Volume 103, Issue 3, March 2018
Case Report
Combined Ovarian and Adrenal Venous Sampling in the Localization of Adrenocorticotropic Hormone-Independent Ectopic Cushing Syndrome
Combined ovarian and adrenal venous sampling, and hormone assessment, are valuable in localizing adrenocorticotropic hormone–independent ectopic Cushing syndrome, especially in ovarian tumors.
Perspectives in Endocrinology
Clinical Diabetes Centers of Excellence: A Model for Future Adult Diabetes Care
This Perspective article deals with a model for future DCOEs, with emphasis on current and evolving health care centers in the United States.
Clinical Research Articles
GSTA1 Expression Is Correlated With Aldosterone Level in KCNJ5-Mutated Adrenal Aldosterone-Producing Adenoma
The expression and function of GSTA1 is investigated. GSTA1 is less expressed in high-aldosterone KCNJ5-mutated APAs and negatively regulates aldosterone production by ROS and Ca2+ signaling.
Combined Oral Contraception and Bicalutamide in Polycystic Ovary Syndrome and Severe Hirsutism: A Double-Blind Randomized Controlled Trial
The present multicenter RCT shows that the estroprogestin plus bicalutamide therapy is well tolerated and significantly more effective than the estroprogestin monotherapy to treat hirsutism.
TAZ/WWTR1 Mediates the Pulmonary Effects of NKX2-1 Mutations in Brain-Lung-Thyroid Syndrome
We identified a mutation in NKX2-1 in a patient with BLTS with pulmonary distress. Using functional studies, we have shown that the coactivator TAZ acts as a modifier of the BLTS.
Evaluation of the Saline Infusion Test and the Captopril Challenge Test in Chinese Patients With Primary Aldosteronism
The degree of PAC suppression was not reliable for PA diagnosis. Post-SIT and post-CCT PACs for PA diagnosis were slightly higher in Chinese subjects than those recommended by the Endocrine Society.
Findings of Thyroid Ultrasound Examination Within 3 Years After the Fukushima Nuclear Power Plant Accident: The Fukushima Health Management Survey
We studied the prevalence and size of thyroid cysts, nodules, and cancers in children and adolescents in Fukushima Prefecture and found sex- and age-dependent differences in prevalence and size.
Effects of Vitamin D Supplementation on Semen Quality, Reproductive Hormones, and Live Birth Rate: A Randomized Clinical Trial
We compared the effects of vitamin D and placebo on semen quality. We found no effect on semen quality but noted beneficial effects on live birth rate and serum inhibin B in prespecified subgroups.
High Incomplete Skeletal Muscle Fatty Acid Oxidation Explains Low Muscle Insulin Sensitivity in Poorly Controlled T2D
Greater skeletal muscle incomplete FAO in poorly controlled T2D because of elevated β oxidation and is associated with worsening muscle SI.
The Efficacy of 24-Month Metformin for Improving Menses, Hormones, and Metabolic Profiles in Polycystic Ovary Syndrome
Variable improvements in menses, hormones, and metabolism were seen during 24 months of metformin use in 119 women with polycystic ovary syndrome subgrouped by baseline weight and androgen status.
Significance of Computed Tomography and Serum Potassium in Predicting Subtype Diagnosis of Primary Aldosteronism
We investigated the diagnostic utility of a combination of CT findings and serum potassium for the subtype diagnosis of PA. These two readily available findings are helpful for the indication of AVS.
Age- and Sex-Specific Differences as Predictors of Surgical Remission Among Patients With Acromegaly
We studied the age- and sex-related differences in the surgical outcomes of acromegalic patients. Females, especially premenopausal women, were found to have larger and more aggressive tumors than men.
Genetic Analyses in Small-for-Gestational-Age Newborns
We performed genomic analyses in small-for-gestational-age (SGA) newborns. We demonstrate findings that explain SGA or contribute to SGA, as well as a detailed list of genes involved in fetal growth.
Effects of Levothyroxine on Pregnant Women With Subclinical Hypothyroidism, Negative for Thyroid Peroxidase Antibodies
This randomized clinical trial showed that based on the newly recommended TSH cut point of ≥4.0 mIU/L, LT4 treatment could significantly lower the preterm delivery rate in SCH-TPOAb− pregnant women.
Increases in IGF-1 After Anti–TNF-α Therapy Are Associated With Bone and Muscle Accrual in Pediatric Crohn Disease
Following initiation of anti–TNF-α therapy in children and adolescents with Crohn disease, IGF-1 levels increased and were positively associated with improvements in DXA measures of bone and muscle.
Seasonality of Insulin Resistance, Glucose, and Insulin Among Middle-Aged and Elderly Population: The Rotterdam Study
A winter peak of HOMA-IR and insulin among the elderly was explained by ambient temperature. A summer peak of glucose among the middle-aged was explained by relative humidity and lifestyle markers.
High Prevalence of Radiological Vertebral Fractures in Women on Thyroid-Stimulating Hormone–Suppressive Therapy for Thyroid Carcinoma
We report high VF prevalence during TSH-suppressive therapy even in women with normal BMD. VFs also were highly prevalent in women with low-normal TSH values when BMD was in the osteoporotic range.
Purkinje Cell Protein 4 Expression Is Associated With DNA Methylation Status in Aldosterone-Producing Adenoma
Purkinje cell protein 4 (PCP4) transcription is regulated by DNA methylation in aldosterone-producing adenomas, and KCNJ5 mutation did not influence DNA methylation of PCP4.
Patterns of Plasma Glucagon Dynamics Do Not Match Metabolic Phenotypes in Young Women
Hyperglucagonemia may cause type 2 diabetes, but we saw it only in a subgroup of women with prediabetes/diabetes in our study. Thus it is a possible, but not a universal, factor in this disease.
Variability of Late-Night Salivary Cortisol in Cushing Disease: A Prospective Study
Late-night salivary cortisol measured for up to 42 days in Cushing disease (CD) shows extreme fluctuation in individuals. Normal levels are seen much more frequently than appreciated in recurrent CD.
Genetic Determinants of Circulating Estrogen Levels and Evidence of a Causal Effect of Estradiol on Bone Density in Men
CYP19A1 was the main regulator of estrogen levels in this GWAS, with additional loci on chromosome X and in TRIM4 and CYP11B1/B2. Findings in the study strengthen the importance of E2 for bone health.
A Novel Generalized Lipodystrophy-Associated Progeroid Syndrome Due to Recurrent Heterozygous LMNA p.T10I Mutation
A report of 10 patients with a rare LMNA p.T10I mutation presenting with a specific phenotype that can be classified as a novel generalized lipodystropy syndrome.
Relationship Between 12 Adipocytokines and Distinct Components of the Metabolic Syndrome
Among 12 adipocytokines, adiponectin, AFABP, chemerin, and FGF21 showed the strongest associations with the MS and its components.
Soluble Leptin Receptor Predicts Insulin Sensitivity and Correlates With Upregulation of Metabolic Pathways in Men
Plasma sOb-R predicted improved insulin sensitivity after a 12-week intensive exercise intervention in 26 men and correlated with upregulation of metabolic and downregulation of inflammatory pathways.
Serum Carnitine Metabolites and Incident Type 2 Diabetes Mellitus in Patients With Suspected Stable Angina Pectoris
Serum carnitine metabolites evaluated in patients with stable angina pectoris revealed carnitine precursors and palmitoylcarnitine to be associated with incident type 2 diabetes mellitus.
Congenital Hyperinsulinism and Hypopituitarism Attributable to a Mutation in FOXA2
We report a newly identified etiology of hyperinsulinism and hypopituitarism as a result of a mutation in FOXA2 found through whole exome sequencing and demonstrate its functional impact in vitro.
Effects of Hypoglycemia on Circulating Stem and Progenitor Cells in Diabetic Patients
Hypoglycemia in diabetes drives morbidity. We show in this work that experimental and iatrogenic hypoglycemia impairs circulating stem and progenitor cells, which predict diabetes outcomes.
Retosiban Prevents Stretch-Induced Human Myometrial Contractility and Delays Labor in Cynomolgus Monkeys
We studied the effects of retosiban, a putative OTR inverse agonist in human myometrial explants and cynomolgus monkeys. We found that the OTR acts as a uterine mechanosensor, blocked by retosiban.
Diurnal Variation in PDK4 Expression Is Associated With Plasma Free Fatty Acid Availability in People
This study demonstrates a novel interaction between plasma FFA availability and circadian rhythms in cellular gene expression of factors that regulate substrate selection in people.
Peripheral Endocannabinoids Associated With Energy Expenditure in Native Americans of Southwestern Heritage
In association analyses of endocannabinoid concentration in peripheral tissues with energy expenditure (EE) measures, muscle and adipose endocannabinoids correlate with EE and macronutrient oxidation.
Pramlintide but Not Liraglutide Suppresses Meal-Stimulated Glucagon Responses in Type 1 Diabetes
We examined the effect of pramlintide or liraglutide as adjunctive therapy on postprandial glucagon and glucose response to mixed-meal feedings in youths with type 1 diabetes.
Decreasing Use of Radioactive Iodine for Low-Risk Thyroid Cancer in California, 1999 to 2015
We analyzed use of radioactive iodine ablation for differentiated thyroid cancer in California from 1999 to 2015. The rate has decreased over time, particularly for low-risk tumors smaller than 2 cm.
Distinctive Desmoplastic 3D Morphology Associated With BRAFV600E in Papillary Thyroid Cancers
BRAFV600E is associated with greater tumor cell proliferation and more active and numerous fibroblasts in PTCs. In 3D reconstruction, tumor cells are connected and in the vicinity of the stroma.
Progesterone-Mediated Inhibition of the GnRH Pulse Generator: Differential Sensitivity as a Function of Sleep Status
In late pubertal girls, progesterone acutely reduced waking LH pulse frequency, with no change observed during sleep, suggesting differential wake-sleep sensitivity to progesterone negative feedback.
Development and External Validation of Risk Scores for Cardiovascular Hospitalization and Rehospitalization in Patients With Diabetes
Two prediction models, based on common clinical measurements, have been developed and externally validated. They could aid real-time decisions on prioritizing more intensive diabetes management.
Association of Lower Cardiovagal Tone and Baroreflex Sensitivity With Higher Liver Fat Content Early in Type 2 Diabetes
We measured heart rate variability and baroreflex sensitivity and showed that lower cardiac vagal tone is associated with increased liver fat content in patients with recent-onset type 2 diabetes.
A MicroRNA Signature for Evaluation of Risk and Severity of Autoimmune Thyroid Diseases
We have developed a miRNome of thyroid tissue from samples of AITD and controls and report a 5-miRNA signature of potential impact that could be able to assign a risk probability for developing AITD.
Does the Additional Component of Calf Circumference Refine Metabolic Syndrome in Correlating With Cardiovascular Risk?
We studied the CC–incorporated definition of MetS and found adding the CC component into the components of MetS correlated with higher cardiovascular-associated mortality risk.
Plasma 25-Hydroxyvitamin D and Mortality in Patients With Suspected Stable Angina Pectoris
This study examined the association of 25OHD with CVD and all-cause mortality in patients suspected of having SAP and assessed for potential thresholds and for heterogeneity in subgroups.
Reduced Expression of Mismatch Repair Genes MSH6/MSH2 Directly Promotes Pituitary Tumor Growth via the ATR–Chk1 Pathway
In this study, we studied the association of mismatch repair genes with pituitary adenoma growth and found MSH6/MSH2 genes play a crucial role in direct tumor proliferation via the ATR–Chk1 pathway.
Exenatide Increases IL-1RA Concentration and Induces Nrf-2‒Keap-1‒Regulated Antioxidant Enzymes: Relevance to β-Cell Function
We hypothesize that exenatide increases the plasma concentration of IL-1RA and modulates the Nrf-2‒Keap-1‒ARE system to induce key antioxidant enzymes to suppress inflammatory and oxidative stress.
A 6-Year Follow-Up of Fracture Incidence and Volumetric Bone Mineral Density Development in Girls With Turner Syndrome
This prospective study demonstrates that fracture incidence is not increased in girls with TS and that their calculated bone strength is normal despite decreased trabecular bone mineral density.
Prognostic Value of Free Triiodothyronine Level in Patients With Hypertrophic Obstructive Cardiomyopathy
In this study, we explored whether FT3 level was correlated with cardiac function and could play as an independent predictor of all-cause mortality and cardiac transplantation in patients with HOCM.
Changes of Circulating MicroRNAs in Response to Treatment With Teriparatide or Denosumab in Postmenopausal Osteoporosis
We report changes in serum microRNAs after treatment with teriparatide or denosumab in women with postmenopausal osteoporosis.
Causes, Patterns, and Severity of Androgen Excess in 1205 Consecutively Recruited Women
We studied causes, patterns, and severity of androgen excess in 1205 women at our institution over 5 years and found distinct patterns predictive of non-PCOS pathology in pre- and postmenopausal women.
Effect of Continuous Glucose Monitoring on Glycemic Control, Acute Admissions, and Quality of Life: A Real-World Study
Impact of RT-CGM reimbursement was prospectively investigated in a T1D population on CSII. HbA1c, fear of hypoglycemia, and QOL improved, and hospitalization risk and work absenteeism decreased.