The Journal of Clinical Endocrinology & Metabolism,
Год журнала:
2024,
Номер
109(12), С. 3011 - 3026
Опубликована: Авг. 6, 2024
Abstract
Cardiovascular
disease
(CVD)
is
a
major
cause
of
morbidity
and
mortality
in
persons
with
type
1
diabetes
(T1D).
Despite
control
known
cardiovascular
(CV)
risk
factors
better
glycemic
management,
T1D
still
face
heightened
CVD
risk,
suggesting
additional
contributing
factors.
Sleep
has
recently
been
recognized
as
CV
factor;
however;
the
role
sleep
specifically
population
only
started
to
emerge.
Extensive
evidence
suggests
that
often
encounter
disturbances.
This
review
aims
comprehensively
explore
relationship
between
disturbances
T1D,
proposed
possible
mediators
including
control,
which
studied
more
extensively,
less
such
blood
pressure,
lipid
metabolism,
weight
management.
Stress
self-care
behaviors
likely
also
play
CVD.
The
regarding
interventions
context
mitigating
these
shown
early,
small-scale
studies.
assessments
should
be
part
standard
care
T1D.
Further
research
focus
on
understanding
impact
mechanistic
pathways
developing
T1D-specific
reduce
burden
this
population.
Mechanical
loading
is
required
for
bone
health
and
results
in
skeletal
adaptation
to
optimize
strength.
Local
nerve
axons,
particularly
within
the
periosteum,
may
respond
load-induced
biomechanical
biochemical
cues.
However,
their
role
anabolic
response
remains
controversial.
We
hypothesized
that
spatial
alignment
of
periosteal
nerves
with
sites
formation
would
clarify
this
relationship.
To
achieve
this,
we
developed
RadialQuant,
a
custom
tool
histomorphometry.
Tibiae
control
neurectomized
(sciatic/femoral
cut)
pan-neuronal
Baf53b-tdTomato
reporter
mice
were
loaded
5
days.
Bone
axon
density
then
quantified
simultaneously
non-decalcified
sections
mid-diaphysis
using
RadialQuant.
In
animals,
induced
maximal
at
site
peak
compression,
as
has
been
reported
previously.
By
contrast,
did
not
significantly
change
overall
density.
Neurectomy
depleted
~90%
all
near-total
depletion
on
load-responsive
surfaces.
alone
also
caused
de
novo
lateral
aspect
mid-diaphysis.
neurectomy
inhibit
increases
area,
mineralizing
surface,
or
rate.
Rather,
spatially
redistributed
toward
tibial
surface
reduction
posterolateral
apex
(-63%)
enhancement
(+1360%).
Altogether,
contributed
comparable
changes
cortical
area
fraction.
Our
show
local
innervation
modulates
but
applied
load
our
model.
This
supports
continued
use
weight-bearing
exercise
an
effective
strategy
increase
mass,
even
settings
peripheral
damage
dysfunction.
Health Science Reports,
Год журнала:
2025,
Номер
8(1)
Опубликована: Янв. 1, 2025
ABSTRACT
Backgrounds
and
Aims
Type
2
diabetes
its
complications
are
assumed
to
be
major
public
health
problems
globally.
Zinc
is
one
of
the
elements
that
play
a
part
in
insulin
secretion
signaling.
Therefore,
this
study
seeks
answer
following
question:
“What
effects
220
mg
zinc
sulfate
supplementation
on
weight,
blood
pressure,
glycemic
control
patients
with
diabetes?”.
Methods
In
randomized
controlled
double‐blind
trial,
79
were
allocated
into
two
groups
through
permuted
block
randomization
method.
The
group
received
capsules
containing
50
zinc,
placebo
ingredient
per
week
for
12
weeks.
At
start
end
treatment
period,
fasting
glucose
(FBG),
glycated
hemoglobin
(HbA1c),
level,
waist
circumference
(WC),
pressure
measured.
Results
After
weeks
follow‐up,
72
completed
study.
There
no
significant
differences
before
after
intervention
FBG,
HbA1c,
levels,
WC
between
groups.
Intragroup
analysis
showed
weight
body
mass
index
increased
group;
however,
these
changes
not
comparison
group.
Also,
diastolic
significantly
systolic
both
Conclusion
Taking
supplement
twice
did
show
benefit
diabetes.
Trial
Registration
This
trial
was
registered
Iranian
Registry
Clinical
Trials
(IRCT)
website
code
number
29627
September
18,
2018.
International Journal of Endocrinology,
Год журнала:
2025,
Номер
2025(1)
Опубликована: Янв. 1, 2025
In
2023,
the
medical
terminology
for
Nonalcoholic
Fatty
Liver
Disease
(NAFLD)
and
NA
SteatoHepatitis
(NASH)
was
updated
to
Metabolic
Dysfunction‐Associated
SteatoticLiver
(MASLD)
MA
(MASH).
This
review
highlights
critical
epidemiological,
pathophysiological,
therapeutic
aspects
of
MASH,
focusing
on
novel
treatment
option,
resmetirom.
Resmetirom,
a
thyroid
hormone
receptor‐beta
(THR‐β)
agonist,
specifically
targets
liver
function
simulate
localized
hyperthyroidism,
effectively
reducing
lipid
accumulation
fibrosis
without
systemic
effects
commonly
associated
with
therapy.
Clinical
trials,
particularly
pivotal
MAESTRO‐NASH
trial,
have
demonstrated
significant
improvements
in
health
metrics,
achieving
primary
endpoints
by
resolving
MASH
worsening
showing
favorable
safety
profile.
paper
reviews
mechanism
action,
efficacy,
resmetirom,
providing
insight
into
its
potential
change
landscape
patients
suffering
from
MASH.
Frontiers in Endocrinology,
Год журнала:
2025,
Номер
16
Опубликована: Март 25, 2025
Background
Immune
checkpoint
inhibitors
(ICIs)
have
revolutionised
the
cancer
treatment
landscape
in
last
decades,
improving
outcome
of
several
tumours,
such
as
cutaneous
squamous
cell
carcinoma
(cSCC).
ICIs
are
antibodies
blocking
immune
pathways,
cytotoxic
T
lymphocyte-associated
antigen
4
(CTLA-4)
and
programmed
death
1
(PD-1)
with
its
ligand
PD-L1.
However,
activation
response
can
cause
a
broad
range
side
effects,
called
immune-related
adverse
events
(irAEs).
Endocrine
irAEs
mainly
represented
by
thyroid
dysfunctions
(thyrotoxicosis
or
hypothyroidism)
hypophysitis,
while
adrenal
insufficiency
diabetes
mellitus
(DM)
less
common.
Diabetic
ketoacidosis
(DKA)
is
potential
life-threatening
presentation
ICI-induced
insulin-dependent
DM
(IDDM).
This
report
presents
rare
case
DKA
IDDM
secondary
to
anti-PD-1
antibody
cemiplimab
therapy,
this
third
described
literature
date.
Case
We
describe
62-year-old
female
patient
metastatic
perianal
who
developed
after
fifth
cycle
cemiplimab.
Hyperglycemia
(1187
mg/dL),
metabolic
acidosis
(pH
7.27)
bicarbonate
levels
11.9
mmol/L,
arterial
partial
pressure
carbon
dioxide
25.7
mmHg
increased
anion
gap
(equal
25),
hyperketonuria
were
present.
Adequate
glycaemic
control
was
difficult
maintain,
intravenously
therapy
(insulin,
sodium
bicarbonate,
potassium,
fluids)
required
for
long
time.
Subcutaneous
basal-bolus
insulin
started,
but
scarce,
also
due
concomitant
administration
prednisone
hepatotoxicity,
until
subject’s
death.
Conclusion
underlines
importance
awareness
on
endocrine
ICIs,
particularly
DKA.
A
baseline
assessment
glycemia
glycated
hemoglobin
mandatory,
we
recommend
close
monitoring
glycemic
trend
over
time
during
therapy.
Patients
their
caregivers
should
be
informed
counselled
recognise
signs
symptoms.