Current Issue : January-March Volume : 2026 Issue Number : 1 Articles : 5 Articles
We report the case of a male patient in his early thirties presenting with persistent hypercalcemia and a notable family history of hypercalcemia. Both his mother and brother were diagnosed with primary hyperparathyroidism and had undergone parathyroidectomy. Initial biochemical investigations demonstrated elevated serum calcium and parathyroid hormone levels, but low urinary calcium excretion, raising suspicion for familial hypocalciuric hypercalcemia (FHH). Genetic testing subsequently revealed a pathogenic mutation in the AP2S1 gene, confirming FHH type 3. This case highlights the diagnostic challenges in distinguishing FHH from primary hyperparathyroidism and emphasizes the importance of genetic analysis in guiding appropriate management....
Aim: To compare diabetic polyneuropathy (DPN) and cardiac autonomic neuropathy (CAN) between T1DM and T2DM patients. Methods: This study enrolled 66 T1DM and 79 T2DM patients. DPN was evaluated using three different methods: clinical examination, using neuropathy symptom score (NSS) and neuropathy disability score (NDS), current perception threshold (CPT) using Neurometer, and nerve conduction studies (NCSs). CAN was assessed by cardiovascular autonomic reflex tests (CARTs). Results: The prevalence of DPN did not differ between T1DM and T2DM (p > 0.05 for all), however, the proportion of DPN depended on the method used and was highest with CPT (53.0% vs. 46.8%), followed by NCSs (44.1% vs. 41.2%) and clinical examination (25.8% vs. 31.6%). T2DM vs. T1DM patients were more often diagnosed with painful DPN (51.9% vs. 27.3%, p = 0.004), reduced perception of vibration (72.2% vs. 48.5%, p = 0.006), and autonomic neuropathy (59.5% vs. 32.3%, p = 0.001), while NCSs revealed more prevalent motor nerve dysfunction in T1DM compared to T2DM (41.2% vs. 19.6%). Multivariate regression analysis showed increased DPN risk with age and CAN risk with worsening of eGFR in T1DM. No significant associations remained after multivariate adjustment for T2DM. Conclusions: The prevalence of DPN is highly varied and depends on the diagnostic method used. T2DM patients more often had symptoms and signs of diabetic neuropathy. However, stronger associations with risk factors were observed in T1DM....
Objectives: This study analysed the recovery process after an official soccer match by monitoring changes in markers of muscle damage and oxidative stress, and endocrine, neuromuscular, and perceptual responses. Methods: This repeated-measures observational study included thirteen male amateur soccer players. Blood biomarkers, neuromuscular performance in countermovement jump, and perceived wellness were measured at four time-points: the morning of the match-day, immediately post-, and 24 h and 48 h post-match. Results: Except for CK, which remained elevated at 48 h post-match, lactate dehydrogenase, C-reactive protein, uric acid, testosterone, cortisol, and testosterone to cortisol ratio returned to baseline between 24 h and 48 h post-match (p < 0.05). Jump height was significantly decreased at 24 h and 48 h post-match, while peak rate of force development and other countermovement jump time-based metrics (i.e., time to take off, time to peak force, reactive strength index modified, flight time to contraction time ratio) were impaired immediately after the match and recovered earlier (p < 0.05). Peak values for perceived fatigue and delayed onset muscle soreness were observed immediately post- and at 24 h post-match, respectively (p < 0.05). Conclusions: While certain physiological, neuromuscular, and perceptual changes may return to baseline levels within 24 h or 48 h post-match, amateur soccer players still manifest exercise-induced muscle damage symptoms and can be considered fatigued after a 48 h recovery period....
Endocrine-disrupting chemicals such as benzophenone-3 (BP-3) can have severe consequences for human reproduction by affecting critical processes during pregnancy. To shed further light on potential harmful BP-3 actions, our current study addressed the impact of BP-3 on decidualization and trophoblast invasion. Decidualization was initiated in human endometrial stromal cells (THESC) upon treatment with a mixture of cAMP, progesterone, and estradiol. In parallel to hormonal treatment, the cells were exposed to different BP-3 concentrations ranging from 0.001 μM to 10 μM. The expression of decidualization and invasion markers was determined. Moreover, trophoblastic spheroids derived from JEG-3 cells were transferred to decidualized THESC after BP-3 exposure, and spheroid attachment and invasion were analyzed. Hormonal treatment successfully initiated decidualization in THESC, which was confirmed by increased prolactin levels and IGFBP1 and NCOA-3 mRNA expression. Notably, BP-3 exposure did not affect these markers. Furthermore, BP-3 changed neither THESC proliferation nor viability nor the frequency of cells expressing MMP2/9 or TIMP1/3. Trophoblastic spheroid attachment and outgrowth into THESC were not altered through any of the BP-3 concentrations applied. Our results do not provide evidence for an influence of BP-3 on the decidualization process and the capability of trophoblast cells to adhere and invade into endometrial stromal cells....
Circulating levels of endothelial progenitor cells (EPCs) involved in endothelial homeostasis are often reduced in people with type 1 diabetes (T1D). The Glycemia Risk Index (GRI) quantifies the quality of glucose control by assessing both hypo- and hyperglycemia risk. We aim to investigate the association between the GRI and circulating EPC levels in people with T1D. This cross-sectional study included 132 adults with T1D, on intensive insulin therapy. We calculated GRI from 14 days continuous glucose monitoring-derived metrics and quantified EPCs count by flow cytometry, stratifying results by GRI zones, ranging from A (lowest risk) to E (highest risk). Higher GRI scores were significantly associated with poorer metabolic parameters. Circulating levels of CD34+, CD133+, KDR+, and CD34+KDR+ cells were lower in participants with a worse GRI compared to adults with a better GRI. Linear regression analyses showed a negative association between GRI and CD34+ (β = −1.079, p = 0.006), CD34+CD133+ (β = −0.581, p = 0.008), and CD34+KDR+ (β = −0.147, p = 0.010). No significant association was found between HbA1c and any EPC phenotype. Adults with T1D and a high GRI level had a lower EPCs count. GRI was significantly associated with certain EPC phenotypes, suggesting its potential role as a biomarker for cardiovascular risk assessment....
Loading....