Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism

The clinical picture of primary hyperparathyroidism (PHPT) which caused by parathyroid neoplasms often includes metabolic syndrome leading to the development of cardiovascular diseases. According to clinical studies, an increased incidence of diabetes mellitus, insulin resistance, obesity, dyslipide...

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Autores principales: Ekaterina E. Bibik, [Anna K. Eremkina, Julia A. Krupinova, Natalia V. Klementieva, Ekaterina A. Dobreva, Natalia G. Mokrysheva
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RU
Publicado: Endocrinology Research Centre 2021
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Acceso en línea:https://doaj.org/article/648637706a8547879ee395ca19a207d6
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spelling oai:doaj.org-article:648637706a8547879ee395ca19a207d62021-11-14T09:00:23ZImpaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism2072-03512072-037810.14341/DM12436https://doaj.org/article/648637706a8547879ee395ca19a207d62021-01-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/12436https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378The clinical picture of primary hyperparathyroidism (PHPT) which caused by parathyroid neoplasms often includes metabolic syndrome leading to the development of cardiovascular diseases. According to clinical studies, an increased incidence of diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia and other disorders that signifi tly affect the life span and quality are observed in patients with PHPT regardless of the form and the severity of the underlying disease. Basic research shows the potential nonclassical effects of high levels of parathyroid hormone and calcium on adipose tissue, pancreas, gastrointestinal tract and kidneys. However, the pathogenetic mechanisms of impaired carbohydrate and other types of metabolism in patients with parathyroid hyperfunction remain unclear because of the lack of relevant experimental models and the heterogeneity of patient groups. Besides, the effect of surgery on metabolic abnormalities is also controversial. Nowadays a deeper understanding of this issue is required, which can subsequently help in the creation of optimal approach to diagnosis and treatment of patients. This review covers different aspects of metabolic disorders in patients with PHPT, as well as potential key factors of their development.Ekaterina E. Bibik[Anna K. EremkinaJulia A. KrupinovaNatalia V. KlementievaEkaterina A. DobrevaNatalia G. MokryshevaEndocrinology Research Centrearticleprimary hyperparathyroidism, parathyroid hormone, hypercalcemia, diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemiaNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 5, Pp 459-466 (2021)
institution DOAJ
collection DOAJ
language EN
RU
topic primary hyperparathyroidism, parathyroid hormone, hypercalcemia, diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle primary hyperparathyroidism, parathyroid hormone, hypercalcemia, diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia
Nutritional diseases. Deficiency diseases
RC620-627
Ekaterina E. Bibik
[Anna K. Eremkina
Julia A. Krupinova
Natalia V. Klementieva
Ekaterina A. Dobreva
Natalia G. Mokrysheva
Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
description The clinical picture of primary hyperparathyroidism (PHPT) which caused by parathyroid neoplasms often includes metabolic syndrome leading to the development of cardiovascular diseases. According to clinical studies, an increased incidence of diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia and other disorders that signifi tly affect the life span and quality are observed in patients with PHPT regardless of the form and the severity of the underlying disease. Basic research shows the potential nonclassical effects of high levels of parathyroid hormone and calcium on adipose tissue, pancreas, gastrointestinal tract and kidneys. However, the pathogenetic mechanisms of impaired carbohydrate and other types of metabolism in patients with parathyroid hyperfunction remain unclear because of the lack of relevant experimental models and the heterogeneity of patient groups. Besides, the effect of surgery on metabolic abnormalities is also controversial. Nowadays a deeper understanding of this issue is required, which can subsequently help in the creation of optimal approach to diagnosis and treatment of patients. This review covers different aspects of metabolic disorders in patients with PHPT, as well as potential key factors of their development.
format article
author Ekaterina E. Bibik
[Anna K. Eremkina
Julia A. Krupinova
Natalia V. Klementieva
Ekaterina A. Dobreva
Natalia G. Mokrysheva
author_facet Ekaterina E. Bibik
[Anna K. Eremkina
Julia A. Krupinova
Natalia V. Klementieva
Ekaterina A. Dobreva
Natalia G. Mokrysheva
author_sort Ekaterina E. Bibik
title Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_short Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_full Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_fullStr Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_full_unstemmed Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_sort impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
publisher Endocrinology Research Centre
publishDate 2021
url https://doaj.org/article/648637706a8547879ee395ca19a207d6
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AT juliaakrupinova impairedglucosemetabolismandothermetabolicdisordersinpatientswithprimaryhyperparathyroidism
AT nataliavklementieva impairedglucosemetabolismandothermetabolicdisordersinpatientswithprimaryhyperparathyroidism
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