Divergent endocrine abnormalities in melancholic and atypical depression: clinical and pathophysiologic implications.

Abstract:

:Mediators of neuroendocrine and autonomic function seem to play important roles in the core symptoms of major depression. Although centrally directed corticotropin-releasing hormones and norepinephrine contribute to core symptoms such as alterations in anxiety, arousal, and mood, they also exert significant potentially clinically relevant effects on key processes that proceed in the periphery. Thus, the core clinical manifestations of major depression may represent a fraction of a complicated systemic illness that not only influences thought and feeling, but also the processes involved in premature cardiovascular disease, osteoporosis, and premature death. Subdividing patients with major depression into meaningful biologic subgroups will facilitate the elucidation of the mechanisms that underlie the central and peripheral manifestations of major depressive illness.

authors

Gold PW,Gabry KE,Yasuda MR,Chrousos GP

doi

10.1016/s0889-8529(01)00022-6

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

37-62, vi

issue

1

eissn

0889-8529

issn

1558-4410

pii

S0889-8529(01)00022-6

journal_volume

31

pub_type

杂志文章,评审
  • Extraskeletal effects of vitamin D.

    abstract::The presence of vitamin D receptors in diverse tissues like immune cells, beta-cells in the pancreas, and cardiac myocytes has prompted research to evaluate the impact of vitamin D deficiency on the occurrence of immune diseases, diabetes, and cardiovascular disease (CVD). The expression of receptors not only in norma...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2012.05.004

    authors: Wolden-Kirk H,Gysemans C,Verstuyf A,Mathieu C

    更新日期:2012-09-01 00:00:00

  • Reproductive effects of nontesticular illness.

    abstract::Diseases in other organs may impair the male reproductive system. Acute critical conditions such as severe trauma, surgery, myocardial infarction, burns, liver failure, intoxication, or starvation are associated with suppression of gonadotropin secretion and secondary hypogonadism. With chronic illnesses, a primary te...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70043-8

    authors: Baker HW

    更新日期:1998-12-01 00:00:00

  • Sonography of the pelvis in patients with primary amenorrhea.

    abstract::Duplex/color Doppler sonography (US) is the imaging modality of choice for the evaluation of patients with primary amenorrhea. Careful correlation with clinical history, physical examination and laboratory findings significantly narrows the diagnostic possibilities thus allowing for a more precise diagnosis. This arti...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2009.09.002

    authors: Rosenberg HK

    更新日期:2009-12-01 00:00:00

  • Diabetes mellitus in cystic fibrosis.

    abstract::Glucose intolerance and diabetes are common complications of cystic fibrosis (CF), affecting up to 75% of the adult population. This article discusses the prevalence and pathophysiology of glucose tolerance abnormalities in CF, and reviews recent recommendations for diagnosis, screening, and management of CF-related d...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70102-x

    authors: Hardin DS,Moran A

    更新日期:1999-12-01 00:00:00

  • Endocrine therapy for prostate cancer.

    abstract::Prostate cancer is the most frequent cancer in men. A discovery of major importance in the endocrinology of prostate cancer is that the testes contribute only 60% of total androgens in adult men; the remaining 40% are synthesized in peripheral tissues, including the normal and cancerous prostate, from inactive androge...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Labrie F

    更新日期:1991-12-01 00:00:00

  • Immunomodulatory vaccination in autoimmune disease.

    abstract::The development of vaccines is arguably the most significant achievement in medicine to date. The practice of innoculation with the fluid from a sore to protect from a disease actually dates back to ancient China; however, with the introduction of Jenner's smallpox vaccine, and greater understanding of the immune syst...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(01)00021-4

    authors: Urbanek-Ruiz I,Ruiz PJ,Steinman L,Fathman CG

    更新日期:2002-06-01 00:00:00

  • Hypoglycemia associated with liver disease and ethanol.

    abstract::The liver is key to glucose homeostasis. Any disruption of its metabolism, structural integrity, or intracellular dynamics may alter the liver's ability to maintain normal glucose homeostasis. When such disruption affects hepatic glucose output, hypoglycemia may eventuate. Multiple drugs including alcohol may alter th...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Arky RA

    更新日期:1989-03-01 00:00:00

  • Structure and biologic properties of the atrial natriuretic peptides.

    abstract::Since its discovery, ANF has provided multitudinous opportunities to explore its relationship to various biologic functions. Hundreds of publications investigating various aspects of this newly discovered hormone system have appeared. ANF exhibits a plethora of direct and indirect biologic activities that oppose the h...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Adams SP

    更新日期:1987-03-01 00:00:00

  • Multiple endocrine neoplasia type 1.

    abstract::Combined clinical and laboratory investigations of MEN-1 have resulted in an increased understanding of this disorder, which may be inherited as an autosomal dominant condition. Defining the features of each disease manifestation in MEN-1 has improved patient management and treatment and has facilitated a screening pr...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70150-x

    authors: Thakker RV

    更新日期:2000-09-01 00:00:00

  • Radioiodine therapy for thyroid cancer.

    abstract::A small abut important subset of patients with differentiated thyroid cancer will die of disease. Our approach to therapy treats almost all patients similarly, with aggressive surgery and I-131 therapy. Meticulous follow-up should include multiple I-131 diagnostic scans using at least 5 to 10 mCi of I-131 with attenti...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Sweeney DC,Johnston GS

    更新日期:1995-12-01 00:00:00

  • Pharmacotherapy for acromegaly: future role for pasireotide?

    abstract::Somatostatin receptor ligands (octreotide and lanreotide) are currently first-line pharmacotherapy for patients with acromegaly in whom surgery fails to control the disease or cannot be considered. The efficacy of a new pan somatostatin receptor ligand, pasireotide, has been investigated as a potential treatment of ac...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2014.10.004

    authors: Ben-Shlomo A

    更新日期:2015-03-01 00:00:00

  • The dyslipidemia of diabetes mellitus: giving triglycerides and high-density lipoprotein cholesterol a higher priority?

    abstract::CVD is the primary cause of morbidity and mortality in patients who have diabetes mellitus. Most such patients have at least one lipid abnormality. Managing these complex lipid disorders is a crucial component of comprehensive diabetes mellitus care and limits the risk for cardiovascular morbidity and mortality. With ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2004.11.004

    authors: Kendall DM

    更新日期:2005-03-01 00:00:00

  • Biochemical markers of bone turnover. Applications for osteoporosis.

    abstract::The recent discovery of specific and sensitive biochemical markers reflecting the overall rate of bone formation and bone resorption has markedly improved the noninvasive assessment of bone turnover in various metabolic bone diseases, especially in osteoporosis. The immunoassay of human osteocalcin, recognizing the in...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70007-4

    authors: Garnero P,Delmas PD

    更新日期:1998-06-01 00:00:00

  • The neuroendocrinology of obesity.

    abstract::The regulation of energy balance is enormously complex, with numerous genetic, hormonal, neural/behavioral, and societal influences. Although the current epidemic of obesity has its underpinnings in the changes in culture during the last half century, the role of the neuroendocrine system in the genesis of obesity is ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70211-5

    authors: Lustig RH

    更新日期:2001-09-01 00:00:00

  • Diet, lipids, and coronary heart disease.

    abstract::This review has highlighted some of the experimental studies in animals and humans that have shown an important link between dietary change and atherosclerosis. This relationship was further supported by population studies showing a key role for saturated fat intake in the determination of serum cholesterol level and ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Stone NJ

    更新日期:1990-06-01 00:00:00

  • Drugs causing dyslipoproteinemia.

    abstract::Diuretics and beta-blockers have a strong tendency to affect serum lipids adversely, whereas the peripherally acting alpha-blocking agents consistently result in beneficial effects. Most of the other antihypertensive agents (calcium channel blockers, ACE inhibitors, angiotensin II receptor antagonists, and drugs that ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70033-5

    authors: Donahoo WT,Kosmiski LA,Eckel RH

    更新日期:1998-09-01 00:00:00

  • The vitamin D receptor: new paradigms for the regulation of gene expression by 1,25-dihydroxyvitamin D(3).

    abstract::The actions of the vitamin D hormone 1,25-dihydroxyvitamin D(3) (1,25(OH)(2)D(3)) are mediated by the vitamin D receptor (VDR), a ligand-activated transcription factor that functions to control gene expression. After ligand activation, the VDR binds directly to specific sequences located near promoters and recruits a ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2010.02.007

    authors: Pike JW,Meyer MB

    更新日期:2010-06-01 00:00:00

  • Clinical actions of growth hormone.

    abstract::Although biotechnology has provided physicians with essentially unlimited supplies of growth hormone (GH), there are currently only a few clear-cut indications for exogenous GH therapy. Data now support the use of GH in the treatment of children with GH deficiency and short girls with Turner syndrome. Tantalizing prel...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Wilson DM

    更新日期:1992-09-01 00:00:00

  • Thyroid cancer in childhood.

    abstract::The incidence, clinical presentation, and types of thyroid cancers presenting in childhood are reviewed. The role of antecedent radiation in papillary and follicular thyroid cancers and genetics of medullary thyroid carcinoma are discussed. Unique aspects of therapy and prognosis for the pediatric patient with thyroid...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Gorlin JB,Sallan SE

    更新日期:1990-09-01 00:00:00

  • Type 2 Diabetes in Pregnancy.

    abstract::Hyperglycemia is common during pregnancy, involving multisystem adaptations. Pregnancy-induced metabolic changes increase insulin resistance. Pregnancy-induced insulin resistance adds to preexisting insulin resistance. Preexisting pancreatic β-cell defect compromises the ability to enhance insulin secretion, leading t...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2019.05.009

    authors: Kapur A,McIntyre HD,Hod M

    更新日期:2019-09-01 00:00:00

  • Medical therapy for acromegaly.

    abstract::Both somatostatin analogues, which bind to the somatostatin receptor subtypes 2 and 5, and dopamine agonists, which are specific for the D2 receptor, have been used to treat acromegaly. Each of these classes of drugs contains several compounds that vary in duration of action, efficacy, and side effect profile. Althoug...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70062-1

    authors: Newman CB

    更新日期:1999-03-01 00:00:00

  • Changing concepts in the diagnosis and management of thyroid nodules.

    abstract::Thyroid nodules are extremely common, affecting from 4% to 7% of the population. Fine-needle aspiration biopsy is the most accurate and cost-effective technique for nodule diagnosis. It is simple, safe, and should be the first test used in patient work-up. Routine thyroxine (T4) suppressive therapy is no longer recomm...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70282-6

    authors: Gharib H

    更新日期:1997-12-01 00:00:00

  • Thyroid Cancer in Pediatrics.

    abstract::Well differentiated thyroid cancer (DTC) in children is characterized by a high rate of response to treatment and low disease-specific mortality. Treatment of children with DTC has evolved toward a greater reliance on evaluation and monitoring with serial serum thyroglobulin measurements and ultrasound examinations. R...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2016.02.002

    authors: Machac J

    更新日期:2016-06-01 00:00:00

  • Medications for weight reduction.

    abstract::Only two drugs are currently approved for long-term use in the treatment of obesity and four others for short-term use. Evaluating the risk-benefit profile is an essential first step. For individuals who have a low body mass index for whom the risk is small, the risk profile must make the drug acceptable for almost ev...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2008.08.004

    authors: Bray GA

    更新日期:2008-12-01 00:00:00

  • Advanced lipoprotein testing: recommendations based on current evidence.

    abstract::Low-density lipoprotein cholesterol (LDL-C) level currently is used as the major determinant of lipid- and lipoprotein-associated risk for ischemic cardiovascular disease, and varying levels have become the standard goals of lipid-altering treatment. The predictive value of the LDL-C cholesterol level, however, often ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2008.11.008

    authors: Lau JF,Smith DA

    更新日期:2009-03-01 00:00:00

  • Pheochromocytoma.

    abstract::Pheochromocytomas cause the most dramatic life-threatening crises in all of endocrinology. Pheochromocytoma is an explosive clinical syndrome that may be characterized by either severe hypertension associated with cerebral, cardiac, and renal complications or hypotension, or even shock and sudden death. Other emergenc...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Bravo EL,Gifford RW Jr

    更新日期:1993-06-01 00:00:00

  • Etiologies and therapy of hypercalcemia.

    abstract::This article covers considerations in the etiologies and therapy of hypercalcemia. The differential diagnosis of hypercalcemia is discussed, with particular emphasis on primary hyperparathyroidism and the hypercalcemia of malignancy. Clinical features of hypercalcemia are also discussed. Therapy of hypercalcemia is co...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Bilezikian JP

    更新日期:1989-06-01 00:00:00

  • Familial benign (hypocalciuric) hypercalcemia. A troublesome mimic of mild primary hyperparathyroidism.

    abstract::Familial benign hypercalcemia, or hypocalciuric hypercalcemia, may be defined as a dominantly inherited disorder of calcium and magnesium metabolism, characterized by lifelong hypercalcemia and hypermagnesemia (both of variable degree), that usually is not associated with any symptoms, physical signs, reduced vitality...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Heath H 3rd

    更新日期:1989-09-01 00:00:00

  • Clinical epidemiology and osteoporosis. Measures and their interpretation.

    abstract::Identifying patients with a high risk of fracture and monitoring a patient's therapeutic response are important. Current methods to evaluate the risk of fracture include the measurement of bone mineral density as well as other risk factors, including those associated with the risk of falling. Several considerations ar...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70241-3

    authors: Sowers M

    更新日期:1997-03-01 00:00:00

  • Epidemiologic trends in overweight and obesity.

    abstract::Obesity in adults is associated with excess mortality and excess risk of coronary heart disease, hypertension, hyperlipidemia, diabetes, gallbladder disease, certain cancers, and osteoarthritis. Overweight children often become overweight adults, and overweight in adulthood is a health risk. Although childhood overwei...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(03)00074-4

    authors: Ogden CL,Carroll MD,Flegal KM

    更新日期:2003-12-01 00:00:00