Inflammatory Profile Assessment in a Highly Selected Athyreotic Population Undergoing Controlled and Standardized Hypothyroidism.

Biomedicines

Servizio di Endocrinologia e Diabetologia, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.

Published: January 2024

AI Article Synopsis

  • Hypothyroidism (hT) has varying symptoms and is often studied in diverse populations, making it hard to draw clear conclusions about inflammation in this condition.
  • This research focused on thyroid cancer patients who had undergone standardized hT and measured specific blood inflammatory indexes (BIIXs) before treatment to understand the relationship between inflammation and hypothyroidism.
  • The study included 143 patients and found that BIIX values varied significantly based on factors like sex and BMI but showed no significant links to age or thyroid hormone levels, indicating potential implications for obesity and thyroid cancer prognosis.

Article Abstract

Hypothyroidism (hT) presents heterogeneous symptoms and findings. Evidence on this topic comes mainly from heterogeneous populations in terms of disease duration, residual thyroid function, and comorbidities. Therefore, it would be useful to assess systemic inflammation in a homogeneous hT population. The aim of this study was to investigate inflammation in a population that underwent standardized controlled hT. We recruited thyroidectomized patients diagnosed with thyroid cancer who were otherwise fit and healthy, showing hypothyroidism before I131 treatment using a standard protocol of LT4 withdrawal. The blood inflammatory indexes (BIIXs) (i.e., NLR, PLR, MLR, SII, SIRI, and AISI) were calculated using the blood tests collected just before I131 administration. Patients were divided according to sex, BMI, and thyroglobulin. The relationships between the BIIXs, age, and thyroid hormones were also investigated. We included 143 patients. The median age of the sample was 43 years. The BIIX median values showed significant differences based on sex, BMI, and thyroglobulin levels ( < 0.05). No significant correlations were found between the BIIXs and age, TSH, FT4, and FT3. This study shows the BIIX median values of a population which underwent standardized hT. It suggests a role for some BIIXs in the evaluation of hypothyroidism in obese people and as hypothetical prognostic markers for thyroid cancer.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10813236PMC
http://dx.doi.org/10.3390/biomedicines12010239DOI Listing

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