endocrine system – Definition | OpenMD.com

(endocrine gland/system) Ductless glands that secrete substances which are released directly into the circulation and which influence metabolism and other body functions.

CRISP Thesaurus

National Institutes of Health, 2006

The system of glands that release their secretions (hormones) directly into the circulatory system. In addition to the ENDOCRINE GLANDS, included are the CHROMAFFIN SYSTEM and the NEUROSECRETORY SYSTEMS.

NLM Medical Subject Headings

U. S. National Library of Medicine (NLM), 2018

Collective designation for those tissues capable of secreting hormones.

NCI Thesaurus

U.S. National Cancer Institute (NCI), 2017

A system of glands and cells that make hormones that are released directly into the blood and travel to tissues and organs all over the body. The endocrine system controls growth, sexual development, sleep, hunger, and the way the body uses food.

NCI Dictionary of Cancer Terms

U. S. National Cancer Institute (NCI), 2017

The endocrine system—the other communication system in the body—is made up of endocrine glands that produce hormones, chemical substances released into the bloodstream to guide processes such as metabolism, growth, and sexual development. Hormones are also involved in regulating emotional life.

WebMD, 2019

The endocrine system coordinates functioning between different organs through hormones, which are chemicals released into the bloodstream from specific types of cells within endocrine (ductless) glands. Once in circulation, hormones affect function of the target tissues, which may be another endocrine gland or an end organ. Some hormones…

Merck & Co., Inc., 2020

Human endocrine system, group of ductless glands that regulate body processes by secreting chemical substances called hormones. Hormones act on nearby tissues or are carried in the bloodstream to act on specific target organs and distant tissues. Diseases of the endocrine system can result from the…

Encyclopedia Britannica, Inc. , 2020

Endocrine system, any of the systems found in animals for the production of hormones, substances that regulate the functioning of the organism. Such a system may range, at its simplest, from the neurosecretory, involving one or more centres in the nervous system, to the complex array of glands…

Encyclopedia Britannica, Inc., 2020

What does endocrine system mean?

Endocrine system

The endocrine system is a chemical messenger system consisting of hormones, the group of glands of an organism that secrete those hormones directly into the circulatory system to regulate the function of distant target organs, and the feedback loops which modulate hormone release so that homeostasis is maintained. In humans, the major endocrine glands are the thyroid gland and the adrenal glands. In vertebrates, the hypothalamus is the neural control center for all endocrine systems. The field of study dealing with the endocrine system and its disorders is endocrinology, a branch of internal medicine.Special features of endocrine glands are, in general, their ductless nature, their vascularity, and commonly the presence of intracellular vacuoles or granules that store their hormones. In contrast, exocrine glands, such as salivary glands, sweat glands, and glands within the gastrointestinal tract, tend to be much less vascular and have ducts or a hollow lumen. A number of glands that signal each other in sequence are usually referred to as an axis, for example, the hypothalamic-pituitary-adrenal axis.
In addition to the specialized endocrine organs mentioned above, many other organs that are part of other body systems, such as bone, kidney, liver, heart and gonads, have secondary endocrine functions. For example, the kidney secretes endocrine hormones such as erythropoietin and renin. Hormones can consist of either amino acid complexes, steroids, eicosanoids, leukotrienes, or prostaglandins.The endocrine system is in contrast to the exocrine system, which secretes its hormones to the outside of the body using ducts. As opposed to endocrine factors that travel considerably longer distances via the circulatory system, other signaling molecules, such as paracrine factors involved in paracrine signalling diffuse over a relatively short distance.
The word endocrine derives via New Latin from the Greek words ἔνδον, endon, “inside, within,” and “exocrine” from the κρίνω, krīnō, “to separate, distinguish”.

Endocrine System : Target Cells

3.5 The Endocrine System – Introductory Psychology

Exercises

Review Questions: 

1. The two major hormones secreted from the pancreas are:

a. estrogen and progesterone

b. norepinephrine and epinephrine

c. thyroxine and oxytocin

d. glucagon and insulin

2. The ________ secretes messenger hormones that direct the function of the rest of the endocrine glands.

a. ovary

b. thyroid

c. pituitary

d. pancreas

3. The ________ gland secretes epinephrine.

a. adrenal

b. thyroid

c. pituitary

d. master

4. The ________ secretes hormones that regulate the body’s fluid levels.

a. adrenal

b. pituitary

c. testes

d. thyroid

Critical Thinking Questions:

1. Hormone secretion is often regulated through a negative feedback mechanism, which means that once a hormone is secreted it will cause the hypothalamus and pituitary to shut down the production of signals necessary to secrete the hormone in the first place. Most oral contraceptives are made of small doses of estrogen and/or progesterone. Why would this be an effective means of contraception?

2. Chemical messengers are used in both the nervous system and the endocrine system. What properties do these two systems share? What properties are different? Which one would be faster? Which one would result in long-lasting changes?

Personal Application Questions:

1. Given the negative health consequences associated with the use of anabolic steroids, what kinds of considerations might be involved in a person’s decision to use them?

Glossary:

adrenal gland: sits atop our kidneys and secretes hormones involved in the stress response

diabetes: disease related to insufficient insulin production

endocrine system: series of glands that produce chemical substances known as hormones

gonad: secretes sexual hormones, which are important for successful reproduction, and mediate both sexual motivation and behavior

hormone: chemical messenger released by endocrine glands

pancreas: secretes hormones that regulate blood sugar

pituitary gland: secretes a number of key hormones, which regulate fluid levels in the body, and a number of messenger hormones, which direct the

activity of other glands in the endocrine system

thyroid: secretes hormones that regulate growth, metabolism, and appetite

Answers to Exercises

Review Questions:

1. D

2. C

3. A

4. B

Critical Thinking Questions:

1.  The introduction of relatively low, yet constant, levels of gonadal hormones places the hypothalamus and pituitary under inhibition via negative feedback mechanisms. This prevents the alterations in both estrogen and progesterone concentrations that are necessary for successful ovulation and implantation.

2.  Both systems involve chemical messengers that must interact with receptors in order to have an effect. The relative proximity of the release site and target tissue varies dramatically between the two systems. In neurotransmission, reuptake and enzymatic breakdown immediately clear the synapse. Metabolism of hormones must occur in the liver. Therefore, while neurotransmission is much more rapid in signaling information, hormonal signaling can persist for quite some time as the concentrations of the hormone in the bloodstream vary gradually over time.

Glossary:

adrenal gland: sits atop our kidneys and secretes hormones involved in the stress response

diabetes: disease related to insufficient insulin production

endocrine system: series of glands that produce chemical substances known as hormones

gonad: secretes sexual hormones, which are important for successful reproduction, and mediate both sexual motivation and behavior

hormone: chemical messenger released by endocrine glands

pancreas: secretes hormones that regulate blood sugar

pituitary gland: secretes a number of key hormones, which regulate fluid levels in the body, and a number of messenger hormones, which direct the

activity of other glands in the endocrine system

thyroid: secretes hormones that regulate growth, metabolism, and appetite

Neuroendocrine System – an overview

The Neuroendocrinology of Pregnancy

The neuroendocrinology of pregnancy entails an interplay among maternal, fetal, and placental endocrine systems. Pregnancy is a profound metabolic challenge that requires not only maternal neuroendocrine adaptations to facilitate the maintenance of pregnancy for the requisite duration but also maternal neuroendocrine signaling to facilitate parturition and lactation. Maternal neuroendocrine responses are required to promote maternal survival during and after labor and delivery. To meet these physiologic challenges, maternal, fetal, and placental neuroendocrine function must be coordinated.

The impact of pregnancy on the maternal endocrine system begins with the production of human hCG from the trophoblast at the time of implantation. Changes in maternal metabolism during pregnancy prioritize fetal growth and include hyperinsulinemia, insulin resistance, increased plasma lipids, and more efficient plasma amino acid transport. There is an immediate increase in maternal metabolism that increases further as pregnancy progresses. Lactation also carries an enormous metabolic demand. Maternal adaptation to the infant’s schedule functions as both a psychologic and metabolic stressor. The typical infant does not display circadian rhythms, including a night-asleep, day-awake sleep pattern, until about 12 weeks after birth.

The enlargement of the anterior pituitary gland during pregnancy largely reflects a 10-fold increase in lactotrope size and number. Somatotrope and gonadotrope cell numbers are reduced; corticotrope or thyrotrope numbers are stable (Foyouzi et al., 2004). The marked increase in estrogen levels of placental origin during pregnancy enhances pituitary prolactin synthesis and secretion leading to circulating prolactin levels that are approximately 20 times higher during pregnancy. Amniotic fluid prolactin levels are 10–100 times higher than in the maternal circulation, reflecting decidual production. Serum prolactin levels return to the baseline of nonpregnancy approximately 7 days after delivery in the absence of lactation. With breastfeeding, basal prolactin levels remain elevated but gradually decrease; however, during suckling, there is a brisk rise in prolactin levels within 30 min (Foyouzi et al. , 2004). GH levels in the maternal circulation remain unchanged throughout pregnancy. The placenta synthesizes and secretes biologically active GnRH and maternal pituitary gonadotropin production decreases throughout pregnancy. The thyroid gland enlarges to meet metabolic demand, but TSH levels during the first trimester are significantly lower than those in the second and third trimesters or in the nonpregnant state, primarily because of the intrinsic thyrotropic activity of hCG (Glinoer, 1997). Women with hypothyroidism need supplementation because their thyroid gland will be unable to respond to placental hCG with the needed increase in thyroxine (Alexander et al., 2004).

The maternal hypothalamus and pituitary gland and placenta are sources of circulating adrenocorticotropic hormone (ACTH) and CRH during pregnancy (Petraglia et al., 2010). Placental CRH is identical to the hypothalamic CRH in structure, bioactivity, and immunoreactivity (Chan et al., 1988). Exogenous CRH stimulates the release of ACTH from both tissues in a dose-dependent manner. Maternal ACTH levels rise during pregnancy followed by a drop just before parturition and a marked 15-fold increase during the stress of delivery (Petraglia et al., 2010). ACTH concentrations return to the prepregnancy level within 24 h of delivery. CRH concentrations increase due to placental production resulting in high CRH levels in maternal serum during pregnancy, an exponential rise during the “late” third trimester, and a peak during labor (Riley et al., 1991). Both CRH and ACTH levels become undetectable within 24 h after delivery (Goland et al., 1986). Interestingly, while glucocorticoids inhibit the release of maternal CRH and ACTH, they stimulate the expression of placental CRH (Riley et al., 1991). The enhanced cortisol production is due to an increase in the maternal plasma ACTH concentrations and responsiveness of the adrenal cortex to ACTH stimulation during pregnancy (Lindsay and Nieman, 2005). Cortisol secretion follows maternal ACTH secretion and the diurnal rhythm of maternal cortisol is maintained during pregnancy. As a result of the hyperestrogenemia of pregnancy, hepatic production of cortisol-binding globulin is increased, which in turn results in decreased clearance of cortisol and a threefold rise in total plasma cortisol by week 26, when the levels plateau until the onset of labor (Lindsay and Nieman, 2005). Fig. 1.3 shows the integration of maternal, fetal, and placental HPA pathways (Petraglia et al., 2010). Premature activation of maternal and fetal stress pathways by emotional, infectious, and behavioral stressors may result in premature labor (Petraglia et al., 2010). Placental CRH concentrations increase in response to proinflammatory cytokines and glucocorticoids and thus have a pivotal role in the establishment, continuation, and termination of pregnancy (Margioris et al., 1988; Petraglia et al., 2010).

Fig. 1.3. CRH and urocortin (Ucn) secretion in preterm delivery: the placenta represents the major source for CRH, whereas the fetus abundantly secretes Ucn, adrenal DHEA, and CRHBP in maternal circulation (Petraglia et al. , 2010).

Oxytocin is a peptide neurohormone produced by hypothalamic neurons that project to the posterior lobe of the pituitary (Satake et al., 1999). Oxytocin is synthesized by neurons in the supraoptic and periventricular nuclei of the hypothalamus and released as a prepropeptide from the posterior lobe of the pituitary gland (Renaud and Bourque, 1991). Major functions of oxytocin include uterine contractility and milk ejection. Oxytocin levels parallel the increase in maternal serum levels of estradiol and progesterone. The levels increase further with cervical dilation and vaginal distention during labor and delivery, stimulating contraction of the uterine smooth muscles and enhancing fetal expulsion (Zeeman et al., 1997).

Multiple Endocrine Neoplasia | MD Anderson Cancer Center

The endocrine system includes glands that make hormones and release them into the bloodstream. Hormones control many processes of the body, including mood, growth and development, metabolism, sexual function and reproduction.

The major endocrine glands that can be affected by MEN syndromes are:

• Pituitary
• Thyroid
• Parathyroid
• Adrenal
• Pancreas

MEN syndromes are often passed down in families. They can be found in people of any age. About half of the children of people with multiple endocrine neoplasia inherit the disease.

There are several different types of multiple endocrine neoplasia.

Multiple endocrine neoplasia type 1 (MEN1)

Multiple endocrine neoplasia type 1 (MEN1), also called multiple endocrine adenomatosis or Wermer’s syndrome, is found in one in 30,000 people. It can affect people of any age, ethnic group or gender. It is caused by mutations in the MEN1 gene, which is a tumor suppressor gene. Mutations of the MEN1 gene “disable” tumor suppression, causing unregulated cell division that leads to tumor formation. All children of a parent with MEN1 have a 50% chance of developing the disease.

In MEN1, tumors grow in certain glands of the endocrine system. They tend to develop in more than one gland. If you have only one affected endocrine gland, you probably do not have MEN1.

While these tumors usually are benign, they may cause problems by releasing too much hormone or growing against other parts of the body. However, about half of people with MEN1 will eventually develop cancer.

MEN1 tends to cause tumors in the following parts of the body:

Parathyroid gland: Almost all people with MEN1 develop parathyroid gland tumors. These are usually the first glands affected by MEN1. The four parathyroid glands are near the thyroid gland in the front of the neck. MEN1 tumors may cause them to make too much parathyroid hormone (PTH). This is called hyperparathyroidism, and it leads to high levels of calcium in the blood. This is called hypercalcemia. If hypercalcemia is not treated, you may develop kidney stones or kidney damage, and your bones may become thin.

Pituitary gland: MEN1 can cause benign (non-cancerous) tumors in the front part of the pituitary gland. The most common is prolactinoma. People with MEN1 can develop other pituitary tumors that do not make hormones or that secrete other hormones such as growth hormone, adrenocorticotropin hormone and thyroid stimulating hormone. Symptoms of a pituitary tumor are usually due to the tumor pressing on other nearby structures and can include headaches and changes in vision.

Prolactinomas can interfere with sexual function and fertility, and tumors secreting growth hormone over time can cause acromegaly (enlargement of the bones). Adrenocorticotropin-producing tumors can cause Cushing’s syndrome. Pituitary tumors generally respond well to medication; however, in some instances surgical removal of the tumor or radiation is necessary.

Pancreas: Tumors also may form in the islet cells of the pancreas and the lining of the duodenum (the first portion of the small intestine), which can secrete several hormones involved with endocrine function. Tumors that develop in the pancreas can be benign or malignant. However, malignancy is rare before the age of 30.

Gastrinomas are the most common functional pancreatic tumor in people with MEN1 and can cause Zollinger-Ellison syndrome (ZES). Symptoms of ZES include elevated levels of gastrin, ulcers, inflammation of the esophagus, diarrhea and abdominal pain.

The second most common functional pancreatic tumor in MEN1 is insulinoma. Surgery is the main treatment for hypoglycemia due to an insulinoma. Except for insulinoma, the effects of hormone-secreting pancreatic tumors are typically well managed with medication. The role of surgery in the treatment of other pancreatic tumors depends on each individual case.

Adrenal gland: These tumors usually are benign.

Other types of tumors may form, including:

• Lipomas: Benign fatty tumors that develop under the skin in about 30% of people with MEN1
• Carcinoid tumors of the thymus gland, lung or stomach
• Facial angiofibromas, collagenomas or benign thyroid adenomas

Multiple endocrine neoplasia type 2 (MEN2)

MEN2A and MEN2B are caused by mutations in the RET gene. People with multiple endocrine neoplasia type 2 (MEN2) have a 95% chance of developing medullary thyroid cancer. MEN2 is divided into three types:

Multiple Endocrine Neoplasia Type 2A (MEN2A): People with MEN2A often develop:

• Medullary thyroid cancer when they are young adults
• Pheochromocytomas (adrenal tumors)
• Hyperparathyroidism
• Cutaneous lichen amyloidosis, an itchy skin condition

Multiple Endocrine Neoplasia Type 2B (MEN2B): MEN2B may cause:

• Medullary thyroid carcinoma in early childhood
• Pheochromocytomas (adrenal tumors)
• Physical characteristics, including being tall and slender
• Small benign tumors on the lips and tongue
• Enlargement and irritation of the large intestine
• Thickening of the eyelids and lips
• Abnormalities of bones of feet and thighs
• Curvature of the spine

Familial Medullary Thyroid Carcinoma (FMTC) is medullary thyroid cancer that develops in multiple members of the same family without the presence of pheochromocytoma and/or hyperparathyroidism. Genetic testing of blood samples can confirm a diagnosis of MEN2 and identify family members at risk of developing the disease. Depending on the specific RET mutation, predicting the severity and progression of the disease to some degree is possible.

This is helpful in determining screening recommendations, as well as the appropriate age for performing a prophylactic thyroidectomy (surgery to remove the thyroid before disease strikes). General recommendations are to remove the thyroid gland:

• Within the first six months of life for individuals with MEN2B
• By five to 10 years of age for individuals with MEN2A and FMTC

However, these recommendations depend on the patient’s personal and family history. A genetic counselor can discuss genetic testing with you and your family, answer any questions and help you make an informed decision.

Pheochromocytomas in multiple endocrine neoplasia 2

Pheochromocytoma is a tumor that occurs in the adrenal medulla that makes excess hormones called catecholamines (such as adrenaline). A pheochromocytoma is diagnosed in about 50% of people with MEN2A and MEN2B, although they do not occur in true FMTC. Pheochromocytomas may also occur in both adrenal glands in MEN2. Although a pheochromocytoma is a tumor, it is rarely malignant in MEN2.

If detected early, pheochromocytomas are easily treated. However, if not treated, they may be potentially fatal due to dangerously high blood pressures that can occur during accidents, surgery, childbirth or other physically stressful situations.

Research shows that many cancers and related diseases could be prevented if people applied everything known about cancer prevention to their lives.

Multiple endocrine neoplasia risk factors

Anything that increases your chance of getting a particular disease is a risk factor. Multiple endocrine neoplasia is caused by gene mutations that are handed down in families.

• MEN1 is caused by gene mutations in the MEN1 gene
• MEN2 is caused by gene mutations in the RET gene

If you have any of the MEN syndromes, your children have a 50% chance of developing the disease.

Learn more about multiple endocrine neoplasia:

We recommend genetic counseling for anyone with MEN or a family history of the disease. Visit our genetic testing page to learn more.

15.1B: Comparing the Nervous and Endocrine Systems

1. Last updated

2. Save as PDF

1. Key Points
2. Key Terms
3. Nervous System
4. Endocrine System

The nervous system and endocrine system both use chemical messengers to signal cells, but each has a different transmission speed.

Learning Objectives

• Distinguish between the nervous system and the endocrine system

Key Points

• The nervous system can respond quickly to stimuli, through the use of action potentials and neurotransmitters.
• Responses to nervous system stimulation are typically quick but short lived.
• The endocrine system responds to stimulation by secreting hormones into the circulatory system that travel to the target tissue.
• Responses to endocrine system stimulation are typically slow but long lasting.

Key Terms

• hormone: A molecule released by a cell or a gland in one part of the body that sends out messages affecting cells in other parts of the organism.
• neurotransmitters: Endogenous chemicals that transmit signals from a neuron to a target cell across a synapse.

The body must maintain a constant internal environment, through a process termed homeostasis, while also being able to respond and adapt to external events. The nervous and endocrine systems both work to bring about this adaptation, but their response patterns are different. The nervous system and the endocrine system use chemical messengers to signal cells, but the speed at which these messages are transmitted and the length of their effects differs.

Nervous System

The nervous system responds rapidly to stimuli by sending electrical action potentials along neurons, which in turn transmit these action potentials to their target cells using neurotransmitters, the chemical messenger of the nervous system. The response to stimuli by the nervous system is near instantaneous, although the effects are often short lived. An example is the recoil mechanism of an arm when touching something hot.

Endocrine System

The endocrine system relies on hormones to elicit responses from target cells. These hormones are synthesized in specialized glands at a distance from their target, and travel through the bloodstream or inter-cellular fluid. Upon reaching their target, hormones can induce cellular responses at a protein or genetic level.

This process takes significantly longer than that of the nervous system, as endocrine hormones must first be synthesized, transported to their target cell, and enter or signal the cell. However, although hormones act more slowly than a nervous impulse, their effects are typically longer lasting.

Additionally, the target cells can respond to minute quantities of hormones and are sensitive to subtle changes in hormone concentration. For example, the growth hormones secreted by the pituitary gland are responsible for sustained growth during childhood.

LICENSES AND ATTRIBUTIONS

CC LICENSED CONTENT, SHARED PREVIOUSLY

CC LICENSED CONTENT, SPECIFIC ATTRIBUTION

• Human Physiology/The endocrine system. Provided by: Wikibooks. Located at: en.wikibooks.org/wiki/Human_Physiology/The_endocrine_system%23Introduction_To_The_Endocrine_System. License: CC BY-SA: Attribution-ShareAlike
• Human Physiology/The endocrine system. Provided by: Wikibooks. Located at: en.wikibooks.org/wiki/Human_Physiology/The_endocrine_system%23Introduction_To_The_Endocrine_System. License: CC BY-SA: Attribution-ShareAlike
• Human Physiology/The endocrine system. Provided by: Wikibooks. Located at: en.wikibooks.org/wiki/Human_Physiology/The_endocrine_system%23Introduction_To_The_Endocrine_System. License: CC BY-SA: Attribution-ShareAlike
• secondary messenger. Provided by: Wikipedia. Located at: en.Wikipedia.org/wiki/secondary%20messenger. License: CC BY-SA: Attribution-ShareAlike
• hormone. Provided by: Wiktionary. Located at: en.wiktionary.org/wiki/hormone. License: CC BY-SA: Attribution-ShareAlike
• Endocrine Glands in the Head. Provided by: Wikipedia. Located at: commons.wikimedia.org/wiki/File:Endocrine_central_nervous_en.svg. License:
• Anatomy and Physiology of Animals/Endocrine System. Provided by: Wikibooks. Located at: en.wikibooks.org/wiki/Anatomy_and_Physiology_of_Animals/Endocrine_System%23The_Endocrine_System. License: CC BY-SA: Attribution-ShareAlike
• hormone. Provided by: Wiktionary. Located at: en.wiktionary.org/wiki/hormone. License: CC BY-SA: Attribution-ShareAlike
• neurotransmitters. Provided by: Wiktionary. Located at: en.wiktionary.org/wiki/neurotransmitters. License: CC BY-SA: Attribution-ShareAlike
• action potential. Provided by: Wiktionary. Located at: en.wiktionary.org/wiki/action_potential. License: CC BY-SA: Attribution-ShareAlike
• Endocrine Glands in the Head. Provided by: Wikipedia. Located at: commons.wikimedia.org/wiki/File:Endocrine_central_nervous_en.svg. License:

Definition of endocrine system general meaning and concept. What is the endocrine system

An ordered module of interconnected elements that interact with each other, is called by the system. These elements can be real (physical) or conceptual (abstract).

Endocrine , on the other hand, is an adjective that is used in biology to denote what belongs to or is related to hormones or internal secretions . When applied to glands, this term refers to those that secrete products that they excrete directly into blood .

Therefore, the endocrine system is formed by a set of endocrine glands . Its components are organs, which secrete hormones that enter the bloodstream and are responsible for regulating various functions of the body.

For example, growth, metabolism, tissue function and mood are regulated by hormones.The endocrine system provides cellular communication that responds to stimuli, releasing hormones and stimulating various metabolic functions of the body.

Among the glands that are part of the endocrine system, thyroid gland , pituitary gland and adrenal gland can be distinguished. The thyroid gland is located in the front of the neck, above the trachea. It consists of two lobes connected by an isthmus, produces proteins and regulates the body’s sensitivity to other hormones.

The pituitary gland , also known as the pituitary gland, is located at the base of the skull and has the function of regulating homeostasis. The adrenal glands , on the other hand, are located above the kidneys and are responsible for regulating the response to stress from the synthesis of catocholamines and corticosteroids.

The following two most famous diseases of the endocrine system are described:

diabetes

The main characteristic of diabetes is the presence of very high blood glucose levels.Insulin is a hormone responsible for ensuring that cells receive the energy they need from glucose, which enters the body through the food we eat.

We can talk about type 1 diabetes , when the body does not produce insulin, and type 2 diabetes (more often than the first), if insulin is not produced and used by the body correctly. Prediabetes , on the other hand, occurs when blood sugar levels are above normal, although not as high as in diabetes.

This disease of the endocrine system can have serious consequences for the body , including kidney, nerve and eye injuries, as well as heart disease, limb amputation and stroke.

A blood test can be requested to check for diabetes, and it is advisable to keep fit and follow a healthy and balanced diet to monitor it, keeping a constant eye on blood glucose levels.

obesity

Although many people do not consider obesity a disease, it can have serious consequences for our health.In short, this is excess body fat and should not be confused with 90,045 overweight , which may be due to a combination of muscle mass, bone size and body water, in addition to fat. On the other hand, neither of the two conditions are healthy.

How can you be obese? Consuming 90,045 calories, in quantities higher than those consumed by the body, although this proportion is different for each person. Frequent physical activity and a diet without saturated fat is a good start to avoid this endocrine disorder.

It is important to note that obesity increases the risk of strokes, certain types of cancer, heart disease, arthritis and diabetes.

endocrine system – Translation into English – examples Russian

English

Arabic
German
English
Spanish
French
Hebrew
Italian
Japanese
Dutch
Polish
Portuguese
Romanian
English
Turkish
Chinese

English

Synonyms
Arabic
German
English
Spanish
French
Hebrew
Italian
Japanese
Dutch
Polish
Portuguese
Romanian
English
Turkish
Chinese

These examples may contain rude words based on your search.

These examples may contain colloquial words based on your search.

Other translations

I still believe it is endocrine system .

He has an endocrine system failure .

This whole endocrine system?

The nervous system is working as it should, and his endocrine system is in excellent condition.

His central nervous system is working within normal parameters, and his endocrine system is in terrific shape.

No results found for this meaning.

Suggest an example

Display more examples

Results: 4. Exact: 4. Elapsed time: 20 ms.

Suggest an example

definition of Hormones and synonyms of Hormones (English)

From Wikipedia – the free encyclopedia

Hormones (Greek.Ορμόνη) – signaling chemicals secreted by the endocrine glands directly into the blood and having a complex and multifaceted effect on the body as a whole or on certain organs and target tissues. Hormones serve as humoral (blood-borne) regulators of certain processes in certain organs and systems.

There are other definitions, according to which the interpretation of the concept of a hormone is broader: “signaling chemicals produced by the cells of the body and affecting the cells of other parts of the body.”This definition seems preferable, since it covers many substances traditionally referred to as hormones: hormones of animals that are deprived of a circulatory system (for example, ecdysones of roundworms, etc.), hormones of vertebrates that are not produced in the endocrine glands (prostaglandins, erythropoietin, etc. ) as well as plant hormones.

History

Discovered in 1902 by Starling and Bayliss.

Purpose

Used in the body to maintain its homeostasis, as well as to regulate many functions (growth, development, metabolism, response to changes in environmental conditions).

Receptors

All hormones realize their effect on the body or on individual organs and systems with the help of special receptors for these hormones. Hormone receptors are divided into 3 main classes:

• receptors associated with ion channels in the cell (ionotropic receptors)
• receptors that are enzymes or associated with signaling proteins with enzymatic function (metabotropic receptors, for example, GPCR)
• receptors for retinoic acid, steroid and thyroid hormones that bind to DNA and regulate genes.

The phenomenon of self-regulation of sensitivity through a feedback mechanism is characteristic of all receptors – at a low level of a certain hormone, the number of receptors in tissues and their sensitivity to this hormone automatically increase – a process called sensitization (as well as up-regulation, or sensitization (sensitization)) receptors. Conversely, with a high level of a certain hormone, an automatic compensatory decrease in the number of receptors in tissues and their sensitivity to this hormone occurs – a process called desensitization (as well as down-regulation, or desensitization) of receptors.

An increase or decrease in the production of hormones, as well as a decrease or increase in the sensitivity of hormonal receptors and a violation of hormonal transport leads to endocrine diseases.

Mechanisms of action

When a hormone in the blood reaches the target cell, it interacts with specific receptors; receptors “read the message” of the organism, and certain changes begin to take place in the cell. Each specific hormone corresponds exclusively to its “own” receptors located in specific organs and tissues – only when the hormone interacts with them, a hormone-receptor complex is formed.

The mechanisms of action of hormones can be different. One of the groups is made up of hormones that bind to receptors inside cells – usually in the cytoplasm. These include hormones with lipophilic properties, such as steroid hormones (sex hormones, glucocorticoids, and mineralocorticoids), as well as thyroid hormones. Being fat-soluble, these hormones easily penetrate the cell membrane and begin to interact with receptors in the cytoplasm or nucleus. They are poorly soluble in water; when transported through the blood, they bind to carrier proteins.

It is believed that in this group of hormones the hormone-receptor complex plays the role of a kind of intracellular relay – being formed in the cell, it begins to interact with chromatin, which is located in the cell nuclei and consists of DNA and protein, and thereby accelerates or slows down the work of those or other genes. By selectively affecting a specific gene, the hormone changes the concentration of the corresponding RNA and protein, and at the same time corrects metabolic processes.

The biological effect of each hormone is very specific.Although in the target cell hormones usually change less than 1% of proteins and RNA, this is quite enough to obtain the corresponding physiological effect.

Most other hormones have three characteristics:

• they dissolve in water;
• do not bind to carrier proteins;
• begin the hormonal process as soon as they bind to a receptor, which can be located in the cell nucleus, its cytoplasm, or located on the surface of the plasma membrane.

The mechanism of action of the hormone-receptor complex of such hormones necessarily involves mediators that induce a cell response. The most important of these mediators are cAMP (cyclic adenosine monophosphate), inositol triphosphate, and calcium ions.

Thus, in an environment devoid of calcium ions, or in cells with an insufficient number of them, the effect of many hormones is weakened; when using substances that increase the intracellular concentration of calcium, effects occur that are identical to the effects of some hormones.

The participation of calcium ions as a mediator ensures the effect on cells of hormones such as vasopressin and catecholamines.

However, there are hormones in which an intracellular mediator has not yet been found. Of the most famous such hormones, insulin can be called, in which cAMP and cGMP were suggested for the role of an intermediary, as well as calcium ions and even hydrogen peroxide, but there is still no convincing evidence in favor of any one substance. Many researchers believe that in this case, chemical compounds, the structure of which is completely different from the structure of intermediaries already known to science, can act as intermediaries.

Having completed their task, hormones are either broken down in target cells or in the blood, or transported to the liver, where they are broken down, or, finally, they are eliminated from the body mainly in the urine (for example, adrenaline).

Human hormones

List of the most important:

8 receptor

191991998 norepinephrine

1

3

3 beta-cells 9013

8 991998 hormone

straight

168.

2. Ametov, A.S. Microalbuminuria in patients with type 2 diabetes mellitus and arterial hypertension. Possibilities of therapy Text. /

3.A.S. Ametov, T.Yu. Demidova, S.A. Kosykh // Probl. endocrinol. -2005.-T. 51, no. 4.-p. 3-6.

4. Balabolkin, M.I. The role of insulin resistance in the pathogenesis of type 2 diabetes mellitus Text. / M.I. Balabolkin, E.M. Klebanova // Ter. archive. 2003. – No. 1. – S. 72-77.

5. Secondary prevention of cardiovascular diseases Text./ editorial board: F.T. Ageev [et al.] // Heart. 2007. – T. 6, No. 1. – C 4-25.

6. Glantz, S. Biomedical statistics Text. / S. Glants; per. from English M.: Praktika, 1998 .– 459 p.

7. Dedov, I.I. Diabetes mellitus and arterial hypertension Text. / I.I. Dedov, M.V. Shestakov. M.: Medical Information Agency, 2006 .– 344 p.

8. Dedov, I.I. Economic problems of diabetes mellitus in Russia Text. / I.I. Dedov, Yu.I. Suntsov, S.V. Kudryakova // Sakh. diabetes. -2000.-No. 3.- S. 56-58.

9. Demidova, T.Yu. The role of adipose tissue in the development of metabolic disorders in patients with type 2 diabetes mellitus in combination with obesity Text. / T.Yu. Demidova, A.V. Selivanova, A.S. Ametov // Ter. archive. 2006. – No. 11. – S. 64-69.

10. Dmitriev, V.A. C-reactive protein and hypertension: is there a link? Text. / V.A. Dmitriev, E.V. Oshchepkova,

11. V.N. Titov // Ter. archive. 2006. – No. 5. – S. 86-89.

12. Yu. Cardiorenal syndrome in diabetes mellitus endocrinology Text.: risk factors and mechanisms of development / M.V. Shestakova [et al.] // Probl. endocrinol. – 2005. – T. 51, No. 3. S. 11-17.

13. P. Karpov, Yu.A. Inflammation and Atherosclerosis Text. : state of the problem and unresolved issues / Yu.A. Karpov, E.V. Sorokin, O.A. Fomicheva // Heart. 2003. – T. 2, No. 4. – S. 190-192.

14. Konstantinov, V.O. Cardiovascular risk and the possibility of its reduction in patients with metabolic syndrome and type 2 diabetes mellitus – the role of fibrates Text. / V.O. Konstantinov, J.R. Sayfulina // Cardiology. 2006. – No. 11. – S. 86-91.

15. Makolkin, V.I. Kidney damage in patients with arterial hypertension and type 2 diabetes mellitus Text. / IN AND. Makolkin // Ter. archive. 2008. – No. 1. – S. 74-77.

16. Mamedov, M.N. Is it necessary to determine insulin resistance for the diagnosis of metabolic syndrome in clinical practice? Text. / M.N. Mamedov, R.G. Oganov // Cardiology. 2005. – No. 4. -S. 92-96.

17. Moiseev, B.C. ARGUS. Arterial hypertension in persons of older age groups Text.: monograph. / B.C. Moiseev, Zh.D. Kobalava. -M .: Medical Information Agency, 2002.448 p.

18. Nasonov, E.JI. Immunological markers of atherosclerosis Text. / E.L. Nasonov // Ter. archive. 2002. – T. 74, No. 5. – S. 80-85.

19. Oganov, R.G. Modern strategies for the prevention and treatment of cardiovascular diseases Text. / R.G. Oganov, G.V. Pogosova // Cardiology. -2007.-No. 12.-S. 4-9.

20. Obesity Text. : etiology, pathogenesis, clinical aspects: a guide * for doctors / ed. I.I. Dedova, G.A. Melnichenko. -M .: Medical Information Agency, 2004. – 456 p.

21. Features of atherosclerotic lesions of the brachiocephalic arteries in patients with type 2 diabetes mellitus Text. / L.V. Dadova [et al.] // Cardiology 2007. – No. 10. – P. 45-50.

22. Pankov, Yu.A. “Interweaving” of the molecular mechanisms of action of various hormones and their role in the pathogenesis of obesity, insulin resistance and diabetes mellitus. Text. / Yu.A. Pankov, M.K. Chekhranova, S.K. Karpova // Vestn.RAMS. 2008. – No. 3. – P. 2836.

23. Pankov, Yu.A. The new hormone adiponectin. Its role in the pathogenesis of diabetes mellitus Text. / Yu.A. Pankov / Vestn. RAMS. 2006. -№9 / 10. -WITH. 99-104.

24. Pankov, Yu.A. Revolutionary changes in endocrinology Text. / Yu.A. Pankov // Probl. endocrinol. 2005. – T. 51, No. 6. – S. 3-8.

25. Podgrebelny, A.N. The role of fibroblasts in the development of diabetes mellitus and its complications Text. / A.N. Podgrebelny, O. M. Smirnova, I.I. Dedov // Probl. endocrinol.2005. – T. 51, No. 2. – S. 14-22.

26. Roitberg, G.E. Metabolic Syndrome Text. / T.E. Roitberg // Moscow., Medpress-inform., 2007.224 p.

27. Roitberg, G.E. The role of insulin resistance in the diagnosis of metabolic syndrome Text. / G.E. Roitberg, T.I. Ushakova, Zh.V. Dorosh // Cardiology. 2004. – No. 3. – S. 94-101.

28. The role of the newly discovered hormone adiponectin secreted by adipocytes in human diseases Text. : ref. / prep. M.E. Vaganova // Clinical endocrinology.2005. – № 2.

29. The role of inflammatory factors in the development of acute coronary syndrome in patients with type 2 diabetes mellitus and impaired glucose tolerance Text. / T.E. Chazova [et al.] // Ter. archive. – 2007. No. 6. – S. 60-64.

30. Titov, V.N. Diagnostic value of an increase in the level of C-reactive protein in the “clinical” and “subclinical” intervals Text. / V.N. Titov // Wedge. lab. diagnostician. 2004. – No. 6. – S. 3-10.

31. Titov, V.N. C-reactive protein: physicochemical properties, methods of determination and diagnostic value Text./ V.N. Titov, O.P. Bliznyukov // Wedge. lab. diagnostician. 2004. – No. 4. – S. 3-9.

32. Titov, V.N. Endogenous inflammation and biochemical aspects of the pathogenesis of arterial hypertension Text. / V.N. Titov, E.V. Oshchepkova, V.A. Dmitriev // Wedge. lab. diagnostician. 2005. – No. 5. -S. 3-10:

33. Tokmakova, A.Yu. Modern methods of early diagnosis of diabetic macroangiopathy Text. / Yu.A. Tokmakova, D.N. Staroverov // Probl. endocrinol. 2005. – T. 51, No. 3. – S. 39-43.

34. Fomin, V.B. C-reactive protein and its importance in cardiological practice Text. / V.V. Fomin, JI.B. Kozlovskaya // Consilium Medicum. -2003.-№5.-p. 247-250.

35. Chugunova, JI.A. Stroke and type 2 diabetes mellitus. Opportunities for prevention Text. / JI.A. Chugunova, V.E. Tarasov, M.V: Shestakova // Ter. archive. 2006. – No. 10. – S. 21-26.

36. Shestakova, M.V. Dyslipidemia in Diabetes Mellitus: Statin Treatment Increases Patient Survival Text. / M.V. Shestakov // Ter. archive. 1999. – No. 1.- S. 67-69.

37. Shestakova; M.V. Metabolic syndrome as a harbinger of the development of type 2 diabetes mellitus and cardiovascular diseases

38. Text. / M.V. Shestakova, S.A. Butrova, O. Yu. Sukharev // Ter. archive. – 2007. No. 10. – S. 5-8.

39. Shestakova, M.V. A multicomponent approach to the treatment of diabetes mellitus and its complications (lecture) Text. / M.V. Shestakov // Ter. archive. 2006. – No. 10. – S. 33-36.

40. Shestakova, M.V. The problem of arterial hypertension in diabetes mellitus Text./ M.V. Shestakova // Cardiology. 1999. – No. 6. -S.59-64.

41. A novel serum protein similar to clq, produced exclusively in adipocytes Text. / P.E. Scherer [et al.] // J. Biol. Chem. 1995. – Vol. 270. -P. 26746-26749.

42. A self-fulfilling prophecy: C-reactive protein attenuates nitric oxide production and inhibits angiogenesis Text. / S. Verma [et al.] // Circulation. -2002.-Vol. 106.-P. 913-919.

43. Abraham, W.T. Diabetes, Hypertension and Renal Insufficiency in Post-Myocardial Infarction Cardiovascular Risk Text./ W.T. Abraham // Rev. Cardiovasc. Med. 2003. – Vol. 4. – P. 30-36.

44. Absence of an effect of liposuction on insulin action and risk factors for coronary heart disease Text. / S. Klein [et al.] // N. Engl. J. Med. 2004. -Vol. 350.-P. 2549-2557.

45. Acute systemic inflammation impairs endothelium-dependent dilatation in humuns Text. / A.D. Hingorani [et al.] // Circulation. 2000. – Vol. 102. -P. 994-999.

46. Adipocyte-derived plasma protein, adiponectin, suppresses lipid accumulation and class A scavenger receptor expression in humanmonocyte-derived macrophages Text./ N. Ouchi [et al.] // Circulation. -2001.-Vol. 103.-P. 1057-1063.

47. Adiponectin acts as an endogenous, antithrombotic factor ‘Text. / IT. Kato [et al.] // Arterioscler. Thromb. Vase. Biol. 2006. – Vol. 26 .– P. 224-230.

48. Adiponectin and coronary heart disease Text. : a prospective study and meta-analysis / N. Sattar [et al.] // Circulation. 2006. – Vol. 114. – P. 623629.

49. Adiponectin and future coronary heart disease events among men with Type 2 diabetes Text./ M.B. Schulze [et al.] // Diabetes. 2005. – Vol. 54. -P. 534-539.

50. Adiponectin and protection against type 2 diabetes mellitus Text. / J. Spranger [et al.] // Lancet. 2003. – Vol. 361. – P. 226-228.

51. Adiponectin and the development of type 2 diabetes Text. : the atherosclerosis risk in communities study / B.B. Duncan [et al.] // Diabetes. 2004. – Vol. 53. – P. 2473-2478.

52. Adiponectin expression from human adipose tissue: relation to obesity, insulin resistance, and tumor necrosis factor-alpha expression Text./ P.A. Kern [et al.] // Diabetes. 2003. – Vol. 52. – P. 1779-1785.

53. Adiponectin is an independent predictor of all-cause mortality, cardiac mortality, and myocardial infarction in patients presenting with chest pain Text. / E. Cavusoglu [et al.] // Eur. Heart. J. 2006. – Vol. 27. – P. 23002309.

54. Adiponectin reduces atherosclerosis in; apolipoprotein e-deficient mice Text. / Y. Okamoto [et al.] ‘// Circulation. 2002. – Vol. 106. – P: 27672770.

55. Adiponectin replenishment ameliorates obesity-related hypertension Text./ K. Ohashi [et all]: // Hypertensions 2006. – Vol. 47. – P. 1108-1116.

56. Adiponectin specifically increased tissue inhibitor of metalloproteinase-1 through interleukin-10 expression in human macrophages Text., / M. ‘ Kumada [et al.] // Circulation. 2004. – Vol. 109. – P. 2046-2049.

57. Adiponectin stimulates angiogenesis in response to tissue ischemia through stimulation of amp-activated protein kinase signaling Text. / R. Shibata [et al.] // J. Biol. Chem. 2004. – Vol.279. – P. 28670-28674.

58. Adiponectin stimulates glucose utilization and fatty-acid oxidation by activating AMP-activated protein kinase Text. / T. Yamauchi [et al.] // Nat. Med. 2002. – Vol. 8. – P. 1288-1295.

59. Adiponectin stimulates production of nitric oxide in vascular endothelia cells Text. / H. Chen [et al.] // J. Biol. Chem. 2003. – Vol. 278. -P. 45021-45026.

60. Adiponectin-mediated modulation of hypertrophic signals in the heart Text. / R. Shibata [et al.] // Nat. Med. 2004. – Vol. 10. – P. 1384-1389.

61. Alberti, K.G. The metabolic syndrome a new worldwide definition Text. / K.G. Alberti, P. Zimmet, J. Shaw // Lancet. – 2005. – Vol. 366. P. 105

.

62. Antonios, N. Diabetes mellitus and stroke Text. / N. Antonios, S. Siliman // Nort. Florida Med. 2005. – Vol. 56, No. 2. – P. 17-22.

63. Association of adiponectin with> coronary heart disease and mortality Text.,: The Rancho Bernardo study / G.A. Laughlin [et al.412.

65. Association of hemoglobin Ale with cardiovascular disease and mortality in adults Text. : the European prospective investigation into cancer in Norfolk / K.T. Khaw [et al.] // Ann. Intern. Med. 2004. – Vol. 141. – P. 413-420.

66. Association of hypoadiponectinemia with coronary artery disease in men Text. / M. Kumada [et al.] // Arterioscler. Thromb. Vase. Biol. 2003. -Vol. 23.-P. 85-89.

67. Association of hypoadiponectinemia with impaired vasoreactivity Text./ N. Ouchi [et al.] // Hypertension. 2003. – Vol. 42. – P. 231-234.

68. Association of postprandial hypertriglyceridaemia and carotid intima-media thickness in patients with type 2 diabetes Text. / S. Teno [et al.] // Diabetes Care. 2000. – Vol. 23. – P. 1401-1406.

69. Blockade of the renin-angiotensin system increases adiponectin concentrations in patients with essential hypertension Text. / M. Furuhashi [et al.] // Hypertension. 2003. – Vol. 42. – P. 76-81.

70.Blood pressure and risk of dementia Text. : results from the Rotterdam-study and the Gothenburg H-70 Study / A. Ruitenberg [et al.] // Dement. Geriatr. Cogn. Disord. 2001. – Vol. 12, No. 1. – P. 33-39.

71. Body mass index and mortality in a prospective cohort of U.S. adults Text. / E.E. Calle [et al.] // N. Engl. J. Med. 1999. * -Vol. 341. – P. 1097-1105.

72. Cardiovascular events and correlates in the Veterans Affairs Diabetes Fesibility Trial Text .: Veterans Affairs Study on Glycemic Control and Complications in Type 2 Diabetes / C.Abraira [et al.] // Arch. Intern. Med. -1997.-Vol. 157.-P. 181-188.

73. Cardiovascular Morbidity and Mortality associated with the metabolic syndrome Text. / Bo Isoma [et al.] // Diabetes Care. 2001. – Vol. 24. -P. 683-689.

74. Cardiovascular risk factors clustering with endogenous hyperinsulinemia predict death from coronary heart disease in patients with Type II diabetes Text. / S. Lehto [et al.] // Diabetologia. 2000. – Vol. 43. – P. 148-155.

75. Cardiovascular risk factors in confirmed prediabetic individuals: does the clock for coronary heart disease start ticking before the onset of clinical diabetes? Text./ S.M. Haffner [et al. 187.

80. Cerebral infarction in diabetes Text. : clinical pattern, stroke subtypes and predictors of in-hospital mortality / A. Arboix [et al.] // BMC Neurol. -2005.-Vol. 5, No. 1.-P.9.

81. Ceriello, A. Postprandial hyperglycemia and diabetes complications: is it time to treat? Text. / A. Ceriello // Diabetes. 2005. – Vol. 54. – P. 1-7.

82. Circulating adiponectin levels predict outcome in patients with severe congestive heart failure Text. / J. George [et al.] // Heart.2006. – Vol. 92. -P. 1420-1424.

83. Comparison of the release of “adipokines by adipose tissue, adipose tissue matrix, and adipocytes from visceral and subcutaneous abdominal adipose tissues of obese humans Text. / JN Fain [et al.] // Endocrinology. 2004. -Vol. 145.-P. 2273-2282.

84. Coronary artery disease and carotid artery intima-media thickness in Japanese type 2 diabetic patients Text. / N. Mitsuhashi [et al.] // Diabetes Care. 2002. – Vol. 25 .– P. 1308-1312.

85.C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women Text. / P.M. Ridker [et al.] // N. Engl. J. Med. 2000. – Vol. 342. – P. 836-843.

86. C-reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris Text. / M.C. Tatura [et al.] // Eur. Heart J. 2000. – Vol. 21. – P. 1000-1008.

87. C-reactive protein in the arterial intima: role of C-reactive protein receptor-dependent monocyte recruitment in ‘atherogenesis Text./ M. Torzewski [et al.] // Arterioscler. Thromb. Vase. Bioli 2000. – Vol. 20. – P. 20942099.

88. C-reactive protein in- the prediction of cardiovascular and averall mortality in middle-aged men Text. : a population-based cohort study / D.E. Laaksonen [et al.] // Eur. Heart J! 2005. – Vol. 26, No. 17. – P. 17831789.

89. C-reactive protein is a strong but nonspecific risk factor of fatal stroke in elderly persons Text. / J: Gussekloo [et al.] // Arterioscler. Thromb. Vase. Biol.-2000.-Vol. 20.-P. 1047-1051.

90. C-reactive protein promotes monocyte-platelet aggregation: an additional link to the inflammatory-thrombotic intricacy Text. / H.D. Danenberg [et al.] // Eur. J. Haematol. 2007. – Vol. 78. – P. 246-252.

91. C-reactive protein, fibrin D-dimer, and risk of ischemic heart disease Text. : the Caerphilly and Speedwell studies / G.D. Lowe [et al.] // Arterioscler. Thromb. Vase. Biol. 2004. – Oct. – Vol. 24, No. 10. – P. 1957-1962.

92.C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus Text. / A.D. Pradhan [et al.] // J. Am. Med. Assoc. 2001. -Vol. 286.-P. 327-334.

93. Demonstration that C-reactive protein decreases eNOS expression and bioactivity in human aortic endothelial cells Text. / S.K. Venugopal [et al.] // Circulation. 2002. – Vol. 106. – P. 1439-1441.

94. Despres, J.P. Abdominal obesity and metabolic syndrome Text. / J.P. Despres, I. Lemieux // Nature. 2006. – Vol.444. – P. 881-887.

95. Despres, J.P. Cardiovascular disease under the influence of excess visceral fat Text. / J.P. Despres // Crit. Path. Cardiol. 2007. – Vol. 6. – P. 51-59.

96. Diabetes and cardiovascular disease Text. : a statement for healthcare professionals from the American Heart Association / S.M. Grundy [et al.] // Circulation.-1999.-Vol. 100.-P. 1134-1146.

97. Diabetes and progression of carotid atherosclerosis Text. : the Insulin Resistance Atherosclerosis Study / L.E. Wagenknecht [et al.] // Arterioscler. Thromb. Vase. Biol. -2003. Vol. 23. – P. 1035-1041.

98. Diabetes mellitus has an additional effect on coronary artery disease Text. / K.C. Chan [et al.] // Jpn. Heart J. 2004. – Nov. – Vol. 45, no. 6. -P. 921-927.

99. Duration of diabetes and carotid wall thickness Text. : the Insulin Resistance Atherosclerosis Study (IRAS) / L.E. Wagenknecht [et al.] // Stroke. 1997. – Vol. 28 .– P. 999-1005.

100. Dyslipidemia and hyperglycemia predict coronary heart disease events in middle-aged patients with NIDDM Text./ S. Lehto [et al.] // Diabetes. -1997.-Vol. 48.-P. 1354-1359.

101. Effect of combination therapy with pioglitazone and acarbose on the progression of early atherosclerosis in patients with type 2 diabetes Text. / H. Yokoyama [et al.] // J. Japan Diabetes Soc. 2006. – Vol. 49. – P. 197204.

102. Effect of liposuction on insulin resistance and vascular inflammatory markers in obese women Text. / G. Giugliano [et al.] // Br. J. Plast. Surg. -2004. Vol. 57. – P. 190-194.

103.Effects of diabetes and level of glycemia on all-cause and cardiovascular mortality Text. : the San Antonio Heart Study / M. Wei [et. al.] // Diabetes Care. 1998. – Vol. 21. – P. 1167-1172.

104. Endothelial dysfunction in diabetes Text. / A.S. ‘ De Vriese [et al.] // Br. J. Pharmacol. 2000. – Vol. 130. – P. 963-974.

105. Fontbonne, A. Hyperinsulinemia as a predictor of coronary heart disease mortality in a healthy population Text. : the Paris Prospective Study, 15-year follow-up / A.Fontbonne, M. A. Charles, N. Thibult // Diabetologia. 1991. – Vol. 34. – P. 356-361.

106. Ford, E.S. Body mass index, diabetes, and C-reactive protein among US adults Text. /E.S. Ford // Diabetes Care. 1999. – Vol. 22 P. 19711977

107 Globular adiponectin protect ob / ob mice from; diabetes and apoE-deficient mice from atherosclerosis Text. / T. Yamauchi: [ct al.] // J. Biol:

108. Chem. -2003. Vol. 278.-P; 2461-2468.

109. Globular adiponectin upregulates nitric oxide production in vascular endothelial cells Text.’/ Y. Hattori [et al.] // Diabetologia. 2003. – Vol. 46.-P. 1543-1549:

110. Glucose Control and Vascular Complications in Veterans with Type 2 Diabetes Text. // N. Engl. J. Med. 2009. – Vol. 360. – P. 129-139.

111. Guidelines Committee. European Society of Hypertension European Society of Cardiology Guidelines for the management of arterial hypertension Text. // Hypertension. – 2003. – Vol. 21. – P. 1011-1053.

112. Haffner, S.M. Diabetes, hyperlipidemia, and coronary artery disease Text./ S.M. Haffner // Am. J. Cardiol. 1999. – Vol. 83. – P. 17-21.

113. High molecular weight adiponectin as a predictor of long-term clinical outcome in patients with coronary artery disease Text. / T. Inoue [et al.] // Am. J. Cardiol. 2007. – Aug 15. – Vol. 100, No. 4. – P. 569-574.

114. Howard, G. Insulin sensitivity and atherosclerosis Text. / G. Howard, D.H. O’Leary, D. Zaccaro // Circulation. 1996. – Vol. 93. – P. 1809-1817.

115. Hsueh, W.A. Cardiovascular risk continuum: Implications of insulin resistans and diabetes Text./ W.A. Hsueh; R.E. Low // Am. J. Med. 1998. -Vol. 105.-P. 4-14.

116. Hyperinsulinemia as an independent risk factor for ischemic heart disease Text. / J.P. Despres [et al.] // N. Engl. J. Med. 1996. – Vol. 334. -P. 952-957.

117. Hyperinsulinemia is not a major coronary risk factor in elderly men Text. : the study of men born in 1913 // Diabetologia. 1992. – Vol. 35. -P. 766-770.

118. Hypertriglyceridemia as a risk factor for coronary heart disease mortality in subjects with impaired glucose tolerance or diabetes Text./ A. Fontbonne [et al.] // Diabetologia. 1989. – Vol. 32. – P. 300-304.

119. Hypoadiponectinemia implies the development of atherosclerosis in carotid and coronary arteries Text. / K. Shioji [et al.] // J. Cardiol. 2005. -Sep. – Vol. 46, No. 3. – P. 105-112.

120. Hypoadiponectinemia is associated with ischemic cerebrovascular disease Text. / M.P. Chen [et al.] // Arterioscler. Thromb. Vase. Biol. -2005. Vol. 25. – P. 821-826.

121. Hypoadiponectinemia is closely linked to endothelial dysfunction in man Text./ M. Shimabukuro [et al.] // J. Clin. Endocrinol. Metab. 2003. -Vol. 88.-P. 3236-3240.

122. Impact of total and central obesity on vascular mortality in patients undergoing coronary angiography Text. / G. Hoefle [et al.] // Int. J. Obes. (Lond). 2005. – Jul. – Vol. 29, no. 7. – P. 785-791.

123. Impact of weight loss on inflammatory proteins and their association with the insulin resistance syndrome in morbidly obese patients Text. / H.P. Kopp [et al.] // Arterioscler. Thromb.Vase. Biol. 2003. – Vol. 23. -P. 1042-1047.

124. Impaired endothelium-dependent vasodilation in patients with insulin-dependent diabetes mellitus Text. / M.T. Johnstone [et al.] // Circulation. -1993. Vol. 88. – P. 2510-2516.

125. Implications of plasma concentrations of adiponectin in patients with coronary artery disease / Y. Nakamura et al. // Heart. 2004. – May. -Vol. 90, no. 5.-P. 528-533.

126. Incremental predictive value of carotid ultrasonography in the assessment of coronary risk in a cohort of asymptomatic type 2 diabetic subjects Text./ S. Bernard [et al.] // Diabetes Care. 2005. – Vol. 28. – P. 1158-1162.

127. Inflammation and endothelial function: direct vascular effects of humun C-reactive protein on nitric oxide bioavailability Text. / B.R. Clapp [et al.] // Circulation. 2005. – Vol. 111, No. 12. – P. 1530-1536.

128. Inflammation-sensitive plasma proteins, diabetes, and mortality and incidence of myocardial infarction and stroke Text. : a population-based study / G. Engstrom [et al.] // Diabetes. 2003.15.

132. Intensive Blood Glucose Control and vascular outcomes in patients with type 2 diabetes Text. / ADVANCE Collaborative Group // N. Engl. J. Med. 2008. – Vol. 358. – P. 2560-2572.

133. International Diabetes Federation. Diabetes and Cardiovascular disease / Time to Act. Brussels, Belgium: International Diabetes Federation, 2001.

134. Is the current definition for diabetes relevant to mortality risk from all causes and cardiovascular and noncardiovascular diseases? Text.46.

136. Isolation and characterization of gbp28, a novel gelatin-binding protein purified from human plasma Text. / Y. Nakano [et al.] // J. Biochem. (Tokyo). 1996. – Vol. 120. -P. 803-812.

137. Kannel, W. Long-term epidemiologic prediction of coronary disease. The Framingham experience Text. / W. Kannel, M. Larson // Cardiology. -1993.-Vol. 82.-P. 137-152.

138. Kannel, W.B. Diabetes and glucose tolerance as risk factors for cardiovascular disease Text. : The Framingham Study / W.B. Kannel,

139. D.L. McGee // Diabetes Care. 1979. – Vol. 2. – P. 120-126.

140. Kershaw, E.E. Adipose tissue as an endocrine organ Text. /

141. Kopelman, P.G. ASO consensus statement in obesity Text. / P.G. Kopelman, N. Fine, K.R. Fox // Int. J. Obesity. 1994. – Vol. 18. – P. 189-191.

142. Kramer, W. New approaches to the treatment of diabetes Text. / W. Kramer // Exp. Clin. Endocrinol. Diabetes. 1999. – Vol. 107. – P. 5261.

143. Laakso, M.Insulin resistance and coronary heart disease Text. / M. Laakso // Curr. Opin, Lipidol. 1996. – Vol. 7. – P. 217-226.

144. Lebovitz, H.E. Point: visceral adiposity is causally related to insulin resistance Text. / H.E. Lebovitz, M.A. Banerji // Diabetes Care. 2005. -Vol. 28.-P. 2322-2325.

145. Long-term follow-up of patients with mild coronary artery disease and endothelial dysfunction Text. / J.A. Suwaidi [et al.] // Circulation. 2000. -Vol. 101.-P. 948-954.

146.Low grade inflammation and coronary heart disease: prospective study and updated meta analysis Text. / J. Danesh [et al.] // BMJ. 2000. -Vol. 321.-P. 199-204.

147. Lower plasma adiponectin is a marker of increased intima-media thickness associated with type 2 diabetes mellitus and with male gender Text. / R.P. Dullaart [et al.] // Eur. J. Endocrinol. 2007. – Vol. 156. – P. 387-394.

148. Magkos, F. Recent advances in, the measurement of adiponectin isoform distribution Text./ F. Magkos, L.S. Sidossis // Curr. Opin. Clin. Nutr. Metab. Care. 2007. – Vol. 10. – P. 571-575.

149. Matsubara, M. Decreased plasma adiponectin concentrations in women with low grade C-reactive protein elevation Text. / M. Matsubara, K. Namioka, S. Katayose // Eur. J. Endocrinol. 2003. – Vol. 148. P. 657662.

150. Matsumoto, M. Association of adiponectin with cerebrovascular disease Text. : a nested case-control study / M. Matsumoto, S. Tshikawa, E. Kajii // Stroke. 2008.- Feb. – Vol. 39, No. 2. – P. 323-328.

151. Matsuzawa, Y. Molecular mechanism of metabolic syndrome X Text. : Contribution of adipocyte-derived bioactive substances / Y. Matsuzawa, T. Funahashi, T. Nacamura // Ann. N.Y. Acad. Sei. 1999. -Vol. 892.-P. 146-154.

152. Meta-analysis: glycosylated hemoglobin and cardiovascular disease in diabetes mellitus Text. / E. Selvin [et al.] // Ann. Intern. Med. 2004. -Vol. 141.-P. 421-431.

153. Monocytic expression of CD14 and CD18, circulating adhesion molecules and inflammatory markers in women with diabetes mellitus and impaired glucose tolerance Text./ L. Fogelstrand [et al.] // Diabetologia. -2004.-Nov.-Vol. 47, no. 11.-P. 1948-1952.

154. Mortality from coronary heart disease in subject with type 2 diabetes and nondiabetic subjects with and without prior myocardial infarction Text. / S. Haffner [et al.] // N. Engl. J. Med. 1998. – Vol. 339. – P. 229-234.

155. Moss, S.E. Cause-specific mortality in a population-based study of diabetes Text. / S.E. Moss, R. Klein, B.E. Klein // Am. J. Public. Health. -1991. Vol. 81. – P.T158-1162.

156. MRC / BHF Heart Protection Study of cholesterol-lowering with simvastatin in 5963 people with diabetes Text. : a randomized placebo-controlled trial / Heart Protection Study Collaborative Group // Lancet. – 2003. Vol. 361. – P. 2005-2016.

157. Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes Text. / P. Goede [et al.] // N. Engl. J. Med. 2003. – Vol. 348.-P. 383-393.

158. Nakagami, T. Hyperglycemia and mortality from all causes and from ‘cardiovascular disease in five populations of Asian origin Text./ T. Nakagami // Diabetologia. 2004. – Vol. 47. – P. 385-394.

159. NCEP-defined metabolic syndrome, diabetes, and prevalence of coronary heart disease among NHANES III participants age 50 years and older Text. / C.M. Alexander [et al.] // Diabetes. 2003. – Vol. 52. – P. 1210-1214.

160. Novel modulator for endothelial adhesion molecules: adipocyte-derived plasma protein adiponectin Text. / N. Ouchi [et al.] // Circulation. -1999. Vol. 100. – P. 2473-2476.

161.Obesity and cardiovascular disease Text. : pathophysiology, evaluation, and effect of weight loss / P. Poirier [et al.] // Arterioscler. Thromb. Vase. Biol. 2006. – Vol. 26. – P. 968-976.

162. Obesity and the risk of myocardial infarction in 27,000 participants from 52 countries Text. : a case-control study / S Yusuf [et al.] // Lancet. -2005. Vol. 366. – P. 1640-1649.

163. Pepys, M.B. C-reactive protein: binding to lipids and lipoproteins Text. / M.B. Pepys, I.F. Rowe, M.L. Baltz // Int. Rev. Exp. Pathol. 1985. -Vol. 27.-P. 83-111.

164. Pioglitazone decreases carotid intima-media thickness independently of glycemic control in patients with, type 2 diabetes mellitus Text. / M.R. Langenfeld [et al.] // Circulation. 2005. – Vol. 111. – P. 2525-2531.

165. Plasma »adiponectin levels and five-year survival after first-ever ischemic stroke Text. / S.P. Efstathiöu [et al.] // Stroke. 2005. – Vol. 36. -P. 1915-1919.

166. Plasma adiponectin levels and risk of myocardial infarction in men Text./ T. Pischon [et al.] // JAMA. 2004. – Vol. 291. – P. 1730-1737.

167. Plasma adiponectin levels are associated with coronary lesion * complexity in men with coronary artery disease Text. / F. Otsuka [et al.] //

168. J. Am. Coll. Cardiol. 2006. – Sep 19. – Vol. 48, No. 6. – P. 1155-1162.199. “Plasma adiponectin levels are associated.with insulin resistance ,. butdo not predict future risk of coronary heart disease in women Text. /

169. DA Lawlor et all. // J : Clin.Endocrinol. Metab. 2005. – Vol. 90. -P.5677-5683.

170. Plasma adiponectin, body mass index, and mortality in patients with chronic heart failure Text. / C. Kistorp [et al.] // Circulation. 2005. – Vol. 112.-P. 1756-1762.

171. Plasma concentrations of a novel, adipose-specific protein, adiponectin, in type 2 diabetic patients Text. / K. Hotta [et al.] // Arterioscler. Thromb. Vase. Biol. 2000. – Vol. 20. – P. 1595-1599.

172. Postchallenge plasma glucose and glycemic spikes are more strongly associated with atherosclerosis than fasting glucose or HbAlc level Text./ T. Temelkova-Kurktschiev [et al.] // Diabetes Care. 2000. – Vol. 23 .– P. 1830-1834.

173. Prediction of ten-year risk of fatal cardiovascular disease in Europe Text. : the SCORE project / R.M. Conroy [et al.] // Eur. Heart J. 2003. -Vol. 24.-P. 987-1003.

174. Prevalence of insulin resistance in metabolic disorders Text. : the Bruneck Study / E. Bonora [et al.] // Diabetes. 1998. – Vol. 47. – P. 16431649.

175. Primary prevention of cardiovascular disease with atorvastatin in type 2 diabetes in the Collaborative Atorvastatin Diabetes Study (CARDS)

176.Text. : multicentre randomized placebo-controlled trial / H.M. Golhoun et al.] // Lancet. 2004. – Vol., 364. – P. 685-696.

177. Radker, P.M. C-reactive protein adds the predictive value of total and HDH cholesterol in determining risk of first myocardial infarction Text. ‘/ P.M. Radker, RJ. Glynn; C.H. Hennekens // Circulation. 1998. – Vol. 9. -P. 2007-2011.

178. Recent advances in the relationship between obesity, inflammation, and insulin resistance Text. / J.P. Bastard [et al.] // Eur. Cytokine Netw. – 2006.-Vol. 17.-P. 4-12.

179. Reduced adiponectin level is associated with severity of coronary artery disease Text. / K. Hara [et al.] // Int. Heart J. 2007. – Mar. -Vol. 48, no. 2.-P. 149-153.

180. Regional distribution of body fat, plasma lipoproteins, and cardiovascular disease Text. / J.P. Despres [et al.] // Arteriosclerosis. -1990.-Vol. 10.-P. 497-511.

181. Relations of plasma high-sensitivity C-reactive protein to traditional cardiovascular risk factors Text./ M. Saito [et al.] // Atherosclerosis. – 2003. Vol. 167. – P. 73-79.

182. Relationship between adiponectin and glycemic control, blood lipids, and inflammatory markers in. men with type 2 diabetes Text. / M.B. Schulze [et al.] // Diabetes Care. 2004. – Jul. – Vol. 27, no. 7. -P. 1680-1687.

183. Relationship of serum adiponectin with blood lipids, HbA (l) c ,, and hs-GRP in type * II diabetic postmenopausal women Text. / M.T. Goodarzi [et al.] // J. Clin. Lab. Anal: 2007. – Vol.21, No. 3. – P. 197-200.

184. Removal .of visceral fat prevents insulin resistance and glucose intolerance of aging: an adipokine-mediated process? Text. / I. Gabriely [et al.] // Diabetes. 2002. – Vol. 51 .– 2951-2958.

185. Ridker, P. Clinical application of C-reactive protein for cardiovascular disease detection and prevention Text. / P. Ridker // Circulation. 2003. -Vol. 107.-P. 363-369.

186. Ridker, P.M. High-sensitivity C-reactive protein Text. : potential adjunct for global risk assessment in the primary prevention of cardiovascular disease / P.M.Ridker // Circulation. 2001. – Apr 3. -Vol. 103, No. 13.-P. 1813-1818.

187. Risk factors for coronary artery disease in non-insulin dependent diabetes mellitus Text. : United Kingdom Prospective Diabetes Study (UKPDS: 23) / R.C. Turner [et al.] // BMJ. 1998. – Mar 14. – Vol. 316. -P. 823-828.

188. Risk stratification for postoperative cardio-vascular events via noninvasive assessment of endothelial function Text. : a prospective study / N. Gokce [et al.] // Circulation. 2002.- Vol. 105. – P. 1567-1572.

189. Rondinone, C.M. Adipocyte-derived hormones, cytokines, and. mediators Text. / C.M. Rondinone // Endocrine. 2006. – Feb. – Vol. 29, no. L.-P. 81-90.

190. Ross, R. Atherosclerosis an inflammatory disease Text. / R. Ross // N. Engl. J. Med. – 1999. – Vol. 340. – P. 115-126.

191. Schernthaner, G. Cardiovascular mortality in type-2 diabetes mellitus Text. / G. Schernthaner // Diabetes Res. Clin. Prac. 1996. – Vol. 31. -P. 3-13.

192.Serum adiponectin is a predictor of coronary heart disease Text. : a population-based 10-year follow-up study in elderly men / J. Frystyk [et al.] // J. Clin. Endocrinol. Metab. 2007. – Vol: 92. – P. 571-576.

193. Serum insulin is a risk marker for coronary heart disease mortality in men but not in women Text. / T.A. Welbom [et al.] // Diabetes Res. Clin. Prac. 1994. – Vol. 26. – P. 51-59.

194. Serum interleukin-18 levels are associated with nephropathy and atherosclerosis in Japanese patients with type 2 diabetes Text./ A. Nakamura [et al.] // Diabetes Care. 2005. – Dec. – Vol. 28, No. 12. – P. 2890-2895.

195. Seven-year changes in body fat’and visceral adipose tissue in women: associations with indexes of plasma glucose-insulin homeostasis Text. / S. Lemieux [et al.] // Diabetes Care. 1996. – Vol. 19. – P. 983-991.

196. Silent MRI infarcts and the risk of future stroke Text. : the Cardiovascular Health Study / C. Bernick [et al.] // Neurology. 2001. -Vol. 57.-P. 1222-1229.

197.Sonnenberg, G.E. A novel pathway to the manifestations of metabolic syndrome Text. / G.E. Sonnenberg, G.R. Krakower, A.H. Kissebah // Obes. Res. 2004. – Vol. 12.-P. 180-186.

198. Stamler, J. Blood pressure, systolic and 1 diastolic, and cardiovascular risk Text. : US population data / J ‘. Stamler, R. Stamler, J. Neaton // Arch. Intern. Med. 1993. – Vol. 153. – P. 598-615.

199. Stout R.W. Insulin as a mitogenic factor Text .: role in the pathogenesis of cardiovascular disease / R.W. Stout // Am. J. Med. – 1991. – Vol. 90.-P. 62-65:

200. The Action to Control ‘Cardiovascular Risk in Diabetes Study Group Text .: Effects of intensive glucose lowering in type 2 Diabetes // N. Engl. J. Med. 2008. – Vol. 358. – P. 2545-2559.

201. The association between abdominal visceral fat and carotid stiffness is mediated by circulating inflammatory markers in uncomplicated type 2 diabetes Text. / M. Diamant [et al.] // J. Clin. Endocrinol. Metab. 2005. -Vol. 90.-P. 1495-1501.

202. The emergence of triglycerides as a significant independent risk factor in coronary artery disease Text. / G. Assmann [et al.] // Eur. Heart J. -1998.-Vol. 19.-P. 8-14.

203. The fat-derived hormone adiponectin reverses insulin resistance associated with both lipoatrophy and obesity Text. / T. Yamauchi [et al.] // Nat. Med.-2001.-Vol. 7.-P. 941-946.

204. The prognostic value of C-reactive protein and serum amiloid A protein in severe unstable angina Text./ G. Luizzo [et al.] // N. Engl. J. Med .-1994.-P. 331-417.

205. The UKPDS risk engine: a model for the risk of coronary heart-diseasease in type II diabetes (UKPDS 56) Text. / R.J. Stevens [et al.] // Clin. Sei. (Lond) 2001. Vol. 101.-P. 671-679.

206. Tight blood pressure control and risk of macro vascular and microvascular complications in type 2 diabetes Text. : UKPDS 38 / UK Prospective Diabetes Study (UKPDS) Group // BMJ. 1998. – Vol. 317. -P. 703-713.

207.Type 2 diabetes without the atherogenic metabolic triad does not predict angiographically assessed coronary artery disease in women Text. / P. Blackburn [et al.] // Diabetes Care. 2008. – Vol. 31. – P. 170-172.

208. Verma, S. Endothelial function: ready for prime time? Text. / S. Verma, P.E. Szmitko, T.J. Anderson // Can J. Cardiol. 2004. – Vol. 20. -P. 1335-1339.

209. Vermeire, S. C-reactive protein as a marker for inflammatory bowel disease Text. / S. Vermeire, G. Van Assche, P.Rutgeerts // Inflamm. Bowel. Dis. 2004. – Vol. 10. – P. 661-665.

210. Visceral obesity in men. Associations with glucose tolerance, plasma insulin, and lipoprotein levels Text. / M.C. Pouliot [et al.] // Diabetes. – 1992. Vol. 41. – P. 826-834.

211. Whisnant, J.P. Effectiveness versus efficacy of treatment of hypertension for stroke prevention Text. / J.P. Whisnant // Neurology. -1996. Vol. 46. ​​- P. 301-307.

212. Yokoyama, H. Recent Advances of Intervention to Inhibit Progression of Carotid Intima-Media Thickness in Patients With Type 2 Diabetes Mellitus Text./ H. Yokoyama, N. Katakami, Y. Yamasaki // Stroke. -2006. Vol. 37. – P. 2420-2427.

213. Zurawska-Klis, M. Inflammatory markers and adiponectin plasma level in patients with type 2 diabetes Text. / M. Zurawska-Klis, J. Drzewoski // Pol. Arch. Med. Wewn. 2005. – Jul. – Vol. 114, no. 1. -P. 652-657.

Arthrosis and osteoarthritis of the wrist joint

The wrist joint is one of the most important elements of the musculoskeletal system of the human body.This fragile joint is located at the junction of the hands and bones of the forearm. Most often, this area is subject to injury, degenerative changes are much less common here. Arthrosis of the wrist joint is a rather rare disease that can greatly reduce the quality of human life. Constant stress and injury provoke the degradation of cartilage tissue, which is subsequently accompanied by pain and difficulty in movement. So osteoarthritis of the wrist joint develops, bringing serious discomfort.The mobility of the joint is sometimes reduced by half, which brings severe discomfort in the process of performing everyday, habitual manipulations.

Symptoms of arthrosis and osteoarthritis

It is difficult to recognize these diseases in the initial stages. Patients often do not pay attention to mild pain, and when it becomes severe enough, the disease is already started.

• Pain on movement, causing discomfort and serious inconvenience in everyday activities.This is one of the most characteristic symptoms of arthrosis and osteoarthritis of the wrist joint.
• Pain when trying to lean on the palm, bending the hand, carrying heavy objects.
• In some cases, edema occurs, swelling appears in the affected areas.
• Crunching joints, feeling of limited movement.

Types and degrees of diseases

• Arthrosis and osteoarthritis of the 1st degree has not very pronounced symptoms and is manifested by slight pain after exertion, especially monotonous.Once the joints return to rest, the pain disappears.
• The development of the 2nd degree of the disease is accompanied by the appearance of more pronounced problems – pain and discomfort that do not go away for a long time. There is a crunch in the joints, swelling in the phalanges. The patient tries not to make painful movements.
• The third degree is manifested by an increase in deformities, the appearance of deforming osteoarthritis, pain at rest, and restriction of movement. At this stage, the cartilaginous layer is almost completely destroyed, bone growths may appear along the edges of the joints.Due to a decrease in motor activity, the muscle tone of the entire arm decreases.

Which doctor to contact

It is insidious and develops almost without symptoms until it becomes severe. For example, deforming arthrosis can develop as a result of trauma (post-traumatic arthrosis) and not be felt until serious, difficult-to-treat changes appear. You can go to a therapist, describe the problem and get an appropriate referral, or visit a rheumatologist right away.Also, a dermatologist, urologist and other specialized doctors can be involved in solving the problem.

Diagnostics

For an accurate diagnosis, which is extremely important for successful treatment, a set of diagnostic measures is needed:

• Examination, questioning of a patient at an appointment with an orthopedist.
• Palpation.
• X-ray in two or three projections, depending on the clinical picture.
• General analyzes.
• Ultrasound, CT or MRI as needed.
• Consultation of other specialists, if necessary.

Causes

Osteoarthritis can be primary – developing in a healthy joint, or secondary – developing in a joint that has already been affected by some disease. The factors that contribute to the occurrence of deforming osteoarthritis are as follows:

• Gender – women are much more susceptible to the development of arthrosis of the joints.
• Age – after 65 years of age, almost 90% of people have pathology with joints.
• Overweight, endocrine disorders.
• Excessive stress on the wrist joint. Hard physical work, professional sports.
• Launched inflammatory processes in the joints.
• Heredity.

Treatment

In each case, the approach to how to treat the disease may be different.It depends on the degree of the disease, the reasons that caused it, the patient’s condition, damage to the right or left wrist. Among the main methods:

• Exercises, special remedial gymnastics.
• Physiotherapy.
• Treatment with medicines.
• Compliance with proper nutrition, daily regimen.
• Wearing chondroprotectors to aid in the cartilage repair process.
• Taking drugs, injections to help restore cartilage.

When the disease progresses to an advanced stage, the patient can only be helped with surgery and prosthetics.

It is important to understand that this disease is of a chronic nature, which means that medical procedures will have to be carried out constantly. However, the earlier osteoarthritis of the wrist joint is diagnosed, the more timely therapy will begin and the destructive changes in the cartilage tissue will be less. This determines the importance of referring to an orthopedist at the slightest signs of pathology in the articular region.

Sign up for a specialist consultation

Experienced specialists work in the main Russian hospital – the Central Clinical Hospital of the Russian Academy of Sciences in Moscow. With an accurate diagnosis, they help patients with serious joint diseases. In particular, we are talking about deforming arthrosis of the wrist joint. Patients from the capital and regions can sign up for a consultation with traumatologist or rheumatologist by phone, or using a convenient online form on the website of the medical institution.

Recovery

Recovery is aimed at returning motor activity and joint function. Basically, rehabilitation consists in doing gymnastics, therapeutic exercises, as well as establishing a balanced nutrition system. Also, good results are obtained by wearing fixing bandages, dressings, to accelerate the restoration of cartilaginous tissue.

For the prevention of deforming osteoarthritis and other similar diseases – maintenance of normal body weight, refusal of heavy loads, attentive attitude to changes in health.

90,000 définition de% d0% a4% d0% 9e% d0% 9b% d0% 9b% d0% 98% d0% 9a% d0% a3% d0% 9b% d0% 9e% d0% a1% d0% a2% d0% 98% d0% 9c% d0% a3% d0% 9b% d0% 98% d0% a0% d0% a3% d0% ae% d0% a9% d0% 98% d0% 98% 20% d0% 93% d0% 9e% d0% a0% d0% 9c% d0% 9e% d0% 9d et synonymes de% d0% a4% d0% 9e% d0% 9b% d0% 9b% d0% 98% d0% 9a% d0% a3% d0 % 9b% d0% 9e% d0% a1% d0% a2% d0% 98% d0% 9c% d0% a3% d0% 9b% d0% 98% d0% a0% d0% a3% d0% ae% d0% a9 % d0% 98% d0% 98% 20% d0% 93% d0% 9e% d0% a0% d0% 9c% d0% 9e% d0% 9d (russe)

% d0% a4% d0% 9e% d0% 9b% d0% 9b% d0% 98% d0% 9a% d0% a3% d0% 9b% d0% 9e% d0% a1% d0% a2% d0% 98% d0 % 9c% d0% a3% d0% 9b% d0% 98% d0% a0% d0% a3% d0% ae% d0% a9% d0% 98% d0% 98% 20% d0% 93% d0% 9e% d0 % a0% d0% 9c% d0% 9e% d0% 9d: définition de% d0% a4% d0% 9e% d0% 9b% d0% 9b% d0% 98% d0% 9a% d0% a3% d0% 9b% d0% 9e% d0% a1% d0% a2% d0% 98% d0% 9c% d0% a3% d0% 9b% d0% 98% d0% a0% d0% a3% d0% ae% d0% a9% d0% 98% d0% 98% 20% d0% 93% d0% 9e% d0% a0% d0% 9c% d0% 9e% d0% 9d et synonymes de% d0% a4% d0% 9e% d0% 9b% d0% 9b % d0% 98% d0% 9a% d0% a3% d0% 9b% d0% 9e% d0% a1% d0% a2% d0% 98% d0% 9c% d0% a3% d0% 9b% d0% 98% d0 % a0% d0% a3% d0% ae% d0% a9% d0% 98% d0% 98% 20% d0% 93% d0% 9e% d0% a0% d0% 9c% d0% 9e% d0% 9d (russe )

Contenu de sensagent

• définitions
• synonymes
• antonymes
• encyclopédie

• definition
• synonym

dictionnaire et traducteur pour sites web

Alexandria

Une fenêtre (pop-into) d’information (contenu principal de Sensagent) est invoquée un double-clic sur n’importe quel mot de votre page web.LA fenêtre fournit des explanations et des traductions contextuelles, c’est-à-dire sans obliger votre visiteur à quitter votre page web!

Essayer ici, télécharger le code;

Solution commerce électronique

Augmenter le contenu de votre site

Ajouter de nouveaux contenus Add à votre site depuis Sensagent par XML.

Parcourir les produits et les annonces

Obtenir des informations en XML pour filtrer le meilleur contenu.

Indexer des images et définir des méta-données

Fixer la signification de chaque méta-donnée (multilingue).

Renseignements suite à un email de description de votre projet.

Lettris

Lettris est un jeu de lettres gravitationnelles proche de Tetris. Chaque lettre qui apparaît descend; il faut placer les lettres de telle manière que des mots se forment (gauche, droit, haut et bas) et que de la place soit libérée.

boggle

Il s’agit en 3 minutes de trouver le plus grand nombre de mots possibles de trois lettres et plus dans une grille de 16 lettres.Il est aussi possible de jouer avec la grille de 25 cases. Les lettres doivent être adjacentes et les mots les plus longs sont les meilleurs. Participer au concours et enregistrer votre nom dans la liste de meilleurs joueurs! Jouer

Dictionnaire de la langue française
Principales Références

La plupart des définitions du français sont proposées par SenseGates et comportent un approfondissement avec Littré et plusieurs auteurs techniques specialisés.
Le dictionnaire des synonymes est surtout dérivé du dictionnaire intégral (TID).
L’encyclopédie française bénéficie de la license Wikipedia (GNU).

Traduction

Changer la langue cible pour obtenir des traductions.
Astuce: parcourir les champs sémantiques du dictionnaire analogique en plusieurs langues pour mieux apprendre avec sensagent.

6428 visiteurs en ligne

calculé en 0,124s

allemand
anglais
arabe
bulgare
chinois
coréen
croate
danois
espagnol
espéranto
estonien
finnois
français
grec
hébreu
hindi
hongrois
islandais
indonésien
italien
japonais
letton
lituanien
malgache
néerlandais
norvégien
persan
polonais
portugais
roumain
russe
serbe
slovaque
slovène
suédois
tchèque
thai
turc
vietnamien

allemand
anglais
arabe
bulgare
chinois
coréen
croate
danois
espagnol
espéranto
estonien
finnois
français
grec
hébreu
hindi
hongrois
islandais
indonésien
italien
japonais
letton
lituanien
malgache
néerlandais
norvégien
persan
polonais
portugais
roumain
russe
serbe
slovaque
slovène
suédois
tchèque
thai
turc
vietnamien

Using Tg (Vtg1: mcherry) Zebrafish Embryos to Test the Estrogenic Effects of Endocrine Disrupting Compounds

There are a significant number of Endocrine Disrupting Compounds (EDCs), which are among the most dangerous substances in our environment.These are mainly estrogenic compounds that pollute water from natural resources. The chemical diversity of substances belonging to the group makes it difficult to test for their presence, since their detection requires different analytical methods. Based on their chemical structure, it is very difficult to determine whether a substance is actually able to act as an estrogen. In addition, these substances are never present in their pure form in the environment, so their effects can be affected by other compounds, too ^1. This problem can be solved by using effect-detection methods such as the use of biomonitors / bioindicator organisms that show estrogenic effects ^{2, , 3, , 4 , 5} .

Recently, various cell lines ⁶ and yeast based test systems ^{2 , 3} have been developed to detect estrogenic effects. However, they are usually only able to detect the binding of a substance to the estrogen receptor ^{2 , 3} .In addition, they are unable to simulate complex physiological processes in the body or detect hormone-sensitive phases of life stages; thus, they often lead to false results.

It is known that some genes are sensitive to estrogen in living organisms ^7. Detection of gene products by molecular biology methods is also possible at the level of ^protein or mRNA 8, ^{9 ,} but usually includes animal prey. Animal welfare laws have become stricter and there is a growing demand for alternative test systems that minimize the number and suffering of animals used in experiments or replace an animal model with another system model ¹⁰ .With the discovery of fluorescent proteins and the creation of biomarker lines, transgenic technologies provide a good alternative ^11. With these lines, the activation of an estrogen-sensitive gene can be tested in vivo.

Among vertebrates, fish have an uncommon potential in assessing environmental risk. They offer many advantages over mammalian models: as aquatic organisms, they are able to absorb pollutants through their entire body, produce large numbers of offspring, and some of their species have short generation times.Their endocrine system and physiological processes show great similarity with other vertebrates and even mammals, including humans ^12.

Several genes are also known for eliciting estrogenic effects in fish. The most important are the aromatase-b estrogen receptors, choriogenin-H, and vitellogenin (btg) ^{7 , 13} . More recently, several estrogen-producing biosensor lines have also been created from fish models used in the laboratory, such as Zebra (Danio rerio ) ^{4 , 5 , 14 , 15 , 16 , 17} .The main advantage of the zebra in the creation of biosensor lines is the transparent body of embryos and larvae, because the fluorescent signal of the reporter can be easily studied in vivo without sacrificing animals the same person at different times of treatment ^18.

These experiments use the vitellogenin reporter of the transgenic zebra line ¹⁵ . The transgenic construct used to develop Tg (vtg1: mCherry), has a long (3.4 kbp) naturally occurring Vitellogenin-1 promoter.The estrogen receptor (ER) is a ligand-activated protein enhancer that is a member of the steroid / nuclear receptor superfamily. The ER binds to specific DNA sequences called estrogen response elements (EREs) with high affinity and transactivates gene expression in response to estradiol and other estrogenic substances, so the more ERE in the promoter elicits a stronger response ¹⁹ . There are 17 ERE sites in the area of ​​the Tg promoter (vtg1: mCherry) transgene build, and they are expected to mimic the expression of the native vtg gene ¹⁵ .There is continuous expression of fluorescent signal in sexually mature females. However, in males and embryos, liver expression is only seen with estrogen treatment (Figure 1).

Figure 1: Red fluorescent signal in the liver of vtg1: mCherry transgenic adult zebra and 5 dpf embryos, following 17th-estradiol (E2) induction. In females and males treated with E2 (25 μg / L exposure time: 48hrs), strong liver fluorescence is visible even through pigmented skin.No fluorescent signal is visible in untreated males (). After E2 induction (exposure time 50 μg / L: 0-120 hp), a red fluorescent signal can also be observed in the liver of 5 dpf embryos, which is not visible in control (B ) embryos. While the fluorescent signal is constantly present in adult females, primarily males and line embryos are suitable for detecting estrogenic effects. (BF: bright field, mCherry: red fluorescent filter view, unambiguous images, scale bar A: 5mm, scale bar B: 250 μm) Please click here to view a larger version of this figure.

Like endogenous vitellogenin, the mCherry reporter is only expressed in the liver. Since vitellogenin is only produced in the presence of estrogen, there is no fluorescent signal in the controls. Because the expression is only in the liver, the evaluation of the results is much easier ¹⁵ .

The sensitivity and usability of embryos of this line were investigated on various estrogenic mixtures, as well as on ecological samples ^{15, , 20} , and in most cases the dose-response relationship was documented ( Figure 2 ).However, in the case of highly toxic, mainly hepatotoxic substances (for example, zearalenone), only a very weak fluorescent signal can be seen in the liver of the treated embryos and the maximum intensity of the fluorescent signal evoked can be achieved within a very small concentration range, which makes it difficult to establish. dose-effect relationship ²⁰ .

Figure 2: Dose-response diagram (A) and fluorescence images (mCherry) of the liver (B) exposed to 17-3-ethinylestradiol (EE2), at 5 dpf vtg1: mCherry larvae. Results are expressed as an integrated density generated from signal strength and lesion size (SEM, n 60). 100% refers to the observed maximum. The intensity of the fluorescent signal gradually increased with concentration. Scale bar # 250 m.Please click here to view a larger version of this figure.

There are several estrogenic substances present in the environment, 17-e-estradiol (ecological concentration: 0.1-5.1 ng / L) ^21, 17-ethinylestradiol (ecological concentration: 0.16-0, 2 g / l) L) ²² , zearalenone (ecological concentration: 0.095-0.22 μg / l) ²³ , bisphenol-A (ecological concentration: 0.45-17.2 mg / l) ²⁴ …When testing these substances in pure active form using transgenic mCherry embryos, the lowest observed concentration of effect (LOEC) for detecting fluorescent signs was 100 ng / L for 17-th estradiol, 1 ng / L for 17-3-ethinylestradiol, 100 ng / l for zearalenone and 1 mg / l for bisphenol-A (96-120 hp), which is very close to or within the environmental concentrations of substances ¹⁵ .