Searchable abstracts of presentations at key conferences in endocrinology

ea0029s53.1 | Genetic polymorphism in reproduction | ICEECE2012

Genetic variation of the androgen receptor: from gene regulation to prostate cancer

Zitzmann M.

In addition to symptoms of androgen deficiency induced by low serum testosterone concentrations (i.e. classical hypogonadism), also variable phenotypes of androgen insensitivity exist in humans, mainly owing to defective, mutated androgen receptors. A more subtle modulation of androgen effects has been related to the CAG repeat polymorphism (CAGn) in exon 1 of the androgen receptor gene: in vitro, transcription of androgen-dependent target genes is attenuated with incre...

ea0026p149 | Male reproduction | ECE2011

Intramuscular testosterone undecanoate for substitution in male hypogonadism – the experience of 13.5 years

Saad F , Zitzmann M

Background: Testosterone substitution with favourable kinetics and tolerance is important for hypogonadal men. Intramuscular injections of long-acting testosterone undecanoate (TU) offer a convenient modality.Methods: We report data from 281 patients (134 with primary, 88 with secondary hypogonadism and 59 with late-onset (‘mixed’ or ‘metabolic’) hypogonadism aged 15 to 72 years (mean 40±13 years) receiving altogether 4913 intram...

ea0011p177 | Clinical practise and governance | ECE2006

Symptom-specific thresholds for testosterone deficiency modulate complaints and metabolic risk in 434 aging male patients

Zitzmann M , Faber S , Nieschlag E

Objective: The structure of psychological and somatic complaints of aging male patients in relation to sex hormone patterns and metabolism has not been fully elucidated, especially in regard to late-onset hypogonadism.Methods: We investigated the nature of complaints in 434 consecutive patients aged 50–86 years attending our andrology unit and their association with physical characteristics, life style habits and sex hormone levels.<p class="abs...

ea0011p178 | Clinical practise and governance | ECE2006

Longterm experience of more than 8 years with a novel formulation of testosterone undecanoate (Nebido) in substitution therapy of hypogonadal men

Zitzmann M , Saad F , Nieschlag E

Objective: A reliable form of androgen substitution therapy in terms of favorable kinetics and tolerance as well as effective restoration of androgenicity is paramount in hypogonadal men. A feasible modality is the intramuscular injection of the long-acting ester testosterone undecanoate (TU).Design: We report data from 22 patients (15 with primary and 7 with secondary hypogonadism) aged 30 to 65 years (mean 43.8±8 years) who received injections of ...

ea0008s17 | Consequences of a lack of androgens | SFE2004


Nieschlag E , Gromoll J , Zitzmann M

Testosterone is the hormone that turns males into men and a lack of testosterone, whether of primary or secondary origin, causes hypogonadism characterized by lack of pubertal development or loss of maleness. It was generally assumed that in a man with a normal androgen receptor (AR) androgenicity is regulated by testosterone serum concentrations, slightly modified by SHBG. Only recently it became evident that variations in the AR gene influence testosterone action. Modulation...

ea0029s11.3 | Novel genetic and endocrine insights in the Klinefelter's syndrome | ICEECE2012

The Muenster EXAKT project: epigenetic regulation of the supernumerary X chromosome and its escapee genes

Gromoll J. , Bongers R. , Werler S. , Kliesch S. , Zitzmann M. , Tuettelmann F.

Klinefelter syndrome (47,XXY; KS) is a very common chromosomal disorder, affecting 1:500 men and leading to hypergonadotropic hypogonadism as well as an increased incidence of metabolic syndrome. However, our knowledge on the functional role of the supernumerary X chromosome itself and to which extent its origin contributes to the observed pathophysiology is still very limited. Recently we started the EXAKT (Epigenetics, X-Chromosomal features and clinical Applications in Klin...

ea0029oc14.5 | Male Reproduction | ICEECE2012

The muenster EXAKT project: X-inactivation in klinefelter patients

Werler S. , Bongers R. , Tuettelmann F. , Zitzmann M. , Kliesch S. , Gromoll J.

Introduction: Klinefelter Syndrome (KS; 47,XXY) is the most common sex chromosome disorder in men, characterized by hypergonadotropic hypogonadism. EXAKT (Epigenetics, X-chromosomal features and clinical Applications in Klinefelter syndrome Trial) is a Muenster-based prospective project involving Klinefelter patients and their parents assessing a wide area of cardiovascular, inflammatory and metabolic factors as well as a broad range of genetic and epigenetic investigations es...

ea0029p1015 | Male Reproduction | ICEECE2012

High prevalence and interaction of hypogonadism and the metabolic syndrome in long-term survivors with germ cell tumours

Zitzmann M. , Gottardo F. , Grunwald L. , Puhse G. , Secker A. , Kliesch S.

Introduction and objectives: Testicular cancer survivors (TCS) are at a putative risk to develop premature testosterone deficiency (TD). The clinical and biochemical components of TD and the metabolic syndrome have not been thoroughly described in such patients.Material and methods: Prospective clinical trial: 163 TCS took part in the study, clinical parameters, sex hormones and biochemical values were assessed in fasting blood samples, MS was defined ac...

ea0029p1017 | Male Reproduction | ICEECE2012

The Muenster EXAKT project: cardiovascular risk factors in Klinefelter patients and healthy controls

Zitzmann M. , Bongers R. , Werler S. , Tuttelmann F. , Rittstieg C. , Edelbrock L. , Gromoll J. , Kliesch S.

Background and Aim: Klinefelter syndrome (47,XXY; KS) is a very common chromosomal disorder, affecting 1:600 men. Klinefelter men have been described to exhibit clinically relevant metabolic patterns related to a pro-inflammatory status, resulting in a high prevalence of insulin resistance and cardiovascular impairment. Testosterone deficiency in form of primary hypogonadism is a common feature in these men.EXAKT (epigenetics, X-chromosomal features and ...