Physiological effects and mechanisms of action of endocrine disrupting chemicals that alter estrogen signaling

Derek V. Henley, Kenneth S. Korach

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A large number of natural and synthetic chemicals have been identified that are reported to disrupt the normal functioning of the endocrine system and produce untoward effects in hormone-responsive target tissues and organs in both humans and animals. These chemicals are broadly referred to as endocrine disrupting chemicals (EDCs) and consist of numerous physically …

Increasing world incidence of thyroid cancer: Increased detection or higher radiation exposure?

Leonard Wartofsky

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Thyroid cancer is the most common endocrine malignancy with more deaths annually than all other endocrine cancers combined. Medical centers in many parts of the world have noted an increasing frequency of cases of thyroid cancer. The general impression has been that if there is a rising frequency, it was likely due to some environmental cause …

Environmental factors and nosology of the endocrine system

Catherine Dacou-Voutetakis

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The realization that the environment exerts a favorable or unfavorable effect on the human organism is not new. In the remote past, not only physicians but philosophers (e.g. Plato, Aristotle) as well wrote about the adverse effects of a maltreated environment, while Theophrastus (a student of Plato and Aristotle) is considered the father of ecology …

Update in thyroid imaging. The expanding world of thyroid imaging and its translation to clinical practice

Gonzalo Díaz Soto, Irene Halperin, Mattia Squarcia, Francisco Lomeña, Manuel Puig Domingo

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In recent years thyroid imaging has marked exponential progress, considerably changing the approach to diagnosis, prognosis, treatment, follow-up and evaluation of high prevalence thyroid diseases such as goitre, thyroid nodules and primary thyroid cancer. What is more, this notable technical advance has proven its ability to effectively confront such complex challenges …

Obesity in pregnancy

Natalia Sirimi, Dimitrios G. Goulis

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Obesity, the most common metabolic disorder, concerns, among others, women of reproductive age and, when it occurs before or during pregnancy, constitutes a major risk factor for both maternal and fetal complications. The complications of obesity in a prospective mother include subfertility, miscarriage, thrombo-embolism, hypertensive disorders …

Impact of environmental endocrine disrupting chemicals on the development of obesity

Retha R. Newbold

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Environmental chemicals with hormone-like activity can disrupt programming of endocrine signaling pathways during development and result in adverse effects, some of which may not be apparent until much later in life. Recent reports link exposure to environmental endocrine disrupting chemicals during development with adverse health consequences …

Autoimmunity in differentiated thyroid cancer: Significance and related clinical problems

Ulla Feldt-Rasmussen, Åse Krogh Rasmussen

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Coexistence of differentiated thyroid cancer (DTC) and thyroid autoimmune diseases could represent a mere coincidence due to the frequent occurrence of autoimmunity, but there may also be a pathological and causative link between the two conditions. The coincidence of DTC with Hashimoto’s disease has been variably reported …

Definition, classification and mechanism of action of endocrine disrupting chemicals

Wolfgang Wuttke, Hubertus Jarry, Dana Seidlovα-Wuttke

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Hormones are peptides/proteins, lipids or aminoacid derivatives which after their secretion act on receptors to cause reactions within the respective receptive cells. Each cell of the body is in one way or another regulated by hormones. Hence, hormones exert innumerable effects on the organism of animals and humans …

Neuroendocrine targets of endocrine disruptors

Andrea C. Gore

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The central neuroendocrine systems are responsible for the control of homeostatic processes in the body, including reproduction, growth, metabolism and energy balance, as well as stress responsiveness. These processes are initiated by signals in the central nervous system, specifically the hypothalamus, and are conveyed first by neural and then by endocrine effectors …

Evolutionary perspective in skin color, vitamin D and its receptor

Ze’ev Hochberg, Alan R Templeton

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Evolutionary pressures due to variation in climate play an important role in shaping phenotypic variation among and within species and have been shown to influence variation in phenotypes such as body shape and size among humans. Here we review the evidence for migration and change of living latitude in the evolution of skin color genes and the vitamin D receptor (VDR) ..

Sex determination and disorders of sex development according to the revised nomenclature and classification in 46,XX individuals

Eleni Kousta, Asteroula Papathanasiou, Nicos Skordis

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There have been considerable advances concerning understanding of the early and later stages of ovarian development; a number of genes have been implicated and their mutations have been associated with developmental abnormalities …

Bisphenol-A: a new diabetogenic factor?

Paloma Alonso-Magdalena, Ana Belιn Ropero, Sergi Soriano, Ivan Quesada, Angel Nadal

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The aim of this review was to analyze the potential effects of environmental chemicals on homeostatic control related to glycemia and energy balance. Many of the environmental chemicals can mimic or interfere with the action of hormones and are generally referred to as “endocrine disruptors” …

Environmental chemicals targeting thyroid

Thomas R. Zoeller

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Thyroid hormones (THs) are required for normal brain and somatic development and for the proper regulation of physiology in both children and adults. Thyroid function is controlled by the dynamic interrelationships between the hypothalamus, the pituitary and the thyroid. These dynamic relationships maintain circulating levels of THs …

Coexistence of Hashimoto’s thyroiditis with papillary thyroid carcinoma. A retrospective study

Elias E. Mazokopakis, Anastasios A. Tzortzinis, Elpida I. Dalieraki-Ott, Athanasios N. Tsartsalis, Periklis K. Syros, Christos M. Karefilakis, Maria G. Papadomanolaki, Ioannis K. Starakis

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OBJECTIVE: The association between Hashimoto’s thyroiditis (HT) and papillary thyroid carcinoma (PTC) remains controversial in medical bibliography. The main objective of our study was to determine the prevalence of PTC and HT coexistence in histopathologic material of thyroidectomized patients. DESIGN: In a retrospective study …

The differential impact of volatile and intravenous anaesthetics in humans

Nicholas J. Sarlis, Christian A. Koch

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We read with interest the contribution by Dr. Kostopanagiotou and colleagues describing the differential impact of volatile and intravenous anaesthetics on select hormonal and immune parameters of the stress response in the swine. We would like to highlight earlier human data of ours (some of which unpublished to date) as well as from others that are pertinent to this interesting line of research and generally supportive of the authors’ conclusions …

Hormone therapy and asymmetrical dimethylarginine in postmenopausal women

Artemis Karkanaki, Dimitrios Vavilis, Alexandros Traianos, Ioannis Kalogiannidis, Dimitrios Panidis

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Women present an estradiol-dependent cardiovascular risk profile. Based on various studies, it was considered that estrogen therapy (ET) in postmenopausal women could probably reduce the higher cardiovascular risk in this group. Assymetric dimethylarginine (ADMA) is an endogenous methylated arginine which inhibits nitric oxide ..

Epigenetics, brain, behavior, and the environment

David Crews

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Early experiences can modify regulatory factors affecting gene expression in such a way that, although the DNA sequence itself is not changed, the individual’s physiology and behavior is substantially influenced. In some instances these epigenetic effects are exerted upon exposure, while in other instances they are transmitted across generations …

Complications and risk factors related to the extent of surgery in thyroidectomy. Results from 2,043 procedures

Stavros N. Karamanakos, Kostas B. Markou, Konstantinos Panagopoulos, Dionisios Karavias, Constantinos E. Vagianos, Chrisoula D. Scopa, Vassiliki Fotopoulou, Anna Liava, Konstantinos Vagenas

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OBJECTIVE: To evaluate the rate of complications and the risk factors in relation to the extent of surgery in patients undergoing thyroidectomy in a tertiary university center. DESIGN: Data were collected retrospectively from 2,043 consecutive patients who underwent thyroid surgery for various thyroid diseases at the University Hospital of Patras …

Neuroendocrine dysfunction in patients recovering from subarachnoid hemorrhage

Vladimir Jovanovic, Sandra Pekic, Marko Stojanovic, Goran Tasic, Branko Djurovic, Ivan Soldatovic, Mirjana Doknic, Dragana Miljic, Marina Djurovic, Milica Medic-Stojanoska, Vera Popovic

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OBJECTIVE: Subarachnoid hemorrhage (SAH) is a recently identified risk factor for hypopituitarism, particularly growth hormone (GH) and corticotrophins deficiencies. The aim of our study was to identify possible predictor(s) for neuroendocrine dysfunction in SAH survivors. DESIGN: Pituitary function was evaluated in 93 patients …

The interrelationship of serum 1,25-dihydroxyvitamin D, 25-hydroxyvitamin D and 24,25-dihydroxyvitamin D in pregnancy at term: a meta-analysis

Peter D. Papapetrou

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OBJECTIVE: To assess the relationship between circulating 25(OH)D, 1,25(OH)2D, and 24,25(OH)2D in pregnancy at term, and to test the hypothesis that serum 25(OH)D and 24,25(OH)2D are repressed by high serum 1,25(OH)2D levels …

Clinical implications of molecular studies for the diagnosis of thyroid cancer

Markus Eszlinger, Kurt Werner Schmid, Ralf Paschke

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The evaluation of patients with nodular thyroid disease is focused on two main aspects, namely the exclusion of thyroid malignancy and the exclusion of hyperthyroidism in regions with borderline iodine supply. However, the identification and preoperative typing of both the substantially less frequently occurring thyroid carcinomas …

The effect of Dehydroepiandrosterone on insulin resistance in patients with impaired glucose tolerance

Afsaneh Talaei, Masoud Amini, Mansour Siavash, Maryam Zare

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OBJECTIVE: Dehydroepiandrosterone (DHEA) and Dehydroepiandrosterone-sulfate (DHEA-S) are the most abundant steroid hormones in the body. Recently, DHEA-S has gained interest as an antidepressant substance, with positive effects on autoimmune disease such as lupus and ulcerative colitis, as well as obesity, cancer, cardiovascular disease and diabetes …

Combined therapy with L-Thyroxine and L-Triiodothyronine compared to L-Thyroxine alone in the treatment of primary hypothyroidism

Valentine V. Fadeyev, Tatyana B. Morgunova, Galina A. Melnichenko, Ivan I. Dedov

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Objective: The objective of this study was to compare various parameters in patients with hypothyroidism receiving either monotherapy with L-Thyroxine (L-T4) or combination therapy with L-T4 and L-Triiodothyronine (L-T3). Design: We conducted a randomized, controlled trial in 36 premenopausal women with hypothyroidism …

Subcutaneous glucose monitoring with GlucoDay®: comparison of the results to those obtained with the Endocrine Artificial Pancreas

George Dimitriadis, Eleni Boutati, Athanasios E. Raptis, Erifili Hatziagelaki, Panayota Mitrou, Vaia Lambadiari, Nikolaos Tountas, Theofanis Economopoulos, Sotirios A. Raptis

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OBJECTIVE: This study was undertaken to assess the accuracy of GlucoDay® – a portable detector of subcutaneous glucose – by comparing the results to those obtained by Biostator® an established and reliable method for continuous glucose measurement in whole blood. DESIGN: Subjects with type 1 diabetes (n:6), subjects with type 2 diabetes …

Iodine content of thyroglobulin in NOD.H2h4 mice developing iodine-accelerated autoimmune thyroiditis

Panayota Kolypetri, Natasha A. Noel, Karen A. Carayanniotis, George Carayanniotis

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OBJECTIVE: In NOD.H2h4 mice, high dietary iodine intake has been known to cause Iodine-accelerated Spontaneous Autoimmune Thyroiditis (ISAT) via an unknown mechanism. The aim of the study was to examine whether the NOD.h4 genetic background predisposes to enhanced iodine organification in thyroglobulin …