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Nathan Goodyear

Tissue-Specific Dysregulation of Cortisol Metabolism in Human Obesity - 0 views

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    dysregulated cortisol metabolism plays a role in obesity.  This study looked at obese men.  Decreased liver 11-betaHSD1 activity was found in the liver, with decreased cortisone to cortisol conversion.  Additionally, increase cortisol metabolites were found.  However, there was found to be an increase in 11-betaHSD1 activity in the adipose tissue increasing the cortisone to cortisol conversion indicating an increase in peripheral cortisol production.
Nathan Goodyear

Adrenocortical dysregulation as a major player in insulin resistance and onset of obesity - 0 views

  • acute GC secretion during stress mobilizes peripheral amino acids from muscle as well as fatty acids and glycerol from peripheral fat stores to provide substrates for glucose synthesis by the liver
  • chronically elevated GC levels alter body fat distribution and increase visceral adiposity as well as metabolic abnormalities in a fashion reminiscent of metabolic syndrome
  • This local production may play an important role in the onset of obesity and insulin resistance.
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  • In adipocytes, cortisol inhibits lipid mobilization in the presence of insulin, thus leading to triglyceride accumulation and retention.
  • Since the density of GC receptors is higher in intra-abdominal (visceral) fat than in other fat depots, the activity of cortisol leading to accumulation of fat is accentuated in visceral adipose tissue (24, 158), providing a mechanism by which excessive endogenous or exogenous GC lead to abdominal obesity and IR
  • obese patients generally have normal or subnormal plasma cortisol concentrations
  • This may be explained by an increased intratissular/cellular concentration of cortisol in adipose tissues
  • Intracellular GC may be produced from recycling of GC metabolites such as cortisone in adipose tissues
  • Local GC recycling metabolism is mediated by 11β-hydroxysteroid dehydrogenase enzymes (11β-HSD1 and 11β-HSD2
  • Cortisol also increases 11β-HSD1 expression in human adipocytes
  • In humans, elevated 11β-HSD1 expression in visceral adipose tissue is also associated with obesity
  • even if obese patients generally have normal or subnormal plasma cortisol concentrations (131, 158), triglyceride accumulation in visceral adipose tissue may be due, at least in part, to the local production of GC in insulin- and GC-responsive organs such as adipose tissue, liver, and skeletal muscle
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    another nice article on the dysregulation of cortisol and its role in insulin resistance, metabolic syndrome, and obesity.
Nathan Goodyear

Associations of Salivary Cortisol Levels with Metabolic Syndrome and Its Components: Th... - 0 views

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    Salivary cortisol testing used to evaluate cortisol pattern in those with metabolic syndrome.  In this study, they found no difference in cortisol pattern in people with metabolic syndrome.
Nathan Goodyear

Obesity and Gender influence cortisol secretion and metabolism in man - 0 views

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    This study reveals the degree of metabolism dysfunction in obesity. This study suggests that cortisol metabolism is increased in obesity, which results in increased HPA activity resulting in increased peripheral cortisol production. The question to be asked: is serum, salivary, and urinary cortisol results revealing the same function of cortisol. The answer is no.
Nathan Goodyear

Cortisol, serotonin and depression: all stressed out? - 0 views

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    Some with depression are found to have elevated salivary cortisol and others are not.  Likewise, some with depression have low serotonin and others do not.  The point is that the biochemistry of depression is complex and cortisol, serotonin, 5-HTP, tryptophan all may play a role in an individuals "depression".   One thing not included is the out.  How are these individuals metabolizing their cortisol?  As the author stated, some are hyper secretors of cortisol; why not hyper metabolizers?  Weibe has shown many are.
Nathan Goodyear

Urinary Cortisol and Cortisol Metabolite Excretion in Chronic Fatigue Syndrome - 0 views

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    low cortisol is a frequent finding in chronic fatigue syndrome.  However, in the urine, the cortisol levels may be normal.  This is a reflection of increased metabolism of cortisol.  This is not a contradiction, but a metabolic effect.
Nathan Goodyear

Urinary Cortisol and Cortisol Metabolite Excretion in Chronic Fatigue Syndrome - 0 views

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    It has been suggested in the literature that low salivary cortisol is a common finding in those with chronic fatigue. This study found no difference in the cortisol metabolite excretion. This would suggest that an increase metabolization of cortisol exists in those with CFS.
Nathan Goodyear

Effects of Cortisol on Carbohydrate, Lipid, and Protein Metabolism: Studies of Acute Co... - 0 views

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    This study they looked at the withdrawal of cortisol on glucose homeostasis.  The point is that cortisol has profound effects on glucose homeostasis.  Elevated cortisol or exogenous intake reduces T3 and increases insulin resistance.
Nathan Goodyear

Activation of the hypothalamic-pituitary... [Growth Horm IGF Res. 2001] - PubMed - NCBI - 0 views

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    obesity is associated with increased cortisol metabolism.  This would be found in increased urinary metabolites, especially via the 5-allpha reductase pathway.  Increased cortisone to cortisol production occurs via 11 beta-HSD1.  This occurs predominately in adipose tissue.  The thought here is cortisol metabolism is tissue specific and functionally different.
Nathan Goodyear

Salivary cortisol levels throughout childhood and ... [Pediatr Res. 1995] - PubMed result - 1 views

  • The measurement of salivary cortisol levels is an attractive way of testing adrenal function in infants and children. It provides a reliable tool for the determination of the physiology and developmental characteristics of cortisol metabolism.
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    salivary cortisol testing is "attractive and reliable" way to follow cortisol in children and adolescence
Nathan Goodyear

Increased Visceral Adiposity and Cortisol to Cortisone Ratio in Adults With Congenital ... - 0 views

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    Increased visceral adiposity results in increased 11beta-HSD that results in increased cortisone to cortisol production preference.  Cortisol production doesn't just come from the adrenals--it is also produced and metabolized in peripheral and visceral fat.
Nathan Goodyear

The Postprandial Rise in Plasma Cortisol in Men Is Mediated by Macronutrient-Specific S... - 0 views

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    Macronutrients provide some difference in cortisol production.  Carbs, in this study, were found to increase adrenal and extra-adrenal equally, whereas fats/proteins stimulated adrenal cortisol more than extra-adrenal.
Nathan Goodyear

Hypothalamo-Pituitary-Adrenal Axis Dysfunction in Chronic Fatigue Syndrome, and the Eff... - 0 views

  • We conclude that the improvement in fatigue seen in some patients with chronic fatigue syndrome during hydrocortisone treatment is accompanied by a reversal of the blunted cortisol responses to human CRH
  • These data further suggest that the hypocortisolism found in chronic fatigue syndrome may be secondary to reduced adrenal gland output.
  • 5-mg replacement dose of hydrocortisone, and the remainder 10 mg
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    low dose hydrocortisone therapy (defined as 5-10 mg), in this study, was used to treat CFS.  This study found an improvement in symptoms in these patients.  Additionally, low cortisol was found in these patients with CFS.  Their conclusion, was that low adrenal function is a component of CFS and low dose hydrocortisone therapy is an effective treatment.   Now, is the low cortisol as the result of increased metabolism as well?
Nathan Goodyear

A prospective study of diurnal cortisol and cognitive function in community-dwelling el... - 0 views

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    High salivary cortisol and decrease metabolism of cortisol (urinary) is associated with increased cognitive decline in the elderly.
Nathan Goodyear

Growth hormone, insulin-like growth factor-I and th... [Horm Res. 2001] - PubMed - NCBI - 0 views

  • GH deficiency effectively increases cortisol production in key target tissues including liver and adipose tissue, promoting insulin resistance and visceral adiposity
  • GH/IGF-I modulation of cortisol metabolism may underpin the pathogenesis of common diseases such as central obesity
  • Patients with central obesity but with no evidence of hypopituitarism have relative GH deficiency and it is exciting to speculate that low-dose GH treatment in this group, by inhibiting cortisol generation within omental fat, may offer a novel therapeutic approach.
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    GH plays a key regulating role in obesity.  GH deficiency promotes increased cortisone to cortisol production in adipose tissue and liver.  This promotes insulin resistance and obesity. 
Nathan Goodyear

Cortisol Measures Across the Weight Spectrum: The Journal of Clinical Endocrinology & M... - 0 views

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    only abstract available.  elevated cortisol associated with the extremes: anorexia and severe obesity.  Mild obesity was associated with low cortisol.
Nathan Goodyear

http://www.nature.com/ijo/journal/v24/n2s/pdf/0801281a.pdf?origin=publication_detail - 0 views

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    Elevated insulin levels in men is associated with decreased liver production of SHBG and thus reduced SHBG levels.  Obesity is associated with decreased urinary cortisol in this study.  The authors found the low cortisol also contributed to the low SHBG as well. Low SHBG is associated with puberty, obesity, IR, hypothyroidism, and during androgen therapy.  SHBG is increased as a result of aging, short-term fasting, Estrogen, hyperthyroid, and liver disease.
Nathan Goodyear

Association between the Metabolic Syndrome and Serum Cortisol in Overweight Latino Youth - 0 views

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    As the number of components of metabolic syndrome increase: so does the am cortisol in children
Nathan Goodyear

HPA Axis Reactivity and Lymphocyte Glucocorticoid Sensitivity in Fibromyalgia Syndrome ... - 0 views

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    Individuals with Fibromyalgia shown to have lowered salivary cortisol levels.  This study suggested that this could be due to reduced adrenal reactivity to ACTH.  Another thought, is there increased metabolism of cortisol in these clients.  This would be found in the urinary metabolites.
Nathan Goodyear

Cortisol Metabolism in Human Obesity: Impaired Cortisone→Cortisol Conversion ... - 0 views

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    impaired cortisone to cortisol found in obese individuals.  This occurred through a decrease in 11beta-HSD type 1 activity.
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