Iron: Not Just a Passive Bystander in AITD

Autoimmune thyroid disease (AITD) is the most prevalent autoimmune disease all over the world and the most frequent cause of hypothyroidism in areas of iodine sufficiency. The pathogenesis of AITD is multifactorial and depends on complex interactions between genetic and environmental factors, with e...

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Main Authors: Michał Szklarz, Katarzyna Gontarz-Nowak, Wojciech Matuszewski, Elżbieta Bandurska-Stankiewicz
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/21/4682
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author Michał Szklarz
Katarzyna Gontarz-Nowak
Wojciech Matuszewski
Elżbieta Bandurska-Stankiewicz
author_facet Michał Szklarz
Katarzyna Gontarz-Nowak
Wojciech Matuszewski
Elżbieta Bandurska-Stankiewicz
author_sort Michał Szklarz
collection DOAJ
description Autoimmune thyroid disease (AITD) is the most prevalent autoimmune disease all over the world and the most frequent cause of hypothyroidism in areas of iodine sufficiency. The pathogenesis of AITD is multifactorial and depends on complex interactions between genetic and environmental factors, with epigenetics being the crucial link. Iron deficiency (ID) can reduce the activities of thyroid peroxidase and 5′-deiodinase, inhibit binding of triiodothyronine to its nuclear receptor, and cause slower utilization of T3 from the serum pool. Moreover, ID can disturb the functioning of the immune system, increasing the risk of autoimmune disorders. ID can be responsible for residual symptoms that may persist in patients with AITD, even if their thyrometabolic status has been controlled. The human lifestyle in the 21st century is inevitably associated with exposure to chemical compounds, pathogens, and stress, which implies an increased risk of autoimmune disorders and thyroid dysfunction. To summarize, in our paper we discuss how iron deficiency can impair the functions of the immune system, cause epigenetic changes in human DNA, and potentiate tissue damage by chemicals acting as thyroid disruptors.
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spelling doaj.art-57a870f6385d4d248d4883c5873c3cb52023-11-24T06:15:34ZengMDPI AGNutrients2072-66432022-11-011421468210.3390/nu14214682Iron: Not Just a Passive Bystander in AITDMichał Szklarz0Katarzyna Gontarz-Nowak1Wojciech Matuszewski2Elżbieta Bandurska-Stankiewicz3Clinic of Endocrinology, Diabetology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, 10-957 Olsztyn, PolandClinic of Endocrinology, Diabetology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, 10-957 Olsztyn, PolandClinic of Endocrinology, Diabetology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, 10-957 Olsztyn, PolandClinic of Endocrinology, Diabetology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, 10-957 Olsztyn, PolandAutoimmune thyroid disease (AITD) is the most prevalent autoimmune disease all over the world and the most frequent cause of hypothyroidism in areas of iodine sufficiency. The pathogenesis of AITD is multifactorial and depends on complex interactions between genetic and environmental factors, with epigenetics being the crucial link. Iron deficiency (ID) can reduce the activities of thyroid peroxidase and 5′-deiodinase, inhibit binding of triiodothyronine to its nuclear receptor, and cause slower utilization of T3 from the serum pool. Moreover, ID can disturb the functioning of the immune system, increasing the risk of autoimmune disorders. ID can be responsible for residual symptoms that may persist in patients with AITD, even if their thyrometabolic status has been controlled. The human lifestyle in the 21st century is inevitably associated with exposure to chemical compounds, pathogens, and stress, which implies an increased risk of autoimmune disorders and thyroid dysfunction. To summarize, in our paper we discuss how iron deficiency can impair the functions of the immune system, cause epigenetic changes in human DNA, and potentiate tissue damage by chemicals acting as thyroid disruptors.https://www.mdpi.com/2072-6643/14/21/4682AITDthyroidiron deficiency
spellingShingle Michał Szklarz
Katarzyna Gontarz-Nowak
Wojciech Matuszewski
Elżbieta Bandurska-Stankiewicz
Iron: Not Just a Passive Bystander in AITD
Nutrients
AITD
thyroid
iron deficiency
title Iron: Not Just a Passive Bystander in AITD
title_full Iron: Not Just a Passive Bystander in AITD
title_fullStr Iron: Not Just a Passive Bystander in AITD
title_full_unstemmed Iron: Not Just a Passive Bystander in AITD
title_short Iron: Not Just a Passive Bystander in AITD
title_sort iron not just a passive bystander in aitd
topic AITD
thyroid
iron deficiency
url https://www.mdpi.com/2072-6643/14/21/4682
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