Main Article Content

Abstract

Background: Cytokines are important in autoimmune thyroid disease. Interleukins regulate
immunity. Lack impairs immunity or causes autoimmune disorders. This study is aiming to
investigate whether inflammatory cytokines (IL-6, TNF-α) levels in the blood correlate with
Hashimoto thyroiditis.
Methods: In this study, we used an ELISA device to determine the levels of interleukins in the
serum of 60 patients with Hashimoto's disease and 60 people as a control group. We diagnosed the
patients based on their clinical condition and also examined their thyroid function and antibodies.
Results: According to the research findings, individuals with Hashimoto's thyroiditis had
considerably higher levels of IL6 and TNF-α (P < 0.001) and could be used to tell the difference
between HT patients and healthy people in the AUC analysis. A positive correlation between
(antiTPO, antiTG, TSH) levels and (IL6, TNF-α) levels has also been demonstrated, which may
indicate that these changes play a role in the development of HT.
Conclusions: This study clearly established that the levels of IL6, TNF alpha is strongly related
with the risk of HT in individuals in Najaf Province, Iraq

Keywords

autoimmune thyroid disease AITD Hashimoto’s thyroiditis HT interleukins

Article Details

References

  1. Caturegli P, De Remigis A, Rose NR. Hashimoto thyroiditis: clinical and diagnostic criteria.
  2. Autoimmun Rev. 2014;13(4–5):391–7. https://doi.org/10.1016/j.autrev.2014.01.007
  3. Ragusa F, Fallahi P, Elia G, Gonnella D, Paparo SR, Giusti C, et al. Hashimotos’ thyroiditis:
  4. Epidemiology, pathogenesis, clinic and therapy. Best Pract Res Clin Endocrinol Metab. 2019;33(6):101367.
  5. https://doi.org/10.1016/j.beem.2019.101367
  6. Sur, M. L., Gaga, R., Lazăr, C., & Lazea, C. (2020). Genetic and environmental factors in the
  7. pathophysiology of Hashimoto’s thyroiditis. Pediatr. Endocrinol. Rev. PER, 17, 343-348. https://DOI:
  8. 17458/per.vol17.2020.gsl.geneticenvironmentalhashimoto
  9. Ajjan RA, Weetman AP. The Pathogenesis of Hashimoto’s Thyroiditis: Further Developments in
  10. our Understanding. Horm Metab Res. 2015;47(10):702–10. http://DOI: 10.1055/s-0035-1548832
  11. Tomer Y. Mechanisms of autoimmune thyroid diseases: from genetics to epigenetics. Annu Rev
  12. Pathol Mech Dis. 2014;9:147–56. https://doi.org/10.1146/annurev-pathol-012513-104713
  13. Iddah MA, Macharia BN, Ng’wena AG, Keter A, Ofulla AVO. Thryroid hormones and
  14. hematological indices levels in thyroid disorders patients at moi teaching and referral hospital, Western
  15. kenya. Int Sch Res Not. 2013;2013(1):385940. http://dx.doi.org/10.1155/2013/385940
  16. Baumgartner C, Da Costa BR, Collet TH, Feller M, Floriani C, Bauer DC, et al. Thyroid Function
  17. Within the Normal Range, Subclinical Hypothyroidism, and the Risk of Atrial Fibrillation. Circulation.
  18. ;136(22):2100–16. https://DOI: 10.1161/CIRCULATIONAHA.117.028753
  19. Calsolaro V, Niccolai F, Pasqualetti G, Maria Calabrese A, Polini A, Okoye C, et al. Overt and
  20. subclinical hypothyroidism in the elderly: When to treat? Front Endocrinol (Lausanne). 2019;10(MAR):1–
  21. https://doi.org/10.3389/fendo.2019.00177
  22. Koyyada A, Orsu P. Role of hypothyroidism and associated pathways in pregnancy and infertility:
  23. Clinical insights. Tzu Chi Med J. 2020;32(4):312–7. https://doi: 10.4103/tcmj.tcmj_255_19
  24. Mikoś H, Mikoś M, Obara-Moszyńska M, Niedziela M. The role of the immune system and
  25. cytokines involved in the pathogenesis of autoimmune thyroid disease (AITD). Endokrynol Pol.
  26. ;65(2):150–5. https://DOI: 10.5603/EP.2014.0021
  27. Hirano T. IL-6 in inflammation, autoimmunity and cancer. Int Immunol. 2021;33(3):127–48.
  28. https://doi:10.1093/intimm/dxaa078
  29. Markoš IŠ, Franceschi M, Vidranski V, Markoš P, Jukić T, Fröbe A, et al. THE CONCENTRATION
  30. OF INTERLEUKIN 6 AND TUMOR NECROSIS FACTOR ALPHA IN SALIVA AND BLOOD OF
  31. PATIENTS WITH INACTIVE MULTIPLE SCLEROSIS AND COEXISTING HASHIMOTO ’ S
  32. THYROIDITIS. 2023;339–44. https://doi: 10.20471/acc.2023.62.02.12
  33. Zhou J, Cheng G, Pang H, Liu Q, Liu Y. The effect of 131I-induced hypothyroidism on the levels
  34. of nitric oxide (NO), interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α), total nitric oxide synthase
  35. (NOS) activity, and expression of NOS isoforms in rats. Bosn J basic Med Sci. 2018;18(4):305. https://doi:
  36. 17305/bjbms.2018.2350
  37. Wang Y, Shao T, Wang J, Huang X, Deng X, Cao Y, et al. An update on potential biomarkers for
  38. diagnosing diabetic foot ulcer at early stage. Biomed Pharmacother.
  39. ;133:110991..https://doi.org/10.1016/j.biopha.2020.110991
  40. Ali HH, Alam JM, Hussain A, Naureen S. Correlation of thyroid antibodies (anti-thyroid peroxidase
  41. and anti-thyroglobulin) with pituitary and thyroid hormones in selected population diagnosed with various
  42. thyroid diseases. Middle East J Sci Res. 2015;23(9):2069–73. https://DOI:
  43. 5829/idosi.mejsr.2015.23.09.95286
  44. Zivancevic-Simonovic S, Mihaljevic O, Majstorovic I, Popovic S, Markovic S, MilosevicDjordjevic O, et al. Cytokine production in patients with papillary thyroid cancer and associated autoimmune
  45. Hashimoto thyroiditis. Cancer Immunol Immunother. 2015;64:1011–9. https://doi: 10.1007/s00262-015-
  46. -5
  47. Nielsen CH, Brix TH, Leslie RGQ, Hegedüs L. A role for autoantibodies in enhancement of proinflammatory cytokine responses to a self-antigen, thyroid peroxidase. Clin Immunol. 2009;133(2):218–27.
  48. https://doi.org/10.1016/j.clim.2009.07.014
  49. Volpe E, Servant N, Zollinger R, Bogiatzi SI, Hupé P, Barillot E, et al. A critical function for
  50. transforming growth factor-β, interleukin 23 and proinflammatory cytokines in driving and modulating
  51. human TH-17 responses. Nat Immunol. 2008;9(6):650–7. https:// DOI: 10.1038/ni.1613
  52. Kristensen B, Hegedüs L. Altered balance between self-reactive T helper ( Th ) 17 cells and Th10
  53. cells and between full-length forkhead box protein 3 ( FoxP3 ) and FoxP3 splice variants in Hashimoto ’ s
  54. thyroiditis. 2015;58–69. https://dOI: 10.1111/cei.12557
  55. Annunziato F, Cosmi L, Liotta F, Maggi E. Defining the human T helper 17 cell phenotype. Trends
  56. Immunol [Internet]. 2012;33(10):505–12. Available from:
  57. http://dx.doi.org/10.1016/j.it.2012.05.004https://DOI: 10.1016/j.it.2012.05.004
  58. Zhang N, Wang Q, Tian Y, Xiong S, Li G, Xu L. Expressions of IL-17 and TNF-α in patients with
  59. Hashimoto’s disease combined with thyroid cancer before and after surgery and their relationship with
  60. prognosis. Clin Transl Oncol. 2020;22:1280–7. https:// DOI: 10.1007/s12094-019-02253-1
  61. Nozawa K, Fujishiro M, Takasaki Y, Sekigawa I. Inhibition of rheumatoid arthritis by blocking
  62. connective tissue growth factor. World J Orthop. 2014;5(5):653–9. https:// doi: 10.5312/wjo. v5. i5.653
  63. Mikos H, Mikos M, Rabska-Pietrzak B, Niedziela M. The clinical role of serum concentrations of
  64. selected cytokines: IL-1 β, TNF-α and IL-6 in diagnosis of autoimmune thyroid disease (AITD)
  65. inchildren.Autoimmunity.2014;47(7):466–72. https://doi.org/10.3109/08916934.2014.914175
  66. Guclu F, Ozmen B, Kirmaz C, Kafesciler SO, Degirmenci PB, Taneli F, et al. 10.1.1.822.9922.Pdf.
  67. ;20(March):27–32. https://DOI:10.1684/ecn.2009.0147
  68. Gupta G, Sharma P, Kumar P, Itagappa M. Study on subclinical hypothyroidism and its association
  69. with various inflammatory markers. J Clin diagnostic Res JCDR.
  70. ;9(11):BC04.https://doi:10.7860/JCDR/2015/14640.6806
  71. Antunes TT, Gagnon A, Bell A, Sorisky A. Thyroid-stimulating hormone stimulates interleukin-6
  72. release from 3T3-L1 adipocytes through a cAMP-protein kinase a pathway. Obes Res. 2005;13(12):2066–
  73. https://DOI: 10.1038/oby.2005.256
  74. Papanas N, Papazoglou D, Papatheodorou K, Antonoglou C, Kotsiou S, Maltezos E. Thyroxine
  75. replacement dose in patients with Hashimoto disease : A potential role for interleukin-6. 2006;35:166–70.
  76. https://DOI: 10.1016/j.cyto.2006.07.017
  77. Wajner SM, Goemann IM, Bueno AL, Larsen PR, Maia AL. IL-6 promotes nonthyroidal illness
  78. syndrome by blocking thyroxine activation while promoting thyroid hormone inactivation in human cells. J
  79. Clin Invest. 2011;121(5):1834–45. https://doi: 10.1172/JCI44678
  80. Contreras-Jurado C, Alonso-Merino E, Saiz-Ladera C, Valinõ AJ, Regadera J, Alemany S, et al. The
  81. Thyroid Hormone Receptors Inhibit Hepatic Interleukin-6 Signaling during Endotoxemia. Sci Rep
  82. [Internet]. 2016;6(July):1–12. Available from: http://dx.doi.org/10.1038/srep30990https://DOI:
  83. 1038/srep30990
  84. Lacka K, Paradowska-Gorycka A, Maciejewski A, Kramer L, Herman WA, Lacki JK. Interleukin 1
  85. beta (IL1beta) gene polymorphisms (SNP-511 and SNP+ 3953) in Hashimoto’s thyroiditis among the Polish
  86. population. Exp Clin Endocrinol Diabetes. 2014;122(09):544–7. https://DOI: 10.1055/s-0034-137696

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