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Molecular Background of Male and Female Central Hypogonadism

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Endocrinology and Metabolism".

Deadline for manuscript submissions: closed (30 September 2020) | Viewed by 11057

Special Issue Editors


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Guest Editor
1. Glickman Urological & Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
2. Department of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy
Interests: male infertility; reproductive endocrinology; general endocrinology; andrology; sexual health
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
Interests: male infertility; female infertility; pituitary gland; osteoporosis; transitional age; diabetes; thyroid gland

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Guest Editor
Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
Interests: male infertility; female infertility; osteoporosis; transitional age; diabetes; thyroid gland; male and female sexual disorders; neuroendocrine tumors
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Central hypogonadism (CH) is a disorder that affects the hypothalamic–pituitary axis with congenital or acquired mechanisms. Ever since Sanger sequencing was developed, various genes have been implicated in the pathogenesis of congenital CH. Since 1991, when the key role of the KAL1 gene in the migration of GnRH-secreting neurons into the hypothalamus and olfactory nerve development was initially reported, Kallmann syndrome (KS) has been defined as a genetic disease leading to congenital CH associated with hyposmia/anosmia. Nowadays, about 30 genes have been shown to be involved in the pathogenesis of CH, and it has become clear that gene mutations can cause CH with or without hyposmia/anosmia, thus making the classification into normosmic KS and normosmic CH obsolete.  Furthermore, some gene mutations also seem to be implicated in the pathogenesis of late-onset hypogonadism, thus suggesting that genetic CH may be more frequent than expected. This Special Issue of the International Journal of Molecular Sciences aims to gather studies describing recent advances in the genetic background of CH and offer an updated and evidence-based classification of genetic CH. Evaluation of previous and current research will likely broaden our knowledge of genetic CH, including its epidemiology.

Prof. Dr. Aldo E. Calogero
Dr. Rossella Cannarella
Dr. Rosita A. Condorelli
Prof. Sandro La Vignera
Guest Editors

Manuscript Submission Information

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Keywords

  • central hypogonadism;
  • puberty delay;
  • Kallmann syndrome;
  • normosmic hypogonadism;
  • late-onset hypogonadism;
  • infertility;
  • genetics;
  • GnRH neurons.

Published Papers (1 paper)

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Review

13 pages, 3782 KiB  
Review
Treatment of Men with Central Hypogonadism: Alternatives for Testosterone Replacement Therapy
by Veerle Ide, Dirk Vanderschueren and Leen Antonio
Int. J. Mol. Sci. 2021, 22(1), 21; https://doi.org/10.3390/ijms22010021 - 22 Dec 2020
Cited by 47 | Viewed by 10524
Abstract
Central hypogonadism is a clinical condition, characterized by sexual symptoms and low serum testosterone levels, due to an impaired function of the hypothalamus or pituitary gland. Testosterone replacement therapy (TRT) is the standard treatment for hypogonadism, but it has some disadvantages. TRT is [...] Read more.
Central hypogonadism is a clinical condition, characterized by sexual symptoms and low serum testosterone levels, due to an impaired function of the hypothalamus or pituitary gland. Testosterone replacement therapy (TRT) is the standard treatment for hypogonadism, but it has some disadvantages. TRT is not a good option in men wishing to preserve fertility, nor in men with (a high risk of) prostate cancer, polycythemia, thrombophilia and severe cardiovascular disease. In this review, we discuss alternative treatments for central hypogonadism. If reversible causes are present, non-pharmacological interventions can be therapeutic. Gonadotropins are a good alternative to TRT when fertility is desired in the near future though they require frequent injections. Clomiphene citrate and tamoxifen seem to be a safe alternative for the treatment of functional central hypogonadism in men, as several studies reported a significant increase in testosterone levels with these drugs. However, their use is off-label and data supporting the efficacy of clomiphene citrate and tamoxifen on hypogonadal symptoms are insufficient. For this reason, clomiphene citrate and tamoxifen should not be used in routine clinical practice to treat sexual symptoms in men with central hypogonadism. Full article
(This article belongs to the Special Issue Molecular Background of Male and Female Central Hypogonadism)
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