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Journal Article 2007; 28(3): 302-304 PubMed PMID: 17627266 Citation  Keywords:  Adolescent, Child, Estradiol:blood, Female, Humans, Scoliosis:blood, Testosterone:blood,.   

AIM: The role of hormones in development and progression of scoliosis, although suggested, remains unclear. The purpose of this study was to evaluate the level of steroid sex hormones in girls with adolescent idiopathic scoliosis (AIS).r />r /> METHODS: A group of 27 girls, aged 12-17 years (mean+/-SD = 14.8+/-1.5 years) in whom right thoracic scoliosis was diagnosed (Cobb angle was from 10 degrees to 55 degrees, mean+/-SD = 30+/-13.8 degrees; Risser test was in the range from 2 to 4, mean+/-SD = 3.7+/-0.2) was examined. The control group included 7 girls, aged 13-17 years (mean+/-SD = 14.3+/-1.8 years) with slight lumbar functional scoliosis 10 degrees to 20 degrees to the left (mean+/-SD = 11.4+/-3.8 degrees). In both groups the concentrations testosterone was tested on 8th day of menstrual cycle, whereas estrogen concentrations were measured on 8th and 20th day of the cycle.r />r /> RESULTS: Increased testosterone level above the reference values was found in girls with AIS. The observed differences in both groups in estrogen levels in folicular and luteal phase were not statistically significant.r />r /> CONCLUSIONS: Possibly, the evaluation of testosterone level could be an important prognostic factor for scoliosis progression. The studies to be continued....

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Journal Article 2007; 28(3): 295-301 PubMed PMID: 17627265 Citation  Keywords:  Animals, Anxiety:drug therapy, Exploratory Behavior:drug effects, Hypertension:physiopathology, Male, Maze Learning:drug effects, Melatonin:pharmacology, Motor Activity:drug effects, Rats, Rats, Sprague-Dawley, Renin:genetics, Renin-Angiotensin System:phy.   

OBJECTIVES: The purpose of the study was to investigate effects of melatonin (MEL) on exploration and anxiety in normotensive Sprague-Dawley (SD) and hypertensive TGR(mREN2)27 (TGR) rats with high activity of renin-angiotensin system.r />r /> METHODS: Mature control (n=20) and hypertensive (n=20) rats were used. Half of each group was treated with MEL in drinking water (40 microg/ml) for 3 weeks. The influence of MEL on exploration was measured in the open field test (OF) and on anxiety in the elevated plus maze test (EPM).r />r /> RESULTS: Hypertensive TGR rats showed a lower level of ambulation (p<0.05) and higher level of urination (p<0.001) in OF. In EPM they spent more time in closed arms (p<0.05) and showed low frequency of total arm entries (p<0.01) than SD rats. MEL treated SD rats exhibited increased ambulation (p<0.01), sniffing (p<0.05) and decreased creeping (p<0.05) in OF than SD controls and did not exhibit differences in behaviour observed in EPM. MEL treated TGR rats exhibited a decrease in creeping, defecation and urination (p<0.05) in OF and spent less time in closed arms (p<0.05) and increased frequency of total arm entries (p<0.05) in EPM than untreated TGR animals.r />r /> CONCLUSION: Our results suggest that MEL decreased anxiety related behaviours in hypertensive rats with an up regulated renin-angiotensin system and stimulated active exploration of control animals....

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Journal Article 2007; 28(3): 289-294 PubMed PMID: 17627264 Citation  Keywords:  Animals, Apoptosis, Cell Proliferation, Cells, Cultured, Cyclic AMP-Dependent Protein Kinases:physiology, Estradiol:biosynthesis, Extracellular Signal-Regulated MAP Kinases:physiology, Female, Follicle Stimulating Hormone:pharmacology, Granulosa Cells:phy.   

: The peroxisome proliferator-activated receptors (PPARs), including PPARalpha, PPARbeta/delta, and PPARgamma, are a family of transcription factors belonging to the steroid receptor superfamily. In rat ovary, PPARgamma is mainly expressed in granulosa cells of developing follicles, implying a possible role of PPARgamma in ovarian functions. In the present study, the role of PPARgamma and its gonadotrophic regulation in granulosa cells collected from diethylstilbestrol-treated immature rats were studied. The results showed that PPARgamma could inhibit proliferation and induce apoptosis in primarily cultured granulosa cells. PPARgamma could also stimulate the biosynthesis of estradiol and progesterone after FSH pretreatment, and FSH could regulate the functions of PPARgamma through PKA, ERK1/2, and p38 MAPK signaling pathways. These data suggested that PPARgamma may be involved in follicular atresia and FSH-stimulated steroidogenesis during follicle development....

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Journal Article 2007; 28(3): 284-288 PubMed PMID: 17627263 Citation  Keywords:  Apgar Score, Asphyxia Neonatorum:metabolism, Birth Weight, Case-Control Studies, Endothelin-1:analysis, Female, Humans, Infant, Newborn, Male, Prospective Studies, Sodium:urine,.   

: The aim of this study was to determine if there is any correlation between the hypoxia induced deterioration of renal functions and urinary excretions of endothelin (ET). Therefore using a sensitive and specific radioimmunoassay, we have investigated plasma ET-1 concentrations and urine ET-1 excretions in healthy and asphyxiated newborns. Sixteen newborns (10 boys, 6 girls) with perinatal asphyxia or hypoxia of variable seriousness which were followed at Newborn Intensive Care Unit in Eskisehir Osmangazi University Faculty of Medicine were enrolled. Simultaneously, gestation and weight matched 10 newborns (6 boys, 4 girls) with no asphyxia (first minute Apgar score >7) were enrolled as controls. Plasma ET-1 concentrations of the asphyxiated infants (61.8+/-79.3 pg/ml, between 23.4-125.2 pg/ml) were higher than in the control group (29.3+/-22.1 pg/ml, between 12.3 and 50.8 pg/ml, p<0.05). However creatinine clearance values were not different between the two groups (p>0.05), mean fractional excretion of sodium levels (FeNa%) were higher in the study group than the controls (p<0.01). Urinary ET-1 concentrations in the asphyxiated infants were 144.6+/-63.4 pg/ml versus 70.1+/-27.7 pg/ml in the control group (p<0.001). The ET clearance were more elevated in the asphyxiated newborns than in the healthy infants (p<0.05). Urinary ET-1/Cr ratio in the hypoxic infants were significantly elevated in the first day of life when compared with those of healthy infants (p<0.05). Total ET excretion was negatively correlated with FeNa (%) (r=-0.603, p<0.05). Plasma ET-1 concentrations of the asphyxiated infants reduced at 48 hours of age (p<0.001). Fifth minute Apgar score was negatively correlated with urinary ET-1 levels (r=-0.615, p<0.01), urinary Na excretion (r=-0.583, p<0.01), FeNa (%) (r=-0.597, p<0.01) and total ET excretion (r=-0.560, p<0.01) and positively correlated with ET clearance (r=0.559, p<0.05). Urinary ET-1 levels were negatively correlated with umbilical artery BE levels (r=-0.612, p<0.05). To our study, elevated urinary ET-1 levels were observed during perinatal asphyxia and urinary ET-1 levels were negatively correlated with 5th minute Apgar score and cord blood base excess levels. For this reason urinary ET-1 levels could be a marker of perinatal asphyxia as cord blood ET-1 levels. With investigations showing renal production is independent from plasma and increased urinary ET-1/Cr levels in newborn with perinatal asphyxia and also negative correlation between the total ET excretion and FeNa, urinary ET-1 levels could be served as a useful marker to detecting also impaired renal functions in infants with perinatal asphyxia....

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Journal Article 2007; 28(3): 279-283 PubMed PMID: 17627262 Citation  Keywords:  Child, Child, Preschool, Cyanosis:blood, Female, Heart Defects, Congenital:blood, Human Growth Hormone:blood, Humans, Insulin-Like Growth Factor Binding Protein 3:blood, Insulin-Like Growth Factor I:analysis, Male, Nutritional Status, Regression Analysis,.   

: In this study we aimed to evaluate serum insulin-like growth factor-1 (IGF-1), insulin-like growth factor binding protein-3 (IGFBP-3) and growth hormone (GH) levels in children with congenital heart disease (CHD) and to determine if these parameters have any relationship to the cyanosis, nutritional status and the left ventricular systolic function. This study is prospective-randomized study which conducted in 94 CHD patients (36 girls and 58 boys, aged between one 1-192 months, 19 cyanotic CHD and 75 acyanotic CHD) and age-sex matched 54 children (26 girls and 28 boys) with no CHD. In the study group, 37 out of the 94 CHD patients (39.4%) and 16 out of the 54 controls (29.6%) had malnutrition. The difference between the cyanotic and acyanotic patients in respect to malnutrition was significant (57.9% and 34.6%, p<0.05). Serum IGF-1 levels were lower (41.8+/-3.9 microg/L, 106.9+/-17.9 microg/L respectively, p<0.001) and GH levels were higher (6.43+/-0.9 ng/ml, 3.87+/-0.5 respectively, p<0.05) in CHD patient group than the controls. Serum IGF-1 levels were significantly lower in cyanotic CHD patients than the acyanotic patients (17.2+/-3.2 microg/L, 48.7.0+/-4.6 microg/L respectively, p<0.001) and serum IGF-1 levels were both lower in acyanotic and cyanotic CHD patients than the controls (p<0.001 for both). Serum IGF-1 and GH levels were similar between the well-nourished CHD patients and CHD patients with malnutrition (p>0.05). In total study group, the most effective factors on serum IGF-1 levels was presence of CHD (p<0.001), in CHD patients, the presence of cyanosis is the most effective factor on serum IGF-1 level, the presence of malnutrition is the most effective factor on serum IGFBP-3 levels (p<0.01). In the acyanotic, cyanotic, and the entire CHD patient groups, we find no correlations between the serum IGF-1, IGFBP-3 levels and left ventricular systolic function measurements. But serum GH levels were negatively correlated with diastolic left ventricular interseptum diameter, diastolic left ventricular mass and left ventricular end-diastolic volume measurements in CHD patients. In conclusion, we determined that the most important factor on serum IGF-1 levels is cyanosis. Reduced IGF1 levels and decreased left ventricular mass with an elevated GH levels in CHD patients and these findings are prominent in the cases with cyanosis and malnutrition. For this reason we believe that chronic hypoxia plays a significant role in the pathogenesis of malnutrition and also we believe that IGF-1 deficiency seen in CHD patients may be responsible in the etiology of the decrease in left ventricular mass independently from GH....

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Journal Article 2007; 28(3): 274-278 PubMed PMID: 17627261 Citation  Keywords:  Adolescent, Body Height, Child, Child, Preschool, Female, Growth Disorders:blood, Human Growth Hormone:blood, Humans, Insulin-Like Growth Factor I:analysis, Male,.   

OBJECTIVES: Insulin-like growth factor-I (IGF-I) secretion is growth hormone (GH) dependent. However the data on using IGF-I assessment as a screening procedure in diagnosing GH deficiency are not consistent. The goal of the study was an analysis of the relations between GH secretion in stimulating tests and plasma IGF-I concentration.r />r /> PATIENTS & METHODS: The analysis comprised 540 children with short stature in whom two standard GH stimulating tests (GHST) were performed, together with an assessment of plasma IGF-I concentration. The relationships between GH peak in both tests and IGF-I secretion were analysed.r />r /> RESULTS: There was no correlation either between GH peaks in different tests or between GH and IGF-I secretion in particular patients. Moreover, both the mean IGF-I concentration was similar in the patients with normal and subnormal results of GHST and the mean GH peak in GHST presented similar in the groups of children with normal and decreased IGF-I secretion.r />r /> CONCLUSIONS: Assessment of IGF-I secretion fails to be a screening procedure for the results of GHST. The lack of correlation between the results of two GHST should be taken into account when evaluating the significance of GHST and IGF-I assessment in diagnosing GH deficiency....

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Journal Article 2007; 28(3): 267-273 PubMed PMID: 17627260 Citation  Keywords:  Acetamides:pharmacology, Animals, Autoradiography, Binding Sites, Brain:metabolism, Circadian Rhythm, Female, Melatonin:metabolism, Memory, Receptors, Melatonin:analysis, Stress, Psychological:physiopathology, Suprachiasmatic Nucleus:chemistry, Tupaiidae,.   

OBJECTIVE: In this study we investigated the distribution of melatonergic receptors in the tree shrew brain. The psychosocial stress in the tree shrew is a validated model of depression with disturbance of circadian rhythms.r />r /> METHODS: Given the role of melatonin in the modulation of circadian rhythms, we determined by autoradiography the distribution of binding sites of 2-[125I]-MLT, a ligand for the two melatonergic receptors MT1 and MT2, in the tree shrew brain focusing mostly on the suprachiasmatic nucleus (SCN), the biological clock involved in resynchronization of circadian rhythms. We also analyzed the distribution of 2-[125I]-MLT in other brain areas involved in regulation of mood.r />r /> RESULTS: Specific binding of 2-[125I]-MLT was found in the SCN. In addition, several structures in the tree shrew brain were labeled, among them the pars tuberalis, the cerebellum, structures of the hippocampal formation and dopaminergic areas such as the caudate putamen and nucleus accumbens, providing other potential targets of psychosocial stress in the tree shrew, in addition to the SCN.r />r /> CONCLUSIONS: The demonstration of melatonergic receptors in these brain areas supports their probable involvement in the behavioural, neuroendocrine and circadian rhythms disturbances observed in the psychosocial stress model of depression in the tree shrew....

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Journal Article 2007; 28(3): 259-266 PubMed PMID: 17627259 Citation  Keywords:  Adolescent, Adult, Aged, Autoantibodies:blood, Autoimmune Diseases:immunology, Female, Humans, Male, Middle Aged, Myoglobin:immunology, Myosins:immunology, Thyroid Diseases:immunology, Thyroxine:immunology, Triiodothyronine:immunology, Tropomyosin:immunol.   

OBJECTIVE: Anti-thyroglobulin, anti-thyroid-peroxidase and anti-TSH receptor antibodies have been observed with high frequency in autoimmune thyroid diseases. Thyroid hormone auto-antibodies (THAA): anti-thyroxine (T4) and anti-triiodothyronine (T3), conversely, have been reported rarely. In both hyperthyroidism and hypothyroidism, patients suffer from muscle weakness and function disorders. The aim of our study was the evaluation of the occurrence rate of autoantibodies targeting muscle proteins in a group of 24 patients with circulating anti-T3 and/or anti-T4 autoantibodies. The control group consisted of 41 healthy blood donors.r />r /> METHODS: In polyethylene tubes coated with muscle antigens: actin, myosin, myoglobin, troponin and tropomyosin solid-phase radioimmunoassay was performed to detect autoantibodies. A reaction with 125I-labelled staphylococcus protein A was used for the detection of antibodies bound to the antigens on the tubes.r />r /> RESULTS: We found a high occurrence of antibodies to muscle proteins in patients with THAA. Anti-myoglobin autoantibodies were most frequent (54.2% of subjects), the binding index values was very high and exceeded normal values two to four fold. Anti-myosin autoantibodies were detected in 50% of subjects; anti-troponin autoantibodies in 33.3%, and anti-tropomyosin autoantibody in 3 patients (12.5%). Differences between the patients and the controls were statistically significant. The antibody binding index to actin was low and statistically insignificant.r />r /> CONCLUSIONS: Our study indicates that muscle protein antibodies, especially to myoglobin, myosin and troponin, are very frequently present in patients with autoimmune thyroid disease and circulating anti-T3 and anti-T4 autoantibodies, as well as in most cases of chronic thyroiditis with clinical symptoms of hypothyroidisms....

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