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Li J, Dalgleish R, Vujovic S, Dragojevic-Dikic S, Ivanisevic M, Ivovic M, Tancic M, Thompson J, Al-Azzawi F. Microsatellite variation of ESR1, ESR2, and AR in Serbian women with primary ovarian insufficiency. Climacteric 2018; 21:472-477. [PMID: 30156935 DOI: 10.1080/13697137.2018.1476967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVE This study aimed to investigate the potential role of microsatellite polymorphisms of the estrogen receptor alpha gene (ESR1) TA repeat, estrogen receptor beta gene (ESR2) CA repeat, and androgen receptor gene (AR) CAG and GGN repeats among Serbian women with primary ovarian insufficiency (POI). These microsatellites have been reported to be associated with POI in different racial/ethnic populations. METHODS A cohort of 196 POI cases matched with 544 fertile controls was recruited by the Institute for Endocrinology, Diabetes and Metabolic Disorders of Serbia between 2007 and 2010. DNA was extracted from saliva. The four microsatellites were genotyped using a PCR-based assay to determine the repeat lengths. RESULTS POI patients carried shorter repeat lengths of ESR2 (CA)n than controls (P = 0.034), but the difference was small. ESR1 (TA)n was on the borderline of statistical differences between groups (P = 0.059). AR (CAG)n and (GGN)n showed no association with POI. CONCLUSIONS We cautiously conclude that microsatellite polymorphisms of gonadal steroid receptor genes might contribute to the genetic basis of POI in Serbian women, but a larger-scale study and family-based studies are warranted to validate our findings even though the sample size in this study is larger than any previously published in this field.
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Affiliation(s)
- J Li
- a Gynaecology Research Unit , University Hospitals of Leicester , Leicester , UK
| | - R Dalgleish
- b Department of Genetics and Genome Biology , University of Leicester , Leicester , UK
| | - S Vujovic
- c Faculty of Medicine, Clinic of Endocrinology , University of Belgrade, Clinical Centre of Serbia , Belgrade , Serbia
| | - S Dragojevic-Dikic
- c Faculty of Medicine, Clinic of Endocrinology , University of Belgrade, Clinical Centre of Serbia , Belgrade , Serbia
| | - M Ivanisevic
- c Faculty of Medicine, Clinic of Endocrinology , University of Belgrade, Clinical Centre of Serbia , Belgrade , Serbia
| | - M Ivovic
- c Faculty of Medicine, Clinic of Endocrinology , University of Belgrade, Clinical Centre of Serbia , Belgrade , Serbia
| | - M Tancic
- c Faculty of Medicine, Clinic of Endocrinology , University of Belgrade, Clinical Centre of Serbia , Belgrade , Serbia
| | - J Thompson
- d Department of Health Sciences , University of Leicester , Leicester , UK
| | - F Al-Azzawi
- a Gynaecology Research Unit , University Hospitals of Leicester , Leicester , UK
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Vujovic S, Vujosevic S, Kavaric S, Sopta J, Ivovic M, Saveanu A, Brue T, Korbonits M, Popovic V. Cancerous leptomeningitis and familial congenital hypopituitarism. Endocrine 2016; 52:231-5. [PMID: 26886902 DOI: 10.1007/s12020-016-0868-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 01/12/2016] [Indexed: 12/23/2022]
Abstract
People are at higher risk of cancer as they get older or have a strong family history of cancer. The potential influence of environmental and behavioral factors remains poorly understood. Earlier population and case control studies reported that upper quartile of circulating IGF-I is associated with a higher risk of developing cancer suggesting possible involvement of the growth hormone (GH)/IGF system in initiation or progression of cancer. Since GH therapy increases IGF-1 levels, there have been concerns that GH therapy in hypopituitarism might increase the risk of cancer. We report a 42-year-old female patient who presented with subacute onset of symptoms of meningitis and with the absence of fever which resulted in death 70 days after the onset of symptoms. The patient together with her younger brother was diagnosed at the age of 5 years with familial congenital hypopituitarism, due to homozygous mutation c.150delA in PROP1 gene. Due to evolving hypopituitarism, she was replaced with thyroxine (from age 5), hydrocortisone (from age 13), GH (from age 13 until 17), and sex steroids in adolescence and adulthood. Her consanguineous family has a prominent history of malignant diseases. Six close relatives had malignant disease including her late maternal aunt with breast cancer. BRCA 1 and BRCA 2 mutational analysis in the patient's mother was negative. Histology after autopsy disclosed advanced ovarian cancer with multiple metastases to the brain, leptomeninges, lungs, heart, and adrenals. Low circulating IGF-1 did not seem to protect this patient from cancer initiation and progression in the context of strong family history of malignancies.
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Affiliation(s)
- S Vujovic
- Clinic of Endocrinology, Clinical Center Serbia and Medical Faculty, University of Belgrade, Dr Subotic Str 13, 11000, Belgrade, Serbia
| | - S Vujosevic
- Clinical Center of Montenegro and Faculty of Medicine, University of Montenegro, Podgorica, Montenegro
| | - S Kavaric
- Clinical Center of Montenegro and Faculty of Medicine, University of Montenegro, Podgorica, Montenegro
| | - J Sopta
- Institute of Pathology, Medical Faculty, University of Belgrade, Belgrade, Serbia
| | - M Ivovic
- Clinic of Endocrinology, Clinical Center Serbia and Medical Faculty, University of Belgrade, Dr Subotic Str 13, 11000, Belgrade, Serbia
| | - A Saveanu
- Aix-Marseille Université, CNRS, CRN2M UMR 7286, 13344, Marseille Cedex 15, France
- APHM, Hôpital Conception, Service d'Endocrinologie, Diabète et Maladies Métaboliques, Centre de Référence des Maladies Rares d'Origine Hypophysaire DEFHY, and Laboratoire de Biologie Moleculaire, GeOneE (Genetique Oncologique et Endocrinienne), 13385, Marseille Cedex 15, France
| | - T Brue
- Aix-Marseille Université, CNRS, CRN2M UMR 7286, 13344, Marseille Cedex 15, France
- APHM, Hôpital Conception, Service d'Endocrinologie, Diabète et Maladies Métaboliques, Centre de Référence des Maladies Rares d'Origine Hypophysaire DEFHY, and Laboratoire de Biologie Moleculaire, GeOneE (Genetique Oncologique et Endocrinienne), 13385, Marseille Cedex 15, France
| | - M Korbonits
- Department of Endocrinology, William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - V Popovic
- Clinic of Endocrinology, Clinical Center Serbia and Medical Faculty, University of Belgrade, Dr Subotic Str 13, 11000, Belgrade, Serbia.
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Vujovic S, Ivovic M, Tancic-Gajic M, Ivanisevic M, Marina L, Barac M, Arizanovic Z, Micic D. 58 PREMATURE OVARIAN FAILURE: EMAS RECOMMENDATIONS AND NEW PERSPECTIVES. Maturitas 2012. [DOI: 10.1016/s0378-5122(12)70062-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Miljic D, Joksimovic M, Doknic M, Ivovic M, Djurovic M, Pekic S, Tancic M, Soldatovic I, Stojanovic M, Nale D, Macut D, Damjanovic S, Popovic V. ACTH and cortisol responses to ghrelin and desmopressin in patients with Cushing's disease and adrenal enlargement. J Endocrinol Invest 2010; 33:526-9. [PMID: 20142632 DOI: 10.1007/bf03346641] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Overexpression of ghrelin and vasopressin (V3) receptors demonstrated on corticotrophe adenomas accounts for exaggerated ACTH and cortisol responses to ghrelin and desmopressin (DDAVP) in patients with Cushing's disease (CD). AIM In this study we have compared ACTH and cortisol responsiveness to DDAVP and ghrelin in CD patients with and without adrenal enlargement. SUBJECTS AND METHODS Ghrelin and DDAVP tests were performed in 15 patients with CD (7 with and 8 without signs of adrenal enlargement) with CRH test in 8 patients. In 7 age and sex-matched healthy subjects, ghrelin test was performed. Plasma ACTH and serum cortisol concentrations were measured after ghrelin, DDAVP and CRH. Growth hormone was measured after stimulation with ghrelin. RESULTS Significantly higher baseline and peak ACTH and cortisol concentrations after ghrelin were observed in all patients with CD compared to healthy control subjects. Patients with CD and adrenal enlargement had significantly lower baseline and peak ACTH concentrations after stimulation with ghrelin compared to CD patients without adrenal enlargement, while cortisol levels at baseline and after ghrelin administration were similar. Three out of seven patients with CD and adrenal enlargement did not respond to DDAVP while they responded well to CRH and ghrelin. CONCLUSION Patients with CD and adrenal enlargement pose special diagnostic problems. They may have lower baseline ACTH levels and may not respond to DDAVP while they respond to ghrelin and CRH. Despite increased endogenous cortisol levels in CD, cortisol responses to ghrelin and CRH are preserved in patients with CD and adrenal enlargement.
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Affiliation(s)
- D Miljic
- Institute of Endocrinology, University Clinical Center of Serbia, Belgrade, Serbia
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Stojanovic M, Ivovic M, Tancic Gajic M, Barac M, Barac B, Marina LJ, Arizanovic Z, Nenezic A, Vujovic S. ESTRADIOL/NORETHINDRONE THERAPY EFFECT ON AMBULATORY BLOOD PRESSURE IN HYPERTENSIVE POSTMENOPAUSAL WOMEN: PP.18.189. J Hypertens 2010. [DOI: 10.1097/01.hjh.0000379115.99166.fd] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Barac M, Vujovic S, Stojanovic M, Ivovic M, Tancic M, Barac B, Marina L, Drezgic M. EFFECT OF DURATION OF HORMONE REPLACEMENT THERAPY ON LIPID PROFILE IN HEALTHY MENOPAUSAL WOMEN. Maturitas 2009. [DOI: 10.1016/s0378-5122(09)70280-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Vujovic S, Stojanovic M, Ivovic M, Tancic M, Ivanisevic M, Barac M, Marina L, Drezgic M. PREMATURE OVARIAN FAILURE AS A CARDIOVASCULAR RISK FACTOR. Maturitas 2009. [DOI: 10.1016/s0378-5122(09)70080-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Ivovic M, Vujovic S, Stojanovic M, Tancic-Gajic M, Marina L, Barac M, Drezgic M. GONADOTROPINES AND ESTRADIOL VALUES DURING HOT FLUSHES. Maturitas 2009. [DOI: 10.1016/s0378-5122(09)70326-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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