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Books > Medicine > Clinical & internal medicine > Endocrinology
Obesity and diabetes develop as a complex result of genetic,
metabolic and environmental factors and are characterized by
increased lipogenesis and lipid accumulation in many tissues.
Stearoyl-CoA desaturase (SCD) genes are a critical regulator of
lipogenesis and catalyzes the synthesis of monounsaturated fatty
acids (MUFA), mainly oleoyl- (18:1n9) and palmitoleoyl-CoA
(16:1n7). These MUFAs are the major fatty acid substrates for the
synthesis of triglycerides, cholesterol esters, wax esters and
membrane phospholipids. There are 4 SCD isoforms (SCD1-4) in mice
and two (hSCD1 and hSCD5) expressed in humans. At first glance,
stearoyl-CoA desaturase enzyme would be considered a housekeeping
enzyme because it synthesizes oleate a well-known fatty acid that
is abundant in many dietary sources. However numerous studies have
shown that SCD is a very highly regulated enzyme that features in
so many physiological processes ranging from fat differentiation,
carbohydrate and fat metabolism, inflammation and cancer. The
editor's studies using stearoyl-CoA desaturase knockout (SCD1-/-)
mice and studies of other investigators using pharmacological
approaches to reduce SCD1 expression in mouse tissues have all
established that the expression of SCD1 gene isoform represents a
key step in partitioning of lipids between storage and oxidation.
High SCD expression favors fat storage leading to obesity while
reduced SCD expression favors fat burning and leanness. Although
these studies clearly illustrated that SCD1 expression is involved
in the development of obesity and insulin resistance, questions
remain in the elucidation of the mechanisms involved and role of
SCD1. This book includes chapters by leading researchers on SCD
Genes in the brain, heart, muscle, liver metabolism, Colitis, and
more.
This issue of Critical Care Clinics, Guest Edited by Dr. Rinaldo
Bellomo, focuses on Modern Critical Care Endocrinology. Article
topics include: Diabetes insipidus and SIADH in the ICU; Estrogen
therapy in ICU patients; The angiotensin family, ACE and ACE 2;
Angiotensin II in vasodilatory shock; Vasopressin in vasodilatory
shock; Hydrocortisone in vasodilatory shock; Erythropoietin in
trauma and critical illness; HbA1c and permissive hyperglycemia in
diabetic ICU patients; Osteoporosis and the critically ill patient;
New oral agents for the treatment of diabetes; Melatonin in
critical care; The incretins in ICU patients; Hepcidin; Thyroid
hormone therapy in the ICU; and Hormonal therapy in organ donors.
Serotonin: The Mediator That Spans Evolution provides a
comprehensive review of the widespread roles for serotonin in
respiratory, cardiovascular and thermoregulatory control, and for
growth and development in early life. This important resource
highlights serotonin's role in normal (unstressed) conditions, and
in response to a variety of physiological stressors. It focuses on
new animal models, comparing and contrasting data from mice and
rats. In addition, the book compares and contrasts the
physiological effects of brain and blood serotonin systems and
includes new data suggesting that the influence of serotonin is in
part through the regulation of gene expression. Finally, it
discusses the role of serotonin system dysfunction in a variety of
pathophysiological conditions, including sleep apnea, obesity and
hypertension, and presents compelling evidence that this
dysfunction is involved in Sudden Infant Death Syndrome (SIDS).
Traditionally considered an adult disorder, type 2 diabetes in
children has been steadily increasing in the past several years.
This easy-to-read reference presents a succinct overview of
clinically-focused topics covering diagnosis, treatment,
management, and complications of type 2 diabetes mellitus in
pediatric patients. An ideal reference for both pediatric
endocrinologists as well as pediatricians, it's an excellent
overview of this fast-changing and complex field. Covers clinical
presentation, diagnostic criteria, screening, and other topics
related to diagnosis. Discusses complications such as hypertension,
retinopathy, depression, PCOS, fatty liver, and more. Includes
information on medications, lifestyle interventions, and surgical
treatment. Consolidates today's available information and
experience in this timely area into one convenient resource.
Obesity: Oxidative Stress and Dietary Antioxidants cover the
science of oxidative stress in obesity and associated conditions,
including metabolic syndrome, bariatric surgery, and the
potentially therapeutic usage of natural antioxidants in the diet
or food matrix. The processes within the science of oxidative
stress are not described in isolation, but in concert with other
processes, such as apoptosis, cell signaling and receptor mediated
responses. This approach recognizes that diseases are often
multifactorial and oxidative stress is but a single component. The
book is designed for nutritionists, dietitians, food scientists,
physicians and clinical workers, health care workers and research
scientists.
Oxidants, Antioxidants and Impact of the Oxidative Status in Male
Reproduction is an essential reference for fertility practitioners
and research and laboratory professionals interested in learning
about the role of reactive oxygen species in sperm physiology and
pathology. The book focuses on unravelling the pathophysiology of
oxidative stress mediated male infertility, recruiting top
researchers and clinicians to contribute chapters. This collection
of expertise delves into the physico-chemical aspects of oxidative
stress, including a new focus on reductive stress. Furthermore, the
inclusion of clinical techniques to determine oxidative stress and
the OMICS of reductive oxidative stress are also included. This is
a must-have reference in the area of oxidative stress and male
reproductive function.
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