Pub Date : 2024-01-09DOI: 10.22141/2224-0721.19.8.2023.1345
P. Mazur, N.O. Savychuk, I.P. Mazur
An electronic search for articles was conducted in PubMed, MEDLINE and Google Scholar, Scopus, Cochrane Library databases from January 2001 to August 2023 using keywords mentioned in the terms of diabetes impact on dental caries, enamel, dentin, salivary glands, oral microbiome. A search using the keywords “dental caries” and “type 1 diabetes” was done in articles, systematic reviews and meta-analyses of English- and Ukrainian-language literary sources. The search for articles was focused on clear descriptions of the possible mechanisms of diabetes effect on the hard dental tissues. The analysis included articles with the results of clinical and experimental studies, meta-analyses, and systematic reviews written in English and Ukrainian according to the selected keywords; articles that explain the impact of diabetes on the hard dental tissues; articles that provide strong evidence of oral disease associated with type 1 diabetes. The article presents the results of the literary review of sources — clinical and experimental studies, meta-analyses and systematic analyzes regarding the impact of type 1 diabetes on the state of the hard dental tissues. The literature presents conflicting data on the prevalence of caries in children with type 1 diabetes compared to healthy children. Most research show that the level of metabolic control of diabetes and the age of children are associated with a high risk of developing caries. Data are presented on the potential risk of diabetes impact on the state of the hard dental tissues and possible mechanisms of developing caries. The authors consider disease-modifying risk factors such as impaired salivation, buffering capacity of saliva, changes in the oral microbiome, which lead to structural and biomechanical changes in the hard dental tissues. Modifiable risk factors such as eating habits, educational measures that directly affect the characteristics of individual hygiene, as well as regular professional control of the oral health, led to a decrease in the prevalence and severity of caries in children with type 1 diabetes. The conducted analysis indicates the need for further research to assess the health status of the oral cavity in children with type 1 diabetes.
{"title":"The influence of type 1 diabetes on the hard dental tissues and the development of caries (literature review)","authors":"P. Mazur, N.O. Savychuk, I.P. Mazur","doi":"10.22141/2224-0721.19.8.2023.1345","DOIUrl":"https://doi.org/10.22141/2224-0721.19.8.2023.1345","url":null,"abstract":"An electronic search for articles was conducted in PubMed, MEDLINE and Google Scholar, Scopus, Cochrane Library databases from January 2001 to August 2023 using keywords mentioned in the terms of diabetes impact on dental caries, enamel, dentin, salivary glands, oral microbiome. A search using the keywords “dental caries” and “type 1 diabetes” was done in articles, systematic reviews and meta-analyses of English- and Ukrainian-language literary sources. The search for articles was focused on clear descriptions of the possible mechanisms of diabetes effect on the hard dental tissues. The analysis included articles with the results of clinical and experimental studies, meta-analyses, and systematic reviews written in English and Ukrainian according to the selected keywords; articles that explain the impact of diabetes on the hard dental tissues; articles that provide strong evidence of oral disease associated with type 1 diabetes. The article presents the results of the literary review of sources — clinical and experimental studies, meta-analyses and systematic analyzes regarding the impact of type 1 diabetes on the state of the hard dental tissues. The literature presents conflicting data on the prevalence of caries in children with type 1 diabetes compared to healthy children. Most research show that the level of metabolic control of diabetes and the age of children are associated with a high risk of developing caries. Data are presented on the potential risk of diabetes impact on the state of the hard dental tissues and possible mechanisms of developing caries. The authors consider disease-modifying risk factors such as impaired salivation, buffering capacity of saliva, changes in the oral microbiome, which lead to structural and biomechanical changes in the hard dental tissues. Modifiable risk factors such as eating habits, educational measures that directly affect the characteristics of individual hygiene, as well as regular professional control of the oral health, led to a decrease in the prevalence and severity of caries in children with type 1 diabetes. The conducted analysis indicates the need for further research to assess the health status of the oral cavity in children with type 1 diabetes.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-09DOI: 10.22141/2224-0721.19.8.2023.1339
N. Sprynchuk, Ye.Yu. Marushko, T. Maļinovska
Background. Mutations in the growth hormone (GH) gene cause various forms of biologically inactive growth hormone (BIGH) syndrome. Ghrelin potentiates the secretion of GH. Adenohypophysis hormones take part in human growth mechanisms. Insulin-like growth factor 1 (IGF-1) level is a criterion of GH activity. The purpose of the study was to assess the adenohypophysis functions and to determine the role of ghrelin in patients with BIGH syndrome to optimize the diagnosis and treatment. Materials and methods. Anthropometric parameters were evaluated in 158 children with BIGH syndrome whose average age was 7.83 ± 1.23 years. The function of the adenohypophysis was evaluated according to the levels of somatotropin, thyroid-stimulating, adrenocorticotropic, luteinizing, follicle-stimulating hormone and their corresponding peripheral hormones, which were determined by radioimmunological methods and chemiluminescent immunoassay. A statistical analysis of the results was carried out. Results. The release of GH against the background of clonidine and insulin tests in patients with BIGH syndrome was higher than 10 ng/ml, the basal level of IGF-1 was significantly lower than the reference values. After a 4-day test for sensitivity to GH, the level of IGF-1 increased more than 2 times. Against the background of treatment with recombinant GH, serum thyroid-stimulating, adrenocorticotropic hormone, and cortisol indicators changed significantly, but their levels fluctuated within the reference values. Significant changes in ghrelin content were detected 120 minutes after falling asleep. Most children with BIGH syndrome had timely sexual development, precocious puberty was revealed in 19 children, the smallest was the group with delayed puberty (5 children). Gonadotropin-releasing hormone analogues were added to the GH treatment in case of unsatisfactory final growth. Conclusions. Normal/high levels of GH and reduced IGF-1 are characteristic of children with BIGH syndrome. In addition, these children have a significant increase in ghrelin in the first hours after falling asleep. The test for sensitivity to GH is a reliable diagnostic method. Thyroid and adrenal disorders were not found in patients with BIGH syndrome. Children with BIGH syndrome have normal sexual development with a tendency to precocious puberty. The simultaneous use of gonadotropin-releasing hormone analogues in combination with GH preparations significantly improves patients’ final growth.
{"title":"Assessment of adenohypophysis function and ghrelin level in children with biologically inactive growth hormone syndrome","authors":"N. Sprynchuk, Ye.Yu. Marushko, T. Maļinovska","doi":"10.22141/2224-0721.19.8.2023.1339","DOIUrl":"https://doi.org/10.22141/2224-0721.19.8.2023.1339","url":null,"abstract":"Background. Mutations in the growth hormone (GH) gene cause various forms of biologically inactive growth hormone (BIGH) syndrome. Ghrelin potentiates the secretion of GH. Adenohypophysis hormones take part in human growth mechanisms. Insulin-like growth factor 1 (IGF-1) level is a criterion of GH activity. The purpose of the study was to assess the adenohypophysis functions and to determine the role of ghrelin in patients with BIGH syndrome to optimize the diagnosis and treatment. Materials and methods. Anthropometric parameters were evaluated in 158 children with BIGH syndrome whose average age was 7.83 ± 1.23 years. The function of the adenohypophysis was evaluated according to the levels of somatotropin, thyroid-stimulating, adrenocorticotropic, luteinizing, follicle-stimulating hormone and their corresponding peripheral hormones, which were determined by radioimmunological methods and chemiluminescent immunoassay. A statistical analysis of the results was carried out. Results. The release of GH against the background of clonidine and insulin tests in patients with BIGH syndrome was higher than 10 ng/ml, the basal level of IGF-1 was significantly lower than the reference values. After a 4-day test for sensitivity to GH, the level of IGF-1 increased more than 2 times. Against the background of treatment with recombinant GH, serum thyroid-stimulating, adrenocorticotropic hormone, and cortisol indicators changed significantly, but their levels fluctuated within the reference values. Significant changes in ghrelin content were detected 120 minutes after falling asleep. Most children with BIGH syndrome had timely sexual development, precocious puberty was revealed in 19 children, the smallest was the group with delayed puberty (5 children). Gonadotropin-releasing hormone analogues were added to the GH treatment in case of unsatisfactory final growth. Conclusions. Normal/high levels of GH and reduced IGF-1 are characteristic of children with BIGH syndrome. In addition, these children have a significant increase in ghrelin in the first hours after falling asleep. The test for sensitivity to GH is a reliable diagnostic method. Thyroid and adrenal disorders were not found in patients with BIGH syndrome. Children with BIGH syndrome have normal sexual development with a tendency to precocious puberty. The simultaneous use of gonadotropin-releasing hormone analogues in combination with GH preparations significantly improves patients’ final growth.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"49 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-09DOI: 10.22141/2224-0721.19.8.2023.1343
N. Pasyechko, L. Naumova, T. Krytskyy, I.P. Savchenko
Background. An integral part of diabetes mellitus (DM) management is its timely diagnosis. The reference method to study the quality of glycemic control is evaluating the level of glycated hemoglobin (HbA1c) as one of the most accessible and informative tools. However, the introduction of novel technologies, namely the use of continuous glucose monitoring (CGM), has given patients with DM, their relatives and healthcare professionals an access to new indicators of glycemic control such as time in range (TIR), time above range and time below range. These indicators are criteria for compensation of carbohydrate metabolism according to the 2023 American Diabetes Association guidelines. The purpose of the study was to compare the effectiveness of using glucometers and the FreeStyle Libre system for flash glucose monitoring in patients with DM. Materials and methods. An examination of 60 patients with type 2 DM who received insulin therapy was conducted. They were aged 45–65 years, with DM duration of 5 ± 2 years. All participants were divided into two equal groups of 30 people each. The first group consisted of patients with CGM devices, the second group used glucometers for daily glycemic control. Additional CGM parameters were used: glucose coefficient of variation, glucose management indicator, which shows the probable level of HbA1c. Results. When evaluating the data obtained from patients who used CGM, it is important to note their high adherence to the use of flash glucose monitoring. The use of CGM made it possible to achieve compensation of carbohydrate metabolism faster compared to patients who used glucometers to correct glycemia. Discontinuation of CGM resulted in poorer glycemic control. The obtained results prove that the compensation of patients depends primarily on their motivation, willingness to follow medical prescriptions, careful glycemic control, and compliance with medical recommendations. Conclusions. For better control of the DM course, patients should use CGM. In order to assess diabetes compensation, it is not enough to consider only TIR. Time below range indicating hypoglycemia, time above range indicating hyperglycemia, glucose management indicator should also be taken into account. Discontinuation of CGM resulted in a loss of approximately half of the initial TIR gain achieved while using CGM. CGM is more favored among patients than a 7-point self-monitoring of blood glucose.
{"title":"Modern methods for assessing compensation of diabetes mellitus. Effect of continuous glucose monitoring on glycemic control in patients with type 2 diabetes","authors":"N. Pasyechko, L. Naumova, T. Krytskyy, I.P. Savchenko","doi":"10.22141/2224-0721.19.8.2023.1343","DOIUrl":"https://doi.org/10.22141/2224-0721.19.8.2023.1343","url":null,"abstract":"Background. An integral part of diabetes mellitus (DM) management is its timely diagnosis. The reference method to study the quality of glycemic control is evaluating the level of glycated hemoglobin (HbA1c) as one of the most accessible and informative tools. However, the introduction of novel technologies, namely the use of continuous glucose monitoring (CGM), has given patients with DM, their relatives and healthcare professionals an access to new indicators of glycemic control such as time in range (TIR), time above range and time below range. These indicators are criteria for compensation of carbohydrate metabolism according to the 2023 American Diabetes Association guidelines. The purpose of the study was to compare the effectiveness of using glucometers and the FreeStyle Libre system for flash glucose monitoring in patients with DM. Materials and methods. An examination of 60 patients with type 2 DM who received insulin therapy was conducted. They were aged 45–65 years, with DM duration of 5 ± 2 years. All participants were divided into two equal groups of 30 people each. The first group consisted of patients with CGM devices, the second group used glucometers for daily glycemic control. Additional CGM parameters were used: glucose coefficient of variation, glucose management indicator, which shows the probable level of HbA1c. Results. When evaluating the data obtained from patients who used CGM, it is important to note their high adherence to the use of flash glucose monitoring. The use of CGM made it possible to achieve compensation of carbohydrate metabolism faster compared to patients who used glucometers to correct glycemia. Discontinuation of CGM resulted in poorer glycemic control. The obtained results prove that the compensation of patients depends primarily on their motivation, willingness to follow medical prescriptions, careful glycemic control, and compliance with medical recommendations. Conclusions. For better control of the DM course, patients should use CGM. In order to assess diabetes compensation, it is not enough to consider only TIR. Time below range indicating hypoglycemia, time above range indicating hyperglycemia, glucose management indicator should also be taken into account. Discontinuation of CGM resulted in a loss of approximately half of the initial TIR gain achieved while using CGM. CGM is more favored among patients than a 7-point self-monitoring of blood glucose.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"19 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139444369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-09DOI: 10.22141/2224-0721.19.8.2023.1342
S. Koval, Maryna Penkova, O. Mysnychenko
Background. In modern conditions, an acute problem in medicine is the issue of a negative impact of war on the course of chronic noncommunicable diseases. The most common of them are hypertension and type 2 diabetes mellitus, which in most cases occur as a comorbidity. To date, a certain amount of work has been carried out to study the influence of war and chronic wartime stress on the development and progression of hypertension. However, the features of the course of hypertension and type 2 diabetes in case of their combination during a long-term stay of patients in combat zones remain unstudied. The purpose: to study changes in the nature of the disease course in patients with hypertension and type 2 diabetes — representatives of the civilian population after a long stay in the combat zone of the Kharkiv region of Ukraine. Materials and methods. Sixty-five patients (civilians) with hypertension and type 2 diabetes (30 men, 35 women) aged from 47 to 64 years were examined. All of them were examined before the start of the war and 4–5 months after staying in the combat zone. Results. In hypertensive patients with type 2 diabetes after their stay in a combat zone, hypertension became more severe (in 89 % of cases, it was uncontrolled, the frequency of hypertensive crisis and resistant hypertension increased significantly). In addition, a significant increase in the frequency of decompensation of carbohydrate metabolism was detected. The examined patients showed a progression of lipid metabolism disorders and the development of new cases of cardiovascular and cerebrovascular diseases. Conclusions. There was a pronounced negative impact of long-term stay of patients with hypertension and type 2 diabetes in a combat zone on the course of both hypertension and diabetes, which was associated with a significant increase in the incidence of cardiovascular and cerebrovascular diseases.
{"title":"Changes in the nature of the disease in patients with hypertension and type 2 diabetes mellitus — representatives of the civilian population after a long stay in the combat zone","authors":"S. Koval, Maryna Penkova, O. Mysnychenko","doi":"10.22141/2224-0721.19.8.2023.1342","DOIUrl":"https://doi.org/10.22141/2224-0721.19.8.2023.1342","url":null,"abstract":"Background. In modern conditions, an acute problem in medicine is the issue of a negative impact of war on the course of chronic noncommunicable diseases. The most common of them are hypertension and type 2 diabetes mellitus, which in most cases occur as a comorbidity. To date, a certain amount of work has been carried out to study the influence of war and chronic wartime stress on the development and progression of hypertension. However, the features of the course of hypertension and type 2 diabetes in case of their combination during a long-term stay of patients in combat zones remain unstudied. The purpose: to study changes in the nature of the disease course in patients with hypertension and type 2 diabetes — representatives of the civilian population after a long stay in the combat zone of the Kharkiv region of Ukraine. Materials and methods. Sixty-five patients (civilians) with hypertension and type 2 diabetes (30 men, 35 women) aged from 47 to 64 years were examined. All of them were examined before the start of the war and 4–5 months after staying in the combat zone. Results. In hypertensive patients with type 2 diabetes after their stay in a combat zone, hypertension became more severe (in 89 % of cases, it was uncontrolled, the frequency of hypertensive crisis and resistant hypertension increased significantly). In addition, a significant increase in the frequency of decompensation of carbohydrate metabolism was detected. The examined patients showed a progression of lipid metabolism disorders and the development of new cases of cardiovascular and cerebrovascular diseases. Conclusions. There was a pronounced negative impact of long-term stay of patients with hypertension and type 2 diabetes in a combat zone on the course of both hypertension and diabetes, which was associated with a significant increase in the incidence of cardiovascular and cerebrovascular diseases.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"118 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139444656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-09DOI: 10.22141/2224-0721.19.8.2023.1340
A.M. Urbanovych, A.P. Vereshchynska
Background. Diabetes mellitus (DM) is a metabolic disease that causes disorders of all types of metabolism. Currently, there is an increasing prevalence of not only DM, but also its serious complications. One of the common chronic complications of DM is diabetic kidney disease (DKD). As of today, it is also known about the effect of DM on other endocrine organs, in particular thyroid gland. Thyroid dysfunction in combination with type 2 DM and DKD are interrelated conditions. In the literature review, the causes, theories of development, stages, course, and criteria for making a diagnosis of DKD are highlighted, probable mechanisms for the development of phenotypes are described. The impact of pathophysiological mechanisms of metabolic and secretory disorders on thyroid function has been demonstrated. PubMed and Google Scholar databases were used to search for literature data. The purpose of the study is to investigate the frequency and prevalence of phenotypic forms of DKD and the thyroid functional state. Materials and methods. We have analyzed the data of 1,874 patients with type 2 DM who were receiving inpatient treatment at the Lviv Regional Clinical Diagnostic Center, branch of the Center for Endocrinological Population Health, in 2022 and the first three quarters of 2023. Among them, 56 % were women, 44 % were men. The average age of the patients was 56.1 ± 8.2 years. The frequency and prevalence of phenotypic forms of DKD, the thyroid functional state in such patients were studied. Results. The share of patients with confirmed DKD was 26 % (n = 487). According to the results of the studies, DKD develops by a phenotype of non-albuminuric renal dysfunction in 288 patients (59 %), by an albuminuric phenotype — in 192 cases (39.6 %), and as a progressive decrease in kidney function — in 7 patients (1.4 %). Non-albuminuric renal dysfunction phenotype was 1.5 times more frequent than albuminuric one. Thyroid dysfunction was diagnosed in 166 patients with DKD (34 %). The obtained data confirm the greater prevalence of hypothyroidism as compared to hyperthyroidism in patients with DKD. This allows us to suspect that the structural and functional changes in the kidneys in type 2 DM, which lead to a decrease in the filtration capacity of the kidneys, may be independent of albuminuria. Conclusions. The presence of DKD, regardless of the stage of DM and phenotype, has a direct and indirect effect on the regulation and functioning of the thyroid gland. In turn, adequate production of thyroid hormones is necessary for a balanced metabolism, energy homeostasis and renoprotection. The presence of thyroid dysfunction can be a cause of unsatisfactory control of diabetes and lead to the development of complications.
{"title":"Pathophysiological features of thyroid dysfunction in patients with type 2 diabetes and chronic kidney disease (a literature review and own observations)","authors":"A.M. Urbanovych, A.P. Vereshchynska","doi":"10.22141/2224-0721.19.8.2023.1340","DOIUrl":"https://doi.org/10.22141/2224-0721.19.8.2023.1340","url":null,"abstract":"Background. Diabetes mellitus (DM) is a metabolic disease that causes disorders of all types of metabolism. Currently, there is an increasing prevalence of not only DM, but also its serious complications. One of the common chronic complications of DM is diabetic kidney disease (DKD). As of today, it is also known about the effect of DM on other endocrine organs, in particular thyroid gland. Thyroid dysfunction in combination with type 2 DM and DKD are interrelated conditions. In the literature review, the causes, theories of development, stages, course, and criteria for making a diagnosis of DKD are highlighted, probable mechanisms for the development of phenotypes are described. The impact of pathophysiological mechanisms of metabolic and secretory disorders on thyroid function has been demonstrated. PubMed and Google Scholar databases were used to search for literature data. The purpose of the study is to investigate the frequency and prevalence of phenotypic forms of DKD and the thyroid functional state. Materials and methods. We have analyzed the data of 1,874 patients with type 2 DM who were receiving inpatient treatment at the Lviv Regional Clinical Diagnostic Center, branch of the Center for Endocrinological Population Health, in 2022 and the first three quarters of 2023. Among them, 56 % were women, 44 % were men. The average age of the patients was 56.1 ± 8.2 years. The frequency and prevalence of phenotypic forms of DKD, the thyroid functional state in such patients were studied. Results. The share of patients with confirmed DKD was 26 % (n = 487). According to the results of the studies, DKD develops by a phenotype of non-albuminuric renal dysfunction in 288 patients (59 %), by an albuminuric phenotype — in 192 cases (39.6 %), and as a progressive decrease in kidney function — in 7 patients (1.4 %). Non-albuminuric renal dysfunction phenotype was 1.5 times more frequent than albuminuric one. Thyroid dysfunction was diagnosed in 166 patients with DKD (34 %). The obtained data confirm the greater prevalence of hypothyroidism as compared to hyperthyroidism in patients with DKD. This allows us to suspect that the structural and functional changes in the kidneys in type 2 DM, which lead to a decrease in the filtration capacity of the kidneys, may be independent of albuminuria. Conclusions. The presence of DKD, regardless of the stage of DM and phenotype, has a direct and indirect effect on the regulation and functioning of the thyroid gland. In turn, adequate production of thyroid hormones is necessary for a balanced metabolism, energy homeostasis and renoprotection. The presence of thyroid dysfunction can be a cause of unsatisfactory control of diabetes and lead to the development of complications.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"39 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-08DOI: 10.22141/2224-0721.19.7.2023.1334
K.A. Moskva, O. Kikhtyak
Background. The prevalence of thyroid diseases, including endemic goiter and autoimmune disorders, has been considered by scientists for more than a century as a cause for reducing the working capacity of the population and also affects the cognitive ability of future generations. Geographically, Lviv region is in an endemic iodine deficiency zone, while Kyiv region suffered negative radiation exposure as a result of the accident at the Chernobyl Nuclear Power Plant. Since both factors affect the state of the thyroid system, the study on the levels of thyroid hormones among women in the specified areas makes it possible to identify the risks of thyroid pathologies and to develop a strategy for their prevention. The purpose of the study: to find out and analyze the levels of thyroid-stimulating hormone (TSH), glycated hemoglobin and indicators of lipid metabolism in women of Lviv and Kyiv regions. Materials and methods. One hundred and fifty women were examined, their average age was 48 ± 7 years. The criterion for inclusion in the study were: absence of diabetes or treatment for thyroid pathologies, as well as other serious diseases. The survey was conducted once, in July-August 2022. The level of pituitary TSH, antibodies to thyroid peroxidase (TPO-Ab), glycated hemoglobin, total cholesterol, low-density lipoprotein was evaluated. Results. In examined women of the Kyiv region, the average TSH was 2.21 ± 0.30 mIU/l, while in those from the Lviv region it was within 2.42 ± 0.17 mIU/l (p > 0.05). A significant difference was found between the average values of TPO-Ab, some women had high levels of antibodies without manifestations of hypothyroidism and clinical complaints. The average value of TPO-Ab in patients from the Kyiv region was 81.21 ± 19.41 IU/ml and in women from the Lviv region it was 38.41 ± 5.97 IU/ml (р < 0,05). When analyzing carbohydrate metabolism, no significant changes were found between the levels of glycated hemoglobin in the examined women of Kyiv and Lviv regions, 5.81 ± 0.09 % and 5.66 ± 0.04 %, respectively (р > 0.05). Some women showed a slight increase in glycated hemoglobin over 5.6 %, which did not reach the level of 6.5 %. This group of examinees were at risk of developing type 2 diabetes and is characterized by the term “prediabetes”. Regarding lipid metabolism, we found no significant changes in the level of total cholesterol and low-density lipoprotein. Conclusions. The conducted observation revealed differences in TSH, TPO-Ab indicators in healthy women living in Lviv and Kyiv regions. We can assume that the obtained results of Lviv region reflect the problems of the endemic zone of the Western regions of Ukraine. In turn, significantly higher levels of TPO-Ab among residents of Kyiv region are most likely a consequence of the accident at the Chernobyl Nuclear Power Plant, which can still affect the health of the population of this region.
{"title":"Comparative analysis of the levels of thyroid-stimulating hormone, glycated hemoglobin and indicators of lipid metabolism in women of Lviv and Kyiv regions","authors":"K.A. Moskva, O. Kikhtyak","doi":"10.22141/2224-0721.19.7.2023.1334","DOIUrl":"https://doi.org/10.22141/2224-0721.19.7.2023.1334","url":null,"abstract":"Background. The prevalence of thyroid diseases, including endemic goiter and autoimmune disorders, has been considered by scientists for more than a century as a cause for reducing the working capacity of the population and also affects the cognitive ability of future generations. Geographically, Lviv region is in an endemic iodine deficiency zone, while Kyiv region suffered negative radiation exposure as a result of the accident at the Chernobyl Nuclear Power Plant. Since both factors affect the state of the thyroid system, the study on the levels of thyroid hormones among women in the specified areas makes it possible to identify the risks of thyroid pathologies and to develop a strategy for their prevention. The purpose of the study: to find out and analyze the levels of thyroid-stimulating hormone (TSH), glycated hemoglobin and indicators of lipid metabolism in women of Lviv and Kyiv regions. Materials and methods. One hundred and fifty women were examined, their average age was 48 ± 7 years. The criterion for inclusion in the study were: absence of diabetes or treatment for thyroid pathologies, as well as other serious diseases. The survey was conducted once, in July-August 2022. The level of pituitary TSH, antibodies to thyroid peroxidase (TPO-Ab), glycated hemoglobin, total cholesterol, low-density lipoprotein was evaluated. Results. In examined women of the Kyiv region, the average TSH was 2.21 ± 0.30 mIU/l, while in those from the Lviv region it was within 2.42 ± 0.17 mIU/l (p > 0.05). A significant difference was found between the average values of TPO-Ab, some women had high levels of antibodies without manifestations of hypothyroidism and clinical complaints. The average value of TPO-Ab in patients from the Kyiv region was 81.21 ± 19.41 IU/ml and in women from the Lviv region it was 38.41 ± 5.97 IU/ml (р < 0,05). When analyzing carbohydrate metabolism, no significant changes were found between the levels of glycated hemoglobin in the examined women of Kyiv and Lviv regions, 5.81 ± 0.09 % and 5.66 ± 0.04 %, respectively (р > 0.05). Some women showed a slight increase in glycated hemoglobin over 5.6 %, which did not reach the level of 6.5 %. This group of examinees were at risk of developing type 2 diabetes and is characterized by the term “prediabetes”. Regarding lipid metabolism, we found no significant changes in the level of total cholesterol and low-density lipoprotein. Conclusions. The conducted observation revealed differences in TSH, TPO-Ab indicators in healthy women living in Lviv and Kyiv regions. We can assume that the obtained results of Lviv region reflect the problems of the endemic zone of the Western regions of Ukraine. In turn, significantly higher levels of TPO-Ab among residents of Kyiv region are most likely a consequence of the accident at the Chernobyl Nuclear Power Plant, which can still affect the health of the population of this region.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"47 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.22141/2224-0721.19.7.2023.1332
No Authors
No abtract
无合同
{"title":"Book «Recent Topics in Autonomic Nervous System» London, UK: IntechOpen, 2023. Edition by María Elena Hernández Aguilar and Gonzalo Emiliano Aranda Abreu","authors":"No Authors","doi":"10.22141/2224-0721.19.7.2023.1332","DOIUrl":"https://doi.org/10.22141/2224-0721.19.7.2023.1332","url":null,"abstract":"No abtract","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"378 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139202831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.22141/2224-0721.19.7.2023.1324
K.S. Salihu
Background. Due to the global rise in diabetes patients, nurses of all specialties and positions are increasingly caring for these individuals on a daily basis. The purpose of this study was to examine the latest recommendations and individual studies on diabetes management and to determine the place of nurses in a multidisciplinary team. Materials and methods. The article used descriptive methods and methods of comparative analysis to determine the characteristics of nursing practice in the management of patients with diabetes. Results. From the information studied, it became clear that nurses should be prepared to receive quality education associated with ongoing support and care in the community, primary health care institutions or in hospitals for such patients. Education in self-management and psychosocial problem solving are key elements of diabetes care and nursing. The Diabetes Self-Management Education and Support program is a crucial tool for patient-nurse communication, involving ongoing psychological support through educational techniques to address questions and concerns from individuals with diabetes and their families. Conclusions. Trained nurses can also perform screening for mental disorders and diabetes complications in order to timely diagnose or prevent their development. Regardless of new technologies or treatments, nurses must never lose their role as advocates for patients’ rights.
{"title":"Nursing care for diabetes mellitus","authors":"K.S. Salihu","doi":"10.22141/2224-0721.19.7.2023.1324","DOIUrl":"https://doi.org/10.22141/2224-0721.19.7.2023.1324","url":null,"abstract":"Background. Due to the global rise in diabetes patients, nurses of all specialties and positions are increasingly caring for these individuals on a daily basis. The purpose of this study was to examine the latest recommendations and individual studies on diabetes management and to determine the place of nurses in a multidisciplinary team. Materials and methods. The article used descriptive methods and methods of comparative analysis to determine the characteristics of nursing practice in the management of patients with diabetes. Results. From the information studied, it became clear that nurses should be prepared to receive quality education associated with ongoing support and care in the community, primary health care institutions or in hospitals for such patients. Education in self-management and psychosocial problem solving are key elements of diabetes care and nursing. The Diabetes Self-Management Education and Support program is a crucial tool for patient-nurse communication, involving ongoing psychological support through educational techniques to address questions and concerns from individuals with diabetes and their families. Conclusions. Trained nurses can also perform screening for mental disorders and diabetes complications in order to timely diagnose or prevent their development. Regardless of new technologies or treatments, nurses must never lose their role as advocates for patients’ rights.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"355 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139203662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.22141/2224-0721.19.7.2023.1331
T. Arkhypkina, V.A. Bondarenko, L. Lyubimovа, K. Misiura
Background. Polycystic ovary syndrome (PCOS) is a multifactorial disease in the development of which gene polymorphism plays an important role. In recent years, data on the role of homocysteine (Hcy) in the formation of PCOS have appeared, and hyperhomocysteinemia is even considered one of the main symptoms of this disease. The causes of an impaired Hcy metabolism are varied and mainly depend on the condition of the genes encoding enzymes of the folate cycle. At the same time, available data on the effect of the 5,10-methylenetetrahydrofolate reductase (MTHFR), methionine synthase (MTR), and methionine synthase reductase (MTRR) gene polymorphisms on the development of hyperhomocysteinemia and the risk of PCOS are few and contradictory. The purpose of the study was to investigate the polymorphisms of the main genes encoding enzymes of the folate cycle (MTHFR, MTR, MTRR) and to reveal their relationship with the level of Hcy in PCOS. Material and methods. One hundred and twenty-nine women aged 20–28 years were examined: the main group — 98 patients with PCOS, the control group — 31 healthy women. The serum content of Hcy was evaluated and a molecular genetic study was conducted to identify the MTHFR, MTR, and MTRR genes. Results. Polymorphic variants of genes involved in folate metabolism were found in both patients with PCOS and in healthy women. However, serum concentration of Hcy was significantly higher in PCOS. Analysis of the MTHFR C677T polymorphism gene showed that the presence of the mutant T allele was associated with an increased Hcy level (12.9 ± 0.2 μmol/l) and the risk of PCOS (odds ratio (OR) = 1.19; 95% confidence interval (CI) 0.52–2.71). In the presence of two T alleles, the level of Hcy (14.6 ± 0.3 µmol/L) and the risk of developing PCOS (OR = 7.69; 95% CI 0.98–59.87) increased even further compared to the functionally “normal” C677C genotype. There was also an association between the MTHFR gene polymorphism at locus 1298 and PCOS whose strength depended on the number of pathological C alleles and was mediated by Hcy content, although this mutation was accompanied by a less significant increase in the level of Hcy than the mutation at locus 677. Compared to carriers of the homozygous A1298A genotype, the risk of developing PCOS was 5.7 times higher in patients with one C allele, and 7.3 times higher in the presence of two C alleles. The MTRR A66A and A66G genotypes were associated with a significant increase in the level of Hcy compared to that of the control group and were associated with an increased risk of PCOS. The mutant homozygous G66G genotype was more common in the control group and had no significant effect on Hcy concentration. It is not proved that the MTR gene is a candidate gene for the development of PCOS, and its polymorphic variants have a negative effect on the level of Hcy. The combination of MTHFR C677T and A1298C, MTHFR C677T and MTR A2756G, MTR A2756G and MTRR A66G gene mutations are associated with a great
{"title":"Level of homocysteine and polymorphism of genes involved in folate metabolism in women with polycystic ovary syndrome","authors":"T. Arkhypkina, V.A. Bondarenko, L. Lyubimovа, K. Misiura","doi":"10.22141/2224-0721.19.7.2023.1331","DOIUrl":"https://doi.org/10.22141/2224-0721.19.7.2023.1331","url":null,"abstract":"Background. Polycystic ovary syndrome (PCOS) is a multifactorial disease in the development of which gene polymorphism plays an important role. In recent years, data on the role of homocysteine (Hcy) in the formation of PCOS have appeared, and hyperhomocysteinemia is even considered one of the main symptoms of this disease. The causes of an impaired Hcy metabolism are varied and mainly depend on the condition of the genes encoding enzymes of the folate cycle. At the same time, available data on the effect of the 5,10-methylenetetrahydrofolate reductase (MTHFR), methionine synthase (MTR), and methionine synthase reductase (MTRR) gene polymorphisms on the development of hyperhomocysteinemia and the risk of PCOS are few and contradictory. The purpose of the study was to investigate the polymorphisms of the main genes encoding enzymes of the folate cycle (MTHFR, MTR, MTRR) and to reveal their relationship with the level of Hcy in PCOS. Material and methods. One hundred and twenty-nine women aged 20–28 years were examined: the main group — 98 patients with PCOS, the control group — 31 healthy women. The serum content of Hcy was evaluated and a molecular genetic study was conducted to identify the MTHFR, MTR, and MTRR genes. Results. Polymorphic variants of genes involved in folate metabolism were found in both patients with PCOS and in healthy women. However, serum concentration of Hcy was significantly higher in PCOS. Analysis of the MTHFR C677T polymorphism gene showed that the presence of the mutant T allele was associated with an increased Hcy level (12.9 ± 0.2 μmol/l) and the risk of PCOS (odds ratio (OR) = 1.19; 95% confidence interval (CI) 0.52–2.71). In the presence of two T alleles, the level of Hcy (14.6 ± 0.3 µmol/L) and the risk of developing PCOS (OR = 7.69; 95% CI 0.98–59.87) increased even further compared to the functionally “normal” C677C genotype. There was also an association between the MTHFR gene polymorphism at locus 1298 and PCOS whose strength depended on the number of pathological C alleles and was mediated by Hcy content, although this mutation was accompanied by a less significant increase in the level of Hcy than the mutation at locus 677. Compared to carriers of the homozygous A1298A genotype, the risk of developing PCOS was 5.7 times higher in patients with one C allele, and 7.3 times higher in the presence of two C alleles. The MTRR A66A and A66G genotypes were associated with a significant increase in the level of Hcy compared to that of the control group and were associated with an increased risk of PCOS. The mutant homozygous G66G genotype was more common in the control group and had no significant effect on Hcy concentration. It is not proved that the MTR gene is a candidate gene for the development of PCOS, and its polymorphic variants have a negative effect on the level of Hcy. The combination of MTHFR C677T and A1298C, MTHFR C677T and MTR A2756G, MTR A2756G and MTRR A66G gene mutations are associated with a great","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":"165 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139204527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.22141/2224-0721.19.7.2023.1328
V. Ratsa, O. Fediv, L. Sydorchuk, Z. Rossokha, O.I. Sydorchuk, V.T. Stepan, I.O. Buzdugan
Background. The specific role and place of genetic factors in the development of chronic pancreatitis and hypothyroidism, which determine the activity of glutathione antioxidant protection, have not been clarified. They are interconnected with changes in the fat and carbohydrate metabolism, and also affect the transport and signaling pathways of key nutrients for the work of the immune, endocrine and nervous systems. The purpose of the study is to investigate the selenoprotein P (SEPP1) (rs7579) gene polymorphism and expression in patients with chronic pancreatitis combined with hypothyroidism. Materials and methods. Forty-nine patients with chronic pancreatitis and hypothyroidism and 30 practically healthy individuals passed the screening stage. The SEPP1 (rs7579) gene polymorphism was determined by the polymerase chain reaction. Results. The study showed that out of 98 isolated alleles in patients with chronic pancreatitis and hypothyroidism and 60 alleles of the control group, the G allele of the SEPP1 gene (rs7579, 25191G/A) dominated over the A allele: in the examined patients — by 34.7 % (χ2 = 23.59; p < 0.001), in the practically healthy group — by 53.34 % (χ2 = 34.13; p < 0.001). At the same time, the relative frequency of individual genotypes, as well as wild-type and mutant alleles, probably did not differ between the experimental and control groups. The A allele of the SEPP1 gene (rs7579) slightly increases the risk of chronic pancreatitis in the studied population, but non-significantly [risk ratio (RR) = 1.43; RR 95% CI (confidence interval): 0.91–2.26; odds ratio (OR) = 1.65; OR 95% CI: 0.88–3.08; p = 0.115]. Conclusions. In patients with chronic pancreatitis who are residents of Northern Bukovyna, mutation of the SEPP1 gene (rs7579, 25191G/A) in the homozygous state occurs with a frequency of 10.2 %, while it is absent in practically healthy people. In both groups, the G allele dominates over the A allele: in the examined patients — by 34.7 % (χ2 = 23.59; p < 0.001), in controls — by 53.34 % (χ2 = 34.13; p < 0.001). SEPP1 gene polymorphism (rs7579, 25191G/A) does not determine the risk of chronic pancreatitis in the population. However, the A allele increases the risk of hypothyroidism in chronic pancreatitis patients twice [OR = 2.0; OR 95% CI: 1.09–3.66; p = 0.023], with the lowest chances of its appearance in carriers of the G allele [OR = 0.50; OR 95% CI: 0.27–0.91; p = 0.023]. Mapping of the expression quantitative trait loci on both sides of the SEPP1 gene (rs7579) transcription start site evidenced 152 statistically significant cis-variants of rs7579 of the SEPP1 gene (SELENOP) associations with the expression of 20 genes in 35 different organs and tissues and 22 phenotypic traits.
背景。遗传因素在慢性胰腺炎和甲状腺功能减退症的发病过程中起着决定谷胱甘肽抗氧化保护活性的作用，但其具体作用和地位尚未明确。它们与脂肪和碳水化合物代谢的变化相互关联，也会影响免疫、内分泌和神经系统工作的关键营养物质的运输和信号途径。本研究旨在探讨硒蛋白 P（SEPP1）（rs7579）基因多态性及其在慢性胰腺炎合并甲状腺功能减退症患者中的表达。材料和方法49 名慢性胰腺炎合并甲状腺功能减退症患者和 30 名健康人通过了筛查。通过聚合酶链反应测定 SEPP1（rs7579）基因多态性。结果显示研究表明，在慢性胰腺炎和甲状腺功能减退症患者的98个分离等位基因和对照组的60个等位基因中，SEPP1基因的G等位基因（rs7579，25191G/A）比A等位基因占优势：在受检患者中占34.7%（χ2 = 23.59；P < 0.001），在基本健康组中占53.34%（χ2 = 34.13；P < 0.001）。与此同时，实验组和对照组之间个别基因型以及野生型和突变型等位基因的相对频率可能没有差异。在研究人群中，SEPP1 基因的 A 等位基因（rs7579）会轻微增加慢性胰腺炎的风险，但并不显著[风险比（RR）= 1.43；RR 95% CI（置信区间）：0.91-2.26；几率（RR）= 1.43；RR 95% CI（置信区间）：0.91-2.26]：0.91-2.26; odds ratio (OR) = 1.65; OR 95% CI: 0.88-3.08; p = 0.115]。结论在布科维纳北部居民的慢性胰腺炎患者中，SEPP1 基因（rs7579, 25191G/A）的同基因突变发生率为 10.2%，而实际上健康人中没有这种突变。在这两组人中，G 等位基因比 A 等位基因占优势：在受检患者中占 34.7% (χ2 = 23.59; p < 0.001)，在对照组中占 53.34% (χ2 = 34.13; p < 0.001)。SEPP1 基因多态性（rs7579，25191G/A）并不决定人群中患慢性胰腺炎的风险。然而，A等位基因会使慢性胰腺炎患者出现甲状腺功能减退症的风险增加一倍[OR = 2.0; OR 95% CI: 1.09-3.66; p = 0.023]，G等位基因携带者出现甲状腺功能减退症的几率最低[OR = 0.50; OR 95% CI: 0.27-0.91; p = 0.023]。在 SEPP1 基因（rs7579）转录起始位点两侧绘制的表达量性状位点图显示，SEPP1 基因（SELENOP）rs7579 的 152 个顺式变异与 35 个不同器官和组织中 20 个基因的表达以及 22 个表型性状有统计学意义。
{"title":"Analysis of the selenoprotein P (rs7579) gene polymorphism and expression in patients with chronic pancreatitis combined with hypothyroidism","authors":"V. Ratsa, O. Fediv, L. Sydorchuk, Z. Rossokha, O.I. Sydorchuk, V.T. Stepan, I.O. Buzdugan","doi":"10.22141/2224-0721.19.7.2023.1328","DOIUrl":"https://doi.org/10.22141/2224-0721.19.7.2023.1328","url":null,"abstract":"Background. The specific role and place of genetic factors in the development of chronic pancreatitis and hypothyroidism, which determine the activity of glutathione antioxidant protection, have not been clarified. They are interconnected with changes in the fat and carbohydrate metabolism, and also affect the transport and signaling pathways of key nutrients for the work of the immune, endocrine and nervous systems. The purpose of the study is to investigate the selenoprotein P (SEPP1) (rs7579) gene polymorphism and expression in patients with chronic pancreatitis combined with hypothyroidism. Materials and methods. Forty-nine patients with chronic pancreatitis and hypothyroidism and 30 practically healthy individuals passed the screening stage. The SEPP1 (rs7579) gene polymorphism was determined by the polymerase chain reaction. Results. The study showed that out of 98 isolated alleles in patients with chronic pancreatitis and hypothyroidism and 60 alleles of the control group, the G allele of the SEPP1 gene (rs7579, 25191G/A) dominated over the A allele: in the examined patients — by 34.7 % (χ2 = 23.59; p < 0.001), in the practically healthy group — by 53.34 % (χ2 = 34.13; p < 0.001). At the same time, the relative frequency of individual genotypes, as well as wild-type and mutant alleles, probably did not differ between the experimental and control groups. The A allele of the SEPP1 gene (rs7579) slightly increases the risk of chronic pancreatitis in the studied population, but non-significantly [risk ratio (RR) = 1.43; RR 95% CI (confidence interval): 0.91–2.26; odds ratio (OR) = 1.65; OR 95% CI: 0.88–3.08; p = 0.115]. Conclusions. In patients with chronic pancreatitis who are residents of Northern Bukovyna, mutation of the SEPP1 gene (rs7579, 25191G/A) in the homozygous state occurs with a frequency of 10.2 %, while it is absent in practically healthy people. In both groups, the G allele dominates over the A allele: in the examined patients — by 34.7 % (χ2 = 23.59; p < 0.001), in controls — by 53.34 % (χ2 = 34.13; p < 0.001). SEPP1 gene polymorphism (rs7579, 25191G/A) does not determine the risk of chronic pancreatitis in the population. However, the A allele increases the risk of hypothyroidism in chronic pancreatitis patients twice [OR = 2.0; OR 95% CI: 1.09–3.66; p = 0.023], with the lowest chances of its appearance in carriers of the G allele [OR = 0.50; OR 95% CI: 0.27–0.91; p = 0.023]. Mapping of the expression quantitative trait loci on both sides of the SEPP1 gene (rs7579) transcription start site evidenced 152 statistically significant cis-variants of rs7579 of the SEPP1 gene (SELENOP) associations with the expression of 20 genes in 35 different organs and tissues and 22 phenotypic traits.","PeriodicalId":13962,"journal":{"name":"INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine)","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：