Biomarkers of endothelial dysfunction and cytokine levels in hypothyroidism: a series of meta-analyses.
| Autor: | Torres EM; Centro de Investigaciones Endocrinológicas 'Dr. César Bergadá', Consejo Nacional de Investigaciones Científicas y Técnicas - Fundación de Endocrinología Infantil - División de Endocrinología, Hospital de Niños Ricardo Gutiérrez, Buenos Aires, Argentina., Tellechea ML; Centro de Investigaciones Endocrinológicas 'Dr. César Bergadá', Consejo Nacional de Investigaciones Científicas y Técnicas - Fundación de Endocrinología Infantil - División de Endocrinología, Hospital de Niños Ricardo Gutiérrez, Buenos Aires, Argentina. |
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| Jazyk: | angličtina |
| Zdroj: | Expert review of endocrinology & metabolism [Expert Rev Endocrinol Metab] 2024 Dec 15, pp. 1-10. Date of Electronic Publication: 2024 Dec 15. |
| DOI: | 10.1080/17446651.2024.2438997 |
| Abstrakt: | Background: Hypothyroidism (HT) is associated with different comorbidities comprising increased arterial stiffness and decreased flow-mediated dilatation. The exact pathological mechanism of endothelial activation and dysfunction (ED) in HT remains unknown. We conducted a systematic review and meta-analyses to provide an overview of the pathogenesis of ED in HT. Methods: The literature search was done in February 2024 for studies analyzing traditional and novel circulating biomarkers of ED in patients with HT, including cytokines and chemokines. Random-effect models were used except when no heterogeneity was found. Protocol was registered under the number PROSPERO CRD42024540560. Results: 25 macromolecules and 66 studies were entered into analyses. HT was associated with increased levels of E-selectin, soluble intercellular adhesion molecule-1, osteoprotegerin, and oxidized-LDL ( p < 0.02). Results were not conclusive for endothelin-1. Interleukin (IL)-6, IL-12 and CXCL10 were higher in HT ( p < 0.05). Subjects with overt HT may display a proinflammatory tendency with increased levels of IL-6 and interferon-γ, and decreased levels of TGF-β ( p < 0.05). Conclusions: The data presented and discussed here highlights the association between HT and soluble biomarkers of ED. Inflammatory mediators released by activated T-cells and macrophages may aggravate local and systemic inflammation, which arouses more inflammation, forming a vicious circle leading to ED. |
| Databáze: | MEDLINE |
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