The guidelines issued by the European Society for Human Reproduction and Embryology and the American Society for Reproductive Medicine regarding the induction of ovulation with metformin in patients with the polycystic ovary syndrome potentially require reconsideration

Dimitrios Panidis, Konstantinos Tziomalos, Efstathios Papadakis, Eleni A. Kandaraki, Ilias Katsikis

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In 2007, the European Society for Human Reproduction and Embryology (ESHRE) and the American Society for Reproductive Medicine (ASRM) issued guidelines in Thessaloniki regarding the use of metformin and clomiphene for the induction of ovulation in patients with anovulatory polycystic ovary syndrome (PCOS) …

Genetics and Hormones in Testicular Descent*

Marko Kaleva and Jorma Toppari

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Testicular descent is an essential part of normal male sexual development. Any anomaly that disrupts normal testicular descent will be clinically evident as cryptorchidism. Several factors, such as Hoxa-10, epidermal growth factor (EGF), calcitonin gene-related peptide (CGRP), and hormones, especially androgens and insulin-like factor 3

Radioactivity and thyroid cancer*

Christopher Reiners

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There is no evidence that natural radiation (cosmic radiation or from natural radioiosotopes) increases the risk for thyroid diseases. Moreover, while it has been proven that exposure to external medical radiation or to external and internal radiation by atomic bomb explosions leads to an increased risk for thyroid cancer …

Premenopause: The endocrinology of reproductive decline

Menelaos L. Batrinos

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The ovaries follow a different course of aging from the other endocrine glands and organs. Instead of an inevitable progressive deterioration with advancing age, like all other structures and functions of the organism, including the male gonad, the testis, in the late thirties the ovaries undergo an abrupt diminution …

Hormones, hormonal agents, and neuropeptides involved in the neuroendocrine regulation of sleep in humans

Grigorios Kotronoulas, Antonios Stamatakis, Fotini Stylianopoulou

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Sleep is an essential ubiquitous biological process, a periodical state of quiescence in which there is minimal processing of sensory information and no interaction with conspecifics or the environment. Despite relevant research on sleep structure and testing of numerous endogenous sleep-affecting chemicals, questions as to the precise mechanisms …

The validity of current guidelines regarding surgical management of patients with gastric neuroendocrine neoplasms type 1: a report of a series of seven patients

Georgios Boutzios, John Griniatsos, Nikoletta Dimitriou, Athanassios Zilos, Stavroula Antoniou, Evangelos Felekouras, Gregory Kaltsas

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OBJECTIVE: Gastric neuroendocrine neoplasms Type 1 (GEN type 1) are mostly localized indolent tumors, with only a minority developing lymph node or distant metastasis. Although they are usually managed conservatively, large, invasive, recurrent and grade 2 lesions may require surgical treatment …

Sodium Iodide Symporter (NIS) and Thyroid

Christine Spitzweg, John C. Morris

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Active transport of iodide into the thyroid gland is a crucial and rate-limiting step in the biosynthesis of thyroid hormones which play an important role in the metabolism, growth and maturation of a variety of organ systems, in particular the nervous system1. Although, iodide transport into the thyroid gland has been known …

Magnetization transfer imaging of the pituitary gland

Maria I. Argyropoulou, Dimitrios Nikiforos Kiortsis

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Magnetization transfer (MT) techniques provide tissue contrast which depends mainly on the concentration of macromolecules. The magnetization transfer phenomenon is determined by the restricted macromolecular protons and is quantified by the magnetization transfer ratio (MTR). Since many macromolecular structures are implicated in the secretory activity of the pituitary gland …

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 …

Bone disease in anorexia nervosa

Anastasia D. Dede, George P. Lyritis, Symeon Tournis

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Anorexia nervosa is a serious psychiatric disorder accompanied by high morbidity and mortality. It is characterized by emaciation due to self-starvation and displays a unique hormonal profile. Alterations in gonadal axis, growth hormone resistance with low insulin-like growth factor I levels, hypercortisolemia and low triiodothyronine …

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…

Molecular genetic aspects and pathophysiology of endocrine hypertension

Stelios Fountoulakis, Agathocles Tsatsoulis

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Blood pressure (BP) is the outcome of the interaction of intravascular volume, cardiac output and peripheral resistance. Hypertension is defined as BP exceeding 139/89 mmHg, whereas “pre-hypertension” refers to systolic BP of 120 to 139 mmHg or a diastolic BP of 80 to 89 mmHg. Traditionally, hypertension has been subdivided into two forms: essential or primary and secondary…

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 …

Biological activity of the e domain of the IGF-1Ec as addressed by synthetic peptides

George Vassilakos, Anastassios Philippou, Panagiotis Tsakiroglou, Michael Koutsilieris

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Insulin-like growth factor-1 (IGF-1) is a multipotent growth factor involved in the growth, development and regulation of homeostasis in a tissue-specific manner. Alternative splicing, multiple transcription initiation sites and different polyadelynation signals give rise to diverse mRNA isoforms …

Treatment of advanced neuroendocrine tumours with the radiolabelled somatostatin analogue octreotide

Gregory A. Kaltsas, Zoe Stefanidou, Dimitris Papadogias, Ashley B. Grossman

Neuroendocrine tumours (NET) have a particular tendency to express functional receptors and/or uptake mechanisms. Radionuclides, such as 111In-pentetreotide, a somatostatin analogue, which bind to somatostatin receptors, present an imaging modality that has been used for both the diagnosis and staging of NET…

Thyroid Nodules 2006: Managing what has been known for over 50 years

Jeffrey R. Garber

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The 50th anniversary of the publication of Mortensen, Woolner and Bennet’s paper entitled Gross and microscopic findings in clinically normal thyroid glands has just passed. 1 Their paper reported that at autopsy at the Mayo Clinic approximately half of those not known to have thyroid disease pre-mor­tem had thyroid nodules …

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 …

Subclinical Cushing’s syndrome: Current concepts and trends

George N. Zografos, Iraklis Perysinakis, Evangeline Vassilatou

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Clinically inapparent adrenal masses which are incidentally detected have become a common problem in everyday practice. Approximately 5-20% of adrenal incidentalomas present subclinical cortisol hypersecretion which is characterized by subtle alterations of the hypothalamic-pituitary-adrenal …

Dyslipidemia in patients with thyroid disorders

Evagelos N Liberopoulos, Moses S Elisaf

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Thyroid disorders are known to influence lipid metabolism and are common in dyslipidemic patients. Overt and subclinical hypothyroidism have an adverse effect on the serum lipid profile that may predispose to the development of atherosclerotic disease. Although thyroid substitution therapy is beneficial for patients with overt hypothyroidism …

Improvement of insulin sensitivity in patients with type 2 diabetes mellitus after oral administration of alpha-lipoic acid

Petya Kamenova

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BACKGROUND: Amelioration of insulin resistance could improve both glycaemic control and cardiovascular risk factors in patients with type 2 diabetes mellitus. Alpha-lipoic acid has been shown to improve insulin action after parenteral administration. OBJECTIVE: the aim of the study was to assess the effect of oral administration of alpha-lipoic acid on insulin sensitivity in patients with type 2 diabetes…

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 …

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 …

Polycystic Ovary Syndrome: The influence of environmental and genetic factors

Evanthia Diamanti-Kandarakis, Christina Piperi, Georgia Argyrakopoulou, Jiovanna Spina, Lambrini Papanastasiou, Angeliki Bergiele, Dimitrios Panidis

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Polycystic ovary syndrome (PCOS) is a complex and heterogeneous disorder characterized by hyperandrogenemia, hyperinsulinemia, insulin resistance, and chronic anovulation. It is the most common endocrine disorder in women of reproductive age with an enigmatic pathophysiologic and molecular basis. The high prevalence of affected …

The role of iodine in the evolution of thyroid disease in Greece: from endemic goiter to thyroid autoimmunity

Stelios Fountoulakis, George Philippou, Agathocles Tsatsoulis

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The thyroid gland is dependent on dietary iodine for the production of thyroid hormones, normal iodine requirement being about 150-200μg/day. Long-term deficiency in iodine intake is associated with the development of goiter. When the prevalence of goiter in a population rises above 5-10%, the problem is considered endemic …