Title Trace elements and the thyroid gland
Title (croatian) Elementi u tragovima i štitnjača
Author Astrid Susanne Eichelsdörfer
Mentor Sigrun Renate Merger (mentor)
Committee member Johannes Brachmann (predsjednik povjerenstva)
Committee member Georg Heinrich Breuer (član povjerenstva)
Committee member Marino Vilović (član povjerenstva)
Granter University of Split School of Medicine Split
Defense date and country 2022-07-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Internal Medicine
Abstract Objectives:
Selenium as well as zinc seem to have an important role in thyroid metabolism as well as in the synthesis of hormones. Autoimmune thyroid diseases are one of the most common thyroidal dysfunctions in iodide sufficient areas. As both trace elements showed beneficial effects in previous studies, we wanted to further investigate this topic. The aim of our study was to elaborate a possible correlation of selenium and zinc with thyroid function tests, TPO-Antibodies as well as the calculated parameter of the secretory capacity of the thyroid gland (SPINA-GT), sum activity of peripheral deiodinases (SPINA-GD), the thyrotroph thyroid hormone sensitivity index (TTSI) and Jostel´s TSH Index (TSHI).
Methods:
In total, we included 90 patients from the outpatient department of endocrinology of the REGIOMED hospital in Coburg, Germany. The time span of the retrospective study was already collected data from 2015 until November 2017. Blood tests were drawn after a fasting period of at least 12 hours. Body mass index was calculated from height and body weight obtained. Blood pressure and heart rate was measured according to standard.
Results:
SPINA-GD showed to be not significant lower in the group with high levels of TPO-Antibodies. There was no significant difference neither in regard of the selenium level nor in regard of the level of SPINA-GD between both groups. Selenium showed significant correlation with TSH, TSHI and TTSI in the group of low TPO-Antibodies and with T3 in the group of high TPO-Antibodies. By excluding cases which were additionally treated with T3, neither zinc nor selenium correlated significantly with SPINA-GD. As secondary outcome, selenium correlated significantly with the age and zinc with the heart rate of the participants.
Conclusion:
People with increased TPO-Antibodies showed lower levels of SPINA-GD, higher levels of TPO-Antibodies and slightly higher levels of selenium. Influences of selenium on thyroid function tests were only in regard of triiodothyronine seen. Further, prospective studies have to be conducted to get more insight into this broad and complex topic of thyroid gland diseases and possible influences of selenium and zinc.
Abstract (croatian) Sažetak:
Čini se da selen i cink imaju važnu ulogu u metabolizmu štitnjače, kao iu sintezi hormona. Autoimune bolesti štitnjače jedna su od najčešćih disfunkcija štitnjače u dovoljnim područjima jodida. Budući da su oba elementa u tragovima pokazala korisne učinke u prethodnim studijama, željeli smo dodatno istražiti ovu temu. Cilj našeg istraživanja bio je razraditi moguću korelaciju selena i cinka s testovima funkcije štitnjače, TPO-Antitijela kao i izračunati parametar sekretornog kapaciteta štitne žlijezde (SPINA-GT), sumsku aktivnost perifernih deiodinaza (SPINA-GD), indeks osjetljivosti hormona tirotrofa štitnjače (TTSI) i Jostelov TSH indeks (TSHI).
Metode:
Ukupno je uključeno 90 pacijenata s ambulantnog odjela endokrinologije bolnice REGIOMED u Coburgu u Njemačkoj. Vremenski raspon retrospektivne studije već su prikupljeni podaci od 2015. do studenoga 2017. Krvni testovi su napravljeni nakon razdoblja posta od najmanje 12 sati. Indeks tjelesne mase izračunat je iz visine i dobivene tjelesne težine. Krvni tlak i otkucaji srca mjereni su prema standardu.
Resultati:
SPINA-GD pokazala se ne značajnijom nižom u skupini s visokom razinom TPO-antitijela. Nije bilo značajne razlike ni u pogledu razine selena ni u pogledu razine SPINA-GD između obje skupine. Selen je pokazao značajnu korelaciju s TSH- om, TSHI-jem i TTSI-jem u skupini niskih TPO-antitijela i s T3 u skupini visokih TPO-antitijela. . Isključujući slučajeve koji su dodatno tretirani T3, ni cink ni selen nisu značajno korelirali sa SPINA-GD-om. Kao sekundarni ishod, selen je značajno korelira s dobi i cinkom s otkucajima srca sudionika.
Zaključak:
Osobe s povećanim TPO-Antitijelima pokazale su nižu razinu SPINA-GD, višu razinu TPO-antitijela i nešto višu razinu selena. Utjecaji selena na testove funkcije štitnjače bili su samo u odnosu na trijodtironin. Nadalje, potrebno je provesti prospektivne studije kako bi se dobio bolji uvid u ovu široku i složenu temu bolesti štitnjače i mogućih utjecaja selena i cinka.
Keywords
Thyroid Gland
Trace Elements
Selenium
Zinc
Keywords (croatian)
Štitnjača
Elementi u tragovima
Selen
Cink
Language english
URN:NBN urn:nbn:hr:171:260682
Study programme Title: Medical Studies in English Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2022-09-01 10:36:09