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  • Review
  • Open Access
64 Views
12 Pages

Metabolic Surgery as a Modulator of the Thyroid–Gut Axis: A Narrative Review on Autoimmunity, Function, and Levothyroxine Pharmacokinetics

  • Nicolas Zucchini,
  • Francesca Lo Celso,
  • Alice Gabrieli,
  • Clemente Junior Nappi,
  • Nicolò Bortolussi,
  • Silvia Palmisano,
  • Chiara Dobrinja and
  • Giovanni Fantola

Background: The interplay between obesity and thyroid dysfunction is complex, characterized by adaptive hyperthyrotropinemia and peripheral hormone resistance. Metabolic and Bariatric surgery (MBS) has emerged not only as a weight-loss (WL) intervent...

  • Systematic Review
  • Open Access
225 Views
14 Pages

Objectives: This study aimed to evaluate adherence to therapy in hypoparathyroidism and related endocrine–metabolic disorders and to assess its association with biochemical outcomes, hypocalcemia episodes, and health-related quality of life (HR...

  • Review
  • Open Access
273 Views
18 Pages

Endocrine and Metabolic Modulation of Vascular Dysfunction in the Diabetic Foot: A Narrative Review

  • Luca Galassi,
  • Erica Altamura,
  • Elena Goldoni,
  • Gabriele Carioti,
  • Beatrice Faitelli,
  • Matteo Lino Ravini,
  • Niccolò Le Donne and
  • Kristi Nika

Diabetic foot complications represent a major global health burden and arise from a multifactorial interaction between neuropathy, ischemia, infection, and impaired wound repair. Increasing evidence suggests that, beyond traditional vascular and meta...

  • Article
  • Open Access
296 Views
11 Pages

General Characteristics of Papillary Thyroid Cancer Among Adolescents and Young Adults: A Single Large Center Experience

  • Elabbass A. Abdelmahmuod,
  • Mohamad Abufaied,
  • Shehab F. Mohamed,
  • Nada Elharabi,
  • Ahmed Elmudathir Osman,
  • Rafal Al-Shibly,
  • Raghad Bataineh,
  • Maab F. Elhaj,
  • Dabia Al-Mohanadi and
  • Tania Jaber
  • + 1 author

Background: Papillary thyroid cancer (PTC) incidence is rising, particularly among Adolescents and Young Adults (AYA, 15–39 years). However, data on PTC characteristics in the AYA population, especially from the Middle East, remain limited. Thi...

  • Article
  • Open Access
364 Views
12 Pages

Skeletal Muscle Myofiber Development in Non-Human Primate Offspring Deprived of Estrogen in Utero

  • Phillip J. Gauronskas,
  • Terrie J. Lynch,
  • Eugene D. Albrecht and
  • Gerald J. Pepe

Introduction: We previously showed that baboon offspring born to mothers deprived of estrogen during the second half of gestation exhibited insulin resistance prior to and after the onset of puberty. Moreover, the size of skeletal muscle myofibers an...

  • Article
  • Open Access
878 Views
10 Pages

20 November 2025

Background/Objectives: Thyroid dysfunction during pregnancy is associated with a range of adverse perinatal outcomes. This study aims to evaluate the effect of maternal thyroid autoimmunity on selected gestational and perinatal outcomes of the newbor...

  • Review
  • Open Access
773 Views
11 Pages

Diagnosis of Congenital and Acquired Generalized Lipodystrophies—Similarities and Differences

  • Josivan Gomes Lima,
  • Lucas Nobrega Lima,
  • Vitor Yan Bezerra Araujo,
  • Lucia Helena Coelho Nobrega and
  • Julliane Tamara Araújo de Melo Campos

17 November 2025

Generalized lipodystrophies (GLs) are rare diseases characterized by a lack of body fat. When patients with a GL phenotype are referred with a presumptive diagnosis of congenital generalized lipodystrophy (CGL) but genetic testing for known pathogeni...

  • Review
  • Open Access
1 Citations
1,656 Views
13 Pages

For many years, menopause-related bone loss has been attributed solely to declining estrogen levels. Recently it has been suggested that bone loss accelerates during perimenopause, often preceding declines in estradiol (E2), proposing that follicle-s...

  • Feature Paper
  • Review
  • Open Access
1,491 Views
11 Pages

The ovarian corpus luteum has functional mechanisms for formation and regression in the reproductive endocrine system. The main functional events of the corpus luteum are angiogenesis and apoptosis mechanisms. The development of the corpus luteum inv...

  • Article
  • Open Access
2,259 Views
18 Pages

Gestational Weight Gain and Adverse Pregnancy Outcomes in Women with Gestational Diabetes Mellitus and Obesity

  • Filipe Dias de Souza,
  • Patrícia Medici Dualib,
  • Martha Camillo Jordão,
  • Micaela Frasson Montero,
  • Maria Carolina Oliveira Abate,
  • Leonardo Luna,
  • Rosiane Mattar and
  • Bianca de Almeida-Pititto

Background/Objectives: The association between gestational weight gain (GWG) and adverse outcomes in individuals with gestational diabetes mellitus (GDM) and obesity remains unclear. This study aimed to evaluate the relationship between total GWG and...

  • Article
  • Open Access
989 Views
18 Pages

Circulating miR-122 and miR-139-3p: Association with Lipid, Inflammatory, and Glycemic Profile in Adolescents with Insulin-Resistant and Overweight

  • Tanyara Baliani Payolla,
  • Paula Nascimento Brandão-Lima,
  • Gabrielli Barbosa de Carvalho,
  • Flávia Mori Sarti,
  • Regina Mara Fisberg and
  • Marcelo Macedo Rogero

Background/Objectives: Insulin resistance (IR) in adolescents contributes to the development of metabolic and immunological alterations. These alterations can lead to chronic, systemic, low-grade inflammation in adulthood. Evidence suggests that alte...

  • Article
  • Open Access
1,002 Views
10 Pages

Obesity Is Associated with Larger Thyroid Nodules but Not with Malignant Cytology

  • Stefania Giuliano,
  • Giuseppe Seminara,
  • Stefano Iuliano,
  • Stefania Obiso,
  • Eusebio Chiefari,
  • Daniela P. Foti,
  • Maria Mirabelli and
  • Antonio Brunetti

Background: Obesity has been proposed as a risk factor for differentiated thyroid carcinoma (DTC), though findings in the literature remain conflicting. While some studies suggest an association between elevated body mass index (BMI) and thyroid mali...

  • Review
  • Open Access
2 Citations
9,054 Views
27 Pages

Sleep Deprivation and Its Impact on Insulin Resistance

  • Margarida C. Pinheiro,
  • Henrique E. Costa,
  • Melissa Mariana and
  • Elisa Cairrao

Background/Objectives: Adequate sleep has a fundamental role in human health, mainly in cognitive and physiological functions. However, the daily demands of modern society have led to a constant pursuit of better living conditions, requiring more act...

  • Review
  • Open Access
2 Citations
6,083 Views
22 Pages

Comparing Glucometer-Based and Laboratory-Based OGTT for Diabetes Diagnosis: A Narrative Review

  • Tanvir Ahmed,
  • Jaimala Kishore,
  • Mensila Onamika,
  • Shuvratithi Goswami,
  • Iffat Rahman Momo,
  • Hanif Sumon and
  • Rodney G. Bowden

18 September 2025

Background: The oral glucose tolerance test (OGTT) is the gold standard for diagnosing diabetes; however, its use is often limited by the need for laboratory infrastructure, trained personnel, and extended turnaround times. In contrast, glucometer-ba...

  • Review
  • Open Access
1 Citations
3,370 Views
12 Pages

18 September 2025

The intersection of type 2 diabetes mellitus (T2DM) and sarcopenia, often termed diabetic sarcopenia, represents a critical yet underrecognized comorbidity that significantly impacts the quality of life and functional capacity of older adults. This p...

  • Review
  • Open Access
1 Citations
3,893 Views
13 Pages

Remnant Cholesterol: From Pathophysiology to Clinical Implications in Type 1 Diabetes

  • Fernando Sebastian-Valles,
  • Álvaro Montes Muñiz and
  • Mónica Marazuela

15 September 2025

Remnant cholesterol, contained within triglyceride-rich lipoproteins such as VLDL and IDL, has emerged as an independent risk factor for atherosclerotic cardiovascular disease (ASCVD) in both the general population and individuals with diabetes. Unli...

  • Review
  • Open Access
2,348 Views
10 Pages

10 September 2025

Background: Pituicytomas are rare, low-grade gliomas arising from pituicytes in the posterior pituitary or infundibulum. Due to its rarity and nonspecific clinical and radiological characteristics, it is frequently misdiagnosed as pituitary adenomas...

  • Article
  • Open Access
3 Citations
2,868 Views
13 Pages

Novel Anthropometric Indices: An Allometric Perspective

  • Nir Y. Krakauer and
  • Jesse C. Krakauer

4 September 2025

Background/Objectives: Anthropometric indices based on height (H), weight (W), waist circumference (WC) and hip circumference (HC) can identify incident and future health risks. While BMI provides a standard for relative W (adjusted for H), there is...

  • Review
  • Open Access
1 Citations
6,182 Views
18 Pages

Energy Homeostasis and Kisspeptin System, Roles of Exercise and Outcomes with a Focus on Male Reproductive Health

  • Mario Ruggiero,
  • Antonella Vicidomini,
  • Domenico Tafuri,
  • Filomena Mazzeo and
  • Rosaria Meccariello

Background: Obesity is a multisystemic health problem causing chronic diseases like diabetes or cardiovascular diseases, but also reproductive dysfunctions like infertility in adults or altered puberty onset in children. Exercise is a recognized inte...

  • Review
  • Open Access
6,965 Views
17 Pages

Leptin, an adipocyte-derived hormone, plays a central role in the regulation of energy homeostasis by acting on distinct hypothalamic nuclei. This review explores recent advances in our understanding of leptin’s region-specific actions within t...

  • Review
  • Open Access
1 Citations
3,017 Views
19 Pages

Regulatory T (Treg) cells were first identified through the observation that Foxp3 gene mutations in mice and humans can result in their dysfunction, leading to a catastrophic multi-organ autoimmune syndrome. Since then, it has become increasingly ev...

  • Review
  • Open Access
4,346 Views
19 Pages

Gastric Autonomic Neuropathy in Diabetes

  • Elham Hosseini-Marnani,
  • Jessica A. Marathe,
  • James D. Triplett,
  • Md Kamruzzaman,
  • Kevin Yin,
  • Karen L. Jones,
  • Michael Horowitz and
  • Chinmay S. Marathe

Autonomic dysfunction of the stomach typically manifests as delayed gastric emptying or gastroparesis and is seen in individuals with both type 1 and 2 diabetes. However, impaired gastric motility is only modestly associated with the presence of uppe...

  • Article
  • Open Access
5,069 Views
21 Pages

Diagnostic Accuracy of Radiological Bone Age Methods for Assessing Skeletal Maturity in Central Precocious Puberty Girls from the Canary Islands

  • Sebastián Eustaquio Martín Pérez,
  • Isidro Miguel Martín Pérez,
  • Ruth Molina Suárez,
  • Jesús María Vega González and
  • Alfonso Miguel García Hernández

Background: Central precocious puberty (CPP), defined as the onset of secondary sexual characteristics before age 8 in girls, is increasingly prevalent worldwide. CPP is often caused by early activation of the HPG axis, leading to accelerated growth...

  • Review
  • Open Access
1 Citations
4,948 Views
29 Pages

Functional Pancreatic Neuroendocrine Neoplasms: An Overview

  • Ethan A. Mills,
  • Beckey P. DeLucia,
  • Colton D. Wayne,
  • Taylor H. Jacobs,
  • Gail E. Besner and
  • Siddharth Narayanan

Pancreatic neuroendocrine neoplasms (PNENs) are a diverse group of rare tumor subtypes, representing less than 2% of all pancreatic tumors. Often detected late in the clinical course, they are associated with high rates of morbidity and mortality. He...

  • Review
  • Open Access
1 Citations
3,696 Views
12 Pages

Neuroendocrinological Aspects of a Tailored Hormonal Contraception

  • Christian Battipaglia,
  • Anna Szeliga,
  • Veronica Setti,
  • Gregory Bala,
  • Peter Chedraui,
  • Alessandro D. Genazzani and
  • Blazej Meczekalski

Hormonal contraceptives (HCs) are widely used and generally well tolerated; however, their neuroendocrinological effects remain underappreciated in clinical decision-making. Beyond ovulation suppression, HCs influence brain function by modulating key...

  • Article
  • Open Access
1,188 Views
9 Pages

In healthy humans, insulin at physiological concentrations exerts acute vasodilatory actions on both resistance and terminal arterioles, leading, respectively, to increased total blood flow and the microvascular network volume being perfused. The pro...

  • Article
  • Open Access
1,887 Views
14 Pages

Glomerular Hyperfiltration in Children and Adolescents with Type 1 Diabetes Mellitus: A Cross-Sectional Observational Study

  • Luiza Santos de Argollo Haber,
  • Lucas Fornari Laurindo,
  • Rafael Fagundes de Melo,
  • Dennis Penna Carneiro,
  • Piero Biteli,
  • Henrique Villa Chagas,
  • Luciano Junqueira Mellem,
  • Jesselina Francisco dos Santos Haber,
  • Lance Alan Sloan and
  • Eduardo Federighi Baisi Chagas
  • + 2 authors

Background/Objectives: This study investigated the relationship between glycemic control and increased glomerular filtration rate (eGFR), as assessed by serum creatinine and the CKiD equation in children and adolescents with T1DM. Methods: This cross...

  • Review
  • Open Access
5,423 Views
10 Pages

Background/Objectives: Continuous glucose monitoring (CGM) has transformed diabetes management, with time in range (TIR) emerging as a key glycemic metric. However, TIR lacks sensitivity to glycemic variability, leading to the introduction of time in...

  • Article
  • Open Access
1,292 Views
12 Pages

Retrospective Analysis of Vitamin D Levels in Girls with Idiopathic Central Precocious Puberty: A Potential Role in Pubertal Activation?

  • Giorgio Sodero,
  • Luigi Antonio Moscogiuri,
  • Anna Camporeale,
  • Aniello Meoli,
  • Fabio Comes,
  • Paola Passoforte,
  • Giacomo Perrone,
  • Antonietta Villirillo and
  • Marilea Lezzi

Objective: To investigate the association between serum 25-hydroxyvitamin D [25(OH)D] levels and clinical, hormonal, and auxological features in girls with idiopathic central precocious puberty (CPP). Methods: This retrospective study included 122 gi...

  • Article
  • Open Access
1,996 Views
11 Pages

Background/Objectives: Endocrine hormones play critical roles in regulating physiological processes, and previous studies have reported their associations with psychiatric disorders. Levels of endocrine hormones and the risk of developing psychiatric...

  • Case Report
  • Open Access
1,028 Views
12 Pages

Background/Objectives: Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) is a rare autoimmune disorder caused by mutations in the AIRE gene. Approximately 60% of affected females develop premature ovarian insufficiency (POI) by...

  • Review
  • Open Access
1 Citations
5,720 Views
12 Pages

Cholestyramine in Hyperthyroidism and Thyrotoxicosis: Have You Ever Used It?

  • Giona Castagna,
  • Lucrezia Zanchi,
  • Alessandro Rossini,
  • Sara Cassibba,
  • Roberto Trevisan and
  • Silvia Ippolito

Cholestyramine, a bile acid sequestrant, has been used primarily for lipid-lowering purposes but has also shown potential in managing hyperthyroidism and thyrotoxicosis. The objective of this review is to assess the efficacy, safety, and clinical ind...

  • Review
  • Open Access
2 Citations
8,170 Views
21 Pages

Precocious Puberty and Benign Variants in Female Children: Etiology, Diagnostic Challenges, and Clinical Management

  • Roberto Paparella,
  • Arianna Bei,
  • Lorenzo Brilli,
  • Vittorio Maglione,
  • Francesca Tarani,
  • Marcello Niceta,
  • Ida Pucarelli and
  • Luigi Tarani

Precocious puberty, defined as the onset of secondary sexual characteristics before age 8 in girls, presents a diagnostic challenge in distinguishing between normal variants and pathological conditions requiring intervention. Central precocious puber...

  • Review
  • Open Access
6,178 Views
14 Pages

Decoding Mini-Puberty and Its Clinical Significance: A Narrative Review

  • Anastasios Serbis,
  • Chrysoula Kosmeri,
  • Natalia Atzemoglou,
  • Katerina-Marina Lampropoulou,
  • Lida-Eleni Giaprou,
  • Dimitrios Rallis and
  • Vasileios Giapros

Mini-puberty refers to the transient activation of the hypothalamic–pituitary–gonadal (HPG) axis during early infancy, lasting up to six months in boys and 12–24 months in girls. This phase represents the second activation of the HP...

  • Review
  • Open Access
1 Citations
5,272 Views
39 Pages

Current and Emerging Treatments for Metabolic Associated Steatotic Liver Disease and Diabetes: A Narrative Review

  • Rachelle Choi,
  • Jatin Vemuri,
  • Alekya Poloju,
  • Rishi Raj,
  • Anurag Mehta,
  • Amon Asgharpour,
  • Mohammad S. Siddiqui and
  • Priyanka Majety

Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), previously referred to as Non-Alcoholic Fatty Liver Disease (NAFLD), is a prevalent chronic liver condition strongly linked to Type 2 Diabetes Mellitus (T2DM) and obesity. Globally, MA...

  • Review
  • Open Access
1 Citations
1,941 Views
15 Pages

Retinoic acid (RA) exerts biological effects through RA receptors (RARs) to regulate transcription. RA also elicits rapid, RAR-independent (noncanonical) activities mediated by Cellular RA Binding Protein 1 (CRABP1) to modulate cytosolic signaling. C...

  • Article
  • Open Access
993 Views
13 Pages

Glycometabolic Control Does Not Affect Sexual Function in a Cohort of Women with Type 1 Diabetes: Results of an Observational Pilot Study

  • Cristian Petolicchio,
  • Giordano Spacco,
  • Eliana Delle Chiaie,
  • Maria Grazia Calevo,
  • Nicola Minuto,
  • Davide Carlo Maggi,
  • Diego Ferone,
  • Marta Bassi and
  • Francesco Cocchiara

Background/Objectives: The association between sexual dysfunction and diabetes is well known, but few studies have investigated its prevalence in type 1 diabetes (T1D). The aim of this study was to evaluate the prevalence of sexual dysfunction in a g...

  • Review
  • Open Access
10 Citations
7,044 Views
19 Pages

Endocrine Toxicity of Micro- and Nanoplastics, and Advances in Detection Techniques for Human Tissues: A Comprehensive Review

  • Sabrina Bossio,
  • Silvestro Antonio Ruffolo,
  • Danilo Lofaro,
  • Anna Perri and
  • Mauro Francesco La Russa

Background: Plastic pollution driven by human activities has become a critical global issue for human health. A growing literature demonstrates that micro- and nanoplastics (MNPs) contain endocrine-disrupting chemicals (EDCs) and other harmful compou...

  • Case Report
  • Open Access
1 Citations
1,425 Views
9 Pages

Oncocytic Adenoma in a Pediatric Patient: A Case Report and Literature Review

  • Roberto Paparella,
  • Giulia Bellone,
  • Laura Rizza,
  • Norman Veccia,
  • Gabriele Ricci,
  • Mauro Calvani and
  • Salvatore Scommegna

Background: Oncocytic adenomas (OAs) of the thyroid, previously referred to as Hürthle cell adenomas, are uncommon tumors, particularly in pediatric populations, where they represent a minority of thyroid nodules. Due to their rarity and the pot...

  • Review
  • Open Access
3,057 Views
18 Pages

Clinical Implications and Preventive Strategies for Neonatal and Infant Hypovitaminosis D: Analysis and Comparison of Current Evidence

  • Vittorio Ferrari,
  • Giacomo Biasucci,
  • Egidio Candela,
  • Rita Ortolano,
  • Federico Baronio and
  • Marcello Lanari

Background: Vitamin D is essential for neonatal health, with maternal vitamin D status crucial in fetal development and neonatal outcomes. During pregnancy, vitamin D is transferred to the fetus via the placenta, forming an initial reserve. Postnatal...

  • Case Report
  • Open Access
1,330 Views
11 Pages

Severe Hypoglycemia and Pituitary Stalk Interruption Syndrome in a 5-Year-Old Boy with Coexistent Hyperprolinaemia: A Case Report and Literature Review

  • Aikaterini Theodosiadi,
  • Ilektra Toulia,
  • Maria G. Grammatikopoulou,
  • Fotini Adamidou,
  • Danai Chourmouzi,
  • Charalampos Antachopoulos,
  • Athanasios E. Evangeliou,
  • Dimitrios G. Goulis and
  • Kyriaki Tsiroukidou

Background/Objectives: Hyperprolinemia is a rare autosomal recessive disorder with two distinct types: I (HPI) and II (HPII). The clinical presentation varies widely, with some individuals remaining asymptomatic and others exhibiting neurological, re...

  • Review
  • Open Access
1,832 Views
11 Pages

This review examines the relationship between cholesterol and bone resorption. It seeks to elucidate the dependence of bone turnover on cholesterol metabolism by highlighting the common inhibitory effect of both statins and nitrogen-containing bispho...

  • Communication
  • Open Access
3 Citations
4,174 Views
8 Pages

Background: This paper briefly reviews the most important endocrine features of primary ovarian insufficiency (POI) and shows their relevance for the diagnosis and treatment of this condition. Introduction: Endocrine disturbances in POI cause problem...

  • Article
  • Open Access
2,699 Views
20 Pages

Background/Objectives: Chronic somatic diseases are significant risk factors for the development of mental disorders. Type 1 diabetes mellitus (T1D) is the most common chronic endocrine pathology in children. Treatment requires nutrition management,...

  • Review
  • Open Access
7,464 Views
10 Pages

Precocious puberty (PP) is characterized by the early onset of secondary sexual characteristics and accelerated growth, which often result in compromised adult height (AH). Central precocious puberty (CPP), a subset of PP, is treated with gonadotropi...

  • Article
  • Open Access
2,310 Views
14 Pages

Ultrasound Assessment and Sexual Dimorphism of Thyroid Nodules: Bringing Gender Medicine to Clinical Practice

  • Marina Valenzano,
  • Ruth Rossetto Giaccherino,
  • Loredana Pagano,
  • Sara Garberoglio and
  • Roberto Garberoglio

Background/Objectives: Understanding sex-based differences in both the pathophysiology and clinical presentation of diseases is necessary to improve health care towards precision medicine. The endocrine system is deeply involved in human health, and...

  • Article
  • Open Access
3 Citations
7,025 Views
11 Pages

Effects of the Menstrual Cycle Phase on Cortisol Responses to Maximum Exercise in Women With and Without Premenstrual Syndrome

  • Raul Cosme Ramos Prado,
  • Tamires Nunes Oliveira,
  • Bryan Saunders,
  • Roberta Foster,
  • Zsuzsanna Ilona Katalin de Jármy Di Bella,
  • Marcus W. Kilpatrick,
  • Ricardo Yukio Asano,
  • Anthony C. Hackney and
  • Monica Yuri Takito

Objectives: This study investigated the effects of the menstrual cycle phases on cortisol levels before and after a maximal incremental exercise test in women with and without premenstrual syndrome (PMS). Methods: Nineteen healthy, active and eumenor...

  • Review
  • Open Access
1 Citations
1,856 Views
12 Pages

Link Between Umbilical Cord Blood Adipokines and Early Childhood Health

  • Ava M. Boyle,
  • Olivia J. Holland and
  • Deanne H. Hryciw

Introduction: Early-life neurological and inflammatory disorders significantly affect long-term cognitive, social, and emotional development. The ‘Developmental Origins of Health and Disease’ hypothesis states that an adverse intrauterine...

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Endocrines - ISSN 2673-396X