Volume 104, Issue 11, November 2019
Print and Online
Case Reports
Biochemically Silent Sympathetic Paraganglioma, Pheochromocytoma, or Metastatic Disease in SDHD Mutation Carriers
Ten SDHD patients developed biochemically silent sympathetic paraganglioma, pheochromocytoma, or metastases. Intensified imaging may be warranted irrespective of hormonal activity in SDHD patients.
Hypernatremic Hydrophobic Transient Adipsia Without Organic or Severe Psychiatric Disorder
Psychogenic adipsia can occur in those with mild depression.
Adrenalectomy Completely Cured Hypertension in Patients With Familial Hyperaldosteronism Type I Who Had Somatic KCNJ5 Mutation
Two siblings of a Taiwanese family with GRA were found to have adrenal adenomas and somatic KCNJ5 mutation. Complete clinical cure was achieved after unilateral adrenalectomy.
Pasireotide and Pegvisomant Combination Treatment in Acromegaly Resistant to Second-Line Therapies: A Longitudinal Study
Acromegaly treated with pasireotide/pegvisomant combination therapy after resistance to first- and second-line therapies is described and compared with acromegaly responsive to second-line therapies.
Checkpoint Inhibitor–Associated Autoimmune Diabetes Is Distinct From Type 1 Diabetes
CIADM represents a new class and increasingly common cause of autoimmune diabetes that is distinct from T1D in onset and cause; it is characterized by sudden complete β-cell failure after immune checkpoint inhibitor therapy.
Meta-Analysis
Improvement but No Normalization of Quality of Life and Cognitive Functioning After Treatment of Cushing Syndrome
This systematic review shows that treatment of Cushing syndrome improves quality of life and cognitive functioning, without achieving normalization compared with healthy controls.
Caffeine, Type of Coffee, and Risk of Ovarian Cancer: A Dose–Response Meta-Analysis of Prospective Studies
Coffee and caffeine consumption have been examined in relation to the risk of ovarian cancer. We found no significant association among caffeine intake or coffee type and the risk of ovarian cancer.
Mini-Reviews
Disturbances in Insulin–Glucose Metabolism in Patients With Advanced Renal Disease With and Without Diabetes
In patients with advanced CKD, changes in several factors underlying insulin–glucose dynamics, in addition to decreased renal insulin clearance, necessitate detailed attention to insulin dosing.
Therapeutic Effects of Endogenous Incretin Hormones and Exogenous Incretin-Based Medications in Sepsis
This manuscript provides a bench-to-bedside review of the evidence supporting a potential therapeutic role for endogenous incretin hormones and exogenous incretin-derived medications in sepsis.
A Narrative Review of Placental Contribution to Adverse Pregnancy Outcomes in Women With Polycystic Ovary Syndrome
In this review, we summarize current knowledge of placental dysfunction in human and animal models of PCOS and propose future directions for placental research in the population with PCOS.
Antidiuretic Hormone and Serum Osmolarity Physiology and Related Outcomes: What Is Old, What Is New, and What Is Unknown?
Recent studies show that increased serum osmolarity and high serum vasopressin levels might be novel independent risk factors for the development of hypertension and kidney and cardiovascular disease.
Angiogenic Abnormalities in Diabetes Mellitus: Mechanistic and Clinical Aspects
Angiogenesis is a fundamental biological process in health and disease. We herein review alterations of angio/vasculogenesis in diabetes and how they contribute to disease onset and complications.
Perspective
Molecular Mechanisms of Insulin Resistance in Polycystic Ovary Syndrome: Unraveling the Conundrum in Skeletal Muscle?
This perspective explores current understanding of the molecular mechanisms of PCOS-specific insulin resistance in skeletal muscle. Here, we highlight major gaps in knowledge and new opportunities.
Clinical Research Articles
Stage II Differentiated Thyroid Cancer Is a High-Risk Disease in Patients <45/55 Years Old
This study showed a sharply higher mortality risk of stage II thyroid cancer in patients <45/55 years old than in older patients, emphasizing the importance of age in differentiating stage II DTC.
Illicit Upregulation of Serotonin Signaling Pathway in Adrenals of Patients With High Plasma or Intra-Adrenal ACTH Levels
The serotonin signaling pathway is upregulated in adrenal tissues exposed to high levels of ACTH or harboring constitutive activation of the cAMP protein kinase A pathway.
Thyroid Cancer Patients With No Evidence of Disease: The Need for Repeat Neck Ultrasound
Neck lymph node recurrences are rare in low/intermediate-risk PTCs with no evidence of disease after surgery. Subsequent sonography can be deferred if the serum Tg level is <1 ng/mL.
Hypothyroidism and Its Association With Sleep Apnea Among Adults in the United States: NHANES 2007–2008
This is a population study conducted to investigate the association between hypothyroidism and sleep apnea in the United States. A significant association between these two conditions was found.
Clinical Importance of Free Thyroxine Concentration Decline After Radiotherapy for Pediatric and Adolescent Brain Tumors
In a longitudinal study, declining FT4 concentrations, suggestive for central hypothyroidism, were associated with adverse physical health outcomes in children with brain tumor after radiotherapy.
Genetic Association Study of Eight Steroid Hormones and Implications for Sexual Dimorphism of Coronary Artery Disease
Genome-wide analysis of eight steroid hormones revealed 15 novel loci involving several steroid-converting enzymes. Mendelian randomization found four steroids causally related to coronary artery disease.
Can Menopause Prediction Be Improved With Multiple AMH Measurements? Results From the Prospective Doetinchem Cohort Study
Compared with a single AMH measurement, the use of serial AMH measurements does not improve the prediction of menopause.
Maternal and Offspring Genetic Risk of Type 2 Diabetes and Offspring Birthweight Among African Ancestry Populations
Maternal and offspring genetic risks of type 2 diabetes were independently and differentially associated with offspring birthweight among African ancestry populations.
Maternal Heavy Metal Exposure, Thyroid Hormones, and Birth Outcomes: A Prospective Cohort Study
Changes in maternal thyroid hormone were postulated to mediate the associations between metal exposure and birth outcomes. We found maternal FT3 or FT3/FT4 ratio were mediators in these associations.
Patients With Aldolase B Deficiency Are Characterized by Increased Intrahepatic Triglyceride Content
Patients with aldolase B deficiency, a defect in fructose metabolism, are characterized by increased hepatic fat content and glucose intolerance compared with age-, sex-, and BMI-matched controls.
Glucocorticoid Activity of Adrenal Steroid Precursors in Untreated Patients With Congenital Adrenal Hyperplasia
Increased adrenal steroid precursors that accumulate in untreated patients with congenital adrenal hyperplasia have glucocorticoid activity in vitro.
Health-Related Quality of Life in Turner Syndrome and the Influence of Growth Hormone Therapy: A 20-Year Follow-Up
In this 20-year follow-up study of HRQoL of women with Turner syndrome, no association between HRQoL and previous GH treatment was found, calling the relevance of GH treatment into question.
Relationship Between Number of Multiple Risk Factors and Coronary Artery Disease Risk With and Without Diabetes Mellitus
Composite control of modifiable risk factors, such as glucose, BP, or current smoking, was sufficient to bring CAD risk in patients with DM below that for the non-DM group who had two targets achieved.
The Role of 68Ga-DOTA-Octreotate PET/CT in Follow-Up of SDH-Associated Pheochromocytoma and Paraganglioma
We report the incremental diagnostic value with consequent management impact of GaTate PET/CT compared with MRI or CT in follow-up of patients with SDHx pheochromocytoma/paraganglioma.
Comorbidities and Survival in Patients With Lipodystrophy: An International Chart Review Study
This international chart review of patients with lipodystrophy syndromes describes the disease natural history and highlights differences between generalized and partial forms.
Safety and Efficacy of 5 Years of Treatment With Recombinant Human Parathyroid Hormone in Adults With Hypoparathyroidism
Treatment of hypoparathyroidism rhPTH(1-84) for 5 years had a safety profile consistent with other studies and improved key biochemical parameters, including normalization of urinary calcium level.
Medroxyprogesterone Acetate in Gender-Affirming Therapy for Transwomen: Results From a Retrospective Study
A retrospective analysis of transwomen using MPA found minimal side effects, unchanged E levels, and a decline in testosterone.
miRNA Profiles in Extracellular Vesicles From Serum Early in Pregnancies Complicated by Gestational Diabetes Mellitus
Blood Pressure Profile, Catecholamine Phenotype, and Target Organ Damage in Pheochromocytoma/Paraganglioma
Predominantly pure noradrenaline, without concomitant adrenaline overproduction, has a long-term effect on the cardiovascular system in pheochromocytoma/functional paraganglioma.
Endocrine and Metabolic Disorders in Survivors of Childhood Cancers and Health-Related Quality of Life and Physical Activity
Chronic endocrine and metabolic conditions adversely affected health-related quality of life and physical activity among adult survivors of childhood cancers followed in a large North American cohort.
Body Mass Index and Mortality in Individuals With Type 1 Diabetes
Impaired 11β-Hydroxysteroid Dehydrogenase Type 2 in Glucocorticoid-Resistant Patients
Morning (Fasting) vs Afternoon Resistance Exercise in Individuals With Type 1 Diabetes: A Randomized Crossover Study
Morning RE performed while fasting increases blood glucose, whereas RE performed later in the day decreases blood glucose in individuals with type 1 diabetes.
Transcriptome Profiling of Adipose Tissue Reveals Depot-Specific Metabolic Alterations Among Patients with Colorectal Cancer
Influences of Hypoxia Exercise on Whole-Body Insulin Sensitivity and Oxidative Metabolism in Older Individuals
We observed that 8 weeks of hypoxia training did not further enhance insulin sensitivity and markers of oxidative phosphorylation compared with endurance training under normoxia in older women and men.
Efficacy and Safety of Alirocumab 300 mg Every 4 Weeks in Individuals With Type 2 Diabetes on Maximally Tolerated Statin
Alirocumab 300 mg Q4W was generally well tolerated and efficacious for improving lipid levels (e.g., LDL-C and non–HDL-C) in individuals with T2DM receiving maximally tolerated statin therapy.
Identification of Haptoglobin as a Readout of rhGH Therapy in GH Deficiency
Proteomics and experiments in HepG2 cells showed that haptoglobin is dysregulated in GHD. GH treatment inhibits Hp secretion through mechanisms involving both GH and potentially IGF-1.
Umbilical Cord miRNAs in Small-for-Gestational-Age Children and Association With Catch-Up Growth: A Pilot Study
We describe several umbilical cord miRNAs nominally associated with catch-up growth and identify miR-576-5p as a novel potential predictor of increased waist circumference and renal fat at 6 years.
Recovery of the Hypothalamo-Pituitary-Adrenal Axis After Transsphenoidal Adenomectomy for Non–ACTH-Secreting Macroadenomas
After TSA, pre- and postoperative SST cortisol levels can predict 6-week HPA axis recovery. Recovery occurs even 12 months after TSA, demonstrating the need for periodic retesting.
Early Life Exposures to Perfluoroalkyl Substances in Relation to Adipokine Hormone Levels at Birth and During Childhood
Prenatal and early postnatal exposures to perfluoroalkyl substances were associated with decreases in adipokine hormone levels over the childhood period in a sex-specific manner.
Oxidative Stress in Response to Saturated Fat Ingestion Is Linked to Insulin Resistance and Hyperandrogenism in Polycystic Ovary Syndrome
We studied the effect of lipid on oxidative stress in PCOS. We found increased obesity-independent lipid-stimulated oxidative stress in PCOS that is linked to insulin resistance and hyperandrogenism.
Androgens During the Reproductive Years: What Is Normal for Women?
We have shown that the serum levels of classic and nonclassic C19-steroids decline with age and provided reference ranges for estrogens and androgens stratified by menstrual cycle stage, BMI, and age.
Lavender Products Associated With Premature Thelarche and Prepubertal Gynecomastia: Case Reports and Endocrine-Disrupting Chemical Activities
Lavender-containing fragrances may cause premature thelarche and prepubertal gynecomastia.
Association of Inpatient Glucose Measurements With Amputations in Patients Hospitalized With Acute Diabetic Foot
We studied the association of inpatient glucose data with amputations in patients admitted for acute diabetic foot. Hypoglycemia emerged as an independent risk factor for any and major amputations.
Plasma Agouti-Related Protein Levels in Acromegaly and Effects of Surgical or Pegvisomant Therapy
Plasma AgRP levels are elevated in active acromegaly and decrease with treatment with surgery or pegvisomant, providing evidence of a stimulatory effect of GH on plasma AgRP in humans.
Metabolomic Urine Profile: Searching for New Biomarkers of SDHx-Associated Pheochromocytomas and Paragangliomas
The metabolomic urine profile of SDHx mutation carriers with pheochromocytomas and paragangliomas is distinct from that of asymptomatic carriers and from that of their sporadic tumor counterparts.
Genetic Variation of the Vitamin D Binding Protein Affects Vitamin D Status and Response to Supplementation in Infants
In this vitamin D intervention study on 913 infants, GC genotype, diplotype, and haplotype affected vitamin D status and response to supplementation in participants randomized to receive 30 µg/d.
Commentary
Turning Up the Heat: Endoscopic Ablation of Pancreatic Neuroendocrine Neoplasms
Letters to the Editor
Response to Letter to the Editor: “Gestational Gigantomastia Complicated by PTHrP-Mediated Hypercalcemia”
Response to Letter to the Editor: “Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline”
Letter to the Editor: “The Inflammation-Based Index Can Predict Response and Improve Patient Selection in NETs Treated With PRRT: A Pilot Study”
Letter to the Editor: “Defects in GLP-1 Response to an Oral Challenge Do Not Play a Significant Role in the Pathogenesis of Prediabetes”
Letter to the Editor: “Time to Separate Persistent From Recurrent Differentiated Thyroid Cancer: Different Conditions With Different Outcomes”
Response to Letter to the Editor: “Time to Separate Persistent From Recurrent Differentiated Thyroid Cancer: Different Conditions With Different Outcomes”
Letter to the Editor: "CT Characteristics of Pheochromocytoma: Relevance for the Evaluation of Adrenal Incidentaloma"
Response to Letter to the Editor “CT Characteristics of Pheochromocytoma: Relevance for the Evaluation of Adrenal Incidentaloma”
Letter to the Editor: “IHH Gene Mutations Causing Short Stature With Nonspecific Skeletal Abnormalities and Response to Growth Hormone Therapy”
Response to Letter to the Editor: “IHH Gene Mutations Causing Short Stature With Nonspecific Skeletal Abnormalities and Response to Growth Hormone Therapy”
Letter to the Editor: “Pharmacological Management of Osteoporosis in Postmenopausal Women: An Endocrine Society Clinical Practice Guideline”
Letter to the Editor: “Hepatic Insulin Extraction in NAFLD Is Related to Insulin Resistance Rather Than Liver Fat Content“
Response to Letter to the Editor: “Hepatic Insulin Extraction in NAFLD Is Related to Insulin Resistance Rather Than Liver Fat Content”
Print Abstracts—Full Content Online Only
Clinical Research Articles
The GH Axis in Relation to Accepting an Early Macronutrient Deficit and Outcome of Critically Ill Patients
Withholding early parenteral nutrition to supplement insufficient enteral nutrition improves clinical outcome of critically ill patients despite further suppressing the GH axis.
The Steroid Profile of Adrenal Incidentalomas: Subtyping Subjects With High Cardiovascular Risk
Patients with incidentally discovered adrenal tumors showed different steroid profiles, depending on adrenal gland morphology, hormone secretion, and sex, with implications for blood pressure control.
Trimethylamine N-Oxide Metabolites in Early Pregnancy and Risk of Gestational Diabetes: A Nested Case-Control Study
We found that TMAO, TMA, and its precursors were all associated with GDM. A high conversion rate to TMA and a low rate to TMAO had a synergistic effect on GDM.
The Effects of Amiodarone on Thyroid Function in Pediatric and Young Adult Patients
This is a retrospective review of thyroid function in children and young adults treated with amiodarone. We found approximately one-third of patients developed amiodarone-induced thyroid dysfunction.
Endometriosis Triggers Excessive Activation of Primordial Follicles via PI3K-PTEN-Akt-Foxo3 Pathway
The endometriosis-related reduction of ovarian reserve is at least partially caused by the excessive activation of primordial follicles, which is mediated by the PI3K-PTEN-Akt-Foxo3 pathway.
Lipid Profiling of Peri-implantation Endometrium in Patients With Premature Progesterone Rise in the Late Follicular Phase
Lipid profiling alterations at the window of implantation in patients with premature P rise on the day of human chorionic gonadotrophin administration.
Resting Energy Expenditure and Substrate Oxidation in Malnourished Patients With Type 1 Glycogenosis
Type 1 glycogenosis is a rare disease associated with malnutrition. The measured REE was elevated in five patients and contributed to explaining the occurrence of malnutrition.
IL13RA2 Is Differentially Regulated in Papillary Thyroid Carcinoma vs Follicular Thyroid Carcinoma
Our study revealed that IL13RA2 is differentially regulated in thyroid cancer and is correlated with advanced tumor stage.
Characteristics of Slow Progression to Type 1 Diabetes in Children With Increased HLA-Conferred Disease Risk
We set out to characterize slow progression from seroconversion to overt type 1 diabetes. We found differences in autoantibodies and the season of birth, but no features specific for slow progression.
Serum Parathyroid Hormone and Risk of Coronary Artery Disease: Exploring Causality Using Mendelian Randomization
This Mendelian randomization study found no association of genetic predisposition to higher serum parathyroid hormone concentrations with coronary artery disease.
Therapy of Hypoparathyroidism With rhPTH(1-84): A Prospective, 8-Year Investigation of Efficacy and Safety
rhPTH(1-84) therapy is safe and effective in hypoparathyroidism. Supplemental calcium and active vitamin D requirements decrease and serum calcium is maintained; renal function is stable.
Comparison of Teriparatide and Denosumab in Patients Switching From Long-Term Bisphosphonate Use
This is a head-to-head comparison study using 14 years of electronic medical records. We compared teriparatide with denosumab on BMD in patients switching from long-term bisphosphonate.
Circulating Oxytocin Is Genetically Determined and Associated With Obesity and Impaired Glucose Tolerance
By measuring circulating oxytocin (OXT), we show that OXT is genetically determined and associated with human obesity and impaired glucose tolerance.
HDL-Cholesterol, Its Variability, and the Risk of Diabetes: A Nationwide Population-Based Study
Low mean and high variability in HDL-C were independent predictors of diabetes, and an additive effect of these two parameters was noted.
Correlation Between Differentiation of Adrenocortical Zones and Telomere Lengths Measured by Q-FISH
Telomere lengths in the cells from three adrenocortical zones were examined, and distinctive differences were detected among these zones in adult but not in pediatric adrenal glands.
Somatic PRKACA Mutations: Association With Transition From Pituitary-Dependent to Adrenal-Dependent Cushing Syndrome
Long-standing Cushing’s disease may lead to transition from pituitary- to adrenal-dependent hypercortisolism. In our patients, adrenal functional autonomy was caused by somatic mutations of PRKACA.
Adrenal Insufficiency After Unilateral Adrenalectomy in Primary Aldosteronism: Long-Term Outcome and Clinical Impact
We identified many cases of adrenal insufficiency after unilateral adrenalectomy for PA. We recommend performing postoperative ACTH stimulation tests in all patients undergoing this procedure.
A Cohort Analysis of Clinical and Ultrasound Variables Predicting Cancer Risk in 20,001 Consecutive Thyroid Nodules
Association between cancer risk and clinical variable analyzed in 20,001 consecutive thyroid nodules: using patient and nodule data may provide more precise and individualized nodule risk assessment.
Epigenetic Deregulation of Protocadherin PCDHGC3 in Pheochromocytomas/Paragangliomas Associated With SDHB Mutations
We discovered epigenetic silencing of PCDHGC3 in metastatic SDHB-PPGLs associated with short overall disease survival and the acquisition of metastatic capabilities in tumor cells.
Low-Normal Thyroid Function Predicts Incident Anemia in the General Population With Euthyroid Status
The current study demonstrates that thyroid hormones significantly predict future anemia and annual changes in Hb, even in the euthyroid population.
Effects of Nicotinamide Riboside on Endocrine Pancreatic Function and Incretin Hormones in Nondiabetic Men With Obesity
Nicotinamide riboside supplementation for 12 weeks in men with obesity did not affect β-cell function or fasting or OGTT-induced concentrations of glucose, insulin, C-peptide, glucagon, GLP-1, or GIP.
Atg7 Knockdown Reduces Chemerin Secretion in Murine Adipocytes
Human, mouse, and in vitro studies suggest that ATG7 regulates chemerin secretion in adipose tissue/adipocytes. Elevated adipose autophagy in obesity may therefore manifest by elevated chemerin levels.
Diabetes-Related Fracture Risk Is Different in African Americans Compared With Hispanics and Caucasians
In a retrospective study, DM was significantly associated with the incidence of MOFs in Caucasians and Hispanics but not in African Americans.