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Title:           The Oxytocin System and Implications for Oxytocin Deficiency in Hypothalamic-Pituitary Disease
Subject:         DOI: 10.1210/endrev/bnaf008; Endocrine Reviews, 46, 4, 2025-02-24.; Abstract: Oxytocin (OXT) is a hypothalamic-posterior pituitary hormone with multiple effects, ranging from regulation of energy homeostasis to bone health and psychological well-being, in addition to its well-known effects on labor and lactation. Patients with hypothalamic and pituitary damage have a higher risk for medical and psychiatric comorbidities despite standard-of-care hormone replacement, and a clinically relevant OXT-deficient state has been identified in patients with arginine vasopressin deficiency (formerly known as central diabetes insipidus) in the last decade. Therefore, OXT deficiency in patients with hypothalamic and pituitary damage is an emerging field. While intranasal oxytocin is readily available to patients, it is not Food and Drug Administration approved in the United States and the quality of compounded formulations is unclear. In addition, more research is needed to establish the safety and efficacy of OXT-based therapeutics in patients with hypothalamic and pituitary damage before recommending treatment. This review summarizes the current knowledge of the OXT system, OXT deficiency in other clinical conditions, and relevance to patients with hypothalamic and pituitary damage. We highlight emerging data supporting OXT deficiency in hypothalamic-pituitary disease, diagnostic challenges, development of therapeutic strategies, and future research directions to advance the field.
Keywords:        oxytocin; hypopituitarism; hypothalamic damage; arginine-vasopressin deficiency
Author:          Anna Aulinas
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      Title: The Oxytocin System and Implications for Oxytocin Deficiency in Hypothalamic-Pituitary Disease
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        Title: Oxytocin: A Pleiotropic Hypothalamic-Pituitary Hormone
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          Title: Overview of the Oxytocin System
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          Title: Oxytocin Measurement: Utility and Limitations
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         Item: 
          Title: Effects Beyond Childbirth: What We Have Learned From Oxytocin-Deficient Genetic Models and Pharmacologic Studies
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           Item: 
            Title: Reproduction and sexual functioning
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            Title: Psychological and social behaviors
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           Item: 
            Title: Energy metabolism
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           Item: 
            Title: Body composition and musculoskeletal health
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            Title: Other effects of oxytocin
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        Title: Oxytocin Deficiency in Humans Without Hypopituitarism
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         Item: 
          Title: Oxytocin Deficiency in Human States of Energy Deficit
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          Title: Autism
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        Title: Oxytocin-Deficient State in Patients With Hypothalamic and/or Pituitary Damage
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        Children: 
         Item: 
          Title: Relevance of Oxytocin-Deficient State in the Context of Hypothalamic and/or Pituitary Damage
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         Item: 
          Title: Evidence for Low Oxytocin Levels in Patients With Hypothalamic and/or Pituitary Damage and its Clinical Relevance
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        Title: Diagnostic Challenges
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       Item: 
        Title: Therapeutic Challenges and Potential
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        Children: 
         Item: 
          Title: Limited Data on Normal Secretory Patterns in Humans to Guide Replacement Strategies
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         Item: 
          Title: Oxytocin-based Therapeutics
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         Item: 
          Title: Pilot Data of Oxytocin-based Therapies in Patients With Hypothalamic and Pituitary Diseases
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        Title: Conclusions
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        Title: Funding
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        Title: Disclosures
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        Title: References
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    Title: The Oxytocin System and Implications for Oxytocin Deficiency in Hypothalamic-Pituitary Disease
    Author: Anna Aulinas
    Subject: DOI: 10.1210/endrev/bnaf008; Endocrine Reviews, 46, 4, 2025-02-24.; Abstract: Oxytocin (OXT) is a hypothalamic-posterior pituitary hormone with multiple effects, ranging from regulation of energy homeostasis to bone health and psychological well-being, in addition to its well-known effects on labor and lactation. Patients with hypothalamic and pituitary damage have a higher risk for medical and psychiatric comorbidities despite standard-of-care hormone replacement, and a clinically relevant OXT-deficient state has been identified in patients with arginine vasopressin deficiency (formerly known as central diabetes insipidus) in the last decade. Therefore, OXT deficiency in patients with hypothalamic and pituitary damage is an emerging field. While intranasal oxytocin is readily available to patients, it is not Food and Drug Administration approved in the United States and the quality of compounded formulations is unclear. In addition, more research is needed to establish the safety and efficacy of OXT-based therapeutics in patients with hypothalamic and pituitary damage before recommending treatment. This review summarizes the current knowledge of the OXT system, OXT deficiency in other clinical conditions, and relevance to patients with hypothalamic and pituitary damage. We highlight emerging data supporting OXT deficiency in hypothalamic-pituitary disease, diagnostic challenges, development of therapeutic strategies, and future research directions to advance the field.
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  Checksum: e6fd3987
   Type: CRC32
  Checksum: d1174dde39793483815df84ab0a955a0
   Type: MD5
  Checksum: 1d69a97900a7bfc0a2381d9bebc6ba2782165571
   Type: SHA-1
  Checksum: 0e11fdaa5304cba25e0e94dd901d98841aaccccdbc6884675fecfc8767ae8911
   Type: SHA-256