A review on osteoporosis in men

Ioannis P. Stathopoulos, Efstathios G. Ballas, Kalliopi Lampropoulou-Adamidou, George Trovas

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While osteoporosis has been traditionally considered as a disease of aging women, it is becoming an increasingly important male health problem, with one in three fragility fractures after the age of 50 years occurring in men …

The role of ghrelin in weight-regulation disorders: Implications in clinical practice

Solomis Solomou, Márta Korbonits

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Ghrelin, an orexigenic protein with a unique lipid chain modification, is considered to be an important gut-brain signal for appetite control and energy balance. The ghrelin receptor, growth-hormone secretagogue receptor type 1a, is able to bind acylated ghrelin. The first recognised effect of ghrelin was the induction of growth hormone …

The sclerostin story: From human genetics to the development of novel anabolic treatment for osteoporosis

Maria P. Yavropoulou, Christos Xygonakis, Maria Lolou, Fotini Karadimou, John G. Yovos

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Sclerosteosis and Van Buchem disease are two rare bone sclerosing disorders characterized by increased bone mineral density, tall stature and entrapment of cranial nerves due to overgrowth of a highly dense bone. Recent advances in human genetics have revealed the genetic background of these disorders …

The benefit-to-risk ratio of common treatments in PCOS: effect of oral contraceptives versus metformin on atherogenic markers

Charikleia Christakou, Anastasios Kollias, Christina Piperi, Ilias Katsikis, Dimitrios Panidis, Evanthia Diamanti-Kandarakis

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OBJECTIVE: To compare the effects of oral contraceptives (OCPs) and metformin on atherogenic markers, including serum levels of advanced glycated end products (AGEs) and C-reactive protein (CRP), in lean women (Body Mass Index below 25 kg/m2) with polycystic ovary syndrome (PCOS), defined by NIH criteria …

Anticancer effects of metformin on neuroendocrine tumor cells in vitro

George Vlotides, Ayse Tanyeri, Matilde Spampatti, Kathrin Zitzmann, Michael Chourdakis, Gerald Spöttl, Julian Maurer, Svenja Nölting, Burkhard Göke, Christoph J. Auernhammer

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Metformin is a widely used oral antidiabetic drug with good tolerability. Recent studies suggest that it also possesses adjuvant potent anticancer properties in a variety of tumors. Neuroendocrine tumors (NETs) of the gastro-entero-pancreatic system (GEP) comprise a heterogeneous group of tumors with increasing incidence …

Implementation of a stress management program in outpatients with type 2 diabetes mellitus: a randomized controlled trial

Efi Koloverou, Nikolaos Tentolouris, Chryssa Bakoula, Christina Darviri, George Chrousos

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OBJECTIVE: Although there is scientific evidence that stress adversely affects metabolic control, only a few studies have examined the role of stress management in improving glycemic control in patients with type 2 diabetes mellitus (DM). In this study, we investigated the effect of a relaxation technique on levels of stress and glycemic control …

Non-alcoholic fatty liver disease in women with polycystic ovary syndrome: assessment of non-invasive indices predicting hepatic steatosis and fibrosis

Stergios A. Polyzos, Dimitrios G. Goulis, Jannis Kountouras, Gesthimani Mintziori, Panagiotis Chatzis, Efstathios Papadakis, Ilias Katsikis, Dimitrios Panidis

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OBJECTIVE: Insulin resistance contributes to the pathogenesis of both polycystic ovary syndrome (PCOS) and non-alcoholic fatty liver disease (NAFLD). The main aim of the present study was the evaluation of non-invasive indices of hepatic steatosis and fibrosis in PCOS women with or without metabolic syndrome …

Short-chain fatty acids increase expression and secretion of stromal cell-derived factor-1 in mouse and human pre-adipocytes

Venkat N. Vangaveti, Catherine Rush, Linda Thomas, Roy R. Rasalam, Usman H. Malabu, Scott G. McCoombe, Richard L. Kennedy

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OBJECTIVE: Stromal cell-derived factor-1 (SDF-1) is expressed in pre-adipocytes but its role is unknown. We investigated butyrate (a histone deacetylase inhibitor – HDACi) and other short-chain fatty acids (SCFA) in the regulation of SDF-1. We further investigated whether effects of SCFA were signalled through G protein-coupled receptors …

A systematic review and meta-analysis of weight status among adolescents in Cyprus: scrutinizing the data for the years 2000–2010

Maria G. Grammatikopoulou, Eleni P. Kotanidou, Anastasia G. Markaki, Charilaos Stylianou, Assimina Galli-Tsinopoulou, Maria Tsigga, Maria Hassapidou

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OBJECTIVE: The aim of the present study was to evaluate by pooled and sensitivity analyses all available data on adolescent overweight/obesity in Cyprus. DESIGN: A thorough literature search determined the studies  to be examined using Cypriot adolescent samples …

A SOX3 (Xq26.3-27.3) duplication in a boy with growth hormone deficiency, ocular dyspraxia, and intellectual disability: A long-term follow-up and literature review

Stefano Stagi, Elisabetta Lapi, Marilena Pantaleo, Giovanna Traficante, Sabrina Giglio, Salvatore Seminara, Maurizio de Martino

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OBJECTIVE:SOX3 is located on the long arm of the X chromosome (Xq27.1) and both the under- and over-expression of this gene have been reported in cases of hypopituitarism with or without intellectual disabilities. Nevertheless, only a few cases have as yet been extensively described …

Diabetes mellitus in a girl with thyroid hormone resistance syndrome: a little recognized interaction between the two diseases

Stefano Stagi, Cristina Manoni, Valentina Cirello, Danila Covelli, Sabrina Giglio, Francesco Chiarelli, Salvatore Seminara, Maurizio de Martino

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The syndrome of resistance to thyroid hormone (RTH) is characterized by elevated serum free thyroid hormones (FT4 and FT3) in the presence of unsuppressed TSH levels, reflecting resistance to the normal negative feedback mechanisms in the hypothalamus and pituitary …

A novel succinate dehydrogenase type B mutation in an Iranian family. Its genetic and clinical evaluation

Ali A. Ghazi, Ali Mosaddegh Khah, Fereshteh Kamani, Khandan Zare, Alireza Sadeghipour, Mehdi Hedayati, Marjan Zarif Yeganeh, Treena Cranston, Ashley Grossman

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Succinate Dehydrogenase-B (SDH-B) gene mutations constitute one of the most frequent forms of hereditary paragangliomas (PGL). Genetic study is advised in all cases for the evaluation of tumour behaviour, the selection of optimal management and the surveillance of the first degree relative …

Rare case of Cushing’s disease due to double ACTH-producing adenomas, one located in the pituitary gland and one into the stalk

Marco Mendola, Alessia Dolci, Lanfranco Piscopello, Giustino Tomei, Dario Bauer, Sabrina Corbetta, Bruno Ambrosi

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We describe a patient affected by Cushing’s disease due to the presence of double pituitary adenomas, one located within the anterior pituitary and the other in the infundibulum associated with a remnant of Rakthe’s pouch. Cure was achieved only after the infundibulum lesion was surgically removed …

Gender identity disputed in the court of justice: a story of female to male sexual transformation in the hellenistic period, described by Diodorus Siculus

Anastasia K. Armeni, Vasiliki Vasileiou, George Markantes, Christina Damoulari, Angelina Mandrapilia, Fotini A. Kosmopoulou, Varvara Keramisanou, Danai Georgakopoulou, Neoklis A. Georgopoulos

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Cases of sexual reassignment in Greco-Roman antiquity, presenting as a pubertal female-to-male gender transformation, are described in the “classical” literature. Textual evidence concerning a case of androgynism, garnered by Diodorus Siculus, among other similar accounts …

Severe hypothyroidism due to autoimmune thyroiditis in a child: a one-year follow-up

Francesco Vierucci, Graziano Cesaretti

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Autoimmune thyroiditis is considered to be the most common autoimmune condition, with a female preponderance of 2:1. While its overall prevalence peaks in adulthood, autoimmune thyroiditis may affect children and adolescents, particularly during early to mid-puberty …

Genetic analysis does not confirm non-classical congenital adrenal hyperplasia in more than a third of the women followed with this diagnosis

Valeria Alcantara-Aragon, Silvia Martinez-Couselo, Diana Tundidor-Rengel, Susan M. Webb, Gemma Carreras, Juan J. Espinos, Ana Chico, Francisco Blanco-Vaca, Rosa Corcoy

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Non-classical congenital adrenal hyperplasia (NCCAH) due to 21-hydroxylase deficiency is one of the most frequent autosomal recessive diseases, with an estimated prevalence of 1 in 1000. It may manifest at different stages in life. In late childhood, it may present with advanced skeletal maturation …

The metabolic syndrome among preschool and school age children and adolescents in Crete in the first decade of the 21st century

Christos M. Hatzis, Christopher Papandreou, Dimitra Sifaki-Pistolla, Christine Jildeh, Anthony G. Kafatos

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In Greece as well as worldwide, studies on the prevalence of metabolic syndrome (MetS) in children/adolescents began to take place in the second half of the 20th century. It was indicated that the prevalence of MetS is mostly predicted by the presence of obesity and particularly abdominal obesity …