[1]张国玉,万会娜,郭盼盼,等.桥本甲状腺炎发病因素及发病机制研究进展[J].新乡医学院学报,2020,37(10):984-989.[doi:10.7683/xxyxyxb.2020.10.019]
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桥本甲状腺炎发病因素及发病机制研究进展
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
37
期数:
2020年10
页码:
984-989
栏目:
综述
出版日期:
2020-10-05

文章信息/Info

作者:
张国玉1万会娜1郭盼盼1陈 玲1万 红2符 宇2燕树勋23
(1.河南中医药大学,河南 郑州 450008;2.河南中医药大学第一附属医院内分泌科二病区,河南 郑州 450004;3.国家中医药管理局湖北陈氏瘿病学术流派传承工作室河南工作站,河南 郑州 450004)
关键词:
桥本甲状腺炎致病因素发病机制
分类号:
R581.4
DOI:
10.7683/xxyxyxb.2020.10.019
文献标志码:
A
摘要:
桥本甲状腺炎是一种自身免疫性疾病,是原发性甲状腺功能减退症的首要原因,严重影响患者生活质量和健康。桥本甲状腺炎发病机制复杂,其发病与遗传、环境、感染、肥胖、自身免疫反应等多因素相关,涉及氧化应激、细胞凋亡、T淋巴细胞亚群功能失衡、肠道菌群失调等多方面,各种因素相互交叉促进,造成甲状腺组织不断被淋巴细胞与浆细胞浸润,表现为桥本甲状腺炎的发生和甲状腺功能的不断减退。目前尚无治愈及逆转桥本甲状腺炎的方法,因此,基于致病因素和发病机制探索其防治方法是今后研究的方向。本文就近年来桥本甲状腺炎致病因素、发病机制方面的研究作一综述,为桥本甲状腺炎防治和药物研发提供参考。

参考文献/References:

[1] 冯冰.高频超声在桥本甲状腺炎与甲状腺功能亢进症鉴别诊断中的价值[J].新乡医学院学报,2019,36(2):165-167,171.
[2] SHIN D H,BAEK I C,KIM H J,et al.HLA alleles,especially amino-acid signatures of HLA-DPB1,might contribute to the molecular pathogenesis of early-onset autoimmune thyroid disease[J].PLoS One,2019,14(5):e0216941.
[3] RAMGOPAL S,RATHIKA C,PADMA M R,et al.Interaction of HLA-DRB1* alleles and CTLA4 (+49 AG) gene polymorphism in autoimmune thyroid disease[J].Gene,2018,642:430-438.
[4] TOMARI S,WATANABE M,INOUE N,et al.The polymorphisms in the thyroid peroxidase gene were associated with the development of autoimmune thyroid disease and the serum levels of anti-thyroid peroxidase antibody[J].Endocr J,2017,64(10):1025-1032.
[5] BRCˇIC' L,BARIC' A,GRACˇAN S,et al.Genome-wide association analysis suggests novel loci for Hashimoto′s thyroiditis[J].J Endocrinol Invest,2019,42(5):567-576.
[6] CHENG C W,YANG S F,WANG Y H,et al.Associations of secreted phosphoprotein 1 and B lymphocyte kinase gene polymorphisms with autoimmune thyroid disease[J].Eur J Clin Invest,2019,49(3):e13065.
[7] SONG R H,LI Q,JIA X,et al.Polymorphisms of FAM167A-BLK region confer risk of autoimmune thyroid disease[J].DNA Cell Biol,2018,37(11):932-940.
[8] JABROCKA-HYBEL A,SKALNIAK A,PIATKOWSKI J,et al.How much of the predisposition to Hashimoto′s thyroiditis can be explained based on previously reported associations[J].J Endocrinol Invest,2018,41(12):1409-1416.
[9] BLIDDAL S,NIELSEN C H,FELDT-RASMUSSEN U.Recent advances in understanding autoimmune thyroid disease:the tallest tree in the forest of polyautoimmunity[J].F1000Res,2017,6:1776.
[10] SAHA A,MUKHERJEE S,BHATTACHARJEE A,et al.Excess iodine-induced lymphocytic impairment in adult rats[J].Toxicol Mech Methods,2019,29(2):110-118.
[11] SARANAC L,ZIVANOVIC S,BJELAKOVIC B,et al.Why is the thyroid so prone to autoimmune disease[J].Horm Res Paediatr,2011,75(3):157-165.
[12] LUO Y,KAWASHIMA A,ISHIDO Y,et al.Iodine excess as an environmental risk factor for autoimmune thyroid disease[J].Int J Mol Sci,2014,15(7):12895-12912.
[13] 毕文,聂春磊,张杰武.碘通过影响细胞自噬参与甲状腺炎发病机制的研究[J].国际免疫学杂志,2018,41(6):599-603.
[14] FAREBROTHER J,ZIMMERMANN M B,ANDERSSON M.Excess iodine intake:sources,assessment,and effects on thyroid function[J].Ann N Y Acad Sci,2019,1446(1):44-65.
[15] KRYSIAK R,KOWALCZE K,OKOPIEN' B.Selenomethionine potentiates the impact of vitamin D on thyroid autoimmunity in euthyroid women with Hashimoto′s thyroiditis and low vitamin D status[J].Pharmacol Rep,2019,71(2):367-373.
[16] KRYSIAK R,SZKRO'BKA W,OKOPIEN' B.The effect of vitamin D and selenomethionine on thyroid antibody titers,hypothalamic-pituitary-thyroid axis activity and thyroid function tests in men with Hashimoto′s thyroiditis:a pilot study[J].Pharmacol Rep,2019,71(2):243-247.
[17] GULERYUZ B,AKIN F,ATA M T,et al.Vitamin-D receptor (VDR) gene polymorphisms (TaqI,FokI) in Turkish patients with Hashimoto′s thyroiditis:relationship to the levels of vit-D and cytokines[J].Endocr Metab Immune Disord Drug Targets,2016,16(2):131-139.
[18] BOTELHO I M B,MOURA NETO A,SILVA C A,et al.Vitamin D in Hashimoto′s thyroiditis and its relationship with thyroid function and inflammatory status[J].Endocr J,2018,65(10):1029-1037.
[19] 朱昱.骨化三醇在桥本甲状腺炎甲状腺功能减退症患者中的应用[J].新乡医学院学报,2017,34(8):709-711,716.
[20] ZHANG Y,SHI L,ZHANG Q,et al.The association between cigarette smoking and serum thyroid stimulating hormone,thyroid peroxidase antibodies and thyroglobulin antibodies levels in Chinese residents:a cross-sectional study in 10 cities[J].PLoS One,2019,14(11):e0225435.
[21] 贾雪莹,巩丽,黄高昇,等.人细小病毒B19与自身免疫性疾病病因学相关性研究进展[J].细胞与分子免疫学杂志,2020,36(1):75-80.
[22] CHIURI R M,MATRONOLA M F,DI GIULIO C,et al.Bartonella henselae infection associated with autoimmune thyroiditis in a child[J].Horm Res Paediatr,2013,79:185-188.
[23] SIEGMANN E M,MLLER H H O,LUECKE C,et al.Association of depression and anxiety disorders with autoimmune thyroi-ditis:a systematic review and meta-analysis[J].JAMA Psy-chiatry,2018,75(6):577-584.
[24] WANG S,BAIDOO S E,LIU Y,et al.T cell-derived leptin contributes to increased frequency of T helper type 17 cells in female patients with Hashimoto′s thyroiditis[J].Clin Exp Immunol,2013,171(1):63-68.
[25] WU Y,LI J Q,YAN B,et al.Oral exposure to dibutyl phthalate exacerbates chronic lymphocytic thyroiditis through oxidative stress in female Wistar rats[J].Sci Rep,2017,7(1):15469.
[26] MIHALJEVIC O,ZIVANCEVIC-SIMONOVIC S,MILOSEVIC-DJORDJEVIC O,et al.Apoptosis and genome instability in children with autoimmune diseases[J].Mutagenesis,2018,33(5/6):351-357.
[27] ERDOGAN M,KULAKSIZOGLU M,GANIDAGLI S,et al.Fas/FasL gene polymorphism in patients with Hashimoto′s thyroiditis in Turkish population[J].J Endocrinol Invest,2017,40(1):77-82.
[28] LIU Y,CHEN H,ZHANG L,et al.The association between thyroid injury and apoptosis,and alterations of bax,bcl-2,and caspase-3 mRNA/protein expression induced by nickel sulfate in wistar rats[J].Biol Trace Elem Res,2020,195(1):159-168.
[29] LUTY J,RUCKEMANN-DZIURDZIN~SKA K,WITKOWSKI J M,et al.Immunological aspects of autoimmune thyroid disease- complex interplay between cells and cytokines[J].Cytokine,2019,116:128-133.
[30] LI Q,WANG B,MU K,et al.The pathogenesis of thyroid autoimmune diseases:new T lymphocytes-cytokines circuits beyond the Th1-Th2 paradigm[J].J Cell Physiol,2019,234(3):2204-2216.
[31] 张晓序,朱莉,孙莉,等.IFN-γ上调桥本甲状腺炎Fas表达介导甲状腺破坏[J].安徽医科大学学报,2017,52(6):806-809.
[32] CHENG C W,WU C Z,TANG K T,et al.Simultaneous measurement of twenty-nine circulating cytokines and growth factors in female patients with overt autoimmune thyroid diseases[J].Autoimmunity,2020,53(5):261-269
[33] CUI X,LIU Y,WANG S,et al.Circulating exosomes activate dendritic cells and induce unbalanced CD4+ T cell differentiation in Hashimoto thyroiditis[J].J Clin Endocrinol Metab,2019,104(10):4607-4618.
[34] KAGAWA T,WATANABE M,INOUE N,et al.Increases of microRNA let-7e in peripheral blood mononuclear cells in Hashimoto′s disease[J].Endocr J,2016,63(4):375-380.
[35] CHEN Z,WANG Y,DING X,et al.The proportion of peripheral blood Tregs among the CD4+ T cells of autoimmune thyroid disease patients:a meta-analysis[J].Endocr J,2020,67(3):317-326.
[36] ZHAO J,CHEN Y,ZHAO Q,et al.Increased circulating Tfh17 and PD-1+ Tfh cells are associated with autoantibodies in Hashimoto′s thyroiditis[J].Autoimmunity,2018,51(7):352-359.
[37] HORIE I,ABIRU N,SAKAMOTO H,et al.Induction of autoimmune thyroiditis by depletion of CD4+CD25+ regulatory T cells in thyroiditis-resistant IL-17,but not interferon-gamma receptor,knockout nonobese diabetic-H2h4 mice[J].Endocrinology,2011,152(11):4448-4454.
[38] YAMADA H,ITOH M,HIRATSUKA I,et al.Circulating micro-RNAs in autoimmune thyroid diseases[J].Clin Endocrinol (Oxf),2014,81(2):276-281.
[39] ZHAO L J,ZHOU X,SHAN X,et al.Differential expression levels of plasma microRNA in Hashimoto′s disease[J].Gene,2018,642:152-158.
[40] OTSU H,WATANABE M,INOUE N,et al.Intraindividual variation of microRNA expression levels in plasma and peripheral blood mononuclear cells and the associations of these levels with the pathogenesis of autoimmune thyroid diseases[J].Clin Chem Lab Med,2017,55(5):626-635.
[41] VIRILI C,CENTANNI M.Does microbiota composition affect thyroid homeostasis[J].Endocrine,2015,49(3):583-587.
[42] HUANG T T,LAI J B,DU Y L,et al.Current understanding of gut microbiota in mood disorders:an update of human studies[J].Front Genet,2019,10:98.
[43] RUIZ L,DELGADO S,RUAS-MADIEDO P,et al.Bifidobacteria and their molecular communication with the immune system[J].Front Microbiol,2017,8:2345.
[44] BENE K,VARGA Z,PETROV V O,et al.Gut microbiota species can provoke both inflammatory and tolerogenic immune responses in human dendritic cells mediated by retinoic acid receptor alpha ligation[J].Front Immunol,2017,8:427.
[45] ZHAO F Y,FENG J,LI J,et al.Alterations of the gut microbiota in Hashimoto′s thyroiditis patients[J].Thyroid,2018,28(2):175-186.
[46] BACH J F.The hygiene hypothesis in autoimmunity:the role of pathogens and commensals[J].Nat Rev Immunol,2018,18(2):105-120.

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[2]朱 昱.骨化三醇在桥本甲状腺炎甲状腺功能减退症患者中的应用[J].新乡医学院学报,2017,34(8):709.[doi:10.7683/xxyxyxb.2017.08.012]
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更新日期/Last Update: 2020-10-05