Endocrine Abstracts

Background: There are now several lines of evidence indicating that a decrease in beta-cell mass, resulting from an increase in apoptosis, is a key feature in both type-1 (T1DM) and -2 diabetes (T2DM). Interestingly, recent studies suggest that the insulin receptor signalling cascade may play key functions in preventing beta-cells from undergoing apoptosis. However, the molecular basis underlying these events remains to be determined.Aims: this study exa...

Background: Cyclo-oxygenase-2 (COX-2), the enzyme responsible for converting arachidonic acid to prostanoids such as PGE2, has been reported to play an anti-apoptotic role in invasive breast cancers. We have now examined whether COX-2 and PGE2 protect against apoptosis in the MIN6 insulin-secreting cell line.Methods: Serum-deprived MIN6 cells were exposed to an inhibitor of COX-2 (NS-398) and/or PGE2 for 48 hours and the ...

Insulin-like growth factors (IGFs) and their binding proteins (IGFBPs) have important metabolic roles in the human body. IGFBP-3 (40 and 45 kD glycoforms) is the most abundant in serum, whereas IGFBP-2 (34 kD) and IGFBP-1 (29 kD) are present at lower concentrations.Most inflammatory diseases of the gastrointestinal tract are characterised by a cytokine- mediated inflammatory reaction, malnutrition and catabolism. The aim of this work was to detect possib...

Objective: To assess the understanding of congenital adrenal hyperplasia (CAH) among families of Caucasian White (W) and Asian (A) with CAH, and also to evaluate the need for interpreters for Asian families attending the North West Regional CAH clinic.Design: A parent directed questionnaire was administered by two interviewers, one of whom spoke Urdu,Punjabi and Bengali to 18 A families ( M = 8 F=18) and 39 W families (M=20 F=22) with children with CAH, ...

Hypogonadism is difficult to confirm with standard assays. A large proportion of testosterone (T) is bound to sex hormone binding globulin (SHBG) and is biologically inert. Accurate measures of free and biological-available-testosterone (Bio-T) are largely unavailable. In this study we compared formulae calculated from the total testosterone (TT) and SHBG in their ability to predict hypogonadism and/or Bio-T.TT and SHBG were determined by ELISA and Bio-T...

Low serum testosterone levels in men predict the future development of insulin resistance and Type 2 diabetes. Furthermore, men with Type 2 diabetes have lower testosterone levels than nondiabetic men. Testosterone is known to be positively correlated with insulin sensitivity. It has also been demonstrated that low levels of circulating androgens are associated with coronary artery disease, dyslipidaemia, hypertension and visceral obesity. The purpose of this study was to dete...

Background:Long acting somatostatin analogues are an effective treatment for acromegaly but require administration by nurses.To improve patient convenience we have taken care into the community with endocrine specialist nurse education of practice nurses in administration of injections.Methods:After an initial pilot study, a questionnaire was administered to patients receiving, and practice nurses administering, Somatuline Autogel(SA) n=10 and Sandostati...

Embryonic stem cells (ES cells) represent a population of self renewing pluripotent cells, capable of differentiating into derivatives of the 3 embryonic germ layers and are therefore a promising source material for generation of replacement pancreatic beta cells for transplantation in type 1 diabetes. ES cells can be induced to undergo unregulated differentiation when cultured as floating clusters (embryoid bodies). Successful generation of pancreatic endocrine cells from ES ...

Embryonic stem cells (ES cells) represent a population of self renewing pluripotent cells, capable of differentiating into derivatives of the 3 embryonic germ layers and are therefore a promising source material for generation of replacement pancreatic beta cells for transplantation in type 1 diabetes. ES cells can be induced to undergo unregulated differentiation when cultured as floating clusters (embryoid bodies). Successful generation of pancreatic endocrine cells from ES ...

We report two ladies who presented with thyroid dysfunction associated with neck swelling. In both cases within ten days of consultation they developed rapid enlargement of their mass associated with marked swelling of an arm.Case 1. A 63 year old lady developed sudden onset of a thyroid swelling associated with a new diagnosis of primary hypothyroidism . She had lost weight and felt tired. On examination she had a moderately enlarged woody goitre, there was no associated ...