Novel Approaches to the Management of Graves` Ophthalmopathy

Luigi Bartalena, Maria Laura Tanda, Alessandra Medea, Claudio Marcocci, Aldo Pinchera

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Severe Graves’ ophthalmopathy constitutes a complex therapeutic challenge and treatment outcome often is not satisfactory. Established methods of treatment include high-dose glucocorticoids, orbital radiotherapy and orbital decompression. Recently, the use of intravenous glucocorticoids has been shown to provide more favorable results than oral glucocorticoids…

Serum interleukin-22 (IL-22) is increased in the early stage of Hashimoto’s thyroiditis compared to non-autoimmune thyroid disease and healthy controls

Rosaria Maddalena Ruggeri, Paola Minciullo, Salvatore Saitta, Salvatore Giovinazzo, Rosaria Certo, Alfredo Campennì, Francesco Trimarchi, Sebastiano Gangemi, Salvatore Benvenga

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OBJECTIVE: Hashimoto’s thyroiditis (HT) is considered to be a Th1-related autoimmune disease (AID). Recent studies revealed that Th17 lymphocytes (producing mostly IL-17, IL-21 and IL-22) play a major role in numerous AIDs commonly thought to be Th1 diseases. More recently, another subset of Th cells …

Insulin action in morbid obesity: a focus on muscle and adipose tissue

Panayota Mitrou, Sotirios A. Raptis, George Dimitriadis

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The aim of this review is to summarize the mechanisms underlying insulin resistance in morbid obesity. Glucose regulation by insulin depends on the suppression of endogenous glucose production and stimulation of glucose disposal. In morbid obesity, glucose production by the liver is increased …

The impact of adipose tissue-derived factors on the hypothalamic-pituitary-gonadal (HPG) axis

Christos Tsatsanis, Eirini Dermitzaki, Pavlina Avgoustinaki, Niki Malliaraki, Vasilis Mytaras, Andrew N. Margioris

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Adipose tissue produces factors, including adipokines, cytokines and chemokines which, when released, systemically exert endocrine effects on multiple tissues thereby affecting their physiology. Adipokines also affect the hypothalamic-pituitary-gonadal (HPG) axis both centrally, at the hypothalamic-pituitary level …

Combined strength and aerobic training increases transforming growth factor-β1 in patients with type 2 diabetes

Anna-Maria Touvra, Konstantinos A. Volaklis, Apostolos T. Spassis, Christos E. Zois, Helen T. Douda, Kalliopi Kotsa, Savvas P. Tokmakidis

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OBJECTIVE: The aim of the present study was to examine the effects of a combined strength and aerobic training program on pro- and anti-inflammatory cytokines and transforming growth factor-β1 in patients with type 2 diabetes. DESIGN: Ten patients with type 2 diabetes, aged 55.5 (5) years [median (IQR)] participated in a supervised systematic exercise training program …

The response of serum leptin, cortisol and zinc concentrations to concurrent training

Guilherme Rosa, Estelio H.M. Dantas, Danielli Braga de Mello

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OBJECTIVE: To investigate the effects of concurrent training (CT) on serum leptin, cortisol and zinc concentrations in physically active adults. DESIGN: Ten subjects aged (27.1±4.8 years, BMI 25.49 ± 2.65) were recruited to participate in three sessions: control session (CS), concurrent training 1 (CT1) and concurrent training 2 (CT2) sessions with five days of resting between them. In each session blood samples for leptin …

Insulin resistance, growth factors and cytokine levels in overweight women with breast cancer before and after chemotherapy

Eftychia Chala, Christos Manes, Helias Iliades, Georgios Skaragkas, Despina Mouratidou, Efthymios Kapantais

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OBJECTIVE: To evaluate insulin values, insulin resistance, growth factors and cytokine levels in women suffering from breast cancer and the effect of chemotherapy on these parameters. DESIGN: In a prospective study, glucose and insulin values were determined in ten previously undiagnosed diabetic postmenopausal women with stage IV breast cancer (hepatic metastases excluded) during an oral glucose tolerance test …