中华内分泌代谢杂志最新文献

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Relationship between methylation of RSK4 gene and papillary thyroid carcinoma RSK4基因甲基化与甲状腺乳头状癌的关系
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-12-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.12.007
Yanan Yin, Jia-rui Yu, J. Chi, K. Che, Zhou Huai, Yangang Wang, F. Wang, Shi-hua Zhao
{"title":"Relationship between methylation of RSK4 gene and papillary thyroid carcinoma","authors":"Yanan Yin, Jia-rui Yu, J. Chi, K. Che, Zhou Huai, Yangang Wang, F. Wang, Shi-hua Zhao","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.12.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.12.007","url":null,"abstract":"Objective \u0000To detect the methylation status of ribosomal S6 kinase 4 (RSK4)in papillary thyroid carcinoma (PTC)and to study its correlation with mRNA expression and clinical features. \u0000 \u0000 \u0000Methods \u0000134 cases PTC tissues and corresponding paracancerous thyroid tissues were collected. DNA methylation status of RSK4 gene in PTC tissues and corresponding paracancerous tissues were analyzed by methylation specific PCR and bisulfite genomic sequencing, and mRNA expression was detected by quantitative realtime PCR. The relationship of DNA methylation status with mRNA expression and clinical features was analyzed. \u0000 \u0000 \u0000Results \u0000The methylation rate of RSK4 in PTC tissues was significantly higher than that in paracancerous tissues by methylation specific PCR (P<0.05)and bisulfite genomic sequencing (P<0.01). The RSK4 mRNA level in PTC tissues was significantly lower than that in paracancerous tissues (P<0.01). In PTC tissues, RSK4 mRNA expression in methylation group was lower than that in unmethylation group (P<0.01). The RSK4 mRNA level in PTC of methylation was lower than that in paracancerous tissues of methylation (P<0.01); the RSK4 mRNA level in PTC of unmethylation was also lower than that in paracancerous tissues of unmethylated ones (P<0.01). There was relationship of RSK4 hypermethylation with lymphatic metastasis and TNM grade (P<0.05). Serum concentrations of thyroid stimulating hormone, thyroid peroxidase antibody, and thyroglobulin antibody in methylation group were higher than those in unmethylation group (P<0.05). \u0000 \u0000 \u0000Conclusion \u0000The hypermethylation of RSK4 promoter′s CpG islands might be one of the mechanisms for poor expression of RSK4 in PTC, which may serve as a molecular target of early diagnosis and treatment. \u0000 \u0000 \u0000Key words: \u0000Papillary thyroid carcinoma; Ribosomal S6 kinase 4; Methylation","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"1031-1036"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42740712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research progress of oxytocin and diabetes 催产素与糖尿病的研究进展
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-12-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.12.017
Li Yanyan, Yu Guoyue
{"title":"Research progress of oxytocin and diabetes","authors":"Li Yanyan, Yu Guoyue","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.12.017","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.12.017","url":null,"abstract":"Oxytocin is a classic neuropeptide hormone. In recent years, basic and clinical researches have shown that oxytocin is involved in the regulation of blood glucose homeostasis by protecting islet β cells, promoting insulin secretion and peripheral tissue glucose uptake. This article reviews the recent evidence of the linkage between oxytocin and diabetes mellitus. \u0000 \u0000 \u0000Key words: \u0000Oxytocin; Diabetes mellitus; Pancreatic βcells; Insulin secretion; Glucose uptake","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"1083-1086"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45009351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The predictive role of inpatient hypoglycemia for amputations in patients with acute diabetic foot 住院低血糖对急性糖尿病足截肢患者的预测作用
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-12-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.12.015
Jiali Xiang
{"title":"The predictive role of inpatient hypoglycemia for amputations in patients with acute diabetic foot","authors":"Jiali Xiang","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.12.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.12.015","url":null,"abstract":"In Nov 2019, \" The Journal of Clinical Endocrinology & Metabolism\" published an article \" Association of inpatient glucose measurements with amputations in patients hospitalized with acute diabetic foot\" [Peled S, Pollack R, Elishoov O, et al. J Clin Endocrinol Metab, 2019, 104(11): 5445-5452. DOI: 10.1210/jc.2019-00774], with the permission of the original journal, we translated it into Chinese. This article studied the relationship of glycemic indices during hospitalization with amputations in patients with acute diabetic foot. The retrospective cohort study included 418 patients admitted with acute diabetic foot in the diabetic foot unit during 2015-2017. Information on demographic characteristics, medical history, laboratory tests, and point-of-care glucose measurements were collected. The primary outcomes were any or major amputation during hospitalization. 45 496 glucose measurements were taken for 418 patients hospitalized with acute diabetic foot. Patients experiencing any hyperglycemia and any or severe hypoglycemia were more likely to undergo any or major amputations during hospitalization. High glycemic variability was associated with major amputations. Peripheral vascular disease, high Wagner score, and hypoglycemia were independent predictors of amputations. Older age, peripheral vascular disease, previous amputation, elevated white blood cell, high Wagner score, and hypoglycemia were independent predictors of major amputations. Hypoglycemia appeared to be an independent risk factor for any and major amputations. While it is unclear whether hypoglycemia directly contributes to adverse outcomes, efforts to minimize in-hospital hypoglycemic events are needed. \u0000 \u0000 \u0000Key words: \u0000Hyperglycemia; Hypoglycemia; Glucose variability; Amputations; Diabetic foot","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"1073-1078"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44834725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of pretibial myxedema with local subcutaneous injection of glucocorticoid: Three cases report 局部皮下注射糖皮质激素治疗胫前黏液水肿3例报告
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-12-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.12.013
Chunyu Li, Fuqiong Chen
{"title":"Treatment of pretibial myxedema with local subcutaneous injection of glucocorticoid: Three cases report","authors":"Chunyu Li, Fuqiong Chen","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.12.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.12.013","url":null,"abstract":"To investigate the treatment of hyperthyroidism complicated with pretibial myxedema. Three patients with hyperthyroidism complicated with pretibial myxedema were treated with topical injection of corticosteroid at the skin lesion. All 3 patients were cured with pretibial mucous edema by local injection of corticosteroids. Multi-point injection of glucocorticoid combined with maintaining euthyroid state is effective and has little side effect. \u0000 \u0000 \u0000Key words: \u0000Pretibial myxedema; Glucocorticoids","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"1065-1067"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44064887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between atherogenic index of plasma and renal function impairment in patients with gout 痛风患者血浆动脉粥样硬化指数与肾功能损害的关系
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-12-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.12.009
Rui‐Qin Song, Kahaer Mayna, Bei Zhang, Xiaobo Zhang, Ying Lu, G. Tian, Shanshan Yang, Yu-Ping Sun
{"title":"Association between atherogenic index of plasma and renal function impairment in patients with gout","authors":"Rui‐Qin Song, Kahaer Mayna, Bei Zhang, Xiaobo Zhang, Ying Lu, G. Tian, Shanshan Yang, Yu-Ping Sun","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.12.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.12.009","url":null,"abstract":"Objective \u0000To study the relationship between atherogenic index of plasma (AIP)and renal impairment in male patients with gout. \u0000 \u0000 \u0000Methods \u0000A retrospective analysis of 821 male subjects was conducted to measure the relevant biochemical indicators and to calculate the AIP, endogenous creatinine-clearance rate (Ccr), and estimated glomerular filtration rate (eGFR). EpiData 3.1 software was used for data entry, SPSS21.0 was used for statistical analysis, and GraphPad Prism 6.0 software was used for charts. \u0000 \u0000 \u0000Results \u0000Compared with control group, AIP, serum uric acid, triglyceride in gout group were significantly higher (all P 0.05), while Ccr and serum uric acid levels gradually increased (P<0.05). Logistic regression analysis after adjusting for various confounding factors showed that AIP, triglyceride, and serum uric acid were risk factors for renal function damage in patients with gout (P<0.05), the relevant risk were 7.030, 1.291, 1.004 respectively. After adjusting confounding factors, the associations between triglyceride, serum uric acid and renal function injury risk changed little, while AIP showed more evident, the OR value increased from 2.629 to 6.265 and 7.030. \u0000 \u0000 \u0000Conclusions \u0000(1)AIP is closely related to the renal function damage of patients with gout. After adjusting various confounding factors, AIP can better reflect the renal function damage than other indicators, which is of great significance to predict the renal function damage of patients with gout. (2)That patients with gout with high uric acid level may suffer from renal atherosclerosis and have a higher risk of renal impairment. (3)Dynamic observation of AIP in gout patients is helpful for early identification of the risk of renal failure in such patients. \u0000 \u0000 \u0000Key words: \u0000Gout; Renal damage; Atherogenic index of plasma; Confounding factors","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"1043-1049"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44371590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and gene methylation analysis of type 1b pseudohypoparathyroidism 1b型假性甲状旁腺功能减退症临床及基因甲基化分析
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-12-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.12.002
Yujin Ma, Peng Liu, Yuan Yuan, Haibo Lu, Wenbo Zhang, Liujun Fu, Liping Li, Jien-Wei Liu, Yingyu Zhang, Huifang Peng
{"title":"Clinical and gene methylation analysis of type 1b pseudohypoparathyroidism","authors":"Yujin Ma, Peng Liu, Yuan Yuan, Haibo Lu, Wenbo Zhang, Liujun Fu, Liping Li, Jien-Wei Liu, Yingyu Zhang, Huifang Peng","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.12.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.12.002","url":null,"abstract":"Objective \u0000This study was carried out to analyze the clinical characteristics of pseudohypopara-thyroidism(PHP) type 1b, and to improve the understanding and diagnosis of the disease. \u0000 \u0000 \u0000Methods \u0000Five patients with molecular diagnosis of pseudohypoparathyroidism type 1b in our hospital during 2018 were enrolled, their clinical data, biochemical indicators, imaging, and gene detection results were analyzed. \u0000 \u0000 \u0000Results \u0000There were 4 females and 1 male, with low calcium, high phosphorus and high PTH serum concentrations. The onset age span was large and the onset symptoms were different. Family history may not be obvious. There was abnormal methylation of GNAS gene or deletion of exon STX16 in methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA) detection while gene sequencing result was negative. \u0000 \u0000 \u0000Conclusion \u0000MS-MLPA detection was still needed in patients with suspected PHP but negative gene sequencing result. Different methylation abnormalities and copy number variations might be correlated with the onset symptoms and familial of type 1b PHP. \u0000 \u0000 \u0000Key words: \u0000Pseudohypoparathyroidism, type 1b; GNAS; Methylation","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"257 ","pages":"1001-1005"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41283630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two cases of autoimmune polyendocrine syndrome type I caused by AIRE gene mutation AIRE基因突变致自身免疫性多内分泌综合征I型2例
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-12-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.12.005
Q. Long, Qing Zhang, You-bo Yang, Xiao-dan Long, Z. Mo
{"title":"Two cases of autoimmune polyendocrine syndrome type I caused by AIRE gene mutation","authors":"Q. Long, Qing Zhang, You-bo Yang, Xiao-dan Long, Z. Mo","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.12.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.12.005","url":null,"abstract":"Objective \u0000Autoimmune polyendocrine syndrome type Ⅰ(APS-Ⅰ) is caused by mutations in the autoimmune regulator gene (AIRE) gene. In this study, phenotype and AIRE gene analysis were performed in two patients with APS-Ⅰ. \u0000 \u0000 \u0000Methods \u0000Peripheral blood samples were collected from two patients with APS-Ⅰ and their families. All exons of the AIRE gene and adjacent exon-intron sequences were amplified by PCR and subsequently sequenced. The silico analysis was performed to predict the possible impact of the mutations on the function of the AIRE protein. At the same time, 100 healthy controls were selected to confirm the mutation. \u0000 \u0000 \u0000Results \u0000Case 1 was a 31-year-old female who exhibited chronic mucocutaneous candidiasis, hypoparathyroidism, Addison′s disease, Hashimoto′s thyroiditis, and premature ovarian failure. A homozygous c. 483_484insC mutation in exon 4 of AIRE gene was identified in this patient. Her parents, siblings and son were heterozygous for this mutation, which is consistent with the autosomal recessive inheritance pattern. Case 2 was a 34-year-old male who had mucocutaneous candidiasis, Addison′s disease, primary hypoparathyroidism, and Hashimoto′s thyroiditis. A compound heterozygous AIRE mutation (c.179A>G/C.463+ 2T>C) were identified in this patient. His father was heterozygous for c. 179A>G mutation, and his mother was heterozygous for C. 463+ 2T>C, which is consistent with autosomal recessive inheritance mode. The c. 483_484insC and c. 463+ 2T>C have been reported to be pathogenic. The c. 179A>G mutation was predicted pathogenic by SIFT and PolyPhen2 software, which was not detected in 100 healthy controls. It has not been reported in the HGDM database and is a novel mutation. \u0000 \u0000 \u0000Conclusion \u0000We identified a novel AIRE gene mutation (c.179A>G), which contributed to further understanding of the pathogenesis of APS-Ⅰ. The clinical variation and rarity of APS-Ⅰ makes the syndrome hard to recognize. Early recognition of symptoms and screening for AIRE mutation in patients with APS-Ⅰ has important clinical implications for the diagnosis and treatment. \u0000 \u0000 \u0000Key words: \u0000Autoimmune polyendocrine syndrome type Ⅰ; AIRE gene; Mutation","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"1019-1024"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43991627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endothelial FGFR1 deficiency induces AcSDKP-resistant EndMT by regulating TGFβ signal pathway 内皮FGFR1缺乏通过调节TGFβ信号通路诱导AcSDKP抗性EndMT
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-11-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.11.009
Hu Qiongying, Ai Chengjin, Chen Gaoli, Xiong Daqian
{"title":"Endothelial FGFR1 deficiency induces AcSDKP-resistant EndMT by regulating TGFβ signal pathway","authors":"Hu Qiongying, Ai Chengjin, Chen Gaoli, Xiong Daqian","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.11.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.11.009","url":null,"abstract":"Objective \u0000To investigate the role of fibroblast growth factor receptor(FGFR) 1 in endothelial to-mesenchymal transition(EndMT) and epithelial-to-mesenchymal transition(EMT), and to find out a new strategy to study the vascular endothelial function of diabetic renal fibrosis. \u0000 \u0000 \u0000Methods \u0000Culture media from FRS2 knockdown HMVECs was transferred to HK-2 cells. Western blot and immunofluorescence staining were used to measure EMT markers and key moleculars of transforming growth factor(TGFβ). \u0000 \u0000 \u0000Results \u0000It was found that the medium from FRS2 siRNA-transfected HMVECs reduced E-cadherin protein levels, increased EMT markers levels, and activated TGFβ signal pathway in HK-2 cells. \u0000 \u0000 \u0000Conclusion \u0000Endothelial FGFR1 deficiency-induced EndMT leads to EMT in neighboring cells in a manner dependent on TGFβ1 signaling. Endothelial cell FGFR1 is an important molecule for maintaining endothelial homeostasis and epithelial homeostasis, and seems to be a key target for anti-diabetic renal fibrosis. \u0000 \u0000 \u0000Key words: \u0000Fibroblast growth factor receptor 1; Endothelial-to-mesenchymal transition; Epithelial-to-mesenchymal transition; Diabetic nephropathies","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"969-972"},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43377496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of CYP11B2 immunohistochemistry in the histopathological diagnosis of primary aldosteronism CYP11B2免疫组织化学在原发性醛固酮增多症组织病理学诊断中的应用
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-11-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.11.004
Y. Yi, Xiao Ming, Song Ying, L. Jiayu, Cheng Qingfeng, Yang Shumin, H. Jinbo, Du Zhipeng, L. Qifu
{"title":"Application of CYP11B2 immunohistochemistry in the histopathological diagnosis of primary aldosteronism","authors":"Y. Yi, Xiao Ming, Song Ying, L. Jiayu, Cheng Qingfeng, Yang Shumin, H. Jinbo, Du Zhipeng, L. Qifu","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.11.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.11.004","url":null,"abstract":"Objective \u0000To evaluate the value of CYP11B2 immunohistochemistry in the histopathological diagnosis of primary aldosteronism(PA) among Chinese population. \u0000 \u0000 \u0000Methods \u0000Ninety-six cases of unilateral PA patients were retrospectively enrolled, and with 15 cases of non-hyperfunctioning adenoma, and 15 cases of cortisol producing adenoma as control. CYP11B2 immunohistochemistry was performed in the tumor sections of these patients and was analysed by semi-quantified method. The positive rate of CYP11B2 in tumor specimen of all cases enrolled was calculated and PA patients were subtypely classified based on their histopathological features and CYP11B2 expressions. \u0000 \u0000 \u0000Results \u0000The immune-positive rate of CYP11B2 in the PA group was 91.7% (88/96), with the control group being 6.7% (2/30, P<0.001). Subgroup analysis revealed that the immune-positive rate of CYP11B2 in the aldosterone producing adenoma group and unilateral hyperplasia group were 91.8% (78/85) and 90.9% (10/11), respectively. Based upon histopathological feature and CYP11B2 immunohistochemistry, PA patients were further subtypely classified as aldosterone producing adenoma (85/96), unilateral diffuse adrenocortical hyperplasia (7/96), unilateral mono-adrenocortical micronodules (1/96), unilateral multiple adrenocortical micronodules (1/96), and unilateral multiple aldosterone-producing cell clusters (multiple APCCs, 2/96). \u0000 \u0000 \u0000Conclusion \u0000CYP11B2 immunohistochemistry may serve as an useful tool for the histopathological diagnosis of PA. \u0000 \u0000 \u0000Key words: \u0000Primary aldosteronism; Immunohistochemistry; Pathological diagnosis","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"939-944"},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47205190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between sex hormones, lipids and visceral fat area in postmenopausal women with type 2 diabetes mellitus 绝经后2型糖尿病妇女性激素、脂质和内脏脂肪面积的关系
Chinese Journal of Endocrinology and Metabolism Pub Date : 2019-11-25 DOI: 10.3760/CMA.J.ISSN.1000-6699.2019.11.006
Rang Zhao, Huiju Han, Chunxiao Yu, Q. Guan
{"title":"Relationship between sex hormones, lipids and visceral fat area in postmenopausal women with type 2 diabetes mellitus","authors":"Rang Zhao, Huiju Han, Chunxiao Yu, Q. Guan","doi":"10.3760/CMA.J.ISSN.1000-6699.2019.11.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6699.2019.11.006","url":null,"abstract":"Objective \u0000To study the characteristics and correlation of sex hormone levels, blood lipids, and visceral fat area in postmenopausal women with T2DM. \u0000 \u0000 \u0000Methods \u0000A total of 258 cases of postmenopausal T2DM were recruited, including 46 cases of menopause for 1-5 years (group A), 49 cases of menopause for 6-10 years (group B), and 163 cases with menopause more than 10 years (C group). The related clinical information of patients was recorded. \u0000 \u0000 \u0000Results \u0000Compared among the three groups, there were statistical differences in total cholesterol(F=3.287, P=0.039) and testosterone(Chi-Square=8.324, P=0.016). No significant difference in FSH, LH, estradiol, low density lipoprotein, triglyceride, visceral fat area and subcutaneous fat area(P>0.05) among three groups was observed. After correction of confounding factors, FSH was independently positively related with for total cholesterol and low-density lipoprotein respectively (P=0.006, P=0.009). LH was independently positively related with total cholesterol(P=0.003) and low-density lipoprotein respectively(P=0.003). Estradiol was independently negatively related with total cholesterol(P=0.014) and low-density lipoprotein(P=0.020), respectively. Testosterone was correlated independently with visceral fat area(P=0.008); FSH, LH, estradiol, and testosterone were not correlated to triglyceride and subcutaneous fat area(P>0.05). \u0000 \u0000 \u0000Conclusion \u0000(1)In T2DM patients with the increase of postmenopausal time, the total cholesterol increases first, and then decreases; testosterone decreases first, and then increases. (2)In T2DM patients, the total cholesterol and low-density lipoprotein increase with the increase of FSH and LH, increase with the decrease of estradiol, and the area of visceral fat increases with the testosterone together. \u0000 \u0000 \u0000Key words: \u0000Diabetes mellitus, type 2; Postmenopausal women; Sex hormones; Blood lipids; Visceral fat area","PeriodicalId":10120,"journal":{"name":"Chinese Journal of Endocrinology and Metabolism","volume":"35 1","pages":"950-954"},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43914696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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