The Effect of Inflammation on the Formation of Thyroid Nodules

Background. Some studies have demonstrated that inflammation is highly associated with the prevalence of thyroid nodules (TNs). However, more confounders, such as metabolic diseases, should be adjusted. Methods. A clinical study collecting 2722 subjects was conducted to confirm the association betwe...

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Main Authors: Zexin Li, Yiteng Huang, Xiang Chen, Chiju Wei, Peixuan Yang, Wencan Xu
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2020/9827349
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author Zexin Li
Yiteng Huang
Xiang Chen
Chiju Wei
Peixuan Yang
Wencan Xu
author_facet Zexin Li
Yiteng Huang
Xiang Chen
Chiju Wei
Peixuan Yang
Wencan Xu
author_sort Zexin Li
collection DOAJ
description Background. Some studies have demonstrated that inflammation is highly associated with the prevalence of thyroid nodules (TNs). However, more confounders, such as metabolic diseases, should be adjusted. Methods. A clinical study collecting 2722 subjects was conducted to confirm the association between inflammation and TNs. The underlying mechanism was investigated in combination with bioinformatics analysis. Results. In the clinical study, propensity score matching was used to match metabolic parameters and other confounders, and it is observed that subjects with high inflammation had a higher prevalence of TNs and thyroid-stimulating hormone (TSH) than those with low inflammation. After further matching TNs, it is found that inflammation was positively associated with TSH, which was also demonstrated in a population without TNs. In bioinformatics study, inflammation did not promote TNs formation directly. Instead, it inhibited the synthesis of thyroid hormone, which might be the cause of the elevated TSH coexisting with inflammation. Conclusion. Inflammation promotes the development of TNs disease, probably due to its indirect effect through inhibiting the synthesis of thyroid hormone, which results in the elevation of TSH.
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series International Journal of Endocrinology
spelling doaj-art-280b81f84d464e7da2f92cc6e99df6b02025-02-03T06:46:41ZengWileyInternational Journal of Endocrinology1687-83371687-83452020-01-01202010.1155/2020/98273499827349The Effect of Inflammation on the Formation of Thyroid NodulesZexin Li0Yiteng Huang1Xiang Chen2Chiju Wei3Peixuan Yang4Wencan Xu5Health Care Center, The First Affiliated Hospital of Shantou University Medical College, Shantou 515041, ChinaHealth Care Center, The First Affiliated Hospital of Shantou University Medical College, Shantou 515041, ChinaHealth Care Center, The First Affiliated Hospital of Shantou University Medical College, Shantou 515041, ChinaMultidisciplinary Research Center, Shantou University, Shantou 515041, ChinaHealth Care Center, The First Affiliated Hospital of Shantou University Medical College, Shantou 515041, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Shantou University Medical College, Shantou 515041, ChinaBackground. Some studies have demonstrated that inflammation is highly associated with the prevalence of thyroid nodules (TNs). However, more confounders, such as metabolic diseases, should be adjusted. Methods. A clinical study collecting 2722 subjects was conducted to confirm the association between inflammation and TNs. The underlying mechanism was investigated in combination with bioinformatics analysis. Results. In the clinical study, propensity score matching was used to match metabolic parameters and other confounders, and it is observed that subjects with high inflammation had a higher prevalence of TNs and thyroid-stimulating hormone (TSH) than those with low inflammation. After further matching TNs, it is found that inflammation was positively associated with TSH, which was also demonstrated in a population without TNs. In bioinformatics study, inflammation did not promote TNs formation directly. Instead, it inhibited the synthesis of thyroid hormone, which might be the cause of the elevated TSH coexisting with inflammation. Conclusion. Inflammation promotes the development of TNs disease, probably due to its indirect effect through inhibiting the synthesis of thyroid hormone, which results in the elevation of TSH.http://dx.doi.org/10.1155/2020/9827349
spellingShingle Zexin Li
Yiteng Huang
Xiang Chen
Chiju Wei
Peixuan Yang
Wencan Xu
The Effect of Inflammation on the Formation of Thyroid Nodules
International Journal of Endocrinology
title The Effect of Inflammation on the Formation of Thyroid Nodules
title_full The Effect of Inflammation on the Formation of Thyroid Nodules
title_fullStr The Effect of Inflammation on the Formation of Thyroid Nodules
title_full_unstemmed The Effect of Inflammation on the Formation of Thyroid Nodules
title_short The Effect of Inflammation on the Formation of Thyroid Nodules
title_sort effect of inflammation on the formation of thyroid nodules
url http://dx.doi.org/10.1155/2020/9827349
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