Hypothalamic Obesity: Prologue and Promise.

Abstract:

:Hypothalamic obesity (HO) frequently occurs following damage to the medial hypothalamic region, encompassing the arcuate nucleus, the paraventricular nucleus, the ventromedial nucleus, the dorsomedial nucleus, and the dorsal hypothalamic area, which are critically involved in the regulation of satiety and energy balance through neural and humoral connections. HO is most commonly described in the context of craniopharyngioma and its treatment, but it can also occur following other suprasellar tumors, radiation, trauma, or a surgical insult to the hypothalamus. A constellation of loss of satiety and a reduction of the metabolic rate, thermogenesis, and physical activity as well as increased vagal tone and hyperinsulinism with insulin and leptin resistance results in rapid weight gain due to a decreased energy expenditure and increased energy storage in adipose cells. To date, no viable long-term solution for HO has been found, due either to the requirement of intact hypothalamic pathways or to significant side effects. Newer therapeutic modalities focused on the unique pathophysiology of this condition offer potential for successful treatment. In this review, we describe the etiology of HO as well as past/current treatment approaches in the categories of hyperinsulinism, surgical approaches, and targeting energy expenditure/anorectic drugs. We conclude by providing an overview of the clinical trials currently underway.

journal_name

Horm Res Paediatr

authors

Abuzzahab MJ,Roth CL,Shoemaker AH

doi

10.1159/000496564

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

128-136

issue

2

eissn

1663-2818

issn

1663-2826

pii

000496564

journal_volume

91

pub_type

杂志文章,评审
  • Occurrence of slipped capital femoral epiphysis in children undergoing gonadotropin-releasing hormone agonist therapy for the treatment of central precocious puberty.

    abstract:BACKGROUND:Obesity, age and hormone imbalances including hypothyroidism and growth hormone deficiency and therapy, but not gonadotropin-releasing hormone agonist (GnRHa) therapy, have been identified as risk factors for slipped capital femoral epiphysis (SCFE). Five of 7 reported cases describe SCFE in children shortly...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000351028

    authors: Inman M,Hursh BE,Mokashi A,Pinto T,Metzger DL,Cummings EA

    更新日期:2013-01-01 00:00:00

  • Effect of oxandrolone and timing of oral ethinylestradiol initiation on pubertal progression, height velocity and bone maturation in the UK Turner study.

    abstract:BACKGROUND:A UK study showed final height in Turner syndrome (TS) girls receiving growth hormone is affected by age at pubertal induction and oxandrolone (Ox). Using data from that study, we analysed the effect of timing of oral ethinylestradiol (EE2) and Ox on height velocity (HV), bone maturation and pubertal progres...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1159/000356924

    authors: Perry RJ,Gault EJ,Paterson WF,Dunger DB,Donaldson MD

    更新日期:2014-01-01 00:00:00

  • Metabolic benefits of growth hormone therapy in idiopathic short stature.

    abstract::The US Food and Drug Administration approved use of recombinant human growth hormone (GH) for the treatment of idiopathic short stature (ISS) in children; however, few studies have evaluated metabolic outcomes. This article addresses whether children with ISS treated with GH experience the same metabolic benefits as c...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章,评审

    doi:10.1159/000330165

    authors: Dahlgren J

    更新日期:2011-01-01 00:00:00

  • Pubertal growth and serum testosterone and estradiol levels in boys.

    abstract:BACKGROUND/AIMS:To study serum testosterone and estradiol in healthy boys in relation to growth during puberty up to peak height velocity (PHV). METHODS:Growth velocity was analyzed through testosterone (n = 41) and 17β-estradiol (n = 37) 24-hour profiles in a dose-response model. Participants were 26 healthy boys adm...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000353761

    authors: Albin AK,Norjavaara E

    更新日期:2013-01-01 00:00:00

  • IL-6, IL-8 and IL-10 levels in healthy weight and overweight children.

    abstract:BACKGROUND/AIM:In adults, studies have shown that obesity is a chronic low-grade inflammatory state characterized by altered levels of cytokines. Studies in children have mainly focused on C-reactive protein and adiponectin, and there is limited data for other inflammatory markers in healthy weight and overweight child...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000277632

    authors: Tam CS,Garnett SP,Cowell CT,Heilbronn LK,Lee JW,Wong M,Baur LA

    更新日期:2010-01-01 00:00:00

  • IGF1, IGF1R and SHOX mutation analysis in short children born small for gestational age and short children with normal birth size (idiopathic short stature).

    abstract:BACKGROUND/AIMS:Because the criteria for genetic screening of short children are unknown, we performed genetic analysis of 199 short children born small for gestational age (SGA) or with normal birth size (idiopathic short stature, ISS). METHODS:After selection with a modified scoring system for SHOX and a novel score...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000338341

    authors: Caliebe J,Broekman S,Boogaard M,Bosch CA,Ruivenkamp CA,Oostdijk W,Kant SG,Binder G,Ranke MB,Wit JM,Losekoot M

    更新日期:2012-01-01 00:00:00

  • Impaired bone metabolism in glycogen storage disease type 1 is associated with poor metabolic control in type 1a and with granulocyte colony-stimulating factor therapy in type 1b.

    abstract:BACKGROUND:Glycogen storage disease type 1 (GSD1) is a rare and genetically heterogeneous metabolic defect of gluconeogenesis due to mutations of either the G6PC gene (GSD1a) or the SLC37A4 gene (GSD1b). Osteopenia is a known complication of GSD1. OBJECTIVES:The aim of this study was to investigate the effects of poor...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000351022

    authors: Melis D,Pivonello R,Cozzolino M,Della Casa R,Balivo F,Del Puente A,Dionisi-Vici C,Cotugno G,Zuppaldi C,Rigoldi M,Parini R,Colao A,Andria G,Parenti G

    更新日期:2014-01-01 00:00:00

  • SHOX gene variants: growth hormone/insulin-like growth factor-1 status and response to growth hormone treatment.

    abstract:CONTEXT:Short stature homeobox-containing gene (SHOX) variants of unknown clinical significance occur frequently among children with short stature, yet their growth hormone (GH)/insulin-like growth factor-1 (IGF-1) status and response to GH have not been studied. OBJECTIVE:To define GH and IGF-1 status in children wit...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000365507

    authors: Shapiro S,Klein GW,Klein ML,Wallach EJ,Fen Y,Godbold JH,Rapaport R

    更新日期:2015-01-01 00:00:00

  • Cross-sectional association between blood pressure, in vivo insulin sensitivity and adiponectin in overweight adolescents.

    abstract:AIMS:To examine the cross-sectional relationship between blood pressure (BP) and (1) in vivo insulin sensitivity (IS) and (2) circulating adiponectin levels in overweight adolescents, and to determine if these relationships are driven by adiposity. METHODS:Sixty-five white pubertal overweight adolescents underwent a h...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000331462

    authors: De Las Heras J,Lee S,Bacha F,Tfayli H,Arslanian S

    更新日期:2011-01-01 00:00:00

  • Consequences of stopping and restarting leptin in an adolescent with lipodystrophy.

    abstract:BACKGROUND/AIMS:Lipodystrophy encompasses a group of rare disorders characterized by deficiency of adipose tissue resulting in hypoleptinemia, and metabolic abnormalities including insulin resistance, diabetes, dyslipidemia, and nonalcoholic steatohepatitis. Leptin replacement effectively ameliorates these metabolic de...

    journal_title:Hormone research in paediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1159/000341398

    authors: Kamran F,Rother KI,Cochran E,Safar Zadeh E,Gorden P,Brown RJ

    更新日期:2012-01-01 00:00:00

  • Minipuberty: Why Does it Happen?

    abstract::Minipuberty describes the transient sex-specific activation of the hypothalamic-pituitary-gonadal (HPG) axis during the first 6 months of life in boys and during the first 2 years in girls. It leads to a rise of luteinizing hormone, follicle-stimulating hormone, estradiol, and testosterone. The existence of minipubert...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章,评审

    doi:10.1159/000508329

    authors: Becker M,Hesse V

    更新日期:2020-01-01 00:00:00

  • Adrenocortical hormonal activity in 20-year-old subjects born small or appropriate for gestational age.

    abstract:BACKGROUND:Altered adrenocortical activity is one suggested mechanism relating small birth size with the metabolic syndrome in adulthood. Adrenal androgen concentrations are higher in children born small (SGA) than appropriate for gestational age (AGA). AIM:To compare adrenocortical hormonal activity between 20-year-o...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000338344

    authors: Todorova B,Salonen M,Jääskeläinen J,Tapio A,Jääskeläinen T,Palvimo J,Turpeinen U,Hämäläinen E,Räsänen M,Tenhola S,Voutilainen R

    更新日期:2012-01-01 00:00:00

  • Pituitary Antibodies in an Adolescent with Secondary Adrenal Insufficiency and Turner Syndrome.

    abstract:BACKGROUND/AIMS:Autoimmune hypophysitis (AH) is a rare inflammatory disease of the pituitary gland causing varying degrees of hypopituitarism and/or sellar compression. Cranial MRI remains the best noninvasive tool to diagnose AH, although a diagnosis of certainty requires pituitary biopsy. The objective of this study ...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000446912

    authors: Pollock AJ,Seibert TS,Salvatori C,Caturegli P,Allen DB

    更新日期:2017-01-01 00:00:00

  • The predictive value of the individual components of the metabolic syndrome for insulin resistance in obese children.

    abstract:BACKGROUND/AIMS:The usefulness of the concept of the metabolic syndrome (MS) in its current form has recently been questioned, and its association with insulin resistance is unknown. We assessed whether a multivariate model based on all components of MS expressed on a continuous scale would be a better predictor of a c...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000327371

    authors: Vos RC,Houdijk EC,van der Kamp HJ,Pijl H,Wit JM

    更新日期:2011-01-01 00:00:00

  • An Intron 9 CYP19 Gene Variant (IVS9+5G>A), Present in an Aromatase-Deficient Girl, Affects Normal Splicing and Is Also Present in Normal Human Steroidogenic Tissues.

    abstract:BACKGROUND/AIMS:Splicing CYP19 gene variants causing aromatase deficiency in 46,XX disorder of sexual development (DSD) patients have been reported in a few cases. A misbalance between normal and aberrant splicing variants was proposed to explain spontaneous pubertal breast development but an incomplete sex maturation ...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000437142

    authors: Saraco N,Nesi-Franca S,Sainz R,Marino R,Marques-Pereira R,La Pastina J,Perez Garrido N,Sandrini R,Rivarola MA,de Lacerda L,Belgorosky A

    更新日期:2015-01-01 00:00:00

  • Molecular Screening of MKRN3, DLK1, and KCNK9 Genes in Girls with Idiopathic Central Precocious Puberty.

    abstract:BACKGROUND:Mutations in the imprinted gene MKRN3 have been described as a common genetic cause of idiopathic central precocious puberty (CPP), in particular in familial cases. However, the exact prevalence of mutations is unknown. Single nucleotide polymorphisms in 2 other imprinted genes, DLK1 and KCNK9, have been ass...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000477441

    authors: Grandone A,Capristo C,Cirillo G,Sasso M,Umano GR,Mariani M,Miraglia Del Giudice E,Perrone L

    更新日期:2017-01-01 00:00:00

  • IGF2 methylation is associated with lipid profile in obese children.

    abstract:AIM:Our aim was to investigate the relationships between the degree of IGF2 methylation and the metabolic status in obese children and adolescents. SUBJECTS AND METHODS:Eighty-five obese subjects aged 11.6 ± 2.1 years were studied. Anthropometry, metabolic parameters, blood pressure and body composition were assessed....

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000351707

    authors: Deodati A,Inzaghi E,Liguori A,Puglianiello A,Germani D,Brufani C,Fintini D,Cappa M,Barbetti F,Cianfarani S

    更新日期:2013-01-01 00:00:00

  • Epidemiology of childhood type 1 diabetes mellitus: lessons from Central and Eastern European data.

    abstract:BACKGROUND:Over the past 15 years, the incidence of type 1 diabetes mellitus (T1DM) in Central and Eastern Europe has grown rapidly from an initially low rate. This growth cannot be attributed to genetic factors: it appears that changing environmental exposures are responsible, though no single environmental factor can...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000329168

    authors: Cinek O

    更新日期:2011-01-01 00:00:00

  • Insulin-like growth factor I: pros and cons of a bioassay.

    abstract:BACKGROUND:Insulin-like growth factor I (IGF-I) immunoassays are primarily used to estimate IGF-I status. Recently an IGF-I-specific kinase receptor activation assay (KIRA) was developed as an alternative method for measuring IGF-I bioactivity. When compared with IGF-I immunoassays, the IGF-I KIRA has the theoretical a...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000329191

    authors: Janssen JA

    更新日期:2011-01-01 00:00:00

  • Molecular and gene network analysis of thyroid transcription factor 1 (TTF1) and enhanced at puberty (EAP1) genes in patients with GnRH-dependent pubertal disorders.

    abstract:BACKGROUND/AIM:TTF1 and EAP1 are transcription factors that modulate gonadotropin-releasing hormone expression. We investigated the contribution of TTF1 and EAP1 genes to central pubertal disorders. PATIENTS AND METHODS:133 patients with central pubertal disorders were studied: 86 with central precocious puberty and 4...

    journal_title:Hormone research in paediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1159/000354643

    authors: Cukier P,Wright H,Rulfs T,Silveira LF,Teles MG,Mendonca BB,Arnhold IJ,Heger S,Latronico AC,Ojeda SR,Brito VN

    更新日期:2013-01-01 00:00:00

  • Health-related quality of life in short children born small for gestational age: effects of growth hormone treatment and postponement of puberty.

    abstract:AIMS:To investigate health-related quality of life (HRQoL) in short children born small for gestational age (SGA) during growth hormone (GH) treatment and additional postponement of puberty by gonadotropin-releasing hormone analogue (GnRHa). METHODS:HRQoL was studied longitudinally during 2 years of treatment in 97 sh...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000337218

    authors: Lem AJ,Jobse I,van der Kaay DC,de Ridder MA,Raat H,Hokken-Koelega AC

    更新日期:2012-01-01 00:00:00

  • Woodhouse-Sakati syndrome in an Israeli-Arab family presenting with youth-onset diabetes mellitus and delayed puberty.

    abstract:BACKGROUND AND OBJECTIVE:Woodhouse-Sakati syndrome (WSS) is a rare autosomal-recessive disorder characterized by a combination of hypogonadism, alopecia, diabetes mellitus (DM), mental retardation and extrapyramidal signs, not described previously in Israel. Our aim was to study the clinical and genetic characteristics...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000323441

    authors: Rachmiel M,Bistritzer T,Hershkoviz E,Khahil A,Epstein O,Parvari R

    更新日期:2011-01-01 00:00:00

  • Adherence to growth hormone therapy: a practical approach.

    abstract:BACKGROUND:Early detection of suspected poor adherence to growth hormone (GH) therapy is crucial to achieve normal final height in GH-deficient (GHD) patients. PATIENTS:106 children (73 M, 33 F) with a median age of 10.47±3.48 years (mean±standard deviation score (SDS)) exhibited short stature (-1.76±0.64 SDS) and a d...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000357975

    authors: Bozzola M,Pagani S,Iughetti L,Maffeis C,Bozzola E,Meazza C

    更新日期:2014-01-01 00:00:00

  • Fast intraoperative testosterone assay confirms the location of an ovarian virilizing tumor in a young girl.

    abstract::The detection of testosterone-producing ovarian tumors in childhood and adolescence by imaging techniques only can be difficult because of the tumors' radiological structure and sometimes diminutive size. We describe an 11.5-year-old girl with a 9-month history of voice deepening, mild hirsutism, minor acne, increased...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000339683

    authors: Braun R,Peter A,Warmann S,Fuchs J,Binder G

    更新日期:2013-01-01 00:00:00

  • Hair Cortisol Concentration in Healthy Children and Adolescents Is Related to Puberty, Age, Gender, and Body Mass Index.

    abstract:INTRODUCTION:Hair cortisol concentrations (HCC) have been found to be related to various common childhood diseases, like otitis media, conjunctivitis, respiratory viral infections, and asthma. However, the confounding effects of age, gender, body mass index (BMI), pubertal stage (Tanner stages), socioeconomic status (S...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000504914

    authors: Wagner M,Kratzsch J,Vogel M,Peschel T,Gaudl A,Ceglarek U,Thiery J,Hiemisch A,Körner A,Kiess W

    更新日期:2019-01-01 00:00:00

  • Correlation between Cosyntropin Stimulation Study and Disease Severity in Children with Fluid- and Catecholamine-Refractory Shock in the Pediatric and Cardiovascular Intensive Care Unit.

    abstract:BACKGROUND:The cosyntropin stimulation study (CSS) measures the patient's ability to adequately mount a cortisol response. Clinically, CSS results may not be used to guide hydrocortisone use. The objective of this study was to examine how the CSS results are associated with clinical parameters, mortality/disease severi...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000484561

    authors: Iyer P,Harrington B,Fadrowski JJ,Sibinga E,Amankwah EK

    更新日期:2018-01-01 00:00:00

  • The Association between Premature Adrenarche and Cardiovascular Risk May Be Greater than Expected.

    abstract:AIM:The aim of this study was to investigate the cardiovascular risk of children with premature adrenarche (PA). METHODS:A total of 75 children (44 with PA and 31 control subjects) aged 6-10 years were included in the study. Their metabolic, anthropometric, and echocardiographic parameters were recorded and compared. ...

    journal_title:Hormone research in paediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1159/000452445

    authors: Çelik N,Alp H,Çamtosun E,Alp E,Çelik S,Berk E

    更新日期:2017-01-01 00:00:00

  • Deficits in Bone Geometry in Growth Hormone-Deficient Prepubertal Boys Revealed by High-Resolution Peripheral Quantitative Computed Tomography.

    abstract:INTRODUCTION:Although growth hormone (GH) is essential for attainment of peak bone mass, bone health in prepubertal children with GH deficiency is not routinely evaluated. The objective of this study was to evaluate bone microarchitecture in GH-deficient (GHD) boys using high-resolution peripheral quantitative computed...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000506229

    authors: Baer TG,Agarwal S,Chen S,Chiuzan C,Sopher AB,Tao R,Hassoun A,Shane E,Fennoy I,Oberfield SE,Vuguin PM

    更新日期:2019-01-01 00:00:00

  • Rapid Growth and Early Metastasis of Papillary Thyroid Carcinoma in an Adolescent Girl with Graves' Disease.

    abstract:BACKGROUND:The risk factors for rapid growth and early metastasis of papillary thyroid carcinoma (PTC) and the role of coexisting Graves' disease in the clinical course of PTC remain uncertain in children. CASE DESCRIPTION:We report on a Japanese girl, whose PTC rapidly grew and metastasized within 4 years. Graves' di...

    journal_title:Hormone research in paediatrics

    pub_type:

    doi:10.1159/000491102

    authors: Shimura K,Shibata H,Mizuno Y,Amano N,Hoshino K,Kuroda T,Kameyama K,Matsuse M,Mitsutake N,Sugino K,Yoshimura Noh J,Hasegawa T,Ishii T

    更新日期:2019-01-01 00:00:00

  • Is adrenocorticotropic hormone deficiency really rare in patients with idiopathic growth hormone deficiency and normal thyroid function tests?

    abstract:BACKGROUND/AIM:It was the aim of this study to evaluate subtle adrenocorticotropic hormone deficiencies in a group of patients with idiopathic growth hormone deficiency and without thyroid-stimulating hormone deficiency. METHODS:Growth hormone and cortisol responses to an insulin tolerance test of 25 patients (15 male...

    journal_title:Hormone research in paediatrics

    pub_type: 杂志文章

    doi:10.1159/000320479

    authors: Savas Erdeve S,Ocal G,Berberoglu M,Siklar Z,Hacihamdioglu B

    更新日期:2011-01-01 00:00:00