Article
Veterinary Sciences
Giuseppe Cascone, Francesca Licitra, Alessandro Stamilla, Simona Amore, Mario Dipasquale, Rosario Salonia, Francesco Antoci, Alfonso Zecconi
Summary: This study evaluated the prevalence of clinical and subclinical ketosis in Sicily and assessed the effect of propylene glycol treatment on milk quality and yield. The results showed a prevalence of 41.5% of subclinical ketosis in dairy cows, and the treatment with propylene glycol had a positive impact on milk quality parameters and milk yield.
FRONTIERS IN VETERINARY SCIENCE
(2022)
Article
Endocrinology & Metabolism
Gurkan Tarcin, Gonul Catli, Semra Cetinkaya, Erdal Eren, Asli Derya Kardelen, Aysehan Akinci, Ece Bober, Cengiz Kara, Ruken Yildirim, Eren Er, Recep Polat, Bayram Ozhan, Melek Yildiz, Yilmaz Kor, Olcay Evliyaoglu, Bumin Dundar, Oya Ercan
Summary: This study presents national data on the clinical experience of pediatric Cushing's disease. Findings highlight that symptoms in children may be subtle, sensitivities of diagnostic tests vary greatly, and MRI fails to detect adenoma in some cases. Clinicians should be aware of disease recurrence during postoperative follow-up.
CLINICAL ENDOCRINOLOGY
(2023)
Article
Endocrinology & Metabolism
Daniel Bengtsson, Oskar Ragnarsson, Katarina Berinder, Per Dahlqvist, Britt Eden Engstrom, Bertil Ekman, Charlotte Hoybye, Pia Burman, Jeanette Wahlberg
Summary: This study found that the use of psychotropic drugs such as antidepressants and sleeping pills was more common in CD patients before diagnosis and remained elevated regardless of remission status, indicating a persisting negative impact on mental health. Early diagnosis of CD and long-term monitoring of mental health are highlighted as important.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
Article
Endocrinology & Metabolism
Monica Gadelha, Marie Bex, Richard A. Feelders, Anthony P. Heaney, Richard J. Auchus, Aleksandra Gilis-Januszewska, Przemyslaw Witek, Zhanna Belaya, Yerong Yu, Zhihong Liao, Chih Hao Chen Ku, Davide Carvalho, Michael Roughton, Judi Wojna, Alberto M. Pedroncelli, Peter J. Snyder
Summary: This study aimed to evaluate the safety and effectiveness of osilodrostat in treating Cushing disease. The results showed that osilodrostat rapidly normalized cortisol excretion in most patients and maintained this effect throughout the study.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2022)
Article
Endocrinology & Metabolism
Camila Viecceli, Ana Carolina Viana Mattos, Maria Carolina Bittencourt Costa, Rafael Borba de Melo, Ticiana da Costa Rodrigues, Mauro Antonio Czepielewski
Summary: This study retrospectively evaluated the safety profile and treatment response of ketoconazole in Cushing's disease patients followed up at a Brazilian university hospital. The findings showed that ketoconazole effectively controlled hypercortisolism in 66% of patients, with some experiencing mild or serious adverse effects.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Endocrinology & Metabolism
Rosario Pivonello, Atanaska Elenkova, Maria Fleseriu, Richard A. Feelders, Przemyslaw Witek, Yona Greenman, Eliza B. Geer, Paola Perotti, Leonard Saiegh, Fredric Cohen, Giorgio Arnaldi
Summary: Treatment with levoketoconazole resulted in sustained normalization of mUFC levels and improvement in glycemic control, with more pronounced effects in patients with diabetes mellitus.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Review
Endocrinology & Metabolism
Bojana Popovic, Aleksandra Radovanovic Spurnic, Jelena Velickovic, Aleksandra Plavsic, Milica Jecmenica-Lukic, Tijana Glisic, Dusan Ilic, Danka Jeremic, Jelena Vratonjic, Vladimir Samardzic, Zoran Gluvic, Tatjana Adzic-Vukicevic
Summary: Patients with Cushing's syndrome are highly sensitive during the COVID-19 pandemic due to multiple comorbidities and immune system suppression. This case report suggests that immunomodulating therapies like IVIg might be an effective and safe treatment for COVID-19 in this particularly fragile group of patients.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Review
Medicine, General & Internal
Tessa N. A. Slagboom, Dirk Jan Stenvers, Elsmarieke van de Giessen, Stefan D. D. Roosendaal, Maartje M. L. de Win, Joseph C. J. Bot, Eleonora Aronica, Rene Post, Jantien Hoogmoed, Madeleine L. L. Drent, Alberto M. M. Pereira
Summary: The study provides a structured analysis of the diagnostic accuracy and clinical use of molecular imaging in patients with ACTH-dependent Cushing's syndrome, as well as the role of multidisciplinary counseling in decision making. It proposes a complementary diagnostic algorithm for both de novo and recurrent or persistent Cushing's disease. The use of molecular imaging modalities is of added and complementary value in the detection of pituitary microadenoma in ACTH-dependent Cushing's syndrome.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medical Laboratory Technology
Marc-Michel Noel, Francois Fraissinet, Herve Lefebvre, Jacques Benichou, Valery Brunel, Frederic Ziegler
Summary: This study aimed to determine a novel threshold value of midnight serum cortisol for the biochemical diagnosis of hypercortisolism, using the Roche Cobas Cortisol(R) second-generation assay. The results showed a novel threshold value of 157 nmol/L, with a sensitivity of 82.9% and a specificity of 90.0%, indicating that the threshold value of midnight serum cortisol differs between first- and second-generation assays.
CLINICAL BIOCHEMISTRY
(2022)
Article
Multidisciplinary Sciences
Charles Generotti, Brandon C. Cox, Jarnail Singh, Deborah Hamilton, Erica McKenzie, Bert W. O'Malley, Daqing Li
Summary: This study used a mouse model and human samples to investigate the role of serum prestin as a biomarker for cisplatin-induced ototoxicity. The results show that serum prestin levels are significantly elevated after cisplatin treatment, and this elevation is correlated with the severity of hearing threshold shifts. After a rest period, prestin levels return to baseline. These findings suggest that serum prestin may be an effective biomarker for cisplatin-induced ototoxicity.
SCIENTIFIC REPORTS
(2022)
Review
Medicine, General & Internal
Malgorzata Gietka-Czernel, Piotr Glinicki
Summary: Even subtle maternal thyroid hormone deficiency can have negative impacts on pregnancy outcomes and the intellectual development of offspring. The diagnosis and treatment of subclinical hypothyroidism in pregnant women continues to be controversial. Establishing trimester-specific reference ranges for thyroid hormones based on local populations and specific laboratory methods is crucial due to variability in assays and potential confounding factors.
POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ
(2021)
Review
Medicine, General & Internal
Kade C. Flowers, Kate E. Shipman
Summary: Biochemical confirmation of hypercortisolism is crucial for accurate diagnosis, despite challenges posed by non-autonomous conditions and missed diagnoses. Immunoassays are cost-effective, rapid, and reliable, although less specific. Understanding cortisol metabolism can guide specimen and method selection. More specific techniques like urine steroid profiles and salivary cortisone show promise for future use. In most cases, current assays can effectively diagnose hypercortisolism, but alternative techniques may be considered in complex or borderline cases.
Article
Medicine, General & Internal
Gracia Castro-Luna, Diana Jimenez-Rodriguez, Ana Belen Castano-Fernandez, Antonio Perez-Rueda
Summary: The study successfully classified and predicted subclinical keratoconus using the random forest technique, with the critical variables being SP A1, A2 time, posterior coma 0 degrees, A2 velocity, and peak distance. The overall accuracy rate of the model was 89%.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Endocrinology & Metabolism
Hong Jiang, Zhenghao Li, Yuhao Sun, Jie Ren, Fuhua Yan, Qingfang Sun, Hongjiang Wei, Liuguan Bian
Summary: This study used quantitative susceptibility mapping (QSM) to assess longitudinal susceptibility changes in Cushing's disease (CD) patients before and after resolution of hypercortisolism. The results showed irreversibly altered susceptibility values in certain brain regions after resolution of hypercortisolism, which were significantly correlated with changes in gray matter/white matter volumes and clinical features. Additionally, decreased susceptibility was found in several regions in CD patients. This research suggests that chronic exposure to hypercortisolism may lead to susceptibility alterations and be closely correlated with altered brain volumes and clinical features.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2023)
Review
Endocrinology & Metabolism
Marco Losa, Luigi Albano, Michele Bailo, Lina Raffaella Barzaghi, Pietro Mortini
Summary: Radiotherapy, particularly Gamma Knife radiosurgery (GKRS), is a useful adjuvant treatment for patients with persistent or recurrent Cushing's disease. The most common side effect is hypopituitarism, while severe neurological complications are rare in radiation-naive patients.
JOURNAL OF NEUROENDOCRINOLOGY
(2022)
Review
Biochemistry & Molecular Biology
Vittoria Favero, Arianna Cremaschi, Chiara Parazzoli, Alberto Falchetti, Agostino Gaudio, Luigi Gennari, Alfredo Scillitani, Fabio Vescini, Valentina Morelli, Carmen Aresta, Iacopo Chiodini
Summary: Mild hypercortisolism refers to abnormal cortisol secretion without the overt manifestations of Cushing's syndrome. It is commonly found in patients with adrenal incidentalomas and incidentally discovered pituitary tumors. The pathogenesis of hypercortisolism of pituitary origin is still unclear, while advances have been made in understanding the genetic background of adrenal adenomas causing mild hypercortisolism. The clinical consequences of mild hypercortisolism include bone fragility, arterial hypertension, subclinical atherosclerosis, cardiovascular remodeling, dyslipidemia, glucose metabolism impairment, visceral adiposity, infections, muscle damage, mood disorders, and coagulation.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Article
Medicine, General & Internal
Serena Palmieri, Giorgia Grassi, Vito Guarnieri, Iacopo Chiodini, Maura Arosio, Cristina Eller-Vainicher
Summary: These cases demonstrate that inactivating mutations of the CaSR can lead to a variety of clinical presentations, including NSHPT and PHPT, and may require individualized therapies.
FRONTIERS IN MEDICINE
(2022)
Review
Nutrition & Dietetics
Maria Fusaro, Giulia Vanessa Re Sarto, Maurizio Gallieni, Laura Cosmai, Piergiorgio Messa, Maurizio Rossini, Iacopo Chiodini, Mario Plebani, Pieter Evenepoel, Nicholas Harvey, Serge Ferrari, Jorge Cannata-Andia, Andrea Trombetti, Maria Luisa Brandi, Markus Ketteler, Thomas L. Nickolas, John Cunningham, Syazrah Salam, Carlo Della Rocca, Aldo Scarpa, Salvatore Minisola, Fabio Malberti, Filomena Cetani, Mario Cozzolino, Sandro Mazzaferro, Luigi Morrone, Giovanni Tripepi, Martina Zaninotto, Maria Cristina Mereu, Maura Ravera, Giuseppe Cianciolo, Gaetano La Manna, Andrea Aghi, Sandro Giannini, Luca Dalle Carbonare
Summary: Bone biopsy with histomorphometric analysis is the gold standard for diagnosing and classifying renal osteodystrophy. However, its use has declined due to various reasons. This position paper from Italian scientific societies aims to promote the use of bone biopsy and improve the management and prognosis of CKD patients through optimization and standardization of the procedure, establishment of a network, and reimbursement adjustments.
Article
Endocrinology & Metabolism
Timo Deutschbein, Giuseppe Reimondo, Guido Di Dalmazi, Irina Bancos, Jekaterina Patrova, Dimitra Argyro Vassiliadi, Anja Barac Nekic, Miguel Debono, Pina Lardo, Filippo Ceccato, Luigi Petramala, Alessandro Prete, Iacopo Chiodini, Miomira Ivovic, Kalliopi Pazaitou-Panayiotou, Krystallenia Alexandraki, Felicia Alexandra Hanzu, Paola Loli, Serkan Yener, Katharina Langton, Ariadni Spyroglou, Tomaz Kocjan, Sabina Zacharieva, Nuria Valdes, Urszula Ambroziak, Mari Suzuki, Mario Detomas, Soraya Puglisi, Lorenzo Tucci, Danae Anastasia Delivanis, Dimitris Margaritopoulos, Tina Dusek, Roberta Maggio, Carla Scaroni, Antonio Concistre, Cristina Lucia Ronchi, Barbara Altieri, Cristina Mosconi, Aristidis Diamantopoulos, Nicole Marie Iniguez-Ariza, Valentina Vicennati, Anna Pia, Matthias Kroiss, Gregory Kaltsas, Alexandra Chrisoulidou, Ljiljana Marina, Valentina Morelli, Wiebke Arlt, Claudio Letizia, Marco Boscaro, Antonio Stigliano, Darko Kastelan, Stylianos Tsagarakis, Shobana Athimulam, Uberto Pagotto, Uwe Maeder, Henrik Falhammar, John Newell-Price, Massimo Terzolo, Martin Fassnacht
Summary: The autonomy of cortisol secretion in patients with adrenal incidentalomas is associated with increased all-cause mortality. Additionally, patients with non-functioning adenomas have significantly lower rates of cardiometabolic comorbidities.
LANCET DIABETES & ENDOCRINOLOGY
(2022)
Article
Endocrinology & Metabolism
Valentina Morelli, Sofia Frigerio, Carmen Aresta, Elena Passeri, Flavia Pugliese, Massimilano Copetti, Anna Maria Barbieri, Silvia Fustinoni, Elisa Polledri, Sabrina Corbetta, Maura Arosio, Alfredo Scillitani, Iacopo Chiodini
Summary: This study assessed the metabolic effects of adrenalectomy in patients with adrenal incidentaloma and possible autonomous cortisol secretion. The results showed that surgery improved blood pressure and glycometabolic control in these patients.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Review
Endocrinology & Metabolism
Alberto Falchetti, Guido Cavati, Roberto Valenti, Christian Mingiano, Roberta Cosso, Luigi Gennari, Iacopo Chiodini, Daniela Merlotti
Summary: A vegetarian diet has many positive health effects, but it may lead to deficiencies in certain nutrients, increasing the risk of osteoporosis and fractures. It is important for vegetarians to ensure adequate intake of calcium, vitamin D, protein, fruits, vegetables, and vitamin B12.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Editorial Material
Nutrition & Dietetics
Francesco Bertoldo, Luisella Cianferotti, Marco Di Monaco, Alberto Falchetti, Angelo Fassio, Davide Gatti, Luigi Gennari, Sandro Giannini, Giuseppe Girasole, Stefano Gonnelli, Nazzarena Malavolta, Salvatore Minisola, Mario Pedrazzoni, Domenico Rendina, Maurizio Rossini, Iacopo Chiodini
Article
Endocrinology & Metabolism
Sofia Frigerio, Giulia Carosi, Emanuele Ferrante, Elisa Sala, Elisa Polledri, Silvia Fustinoni, Bruno Ambrosi, Iacopo Chiodini, Giovanna Mantovani, Valentina Morelli, Maura Arosio
Summary: This study aimed to assess clinical and biochemical modifications in patients shifted from cortisone acetate (CA) to modified-release hydrocortisone (MRH). The results showed that patients shifted to MRH treatment had improved blood pressure control and symptoms of over- or undertreatment, but no significant changes in glucose metabolism or total cortisol exposure were observed. Therefore, a dose reduction may be needed when shifting from CA to MRH.
FRONTIERS IN ENDOCRINOLOGY
(2023)
Editorial Material
Biochemistry & Molecular Biology
Vittoria Favero, Cristina Eller-Vainicher, Iacopo Chiodini
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Review
Biochemistry & Molecular Biology
Maria Francesca Birtolo, Simone Antonini, Andrea Saladino, Benedetta Zampetti, Elisabetta Lavezzi, Iacopo Chiodini, Gherardo Mazziotti, Andrea G. A. Lania, Renato Cozzi
Summary: Secondary Adrenal Insufficiency (SAI) is a condition characterized by low ACTH secretion due to hypothalamus or pituitary disease or injury. The evaluation of SAI is challenging due to non-specific symptoms, rarity, and pitfalls associated with laboratory tests. The gold standard test for assessing the HPA axis is the insulin tolerance test, but the ACTH stimulation test is safer and well-tolerated, although its diagnostic accuracy varies.
Article
Biology
Giorgia Grassi, Elisa Cairoli, Lucrezia Maria Silvana Gentile, Iacopo Chiodini, Marta Zampogna, Alberto Ghielmetti, Letizia Corinna Morlacchi, Valeria Rossetti, Lorenzo Rosso, Ilaria Righi, Mario Nosotti, Maura Arosio, Francesco Blasi, Cristina Eller Vainicher
Summary: Based on our study, the skeletal outcomes in long-term survivors (>5 years) after lung transplantation were similar between patients with cystic fibrosis (CF) and those with non-cystic fibrosis (nCF), with a lower incidence of fractures compared to the first two years post-transplant. Bone mineral density and trabecular bone score remained stable after the second year post-transplant.
Article
Endocrinology & Metabolism
Vittoria Favero, Cristina Eller-Vainicher, Valentina Morelli, Elisa Cairoli, Antonio Stefano Salcuni, Alfredo Scillitani, Sabrina Corbetta, Silvia Della Casa, Giovanna Muscogiuri, Luca Persani, Iacopo Chiodini
Summary: This study evaluated the prevalence and incidence of vertebral fractures in patients with adrenal incidentalomas and mild autonomous cortisol secretion. The results showed that patients with adrenal incidentalomas and mild autonomous cortisol secretion are at higher risk of vertebral fractures.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2023)
Article
Endocrinology & Metabolism
Vittoria Favero, Alessandro Prete, Alessandra Mangone, Yasir S. Elhassan, Valentina Pucino, Miriam Asia, Rowan Hardy, Iacopo Chiodini, Cristina L. Ronchi
Summary: This study evaluated the hematological alterations in benign adrenocortical tumors with different degrees of cortisol excess. It found that the degree of cortisol excess was correlated with an increase in leukocytes, neutrophils, and monocytes. Additionally, the neutrophil-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, and systemic immune-inflammation index were altered in patients with mild autonomous cortisol secretion (MACS) and adrenal Cushing's syndrome.
EUROPEAN JOURNAL OF ENDOCRINOLOGY
(2023)
Meeting Abstract
Geriatrics & Gerontology
C. Alberio, R. Mirsepanj, S. Vai, F. Broggi, I. Chiodini, C. Dosi, R. Masson, A. Falchetti
AGING CLINICAL AND EXPERIMENTAL RESEARCH
(2022)
Meeting Abstract
Endocrinology & Metabolism
Iacopo Chiodini, Davide Gatti, Davide Soranna, Daniela Merlotti, Christian Mingiano, Angelo Fassio, Giovanni Adami, Alberto Falchetti, Cristina Eller-Vainicher, Maurizio Rossini, Luca Persani, Antonella Zambon, Luigi Gennari
JOURNAL OF BONE AND MINERAL RESEARCH
(2022)