The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid Disease

Introduction:Pregnancy is considered a low-grade inflammatory state presented with increased levels of pro-inflammatory markers. Despite the well-recognized association between inflammation and kidney injury, there is still a lack of available data concerning the role of thyroid hormone alterations...

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Main Authors: Emel Sağlam, Bennur Esen, Saadet Pilten, Vüsale Gözütok, Ahmet Engin Atay
Format: Article
Language:English
Published: Galenos Yayinevi 2022-05-01
Series:İstanbul Medical Journal
Subjects:
Online Access: http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/the-relationship-of-kidney-njury-molecule-1-and-nt/52041
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author Emel Sağlam
Bennur Esen
Saadet Pilten
Vüsale Gözütok
Ahmet Engin Atay
author_facet Emel Sağlam
Bennur Esen
Saadet Pilten
Vüsale Gözütok
Ahmet Engin Atay
author_sort Emel Sağlam
collection DOAJ
description Introduction:Pregnancy is considered a low-grade inflammatory state presented with increased levels of pro-inflammatory markers. Despite the well-recognized association between inflammation and kidney injury, there is still a lack of available data concerning the role of thyroid hormone alterations in inflammation and acute kidney injury (AKI). We examined the relationship of kidney injury molecule-1 (KIM-1) and interleukin-1 beta (IL-1β) with renal and hepatic injury in hypothyroid, normothyroid (euthyroid), or hyperthyroid pregnant women.Methods:A total of 77 pregnant women with no additional health problems were enrolled in the study. Serum KIM-1 and IL-1β levels were analyzed by ELISA.Results:There were significant differences between normothyroid, hyperthyroid, and hypothyroid pregnants regarding creatinine, aspartate aminotransferase (AST), free T4, anti-thyroglobulin (anti-TG), anti-thyroperoxidase (anti-TPO), and plateletcrit (PCT) levels (p=0.018, p=0.032, p=0.011, p=0.001, p=0.003, and p=0.016, respectively). The mean creatinine levels of the hypothyroid group were significantly higher than those of the hyperthyroid group (p=0.015). The mean AST and PCT levels of the hypothyroid group were considerably higher than those of the normothyroid group (p=0.024 and p=0.014, respectively). In the correlation analysis, age was the single parameter that was significantly correlated with KIM-1 and IL-1β in all pregnant women (p=-0.024 and p=-0.018, respectively). In the hypothyroid pregnant women group, KIM-1 was correlated with creatinine levels and age (p=0.037 and p=0.022, respectively).Conclusion:KIM-1 level in pregnant women with hypothyroidism can serve as a useful biomarker to show AKI.
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spelling doaj.art-1caec138ad444c609c5c125fb6396a322023-02-15T16:13:55ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2022-05-01232858910.4274/imj.galenos.2022.4754213049054The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid DiseaseEmel Sağlam0Bennur Esen1Saadet Pilten2Vüsale Gözütok3Ahmet Engin Atay4 University of Health Sciences Turkey, Bağcılar Training and Research Hospital, Clinic of Internal Medicine, İstanbul, Turkey Acıbadem Mehmet Ali Aydınlar University Hospital, Clinic of Nephrology and Internal Medicine, İstanbul, Turkey University of Health Sciences Turkey, Bağcılar Training and Research Hospital, Clinic of Biochemistry, İstanbul, Turkey University of Health Sciences Turkey, Bağcılar Training and Research Hospital, Clinic of Family Medicine, İstanbul, Turkey University of Health Sciences Turkey, Bağcılar Training and Research Hospital, Clinic of Internal Medicine, İstanbul, Turkey Introduction:Pregnancy is considered a low-grade inflammatory state presented with increased levels of pro-inflammatory markers. Despite the well-recognized association between inflammation and kidney injury, there is still a lack of available data concerning the role of thyroid hormone alterations in inflammation and acute kidney injury (AKI). We examined the relationship of kidney injury molecule-1 (KIM-1) and interleukin-1 beta (IL-1β) with renal and hepatic injury in hypothyroid, normothyroid (euthyroid), or hyperthyroid pregnant women.Methods:A total of 77 pregnant women with no additional health problems were enrolled in the study. Serum KIM-1 and IL-1β levels were analyzed by ELISA.Results:There were significant differences between normothyroid, hyperthyroid, and hypothyroid pregnants regarding creatinine, aspartate aminotransferase (AST), free T4, anti-thyroglobulin (anti-TG), anti-thyroperoxidase (anti-TPO), and plateletcrit (PCT) levels (p=0.018, p=0.032, p=0.011, p=0.001, p=0.003, and p=0.016, respectively). The mean creatinine levels of the hypothyroid group were significantly higher than those of the hyperthyroid group (p=0.015). The mean AST and PCT levels of the hypothyroid group were considerably higher than those of the normothyroid group (p=0.024 and p=0.014, respectively). In the correlation analysis, age was the single parameter that was significantly correlated with KIM-1 and IL-1β in all pregnant women (p=-0.024 and p=-0.018, respectively). In the hypothyroid pregnant women group, KIM-1 was correlated with creatinine levels and age (p=0.037 and p=0.022, respectively).Conclusion:KIM-1 level in pregnant women with hypothyroidism can serve as a useful biomarker to show AKI. http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/the-relationship-of-kidney-njury-molecule-1-and-nt/52041 interleukinskidney injury molecule-1pregnancythyroid dysfunction
spellingShingle Emel Sağlam
Bennur Esen
Saadet Pilten
Vüsale Gözütok
Ahmet Engin Atay
The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid Disease
İstanbul Medical Journal
interleukins
kidney injury molecule-1
pregnancy
thyroid dysfunction
title The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid Disease
title_full The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid Disease
title_fullStr The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid Disease
title_full_unstemmed The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid Disease
title_short The Relationship of Kidney Injury Molecule-1 and Interleukin-1 Beta with Hepatic and Renal Functions in Pregnant Women with Thyroid Disease
title_sort relationship of kidney injury molecule 1 and interleukin 1 beta with hepatic and renal functions in pregnant women with thyroid disease
topic interleukins
kidney injury molecule-1
pregnancy
thyroid dysfunction
url http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/the-relationship-of-kidney-njury-molecule-1-and-nt/52041
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