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
- 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
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- 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...
- 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...
- 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...
- 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...
- Brenta, G., Fretes, O., 2014. Dyslipidemias and hypothyroidism. Pediatr. Endocrinol. Rev. 11, 390-399.
Go to PubMed...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- Ichiki, T., 2010. Thyroid hormone and atherosclerosis. Vasc. Pharmacol. 52, 151-156.
Go to original source...
Go to PubMed...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- Ross, R., 1999. Atherosclerosis - an inflammatory disease. N. Engl. J. Med. 340, 115-126.
Go to original source...
Go to PubMed...
- 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...
- 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...
- 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...