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transporters (VMAT), with the remaining free 5-HT in portal blood being primarily metabolized in the liver. Thus, >95% of 5-HT is stored in platelets, with free 5-HT levels being low in peripheral blood ( Holmsen 1989 , Richter et al. 1989 , El-Merahbi et
Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, Illinois, USA
Research and Development Division, Jesse Brown Veterans Affairs Medical Center, Chicago, Illinois, USA
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Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, Illinois, USA
Research and Development Division, Jesse Brown Veterans Affairs Medical Center, Chicago, Illinois, USA
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Section of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA
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Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, Illinois, USA
Research and Development Division, Jesse Brown Veterans Affairs Medical Center, Chicago, Illinois, USA
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wound healing, IGF-1 is present at high levels in the circulation and the liver is the major source of circulating IGF-1 in mice ( Yakar et al. 1999 ). In humans, IGF-1 levels in wounds are correlated with those in blood, suggesting that blood is the
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diseases are part of a condition termed metabolic syndrome. The hepatic component of metabolic syndrome is non-alcoholic fatty liver disease (NAFLD). This term comprises a wide range of progressive liver injuries including bland steatosis, variable degrees
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Introduction Growth hormone (GH) is a pituitary polypeptide hormone that plays a central role in animal growth and metabolism ( Harvey et al. 1995 ). A major target organ of GH is the liver, where GH regulates the expression of
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Introduction Nonalcoholic fatty liver disease (NAFLD), characterized mainly by hepatic steatosis, is the most common liver disease worldwide ( Birkenfeld & Shulman 2014 , Meex & Watt 2017 ). It is reported that NAFLD is closely associated
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Nutrition and Metabolism, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia
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pathogenesis of human metabolic disorders. Gut hormone regulation of metabolism The regulation of whole-body metabolism involves the integrated activity of multiple metabolically active tissues, including the GI tract, pancreas, adipose tissue, liver
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Introduction Excessive fat accumulation in key metabolic tissues, including the liver and adipose tissue, is closely associated with metabolic disorders such as obesity, insulin resistance, diabetes, nonalcoholic hepatic steatosis
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triglycerides and free fatty acids (FFA), thus driving lipid accumulation mainly in the liver ( Samuel & Shulman 2016 ). Previous work has shown that low-dose DHT female mice displayed obesity-independent impaired glucose tolerance, insulin resistance, and
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CONTENTS
Introduction
Biological inactivation and metabolism of oestrogens in the normal liver of animals
Biological inactivation and metabolism of oestrogens in the damaged liver of animals
Biological inactivation and metabolism of oestrogens in the normal human liver
The role of conjugation of oestrogens in their biological inactivation
Role of the enterohepatic circulation in the biological inactivation and metabolism of oestrogens in human subjects
Oestrogen metabolism in human subjects with liver disease
Studies in vitro
Studies on urinary excretion of oestrogens using biological and chemical methods
Studies on the biological effects of oestrogens on the vaginal smear and urinary sediment in liver disease
Studies on the mechanism leading to increased oestrogen excretion and to symptoms of increased oestrogen activity in the organism
The relation of the disturbed metabolism of oestrogens to the clinical symptoms seen in liver disease
Conclusions
References
INTRODUCTION
The nature of the changes in oestrogen metabolism in liver
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despite elevated plasma growth hormone (GH; Block et al. 2001 , Rhoads et al. 2004 ). This fall in plasma IGF-I is thought to reflect decreased GH-stimulated IGF-I transcription in liver as a consequence of GH receptor (GHR) loss ( Radcliff et al