Research Topics
| A GiustinaSummaryAffiliation: University of Brescia Country: Italy Publications
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Detail Information
Publications
Diagnosis and treatment of acromegaly and its complications: consensus guidelinesS Bonadonna
Department of Internal Medicine, Endocrine Section, University of Brescia, Italy
J Endocrinol Invest 28:43-7. 2005..This review paper summarizes the main points of the three consensus statements published following these three workshops...
Maturation of the regulation of growth hormone secretion in young males with hypogonadotropic hypogonadism pharmacologically exposed to progressive increments in serum testosteroneA Giustina
Department of Internal Medicine, University of Brescia, Italy
J Clin Endocrinol Metab 82:1210-9. 1997..e. directly at the pituitary level, and also at hypothalamic loci, possibly increasing both GHRH and somatostatin release...
Long-term treatment with the dual antithromboxane agent picotamide decreases microalbuminuria in normotensive type 2 diabetic patientsA Giustina
Department of Internal Medicine, University of Brescia, Italy
Diabetes 47:423-30. 1998....
Hexarelin, a novel GHRP-6 analog, stimulates growth hormone (GH) release in a GH-secreting rat cell line (GH1) insensitive to GH-releasing hormoneA Giustina
Department of Internal Medicine, Brescia, Italy
Regul Pept 70:49-54. 1997..Moreover, the observation that cells not sensitive to GHRH can be significantly stimulated by hexarelin strongly suggests that GHRPs and GHRH have two distinct sites and modes of action at the pituitary level...
[Growth hormone secretion in heart failure]A Giustina
Dipartimento di Scienze Mediche e Chirurgiche, Universita degli Studi di Brescia, Brescia, Italy
Minerva Endocrinol 28:1-11. 2003..Particularly attention should be given to those patients that present a peripheric GH resistance. On the other hand, those patients with a reduced pituitary GH reserve are supposed to have very beneficial effects from GH treatment...
Glucocorticoid replacement therapy and vertebral fractures in hypopituitary adult males with GH deficiencyG Mazziotti
Department of Medical and Surgical Sciences, Montichiari Hospital, University of Brescia, Via Ciotti 154, 25018 Montichiari, Italy
Eur J Endocrinol 163:15-20. 2010..We aimed to evaluate whether the prevalence of vertebral fractures may be influenced by glucocorticoid over-replacement in hypopituitary males with GHD...
Biochemical evaluation of patients with active acromegaly and type 2 diabetes mellitus: efficacy and safety of the galanin testG Mazziotti
Department of Medical and Surgical Sciences, University of Brescia, Brescia, Italy
Neuroendocrinology 88:299-304. 2008..The results of our study provide evidence that the galanin test may be of value for the diagnosis of acromegaly in patients with type 2 diabetes mellitus...
Resistance to somatostatin analogs in acromegaly: an evolving concept?M Gola
Department of Internal Medicine, University of Brescia, Brescia, Italy
J Endocrinol Invest 29:86-93. 2006....
Incidence of subclinical hypothyroidism and its influence on cognitive performance and on metabolic aspects in an hospitalized geriatric populationS Bossoni
University of Brescia, Brescia, Italy
J Endocrinol Invest 25:75-6. 2002
Low T3 syndrome and outcome in elderly hospitalized geriatric patientsS Bossoni
University of Brescia, Brescia, Italy
J Endocrinol Invest 25:73-4. 2002
Differential inhibition of growth hormone secretion by analogs selective for somatostatin receptor subtypes 2 and 5 in human growth-hormone-secreting adenoma cells in vitroG Tulipano
Endocrine Section, Department of Internal Medicine, University of Brescia, Italy
Neuroendocrinology 73:344-51. 2001..We conclude that the availability of somatostatin analogs selective for SSTR5 will enhance the treatment potency and spectrum in acromegaly...
Effects of calcitonin on GH response to pyridostigmine in combination with hGHRH (1-29) NH2 in normal adult subjectsA Giustina
Cattedra di Clinica Medica, University of Brescia, Italy
Clin Endocrinol (Oxf) 33:375-80. 1990..We conclude that sCT is able to inhibit GHRH-stimulated GH secretion in man without influencing the hypothalamic somatostatinergic tone...
Current management practices for acromegaly: an international surveyA Giustina
Department of Medical and Surgical Sciences, University of Brescia, Endocrine Service, Montichiari Hospital, Via Ciotti 154, 25018 Montichiari, Italy
Pituitary 14:125-33. 2011..The observation that most centers followed consensus statement recommendations encourages the future utility of these workshops aimed to create uniform management standards for acromegaly...
A consensus on criteria for cure of acromegalyA Giustina
Department of Medical and Surgical Sciences, University of Brescia, Endocrine Service, Montichiari Hospital, Via Ciotti 154, 25018 Montichiari, Italy
J Clin Endocrinol Metab 95:3141-8. 2010..The Acromegaly Consensus Group met in April 2009 to revisit the guidelines on criteria for cure as defined in 2000...
Growth hormone in glucocorticoid-induced osteoporosisF Manelli
Endocrine Section, Department of Internal Medicine, University of Brescia, Italy
Front Horm Res 30:174-83. 2002
Glucocorticoid-induced osteoporosis and parathyroid hormoneR Carpinteri
Department of Medical and Surgical Sciences, University of Brescia, Brescia, Italy
J Endocrinol Invest 33:16-21. 2010..Teriparatide (1-34PTH) has been studied in patients with GIO with effects on bone mineral density and on fracture risk which were shown to be superior to those obtained with alendronate...
Assessment of the awareness and management of sleep apnea syndrome in acromegaly. The COM.E.TA (Comorbidities Evaluation and Treatment in Acromegaly) Italian Study GroupE De Menis
Department of Internal Medicine, General Hospital, v Monte Grappa 30, 31044 Montebelluna, Italy
J Endocrinol Invest 34:60-4. 2011..Continuous positive airway pressure is the cornerstone of therapy, but patients' acceptance may be critical. Control of GH/IGF-I secretion is important to improve SAS. Management of SAS requires cooperation between specialists...
Effects of the selective estrogen receptor modulator LY117018 on growth hormone secretion: In vitro studiesG Tulipano
Endocrine Section, Department of Intternal Medicine, University of Brescia, Brescia, Italy
Metabolism 53:563-70. 2004..LY117018 also showed an estrogen-like activity, inducing the proliferation of rat pituitary GH-secreting adenomatous cells (GH1)...
GH deficiency in the adult and boneM Doga
Endocrine Section, Department of Internal Medicine, University of Brescia, Brescia, Italy
J Endocrinol Invest 28:18-23. 2005..To understand if these BMD changes may result in a reduction of fracture risk, it is necessary to carry out a longitudinal follow-up of large cohorts of GHD adults on GH replacement therapy...
Effects of intranasal calcitonin administration on pituitary GH response to hGHRH (1-29)NH2 in normal adult subjectsA Giustina
Cattedra di Patologia Speciale Medica and Cattedra di Chimica, University of Brescia, Italy
Clin Endocrinol (Oxf) 30:699-704. 1989..n. sCT 551 +/- 116 micrograms 120 min/l. P less than 0.001; or vs GHRH plus i.m. sCT 700 +/- 167 micrograms 120 min/l, P less than 0.001. We conclude that sCT is able to inhibit GHRH-stimulated GH secretion in man...
New understanding and treatments for osteoporosisG Mazziotti
Department of Medical and Surgical Sciences, University of Brescia, Brescia, Italy
Endocrine 41:58-69. 2012..Future research is needed to address the efficacy of anti-osteoporotic drugs in these more recently recognized conditions of skeletal fragility. Osteoporosis continues to be an important field of biomedical research...
Development of acromegaly in a patient with anorexia nervosa: pathogenetic and diagnostic implicationsE De Menis
Internal Medicine, Treviso Hospital, Brescia, Italy
J Endocrinol Invest 29:821-5. 2006..In this clinical report, we describe the development of acromegaly in a patient affected by AN and we discuss pathogenetic and diagnostic implications...
Preliminary observations on the effects of acute infusion of growth hormone on coronary vasculature and on myocardial function and energetics of an isolated and blood-perfused heartR Lorusso
Experimental Cardiac Surgery Unit, Ospedale Civile, Brescia, Italy
J Endocrinol Invest 26:RC1-4. 2003....
Effects of metoclopramide on the growth hormone response to galanin in normal manA Giustina
Cattedra di Clinica Medica, University of Brescia, Italy
Horm Metab Res 25:489-92. 1993..4 +/- 1.6 micrograms/l). During MCP infusion no significant differences in the GH response to galanin with respect to saline were observed both when absolute GH levels and GH AUC were examined.(ABSTRACT TRUNCATED AT 250 WORDS)..
Cardiopulmonary adaptation to exercise after acute weight loss in severely obese subjectsE Boni
Dept of Internal Medicine, University of Brescia, Italy
Monaldi Arch Chest Dis 50:264-8. 1995..Moreover, this acute weight loss is able to partially reverse all of the cardiopulmonary alterations seen in obese patients both at baseline and during exercise...
Role of growth hormone in chronic heart failure. Therapeutic implicationsM Volterrani
Fondazione S Maugeri, Cardiology Department, Gussago Medical Centre, Brescia, Italy
Drugs 60:711-9. 2000..Whether GH treatment will finally find a place, and with which modalities, in the treatment of heart failure remains to be established...
Prevention and treatment of glucocorticoid-induced osteoporosisM Doga
Department of Internal Medicine, University of Brescia, Brescia, Italy
J Endocrinol Invest 31:53-8. 2008..Anabolic therapeutic strategies are under investigation. Teriparatide seems to be also efficacious for the treatment of patients with GIO...
Ectopic secretion of growth hormone-releasing hormone (GHRH) in neuroendocrine tumors: relevant clinical aspectsM Doga
Department of Internal Medicine, University of Brescia, Italy
Ann Oncol 12:S89-94. 2001..Finally, the advent of these antagonists has allowed significant progress in the understanding of the role of the central and tissue GHRH-GH-IGFs system in the pathogenesis of tumors...
Pituitary tumours: inflammatory and granulomatous expansive lesions of the pituitaryR Carpinteri
Department of Medical and Surgical Sciences, University of Brescia, Endocrine Service, Montichiari Hospital, Via Ciotti 154, 25018 Montichiari, Italy
Best Pract Res Clin Endocrinol Metab 23:639-50. 2009....
Effect of inhaled glucocorticoids and beta(2) agonists on vertebral fracture risk in COPD patients: the EOLO studyS Gonnelli
Department of Internal Medicine, Endocrine Metabolic Science, and Biochemistry, University of Siena, Policlinico Le Scotte, Viale Bracci 2, 53100 Siena, Italy
Calcif Tissue Int 87:137-43. 2010..28, and OR = 1.40, CI 1.06-1.82, respectively). In conclusion, in COPD patients high doses of inhaled GCs, but not beta(2) agonists, are associated with an increased risk of vertebral fractures and a reduction of QUS at the calcaneus...
Relationship between instrumental activities of daily living and blood glucose control in elderly subjects with type 2 diabetesS Bossoni
Department of Internal Medicine, University of Brescia, Italy
Age Ageing 37:222-5. 2008
Cardiovascular risk in aging and obesity: is there a role for GHM Gola
Endocrine Section, Department of Internal Medicine, University of Brescia, Brescia, Italy
J Endocrinol Invest 28:759-67. 2005....
Assessment of the awareness and management of cardiovascular complications of acromegaly in Italy. The COM.E.T.A. (COMorbidities Evaluation and Treatment in Acromegaly) StudyA Giustina
Department of Medical and Surgical Sciences, University of Brescia, Brescia, Italy
J Endocrinol Invest 31:731-8. 2008..However, as for other guidelines previously issued in the field, no data are available on their clinical application...
Guidelines for the treatment of growth hormone excess and growth hormone deficiency in adultsA Giustina
Department of Internal Medicine, University of Brescia, Brescia, Italy
J Endocrinol Invest 31:820-38. 2008..The meeting was comprised of 66 delegates representing 13 different countries...
Development of a meningioma in a patient with acromegaly during octreotide treatment: are there any causal relationships?E De Menis
Department of Internal Medicine, Hospital of Treviso, Brescia, Italy
J Endocrinol Invest 26:359-63. 2003..These results suggest that somatostatin-mediated proliferative effect on meningioma cells is not mediated by the subtype 2 of the somatostatin receptor...
Baseline and stimulated catecholamine secretion in normotensive patients with active acromegaly: acute effects of continuous octreotide infusionG D Rio
Department of Internal Medicine, Section of Endocrinology and Metabolism, University of Modena, Italy
Eur J Endocrinol 142:179-86. 2000..Since few data are available on the catecholamine secretory dynamics in active acromegaly and no evidence exists on catecholamine variations during GH decrease, we studied acromegalic patients before and during octreotide administration...
Effect of pyridostigmine on the hydrocortisone-mediated decrease of circulating growth hormone levels in acromegalyA Giustina
Cattedra di Clinica Medica, University of Brescia, Italy
Horm Metab Res 26:288-92. 1994..abstract truncated at 250 words)..
A single dose of aztreonam in the prevention of urinary tract infections in elderly catheterized patientsG Romanelli
Cattedra di Patologia Speciale Medica, University of Brescia, Italy
J Chemother 2:178-81. 1990..3%) had negative urine without clinical signs of UTI. In conclusion, our data suggest that a single 2g i.m. dose of aztreonam is effective in preventing UTI in elderly patients needing indwelling urethral catheterization...
Characterization of new selective somatostatin receptor subtype-2 (sst2) antagonists, BIM-23627 and BIM-23454. Effects of BIM-23627 on GH release in anesthetized male rats after short-term high-dose dexamethasone treatmentG Tulipano
Department of Biomedical Sciences and Biotechnology, University of Brescia, 25125 Brescia, Italy
Endocrinology 143:1218-24. 2002..Based on prior reports that sst2 tonically suppresses glucagon secretion, the antagonist most likely increased glucagon secretion from the pancreatic alpha-cells, with resultant increases in plasma glucose and then insulin...
Comparative effect of clonidine and growth hormone (GH)-releasing hormone on GH secretion in adult patients on chronic glucocorticoid therapyA Giustina
Cattedra di Clinica Medica, University of Brescia, Italy
Horm Metab Res 24:240-3. 1992..Clonidine is not able to enhance GH secretion similar to GHRH in patients chronically treated with steroids. It can be hypothesized that clonidine does not elicit GH secretion decreasing hypothalamic somatostatin tone...
GH-releasing peptides and boneD Cocchi
Department of Biomedical Sciences and Biotechnologies, University of Milano, Italy
J Endocrinol Invest 28:11-4. 2005..These results would indicate that only osteoblasts from fetal bone express functional receptors responsive to ghrelin and GHS...
Prevalence of thoracic vertebral fractures in hospitalized elderly patients with heart failureG Mazziotti
Endocrinology, University of Brescia, Brescia, Italy
Eur J Endocrinol 167:865-72. 2012..Indeed, most literature data on fractures were based on an historical and clinical approach focused on the identification of peripheral fractures, whereas the risk of vertebral fractures in this clinical setting is still unclear...
Dehydroepiandrosterone sulfate enhances natural killer cell cytotoxicity in humans via locally generated immunoreactive insulin-like growth factor IS B Solerte
Department of Internal Medicine, Geriatrics and Gerontologic Clinic and School of Endocrinology and Metabolism, University of Pavia, Italy
J Clin Endocrinol Metab 84:3260-7. 1999..The higher NKCC response to DHEAS found in old subjects than in younger might counterbalance the age-dependent decline in circulating DHEAS, thus contributing to maintain the pattern of NK immunity during aging...
Bacteriological and clinical evaluation of cefotetan in the treatment of severe infections in hospitalized patientsG Romanelli
Department of Internal Medicine, University of Brescia, Italy
Drugs Exp Clin Res 14:411-7. 1988..In conclusion, cefotetan appears to be safe and highly effective for the treatment of severe infections in hospitalized patients...
Diagnostic and therapeutic consensus on acromegalyM Doga
Endocrine Section, Department of Internal Medicine, University of Brescia, Brescia, Italy
J Endocrinol Invest 28:56-60. 2005..This review paper summarizes the main points of the two consensus statements published following these two workshops...
Bisphosphonates in the treatment of glucocorticoid-induced osteoporosisM Doga
Endocrine Section, Department of Internal Medicine, University of Brescia, Italy
Front Horm Res 30:150-64. 2002
Diagnosis and treatment of acromegaly complicationsA Giustina
University of Brescia, Brescia, Italy
J Endocrinol Invest 26:1242-7. 2003..Effective management of co-morbid acromegaly complications will lead to improved morbidity and mortality in acromegaly...
The negative role of subclinical thyrotoxicosis on the outcome of hospitalized geriatric patientsS Bossoni
University of Brescia, Brescia, Italy
J Endocrinol Invest 25:64-5. 2002
Prognostic significance of the Ki-67 labeling index in growth hormone-secreting pituitary adenomasA Fusco
Section of Endocrinology, Department of Internal Medicine, Universita Cattolica del Sacro Cuore, Via Cassia 901, Rome, Italy
J Clin Endocrinol Metab 93:2746-50. 2008..Ki-67 is a marker of proliferation activity associated with invasiveness and prognosis in human tumors...
Diagnosis and complications of Cushing's syndrome: a consensus statementG Arnaldi
Department of Internal Medicine, University of Ancona, 60100 Ancona, Italy
J Clin Endocrinol Metab 88:5593-602. 2003..The consensus statement on diagnostic criteria and the diagnosis and treatment of complications of this syndrome reached at the workshop is hereby summarized...
Growth hormone secretagogue (GHS) analogue, hexarelin stimulates GH from peripheral lymphocytesL Poppi
Institute of Animal Science, 31535 Neustadt, Germany
Exp Clin Endocrinol Diabetes 110:343-7. 2002..GHRH stimulated lymphocytic GH secretion, whereas, somatostatin had no effect. This study reports for the first time that hexarelin stimulates the secretion of GH from peripheral lymphocytes...
Consensus statement: medical management of acromegalyS Melmed
Cedar-Sinai Research Institute, UCLA School of Medicine, Los Angeles, USA
Eur J Endocrinol 153:737-40. 2005..The meeting was supported by an unrestricted educational grant from Ipsen. No pharmaceutical representatives participated in the program planning or in the scientific deliberations...
Pegvisomant in acromegaly: why, when, howA Colao
Department of Molecular and Clinical Endocrinology and Oncology, University Federico II of Naples, Naples, Italy
J Endocrinol Invest 30:693-9. 2007
Effects of galanin on growth hormone and prolactin secretion in anorexia nervosaL De Marinis
Institute of Endocrinology and Department of Internal Medicine II, Catholic University, Rome, Italy
Metabolism 49:155-9. 2000..Finally, GAL may act as a PRL secretagogue in AN patients...
IGF-I, IGFBP-2 and -3 but not GH concentrations are different in normal and poor growing pigletsR Saleri
Istituto di Fisiologia Veterinaria, , Italy
Reprod Nutr Dev 41:163-72. 2001..Piglet weight was positively correlated (r = 0.98, p < 0.001) with IGF-I and IGFBP-2 or -3 concentrations. Our data indicate that growth rate was not correlated to basal or secretagogue-induced GH secretion...
Leptin regulates GH gene expression and secretion and nitric oxide production in pig pituitary cellsM Baratta
Department Animal Production, Veterinary Biotechnology and Food Safety, University of Parma, 43100 Parma, Italy
Endocrinology 143:551-7. 2002..01-1000 nM) significantly (P < 0.05) stimulated GH secretion. These data demonstrate that leptin directly influences GH regulation at the pituitary level, and nitric oxide may be involved in this function...
Preoperative growth hormone response to thyrotropin-releasing hormone and oral glucose tolerance test in acromegaly: a retrospective evaluation of 50 patientsL De Marinis
Departments of Endocrinology and Neurosurgery, Catholic University School of Medicine, Via Cassia 901, 00189 Rome, Italy
Metabolism 51:616-21. 2002....
