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1.
    
Adrenal incidentalomas (AIs) are incidentally discovered adrenal neoplasms. Overt endocrine secretion (glucocorticoids, mineralocorticoids, and catecholamines) and malignancy (primary or metastatic disease) are assessed at baseline evaluation. Size, lipid content, and washout characterise benign AIs (respectively, <4 cm, <10 Hounsfield unit, and rapid release); nonetheless, 30% of adrenal lesions are not correctly indicated. Recently, image-based texture analysis from computed tomography (CT) may be useful to assess the behaviour of indeterminate adrenal lesions. We performed a systematic review to provide the state-of-the-art of texture analysis in patients with AI. We considered 9 papers (from 70 selected), with a median of 125 patients (range 20–356). Histological confirmation was the most used criteria to differentiate benign from the malignant adrenal mass. Unenhanced or contrast-enhanced data were available in all papers; TexRAD and PyRadiomics were the most used software. Four papers analysed the whole volume, and five considered a region of interest. Different texture features were reported, considering first- and second-order statistics. The pooled median area under the ROC curve in all studies was 0.85, depicting a high diagnostic accuracy, up to 93% in differentiating adrenal adenoma from adrenocortical carcinomas. Despite heterogeneous methodology, texture analysis is a promising diagnostic tool in the first assessment of patients with adrenal lesions.  相似文献   
2.
Pregnancy and lactation involve dramatic changes in behavior and physiology necessary for the successful production and sustenance of offspring. This requires numerous processes to emerge and be coordinated in a finely tuned manner. Reduced corticotropin releasing factor (CRF) receptor activity and hypothalamic-pituitary-adrenal function are thought to be involved in numerous functions during lactation, such as reducing fear and anxiety, which in turn, is proposed to disinhibit aggressive behaviors. K. L. D'Anna, S. A. Stevenson, and S. C. Gammie (2005) reported that central infusion of urocortin 1 and 3, anxiogenic peptides that bind to CRF receptors, reduce maternal aggression in lactating mice and alter neural c-fos expression. However, the relationship between stress hormones and where they act, emotional state, and aggression during lactation is complicated, and our understanding of how these factors influence each other might benefit from a comprehensive reevaluation of these literatures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
3.
Gender-typed behaviors and interests were investigated in 26 girls, aged 2-10 years, affected with congenital adrenal hyperplasia (CAH) and in 26 unaffected girls matched for age. Girls with CAH were more interested in masculine toys and less interested in feminine toys and were more likely to report having male playmates and to wish for masculine careers. Parents of girls with CAH rated their daughters' behaviors as more boylike than did parents of unaffected girls. A relation was found between disease severity and behavior indicating that more severely affected CAH girls were more interested in masculine toys and careers. No parental influence could be demonstrated on play behavior, nor did the comparison of parents' ratings of wished for behavior versus perceived behavior in their daughters indicate an effect of parental expectations. The results are interpreted as supporting a biological contribution to differences in play behavior between girls with and without CAH. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
4.
电磁脉冲对大鼠肾上腺超微结构损伤的研究   总被引:10,自引:0,他引:10  
目的 :本研究拟通过观察电磁脉冲 (EMP)辐照大鼠后其肾上腺组织学及超微结构的改变 ,初步探讨EMP致肾上腺损伤的特点。方法 :雄性二级Wistar大鼠 2 4只 ,随机分为 6组 ,每组 4只。其中 1组为对照组 ,其余 5组为辐照组。辐照组在高场强电磁脉冲模拟源下 ,以场强为 6× 10 4 V m ,脉冲上升时间为 2 0ns,脉宽为 30 μs的条件下 ,在2min内辐照大鼠 5次 ,对照组不做任何处理 ,辐照后于 1h、6h、12h、2 4h和 4 8h活杀动物 ,左侧肾上腺常规光镜制片 ,右侧肾上腺 4 %戊二醛及 1%锇酸双固定 ,Epon812包埋。LKB - 1180 0 (Pyramitome)半薄切片 ,定位后 ,LKB -Ⅴ型超薄切片机切片 ,乙酸铀和柠檬酸铅双染色 ,PHILIPS -CM12 0电镜下观察、拍片。结果 :辐射组大鼠肾上腺皮髓质细胞超微结构在 1h后即出现变化 ,且逐渐加重 ,包括皮质细胞内脂质颗粒及髓质细胞内的内分泌颗粒排空明显 ;细胞水肿 ,线粒体肿胀、空化、髓样体形成 ;内质网扩张 ;皮质细胞和毛细血管内皮细胞核异染色质边集 ,早期细胞凋亡表现 ;毛细血管内皮细胞线粒体的明显空化。结论 :EMP可引起大鼠肾上腺皮髓质细胞及毛细血管内皮细胞的损伤 ,并可诱导其凋亡的发生。细胞膜系统的损伤及应激反应可能参与了其超微结构损伤过程  相似文献   
5.
    
Adrenomedullin (AM) was originally characterized in extracts of an adrenal medullary tumor. Since this original finding the peptide and its mRNA have also been found in the adrenal cortex, specifically, in the cells of the aldosterone-secreting zona glomerulosa. It is clear that the synthesis of AM is actively regulated in both cortex and medulla. Much research effort has been focused on identifying a role for AM in the adrenal gland. To date, no consistent effect on medullary catecholamine biosynthesis has been demonstrated. In the cortex the actions of AM are controversial and appear to depend on both the tissue preparation used and on the specific receptor population expressed in the individual gland. The results of further studies on the long-term actions of AM on adrenal growth and differentiation are awaited with interest.  相似文献   
6.
    
We investigated the influence of testicular and adrenal androgens on the presence of gap junctions between folliculo‐stellate cells in the anterior pituitary glands of 60‐day‐old Wistar‐Imamichi strain male rats. The animals were separated into six groups: Group A served as the controls and had free access to a normal diet and water, Group B was given a normal diet and 0.9% NaCl for their drinking water as the controls of adrenalectomized groups, Group C was castrated, Group D was adrenalectomized, Group E was both castrated and adrenalectomized, and Group F was also both castrated and adrenalectomized. In addition, the animals of Group F were administered a dose of testosterone that is known to produce high physiological levels of the hormones in plasma. Five rats from each group were sacrificed 1, 2, 3, 4, 5, 6, and 7 days after their respective operation, and the anterior pituitary glands were removed and prepared for observation by transmission electron microscopy. We quantified the number of follicles and gap junctions and calculated the rate of occurrence as the ratio of the number of gap junctions existing between folliculo‐stellate cells per intersected follicle profile. Simultaneous removal of adrenal glands with castration resulted in a significantly decrease in the number of gap junctions, whereas the administration of testosterone to these rats compensated for this change. These observations indicate that the preservation of gap junctions between folliculo‐stellate cells is mainly dependent on androgens from both the testes and adrenal glands in adult male rats. Microsc. Res. Tech., 2012. © 2012 Wiley Periodicals, Inc.  相似文献   
7.
    
The aim of this study is to investigate the effect of time-of-day on serum hormones and gene expression in adrenal glands, studying the impact of sex, obesogenic diet, and timing of proanthocyanidins administration, with a focus on glucocorticoids synthesis by this gland.  相似文献   
8.
    
Mutations within the glucocorticoid receptor (GR) gene locus lead to glucocorticoid resistance which is characterized by several clinical symptoms such as adrenal gland hyperplasia and salt-sensitive hypertension, although the underlying mechanisms are still unknown. We studied GR haploinsufficient (GR+/−) Sprague Dawley rats which, on a standard diet, showed significantly increased plasma aldosterone and corticosterone levels and an adrenocortex hyperplasia accompanied by a normal systolic blood pressure. Following a high salt diet, these rats developed salt-sensitive hypertension and maintained elevated enzyme-soluble epoxide hydrolase (sEH) in adrenal glands, while sEH was significantly decreased in wild-type rats. Furthermore, GR+/− rats showed dysregulation of the equilibrated linoleic and arachidonic acid pathways, with a significant increase of less active metabolites such as 8,9-DiHETrE. In Sprague Dawley rats, GR haploinsufficiency induced steroid disturbances, which provoked hypertension only in combination with high salt intake, which was accompanied by disturbances in sEH and fatty acid metabolism. Our results suggest that sEH inhibition could be a potential target to treat hypertension in patients with GR haploinsufficiency.  相似文献   
9.
为比较姜黄素及其两种主要代谢修饰产物(四氢姜黄素和姜黄素-β-D-葡糖苷酸)对H2O2诱导的大鼠肾上腺嗜铬瘤PC12细胞氧化损伤的保护作用,细胞经上述受试物处理后,采用噻唑蓝法测定细胞存活率,2’,7’-二氯荧光黄双乙酸盐荧光探针测定活性氧自由基(reactive oxygen species,ROS)含量,试剂盒检测细胞内超氧化物歧化酶(superoxide dismutase,SOD)活力和丙二醛(malondialdehyde,MDA)含量,Western Blot测定细胞内抗氧化相关蛋白的表达。结果表明:姜黄素及其代谢产物能够显著降低氧化损伤的PC12细胞内ROS含量和MDA水平,显著提高SOD活力(P<0.05),上调肾脏细胞质和细胞核中Nrf2蛋白表达量,激活下游血红素氧合酶-1和腺嘌呤二核苷酸醌氧化还原酶蛋白表达。总体来看,姜黄素代谢修饰后的产物抗氧化损伤作用弱于姜黄素。实验结果为揭示姜黄素的健康功效机制提供了实验依据。  相似文献   
10.
目的:探讨肾上腺血管平滑肌脂肪瘤的影像学表现和诊断方法。方法:对一例肾上腺血管平滑肌脂肪瘤的患者的影像和随诊资料进行分析,并对相关文献进行分析。结果:本例患者有高血压病史,超声检查二维声像图表现为左侧肾上腺区实性等回声肿块,边界清晰,形态规则。彩色多普勒显像(CDFl)示肿瘤周边及内部未见明显血流信号。CT表现为圆形软...  相似文献   
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