Stress Hormone Dysregulation in Overweight Male Adults with Obstructive Sleep Apnea
Loh JMR, Lin CW, Lin HC, Chang CT, Friedman M, Salapatas AM and Lin MC
Obstructive sleep apnea (OSA) may influence the hypothalamic-pituitary-adrenal (HPA) axis and result in subsequent physiological dysregulation. Given the inconsistent findings of the current literature and the lack of investigations on stress hormones, this study explored the potential impact of OSA on stress markers of adrenocroticotrophic hormone (ACTH), cortisol, and dehydroepiandrosterone (DHEA)/DHEA-S in male overweight OSA patients.
Radiotherapeutic Strategies and Advances in the Management of Pituitary Adenomas
Almeida ND, Zhang JF, Cheruvu HK, Shen D, Shekher R, Goulenko V, Madhugiri VS, Algattas H, Park DJ, Wang TJC and Prasad D
Pituitary adenomas are benign brain tumors that develop from hormone-producing cells in the anterior pituitary gland and account for 10-20% of all intracranial tumors. However, pituitary adenomas can have significant morbidity due to local invasion and changes to hormonal secretion. Though radiotherapy can result in side effects ranging from hypopituitarism to visual changes, radiation therapy remains an important tool due to its long-term benefits and high tumor control rates.
Acknowledgement to Reviewers
The Clinician's Role in Diagnostic Pathways and the Impact of Clinicopathological Collaboration on Outcomes in Patients with Neuroendocrine Neoplasms: Current Perspectives
Laffi A, Lania A, Zerbi A, Lavezzi E, Carrara S and Uccella S
Neuroendocrine neoplasms (NENs) classification and diagnosis have substantially advanced, prompting specialization of pathologists and clinicians in NEN fields and fostering close interdisciplinary collaboration. In these rare diseases, misdiagnosis may undermine therapeutic strategies, highlighting the importance of a strong clinician-pathologist partnership. While the NEN-dedicated pathologist's role is well acknowledged, in clinical practice, accurate histological review depends on the clinician's ability to pose focused diagnostic questions within a well-defined clinical context.
Epidemiology of Neuroendocrine Neoplasia Worldwide: A Review of the Literature (2012-2022)
Nwoguh CA, El Asmar ML, Gadsen-Jeffers A, Srirajaskanthan R, Chandrakumaran K and Ramage JK
The incidence of neuroendocrine neoplasms (NENs) has been rising globally. However, epidemiological studies on NENs often lack comprehensive geographical comparisons, with limited reporting on demographic variations, risk factors, and tumour site-specific trends.
A Systematic Review of the Effects of N-Methyl-D-Aspartate Receptor Antagonists on Pancreatic Islets
Wong S, Le GH, Uhlig J, Yang E, Dri CE, Rosenblat JD, Mansur RB and McIntyre RS
N-methyl-D-aspartate receptors (NMDARs) are widely distributed in the brain and pancreas. Preliminary evidence indicates that aberrant NMDAR-mediated glutamatergic signaling may disrupt pancreatic islet function and glucose-insulin homeostasis. The frequent comorbidity of depression and diabetes underscores the potential role of NMDAR signaling in pancreatic function as a shared pathophysiological mechanism. Herein, this systematic review aims to evaluate the effects of NMDAR antagonism on pancreatic cells (i.e., alpha, beta, delta) viability and function (i.e., activation, hormone production, and release).
A Novel Relationship between Corticotropin-Releasing Hormone Level and High-Altitude Hypoxia in Human and Rat Model
Kong FP, Xu G, Wang PP, Chen SJ, Hao K, Chen J, Lin J, Wang J, Coote J, Spitzer NC, Du JZ, Zhao Y, Gao YQ and Chen XQ
Acute mountain sickness (AMS) strikes people who travel too quickly to high altitude, outstripping their ability to acclimatize. Individual susceptibility to AMS remains unpredictable. The aim of study was to investigate the neuroendocrine mechanisms regulation of corticotropin-releasing hormone (CRH) and associated with AMS.
Multicenter Retrospective Study of Efficacy of Systemic Therapy in Patients with Neuroendocrine Tumor Grade 3 (JOSC-2001)
Okuyama H, Shibuki T, Okano N, Mizukami T, Yanagimoto H, Okada M, Kita E, Kobayashi N, Kobayashi S, Furukawa T, Asama H, Tsumura H, Kamata K, Umemoto K, Hamamoto Y, Suzuki Y, Horiguchi S, Naganuma A, Asagi A, Tsuji K, Takada R, Kawata K, Kojima M, Imaoka H, Terashima T, Ozaka M, Ueno M and Ikeda M
Neuroendocrine tumor G3 (NET G3) is a new category introduced in the WHO 2017 classification. Accordingly, evidence regarding chemotherapy for NET G3 is limited. A multicenter, retrospective analysis was performed to evaluate the outcomes of systemic therapy for NET G3 and to identify the optimal regimens.
Gastrointestinal Neuroendocrine Neoplasms in Children and Adolescents: Data from the German MET Studies (1997-2024)
Karges K, Kunstreich M, Abele M, Fuchs J, Vokuhl C, Brecht IB, Schneider DT, Frühwald MC, Vorwerk P, Lapa C, Redlich A and Kuhlen M
Gastrointestinal neuroendocrine neoplasms (GI-NENs) outside the appendix and pancreas are exceptionally rare in children and adolescents. Limited data on presentation, treatment, and outcomes hinder clinical decision-making.
Kisspeptin-dependent puberty onset triggered by increased Kiss1 and Pdyn expression in arcuate Tac3 neurons under reduced estrogen negative feedback and sufficient energy balance in female rats
Nagae M, Majarune S, Kobayashi T, Nima P, Horihata K, Takase K, Hirata J, Matsui H, Matsumoto H, Inoue N, Tsukamura H and Uenoyama Y
The pre-pubertal quiescence of pulsatile gonadotropin-releasing hormone secretion in mammals is considered due to repressed Kiss1 (encoding kisspeptin) expression in kisspeptin/neurokinin B/dynorphin A (KNDy) neurons. In this study, we aimed to investigate the effects of negative feedback levels of estradiol-17β (low E2) and energy balance on Kiss1, Tac3 (encoding neurokinin B), and Pdyn (encoding dynorphin A) expression in ovariectomized (OVX) pre- and post-pubertal rats, and the effects of central kisspeptin immunoneutralization on puberty onset in ovary-intact rats.
Expanded Targeted-Exome Sequencing and Functional Validation Improve Molecular Diagnosis and Refine Genotype-Phenotype Correlations in Congenital Hypogonadotropic Hypogonadism
Fausto JS, Ferreira LGA, Correa-Silva SR, Chiamolera MI, Napolitano E Ferreira E, Kunii I and Dias-da-Silva MR
Congenital hypogonadotropic hypogonadism (CHH) arises from defects in the synthesis, secretion, or action of gonadotropin-releasing hormone (GnRH), resulting in incomplete or absent pubertal development and various nonreproductive features. CHH is genetically heterogeneous, with over 50 genes implicated in its pathogenesis. This study aimed to elucidate the genetic variants of CHH in a cohort of patients from a single-center endocrinology unit.
Epidemiology and Health Impacts of Neuroendocrine Tumours
Ramage J and Srirajaskanthan R
Loss of DAXX/ATRX Protein Expression Results in Ischemia Resistance and Radiation Sensitivity in Pancreatic Neuroendocrine Tumor Cells and Is Associated with Improved Response to Trans-Arterial Radioembolization
, Solivio C, Yuan G, Rizzo AJ, Graham MK, Shenker L, Vista W, Gil A, Singh H, Alexander E, Gonzalez-Aguirre A, Latzman J, Petre EN, Yarmohammadi H, Erinjeri JP, Covey A, Chan E, Russell J, Bodei L, Raj N, Reidy-Lagunes D, Heaphy CM and Ziv E
Metastatic liver pancreatic neuroendocrine tumors (PNETs) can be treated with ischemia-based trans-arterial embolization/trans-arterial chemo-embolization or radiation-based trans-arterial radioembolization (TARE). Guidelines for treatment selection are limited. The purpose of this study was to measure the effect of loss of DAXX/ATRX protein expression on ischemia and radiation sensitivity in Bon-1 and QGP-1 cells, and to compare TARE response in PNETs with and without a DAXX/ATRX mutation.
Are There Connections between the Neuroendocrine and Dopamine Systems in Bipolar Disorder?
Trouillas J, Claustrat B, Henry E, Lemius J, Alafuzoff I and Nataf S
Bipolar disorder (BPD) represents a frequent and disabling disease, characterized by the occurrence of extreme mood swings leading to episodes of depression or mania. Although dysfunctions in dopamine (DA) neurotransmission are increasingly recognized as key determinants of BPD, little attention has been given to the biological factors which may shape such a cyclicity of mania and depression.
Lipid Profile Differences in Monomeric Hyperprolactinemia, Macroprolactinemia, and Healthy Controls: A Comparative Analysis
Bahçebaşı S, Gökay F and Şimşek Y
This study aimed to investigate the effects of different prolactin isoforms - specifically macroprolactin and monomeric prolactin - on lipid metabolism across various subtypes of hyperprolactinemia.
The Causal Role of Gut Microbiota and Immune Cell Mediation in Gastroenteropancreatic Neuroendocrine Neoplasms: A Mendelian Randomization Study
Jiang Z, Ma P, Wang F, Wang Y, Lu C, Zhu Q, Lu H, Chen J, Liu M, Mou Y and Jin W
Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are a diverse group of tumors arising from neuroendocrine cells, often characterized by slow growth and subtle symptoms, leading to advanced-stage diagnoses. The gut microbiota (GM) has been implicated in various gastrointestinal malignancies, but its relationship with GEP-NENs remains unclear.
Real-World Patient Outcomes on the Efficacy of Lanreotide Treatment for Neuroendocrine Tumors: The Influence of Body Mass Index, Body Surface Area, and Renal Function
de Weert I, Crul M, Klümpen HJ and Schutte T
Introduction: Lanreotide is an effective and safe first-line therapy to treat patients with a gastroenteropancreatic (GEP) neuroendocrine tumor (NET). Precision oncology may be used to provide each patient with the right dosage. Pharmacokinetic data suggest lower exposure in higher weight patients. However, no recommendations for dose individualization in specific patient groups exist. Therefore, we aimed to investigate the association of body mass index (BMI), body surface area (BSA), and renal function on the efficacy and toxicity of lanreotide treatment for NETs.
Causal Relationship between Plasma Liposomes and Autoimmune Thyroid Disease: A Mendelian Randomization Study
Sun Z, Li Y, Zhao M, Lou Y, Li Y, Hua L and Huang L
Autoimmune thyroid disease is an autoimmune disease. Observational studies have shown that individuals with thyroid dysfunction have dyslipidaemia. However, it is uncertain whether there is a causal relationship between the two. Therefore, the purpose of this study was to evaluate the causal relationship between plasma liposomes and autoimmune thyroid disease, thereby providing new insights into disease mechanisms and potential therapeutic targets.
Circulating Tumor DNA Profiling Identifies Actionable Mutations as Prognostic Markers in Advanced Neuroendocrine Tumors
Zhou N, Zhao G, Gao Y, Xing J, Wu M, Ying H, Guan M, Wu H, Zhao L, Bai C and Cheng Y
Introduction: Neuroendocrine tumors (NETs) are a rare and heterogeneous group of neoplasms with both clinical and genetic diversity. The clinical applicability of molecular profiling using liquid biopsy for identifying actionable drug targets and prognostic indicators in patients with advanced NETs remains unclear.
PDIA5 and ARFIP1 as Immunogenetic Biomarkers and Therapeutic Targets in Pancreatic Neuroendocrine Neoplasms: A Multi-Omics Study Integrating MR, Gene Expression Microarray, and Single-Cell Transcriptomics
Guo H, Zheng G, Yao S, Jia Q, Tan J and Meng Z
Pancreatic neuroendocrine neoplasms (PanNENs) are characterized by significant clinical heterogeneity and limited therapeutic options, particularly in metastatic or recurrent cases. Identifying actionable molecular targets and biomarkers is essential for improving patient outcomes.