J Appl Biomed 14:119-124, 2016 | DOI: 10.1016/j.jab.2015.10.002

Overt hypothyroidism is associated with blood inflammatory biomarkers dependent of lipid profile

Adriana Santia,b,*, Ivana Beatrice Mânica da Cruza,c, Vania Lucia Loroa, Marta Maria Medeiros Frescura Duarted, Fernanda Barbisanc, Thiago Duartec, Anahy Gabriela Pasae
a Departamento de Bioquímica e Biologia Molecular, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
b Instituto de Ciências Exatas e Naturais, Curso de Medicina, Universidade Federal de Mato Grosso, Rondonópolis, MT, Brazil
c Laboratório de Biogenômica, Centro de Ciências da Saúde, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
d Universidade Luterana do Brasil, BR 287 km 252, Santa Maria, RS, Brazil
e Laboratório Bergmann, Chapecó, SC, Brazil

To investigate the association between inflammatory biomarkers and overt hypothyroidism (OH). We measured inflammatory cytokines, interleukin-1 (IL-1), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and interferon-γ (IFN-γ) as well as cell-free DNA (cf-DNA) levels in 40 OH patients and 40 healthy controls. Total cholesterol, high and low density lipoprotein subfractions, triglyceride, fibrinogen, and D-dimer were recorded. Increased inflammatory profile was evidenced through significant elevations in the concentrations of all cytokines and cf-DNA levels in the OH group. Lipids and prothrombotic markers were also increased in hypothyroid subjects. A significant association between the inflammatory cytokines and lipid profile was observed. A multivariate analysis showed that this result was independent of the sex, age and BMI status of the subjects. Hypothyroidism is associated with proinflammatory state. Lipid abnormalities have a stronger influence on inflammation, increasing cardiovascular risk and atherosclerosis development in hypothyroidism.

Keywords: Hypothyroidism; Lipids; Cytokines; Inflammation; Cell-free DNA

Received: June 10, 2015; Revised: October 6, 2015; Accepted: October 8, 2015; Published: April 1, 2016  Show citation

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Santi A, da Cruz IBM, Loro VL, Medeiros Frescura Duarte MM, Barbisan F, Duarte T, Pasa AG. Overt hypothyroidism is associated with blood inflammatory biomarkers dependent of lipid profile. J Appl Biomed. 2016;14(2):119-124. doi: 10.1016/j.jab.2015.10.002.
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References

  1. Bachorik, P.S., Albers, J.J., 1986. Precipitation methods for quantification of lipoproteins. Methods Enzymol. 129, 78-100. Go to original source... Go to PubMed...
  2. Belen, E., Değirmencioğlu, E., Tipi, F.F., Altun, O., Karakuº, G., Helvaci, A., Zencirci, A.E., Kalaycioğlu, E., 2015. The association between subclinical hypothyroidism and epicardial adipose tissue thickness. Korean Circ. J. 45, 210-215. Go to original source... Go to PubMed...
  3. Boyko., M., Ohayon, S., Goldsmith, T., Douvdevani, A., Gruenbaum, B.F., Melamed, I., Knyazer, B., Shapira, Y., Teichberg, V.I., Elir, A., Klein, M., Zlotnik, A., 2011. Cell-free DNA - a marker to predict ischemic brain damage in a rat stroke experimental model. Neurosurg. Anesthesiol. 23, 222-228. Go to original source... Go to PubMed...
  4. Blake, G.J., Ridker, P.M., 2001. Novel clinical markers of vascular wall inflammation. Circ. Res. 89, 763-771. Go to original source... Go to PubMed...
  5. Brenta, G., Fretes, O., 2014. Dyslipidemias and hypothyroidism. Pediatr. Endocrinol. Rev. 11, 390-399. Go to PubMed...
  6. Chadarevian, R., Bruckert, E., Leenhardt, L., Giral, P., Ankri, A., Turpin, G., 2001. Components of the fibrinolytic system are differently altered in moderate and severe hypothyroidism. Clin. Endocrinol. Metab. 86, 732-737. Go to original source... Go to PubMed...
  7. Chang, C.P., Chia, R.H., Wu, T.L., Tsao, K.C., Sun, C.F., Wu, J.T., 2003. Elevated cell-free serum DNA detected in patients with myocardial infarction. Clin. Chim. Acta 327, 95-101. Go to original source... Go to PubMed...
  8. Clausen, P., Mersebach, H., Nielsen, B., Feldt-Rasmussen, B., Feldt-Rasmussen, U., 2009. Hypothyroidism is associated with signs of endothelial dysfunction despite 1-year replacement therapy with levothyroxine. Clin. Endocrinol. (Oxf.) 70, 932-937. Go to original source... Go to PubMed...
  9. Cui, M., Fan, M., Jing, R., Wang, H., Qin, J., Sheng, H., Wang, Y., Wu, X., Zhang, L., Zhu, J., Ju, S., 2013. Cell-free circulating DNA: a new biomarker for the acute coronary syndrome. Cardiology 124, 76-84. Go to original source... Go to PubMed...
  10. De Vito, P., Incerpi, S., Pedersen, J.Z., Luly, P., Davis, F.B., Davis, P. J., 2011. Thyroid hormones as modulators of immune activities at the cellular level. Thyroid 21, 879-890. Go to original source... Go to PubMed...
  11. Donnini, D., Ambesi-Impiombato, F.S., Curcio, F., 2003. Thyrotropin stimulates production of procoagulant and vasodilatative factors in human aortic endothelial cells. Thyroid 13, 517-521. Go to original source... Go to PubMed...
  12. Feingold, K.R., Soued, M., Serio, M.K., Moser, A.H., Dinarello, C.A., Grunfeld, C., 1989. Multiple cytokines stimulate hepatic lipid synthesis in vivo. Endocrinology 125, 267-274. Go to original source... Go to PubMed...
  13. Friedewald, T., Levy, R.I., Fredrickson, D.S., 1972. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin. Chem. 18, 499-502. Go to original source...
  14. González-Masiá, J.A., García-Olmo, D., García-Olmo, D.C., 2013. Circulating nucleic acids in plasma and serum (CNAPS): applications in oncology. OncoTargets Ther. 6, 819-832. Go to original source... Go to PubMed...
  15. Gornik, I., Wagner, J., Ga¹paroviæ, V., Milièiæ, D., Degoricija, V., Skoriæ, B., Gornik, O., Lauc, G., 2014. Prognostic value of cellfree DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24 h post-admission. Resuscitation 85, 233-237. Go to original source... Go to PubMed...
  16. Gursoy, A., Ozduman Cin, M., Kamel, N., Gullu, S., 2006. Which thyroid-stimulating hormone level should be sought in hypothyroid patients under L-thyroxine replacement therapy? Int. J. Clin. Pract. 60, 655-659. Go to original source... Go to PubMed...
  17. Hamaguchi, M., Morishita, Y., Takahashi, I., Ogura, M., Takamatsu, J., Saito, H., 1991. FDP D-dimer induces the secretion of interleukin-1, urokinase-type plasminogen activator, and plasminogen activator inhibitor-2 in a human promonocytic leukemia cell line. Blood 77, 94-100. Go to original source...
  18. Hansson, G.K., Libby, P., 2006. The immune response in atherosclerosis: a double-edged sword. Nat. Rev. Immunol. 6, 508-519. Go to original source... Go to PubMed...
  19. Hardardóttir, I., Moser, A.H., Memon, R., Grünfeld, C., Feingold, K.R., 1994. Effects of TNF, IL-1, and the combination of both cytokines on cholesterol metabolism in Syrian hamsters. Lymphokine Cytokine Res. 13, 161-166. Go to PubMed...
  20. Huesca-Gómez, C., Franco, M., Luc, G., Montaño, L.F., Massó, F., Posadas-Romero, C., Pérez-Méndez, O., 2002. Chronic hypothyroidism induces abnormal structure of high-density lipoproteins and impaired kinetics of apolipoprotein A-I in the rat. Metabolism 51, 443-450. Go to original source... Go to PubMed...
  21. Ichiki, T., 2010. Thyroid hormone and atherosclerosis. Vasc. Pharmacol. 52, 151-156. Go to original source... Go to PubMed...
  22. Jylhävä, J., Jylhä, M., Lehtimäki, T., Hervonen, A., Hurme, M., 2012. Circulating cell-free DNA is associated with mortality and inflammatory markers in nonagenarians: the Vitality 90 + Study. Exp. Gerontol. 47, 372-378. Go to original source... Go to PubMed...
  23. Lee, W.Y., Suh, J.Y., Rhee, E.J., Park, J.S., Sung, K.C., Kim, S.W., 2004. Plasma CRP, apolipoprotein A-1, apolipoprotein B and Lpa levels according to thyroid function status. Arch. Med. Res. 35, 540-545. Go to original source... Go to PubMed...
  24. Liu, J., Cai, X., Xie, L., Tang, Y., Cheng, J., Wang, J., Wang, L., Gong, J., 2015. Circulating cell free mitochondrial DNA is a biomarker in the development of coronary heart disease in the patients with type 2 diabetes. Clin. Lab. 61, 661-667. Go to original source... Go to PubMed...
  25. Mayer Jr., O., Simon, J., Filipovský, J., Plásková, M., Pikner, R., 2006. Hypothyroidism in coronary heart disease and its relation to selected risk factors. Vasc. Health Risk Manage. 4, 499-506. Go to original source... Go to PubMed...
  26. Miyakoshi, H., Ohsawa, K., Yokoyama, H., Naga i, Y., Ieki, Y., Bando, Y.I., Kobayashi, K., 1992. Exacerbation of hypothyroidism following tumor necrosis factor-alpha infusion. Intern. Med. 31, 200-203. Go to original source... Go to PubMed...
  27. Nanda, N., Bobby, Z., Hamide, A., Koner, B.C., Sridhar, M.G., 2007. Association between oxidative stress and coronary lipid risk factors in hypothyroid women is independent of body mass index. Metabolism 56, 1350-1355. Go to original source... Go to PubMed...
  28. Nanda, N., Bobby, Z., Hamide, A., 2008. Association of thyroid stimulating hormone and coronary lipid risk factors with lipid peroxidation in hypothyroidism. Clin. Chem. Lab. Med. 46, 674-679. Go to original source... Go to PubMed...
  29. Papaioannou, G.I., Lagasse, M., Mather, J.F., Thompson, P.D., 2004. Treating hypothyroidism improves endothelial function. Metabolism 53, 278-279. Go to original source... Go to PubMed...
  30. Profumo, E., Buttari, B., Saso, L., Capoano, R., Salvati, B., Riganò, R., 2012. T lymphocyte autoreactivity in inflammatory mechanisms regulating atherosclerosis. Sci. World J. 2012, 157534. Go to original source... Go to PubMed...
  31. Ross, R., 1999. Atherosclerosis - an inflammatory disease. N. Engl. J. Med. 340, 115-126. Go to original source... Go to PubMed...
  32. Salvi, M., Pedrazzoni, M., Girasole, G., Giuliani, N., Minelli, R., Wall, J.R., Roti, E., 2000. Serum concentrations of proinflammatory cytokines in Graves' disease: effect of treatment, thyroid function, ophthalmopathy and cigarette smoking. Eur. J. Endocrinol. 43, 197-202. Go to original source... Go to PubMed...
  33. Santi, A., Duarte, M.M., Moresco, R.N., Menezes, C., Bagatini, M.D., Schetinger, M.R., Loro, V.L., 2010. Association between thyroid hormones, lipids and oxidative stress biomarkers in overt hypothyroidism. Clin. Chem. Lab. Med. 48, 1635-1639. Go to original source... Go to PubMed...
  34. Schwarzenbach, H., Hoon, D.S., Pantel, K., 2011. Cell-free nucleic acids as biomarkers in cancer patients. Nat. Rev. Cancer 11, 426-437. Go to original source... Go to PubMed...