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Original Article
Thyroid
Investigating Birth and Thyroid Outcomes of Maternal-Fetal Environmental Exposures (IBM-E): A Cohort Protocol for Dietary Iodine and Endocrine Disruptors
Yun Ji Jung, Jeong Eun Shin, Ju-hee Yoon, Suhra Kim, Hayan Kwon, Sungbo Shim, Dong Yeob Shin, Minseo Gim, Younglim Kho, JoonHo Lee
Endocrinol Metab. 2025;40(6):940-949.   Published online September 25, 2025
DOI: https://doi.org/10.3803/EnM.2025.2475
  • 1,183 View
  • 70 Download
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Endocrine-disrupting chemicals (EDCs) are environmental pollutants that may impair maternal and fetal health by disrupting hormonal systems, including the thyroid. Both iodine deficiency and excess are associated with thyroid dysfunction and adverse obstetrical outcomes. However, the combined impacts of EDCs and iodine exposure on maternal-fetal thyroid homeostasis remain undetermined. We established the Investigating Birth and Thyroid Outcomes of Maternal-Fetal Environmental Exposures (IBM-E) cohort to prospectively assess the effects of maternal exposures to dietary iodine and EDCs on thyroid function, pregnancy complications, and offspring growth and development.
Methods
In this prospective observational study, we aim to enroll 556 pregnant women between 2024 and 2027 at a tertiary hospital in Korea. Maternal blood and urine samples will be collected at six time points, spanning from early pregnancy through 15 months postpartum, with infant samples collected at three time points. EDCs will be quantified using ultra-high performance liquid chromatography-tandem mass spectrometry. Thyroid function and urinary iodine concentration will be measured in both mothers and infants.
Results
As of the current interim analyses of 193 mothers and 229 neonates, 15.0% of mothers had thyroid dysfunction and 11.4% developed preeclampsia. Preterm birth occurred in 23.8% of cases, and 16.6% of neonates were small for gestational age.
Conclusion
The IBM-E cohort is designed to enable the longitudinal assessment of gestational environmental exposures and their potential impacts on maternal and fetal thyroid function, as well as pregnancy and neonatal outcomes. The findings of this study may inform preventive strategies and guide policy development in perinatal environmental health.
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Songwon Lecture 2024
Diabetes, obesity and metabolism
Gestational Diabetes Mellitus: Mechanisms Underlying Maternal and Fetal Complications
Jooyeop Lee, Na Keum Lee, Joon Ho Moon
Endocrinol Metab. 2025;40(1):10-25.   Published online January 23, 2025
DOI: https://doi.org/10.3803/EnM.2024.2264
  • 20,415 View
  • 778 Download
  • 18 Web of Science
  • 30 Crossref
AbstractAbstract PDFPubReader   ePub   
Gestational diabetes mellitus (GDM) affects over 10% of all pregnancies, both in Korea and worldwide. GDM not only increases the risk of adverse pregnancy outcomes such as preeclampsia, preterm birth, macrosomia, neonatal hypoglycemia, and shoulder dystocia, but it also significantly increases the risk of developing postpartum type 2 diabetes mellitus and cardiovascular disease in the mother. Additionally, GDM is linked to a higher risk of childhood obesity and diabetes in offspring, as well as neurodevelopmental disorders, including autistic spectrum disorder. This review offers a comprehensive summary of clinical epidemiological studies concerning maternal and fetal complications and explores mechanistic investigations that reveal the underlying pathophysiology.

Citations

Citations to this article as recorded by  
  • Examining the Impact of Preconception Physical Activity on Offspring Outcomes Linked to Obesity
    Nicholas O’Rourke, Luba Marderfeld, Arthur Dantas, Abbey E. Corson, Meaghan MacDonald, Zachary M. Ferraro, Taniya S. Nagpal, Kristi B. Adamo
    Current Obesity Reports.2026;[Epub]     CrossRef
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    Viktoria Xega, Jun-Li Liu
    Metabolism and Diseases.2026; 1(1): 100002.     CrossRef
  • Advanced image processing and pattern-matching algorithms assisted enzyme/hydrogel platform for dual-signal detection of glucose
    Yeping Wang, Zhanwei Liang, Haixia Xu, Ye Wang, Weiwei Qu, Yanjun Hu, Kaixin Chen, Tao Peng, Xiaoqing Li, Lidong Wu
    Talanta.2026; 303: 129484.     CrossRef
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    Manman Zhu, Hao Yang, Bo Feng, Yi Jiang, Yaoyao Zhang
    Psychiatry Research.2026; 358: 116987.     CrossRef
  • A unified machine learning framework for gestational diabetes mellitus diagnosis
    Ahmad Hassan, Saima Gulzar Ahmad, Ehsan Ullah Munir, Hassan Rabah, Slavisa Jovanovic, Naeem Ramzan
    Discover Applied Sciences.2026;[Epub]     CrossRef
  • Tight versus less tight glycaemic targets for women with gestational diabetes mellitus: a randomised controlled trial
    Polina V. Popova, Elena A. Vasukova, Alexandra S. Tkachuk, Anna D. Anopova, Irina S. Nemikina, Elena V. Verbitskaya, Angelina I. Eriskovskaya, Elena Y. Vasilieva, Irina E. Zazerskaya, Ofeliia A. Bettikher, Olga A. Li, Tatiana M. Pervunina, Viswanathan Moh
    Diabetes Research and Clinical Practice.2026; 234: 113151.     CrossRef
  • Inflammatory mediators linking periodontal disease and gestational diabetes mellitus: biological plausibility and clinical implications
    Mai Ahmed, Dada Oluwaseyi Temilola, Mushi Matjila, Manogari Chetty
    Periodontal and Implant Research.2026;[Epub]     CrossRef
  • Postpartum Glucose Intolerance in Women with a History of Gestational Diabetes Mellitus: An In-Depth Review
    Kyung-Soo Kim, Soo-Kyung Kim, Yong-Wook Cho
    Endocrinology and Metabolism.2026; 41(1): 26.     CrossRef
  • Dose-response relationship between early pregnancy blood pressure and gestational diabetes mellitus based on propensity score matching: a retrospective study
    Rongrong Han, Yanqiang Guo, Minqiang Zhang, Jinhua Pan
    BMC Pregnancy and Childbirth.2026;[Epub]     CrossRef
  • The impact of gestational diabetes mellitus on fetal neural development: A systematic review
    Zenia Safwan, Emaan Ijaz, Hafsa Shamim, Arooj Fatima, Ashfaq Ahmad, Ahmed Murtaz Khalid
    Brain and Development.2026; 48(2): 104521.     CrossRef
  • Long-term risk of offspring type 1 and type 2 diabetes following maternal gestational diabetes mellitus: a nationwide birth cohort study with 10-year follow-up
    Joon Ho Moon, Han Na Jung, Bongseong Kim, Jaehyun Kim, Young Mi Jung, Hyeon Ji Kim, Jee Yoon Park, Tae Jung Oh, Soo Heon Kwak, Kyung-Do Han, Sung Hee Choi
    BMC Medicine.2026;[Epub]     CrossRef
  • Umbilical cord asprosin and subfatin levels in relation to neonatal metabolic outcomes in gestational diabetes mellitus: a cross-sectional study
    Figen Efe Camili, Ozlem Kemer Aycan, Merve Akis Yilmaz, Bayram Burak Ceviz, Selim Afsar, Gurhan Guney, Mine Islimye Taskin
    BMC Endocrine Disorders.2026;[Epub]     CrossRef
  • Small Extracellular Vesicles in Gestational Diabetes Mellitus: Current Landscape and Emerging Diagnostic Horizons
    Mai Ahmed, Dada Oluwaseyi Temilola, Mushi Matjila, Manogari Chetty
    Journal of Extracellular Biology.2026;[Epub]     CrossRef
  • The Economic Burden of Gestational Diabetes and Body Mass Index Changes Between Pregnancies: A Retrospective Cohort Study
    Rashidul Alam Mahumud, Glynis Pauline Ross, Adam Mackie, Rachael L. Morton, Kirsten I. Black
    BJOG: An International Journal of Obstetrics & Gynaecology.2026;[Epub]     CrossRef
  • Unveiling Gestational Diabetes: An Overview of Pathophysiology and Management
    Rahul Mittal, Karan Prasad, Joana R. N. Lemos, Giuliana Arevalo, Khemraj Hirani
    International Journal of Molecular Sciences.2025; 26(5): 2320.     CrossRef
  • Advancing Early Prediction of Gestational Diabetes Mellitus with Circular RNA Biomarkers
    Joon Ho Moon, Sung Hee Choi
    Diabetes & Metabolism Journal.2025; 49(3): 403.     CrossRef
  • Exploring the Vertical Transmission of Exosomes in Diagnostic and Therapeutic Targets for Pregnancy Complications
    Shrikrishna Bhagat, Rakshith Hanumanthappa, Ketki Bhokare, Neelabh Datta, Nidhi Vastrad, M. David, N. Maharaj, Krishnan Anand
    ACS Biomaterials Science & Engineering.2025; 11(9): 5157.     CrossRef
  • Prevalence of Cardiovascular Functional Anomalies in Large-for-Gestational-Age (LGA) Fetuses by Fetal Echocardiography
    Łucja Hanna Biały, Oskar Sylwestrzak, Julia Murlewska, Łukasz Sokołowski, Iwona Strzelecka, Maria Respondek-Liberska
    Journal of Clinical Medicine.2025; 14(13): 4500.     CrossRef
  • The Relationship Between Gestational Diabetes, Emotional Eating, and Clinical Indicators
    Tuğçe Taşar Yıldırım, Çiğdem Akçabay, Sevler Yıldız, Gülşen Kutluer
    Medicina.2025; 61(8): 1447.     CrossRef
  • Characteristics of the gut microbiota in gestational diabetes mellitus associated with poor dietary habits: An observational study
    Linhua Hu, Hongli Liu, Fengbing Liang, Zhi Du, Shudan Jiang, Guoxia Chen, Xiaoting Fang, Lixia Bi
    Medicine.2025; 104(33): e43752.     CrossRef
  • Neurodevelopmental trajectories in well-controlled gestational diabetes mellitus offspring: No differences were found at the 6- and 12-month assessments
    Jing Peng, Huazhang Miao, Li Zhang, Jing Jin, Lirong He, Dongdong Xue, Yong Guo, Guocheng Liu
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • Activation of GPR39 Ameliorates Placental Dysfunction by Inhibiting Activation of NLRP1 Inflammasome in Gestational Diabetes Mellitus
    Xiaohua Zhou, Hong Sun
    Clinical and Experimental Pharmacology and Physiology.2025;[Epub]     CrossRef
  • Impact of Maternal Obesity on Neonatal TSH Levels: A Prospective Study on the Influence of BMI
    Gökçe Çıplak, Gülsüm Kadıoğlu Şimşek, Özhan Akyol, Aylin Kayalı Akyol, Hayriye Gözde Kanmaz Kutman, Fuat Emre Canpolat
    American Journal of Perinatology.2025;[Epub]     CrossRef
  • Early spontaneous movements in full-term infants exposed to gestational diabetes mellitus
    Büşra Kepenek-Varol, Osman Baştuğ, Ahmet Özdemi̇r, Özlem Menevşe
    Infant Behavior and Development.2025; 81: 102156.     CrossRef
  • Diagnostic performance of PAPP-A and β-hCG in early detection of gestational diabetes mellitus: a meta-analysis
    Maryam Rahimi, Ladan Haghighi, Mostafa Majidnia, Babak Ghadirzadeh, Yousef Moradi
    Acta Diabetologica.2025;[Epub]     CrossRef
  • Chrononutrition in Gestational Diabetes: Toward Precision Timing in Maternal Care
    Viktoria Xega, Jun-Li Liu
    Journal of Personalized Medicine.2025; 15(11): 534.     CrossRef
  • Protective effects of berberine-loaded chitosan/solid lipid nanoparticles in streptozotocin-induced gestational diabetes mellitus rats
    Yu Liu, Shaik Althaf Hussain, Hua Yue
    Experimental Biology and Medicine.2025;[Epub]     CrossRef
  • The Characteristics of Course of Pregnancy and Perinatal Outcomes in Women with Gestation Diabetes Mellitus (The Results of Ten-Years Research)
    N. V. Batrak, I. V. Ivanova
    Problems of Social Hygiene, Public Health and History of Medicine.2025; 33(6): 1414.     CrossRef
  • Is metformin therapy in conjunction with lifestyle modifications more effective than lifestyle modifications alone in lowering the risk of gestational diabetes mellitus in pregnant women with metabolic dysfunction-associated steatotic liver disease (MASLD
    Venkatachalam Jayaseelan, Murali Subbaiah, Kalaiselvy Arikrishnan, Ramkumar Govindarajalu, Sabita Pulavarthi, Nivedita Nanda, Khadeeja Nasreen Vadakkepeediyakkal, Pazhanivel Mohan, Gayathri Murugesan Sivagurunathan, Mohammed Kais Musthafa, Mahadevan Durai
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Original Article
Adrenal gland
Subunit-Specific Developmental Roles of PI3K in SF1-Expressing Cells
My Khanh Q. Huynh, Sang Hee Lyoo, Dong Joo Yang, Yun-Hee Choi, Ki Woo Kim
Endocrinol Metab. 2024;39(5):793-802.   Published online August 30, 2024
DOI: https://doi.org/10.3803/EnM.2024.1999
  • 2,760 View
  • 66 Download
AbstractAbstract PDFPubReader   ePub   
Background
Phosphatidylinositol 3-kinase (PI3K) regulates cellular development and energy homeostasis. However, the roles of its subunits in organ development remain largely unknown.
Methods
We explored the roles of PI3K catalytic subunits in steroidogenic factor 1 (SF1)-expressing cells through knockout (KO) of the p110α and p110β subunits.
Results
We examined mice with a double KO of p110α and p110β in SF1-expressing cells (p110αβ KOSF1). Although these animals exhibited no significant changes in the development of the ventromedial hypothalamus, we noted pronounced hypotrophy in the adrenal cortex, testis, and ovary. Additionally, corticosterone and aldosterone levels were significantly reduced. The absence of these subunits also resulted in decreased body weight and survival rate, along with impaired glucose homeostasis, in p110αβ KOSF1 mice.
Conclusion
The data demonstrate the specific roles of PI3K catalytic subunits in the development and function of SF1-expressing organs.
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Brief Report
Diabetes, Obesity and Metabolism
Sestrin2 Regulates Beneficial β3-Adrenergic Receptor-Mediated Effects Observed in Inguinal White Adipose Tissue and Soleus Muscle
Min Jeong Park, Joo Won Kim, Eun Roh, Kyung Mook Choi, Sei Hyun Baik, Hwan-Jin Hwang, Hye Jin Yoo
Endocrinol Metab. 2022;37(3):552-557.   Published online June 29, 2022
DOI: https://doi.org/10.3803/EnM.2022.1421
  • 5,301 View
  • 134 Download
  • 4 Web of Science
  • 4 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Sestrin2, a well-known adenosine monophosphate-activated protein kinase (AMPK) regulator, plays a protective role against metabolic stress. The β3-adrenergic receptor (β3AR) induces fat browning and inhibits muscle atrophy in an AMPK-dependent manner. However, no prior research has examined the relationship of sestrin2 with β3AR in body composition changes. In this study, CL 316,243 (CL), a β3AR agonist, was administered to wild-type and sestrin2-knockout (KO) mice for 2 weeks, and fat and muscle tissues were harvested. CL induced AMPK phosphorylation, expression of brown-fat markers, and mitochondrial biogenesis, which resulted in the reduction of lipid droplet size in inguinal white adipose tissue (iWAT). These effects were not observed in sestrin2-KO mice. In CL-treated soleus muscle, sestrin2-KO was related to decreased myogenic gene expression and increased levels of muscle atrophy-related molecules. Our results suggest that sestrin2 is associated with beneficial β3AR-mediated changes in body composition, especially in iWAT and in the soleus.

Citations

Citations to this article as recorded by  
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    Chae Young Hwang, Sang-Min Park, Hoyeon Lee, Seung-Min Lee, Jeong Yi Choi, Su-Jin Baek, Taeyoung Kim, Yong Ryoul Yang, Ki-Sun Kwon
    The Korean Journal of Physiology & Pharmacology.2026; 30(1): 19.     CrossRef
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    Clinical and Experimental Hypertension.2023;[Epub]     CrossRef
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    Xiaodan Zhang, Zirui Luo, Jiahong Li, Yaxuan Lin, Yu Li, Wangen Li
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
Close layer
Review Articles
Thyroid
Thyroid Function across the Lifespan: Do Age-Related Changes Matter?
John P. Walsh
Endocrinol Metab. 2022;37(2):208-219.   Published online April 14, 2022
DOI: https://doi.org/10.3803/EnM.2022.1463
  • 24,329 View
  • 554 Download
  • 29 Web of Science
  • 35 Crossref
AbstractAbstract PDFPubReader   ePub   
Circulating concentrations of thyrotropin (TSH) and thyroxine (T4) are tightly regulated. Each individual has setpoints for TSH and free T4 which are genetically determined, and subject to environmental and epigenetic influence. Pituitary-thyroid axis setpoints are probably established in utero, with maturation of thyroid function continuing until late gestation. From neonatal life (characterized by a surge of TSH and T4 secretion) through childhood and adolescence (when free triiodothyronine levels are higher than in adults), thyroid function tests display complex, dynamic patterns which are sexually dimorphic. In later life, TSH increases with age in healthy older adults without an accompanying fall in free T4, indicating alteration in TSH setpoint. In view of this, and evidence that mild subclinical hypothyroidism in older people has no health impact, a strong case can be made for implementation of age-related TSH reference ranges in adults, as is routine in children.

Citations

Citations to this article as recorded by  
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    Frontiers in Endocrinology.2026;[Epub]     CrossRef
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  • Hypothyroidism
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  • Thyroid dysfunction among patients assessed by thyroid function tests at a tertiary care hospital: a retrospective study
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    Nicole Lafontaine, Scott G Wilson, John P Walsh
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  • A Causality between Thyroid Function and Bone Mineral Density in Childhood: Abnormal Thyrotropin May Be Another Pediatric Predictor of Bone Fragility
    Dongjin Lee, Moon Ahn
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  • Serum Lipidomic Analysis Reveals Biomarkers and Metabolic Pathways of Thyroid Dysfunction
    Hua Dong, Wenjie Zhou, Xingxu Yan, Huan Zhao, Honggang Zhao, Yan Jiao, Guijiang Sun, Yubo Li, Zuncheng Zhang
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  • Developmental and environmental modulation of fecal thyroid hormone levels in wild Assamese macaques (Macaca assamensis)
    Verena Behringer, Michael Heistermann, Suchinda Malaivijitnond, Oliver Schülke, Julia Ostner
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  • Prevalence of Functional Alterations and the Effects of Thyroid Autoimmunity on the Levels of TSH in an Urban Population of Colombia: A Population-Based Study
    Hernando Vargas-Uricoechea, Valentina Agredo-Delgado, Hernando David Vargas-Sierra, María V. Pinzón-Fernández
    Endocrine, Metabolic & Immune Disorders - Drug Targets.2023; 23(6): 857.     CrossRef
  • Genetic determinants of thyroid function in children
    Tessa A Mulder, Purdey J Campbell, Peter N Taylor, Robin P Peeters, Scott G Wilson, Marco Medici, Colin Dayan, Vincent V W Jaddoe, John P Walsh, Nicholas G Martin, Henning Tiemeier, Tim I M Korevaar
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  • Relationship between Thyroid CT Density, Volume, and Future TSH Elevation: A 5-Year Follow-Up Study
    Tomohiro Kikuchi, Shouhei Hanaoka, Takahiro Nakao, Yukihiro Nomura, Takeharu Yoshikawa, Md Ashraful Alam, Harushi Mori, Naoto Hayashi
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  • Thyroid Stimulating Hormone and Thyroid Hormones (Triiodothyronine and Thyroxine): An American Thyroid Association-Commissioned Review of Current Clinical and Laboratory Status
    Katleen Van Uytfanghe, Joel Ehrenkranz, David Halsall, Kelly Hoff, Tze Ping Loh, Carole A. Spencer, Josef Köhrle
    Thyroid®.2023; 33(9): 1013.     CrossRef
  • Blood hormones and suicidal behaviour: A systematic review and meta-analysis
    Xue-Lei Fu, Xia Li, Jia-Mei Ji, Hua Wu, Hong-Lin Chen
    Neuroscience & Biobehavioral Reviews.2022; 139: 104725.     CrossRef
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Thyroid
The Role of Thyroid Hormone in the Regulation of Cerebellar Development
Sumiyasu Ishii, Izuki Amano, Noriyuki Koibuchi
Endocrinol Metab. 2021;36(4):703-716.   Published online August 9, 2021
DOI: https://doi.org/10.3803/EnM.2021.1150
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  • 208 Download
  • 13 Web of Science
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AbstractAbstract PDFPubReader   ePub   
The proper organized expression of specific genes in time and space is responsible for the organogenesis of the central nervous system including the cerebellum. The epigenetic regulation of gene expression is tightly regulated by an intrinsic intracellular genetic program, local stimuli such as synaptic inputs and trophic factors, and peripheral stimuli from outside of the brain including hormones. Some hormone receptors are expressed in the cerebellum. Thyroid hormones (THs), among numerous circulating hormones, are well-known major regulators of cerebellar development. In both rodents and human, hypothyroidism during the postnatal developmental period results in abnormal morphogenesis or altered function. THs bind to the thyroid hormone receptors (TRs) in the nuclei and with the help of transcriptional cofactors regulate the transcription of target genes. Gene regulation by TR induces cell proliferation, migration, and differentiation, which are necessary for brain development and plasticity. Thus, the lack of TH action mediators may directly cause aberrant cerebellar development. Various kinds of animal models have been established in a bid to study the mechanism of TH action in the cerebellum. Interestingly, the phenotypes differ greatly depending on the models. Herein we summarize the actions of TH and TR particularly in the developing cerebellum.

Citations

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    Federico Salas-Lucia
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    Yijun Yang, Silvia Anahi Valdés-Rives, Qing Liu, Tong Gao, Chakkapong Burudpakdee, Yuzhe Li, Jun Tan, Yinfei Tan, Christian A. Koch, Yuan Rong, Steven R. Houser, Shuanzeng Wei, Kathy Q. Cai, Jinhua Wu, Sheue-yann Cheng, Robert Wechsler-Reya, Zeng-jie Yang
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Original Articles
Adrenal Gland
Aldosterone Inhibits In Vitro Myogenesis by Increasing Intracellular Oxidative Stress via Mineralocorticoid Receptor
Jin Young Lee, Da Ae Kim, Eunah Choi, Yun Sun Lee, So Jeong Park, Beom-Jun Kim
Endocrinol Metab. 2021;36(4):865-874.   Published online July 30, 2021
DOI: https://doi.org/10.3803/EnM.2021.1108
  • 8,156 View
  • 131 Download
  • 10 Web of Science
  • 10 Crossref
AbstractAbstract PDFPubReader   ePub   
Background
Despite clinical evidence indicating poor muscle health in subjects with primary aldosteronism (PA), it is still unclear whether the role of aldosterone in muscle metabolism is direct or mediated indirectly via factors, such as electrolyte imbalance or impaired glucose uptake. As one approach to clarify this issue, we investigated the effect of aldosterone on in vitro myogenesis and the potential mechanism explaining it.
Methods
Myogenesis was induced in mouse C2C12 myoblasts with 2% horse serum. Immunofluorescence, quantitative reversetranscription polymerase chain reaction, Western blot, viability, and migration analyses were performed for experimental research.
Results
Recombinant aldosterone treatment suppressed muscle differentiation from mouse C2C12 myoblasts in a dose-dependent manner, and consistently reduced the expression of myogenic differentiation markers. Furthermore, aldosterone significantly increased intracellular reactive oxygen species (ROS) levels in myotubes, and treatment with N-acetyl cysteine, a potent biological thiol antioxidant, reversed the decrease of myotube area, myotube area per myotube, nucleus number per myotube, and fusion index due to aldosterone through decreasing oxidative stress. A binding enzyme-linked immunosorbent assay confirmed that mineralocorticoid receptor (MR) interacted with aldosterone in C2C12 myoblasts, while eplerenone, an MR inhibitor, blocked aldosterone-stimulated intracellular ROS generation during myogenesis and markedly attenuated the suppression of in vitro myogenesis by aldosterone.
Conclusion
These findings support the hypothesis that hypersecretion of aldosterone, like PA, directly contributes to muscular deterioration and suggest that antioxidants and/or MR antagonists could be effective therapeutic options to reduce the risk of sarcopenia in these patients.

Citations

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    Yasuhiro Izumiya
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    Jeonghoon Ha, Jung Hwan Park, Kyoung Jin Kim, Jung Hee Kim, Kyong Yeun Jung, Jeongmin Lee, Jong Han Choi, Seung Hun Lee, Namki Hong, Jung Soo Lim, Byung Kwan Park, Jung-Han Kim, Kyeong Cheon Jung, Jooyoung Cho, Mi-kyung Kim, Choon Hee Chung
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Endocrine Research
Effect of CCL11 on In Vitro Myogenesis and Its Clinical Relevance for Sarcopenia in Older Adults
Da Ae Kim, So Jeong Park, Jin Young Lee, Jeoung Hee Kim, Seungjoo Lee, Eunju Lee, Il-Young Jang, Hee-Won Jung, Jin Hoon Park, Beom-Jun Kim
Endocrinol Metab. 2021;36(2):455-465.   Published online April 14, 2021
DOI: https://doi.org/10.3803/EnM.2020.942
  • 8,905 View
  • 160 Download
  • 7 Web of Science
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AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
The C-C motif chemokine ligand 11 (CCL11) has been receiving attention as a potential pro-aging factor. Accordingly, it may be involved in muscle metabolism and sarcopenia, a key component of aging phenotypes. To clarify this potential, we investigated the effects of CCL11 on in vitro muscle biology and its clinical relevance for sarcopenia parameters in older adults.
Methods
Myogenesis was induced in mouse C2C12 myoblasts with 2% horse serum. Human blood samples were collected from 79 participants who underwent a functional assessment. Thereafter, CCL11 level was measured using a quantikine ELISA kit. Sarcopenia was defined using the Asian-specific guideline.
Results
Recombinant CCL11 treatment significantly stimulated myogenesis in a dose-dependent manner, and consistently increased the expression of myogenic differentiation markers. Among the C-C chemokine receptors (CCRs), CCR5, not CCR2 and CCR3, was predominantly expressed in muscle cells. Further, the CCR5 inhibitor blocked recombinant CCL11-stimulated myogenesis. In a clinical study, serum CCL11 level was not significantly different according to the status of sarcopenia, low muscle mass, weak muscle strength, and poor physical performance, and was not associated with skeletal muscle index, grip strength, short physical performance battery score, gait speed, and time to complete 5 chair stands, after adjusting for sex, age, and body mass index.
Conclusion
Contrary to expectations, CCL11 exerted beneficial effects on muscle metabolism at least in vitro system. However, its impact on human muscle health was not evident, suggesting that circulating CCL11 may not be a useful biomarker for sarcopenia risk assessment in older adults.

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  • Aldosterone Inhibits In Vitro Myogenesis by Increasing Intracellular Oxidative Stress via Mineralocorticoid Receptor
    Jin Young Lee, Da Ae Kim, Eunah Choi, Yun Sun Lee, So Jeong Park, Beom-Jun Kim
    Endocrinology and Metabolism.2021; 36(4): 865.     CrossRef
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Review Articles
Diabetes
Peptidyl and Non-Peptidyl Oral Glucagon-Like Peptide-1 Receptor Agonists
Hun Jee Choe, Young Min Cho
Endocrinol Metab. 2021;36(1):22-29.   Published online February 24, 2021
DOI: https://doi.org/10.3803/EnM.2021.102
  • 36,413 View
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  • 36 Web of Science
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AbstractAbstract PDFPubReader   ePub   
Glucagon-like peptide-1 (GLP-1) receptor agonists are efficacious glucose-lowering medications with salient benefits for body weight and cardiovascular events. This class of medications is now recommended as the top priority for patients with established cardiovascular disease or indicators of high risk. Until the advent of oral semaglutide, however, GLP-1 receptor agonists were available only in the form of subcutaneous injections. Aversion to needles, discomfort with self-injection, or skin problems at the injection site are commonly voiced problems in people with diabetes, and thus, attempts for non-invasive delivery strategies have continued. Herein, we review the evolution of GLP-1 therapy from its discovery and the development of currently approved drugs to the unprecedented endeavor to administer GLP-1 receptor agonists via the oral route. We focus on the pharmacokinetic and pharmacodynamic properties of the recently approved oral GLP-1 receptor agonist, oral semaglutide. Small molecule oral GLP-1 receptor agonists are currently in development, and we introduce how these chemicals have addressed the challenge posed by interactions with the large extracellular ligand binding domain of the GLP-1 receptor. We specifically discuss the structure and pharmacological properties of TT-OAD2, LY3502970, and PF-06882961, and envision an era where more patients could benefit from oral GLP-1 receptor agonist therapy.

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Adrenal gland
Embryonic Development and Adult Regeneration of the Adrenal Gland
Ji-Hoon Kim, Man Ho Choi
Endocrinol Metab. 2020;35(4):765-773.   Published online December 23, 2020
DOI: https://doi.org/10.3803/EnM.2020.403
  • 21,007 View
  • 676 Download
  • 30 Web of Science
  • 30 Crossref
AbstractAbstract PDFPubReader   ePub   
The adrenal gland plays a pivotal role in an organism’s health span by controlling the endocrine system. Decades of research on the adrenal gland have provided multiscale insights into the development and maintenance of this essential organ. A particularly interesting finding is that founder stem/progenitor cells participate in adrenocortical development and enable the adult adrenal cortex to regenerate itself in response to hormonal stress and injury. Since major advances have been made in understanding the dynamics of the developmental process and the remarkable regenerative capacity of the adrenal gland, understanding the mechanisms underlying adrenal development, maintenance, and regeneration will be of interest to basic and clinical researchers. Here, we introduce the developmental processes of the adrenal gland and discuss current knowledge regarding stem/progenitor cells that regulate adrenal cortex remodeling and regeneration. This review will provide insights into the fascinating ongoing research on the development and regeneration of the adrenal cortex.

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Close layer
Original Article
Clinical Study
Effects of Maternal Iodine Status during Pregnancy and Lactation on Maternal Thyroid Function and Offspring Growth and Development: A Prospective Study Protocol for the Ideal Breast Milk Cohort
Young Ah Lee, Sun Wook Cho, Ho Kyung Sung, Kyungsik Kim, Young Shin Song, Sin Je Moon, Jung Won Oh, Dal Lae Ju, Sooyeon Choi, Sang Hoon Song, Gi Jeong Cheon, Young Joo Park, Choong Ho Shin, Sue K. Park, Jong Kwan Jun, June-Key Chung
Endocrinol Metab. 2018;33(3):395-402.   Published online September 18, 2018
DOI: https://doi.org/10.3803/EnM.2018.33.3.395
  • 9,045 View
  • 107 Download
  • 4 Web of Science
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AbstractAbstract PDFPubReader   ePub   
Background

Iodine is an intrinsic element of thyroid hormone, which is essential for childhood growth and development. The Ideal Breast Milk (IBM) cohort study aims to evaluate the effects of maternal iodine status during pregnancy and lactation on maternal thyroid function, offspring growth and development, and offspring thyroid function.

Methods

The IBM cohort study recruited pregnant women from Seoul National University Hospital between June 2016 and August 2017, followed by enrollment of their offspring after delivery. For the maternal participants, iodine status is evaluated by urinary iodine concentration (UIC) and dietary records in the third trimester and at 3 to 4 weeks and 12 to 15 months postpartum. For the child participants, cord blood sampling and UIC measurements are performed at birth. At 3 to 4 weeks of age, UIC and breastmilk iodine concentrations are measured. At 12 to 15 months of age, growth and development are assessed and measurements of UIC, a thyroid function test, and ultrasonography are performed.

Results

A total of 198 pregnant women in their third trimester were recruited. Their mean age was 35.1±3.5 years, and 78 (39.4%) of them were pregnant with twins. Thirty-three (16.7%) of them had a previous history of thyroid disease.

Conclusion

Korea is an iodine-replete area. In particular, lactating women in Korea are commonly exposed to excess iodine due to the traditional practice of consuming brown seaweed soup postpartum. The study of the IBM cohort is expected to contribute to developing guidelines for optimal iodine nutrition in pregnant or lactating women.

Citations

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Close layer
Review Article
Adrenal gland
How to Establish Clinical Prediction Models
Yong-ho Lee, Heejung Bang, Dae Jung Kim
Endocrinol Metab. 2016;31(1):38-44.   Published online March 16, 2016
DOI: https://doi.org/10.3803/EnM.2016.31.1.38
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AbstractAbstract PDFPubReader   

A clinical prediction model can be applied to several challenging clinical scenarios: screening high-risk individuals for asymptomatic disease, predicting future events such as disease or death, and assisting medical decision-making and health education. Despite the impact of clinical prediction models on practice, prediction modeling is a complex process requiring careful statistical analyses and sound clinical judgement. Although there is no definite consensus on the best methodology for model development and validation, a few recommendations and checklists have been proposed. In this review, we summarize five steps for developing and validating a clinical prediction model: preparation for establishing clinical prediction models; dataset selection; handling variables; model generation; and model evaluation and validation. We also review several studies that detail methods for developing clinical prediction models with comparable examples from real practice. After model development and vigorous validation in relevant settings, possibly with evaluation of utility/usability and fine-tuning, good models can be ready for the use in practice. We anticipate that this framework will revitalize the use of predictive or prognostic research in endocrinology, leading to active applications in real clinical practice.

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    Laura L. Ekblad, Juha O. Rinne, Pauli Puukka, Hanna Laine, Satu Ahtiluoto, Raimo Sulkava, Matti Viitanen, Antti Jula
    Diabetes Care.2017; 40(9): e136.     CrossRef
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    Juan-Manuel Anaya, Carolina Duarte-Rey, Juan C. Sarmiento-Monroy, David Bardey, John Castiblanco, Adriana Rojas-Villarraga
    Autoimmunity Reviews.2016; 15(8): 833.     CrossRef
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    Eduard Poltavskiy, Dae Jung Kim, Heejung Bang
    Diabetes Research and Clinical Practice.2016; 118: 146.     CrossRef
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Original Article
Enhancement of Short-Term Memory by Methyl-6-(Phenylethynyl)-Pyridine in the BTBR T+tf/J Mouse Model of Autism Spectrum Disorder
Haijie Yang, Sung-Oh Huh, Jae Seung Hong
Endocrinol Metab. 2015;30(1):98-104.   Published online March 27, 2015
DOI: https://doi.org/10.3803/EnM.2015.30.1.98
  • 7,299 View
  • 46 Download
  • 10 Web of Science
  • 11 Crossref
AbstractAbstract PDFPubReader   
Background

Autism spectrum disorder (ASD) encompasses a range of disorders that are characterized by social and communication deficits and repetitive behaviors. This study evaluated the effect of methyl-6-(phenylethynyl)-pyridine (MPEP), an antagonist of the mGluR5 metabotropic glutamate receptor, on memory enhancement in the BTBR T+tf/J (BTBR) mouse strain, which has been recognized as a model of ASD.

Methods

The pharmacological effects of MPEP on memory and motor coordination were assessed using the Morris water maze and rotarod tests in BTBR and C57BL/6J (B6) mice. Furthermore, we performed morphological analyses of cerebellar foliation in BTBR and B6 mice using hematoxylin and eosin staining.

Results

MPEP-treated BTBR mice exhibited improved learning and memory in the Morris water maze test. MPEP administration also improved motor coordination in the rotarod test. However, no significant difference was observed regarding the numbers of Purkinje cells in the cerebella of BTBR versus normal B6 mice.

Conclusion

This study suggests that the mGluR5 antagonist MPEP has the potential to ameliorate learning and memory dysfunction and impaired motor coordination in BTBR mice. These results further suggest that the BTBR mouse model may be useful in pharmacological studies investigating drugs that could potentially alleviate cognitive dysfunction in ASD.

Citations

Citations to this article as recorded by  
  • Neural connections and molecular mechanisms underlying motor skill deficits in genetic models of autism spectrum disorders
    Jingwen Duan, Deyang Zeng, Tong Wu, Zhenzhao Luo, Geng Jingwen, Wei Tan, Yan Zeng
    Progress in Neurobiology.2025; 249: 102759.     CrossRef
  • Postweaning social isolation and autism-like phenotype: A biochemical and behavioral comparative analysis
    Alessandra Caruso, Laura Ricceri, Angela Caruso, Ferdinando Nicoletti, Alessandra Gaetano, Sergio Scaccianoce
    Behavioural Brain Research.2022; 428: 113891.     CrossRef
  • Postweaning Social Isolation and Autism-Like Phenotype: A Biochemical and Behavioral Comparative Analysis
    Alessandra Caruso, Laura Ricceri, Angela Caruso, Ferdinando Nicoletti, Alessandra Gaetano, Sergio SCACCIANOCE
    SSRN Electronic Journal .2021;[Epub]     CrossRef
  • Abnormal Cerebellar Development Is Involved in Dystonia-Like Behaviors and Motor Dysfunction of Autistic BTBR Mice
    Rui Xiao, Hongyu Zhong, Xin Li, Yuanyuan Ma, Ruiyu Zhang, Lian Wang, Zhenle Zang, Xiaotang Fan
    Frontiers in Cell and Developmental Biology.2020;[Epub]     CrossRef
  • Common functional variants of the glutamatergic system in Autism spectrum disorder with high and low intellectual abilities
    Andreas G. Chiocchetti, Afsheen Yousaf, Hannah S. Bour, Denise Haslinger, Regina Waltes, Eftichia Duketis, Tomas Jarczok, Michael Sachse, Monica Biscaldi, Franziska Degenhardt, Stefan Herms, Sven Cichon, Jörg Ackermann, Ina Koch, Sabine M. Klauck, Christi
    Journal of Neural Transmission.2018; 125(2): 259.     CrossRef
  • Targeting mGlu5 Metabotropic Glutamate Receptors in the Treatment of Cognitive Dysfunction in a Mouse Model of Phenylketonuria
    Francesca Nardecchia, Rosamaria Orlando, Luisa Iacovelli, Marco Colamartino, Elena Fiori, Vincenzo Leuzzi, Sonia Piccinin, Robert Nistico, Stefano Puglisi-Allegra, Luisa Di Menna, Giuseppe Battaglia, Ferdinando Nicoletti, Tiziana Pascucci
    Frontiers in Neuroscience.2018;[Epub]     CrossRef
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    K.Z. Meyza, D.C. Blanchard
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    Kathryn K. Chadman
    Expert Opinion on Drug Discovery.2017; 12(12): 1187.     CrossRef
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    Ning Cheng, Fawaz Alshammari, Elizabeth Hughes, Maryam Khanbabaei, Jong M. Rho, Thierry Amédée
    PLOS ONE.2017; 12(6): e0179409.     CrossRef
  • Bridging Autism Spectrum Disorders and Schizophrenia through inflammation and biomarkers - pre-clinical and clinical investigations
    Joana Prata, Susana G. Santos, Maria Inês Almeida, Rui Coelho, Mário A. Barbosa
    Journal of Neuroinflammation.2017;[Epub]     CrossRef
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    Michela Servadio, Louk J.M.J. Vanderschuren, Viviana Trezza
    Behavioural Pharmacology.2015; 26(6): 522.     CrossRef
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Case Reports
A Case of 45,X Turner's Syndrome with Iron Deficiency Anemia due to Menometrorrhagia and Spontaneous Sexual Development.
Mi Kwang Kwon, Suk Chon, Gwan Pyo Koh, Seung Jun Oh, Jeong Taek Woo, Sung Woon Kim, Jin Woo Kim, Young Seol Kim
J Korean Endocr Soc. 2005;20(2):160-167.   Published online April 1, 2005
DOI: https://doi.org/10.3803/jkes.2005.20.2.160
  • 3,335 View
  • 32 Download
  • 1 Crossref
AbstractAbstract PDF
Short stature and gonadal dysgenesis are two characteristic clinical features of Turners syndrome. Very rarely, patients with Turners syndrome may menstruate and even be fertile. We experienced a case of Turners syndrome with spontaneous sexual development and menstruation. A 16-year-old girl was referred for severe anemia and menometrorrahgia. She had nearly normal features, with the exception of a short stature and a single right kidney. Also, she had spontaneous development of secondary sexual characteristics. We performed and anemia study and evaluated her short stature. In chromosomal study of her bone marrow and peripheral blood lymphocytes, she was revealed to have monosomy 45,X. Herein, this case is reported, with a brief review of literature

Citations

Citations to this article as recorded by  
  • Spontaneous Sexual Development and Heavy Menstrual Bleeding in 45,X Monosomy and 45,X/47,XXX Mosaic Turner Syndrome and a Review of the Literature
    Myeong Jin Kim, Hwal Rim Jeong
    Journal of Pediatric and Adolescent Gynecology.2020; 33(5): 602.     CrossRef
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A Case of Klinefelter's Syndrome with Rathke's Cleft Cyst.
Hyun Joo Lee, Hyo Kyoung Park, Dae Jung Kim, Yu Mie Rhee, Chul Woo Ahn, Sang Soo Jung, Jae Hyun Nam, Bong Soo Cha, Young Duk Song, Sung Kil Lim, Kyung Rae Kim, Yong Koo Park, Hyun Chul Lee, Kap Bum Huh
J Korean Endocr Soc. 2002;17(4):564-571.   Published online August 1, 2002
  • 1,704 View
  • 25 Download
AbstractAbstract PDF
Klinefelter's syndrome is one of the most common forms of primary hypogonadism presenting with gynecomastia, azospermia and increased follicle-stimulating hormone. It is well known that this syndrome has an increased incidence of neoplasia, especially breast cancer and extragonadal germ cell tumors. However, it is rarely associated with an intracranial tumor of maldevelopmental origin, especially in the suprasellar area. We report, for the first time, a case of Klinefelter's syndrome, with a Rathke's cleft cyst is the patient was a 32-year-old male who was known to have an incidentaloma form brain computed tomography, which was clinically diagnosed as a suprasellar tumor. After operating, the suprasellar mass was confirmed as a Rathke's cleft cyst, and his hormonal abnormality, an elevated level of follicle-stimulating hormone, was not normalized. Therefore, we performed chromosomal analysis, and diagnosed Klinefelter's syndrome with the XXY karyotype.
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