Study on the link of autoimmune hypothyroidism with biochemical parameters and lipid profile in patients with autoimmune thyroid disease
Abstract
The most prevalent conditions affecting thyroid function were found to be autoimmune thyroidism, like Graves' disease (GD) and Hashimoto's disease (HT). The present study aimed to evaluate biochemical parameters and lipid profile and their correlation with TSH, FT3, and FT4 in patients with HT. The current study recruited 100 individuals (50 HT patients and 50 healthy individuals) aged 18-50 years old during the period from August 2023 to February 2024. Serum levels of TSH, FT3, and FT4 were measured. Moreover, the levels of total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL), low-density lipoproteins (LDL), glucose, alanine aminotransferase (ALT), aspartate aminotransferase (AST), urea, and creatinine were evaluated. Additionally, the correlation of TSH, FT3, and FT4 with lipid profile, liver enzymes, glucose, urea, and creatinine was examined. The present data found that FT3 and FT4 levels were significantly elevated in Hashimoto's illness patients; however, the levels of TSH were greatly reduced in patients with Hashimoto's illness. Moreover, the statistical analysis showed no association between biochemical parameters and lipid profile in TSH, FT3, and FT4. Thus, hypothyroidism could have an indirect effect on biochemical parameters and lipid profile via an indirect path.
References
- [1]Feldt-Rasmussen U, Effraimidis G, et al. The hypothalamus-pituitary-thyroid (hpt)-axis and its role in physiology and pathophysiology of other hypothalamus-pituitary functions. Molecular and cellular endocrinology. 2021;525:111173.
- [2]Brown EDL, Obeng-Gyasi B, et al. The thyroid hormone axis and female reproduction. International journal of molecular sciences. 2023;24.
- [3]Jing L, Zhang Q. Intrathyroidal feedforward and feedback network regulating thyroid hormone synthesis and secretion. Frontiers in endocrinology. 2022;13:992883.
- [4]Babic Leko M, Gunjaca I, et al. Environmental factors affecting thyroid-stimulating hormone and thyroid hormone levels. International journal of molecular sciences. 2021;22.
- [5]Abdullah Salim Al-Karawi ASK. Exploring the role of autoantibodies in iraqi females with polycystic ovary syndrome. J Adv Biotechnol Exp Ther. 2024;7:147-56.
- [6]Mogahed EA, Soliman HM, et al. Prevalence of autoimmune thyroiditis among children with autoimmune hepatitis. Italian journal of pediatrics. 2024;50:72.
- [7]Wu J, Li J, et al. Higher prevalence of thyroid-specific autoantibodies (tpoab and tgab) is related to a higher prevalence of fractures in females: Results from nhanes 2007-2010. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2024;35:1213-21.
- [8]Frohlich E, Wahl R. Thyroid autoimmunity: Role of anti-thyroid antibodies in thyroid and extra-thyroidal diseases. Frontiers in immunology. 2017;8:521.
- [9]Hawez A, Ding Z, et al. C-abl kinase regulates neutrophil extracellular trap formation and lung injury in abdominal sepsis. Laboratory investigation; a journal of technical methods and pathology. 2022;102:263-71.
- [10]Mancini A, Di Segni C, et al. Thyroid hormones, oxidative stress, and inflammation. Mediators of inflammation. 2016;2016:6757154.
- [11]Sadek SH, Khalifa WA, et al. Pulmonary consequences of hypothyroidism. Annals of thoracic medicine. 2017;12:204-8.
- [12]Madhi R, Algaber A, et al. Association between neutrophil recruitment and lung inflammation in type i hypersensitivity reaction. World Acad Sci J. 2024;6:38.
- [13]Ritter MJ, Amano I, et al. Thyroid hormone signaling and the liver. Hepatology. 2020;72:742-52.
- [14]Hashim A, Harbi S, et al. Histological and physiological determinants of hypothyroidism in patie nts and its relationship with lipid profile. J Adv Biotechnol Exp Ther.6:9.
- [15]Gu Y, Meng G, et al. Thyroid function and lipid profile in euthyroid adults: The tclsih cohort study. Endocrine. 2020;70:107-14.
- [16]Madhi R, Hashim NA, et al. Estimation of lipid profile and some inflammatory biomarkers in patients with diabetes mellitus type 2 linked to hypertension. Journal of Biological Research - Bollettino della Società Italiana di Biologia Sperimentale. 2024;97.
- [17]Mullur R, Liu YY, et al. Thyroid hormone regulation of metabolism. Physiological reviews. 2014;94:355-82.
- [18]Cho MK. Thyroid dysfunction and subfertility. Clinical and experimental reproductive medicine. 2015;42:131-5.
- [19]Erge E, Kiziltunc C, et al. A novel inflammatory marker for the diagnosis of hashimoto's thyroiditis: Platelet-count-to-lymphocyte-count ratio. Diseases. 2023;11.
- [20]Corica D, Abbate T, et al. Growth impairment in children with atrophic autoimmune thyroiditis and pituitary hyperplasia. Italian journal of pediatrics. 2024;50:83.
- [21]Rizos CV, Elisaf MS, et al. Effects of thyroid dysfunction on lipid profile. The open cardiovascular medicine journal. 2011;5:76-84.
- [22]Mazza E, Troiano E, et al. Obesity, dietary patterns, and hormonal balance modulation: Gender-specific impacts. Nutrients. 2024;16.
- [23]Duntas LH. Thyroid disease and lipids. Thyroid : official journal of the American Thyroid Association. 2002;12:287-93.
- [24]Sinha RA, Singh BK, et al. Direct effects of thyroid hormones on hepatic lipid metabolism. Nature reviews Endocrinology. 2018;14:259-69.
- [25]Huang MJ, Liaw YF. Clinical associations between thyroid and liver diseases. Journal of gastroenterology and hepatology. 1995;10:344-50.
- [26]Chao G, Zhu Y, et al. Correlation between hashimoto's thyroiditis-related thyroid hormone levels and 25-hydroxyvitamin d. Frontiers in endocrinology. 2020;11:4.
- [27]Xu Y, Zhao Y, et al. Serum lipid profile in relation to free thyroxine and the effect of levothyroxine treatment on lipids in patients with isolated hypothyroxinemia during pregnancy: A single-center retrospective study. Lipids in health and disease. 2022;21:142.