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Evaluation of Growth Status Using Serum IGF-I and IGFBP-3 in Children with Subclinical Hypothyroidism 应用血清igf - 1和IGFBP-3评价亚临床甲状腺功能减退症患儿的生长状况
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.31
J. Bae, B. Kwak, Sochung Chung
Purpose : The aim of this study was to evaluate growth status using the insulin-like growth factor-I (IGF-I) and IGF-binding protein-3 (IGFBP-3) concentrations in children with subclinical hypothyroidism (SCH). Methods : The study included 93 SCH patients (33 males and 60 females, age 8.1±1.9 years) and 94 healthy control subjects (31 males and 63 females, age 8.0±0.7 years). Patients’ height and weight were measured, and their body mass index (BMI) and Z-scores were calculated. The relationship between growth parameters, including IGF-I and IGFBP-3 concentrations and thyroid functions (thyroid-stimulating hormone (TSH) and free thyroxine 4 (fT4) was explored. Results : Although weight and BMI were greater in SCH patients, the Z-score of height, weight and BMI, and serum IGF-I and IGFBP-3 levels in SCH children were not significantly different compared to the control. In SCH patients, TSH showed a negative correlation with weight Z-scores (r =-0.23, P =0.028) and BMI Z-scores (r =-0.21, P =0.048). FT4 showed a positive correlation with IGFBP-3. Conclusion : The positive correlation of fT4 and IGFBP-3 and the negative relationship between TSH and weight and BMI Z-scores in SCH children suggest that subnormal thyroid functions could be related to growth impairment. (J Korean Soc Pediatr Endocrinol 2011;16:31-37)
目的:本研究的目的是利用胰岛素样生长因子- i (IGF-I)和igf结合蛋白-3 (IGFBP-3)浓度评估亚临床甲状腺功能减退症(SCH)患儿的生长状况。方法:纳入93例SCH患者(男33例,女60例,年龄8.1±1.9岁)和94例健康对照(男31例,女63例,年龄8.0±0.7岁)。测量患者身高、体重,计算体重指数(BMI)和z分数。探讨生长参数(包括IGF-I和IGFBP-3浓度)与甲状腺功能(促甲状腺激素(TSH)和游离甲状腺素4 (fT4))的关系。结果:SCH患儿体重、BMI均高于对照组,但SCH患儿身高、体重、BMI Z-score及血清IGF-I、IGFBP-3水平与对照组比较差异无统计学意义。SCH患者TSH与体重z -评分呈负相关(r =-0.23, P =0.028), BMI z -评分呈负相关(r =-0.21, P =0.048)。FT4与IGFBP-3呈正相关。结论:SCH患儿fT4与IGFBP-3呈正相关,TSH与体重、BMI z -score呈负相关,提示甲状腺功能亚正常可能与生长障碍有关。(韩国社会儿科内分泌杂志2011;16:31-37)
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引用次数: 0
Analysis of Cytokines in Sera from Type 1 Diabetic Patients at Diagnosis 1型糖尿病患者诊断时血清细胞因子分析
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.13
I. Yoon, C. Shin, S. Yang
Results: Patients showed significantly higher levels of IL-1β (P ˂ 0.01), IL-10 (P ˂ 0.01), and TNF-α (P =0 .019), than the healthy controls. In 12 of 35 patients, the insulin autoantibody (IAA) was positive (34%) and the level of IAA was correlated with IL-10 (r = 0.454, P = 0.006), and TNF-α (r = 0.368, P = 0.030). Conclusion: These results suggest that IL-1β, TNF-α, and IL-10 play a role in the pathogenesis of T1DM, and the level of the IAA is correlated with IL-10 and TNF-α. (J Korean Soc Pediatr Endocrinol 2011;16:13-19)
结果:患者IL-1β (P小于0.01)、IL-10 (P小于0.01)、TNF-α (P = 0.019)水平明显高于健康对照组。35例患者中12例胰岛素自身抗体(IAA)阳性(34%),IAA水平与IL-10 (r = 0.454, P = 0.006)、TNF-α (r = 0.368, P = 0.030)相关。结论:提示IL-1β、TNF-α、IL-10参与了T1DM的发病机制,IAA水平与IL-10、TNF-α水平相关。(韩国社会儿科内分泌杂志2011;16:13-19)
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引用次数: 0
A Familial Case of Kallmann Syndrome due to KAL1 Gene Complete Deletion 家族性KAL1基因完全缺失致Kallmann综合征1例
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.61
S. H. Lee, Seong Woo Han, Gu-Hwan Kim, H. Yoo, W. Chung
Kallmann syndrome (KS) is characterized by the association of hypogonadotropic hypogonadism and anosmia. Although the vast majority of KS cases are sporadic, some X-linked recessive (KAL1), autosomal dominant (FGFR1), and autosomal recessive (most commonly GNRHR) modes of inheritance have been described. Two boys were referred to our department because of cryptorchidism and the absence of puberty. Upon laboratory evaluation they were diagnosed with hypogonadotropic hypogonadism. Agenesis of the olfactory bulbs was detected in radiologic tests, and total deletion of the KAL1 gene was detected through multiplex ligation-dependent probe amplification (MLPA). Although cryptorchidism was diagnosed in the siblings, only the older brother suffered from sensorineural hearing loss and right renal agenesis, a feature that had been reported in X-linked KS. We describe herein the clinical heterogeneity of two affected brothers who carry a complete deletion in KAL1; this is the first case of familial Kallmann syndrome due to the complete deletion of the KAL1 gene reported in Korea. (J Korean Soc Pediatr Endocrinol 2011;16:61-65)
Kallmann综合征(KS)的特点是与促性腺功能减退和嗅觉缺失有关。虽然绝大多数KS病例是散发性的,但已经描述了一些x连锁隐性遗传(KAL1),常染色体显性遗传(FGFR1)和常染色体隐性遗传(最常见的是GNRHR)模式。两名男童因隐睾及未进入青春期而转介至我科。经实验室评估,他们被诊断为促性腺功能低下。通过放射学检查检测嗅球发育不全,并通过多重结扎依赖探针扩增(MLPA)检测KAL1基因的完全缺失。虽然在兄弟姐妹中诊断出隐睾,但只有哥哥患有感音神经性听力丧失和右肾发育不全,这是在x连锁KS中报道的特征。我们在此描述了两个携带KAL1完全缺失的患病兄弟的临床异质性;这是国内报道的第一例因KAL1基因完全缺失而导致的家族性Kallmann综合征。(韩国社会儿科内分泌杂志2011;16:61-65)
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引用次数: 0
Reassessment of GH Status and GH Therapy in Adults with Childhood-onset GHD: Transitional Care from Adolescence to Adulthood 儿童期GHD患者的生长激素状态和生长激素治疗的重新评估:从青春期到成年期的过渡护理
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.1
Jin-Ho Choi, H. Yoo
factor (IGF)-I is a reliable diagnostic indicator of GHD in the presence of hypopitui-tarism, however, a normal IGF-I does not rule out GHD. When the diagnosis of adult GHD is established, continuation of GH therapy is strongly recommended. Continued GH treatment from adolescence into early adulthood may contribute to the attainment of a normal bone and muscle mass and contribute to a decrease of the cardiovascular risk of GHD adults. There is ongoing debate about nearly every aspect of GH therapy. (J Korean Soc Pediatr Endocrinol 2011;16:1-6)
在垂体功能低下的情况下,IGF- 1是GHD的可靠诊断指标,然而,IGF- 1正常并不能排除GHD。当成人GHD的诊断确定时,强烈建议继续GH治疗。从青春期到成年早期持续GH治疗可能有助于获得正常的骨骼和肌肉质量,并有助于降低成人GHD的心血管风险。关于生长激素治疗的几乎每一个方面都有持续的争论。(中华医学会小儿内分泌杂志2011;16:1-6)
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引用次数: 1
Drug Delivery Systems - associated with Pediatric Endocrinology 药物输送系统-与儿科内分泌学相关
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.7
Ji-Eun Lee
As a result of recent advances in life science and technology, various therapeutic drugs have been developed and active research in the fields of medicine for the development of novel drugs are under progress. Among these researches, the Drug Delivery System (DDS) is an advanced technology that effectively delivers therapeutic drugs to desired targets and thereby reduces adverse effects and increases efficacy. The application of this technology in the industry is technology-intensive and high value-added and therefore suitable for Korea's condition which is poor of material resources while abundant of human resources. Therefore there are many efforts in developing DDS as a major fundamental industry in Korea. Therefore this technology has emerged as a new technology that has a substantial impact in the development and growth of biotechnology related industries in Korea. In this review, we introduce the basic concepts and principles of DDS, so that pediatric endocrinologists may obtain a more comprehensive understanding and may benefit in treating patients with this advanced technology. (J Korean Soc Pediatr Endocrinol 2011;16:7-12)
近年来,随着生命科学技术的进步,各种治疗药物被开发出来,医药领域正在积极研究开发新药。在这些研究中,药物递送系统(Drug Delivery System, DDS)是一种先进的技术,可以有效地将治疗药物递送到预期的靶点,从而减少不良反应,提高疗效。该技术在工业上的应用具有技术密集型、高附加值的特点,适合韩国物质资源匮乏、人力资源丰富的国情。因此,为了把DDS发展成为韩国的主要基础产业,韩国做出了很多努力。因此,该技术已成为对韩国生物技术相关产业的发展和成长产生重大影响的新技术。本文将介绍DDS的基本概念和原理,以便儿科内分泌专家对这项先进技术有更全面的了解,更好地治疗患者。(中华医学会小儿内分泌杂志2011;16:7-12)
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引用次数: 5
A Case of Idiopathic Infantile Hypercalcemia Treated with Intravenous Pamidronate Infusion 静脉滴注帕米膦酸钠治疗特发性婴儿高钙血症1例
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.51
Jiyun Park, I. Seong, Jeesuk Yu
Hypercalcemia is not common, and occurs more frequently in children than in adults. Left untreated, hypercalcemia could result in a profound impact on growth and development. We report a case of recurrent idiopathic infantile hypercalcemia with poor weight gain, constipation, and a renal stone. We successfully treated the infantile hypercalcemia with a low-calcium diet and intravenous pamidronate. (J Korean Soc Pediatr Endocrinol 2011;16:51-55)
高钙血症并不常见,儿童比成人更常发生。如果不及时治疗,高钙血症会对生长发育产生深远的影响。我们报告一例复发性特发性婴儿高钙血症,体重增加不佳,便秘和肾结石。我们用低钙饮食和静脉注射帕米膦酸钠成功地治疗了婴儿高钙血症。(韩国社会儿科内分泌杂志2011;16:51-55)
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引用次数: 0
A Case of Turner Syndrome Associated with Idiopathic Central Diabetes Insipidus 特纳综合征合并特发性中枢性尿崩症1例
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.56
Ben Kang, Hyeoun U Sung, Bok Ki Kim, Sin Young Park, S. Kim, Y. Kwon, M. Lim, Ji-Eun Lee
We report a case of Turner syndrome associated with idiopathic central diabetes insipidus in a 12-year-old girl, who presented with polyuria and polydipsia after a year. The patient was very short and and centrally obese, and was initially diagnosed with Turner syndrome, hyperlipidema, and diabetes mellitus. A water deprivation test revealed central diabetes insipidus, and sellar magnetic resonance imaging (MRI) showed a thickening of the pituitary stalk, with normal high signal intensity in the posterior pituitary gland. Replacement therapy with desmopressin was initiated, and follow-up sellar MRI findings after two years showed spontaneous regression of the thickened pituitary stalk. There are only few reports of concomitant Turner syndrome with central diabetes insipidus worldwide. Further observation is needed in order to disclose the cause of central diabetes insipidus in patients having Turner syndrome. (J Korean Soc Pediatr Endocrinol 2011;16:56-60)
我们报告一例与特发性中枢性尿囊症相关的特纳综合征的12岁女孩,在一年后出现多尿和烦渴。患者身材矮小,中枢性肥胖,最初诊断为特纳综合征、高脂血症和糖尿病。水剥夺检查显示中枢性尿崩症,鞍区磁共振成像(MRI)显示垂体柄增厚,垂体后腺高信号强度正常。开始用去氨加压素替代治疗,两年后随访的鞍位MRI结果显示垂体柄增厚自发性消退。在世界范围内,Turner综合征合并中枢性尿崩症的报道很少。需要进一步观察以揭示特纳综合征患者中枢性尿崩症的病因。(韩国社会儿科内分泌杂志2011;16:56-60)
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引用次数: 2
Serum IGF-1 and IGFBP-3 Levels in Central Precocious Puberty Girls Treated with Gonadotropin Releasing Hormone Agonist (GnRHa) 促性腺激素释放激素激动剂(GnRHa)治疗中枢性性性早熟女童血清IGF-1和IGFBP-3水平
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.20
K. Yi
Purpose : The purpose of this test was to investigate the changes of serum IGF-1 and IGFBP-3 levels during a one-year gonadotropin releasing hormone agonist (GnRHa) treatment in central precocious puberty (CPP) girls. Methods : From 2007 to 2009, 26 girls were enrolled in this study. They were diagnosed as having central precocious puberty and were treated with GnRHa (leuprolide actete) for one year. Their height, bone age, and serum IGF-1 and IGFBP-3 levels were evaluated every six months. Results : At the time of diagnosis, their mean serum IGF-1 and IGFBP-3 levels were 302.90±102.54 ng/mL and 3,103.58±705.08 ng/mL, respectively. At six month after treatment, the serum IGF-1 and IGFBP-3 levels were slightly decreased. One year later, IGF-1 concentrations were higher than before treatment and IGFBP-3 levels were lower (P =NS). This result, however, was not statistically significant. Conclusion : Gonadal suppression with gonadotropin releasing hormones inversely influenced circulating IGF-1 and IGFBP-3 levels. However, the serum IGF-1 and IGFBP-3 levels were maintained at relatively steady levels, preserving a normal height velocity. (J Korean Soc Pediatr Endocrinol 2011;16:20-23)
目的:本试验旨在探讨中性性早熟(CPP)女孩在接受一年促性腺激素释放激素激动剂(GnRHa)治疗期间血清IGF-1和IGFBP-3水平的变化。方法:2007 - 2009年,26名女生入选本研究。他们被诊断为中枢性性早熟,并接受GnRHa (leuprolide actete)治疗一年。每6个月评估他们的身高、骨龄、血清IGF-1和IGFBP-3水平。结果:确诊时血清IGF-1和IGFBP-3水平分别为302.90±102.54 ng/mL和3103.58±705.08 ng/mL。治疗6个月后,血清IGF-1和IGFBP-3水平略有下降。1年后,IGF-1浓度高于治疗前,IGFBP-3水平低于治疗前(P =NS)。然而,这一结果没有统计学意义。结论:促性腺激素释放激素抑制促性腺激素对循环IGF-1和IGFBP-3水平有负相关影响。然而,血清IGF-1和IGFBP-3水平维持在相对稳定的水平,保持正常的高度速度。(韩国社会儿科内分泌杂志2011;16:20-23)
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引用次数: 3
Genetic Variations of GNRH1, GNRHR and GPR54 Genes in Korean Girls with Central Precocious Puberty 韩国中枢性性早熟女孩GNRH1、GNRHR和GPR54基因的遗传变异
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.38
J. Ko, Hae-sang Lee, Hyo Sung Lee, J. Hwang
Purpose: Central precocious puberty (CPP) is defined as any sign of secondary sexual maturation appears at an age lower than two standard deviations of the mean for the average age. This process is driven by activation of hypothalamic gonadotropin releasing hormone (GnRH) secretion. Many genes expressed in the hypothalamus have been identified to play an important role in the onset and the progression of puberty. In this study, the GNRH1, its receptor (GNRHR), and kisspeptin receptor (GPR54) genes were scanned to investigate sequence alterations and their distribution in Korean girls with CPP. Methods: One hundred and one Korean girls with CPP were recruited as the case group and 51 normal Korean women as the control group. The DNAs were extracted and amplified by polymerase chain reaction (PCR), and the products were sequenced directly. Statistical analyses were performed, and P values of ˂ 0.05 were considered significant. Results: Four polymorphisms were identified; however, no pathological mutation was found. Two of the polymorphisms were previously reported, c.47G ˃ C in GNRH1, and c.1091T ˃ A in GPR54. However, the other two (c.196C ˃ T in GNRH1 and c.546T ˃ C in GNRHR) were novel. There was no polymorphism that was significantly associated with early onset or rapid progression of puberty. Conclusion: Although the size of our study population was relatively small, simple genetic variations in GNRH1, GNRHR, and GPR54 genes are not likely to be a substantial factor directly associated with the onset and progression of puberty. (J Korean Soc Pediatr Endocrinol 2011;16:38-45)
目的:中枢性性早熟(CPP)被定义为任何第二性成熟的迹象出现在年龄低于平均年龄的平均值的两个标准差。这个过程是由下丘脑促性腺激素释放激素(GnRH)分泌的激活驱动的。在下丘脑中表达的许多基因已被确定在青春期的发生和发展中起重要作用。本研究通过扫描GNRH1及其受体(GNRHR)和kisspeptin受体(GPR54)基因,研究韩国女孩CPP的序列变化及其分布。方法:选取韩国女性CPP患者101例为病例组,韩国女性正常患者51例为对照组。采用聚合酶链反应(PCR)提取扩增dna,直接测序。进行统计学分析,P值小于0.05被认为是显著的。结果:鉴定出4个多态性;但未发现病理突变。之前报道过两个多态性,分别是GNRH1中的C . 47g - C和GPR54中的C . 1091t - A。而GNRH1中的C . 196c - T和GNRHR中的C . 546t - C则是新发现的。没有多态性与青春期早发或快速进展显著相关。结论:虽然我们的研究人群规模相对较小,但GNRH1、GNRHR和GPR54基因的简单遗传变异不太可能是与青春期的发生和进展直接相关的重要因素。(韩国社会儿科内分泌杂志2011;16:38-45)
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引用次数: 7
The Effect of IGFBP-3 on Adipokines and Gene Expression in Differentiated 3T3-L1 Adipocytes IGFBP-3对分化3T3-L1脂肪细胞中脂肪因子及基因表达的影响
Pub Date : 2011-04-01 DOI: 10.6065/JKSPE.2011.16.1.24
H. Kim
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引用次数: 1
期刊
Journal of Korean Society of Pediatric Endocrinology
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