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57th Annual ESPE (ESPE 2018)

Athens, Greece
27 Sep 2018 - 29 Sep 2018

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ESPE 2018 57th European Society for Paediatric Endocrinology Annual Meeting 27-29 September 2018 Athens, Greece

Plenary Lectures

Dynamic control of tissue glucocorticoids - lessons for optimising replacement therapy

hrp0089pl5 | Dynamic control of tissue glucocorticoids - lessons for optimising replacement therapy | ESPE2018

Dynamic Control of Tissue Glucocorticoids – Lessons for Optimising Replacement Therapy

Walker Brian

Although Endocrinologists have focused for decades on circulating concentrations of cortisol, arguably the important concentrations are those within tissues which are available at corticosteroid receptors. Tissue concentrations are influenced by plasma proteins binding cortisol, by physicochemical characteristics of the steroid, by active transport across cell membranes, and by steroid metabolism within target tissues. Many of these factors vary between individuals, and within...