Endocrine Abstracts

Prostaglandin E (EP) receptors have been characterised in human myometrium from non-pregnant and pregnant (non-labouring) donors (Senior et al. 1991; 1993). However. the response to PGE2 in tissue taken at labour has not been investigated. The aim of the present study was to compare myogenic activity and the effects of PGE2 in myometrium from donors at different stages of the menstrual cycle and at pregnancy (labouring and non-labouring).<p cla...

Prostaglandin (PG) E2 acts through its receptors (EP1–4) to modulate myometrial contractions and cervical ripening at term gestation. Although uterine PGE2 biosynthesis is augmented with labour progression (Durn et al. 2008); functional EP1–4 receptors have yet to be determined. To characterise these receptors in gravid human myometrium, in vitro responses to selective and novel EP agonists were investigated b...

Hypopituitarism is a known complication of traumatic brain injury and subarachnoidal bleeding. There are few data about pituitary dysfunction as a complication of cerebral ischemia. This study aimed to investigate this issue. We investigated the prevalence of pituitary dysfunction in patients with cerebral ischemia (a. cerebri media: n=19, thalamus: n=4 multiinfarction syndrome: n=17) NIHSS varied between 1–8. 40 patients, 23 males and 17 females, (me...

Although oxytocin is a potent stimulant of myometrial contractions, its role in parturition is controversial. The aim of the present study was to elucidate the functional mechanisms of oxytocin receptors in isolated human myometrium before and after labour-onset.Myometrial biopsies were obtained from consenting women (aged 21–34 years) undergoing Caesarean section at term pregnancy, not in labour (n=6), or in early (n=6) or late (n<...

Background/Introduction: Lifestyle adaptations are crucial in the treatment of type 2 diabetes. However, implementation is difficult and patients especially with high glucose levels receive most often medication as first-line treatment instead of intensive lifestyle changes. We hypothesized that a primary lifestyle intervention as first-line treatment for newly diagnosed type 2 diabetes compared to standard of care is didactic, safe and can achieve metabolic control alone....

The cardiovascular outcome of targeted treatment of primary aldosteronism (PA) has not been prospectively studied in large cohorts. Using the data of the prospective German Conn’s registry we evaluated the effect of adrenalectomy (ADX) vs mineralocorticoid-receptor-antagonists (MRA) treatment on blood pressure (BP), serum potassium, eGFR, pro-BNP, number and WHO DDD of antihypertensive drugs. Since 2008, 181 patients have been newly diagnosed with PA and underwent subtype...

Adrenal vein sampling (AVS) is a technically demanding procedure required for identification of suitable candidates for unilateral adrenalectomy in primary aldosteronism. Recently, somatic mutations in aldosterone producing adenomas (APA) have become a focus of research. We identified KCNJ5 K+-channel mutations in 34% of APAs, and more recently mutations in 2 ATPase family members in 11 and 6%. However, it is unclear whether steroid gradients during the AVS are infl...

Context: Primary aldosteronism (PA) represents the most frequent cause of a curable secondary arterial hypertension. Conflicting data have been published regarding the effect of aldosterone excess on glucose and lipid metabolism.Objective: Our aim was to analyze insulin sensitivity and beta cell function in a cohort of PA patients. Prospective follow-up investigations were performed in a subgroup of patients before and after adrenalectomy to assess the m...

Introduction: Primary aldosteronism (PA) is the most frequent curable form of hypertension. Hypokalemia is a late symptom of PA. Consequently, PA often is not diagnosed for many years. Our aim was to identify clinical and laboratory parameters in a large cohort of PA patients obtained during their first assessment.Methods: 96 consecutive patients prospectively studied since 2008 at the German Conn’s Registry Center in Munich were eligible for this s...

Background: Screening for primary aldosteronism (PA) using the aldosterone to renin ratio (ARR) is recommended by clinical practice guidelines in patient groups with a high prevalence as the disease is reported by several authors in more than 10% of essential hypertensives (EH).Methods: Plasma aldosterone concentration (PAC) and direct renin (DR) were measured using two novel automated chemiluminescence assays (IDS-iSYS; Boldon, UK) and compared to the S...