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ACTH Action in the Adrenal Cortex: From Molecular Biology to Pathophysiology

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Book Series: Frontiers Research Topics ISSN: 16648714 ISBN: 9782889452323 Year: Pages: 421 DOI: 10.3389/978-2-88945-232-3 Language: English
Publisher: Frontiers Media SA
Subject: Internal medicine --- Medicine (General)
Added to DOAB on : 2017-10-13 14:57:01
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By stimulating adrenal gland and corticosteroid synthesis, the adrenocorticotropic hormone (ACTH) plays a central role in response to stress. In this Research Topic, a particular attention has been given to the recent developments on adrenocortical zonation; the growth-promoting activities of ACTH; the various steps involved in acute and chronic regulation of steroid secretion by ACTH, including the effect of ACTH on circadian rhythms of glucocorticoid secretion. The Research Topic also reviews progress and challenges surrounding the properties of ACTH binding to the MC2 receptor (MC2R), including the importance of melanocortin-2 receptor accessory protein (MRAP) in MC2R expression and function, the various intracellular signaling cascades, which involve not only protein kinase A, the key mediator of ACTH action, but also phosphatases, phosphodiesterases, ion channels and the cytoskeleton. The importance of the proteins involved in the cell detoxification is also considered, in particular the effect that ACTH has on protection against reactive oxygen species generated during steroidogenesis. The impact of the cellular microenvironment, including local production of ACTH is discussed, both as an important factor in the maintenance of homeostasis, but also in pathological situations, such as severe inflammation. Finally, the Research Topic reviews the role that the pituitary-adrenal axis may have in the development of metabolic disorders. In addition to mutations or alterations of expression of genes encoding components of the steroidogenesis and signaling pathways, chronic stress and sleep disturbance are both associated with hyperactivity of the adrenal gland. A resulting effect is increased glucocorticoid secretion inducing food intake and weight gain, which, in turn, leads to insulin and leptin resistance. These aspects are described in detail in this Research Topic by key investigators in the field. Many of the aspects addressed in this Research Topic still represent a stimulus for future studies, their outcome aimed at providing evidence of the central position occupied by the adrenal cortex in many metabolic functions when its homeostasis is disrupted. An in-depth investigation of the mechanisms underlying these pathways will be invaluable in developing new therapeutic tools and strategies.

Neurological and psychiatric disorders in endocrine diseases

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Book Series: Frontiers Research Topics ISSN: 16648714 ISBN: 9782889195893 Year: Pages: 97 DOI: 10.3389/978-2-88919-589-3 Language: English
Publisher: Frontiers Media SA
Subject: Internal medicine --- Medicine (General) --- Neurology --- Science (General)
Added to DOAB on : 2016-03-10 08:14:32
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Neurological and psychiatric disorders can occur in endocrine diseases either in the setting of the clinical manifestations of the same (i.e., hyper- or hyposecretion of hormones or peptides from the endocrine glands) or as events secondary to the pathogenetic mechanisms of the endocrinopathy (i.e., autommunity affecting endocrine glands and the brain). Also the medical or surgical treatment of the endocrine disease can sometimes determine the occurrence of neurological or psychiatric abnormalities. Moreover some genetic alterations can lead to syndromes affecting both the endocrine and the nervous system with a variety of possible manifestations. In the last couple of decades a number of associations between dysfunctions of the endocrine system and neurological or psychiatric manifestations have appeared and only in the minority of the cases this link has been fully elucidated. Often the neurological or psychiatric alterations still represent a relevant challenge for clinicians with regard to the management of the patients. The complexity of the topic and the limited availability of laboratory research models for the study of the endocrine system-nervous system cross-interaction are making the scientific progresses intricate and, sometimes, slow. A dedicated focus to such broad and often still obscure topic might help and clarify the current state-of-the-art in the field and direct the goals of future research.

Skin-Related Neglected Tropical Diseases (Skin-NTDs)—A New Challenge

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ISBN: 9783039212538 / 9783039212545 Year: Pages: 218 DOI: 10.3390/books978-3-03921-254-5 Language: eng
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Medicine (General) --- Internal medicine
Added to DOAB on : 2019-08-28 11:21:27
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This Special Issue explores the range of clinical manifestations and epidemiology of both skin NTDs and common skin disease in endemic regions, the use of common diagnostic and management pathways, the different technologies that play a role in diagnosis and training, the role of patient involvement at a community level, as well as the assessment of the results of different initiatives in the field.

Keywords

Mycobacterium ulcerans --- animal reservoir --- transmission --- scabies --- Cushing syndrome --- iatrogenic --- topical corticosteroids --- teledermatology --- eHealth --- mHealth --- long range diagnosis --- dermatology --- telepathology --- technology --- skin disease --- podoconiosis --- lymphedema --- neglected tropical diseases --- NTDs --- mental health --- community engagement --- patient involvement --- stigma --- teledermatology --- Africa --- primary health care --- skin diseases --- tele-expertise --- yaws --- Treponema pallidum --- onchodermatitis --- onchocercal skin disease --- onchocerciasis --- ivermectin --- mycetoma --- clinical presentation --- review --- scabies --- neglected tropical diseases --- impetigo --- mass drug administration --- ivermectin --- integration --- neglected tropical diseases --- disease mapping --- mass drug administration --- morbidity management --- skin diseases --- mobile phone application --- NTDs --- dermatology --- mHealth --- leprosy --- leprosy --- leprosy diagnosis --- PCR --- slit skin smears --- point of care test --- skin biopsy --- early diagnosis --- scabies --- outbreak --- drought --- emergency state --- scabies --- diagnosis --- digital handheld microscope --- resource-poor setting --- Amerindian communities --- Amazon lowland --- case management --- integration --- mass drug administration --- neglected tropical diseases --- skin infections --- skin NTDs --- surveillance --- training --- tropical skin diseases --- n/a --- Mite-Gallery Unit (MGU) --- Entodermoscopy (EDS) --- Dry Dermatoscopy (d-DS) --- Wet Dermatoscopy (w-DS) --- Enhanced Dermatoscopy (e-DS) --- subcutaneous mycosis --- actinomycetoma --- eumycetoma --- sporotrichosis Community dermatology

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