Thakorn Pruktanakul
tpruk.bsky.social
Thakorn Pruktanakul
@tpruk.bsky.social
Endocrinologist | Assistant Professor in Endocrinology & Metabolism, Prince of Songkla University
Reposted by Thakorn Pruktanakul
Nutrition in Medicine article by Giulia Menichetti, PhD, Albert-László Barabási, PhD, and Joseph Loscalzo, MD, PhD: Chemical Complexity of Food and Implications for Therapeutics nej.md/3EEDtq4

@menicgiulia.bsky.social #MedSky #EndoSky #GastroSky
May 10, 2025 at 1:02 PM
Reposted by Thakorn Pruktanakul
The aldosterone synthase inhibitor lorundrostat may be an effective treatment for uncontrolled, treatment-resistant hypertension. Research findings from the Advance-HTN trial are summarized in a new Quick Take video. nej.md/4iUsNRT

#MedSky #CardioSky
May 10, 2025 at 7:02 PM
Reposted by Thakorn Pruktanakul
Here are the most recent guides for #ACLF 📱 #APASL 📌 #liverbluesky
February 18, 2025 at 12:51 PM
Reposted by Thakorn Pruktanakul
The presence of #MASH predisposes to fibrosis and potential progression to advanced fibrosis, cirrhosis, hepatic decompensation and #HCC #MASLD
https://www.nature.c...
March 10, 2025 at 7:15 PM
Reposted by Thakorn Pruktanakul
Reposted by Thakorn Pruktanakul
Our NEW Primer on Metabolic dysfunction-associated steatotic liver disease is live today! By Huang, Wong, Rinella, Boursier, Lazarus, Yki-Jaervinen & Loomba. Check it out here: https://www.nature.c...
#MetabolicHealth #MASLD #LiverDisease
Metabolic dysfunction-associated steatotic liver disease in adults - Nature Reviews Disease Primers
In this Primer, Loomba and colleagues discuss the epidemiology, current understanding of pathophysiology, diagnosis and management of metabolic dysfunction-associated steatotic liver disease, the most common chronic liver disease worldwide, affecting 30% of the adult population.
www.nature.com
March 6, 2025 at 11:43 AM
Reposted by Thakorn Pruktanakul
It's been lovely to host our first on-site course of 2025 (especially as we've finally got some ☀️ here in the UK!). Our trainees have been learning all about integrating multi-omics data sets.

Want to join this course in 2026? Sign up here for updates: www.ebi.ac.uk/training/eve...

🧪🧬🖥️ 📊
March 6, 2025 at 12:00 PM
Reposted by Thakorn Pruktanakul
Treating older adults with diabetes often involves adding more medications, which can be overwhelming for patients.

In @thelancetendo.bsky.social, authors discuss approaches to optimise diabetes care for older patients: tinyurl.com/yrryv7wr #MedSky
February 26, 2025 at 12:03 PM
Reposted by Thakorn Pruktanakul
📣Exciting news in lipidology! The FDA has approved
Mirum Pharmaceuticals' CTEXLI™ (chenodiol) tablets for treating CTX, the first and only treatment approved for this rare genetic disorder. Read the press release: ir.mirumpharma.com/news-events/...
Mirum’s CTEXLI™ (chenodiol) Tablets Receives FDA Approval for Treatment of Cerebrotendinous Xanthomatosis (CTX)
CTEXLI is the first and only medication approved for the treatment of CTX in adults Approval based on Phase 3 RESTORE study results CTEXLI granted U.S. FDA Orphan Drug exclusivity for the treatment of...
ir.mirumpharma.com
February 25, 2025 at 8:17 PM
Reposted by Thakorn Pruktanakul
#DiabeticGastroenteropathy affects the entire gastrointestinal tract and associated endocrine organs. The pathophysiology and clinical presentation are complex, limiting comprehensive assessment and efficient management. #Diabetes #StenoNord tinyurl.com/4dyr78ve 🔓
Diabetic gastroenteropathy: a pan-alimentary complication - Diabetologia
Autonomic neuropathy contributes to the pathophysiology of diabetic gastroenteropathy, which impacts the entire gastrointestinal tract alongside pancreatic and gallbladder functions. This is evident i...
tinyurl.com
February 19, 2025 at 7:56 AM
Reposted by Thakorn Pruktanakul
Heart disease is the #1 cause of death in women, with rising cases in younger women. Many don’t get the lipid care they need. Managing LDL-C & TG is key — especially in pregnancy — to reduce risks. Learn more this #HeartMonth: ow.ly/LLJq50V4kz1
February 25, 2025 at 3:24 PM
Reposted by Thakorn Pruktanakul
We are dedicated to leveraging AI to enhance health literacy and equity in kidney care. 🙏🏻🙂

“Artificial intelligence as a tool for improving health literacy in kidney care” #AI #Nephrology

Jing Miao @jingneph.bsky.social , Charat Thongprayoon, Kianoush B. Kashani , Wisit Cheungpasitporn @plos.org
February 22, 2025 at 12:55 AM
Reposted by Thakorn Pruktanakul
Clinical presentation features used to differentiate between monogenic diabetes, type 1 diabetes mellitus (T1DM) and T2DM at the time of diagnosis, based on multiple studies and on the definitions of the various types of diabetes.
https://www.nature.c...
February 22, 2025 at 9:44 AM
Reposted by Thakorn Pruktanakul
New research confirms Lp(a) plays a key role in CVD risk. The NLA now recommends every adult have their Lp(a) levels measured at least once.

Read the update & download resources: lipid.org/nla/focused-update-2019-nla-scientific-statement-use-lipoproteina-clinical-practice.

#HeartMonth #HeartHealth
February 18, 2025 at 8:10 PM
Reposted by Thakorn Pruktanakul
Jillian Collins & Nikki L. Farnsworth highlight recent advancements in active targeting of pancreatic beta cells using #Nanocarriers to develop personalised treatments for each stage of #T1D. #DiabetesResearch
tinyurl.com/34tkccm2
Active targeting of type 1 diabetes therapies to pancreatic beta cells using nanocarriers - Diabetologia
Type 1 diabetes is an autoimmune disease characterised by the destruction of pancreatic beta cells, resulting in lifelong insulin dependence. Although exogenous insulin can maintain glycaemic control, this approach does not protect residual or replacement pancreatic beta cells from immune-mediated death. Current therapeutics designed to protect functional beta cell mass or promote beta cell proliferation and regeneration can have off-target effects, resulting in higher dose requirements and adverse side effects. Targeted drug delivery using nanocarriers has demonstrated potential for overcoming these limitations. The critical bottleneck limiting the development of beta cell-targeted therapies is a lack of highly specific beta cell markers. This review provides an overview of the use of nanocarriers for cell-targeted delivery and the current state of the field of beta cell targeting. Technologies such as systematic evolution of ligands by exponential enrichment (SELEX) aptamer selection, phage display screening, and omics datasets from human samples are highlighted as tools to identify novel beta cell-specific targets that can be combined with nanocarriers for targeted delivery of therapeutics. Ultimately, beta cell-targeted therapies using nanocarriers present a unique opportunity to develop tailored treatments for each stage of type 1 diabetes with the goal of providing individuals with treatment options that prevent further progression or reverse the course of the disease. Graphical Abstract
tinyurl.com
January 29, 2025 at 7:26 AM
Reposted by Thakorn Pruktanakul
In Cushing disease, excess ACTH is produced by a pituitary tumour, which induces adrenal cortisol production. By contrast, in adrenal Cushing syndrome (CS), adrenal lesion(s) produce excess cortisol. Ectopic tumours can also secrete ACTH (termed ‘ectopic ACTH secretion’) and cause CS.
January 27, 2025 at 8:07 PM
Reposted by Thakorn Pruktanakul
Cushing syndrome due to overproduction of endogenous cortisol is rare, with an estimated incidence of 1.8–3.2 cases per million population. https://go.nature.co...
January 28, 2025 at 9:09 AM
Reposted by Thakorn Pruktanakul
The aetiologies of Cushing syndrome (CS) are primarily caused either by excess circulating adrenocorticotropic hormone (ACTH) (ACTH-dependent CS) or by autonomous adrenal production of excess cortisol, independent of ACTH levels. go.nature.com/4jxERu0 #CushingSyndrome
January 27, 2025 at 5:31 PM
Reposted by Thakorn Pruktanakul
Don't miss the related commentary from Drs @annlbugeja.bsky.social and Greg Hundemer which adds more context to these findings

academic.oup.com/ajh/article/...

#Hypertension #VitaminD
January 23, 2025 at 6:08 PM
Reposted by Thakorn Pruktanakul
ONLINE NOW! Targeting cholesterol-dependent adrenal steroidogenesis for management of primary aldosteronism, by Zhiming Zhu and colleagues. Read it for free until February 25th at: authors.elsevier.com/a/1kOcp3jDgW...
January 23, 2025 at 8:20 AM
Reposted by Thakorn Pruktanakul
Primary prevention #aspirin use decreased among US adults, including those for whom it is no longer recommended, but also among those with higher ASCVD risk for whom it may still be beneficial.

ja.ma/3CrucAg

#MedSky #CardioSky
January 22, 2025 at 8:35 PM
Reposted by Thakorn Pruktanakul
A new review describes basic and translational research on the complex physiological processes of hunger, which regulate feeding habits and are influenced by socioeconomic, cultural, and behavioral factors. Read the full review: nej.md/3C8CHAn

#MedSky #GastroSky
The Physiology of Hunger | NEJM
This review describes basic and translational research on the complex physiological processes of hunger, which regulate feeding habits and are influenced by socioeconomic, cultural, and behavioral ...
nej.md
January 22, 2025 at 10:27 PM
Reposted by Thakorn Pruktanakul
#Monogenic #diabetes is caused by rare pathogenic mutations in various genes with different patterns of inheritance, some of which can also cause apparent #T1DM or #T2DM.
https://go.nature.co...
January 21, 2025 at 8:28 AM
Reposted by Thakorn Pruktanakul
In this Review, Iñigo Landa & Maria E. Cabanillas discuss genomic alterations in #thyroid cancer from a biological and clinical perspective (£) go.nature.com/4acKvNn
January 20, 2025 at 11:53 AM