Journals / International Journal of Medical Biochemistry / 2020 / Cilt: 3 - Sayı: 1

The relationship between homocysteine and autoimmune subclinical hypothyroidism

Pages
1–7
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Our results indicated that homocysteine was associated with subclinical hypothyroidism.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Homocysteine, an atherosclerotic marker, is thought to be associated with chronic inflammation and autoimmunity.
📊
Key Findings & Data:Methods: A total of 100 cases, 50 patients who were older than 18 years of age and diagnosed with subclinical hypothyroidism due to Hashimoto’s thyroiditis and 50 controls with no known disease, were included in the study.
💡
Conclusion & Impact:Our results indicated that homocysteine was associated with subclinical hypothyroidism.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: Homocysteine, an atherosclerotic marker, is thought to be associated with chronic inflammation and autoimmunity. The aim of this study was to investigate the association between the homocysteine level, lipid parameters, high-sensitivity C-reactive protein (hs-CRP), and autoantibodies in subclinical hypothyroid patients. Methods: A total of 100 cases, 50 patients who were older than 18 years of age and diagnosed with subclinical hypothyroidism due to Hashimoto’s thyroiditis and 50 controls with no known disease, were included in the study. Results: Homocysteine (9.6 μmol/L vs 5.5 μmol/L; p<0.001), hs-CRP (2.4 mg/L vs 0.9 mg/L; p<0.001), and low-density lipoprotein-cholesterol levels (115.9±32.7 mg/dL vs 100.3±23.9 mg/dL) (p=0.008) were determined to be higher in the subclinical hypothyroidism group, and the high-density lipoprotein (HDL) cholesterol level (51.2±12.7 mg/dL vs 58.8±15.2 mg/dL; p=0.008) was lower in the subclinical hypothyroidism group compared with the healthy control group. A positive correlation was determined between the homocysteine level and the hs-CRP (r=0.312; p=0.027), anti-thyroid peroxidase (r=0.505; p<0.001), and anti-thyroglobulin (r=0.318; p=0.031) levels in the subclinical hypothyroidism group. Conclusion: In the regression analysis performed, HDL cholesterol, hs-CRP, and homocysteine levels were each found to be an independent risk factor for subclinical hypothyroidism. Our results indicated that homocysteine was associated with subclinical hypothyroidism.

🔖

Cite This Article

BOLAL, M., ATEŞ, I., DEMİR, B. F., ALTAY, M., TURHAN, T., YILMAZ, N. (2020). The relationship between homocysteine and autoimmune subclinical hypothyroidism. International Journal of Medical Biochemistry, Cilt: 3 - Sayı: 1, 1–7. https://ajindex.com/articles/155691

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Mikoś H, Mikoś M, Obara-Moszyńska M, Niedziela M. The role of the immune system and cytokines involved in the pathogenesis of autoimmune thyroid disease (AITD). Endokrynol Pol 2014;65(2):150–5
  2. Altay M, Ateş İ, Yılmaz FM, Topçuoğlu C, Kaplan M. The role of circulating sTWEAK in the pathogenesis of Hashimoto's thyroiditis - a pilot study. Endokrynol Pol 2016;67(6):562–66
  3. Altay M, Karakoç MA, Çakır N, Yılmaz Demirtaş C, Cerit ET, Aktürk M, et al. Serum Total Sialic Acid Level is Elevated in Hypothyroid Patients as an Atherosclerotic Risk Factor. J Clin Lab Anal 2017;31(2)
  4. Sato Y, Yoshihisa A, Kimishima Y, Kiko T, Watanabe S, Kanno Y, et al. Subclinical Hypothyroidism Is Associated With Adverse Prognosis in Heart Failure Patients. Can J Cardiol 2018;34:80–7
  5. Kim H, Kim TH, Kim HI, Park SY, Kim YN, Kim S, et al. Subclinical thyroid dysfunction and risk of carotid atherosclerosis. PLoS One 2017;12(7):e0182090
  6. Aziz M, Kandimalla Y, Machavarapu A, Saxena A, Das S, Younus A, et al. Effect of Thyroxin Treatment on Carotid Intima-Media Thickness (CIMT) Reduction in Patients with Subclinical Hypothyroidism (SCH): a Meta-Analysis of Clinical Trials. J Atheroscler Thromb 2017;24(7):643–59
  7. Delitala AP, Fanciulli G, Maioli M, Delitala G. Subclinical hypothyroidism, lipid metabolism and cardiovascular disease. Eur J Intern Med.2017;38:17–24
  8. Mayer EL, Jacobsen DW, Robinson K. Homocysteine and coronary atherosclerosis. J Am Coll Cardiol 1996;27(3):517–27
  9. Seshadri N, Robinson K. Homocysteine, B vitamins, and coronary artery disease. Med Clin North Am 2000;84(1):215–37, x
  10. Karolczak K, Kubalczyk P, Glowacki R, Pietruszynski R, Watala C. Aldosterone modulates blood homocysteine and cholesterol in coronary artery disease patients-a possible impact on atherothrombosis? Physiol Res 2018;67(2):197–207
  11. Duan L, Hu J, Xiong X, Liu Y, Wang J. The role of DNA methylation in coronary artery disease. Gene 2018;646:91–7
  12. Caturegli P, De Remigis A, Rose NR. Hashimoto thyroiditis: clinical and diagnostic criteria. Autoimmun Rev 2014;13(4-5):391–7
  13. McCully KS.Vascular pathology of homocysteinemia: implications for the pathogenesis of arteriosclerosis. Am J Pathol 1969;56(1):111–28
  14. Rolland PH, Friggi A, Barlatier A, Piquet P, Latrille V, Faye MM, et al. Hyperhomocysteinemia-induced vascular damage in the minipig. Circulation 1995;91(4):1161–74
  15. Poddar R, Sivasubramanian N, DiBello PM, Robinson K, Jacobsen DW. Homocysteine induces expr