Pediatric Neuroendocrinology

Pediatric Neuroendocrinology

von: S. Loche, M. Cappa, L. Ghizzoni, M. Maghnie, M.O. Savage

Karger, 2009

ISBN: 9783805593038 , 228 Seiten

Format: PDF, ePUB, OL

Kopierschutz: DRM

Windows PC,Mac OSX geeignet für alle DRM-fähigen eReader Apple iPad, Android Tablet PC's Apple iPod touch, iPhone und Android Smartphones Online-Lesen für: Windows PC,Mac OSX,Linux

Preis: 184,45 EUR

Mehr zum Inhalt

Pediatric Neuroendocrinology


 

Cover

1

Contents

6

Preface

8

The Transcriptome and the Hypothalamo-Neurohypophyseal System

9

Abstract

9

Osmoregulation

10

Detection of Hyperosmolality

10

The Hypothalamo-Neurohypopyseal System

12

Function-Related Plasticity

12

A Comprehensive Description of the HNS Transcriptome

13

The HNS Transcriptome Is Highly Strain Dependent

15

Conclusion

16

References

17

Role of Sleep and Sleep Loss in Hormonal Release and Metabolism

19

Abstract

19

Hormones that Influence Glucose Regulation and Appetite Control Are Influencedby Sleep

19

Obesity and Sleep Loss: Epidemiologic Evidence

22

Obesity, Diabetes and Sleep Loss: Evidence from Laboratory Studies

25

Conclusions

28

Acknowledgements

28

References

28

Sexual Hormones and the Brain: An Essential Alliance for Sexual Identity and Sexual Orientation

30

Abstract

30

Sex Differences in Cognition and Aggression: Little Effect of the Social Environment

30

Organizational and Activational Effects of Sex Hormones

31

Programmed Gender Identity Is Irreversible

33

Neurobiological Factors of Sexual Differentiation of the Brain

33

Sex Differences in the Human Brain

34

Transsexuality

36

Transsexuality and the Brain

36

Sexual Orientation

38

Sexual Orientation and the Brain

39

Conclusions

40

Acknowledgements

41

References

41

Corticotropin-Releasing Hormone Receptor Antagonists: An Update

44

Abstract

44

The ‘CRH Family’

44

CRH Receptor Antagonists

46

Clinical Implications of CRHR Antagonists

47

References

50

New Concepts on the Control of the Onset of Puberty

52

Abstract

52

General Aspects

52

‘Upstream’ Genes and the Transcriptional Control of Puberty

53

Epigenetics and Puberty

56

Concluding Remarks

57

References

57

Roles of Kisspeptins in the Control of Hypothalamic-Gonadotropic Function: Focuson Sexual Differentiation and Puberty Onset

60

Abstract

60

Brain Sexual Differentiation and Puberty Onset

61

Sexual Differentiation of Kiss1 Neurons: Functional Implications

62

Kiss1 System and the Timing of Puberty: Mechanisms and Physiological Relevance

63

Kiss1 System as Transmitter for the Metabolic Regulation of Puberty and Fertility

65

Future Directions and Conclusions

67

Acknowledgments

68

References

68

Role of the Growth Hormone/Insulin-Like Growth Factor 1 Axis in Neurogenesis

71

Abstract

71

Neurogenesis, Neuroprotection and Plasticity

73

The Growth Hormone and Insulin-Like Growth Factor 1 System in the Brain

74

Age-Related Effects of Growth Hormone and Insulin-Like Growth Factor 1 onNeurogenesis

75

Endogenous and Local Growth Hormone and Insulin-Like Growth Factor 1 versusTherapy

77

Brain Region-Specific Effects

78

Treatment of Disease and Neurogenesis

78

Experimental Validity for Human Clinical Use

79

Conclusion

80

References

80

Sex Steroids, Growth Hormone, Leptin and the Pubertal Growth Spurt

85

Abstract

85

The Hypothalamic-Pituitary-Gonadal Axis

86

GH/IGF-1 Axis

87

Leptin and Central Peptide Hormones

87

Linear Growth and Adolescent Development

90

Body Composition and Adolescent Development

91

References

92

Endocrine and Metabolic Actions of Ghrelin

94

Abstract

94

Neuroendocrine Actions

95

Ghrelin, Appetite and Energy Expenditure

97

Peripheral Metabolic Actions of Ghrelin

99

Conclusions

100

References

100

Pitfalls in the Diagnosis of Central Adrenal Insufficiency in Children

104

Abstract

104

Methods

105

Results

108

Discussion

110

References

114

Central Nervous System-Acting Drugs Influencing Hypothalamic-Pituitary-Adrenal Axis Function

116

Abstract

116

Synthetic GCs

121

Serotonergic Drugs

123

Conclusions

125

References

126

Genetic Factors in the Development of Pituitary Adenomas

129

Abstract

129

Sporadic Tumors

136

Conclusion

138

References

140

Diagnosis and Treatment of Cushing’s Disease in Children

142

Abstract

142

Diagnosis of Paediatric Cushing’s Disease

143

Treatment of Cushing’s Disease

149

Conclusions

151

References

151

Prolactinomas in Children and Adolescents

154

Abstract

154

Clinical Presentation

155

Diagnosis

160

Treatment Strategy

162

Conclusion

164

References

165

Pituitary Tumors: Advances in Neuroimaging

168

Abstract

168

Background

169

Pituitary Adenomas

171

Main Differential Diagnosis

173

Incidentalomas

180

References

180

Resistin: Regulation of Food Intake, Glucose Homeostasis and Lipid Metabolism

183

Abstract

183

The Discovery of Resistin

184

Regulation of Resistin by Obesity and Insulin/Glucose Alterations

184

Effects of Resistin on Glucose Metabolism

185

Resistin and Lipid Metabolism

187

Resistin and Food Intake

189

Concluding Remarks

189

Acknowledgements

190

References

190

Hypothalamic Obesity

193

Abstract

193

Hypothalamic Energy Regulation

194

Etiologies of Hypothalamic Obesity

195

Clinical Characteristics of HyOb

198

Hormonal and Metabolic Characteristics of HyOb

198

Treatment

200

Conclusions

201

References

201

Neuroendocrine Consequences of Anorexia Nervosa in Adolescents

205

Abstract

205

Hypothalamo-Pituitary-Gonadal Axis

206

Growth Hormone-Insulin-Like Growth Factor Axis

207

Hypothalamo-Pituitary-Adrenal Axis

209

Hypothalamo-Pituitary-Thyroid Axis

210

Peptides and Cytokines that Signal Energy Availability

210

Insulin and Adiponectin

211

Leptin

211

Ghrelin

212

Peptide YY

212

Other Hormones

213

Bone Metabolism

213

Hormonal Determinants of Low Bone Density in Anorexia Nervosa

216

Body Composition

218

Statural Growth

219

Conclusion

219

Grant Support

219

References

220

Author Index

223

Subject Index

224