity, and altered microenvironmental pO2 modulates human adipocyte function.
Targeted Therapy in Advanced Thyroid Cancer to Resensitize Tumors to Radioactive Iodine
This is a retrospective review of the effect of targeted therapy on RAI redifferentiation in BRAF- or RAS-mutated DTCs. Long term outcomes using this approach are highlighted.
Feminizing Adrenocortical Carcinoma: The Source of Estrogen Production and the Role of Adrenal-Gonadal Dedifferentiation
This study describes the source of estrogen production in feminizing adrenocortical carcinoma and the possible roles of the Wnt pathway.
Improved Mental and Motor Development During 3 Years of GH Treatment in Very Young Children With Prader-Willi Syndrome
This study shows that psychomotor development increased significantly during 3 years of GH in infants with PWS. A younger age at start of GH treatment leads to greater improvement in psychomotor development.
Newborn Screening for Primary Congenital Hypothyroidism: Estimating Test Performance at Different TSH Thresholds
Newborn bloodspot screening for primary congenital hypothyroidism was assessed at different test thresholds. Lowering the national threshold should improve performance of the UK screening program.
The Association of Maternal Thyroid Autoimmunity During Pregnancy With Child IQ
This study investigated the association of early pregnancy TPOAb positivity with child IQ and found that TPOAb-positive women had children with lower IQ in one of the two studied cohorts.
miRNA-203 Modulates Aldosterone Levels and Cell Proliferation by Targeting Wnt5a in Aldosterone-Producing Adenomas
The involvement of miR-203 modulated Wnt5a/β-catenin signaling in the tumorigenesis process, making it an important potential therapeutic target and a possible biomarker of APAs.
Early-Onset Complete Ovarian Failure and Lack of Puberty in a Woman With Mutated Estrogen Receptor β (ESR2)
Whole exome sequencing in a 46, XX girl with complete ovarian failure showed a loss of function in ESR2, suggesting that ESR2 and not ESR1 is necessary for ovarian function in humans.
Endocannabinoid Anandamide Mediates the Effect of Skeletal Muscle Sphingomyelins on Human Energy Expenditure
Mediation analyses investigated whether endocannabinoids and sphingomyelins jointly affect human energy metabolism. Anandamide is responsible for the sphingomyelin effect on human energy expenditure.
Maternal Lipids at 28 Weeks’ Gestation and Offspring Adiposity at Age 5 to 7 Years
Maternal fasting lipids were measured during pregnancy, and offspring adiposity was measured 5 to 7 years later. No culpable association between maternal lipids and offspring adiposity was observed.
Effects of SGLT2 Inhibitors on Circulating Stem and Progenitor Cells in Patients With Type 2 Diabetes
Low stem/progenitor cell levels predict adverse diabetes outcomes. We found that sodium glucose cotransporter inhibitors did not increase stem/progenitor cells in type 2 diabetes.
The Association of Acylcarnitines and Amino Acids With Age in Dutch and South-Asian Surinamese Living in Amsterdam
Ethnic differences in acylcarnitine and amino acid concentrations suggest more dysregulated metabolism among South-Asian Surinamese compared with Dutch from a young age.
A Cross-Sectional and Longitudinal Analysis of Trabecular Bone Score in Adults With Turner Syndrome
In a cohort of women with Turner syndrome, trabecular bone score was a better predictor of prevalent fractures than DXA-derived areal BMD z scores of the spine and femoral neck.
Paradigm Shifts in Nocturnal Glucose Control in Type 2 Diabetes
Nocturnal glucose production was measured using state-of-the-art techniques to understand overnight glucose control in T2D. Drugs targeting late-night GNG may optimize morning glucose control in T2D.
Adipose Tissue Inflammation and Adrenomedullin Overexpression Contribute to Lipid Dysregulation in Diabetic Pregnancies
We assessed the role of adipose tissue macrophages in enhancing ADM and its receptors and their implications for GDM and obesity.
Testosterone Levels in Third Trimester in Polycystic Ovary Syndrome: Odense Child Cohort
We performed reference intervals for third-trimester total and free testosterone and SHBG in 145 women with PCOS and 1341 controls. We suggest separate reference interval for free testosterone.
Celiac Autoimmunity Is Associated With Lower Blood Pressure and Renal Risk in Type 1 Diabetes
Celiac autoimmunity is associated with lower blood pressure and a reduced risk of diabetic nephropathy after 25 years of type 1 diabetes duration in the Pittsburgh EDC study.
Large-for-Gestational-Age May Be Associated With Lower Fetal Insulin Sensitivity and β-Cell Function Linked to Leptin
In a study of 106 matched pairs of LGA and control neonates, LGA was associated with decreases in both fetal insulin sensitivity and β-cell function linked to elevated leptin levels.
Assessment and Management of Anti-Insulin Autoantibodies in Varying Presentations of Insulin Autoimmune Syndrome
A case series of insulin autoimmune syndrome highlighting a range of dysglycemic presentations, diagnostic challenges, and variable responses to therapy.
Hepatic Steatosis Is Associated With Adverse Molecular Signatures in Subjects Without Diabetes
Liver fat content was strongly associated with a wealth of metabolites in plasma and urine independently of known hallmarks. A prominent example is the urine excretion of adrenal steroids.
Targeted Molecular Characterization of Aldosterone-Producing Adenomas in White Americans
Our study demonstrates that CYP11B2 immunohistochemistry‒guided next-generation sequencing identified somatic mutations in the vast majority of aldosterone-producing adenomas in white Americans.
Hypophysitis Outcome and Factors Predicting Responsiveness to Glucocorticoid Therapy: A Prospective and Double-Arm Study
We analyzed hypophysitis outcome, finding a significant improvement of pituitary function in immunosuppressive-treated patients, with APA positivity and specific clinical and radiological features.
Physiology of Activins/Follistatins: Associations With Metabolic and Anthropometric Variables and Response to Exercise
Circulating activins and follistatins depend on fitness level, age, and parameters of adiposity, and increase after exercise independently of exercise type or presence of metabolic syndrome.
Metabolic Changes in Androgen-Deprived Nondiabetic Men With Prostate Cancer Are Not Mediated by Cytokines or aP2
Worsening of metabolic profile during androgen deprivation is not associated with an increase in circulating inflammatory cytokines or aP2 concentrations.
Menstrual Cycle Characteristics in Adolescence and Early Adulthood Are Associated With Risk of Early Natural Menopause
Among 108,811 premenopausal women followed for up to 20 years, 2794 experienced early natural menopause. Higher risk was related to earlier menarche and shorter and more-regular cycles.
Prevalence, Clinical and Biochemical Spectrum, and Treatment Outcome of Acromegaly With Normal Basal GH at Diagnosis
Normal bGH acromegaly is uncommon in real life. These patients have some distinctive features that argue against this being simply acromegaly in its early stages.
Marked Response of a Hypermutated ACTH-Secreting Pituitary Carcinoma to Ipilimumab and Nivolumab
Pituitary carcinomas may respond to ipilimumab and nivolumab; alkylator-induced hypermutation may contribute to malignant transformation and sensitivity to immunotherapy.