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1. Urine steroid metabolomics for the differential diagnosis of adrenal incidentalomas in the EURINE-ACT study: a prospective test validation study

Author

Glöckner, Stephan, Sinnott, Richard O., Stell, Anthony, Fragoso, Maria C., Kastelan, Darko, Pupovac, Ivana D., Simunov, Bojana, Cazenave, Sarah, Haissaguerre, Magalie, Tabarin, Antoine, Bertherat, Jérôme, Libé, Rossella, Kienitz, Tina, Quinkler, Marcus, Langton, Katharina, Eisenhofer, Graeme, Beuschlein, Felix, Brugger, Christina, Reincke, Martin, Riester, Anna, Spyroglou, Ariadni, Burger-Stritt, Stephanie, Deutschbein, Timo, Fassnacht, Martin, Hahner, Stefanie, Kroiss, Matthias, Ronchi, Cristina L., Palimeri, Sotiria, Tsagarakis, Stylianos, Tsirou, Ioanna, Vassiliadi, Dimitra A., Basile, Vittoria, Ingargiola, Elisa, Reimondo, Giuseppe, Terzolo, Massimo, Canu, Letizia, Mannelli, Massimo, Ettaieb, Hester, Haak, Harm R., Kerkhofs, Thomas M., Biehl, Michael, Feelders, Richard A., Hofland, Johannes, Hofland, Leo J., Grytaas, Marianne A., Husebye, Eystein S., Ueland, Grethe A., Ambroziak, Urszula, Bednarczuk, Tomasz, Kondracka, Agnieszka, Macech, Magdalena, Zawierucha, Malgorzata, Paiva, Isabel, Dennedy, M. Conall, Sajwani, Ahmed, Sherlock, Mark, Crowley, Rachel K., Ivovic, Miomira, Marina, Ljiljana, Deeks, Jonathan J., Sitch, Alice J., Arlt, Wiebke, Bancos, Irina, Chortis, Vasileios, Giligan, Lorna C., Hughes, Beverly A., Lang, Katharina, Ivison, Hannah E., Jenkinson, Carl, Manolopoulos, Konstantinos, O'Neil, Donna M., O'Reilly, Michael W., Papathomas, Thomas G., Prete, Alessandro, Shackleton, Cedric H.L., Taylor, Angela E., Asia, Miriam, Sutcliffe, Robert P., Guest, Peter, Skordilis, Kassiani, Bancos, Cristian, Chang, Alice, Davidge-Pitts, Caroline J., Delivanis, Danae A., Erickson, Dana, Natt, Neena, Nippoldt, Todd B., Thomas, Melinda, Young Jr., William F., Taylor, Angela E, Sitch, Alice J, Davidge-Pitts, Caroline J, Pupovac, Ivana D, Papathomas, Thomas G, Gilligan, Lorna C, Grytaas, Marianne A, Ivison, Hannah E, Shackleton, Cedric H L, Ronchi, Cristina L, Delivanis, Danae A, Sutcliffe, Robert P, Feelders, Richard A, Haak, Harm R, Dennedy, M Conall, Ueland, Grethe A, Vassiliadi, Dimitra A, O'Reilly, Michael W, Young, William F, Jr, and Deeks, Jonathan J

Published
2020
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2. Steroid and global metabolome in benign adrenal tumours with mild autonomous cortisol secretion: analysis by mass spectrometry and machine learning to understand metabolic risk

Author

Prete, Alessandro, primary, Abdi, Lida, additional, Canducci, Marco, additional, Taylor, Angela E., additional, Bancos, Irina, additional, Gilligan, Lorna C., additional, Jenkinson, Carl, additional, Albors-Zumel, Ariadna, additional, van, den Brandhof Elina, additional, Zhang, Yuanqing, additional, Chortis, Vasileios, additional, Tsagarakis, Stylianos, additional, Lang, Katharina, additional, Macech, Magdalena, additional, Delivanis, Danae A., additional, Pupovac, Ivana D., additional, Reimondo, Giuseppe, additional, Marina, Ljiljana V., additional, Deutschbein, Timo, additional, Balomenaki, Maria, additional, O'Reilly, Michael W., additional, Bednarczuk, Tomasz, additional, Zhang, Catherine D., additional, Dusek, Tina, additional, Diamantopoulos, Aristidis, additional, Asia, Miriam, additional, Kondracka, Agnieszka, additional, Li, Dingfeng, additional, Masjkur, Jimmy R., additional, Quinkler, Marcus, additional, Ueland, Grethe AE., additional, Conall, Dennedy M., additional, Beuschlein, Felix, additional, Tabarin, Antoine, additional, Fassnacht, Martin, additional, Ivovic, Miomira, additional, Terzolo, Massimo, additional, Kastelan, Darko, additional, Young, Jr William F., additional, Manolopoulos, Konstantinos M., additional, Ambroziak, Urszula, additional, Vassiliadi, Dimitra A., additional, Sitch, Alice J., additional, Tino, Peter, additional, Biehl, Michael, additional, Dunn, Warwick B., additional, and Arlt, Wiebke, additional

Published
2022
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3. Cardiometabolic disease burden and urine steroid metabolome in benign adrenocortical tumours: a case-control study

Author

Prete, Alessandro, primary, Subramanian, Anuradhaa, additional, Bancos, Irina, additional, Chortis, Vasileios, additional, Tsagarakis, Stylianos, additional, Lang, Katharina, additional, Macech, Magdalena, additional, Delivanis, Danae A, additional, Pupovac, Ivana D, additional, Reimondo, Giuseppe, additional, Marina, Ljiljana V, additional, Deutschbein, Timo, additional, Balomenaki, Maria, additional, O’Reilly, Michael W, additional, Bednarczuk, Tomasz, additional, Zhang, Catherine, additional, Dusek, Tina, additional, Diamantopoulos, Aristidis, additional, Asia, Miriam, additional, Kondracka, Agnieszka, additional, Li, Dingfeng, additional, Masjkur, Jimmy R, additional, Quinkler, Marcus, additional, Ueland, Grethe AE, additional, Dennedy, M Conall, additional, Beuschlein, Felix, additional, Tabarin, Antoine, additional, Fassnacht, Martin, additional, Ivovic, Miomira, additional, Terzolo, Massimo, additional, Kastelan, Darko, additional, Young, Jr William F, additional, Manolopoulos, Konstantinos N, additional, Ambroziak, Urszula, additional, Vassiliadi, Dimitra A, additional, Taylor, Angela E, additional, Sitch, Alice J, additional, Nirantharakumar, Krishnarajah, additional, and Arlt, Wiebke, additional

Published
2021
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5. Increased risk of cardiometabolic disease in patients with benign adrenal tumours with and without cortisol excess: a case–control study

Author

Prete, Alessandro, primary, Subramanian, Anuradhaa, additional, Bancos, Irina, additional, Sitch, Alice J, additional, Chortis, Vasileios, additional, Lang, Katharina, additional, Tsagarakis, Stylianos, additional, Macech, Magdalena, additional, Delivanis, Danae A, additional, O’Reilly, Michael W, additional, Masjkur, Jimmy R, additional, Quinkler, Marcus, additional, Ueland, Grethe Å, additional, Dennedy, M Conall, additional, Beuschlein, Felix, additional, Tabarin, Antoine, additional, Fassnacht, Martin, additional, Ivovic, Miomira, additional, Terzolo, Massimo, additional, Kastelan, Darko, additional, Young, William F Jr, additional, Manolopoulos, Konstantinos N, additional, Ambroziak, Urszula, additional, Vassiliadi, Dimitra A, additional, Nirantharakumar, Krishnarajah, additional, and Arlt, Wiebke, additional

Published
2021
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6. Urine steroid metabolomics for the differential diagnosis of adrenal incidentalomas in the EURINE-ACT study:a prospective test validation study

Author

Bancos, Irina, Taylor, Angela E., Chortis, Vasileios, Sitch, Alice J., Jenkinson, Carl, Davidge-Pitts, Caroline J., Lang, Katharina, Tsagarakis, Stylianos, Macech, Magdalena, Riester, Anna, Deutschbein, Timo, Pupovac, Ivana D., Kienitz, Tina, Prete, Alessandro, Papathomas, Thomas, Gilligan, Lorna C., Bancos, Cristian, Reimondo, Giuseppe, Haissaguerre, Magalie, Marina, Ljiljana, Grytaas, Marianne A., Sajwani, Ahmed, Langton, Katharina, Ivison, Hannah E., Shackleton, Cedric H.L., Erickson, Dana, Asia, Miriam, Palimeri, Sotiria, Kondracka, Agnieszka, Spyroglou, Adriani, Ronchi, Cristina L., Feelders, Richard A., Deeks, Jonathan J., Arlt, Wiebke, Bancos, Irina, Taylor, Angela E., Chortis, Vasileios, Sitch, Alice J., Jenkinson, Carl, Davidge-Pitts, Caroline J., Lang, Katharina, Tsagarakis, Stylianos, Macech, Magdalena, Riester, Anna, Deutschbein, Timo, Pupovac, Ivana D., Kienitz, Tina, Prete, Alessandro, Papathomas, Thomas, Gilligan, Lorna C., Bancos, Cristian, Reimondo, Giuseppe, Haissaguerre, Magalie, Marina, Ljiljana, Grytaas, Marianne A., Sajwani, Ahmed, Langton, Katharina, Ivison, Hannah E., Shackleton, Cedric H.L., Erickson, Dana, Asia, Miriam, Palimeri, Sotiria, Kondracka, Agnieszka, Spyroglou, Adriani, Ronchi, Cristina L., Feelders, Richard A., Deeks, Jonathan J., and Arlt, Wiebke

Published
2020

7. Cardiometabolic Disease Burden and Steroid Excretion in Benign Adrenal Tumors : A Cross-Sectional Multicenter Study.

Author

Prete, Alessandro, Subramanian, Anuradhaa, Bancos, Irina, Chortis, Vasileios, Tsagarakis, Stylianos, Lang, Katharina, Macech, Magdalena, Delivanis, Danae A., Pupovac, Ivana D., Reimondo, Giuseppe, Marina, Ljiljana V., Deutschbein, Timo, Balomenaki, Maria, O'Reilly, Michael W., Gilligan, Lorna C., Jenkinson, Carl, Bednarczuk, Tomasz, Zhang, Catherine D., Dusek, Tina, and Diamantopoulos, Aristidis

Subjects
ADRENAL tumors, HEART metabolism disorders, BENIGN tumors, MEDICAL education, TANDEM mass spectrometry, MEDICAL sciences, CUSHING'S syndrome diagnosis, HYPERTENSION, RESEARCH, CUSHING'S syndrome, CROSS-sectional method, RESEARCH methodology, CARDIOVASCULAR diseases, EVALUATION research, TYPE 2 diabetes, COMPARATIVE studies, RESEARCH funding, HYDROCORTISONE, DISEASE complications
Abstract

Background: Benign adrenal tumors are commonly discovered on cross-sectional imaging. Mild autonomous cortisol secretion (MACS) is regularly diagnosed, but its effect on cardiometabolic disease in affected persons is ill defined.Objective: To determine cardiometabolic disease burden and steroid excretion in persons with benign adrenal tumors with and without MACS.Design: Cross-sectional study.Setting: 14 endocrine secondary and tertiary care centers (recruitment from 2011 to 2016).Participants: 1305 prospectively recruited persons with benign adrenal tumors.Measurements: Cortisol excess was defined by clinical assessment and the 1-mg overnight dexamethasone-suppression test (serum cortisol: <50 nmol/L, nonfunctioning adrenal tumor [NFAT]; 50 to 138 nmol/L, possible MACS [MACS-1]; >138 nmol/L and absence of typical clinical Cushing syndrome [CS] features, definitive MACS [MACS-2]). Net steroid production was assessed by multisteroid profiling of 24-hour urine by tandem mass spectrometry.Results: Of the 1305 participants, 49.7% had NFAT (n = 649; 64.1% women), 34.6% had MACS-1 (n = 451; 67.2% women), 10.7% had MACS-2 (n = 140; 73.6% women), and 5.0% had CS (n = 65; 86.2% women). Prevalence and severity of hypertension were higher in MACS-2 and CS than NFAT (adjusted prevalence ratios [aPRs] for hypertension: MACS-2, 1.15 [95% CI, 1.04 to 1.27], and CS, 1.37 [CI, 1.16 to 1.62]; aPRs for use of ≥3 antihypertensives: MACS-2, 1.31 [CI, 1.02 to 1.68], and CS, 2.22 [CI, 1.62 to 3.05]). Type 2 diabetes was more prevalent in CS than NFAT (aPR, 1.62 [CI, 1.08 to 2.42]) and more likely to require insulin therapy for MACS-2 (aPR, 1.89 [CI, 1.01 to 3.52]) and CS (aPR, 3.06 [CI, 1.60 to 5.85]). Urinary multisteroid profiling revealed an increase in glucocorticoid excretion from NFAT over MACS-1 and MACS-2 to CS, whereas androgen excretion decreased.Limitations: Cross-sectional design; possible selection bias.Conclusion: A cardiometabolic risk condition, MACS predominantly affects women and warrants regular assessment for hypertension and type 2 diabetes.Primary Funding Source: Diabetes UK, the European Commission, U.K. Medical Research Council, the U.K. Academy of Medical Sciences, the Wellcome Trust, the U.K. National Institute for Health Research, the U.S. National Institutes of Health, the Claire Khan Trust Fund at University Hospitals Birmingham Charities, and the Mayo Clinic Foundation for Medical Education and Research. [ABSTRACT FROM AUTHOR]

Published
2022
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8. Urine steroid metabolomics for the differential diagnosis of adrenal incidentalomas in the EURINE-ACT study: a prospective test validation study

Author

Bancos, Irina, primary, Taylor, Angela E, additional, Chortis, Vasileios, additional, Sitch, Alice J, additional, Jenkinson, Carl, additional, Davidge-Pitts, Caroline J, additional, Lang, Katharina, additional, Tsagarakis, Stylianos, additional, Macech, Magdalena, additional, Riester, Anna, additional, Deutschbein, Timo, additional, Pupovac, Ivana D, additional, Kienitz, Tina, additional, Prete, Alessandro, additional, Papathomas, Thomas G, additional, Gilligan, Lorna C, additional, Bancos, Cristian, additional, Reimondo, Giuseppe, additional, Haissaguerre, Magalie, additional, Marina, Ljiljana, additional, Grytaas, Marianne A, additional, Sajwani, Ahmed, additional, Langton, Katharina, additional, Ivison, Hannah E, additional, Shackleton, Cedric H L, additional, Erickson, Dana, additional, Asia, Miriam, additional, Palimeri, Sotiria, additional, Kondracka, Agnieszka, additional, Spyroglou, Ariadni, additional, Ronchi, Cristina L, additional, Simunov, Bojana, additional, Delivanis, Danae A, additional, Sutcliffe, Robert P, additional, Tsirou, Ioanna, additional, Bednarczuk, Tomasz, additional, Reincke, Martin, additional, Burger-Stritt, Stephanie, additional, Feelders, Richard A, additional, Canu, Letizia, additional, Haak, Harm R, additional, Eisenhofer, Graeme, additional, Dennedy, M Conall, additional, Ueland, Grethe A, additional, Ivovic, Miomira, additional, Tabarin, Antoine, additional, Terzolo, Massimo, additional, Quinkler, Marcus, additional, Kastelan, Darko, additional, Fassnacht, Martin, additional, Beuschlein, Felix, additional, Ambroziak, Urszula, additional, Vassiliadi, Dimitra A, additional, O'Reilly, Michael W, additional, Young, William F, additional, Biehl, Michael, additional, Deeks, Jonathan J, additional, Arlt, Wiebke, additional, Glöckner, Stephan, additional, Sinnott, Richard O., additional, Stell, Anthony, additional, Fragoso, Maria C., additional, Pupovac, Ivana D., additional, Cazenave, Sarah, additional, Bertherat, Jérôme, additional, Libé, Rossella, additional, Brugger, Christina, additional, Hahner, Stefanie, additional, Kroiss, Matthias, additional, Ronchi, Cristina L., additional, Vassiliadi, Dimitra A., additional, Basile, Vittoria, additional, Ingargiola, Elisa, additional, Mannelli, Massimo, additional, Ettaieb, Hester, additional, Haak, Harm R., additional, Kerkhofs, Thomas M., additional, Feelders, Richard A., additional, Hofland, Johannes, additional, Hofland, Leo J., additional, Grytaas, Marianne A., additional, Husebye, Eystein S., additional, Ueland, Grethe A., additional, Zawierucha, Malgorzata, additional, Paiva, Isabel, additional, Dennedy, M. Conall, additional, Sherlock, Mark, additional, Crowley, Rachel K., additional, Deeks, Jonathan J., additional, Sitch, Alice J., additional, Bancos, Irina, additional, Giligan, Lorna C., additional, Hughes, Beverly A., additional, Ivison, Hannah E., additional, Manolopoulos, Konstantinos, additional, O'Neil, Donna M., additional, O'Reilly, Michael W., additional, Papathomas, Thomas G., additional, Shackleton, Cedric H.L., additional, Taylor, Angela E., additional, Sutcliffe, Robert P., additional, Guest, Peter, additional, Skordilis, Kassiani, additional, Chang, Alice, additional, Davidge-Pitts, Caroline J., additional, Delivanis, Danae A., additional, Natt, Neena, additional, Nippoldt, Todd B., additional, Thomas, Melinda, additional, and Young Jr., William F., additional

Published
2020
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