Bidirectional negative relationship between thyrotropin and kidney function during alcohol intoxication in males.

Autor:	Unlu H; Department of Psychiatry and Psychology, Mayo Clinic Arizona, Phoenix, AZ, United States., Yehia A; Department of Neuroscience, Graduate School of Biomedical Sciences, Mayo Clinic College of Medicine, Phoenix, AZ, United States.; Department of Medical Physiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Manji K; Department of Psychiatry and Psychology, Mayo Clinic Arizona, Phoenix, AZ, United States.; Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.; Faculty of Medicine and Dentistry, Queen Mary University of London, Victoria, Malta., Manji N; Department of Psychiatry and Psychology, Mayo Clinic Arizona, Phoenix, AZ, United States.; Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.; Faculty of Medicine and Dentistry, Queen Mary University of London, Victoria, Malta., Treviño-Alvarez AM; Obesity & Diabetes Clinical Research Section, Phoenix Epidemiology & Clinical Research Branch, National Institute of Health/National Institute on Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, United States.; Department of Psychiatry, Universidad Autónoma de Nuevo León, Monterrey, Mexico., Cabeza De Baca T; Obesity & Diabetes Clinical Research Section, Phoenix Epidemiology & Clinical Research Branch, National Institute of Health/National Institute on Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, United States., Frye MA; Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, United States., Thomas LF; Division of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic in Arizona, Scottsdale, AZ, United States., Abulseoud OA; Department of Psychiatry and Psychology, Mayo Clinic Arizona, Phoenix, AZ, United States.; Department of Neuroscience, Graduate School of Biomedical Sciences, Mayo Clinic College of Medicine, Phoenix, AZ, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in nephrology [Front Nephrol] 2024 Aug 08; Vol. 4, pp. 1322791. Date of Electronic Publication: 2024 Aug 08 (Print Publication: 2024).
DOI:	10.3389/fneph.2024.1322791
Abstrakt:	Introduction: Despite a well-established direct toxic effect of alcohol on renal cells, there is a salutary dose-dependent effect of alcohol consumption on common laboratory parameters related to kidney performance. Alcohol also impacts thyroid hormones, while thyroid status modulates kidney function. The modulation of kidney parameters with thyrotropin (TSH) and thyroid status indicates a possible interaction between alcohol, kidney, and thyroid functions. This retrospective study was conducted to test the hypothesis that the positive effect of alcohol use on the estimated glomerular filtration rate (eGFR) is mediated by alcohol's effect on thyroid hormones. Methods: We reviewed the electronic medical records of 767 hospitalized adult patients free of thyroid disorders who received medical care in the Mayo Clinic Health System from June 2019 through June 2022 and had blood alcohol concentration (BAC), serum TSH, and serum creatinine measured during the hospitalization. We calculated the eGFR using both the re-expressed Modification of Diet in Renal Disease (MDRD II) study equation and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) Creatinine equation. Results: We found a significant relationship of BAC with eGFR (CKD-EPI) and TSH in males only. BAC had a positive association with eGFR (b = 0.24, p = 0.0001) and negative with TSH (b=-0.17, p = 0.006). The covariance between the two outcomes (eGFR and TSH) was negative (b = -0.12, p = 0.049). The path analyses using the eGFR MDRD II equation were not significant in males, whereas females had no significant path analyses with either of the eGFR equations. Discussion: We observed that BAC influences both eGFR and TSH, whereas eGFR and TSH influence each other. After considering important covariates (e.g., age, body mass index, diabetes mellitus, cardiovascular disease, chronic kidney disease, and chronic liver disease) and the negative bidirectional effect of TSH and eGFR, a positive impact of BAC on eGFR was observed in males. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. (Copyright © 2024 Unlu, Yehia, Manji, Manji, Treviño-Alvarez, Cabeza De Baca, Frye, Thomas and Abulseoud.)
Databáze:	MEDLINE
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