Volume 104, Issue 12, December 2019
Print and Online
Editorial
JCEM Editor’s Swan Song: 2015–2019
Case Reports
PTH Immunoassay Interference Due to Human Anti-Mouse Antibodies in a Subject With Obesity With Normal Parathyroid Function
Immunoassay interference can result in apparently high PTH serum levels.
Diagnostic Challenge in PLIN1-Associated Familial Partial Lipodystrophy
We have described novel heterozygous PLIN1 frameshift variants in the largest cohort of FPLD4 reported to date and provide a set of arguments for their pathogenicity.
Mini-Reviews
The Medical Therapy of Craniopharyngiomas: The Way Ahead
The presence of specific genetic alterations in craniopharyngiomas has important implications for the diagnosis and potential treatment of these neoplasms with molecularl targeted agents.
Macronutrient-Mediated Inflammation and Oxidative Stress: Relevance to Insulin Resistance, Obesity, and Atherogenesis
For macronutrient intake and inflammation, a Western diet is clearly associated with oxidative and inflammatory stress. These lead to insulin resistance and obesity.
Perspective
A Simplified Approach to Reducing Cardiovascular Risk
A practical goal to prevent atherosclerosis in at-risk adults is an LDLc of <50 mg/dL. This goal is readily achieved with rosuvastatin and ezetimibe at 10 mg/d with minimal side effects and cost.
Clinical Research Articles
Mutations in MAGEL2 and L1CAM Are Associated With Congenital Hypopituitarism and Arthrogryposis
Five patients with hypopituitarism and arthrogryposis had mutations in MAGEL2 or L1CAM. MAGEL2 transcripts are in the hypothalamo-pituitary region, and L1CAM is hypothalamic during human development.
Neonatal Screening for Congenital Hypothyroidism: What Can We Learn From Discordant Twins?
The study of screening discordant twin pairs showed a high concordance for CH, the importance of follow-up in both twins in the pair, and the role of nongenetic factors in the etiology of permanent CH.
Cardiorespiratory Fitness May Influence Metabolic Inflexibility During Exercise in Obese Persons
Obese individuals have lower maximal fat oxidation values during exercise per unit of metabolically active tissue independently of age, sex, or cardiorespiratory fitness.
Predictors of Poor Bone Microarchitecture Assessed by Trabecular Bone Score in Postsurgical Hypoparathyroidism
This study describes clinical, laboratory, and densitometric characteristics of patients with postsurgical hypoparathyroidism, correlating the results with TBS values, and presents data on fractures.
Glucocorticoid Replacement Affects Serum Adiponectin Levels and HDL-C in Patients With Secondary Adrenal Insufficiency
Intrinsic adrenal function and glucocorticoid replacement dose alter serum levels of adiponectin and high-density lipoprotein–cholesterol in patients with secondary adrenal insufficiency.
Risk Prediction Scores for Mortality, Cerebrovascular, and Heart Disease Among Chinese People With Type 2 Diabetes
We developed and externally validated parsimonious risk scores (HKU-SG) in two large Chinese population-based cohorts to allow wider implementation of risk estimation in diverse Chinese settings.
Differential Effects of Oral Boluses of Vitamin D2 vs Vitamin D3 on Vitamin D Metabolism: A Randomized Controlled Trial
Data from this randomized controlled trial show that vitamin D2 reduces 25-hydroxylation of vitamin D3 and 1-α hydroxylation of 25(OH)D3, and increases 24R-hydroxylation of 25(OH)D3.
68Ga-Exendin-4 PET/CT Detects Insulinomas in Patients With Endogenous Hyperinsulinemic Hypoglycemia in MEN-1
An evaluation of the feasibility and sensitivity of 68Ga-exendin-4 PET/CT in the detection of relevant lesions in patients with MEN-1 and hypogylcemia in comparison with MRI.
Association Between Maternal Thyroid Hormones and Birth Weight at Early and Late Pregnancy
Our results indicate that a maternal low FT4 and high maternal T3 are associated with a higher risk of LGA newborns, with additive effects for persistence of high FT4 from early to late pregnancy.
Three Discrete Patterns of Primary Aldosteronism Lateralization in Response to Cosyntropin During Adrenal Vein Sampling
We illustrate the patterns of aldosterone lateralization in response to cosyntropin stimulation during AVS and show that disease severity and aldosterone-driver mutations affect these patterns.
Pregnancy and Live Birth In Women With Pathogenic LHCGR Variants Using Their Own Oocytes
This study reports successful assisted reproduction treatment of women with LHCGR mutations using their own oocytes.
Treatment of Menopausal Vasomotor Symptoms With Fezolinetant, a Neurokinin 3 Receptor Antagonist: A Phase 2a Trial
This study evaluated fezolinetant for the treatment of vasomotor symptoms in menopausal women. Treatment of 12 weeks reduced frequency and severity of vasomotor symptoms and improved quality of life.
Clinical Course of Nonfunctional Pituitary Microadenoma in Children: A Single-Center Experience
This study examined the clinical course of incidentally identified pituitary microadenomas in children, revealing a benign course. Patients can be followed clinically with infrequent or no imaging.
The Role of Serum Procalcitonin in Predicting Bacterial Sepsis in Patients With Hypothyroidism
This study showed no difference in the test performance of serum PCT for predicting bacterial sepsis in patients with hypothyroidism.
Genetic Evidence of the Association of DEAH-Box Helicase 37 Defects With 46,XY Gonadal Dysgenesis Spectrum
Description of a gene DHX37 involved in gonadal dysgenesis etiology, especially in embryonic testicular regression syndrome.
Continuous Free Cortisol Profiles—Circadian Rhythms in Healthy Men
The present landmark study measured SC free cortisol profiles continuously for 72 hours in free living healthy individuals, paving the way for ambulatory monitoring of diseases of the HPA axis.
National Treatment Practice for Adrenocortical Carcinoma: Have They Changed and Have We Made Any Progress?
Since 2007, adjuvant chemotherapy has been used more frequently for patients with resectable ACC. Survival for patients who undergo surgery with adjuvant chemotherapy has improved but remains low.
Association of Maternal Iodine Status With Child IQ: A Meta-Analysis of Individual Participant Data
This meta-analysis of individual participant data showed that a lower urinary iodine/creatinine ratio during pregnancy was associated with lower verbal IQ up to the 14th week of gestation.
Hydroxylated Long-Chain Acylcarnitines are Biomarkers of Mitochondrial Myopathy
Plasma concentrations of 35 acylcarnitines was measured in 35 patients with mitochondrial myopathy. Derangements with a specific pattern involving hydroxylated long-chain acylcarnitines were observed.
Switching to Degludec From Other Basal Insulins Is Associated With Reduced Hypoglycemia Rates: A Prospective Study
The Results From Real-World Clinical Treatment With Tresiba study demonstrated that use of degludec was associated with significantly lower hypoglycemia rates and better glycemic control in patients switching from other basal insulins.
Fatty Acid–Binding Protein 4 and Risk of Type 2 Diabetes, Myocardial Infarction, and Stroke: A Prospective Cohort Study
This prospective cohort study found an association between higher serum FABP4 concentrations and a higher risk of incident T2D in the study population overall and a higher risk of stroke in men.
Longitudinal Phenotypes of Type 1 Diabetes in Youth Based on Weight and Glycemia and Their Association With Complications
Clusters of youth with type 1 diabetes based on BMI z score and hbA1c measures over the first decade of diabetes are associated with different early and subclinical diabetes complications.
Neither Hormonal Factors Nor AGEs Explain Lower Prostate Cancer Risk in Older Men With Diabetes Mellitus
In a cohort of older men, diabetes mellitus was associated with a lower risk of prostate cancer. This was not mediated through sex hormones, IGF1 or its binding proteins, glucose, HOMA2-IR, or AGEs.
Maternal Thyroid Function, Use of Antithyroid Drugs in Early Pregnancy, and Birth Defects
The risk of birth defects after early pregnancy exposure to antithyroid drugs and abnormal maternal thyroid function was evaluated in a Danish nationwide register-based cohort and in birth cohorts.
Endogenous Circadian Regulation of Female Reproductive Hormones
Endogenous circadian rhythms in reproductive hormones are more robust during the follicular compared with the luteal phase of the menstrual cycle and persist under standard sleep-wake conditions.
Factors Associated With Diagnosis and Treatment of Thyroid Microcarcinomas
Linking SEER data to patient surveys revealed thyroid microcarcinomas are more likely to be detected by thyroid ultrasound and patients were less likely to have surgery for known cancer.
Denosumab in Patients With Fibrous Dysplasia Previously Treated With Bisphosphonates
Denosumab 60 mg given subcutaneously every 3 months decreased bone pain and serum markers of bone turnover and was well tolerated in 12 patients with severe bisphosphonate-refractory fibrous dysplasia.
Sex Hormone Phenotypes in Young Girls and the Age at Pubertal Milestones
Longitudinal sex hormone phenotypes were identified in young girls using principal component and cluster analysis. The age of pubertal milestones differed by the phenotypes.
Intramyocardial Triglycerides Among Women With vs Without HIV: Hormonal Correlates and Functional Consequences
ART-treated WHIV exhibit increased intramyocardial triglyceride content in relation to decreased diastolic function. Therapies targeting myocardial steatosis may warrant investigation among WHIV.
Hypothalamic-Pituitary Disorders in Childhood Cancer Survivors: Prevalence, Risk Factors and Long-Term Health Outcomes
In a large cohort of systematically assessed childhood cancer survivors, associations between HP disorders, tumor and treatment variables, and adverse health outcomes were elicited.
Surgical Management, Preoperative Tumor Localization, and Histopathology of 80 Patients Operated on for Insulinoma
We present data on imaging and histopathology in a large cohort of consecutive benign and malignant insulinomas.
Association Between Vitamin D, Frailty, and Progression of Frailty in Community-Dwelling Older Women
In this prospective cohort study of 75-year-old women followed for 10 years, women with 25OHD insufficiency were frailer at all assessment points but 25OHD was not associated with frailty progression.
Carriers of a Classic CYP21A2 Mutation Have Reduced Mortality: A Population-Based National Cohort Study
Obligate carriers of a CYP21A2 mutation, parents of patients with CAH, have a lower mortality than the general population, HR 0.79 P = 0.002, the cause of death less often being an infection.
Epigenetic Reprogramming of Immune Cells in Women With PCOS Impact Genes Controlling Reproductive Function
PCOS is associated with global and genome-wide DNA methylation remodeling in a cell type–specific manner, providing new insights into pathways that have previously been unexplored.
Hepatic Fatty Acid Balance and Hepatic Fat Content in Humans With Severe Obesity
We found that excess liver fat is related to limited VLDL-TG secretion, not greater hepatic uptake of plasma free fatty acids, in nondiabetic patients with severe obesity.
Gene Expression in Granulosa Cells From Small Antral Follicles From Women With or Without Polycystic Ovaries
Follicle arrest in PCOS is characterized in GCs by differential regulation of genes involved in follicle growth and function: LHCGR, FSHR, AR, CYP11A1, CYP19A1, STAR, and INHBA.
Nivolumab in Metastatic Adrenocortical Carcinoma: Results of a Phase 2 Trial
Nivolumab demonstrated modest antitumor activity among patients with advanced ACC. The safety profile was consistent with previous clinical experience without unexpected adverse events in this population.
Longitudinal Changes in Fasting and Glucose-Stimulated GLP-1 and GIP in Healthy Older Subjects
In healthy older subjects healthy aging is associated with reductions in fasting GLP-1 and GIP, and glucose-stimulated GLP-1.
Overeating Saturated Fat Promotes Fatty Liver and Ceramides Compared With Polyunsaturated Fat: A Randomized Trial
We show the importance of dietary fat type on liver fat accumulation and ceramides during overfeeding-induced weight gain in 61 overweight men and women.
Augmented Corneal Nerve Fiber Branching in Painful Compared With Painless Diabetic Neuropathy
Corneal nerve branching was enhanced in painful compared with painless diabetic neuropathy; the degree of corneal nerve fiber loss did not differ between the two entities.
Genetics of Congenital Isolated TSH Deficiency: Mutation Screening of the Known Causative Genes and a Literature Review
A systematic genetic screen in patients with congenital isolated TSH deficiency was performed, revealing about half of them had any genetic defects. The IGSF1 defect was the leading cause.
Prostate-Specific Antigen Levels During Testosterone Treatment of Hypogonadal Older Men: Data from a Controlled Trial
Older hypogonadal men were treated with testosterone or placebo gel for 12 months. Testosterone treatment increased PSA levels ≥1.7 ng/mL in 5% of men and ≥3.4 ng/mL in 2.5% of men.
Apolipoprotein(a) Kinetics in Statin-Treated Patients With Elevated Plasma Lipoprotein(a) Concentration
Statin-treated patients with elevated Lp(a) remain at high risk of cardiovascular disease. Our findings suggest this is a consequence of increased production of Lp(a) particles in these patients.
PLIN2 Functions As a Novel Link Between Progesterone Signaling and Metabolism in Uterine Leiomyoma Cells
Loss of PLIN2, a target gene of progesterone receptor signaling, increases leiomyoma metabolic activity and reprograms leiomyoma cells to a pro-proliferative phenotype.
Levothyroxine Replacement in Obese Adults: The Role of Metabolic Variables and Aging on Thyroid Testing Abnormalities
Rates of over- and undertreatment are milder in obese LT4 users than reference nonobese populations and improve with aging. Age, body composition, and sex influence LT4 requirements in obesity.
Letters to the Editor
Letter to the Editor: “Why We Should Still Treat by Neurosurgery Patients With Cushing Disease and a Normal or Inconclusive Pituitary MRI”
Response to Letter to the Editor: “Why We Should Still Treat by Neurosurgery Patients With Cushing Disease and a Normal or Inconclusive Pituitary MRI”
Letter to the Editor: “Further Nonvertebral Fracture Reduction Beyond 3 Years for Up to 10 Years of Denosumab Treatment”
Response to Letter to the Editor: “Further Nonvertebral Fracture Reduction Beyond 3 Years for Up to 10 Years of Denosumab Treatment”
Letter to the Editor: “Central Precocious Puberty as a Presenting Sign of Nonclassical Congenital Adrenal Hyperplasia: Clinical Characteristics”
Response to Letter to the Editor: “Central Precocious Puberty as a Presenting Sign of Nonclassical Congenital Adrenal Hyperplasia: Clinical Characteristics”
Letter to the Editor: “Clinical but Not Histological Outcomes in Males With 45,X/46,XY Mosaicism Vary Depending on Reason for Diagnosis”
Response to Letter to the Editor: “Clinical but Not Histological Outcomes in Males With 45,X/46,XY Mosaicism Vary Depending on Reason for Diagnosis”
Letter to the Editor: “Two-Thirds of All Fractures Are Not Attributable to Osteoporosis and Advancing Age: Implications for Fracture Prevention”
Response to Letter to the Editor: “Two-Thirds of All Fractures Are Not Attributable to Osteoporosis and Advancing Age: Implications for Fracture Prevention”
Letter to the Editor: “Comparison of Teriparatide and Denosumab in Patients Switching from Long-Term Bisphosphonate Use”
Letter to the Editor: “Association of Maternal Iodine Status With Child IQ: A Meta-Analysis of Individual-Participant Data”
Print Abstracts—Full Content Online Only
Case Report
Mobile DNA in Endocrinology: LINE-1 Retrotransposon Causing Partial Androgen Insensitivity Syndrome
We present data from a family with 46,XY PAIS with a complex defect (∼1100 bp) in the 5′UTR AR. It was caused by a LINE-1 insertion in the 5′UTR of the AR gene disrupting AR expression.
Clinical Research Articles
Mifepristone Treatment in Four Cases of Primary Bilateral Macronodular Adrenal Hyperplasia (BMAH)
Mifepristone treatment may be an effective alternative to bilateral adrenalectomy in patients with hypercortisolism due to primary BMAH.
Testosterone and Estrone Increase From the Age of 70 Years: Findings From the Sex Hormones in Older Women Study
This study shows that estrone and testosterone increase in women after 70 years of age and that testosterone levels in women aged 70 years or more are similar to levels measured in premenopausal women.
Higher Serum Sex Hormone–Binding Globulin Levels Are Associated With Incident Cardiovascular Disease in Men
A prospective study of associations of SHBG and TT with incident CVD in community-dwelling men found that elevated SHBG and low TT are independently associated with an increased risk of incident CVD.
Aldosterone Stimulates Its Biosynthesis Via a Novel GPER-Mediated Mechanism
In human adrenocortical carcinoma cell line HAC15 and strips obtained ex vivo from aldosterone-producing adenoma, aldosterone increased CYP11B2 gene and protein expression via GPER receptor.
Diet-Dependent Acid Load—The Missing Link Between an Animal Protein–Rich Diet and Nonalcoholic Fatty Liver Disease?
In this population-based cohort (n = 3882), there is a nonlinear, independent association between dietary acid load and NAFLD, which may explain the previously found link between animal protein and NAFLD.
Contribution of Asian Haplotype of KCNJ18 to Susceptibility to and Ethnic Differences in Thyrotoxic Periodic Paralysis
Genetic association of a major Asian haplotype of KCNJ18 with TPP, suggests the contribution of the haplotype to the high prevalence of TPP in Asian populations.
Exosome-Transmitted lncRNA H19 Inhibits the Growth of Pituitary Adenoma
We found that exosomal H19 could inhibit the growth of distal tumor cells. Plasma exosomal H19 may serve as an important biomarker for predicting medical responses of patients with prolactinomas.
Plasma Metabolomics to Identify and Stratify Patients With Impaired Glucose Tolerance
Comprehensive molecular profiling of plasma samples improved classification and stratification of subjects with IGT over and above clinical measures.
Quantitative Differences in TGF-β Family Members Measured in Small Antral Follicle Fluids From Women With or Without PCO
Concentrations of 10 TGF-β family members in small antral follicle fluids from women with or without PCOs highlight endocrinological characteristics that may be related to aberrant follicle growth.
MiR-137's Tumor Suppression on Prolactinomas by Targeting MITF and Modulating Wnt Signaling Pathway
MiR-137 inhibits cell proliferation, invasion, and survivals of prolactinomas by targeting MITF in vivo and in vitro. Wnt signaling pathway was involved in tumor suppression of miR-137.
Investigating Intestinal Glucagon After Roux-en-Y Gastric Bypass Surgery
In obese individuals after RYGB surgery, glucagon concentrations were increased in postprandial plasma samples and gut biopsy specimens, which also harbored cells costained for GLP-1 and glucagon.
Measurement of Salivary Adrenal-Specific Androgens as Biomarkers of Therapy Control in 21-Hydroxylase Deficiency
Plasma and salivary concentrations of adrenal-specific 11-oxygenated C19 androgens closely correlate and are promising biomarkers for noninvasive therapy monitoring in congenital adrenal hyperplasia.