Volume 104, Issue 10, October 2019
Print and Online
Consensus Statement
Global Consensus Position Statement on the Use of Testosterone Therapy for Women
The only evidence-based indication for testosterone for women is for HSDD. There are insufficient data for using testosterone for any other symptom/condition or for disease prevention.
Case Reports
Familial X-Linked Acrogigantism: Postnatal Outcomes and Tumor Pathology in a Prenatally Diagnosed Infant and His Mother
The clinical course and tumor pathology results of an infant with prenatally diagnosed X-LAG are described and compared with his affected mother. The significance of their findings is discussed.
Germline USP8 Mutation Associated With Pediatric Cushing Disease and Other Clinical Features: A New Syndrome
We report a patient with a de novo germline heterozygous USP8 gene mutation who presented with recurrent CD and other clinical features. Her presentation may characterize a new genetic syndrome.
Meta-Analysis
Sex-Specific Association of Circulating Ferritin Level and Risk of Type 2 Diabetes: A Dose-Response Meta-Analysis of Prospective Studies
This study is about sex difference in the association of ferritin with T2D risk. Our findings suggest that circulating ferritin levels may serve as a predictor of T2D risk in a sex-specific manner.
Hippocampal Volume, Cognitive Functions, Depression, Anxiety, and Quality of Life in Patients With Cushing Syndrome
Assessment of HV and psychopathology in patients with CS revealed no reduction of HV, but cognition, depressive symptoms, and quality of life were substantially affected.
Mini-Reviews
A Clinical Perspective of Sleep and Andrological Health: Assessment, Treatment Considerations, and Future Research
Sleep is essential for healthy living. Establishing the effect of abnormal sleep on andrological issues will promote prioritization of sleep, and may thereby improve overall long-term health outcomes.
Effects of the Timing of Sex-Steroid Exposure in Adolescence on Adult Health Outcomes
This article explores how pubertal timing affects adult outcomes by reviewing findings from Mendelian randomization studies and studies of sex-steroid treatment of adolescent hypogonadal conditions.
Bones and Joints: The Effects of Cannabinoids on the Skeleton
The endocannabinoid system participates in bone growth and remodeling. Increasing use of medical cannabis makes the role of the endocannabinoid system in bone biology clinically important.
Obesity, Bariatric Surgery, and Fractures
Overweight and obesity are often encountered in fracture cases. The presumed protective effect of overweight and obesity on bone fragility should be reconsidered.
Autoimmune Polyendocrinopathy
This mini-review offers a comprehensive description of the current pathophysiology, immunology, and clinical spectrum of the complex autoimmune polyendocrinopathy syndrome, as well as a synopsis of recent and novel reports.
Reports and Recommendations
Improving Long-Term Outcomes of Youth With Lipid Abnormalities—Expanding the Role of Pediatric Endocrinologists
To prevent premature cardiovascular disease and promote life-long heart-healthy living in children and adolescents, additional training is needed for pediatric endocrinologists.
Clinical Research Articles
The Effects of Dapagliflozin on Systemic and Renal Vascular Function Display an Epigenetic Signature
Hemodynamic and systemic vascular effects of dapagliflozin undergo epigenetic regulation that favorably affects two miRs involved in heart failure.
Long-Term Outcomes and Aggressiveness of Hereditary Medullary Thyroid Carcinoma: 40 Years of Experience at One Center
The present observational study of 263 patients with MEN2 revealed no differences in clinical outcomes between the MOD and H groups. However, the outcomes in the HST group were worse.
High Prevalence of Growth Plate Gene Variants in Children With Familial Short Stature Treated With GH
Of 33 children with severe FSS, the genetic etiology was elucidated in 17. Half of the causative variants affect the growth plate. Growth plate disorders are a prevalent cause of FSS.
Unique Inflammatory Changes in Exocrine and Endocrine Pancreas in Enterovirus-Induced Fulminant Type 1 Diabetes
An association was observed between enterovirus (EV) and inflammation of exocrine pancreas and islets in FT1DM. EV-induced inflammation elicited the CXCL10–CXCR3 axis, leading to exocrine/islet cell death.
A Prospective Study of Early Pregnancy Essential Metal(loid)s and Glucose Levels Late in the Second Trimester
Among 1857 pregnant US women, we found higher copper and lower molybdenum could potentially increase the risk of glucose dysregulation, with those at higher risk of GDM affected to a greater extent.
Hypothalamic Reproductive Endocrine Pulse Generator Activity Independent of Neurokinin B and Dynorphin Signaling
This study uses pharmacologic probes to demonstrate that endogenous GnRH-induced LH pulses can be generated in the absence of neurokinin B and dynorphin activity in humans and mice.
The Low-Dose ACTH Test: Usefulness of Combined Analysis of Serum and Salivary Maximum Cortisol Response in Pediatrics
We propose using the combined evaluation of maximum serum total and salivary cortisol responses after low-dose ACTH to test for central adrenal insufficiency in pediatric patients.
Plasma Steroid Profiles in Subclinical Compared With Overt Adrenal Cushing Syndrome
Our data suggest that the multistep biochemical testing for diagnosis of subclinical Cushing syndrome could be simplified by a single test of plasma levels of multiple steroids.
Impaired Glucose-Stimulated Proinsulin Secretion Is an Early Marker of β-Cell Impairment Before Prediabetes Stage
A subpopulation of persons with NGT who have 2-hour PPG ranging from 6.67 to 7.8 mmol/L has a high future risk of diabetes. Delayed GSPS, but not delayed GSIS, may serve as an early marker of β-cell impairment before prediabetes.
A Randomized Placebo-Controlled Trial of Low-Dose Testosterone Therapy in Women With Anorexia Nervosa
Continuous Glucose Monitoring Profiles in Healthy Nondiabetic Participants: A Multicenter Prospective Study
This study provides normative sensor glucose data in a healthy, nondiabetic population of children and adults.
Clinical but Not Histological Outcomes in Males With 45,X/46,XY Mosaicism Vary Depending on Reason for Diagnosis
Clinical health outcomes in males with 45,X/46,XY mosaicism vary depending on reason for diagnosis. However, pre-neoplasia and ongoing spermatogenesis are both relatively common in all patients.
Latent Autonomous Cortisol Secretion From Apparently Nonfunctioning Adrenal Tumor in Nonlateralized Hyperaldosteronism
Apparently nonfunctioning adrenal tumors in patients with nonlateralized hyperaldosteronism exhibit latent autonomous cortisol secretion leading to high prevalences of diabetes and proteinuria.
Sex Differences in Effects of Obesity on Reproductive Hormones and Glucose Metabolism in Early Puberty
Study assessed sex differences in effects of obesity on reproductive hormones in early puberty and found that obesity has differential effects on reproductive hormones in girls and boys.
Effect of Prebiotic on Microbiota, Intestinal Permeability, and Glycemic Control in Children With Type 1 Diabetes
Children with type 1 diabetes were randomized to a placebo or prebiotic group. The prebiotic group showed significantly higher C-peptide and increased relative abundance of Bifidobacterium.
Cortisol Secretion, Sensitivity, and Activity Are Associated With Hypertension in Postmenopausal Eucortisolemic Women
In postmenopausal women, the degree of unsuppressed glucocorticoid secretion and peripheral activation and sensitivity is associated with the presence of hypertension.
Association of Galectin-3 With Diabetes Mellitus in the Dallas Heart Study
In this population study, galectin-3 was associated with prevalent and incident diabetes independent of traditional risk factors.
Cord Blood Metabolomics: Association With Newborn Anthropometrics and C-Peptide Across Ancestries
Cord blood metabolites are associated with newborn size and C-peptide.
Persistently Elevated PTH After Parathyroidectomy at One Year: Experience in a Tertiary Referral Center
After parathyroid surgery for PHPT, nearly one-third continue to have elevated PTH, despite normalized calcium. The long-term benefit of surgery in this population is unknown.
Appetite Control Is Improved by Acute Increases in Energy Turnover at Different Levels of Energy Balance
The concept of energy turnover was used to show that a physical activity level of 1.76 is required for prevention of weight gain under the condition of an energy-dense Western diet.
High-Normal Adolescent Fasting Plasma Glucose Is Associated With Poorer Midlife Brain Health: Bogalusa Heart Study
In this study, adolescent fasting plasma glucose (FPG) in the high-normal range was associated with poorer brain structure and function in midlife, irrespective of midlife FPG values.
Differences in Trabecular Plate and Rod Structure in Premenopausal Women Across the Weight Spectrum
Among the premenopausal women in this study, trabecular bone was less plate-like in those with AN trabecular plates did not adapt to high weight in those with OB.
Poor Glycemic Control Is Associated With Impaired Bone Accrual in the Year Following a Diagnosis of Type 1 Diabetes
This longitudinal study in children with new-onset type 1 diabetes found that deficits in bone density were present at diagnosis and that poor glycemic control was associated with lower bone accrual.
Age at Seroconversion, HLA Genotype, and Specificity of Autoantibodies in Progression of Islet Autoimmunity in Childhood
Young age at initial islet autoantibody seroconversion in childhood associates with a high risk of further progression to T1D in IAA-initiated autoimmunity but not in GADA-initiated autoimmunity.
Association Between Urinary Triclosan With Bone Mass Density and Osteoporosis in US Adult Women, 2005‒2010
We accessed the relationship between urinary TCS concentration and BMD and osteoporosis in US adult women. We found a negative association with BMD and a positive link with osteoporosis.
Human-Specific Function of IL-10 in Adipose Tissue Linked to Insulin Resistance
In human white adipose tissue, IL-10 is secreted by proinflammatory macrophages and correlates with adverse metabolic phenotype but unlike in rodents, it has no effect on adipocyte function.
Evaluating the Low-Dose ACTH Stimulation Test in Children: Ideal Times for Cortisol Measurement
The addition of two cortisol draws at 15 and 60 minutes to the traditional 30-minute test decreases the false positive rate of the pediatric low-dose ACTH stimulation test.
The Incremental Risk of Pancreatic Cancer According to Fasting Glucose Levels: Nationwide Population-Based Cohort Study
As the fasting glucose level elevated, the incidence of pancreatic cancer significantly increased, not only in diabetic populations but also in those with prediabetes or normal glucose levels.
Association Between Statin Use and Sex Hormone in the Multi-Ethnic Study of Atherosclerosis Cohort
The use of statins for prevention of atherosclerotic cardiovascular disease can impair gonadal steroidogenesis.
Circulating Exosomes Activate Dendritic Cells and Induce Unbalanced CD4+ T Cell Differentiation in Hashimoto Thyroiditis
HT exosomes, which carry HSP60, TPO, and MHC-II, are believed to activate DCs via the TLR2/MyD88/NF-κB and TLR3/TRIF/NF-κB pathways, causing an imbalance in the differentiation of CD4+ T lymphocytes.
Antidepressants Reduced Risk of Mortality in Patients With Diabetes Mellitus: A Population-Based Cohort Study in Taiwan
Most ATDs, but not RIMA, were associated with significantly reduced mortality among a population with comorbid DM and depression.
Reduced Androgen Receptor Expression in Genital Skin Fibroblasts From Patients With 45,X/46,XY Mosaicism
AR expression and function can be reduced in the genital target tissue of patients with 45,X/46,XY mosaicism, and AR function will correlate with the patients’ external virilization.
Exercise Mitigates Bone Loss in Women With Severe Obesity After Roux-en-Y Gastric Bypass: A Randomized Controlled Trial
A 6-month, exercise training program significantly mitigated RYGB-induced bone mass loss at femoral neck, total hip and distal radius, and attenuated bone turnover markers and sclerostin levels.
Unique Pattern of N-Glycosylation, Sialylation, and Sulfonation on TSH Molecules in Serum of Children Up to 18 Months
The glycosylation of TSH in young children was determined. In infants, TSH displayed a low degree of sialylation combined with high degree of sulfonation and low of N-glycosylation.
KCNJ5 Somatic Mutation Is a Predictor of Hypertension Remission After Adrenalectomy for Unilateral Primary Aldosteronism
The impact of KCNJ5 somatic mutations on hypertension remission after adrenalectomy brings new insight into the postoperative follow-up of patients with PA.
Treatment of Primary Aldosteronism With mTORC1 Inhibitors
Systemic mammalian target of rapamycin complex 1 inhibition decreases plasma aldosterone levels in mice and in a subset of patients with primary aldosteronism.
Differential Levels of Regulatory T Cells and T-Helper-17 Cells in Women With Early and Advanced Endometriosis
Advanced endometriosis is associated with disturbed compartmentalization of CD4+CD25+FOXP3+Treg cells in the peritoneal fluid, but this alteration was not observed in women with early endometriosis.
Treatment of Children With GH in the United States and Europe: Long-Term Follow-Up From NordiNet® IOS and ANSWER Program
Two large noninterventional studies (ANSWER and NordiNet IOS) examined real-world use of GH across six indications in children. Prescribing differences were found between the United States and Europe.
Haptoglobin Phenotype Modulates Lipoprotein-Associated Risk for Preeclampsia in Women With Type 1 Diabetes
The association of adverse lipoprotein profiles with preeclampsia in women with type 1 diabetes may depend entirely on those with the haptoglobin 2-2 phenotype.
Letters to the Editor
Letter to the Editor: “A Meta-Analysis of the Prevalence of Cardiac Valvulopathy in Patients With Hyperprolactinemia Treated With Cabergoline”
Response to Letter to the Editor: “A Meta-Analysis of the Prevalence of Cardiac Valvulopathy in Patients With Hyperprolactinemia Treated With Cabergoline”
Letter to the Editor: “Genetic Link Between Gender Dysphoria and Sex Hormone Signaling”
Response to Letter to the Editor: “Genetic Link Between Gender Dysphoria and Sex Hormone Signaling”
Letter to the Editor: “Suppressed ACTH Is Frequently Unrelated to Autonomous Cortisol Secretion in Patients With Adrenal Incidentalomas”
Response to Letter to the Editor: “Suppressed ACTH Is Frequently Unrelated to Autonomous Cortisol Secretion in Patients With Adrenal Incidentalomas”
Correction
ERRATUM FOR “Increased Incidence Rate of Hypothyroidism After Iodine Fortification in Denmark: A 20-Year Prospective Population-Based Study”
Print Abstracts—Full Content Online Only
Clinical Research Articles
SREBP Plays a Regulatory Role in LH/hCG Receptor mRNA Expression in Human Granulosa-Lutein Cells
Regulation of LHR mRNA expression in human granulosa-lutein cells is linked to ovarian sterol metabolism through a mechanism that involves SREBP serving as a cholesterol sensor.
Elevated Lipoprotein(a) Levels Lower ABCA1 Cholesterol Efflux Capacity
High Lp(a) levels lead to lower ABCA1-mediated cholesterol efflux. This novel atherogenic function of Lp(a) can be exploited for diagnostic, predictive, and therapeutic purposes.
Acute Exercise Increases Plasma Levels of Muscle-Derived Microvesicles Carrying Fatty Acid Transport Proteins
Effect of acute exercise on levels of muscle-derived microvesicles carrying long-chain fatty acid transport proteins was investigated. Increased levels were observed in type 2 diabetes mellitus and obese individuals.
Interaction Between Overweight and Genotypes of HLA, TCF7L2, and FTO in Relation to the Risk of Latent Autoimmune Diabetes in Adults and Type 2 Diabetes
Plasma Free Cortisol in States of Normal and Altered Binding Globulins: Implications for Adrenal Insufficiency Diagnosis
In healthy subjects, plasma free cortisol of 0.9 μg/dL best predicted total cortisol of <18 μg/dL and could aid in the diagnosis of adrenal insufficiency in states of altered binding globulins.
Hyperglycemia and Metformin Use Are Associated With B Vitamin Deficiency and Cognitive Dysfunction in Older Adults
B vitamin biomarkers and cognition were examined in older adults with hyperglycemia. Metformin use was associated with deficiencies of vitamins B6 and B12 and 30% higher risk of cognitive dysfunction.
Association of Serum Paraoxonase/Arylesterase Activity With All-Cause Mortality in Maintenance Hemodialysis Patients
CT Fat Density Accurately Reflects Histologic Fat Quality in Adults With HIV On and Off Antiretroviral Therapy
In adults living with HIV on and off antiretroviral therapy, CT subcutaneous fat density measurement reflects histologic adipocyte size and can be used as a noninvasive measure of adipocyte function.
Quantification of the Capacity for Cold-Induced Thermogenesis in Young Men With and Without Obesity
Human energy expenditure was quantitated at various ambient temperatures and shows, despite greater fat mass, that men with obesity have less cold-induced thermogenesis capacity than lean men.
Central Hypothyroidism Related to Pituitary Adenomas: Low Incidence of Central Hypothyroidism in Patients With Acromegaly
We studied detailed thyroid status in NFPA patients and GHPA patients and investigated that the thyroid status between patients with these pituitary adenomas was different due to excess GH/IGF-1.
Genomic and Transcriptomic Characterization of Papillary Microcarcinomas With Lateral Neck Lymph Node Metastases
Although the genomic landscape of papillary microcarcinoma is similar with or without clinical lateral neck lymph node metastasis, transcriptomic assays identified 43 differentially expressed genes.
Estimation of Mortality Risk in Type 2 Diabetic Patients (ENFORCE): An Inexpensive and Parsimonious Prediction Model
This study extended and validated an inexpensive and parsimonious prediction model of 6-year all-cause mortality in white patients with type 2 diabetes from both real-life and clinical trial settings.
Exercise Induction of Key Transcriptional Regulators of Metabolic Adaptation in Muscle Is Preserved in Type 2 Diabetes
We examined whether activation of key transcriptional regulators of skeletal muscle metabolism in response to exercise was attenuated in type 2 diabetes but found that these responses are preserved.
Purine Metabolites and Carnitine Biosynthesis Intermediates Are Biomarkers for Incident Type 2 Diabetes
Plasma levels of metabolites DMGU, 7MG, and HTML are associated with incident T2DM in two prospective cohorts comprising >4000 patients.
Disrupted Oxytocin-Appetite Signaling in Females With Anorexia Nervosa
Postprandial oxytocin (OT) decrease in anorexia nervosa (AN)/atypical AN. OT change is related to appetite in atypical AN only, suggesting a disconnect between OT and appetite in undernourished state.