PMID- 11404500 OWN - NLM STAT- MEDLINE DCOM- 20010712 LR - 20190906 IS - 0277-3732 (Print) IS - 0277-3732 (Linking) VI - 24 IP - 3 DP - 2001 Jun TI - Temporary reversal by topotecan of marked insulin resistance in a patient with myelodysplastic syndrome: case report and possible mechanism for tumor necrosis factor alpha (TNF-alpha)-induced insulin resistance. PG - 279-82 AB - Tumor necrosis factor-alpha (TNF-alpha) is an important mediator of insulin resistance in obesity and diabetes through its ability to decrease the tyrosine kinase activity of the insulin receptor. We report here a remarkable degree of insulin resistance in a patient with adult respiratory distress syndrome and myelodysplasia. FAU - Huntington, M O AU - Huntington MO AD - Eastern Idaho Regional Medical Center, Idaho Falls, Idaho, USA. FAU - Krell, K E AU - Krell KE FAU - Armour, W E 3rd AU - Armour WE 3rd FAU - Liljenquist, J E AU - Liljenquist JE LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Clin Oncol JT - American journal of clinical oncology JID - 8207754 RN - 0 (Enzyme Inhibitors) RN - 0 (Tumor Necrosis Factor-alpha) RN - 7M7YKX2N15 (Topotecan) SB - IM MH - Aged MH - Enzyme Inhibitors/*pharmacology MH - Humans MH - *Insulin Resistance MH - Male MH - Myelodysplastic Syndromes/*metabolism MH - Time Factors MH - Topotecan/*pharmacology MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors/*physiology EDAT- 2001/06/19 10:00 MHDA- 2001/07/13 10:01 CRDT- 2001/06/19 10:00 PHST- 2001/06/19 10:00 [pubmed] PHST- 2001/07/13 10:01 [medline] PHST- 2001/06/19 10:00 [entrez] AID - 10.1097/00000421-200106000-00014 [doi] PST - ppublish SO - Am J Clin Oncol. 2001 Jun;24(3):279-82. doi: 10.1097/00000421-200106000-00014.