Serum selenium and selenoprotein-P levels in autoimmune thyroid diseases patients in a select center: a transversal study

Autor: João H. Romaldini, Kioko Takei, Marco Aurélio Ferreira Federige, Ana Beatriz Pinotti Pedro Miklos, Evandro S. Portes, Marcia Kiyomi Koike
Rok vydání: 2017
Předmět:
0301 basic medicine
Adult
Male
medicine.medical_specialty
Endocrinology
Diabetes and Metabolism

Graves' disease
selenoprotein P
chemistry.chemical_element
lcsh:Medicine
030209 endocrinology & metabolism
Hashimoto Disease
Serum selenium
lcsh:Diseases of the endocrine glands. Clinical endocrinology
Thyroiditis
Graves' ophthalmopathy
03 medical and health sciences
Selenium
0302 clinical medicine
Hashimoto's thyroiditis
Internal medicine
Graves’ ophthalmopathy
Selenoprotein P
Medicine
Humans
Aged
030109 nutrition & dietetics
lcsh:RC648-665
business.industry
Spectrophotometry
Atomic

Thyroid
lcsh:R
Case-control study
Middle Aged
medicine.disease
Graves Disease
Graves Ophthalmopathy
medicine.anatomical_structure
Endocrinology
Cross-Sectional Studies
chemistry
Case-Control Studies
Disease Progression
Female
business
Graves’ disease
Biomarkers
Zdroj: Archives of Endocrinology and Metabolism, Vol 61, Iss 6, Pp 600-607
Archives of Endocrinology and Metabolism v.61 n.6 2017
Arquivos de Endocrinologia e Metabolismo
Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)
instacron:SBEM
Archives of Endocrinology and Metabolism, Volume: 61, Issue: 6, Pages: 600-607, Published: DEC 2017
ISSN: 2359-4292
Popis: Objective: Selenium (Se) supplementation has been used to help prevent the progression of Graves’ ophthalmopathy (GO) and autoimmune thyroid diseases (AITD) patients. We investigated Se serum and selenoprotein P (SePP) levels in Graves’ disease (GD) with and without GO, Hashimoto's thyroiditis (HT) patients and in 27 control individuals (C). Subjects and methods: We studied 54 female and 19 male patients: 19 with GD without GO, 21 GD with GO, 14 with HT and 19 with HT+LT4. Se values were measured using graphite furnace atomic absorption spectrophotometry. Serum SePP levels were measured by ELISA. Results: Median Se levels were similar among all groups; GD patients: 54.2 (46.5-61.1 μg/L), GO: 53.6 (43.5-60.0 μg/L), HT: 51.9 (44.6-58.5 μg/L), HT+LT4 54.4 (44-63.4) and C group patients: 56.0 (52.4-61.5 μg/L); P = 0.48. However, serum SePP was lower in GO patients: 0.30 (0.15-1.05 μg/mL) and in HT patients: 0.35 (0.2-1.17 μg/mL) compared to C group patients: 1.00 (0.564.21 μg/mL) as well as to GD patients: 1.19 (0.62-2.5 μg/mL) and HT+LT4 patients: 0.7 (0,25-1.95); P = 0.002. Linear regression analysis showed a significant relationship between SePP and TPOAb values (r = 0.445, R2 = 0.293; P < 0.0001). Multiple regression analysis found no independent variables related to Se or SePP. Conclusion: A serum Se concentration was lower than in some other countries, but not significantly among AITD patients. The low serum SePP levels in GO and HT patients seems to express inflammatory reactions with a subsequent increase in Se-dependent protein consumption remains unclear.
Databáze: OpenAIRE