Anti-thyroid peroxidase antibody and thyroid cysts among the general Japanese population: a cross-sectional study.


Journal

Environmental health and preventive medicine
ISSN: 1347-4715
Titre abrégé: Environ Health Prev Med
Pays: Japan
ID NLM: 9609642

Informations de publication

Date de publication:
21 Feb 2020
Historique:
received: 08 12 2019
accepted: 12 02 2020
entrez: 23 2 2020
pubmed: 23 2 2020
medline: 5 9 2020
Statut: epublish

Résumé

Anti-thyroid peroxidase antibody (TPO-Ab) has been shown to cause autoimmune thyroiditis by inducing a deleterious influence on thyroid hormone synthesis. Further, thyroglobulin, which has an important role in thyroid hormone synthesis, is reported to be high in the fluid from thyroid cysts. Therefore, TPO-Ab could be associated with the presence of thyroid cyst, partly by affecting the activity of thyroid hormone synthesis. To investigate the association between TPO-Ab and thyroid cysts, we conducted a cross-sectional study of 1432 Japanese with normal thyroid function [i.e., normal range of free triiodothyronine (free T3) and free thyroxine (free T4)] between the ages of 40 and 74 years, who participated in an annual health check-up. In men, the statistical power did not reach a statistical significance value. Additionally, subjects with TPO-Ab showed lower odds ratios (ORs) of thyroid cysts than those without TPO-Ab. In women, subjects with TPO-Ab showed significantly lower ORs of thyroid cysts than those without TPO-Ab. The fully adjusted ORs were 0.68 (0.40, 1.18) for men and 0.40 (0.27, 0.60) for women. When evaluating the association between logarithmic values of TPO-Ab titer and thyroid cysts in both men and women, a notable inverse correlation was observed. The fully adjusted ORs were 0.68 (0.50, 0.92) for men and 0.68 (0.57, 0.81) for women. TPO-Ab titer revealed to be inversely associated with thyroid cysts among Japanese with normal thyroid function. The presence of a thyroid cyst could indicate a lower risk of having TPO-Ab among the general population with normal thyroid function.

Sections du résumé

BACKGROUND BACKGROUND
Anti-thyroid peroxidase antibody (TPO-Ab) has been shown to cause autoimmune thyroiditis by inducing a deleterious influence on thyroid hormone synthesis. Further, thyroglobulin, which has an important role in thyroid hormone synthesis, is reported to be high in the fluid from thyroid cysts. Therefore, TPO-Ab could be associated with the presence of thyroid cyst, partly by affecting the activity of thyroid hormone synthesis.
METHODS METHODS
To investigate the association between TPO-Ab and thyroid cysts, we conducted a cross-sectional study of 1432 Japanese with normal thyroid function [i.e., normal range of free triiodothyronine (free T3) and free thyroxine (free T4)] between the ages of 40 and 74 years, who participated in an annual health check-up.
RESULTS RESULTS
In men, the statistical power did not reach a statistical significance value. Additionally, subjects with TPO-Ab showed lower odds ratios (ORs) of thyroid cysts than those without TPO-Ab. In women, subjects with TPO-Ab showed significantly lower ORs of thyroid cysts than those without TPO-Ab. The fully adjusted ORs were 0.68 (0.40, 1.18) for men and 0.40 (0.27, 0.60) for women. When evaluating the association between logarithmic values of TPO-Ab titer and thyroid cysts in both men and women, a notable inverse correlation was observed. The fully adjusted ORs were 0.68 (0.50, 0.92) for men and 0.68 (0.57, 0.81) for women.
CONCLUSION CONCLUSIONS
TPO-Ab titer revealed to be inversely associated with thyroid cysts among Japanese with normal thyroid function. The presence of a thyroid cyst could indicate a lower risk of having TPO-Ab among the general population with normal thyroid function.

Identifiants

pubmed: 32085700
doi: 10.1186/s12199-020-00844-x
pii: 10.1186/s12199-020-00844-x
pmc: PMC7035657
doi:

Substances chimiques

Autoantibodies 0
thyroid microsomal antibodies 0
Triiodothyronine 06LU7C9H1V
Thyroxine Q51BO43MG4

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7

Subventions

Organisme : Japan sciety for the promotion of science
ID : 17H03740
Organisme : Japan sciety for the promotion of science
ID : 17K09088
Organisme : Japan sciety for the promotion of science
ID : 18K06448

Références

Mol Cell Endocrinol. 2017 Dec 15;458:6-15
pubmed: 28153798
PLoS One. 2013 Dec 23;8(12):e83220
pubmed: 24376666
Korean J Intern Med. 2018 Jul;33(4):753-762
pubmed: 28859466
Arch Biochem Biophys. 2006 Jan 15;445(2):269-77
pubmed: 16098474
J Clin Endocrinol Metab. 2013 Nov;98(11):4499-506
pubmed: 23979950
Nat Rev Endocrinol. 2019 Jun;15(6):323-338
pubmed: 30886364
Thyroidology. 1990 Apr;2(1):17-23
pubmed: 1715746

Auteurs

Yuji Shimizu (Y)

Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan. shimizu@osaka-ganjun.jp.
Department of Cardiovascular Disease Prevention, Osaka Center for Cancer and Cardiovascular Disease Prevention, Osaka, Japan. shimizu@osaka-ganjun.jp.

Yuko Nabeshima-Kimura (Y)

Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan.

Shin-Ya Kawashiri (SY)

Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan.

Yuko Noguchi (Y)

Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan.

Yasuhiro Nagata (Y)

Center for Comprehensive Community Care Education, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Takahiro Maeda (T)

Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan.
Department of General Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Naomi Hayashida (N)

Division of Promotion of Collaborative Research on Radiation and Environment Health Effects, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan.

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Classifications MeSH