The correlation between triiodothyronine and the severity of liver fibrosis
Abstract Background The severity of liver fibrosis is an important predictor of death in patients with non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus (T2DM). However, there is still no definite conclusion on the relationship between triiodothyronine (T3) and the severity of l...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Endocrine Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12902-022-01228-8 |
| _version_ | 1828162960511467520 |
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| author | Weiwei He Caoxin Huang Liying Wang Weijuan Su Shunhua Wang Peiying Huang Xiaofang Zhang Yinxiang Huang Yan Zhao Mingzhu Lin Xiulin Shi Xuejun Li |
| author_facet | Weiwei He Caoxin Huang Liying Wang Weijuan Su Shunhua Wang Peiying Huang Xiaofang Zhang Yinxiang Huang Yan Zhao Mingzhu Lin Xiulin Shi Xuejun Li |
| author_sort | Weiwei He |
| collection | DOAJ |
| description | Abstract Background The severity of liver fibrosis is an important predictor of death in patients with non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus (T2DM). However, there is still no definite conclusion on the relationship between triiodothyronine (T3) and the severity of liver fibrosis. Thus, the aim of this study was to analyze the correlation between T3 level and the severity of liver fibrosis. Methods We performed a cross-sectional study of 2072 T2DM patients with normal thyroid function from January 2017 to January 2020. NAFLD fibrosis score (NFS), Fibrosis index based on the 4 factors (FIB-4) and BARD score (BARD) were used to assess the severity of fibrosis in T2DM patients, and linear regression analyses were used to determine the factors independently associated with liver fibrosis. Further experiments were performed to assess the impact of low T3 on fibrosis progression in mice model and explore possible mechanisms. Results Free triiodothyronine (fT3) levels had significantly inverse correlations with NFS and FIB-4, and BARD in T2DM patients (P < 0.05). In multiple linear regression analyses, decreased fT3 level was an independent risk factor for the severity of liver fibrosis of T2DM patients (P < 0.01). Findings from in-vivo experiment using mice model proved that hypothyroidism mice had more severe of liver fibrosis than those mice with normal thyroid function. We also found that T3 could inhibit the profibrotic TREM2+CD9+ macrophage, which had been identified an important player in the progression of liver fibrosis. Conclusion The findings from this study proved an inverse correlation between T3 level and the severity of liver fibrosis, and lower fT3 level within the normal range was an independent risk factor for severe liver fibrosis. |
| first_indexed | 2024-04-12T01:02:52Z |
| format | Article |
| id | doaj.art-eb1541933d834ef687c2b7bdcb75f7f4 |
| institution | Directory Open Access Journal |
| issn | 1472-6823 |
| language | English |
| last_indexed | 2024-04-12T01:02:52Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Endocrine Disorders |
| spelling | doaj.art-eb1541933d834ef687c2b7bdcb75f7f42022-12-22T03:54:24ZengBMCBMC Endocrine Disorders1472-68232022-12-0122111310.1186/s12902-022-01228-8The correlation between triiodothyronine and the severity of liver fibrosisWeiwei He0Caoxin Huang1Liying Wang2Weijuan Su3Shunhua Wang4Peiying Huang5Xiaofang Zhang6Yinxiang Huang7Yan Zhao8Mingzhu Lin9Xiulin Shi10Xuejun Li11School of Medicine, Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityXiamen Diabetes Institute, The First Affiliated Hospital of Xiamen UniversityAbstract Background The severity of liver fibrosis is an important predictor of death in patients with non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus (T2DM). However, there is still no definite conclusion on the relationship between triiodothyronine (T3) and the severity of liver fibrosis. Thus, the aim of this study was to analyze the correlation between T3 level and the severity of liver fibrosis. Methods We performed a cross-sectional study of 2072 T2DM patients with normal thyroid function from January 2017 to January 2020. NAFLD fibrosis score (NFS), Fibrosis index based on the 4 factors (FIB-4) and BARD score (BARD) were used to assess the severity of fibrosis in T2DM patients, and linear regression analyses were used to determine the factors independently associated with liver fibrosis. Further experiments were performed to assess the impact of low T3 on fibrosis progression in mice model and explore possible mechanisms. Results Free triiodothyronine (fT3) levels had significantly inverse correlations with NFS and FIB-4, and BARD in T2DM patients (P < 0.05). In multiple linear regression analyses, decreased fT3 level was an independent risk factor for the severity of liver fibrosis of T2DM patients (P < 0.01). Findings from in-vivo experiment using mice model proved that hypothyroidism mice had more severe of liver fibrosis than those mice with normal thyroid function. We also found that T3 could inhibit the profibrotic TREM2+CD9+ macrophage, which had been identified an important player in the progression of liver fibrosis. Conclusion The findings from this study proved an inverse correlation between T3 level and the severity of liver fibrosis, and lower fT3 level within the normal range was an independent risk factor for severe liver fibrosis.https://doi.org/10.1186/s12902-022-01228-8Non-alcoholic fatty liver diseaseFibrosisType 2 diabetes mellitusFree triiodothyronine |
| spellingShingle | Weiwei He Caoxin Huang Liying Wang Weijuan Su Shunhua Wang Peiying Huang Xiaofang Zhang Yinxiang Huang Yan Zhao Mingzhu Lin Xiulin Shi Xuejun Li The correlation between triiodothyronine and the severity of liver fibrosis BMC Endocrine Disorders Non-alcoholic fatty liver disease Fibrosis Type 2 diabetes mellitus Free triiodothyronine |
| title | The correlation between triiodothyronine and the severity of liver fibrosis |
| title_full | The correlation between triiodothyronine and the severity of liver fibrosis |
| title_fullStr | The correlation between triiodothyronine and the severity of liver fibrosis |
| title_full_unstemmed | The correlation between triiodothyronine and the severity of liver fibrosis |
| title_short | The correlation between triiodothyronine and the severity of liver fibrosis |
| title_sort | correlation between triiodothyronine and the severity of liver fibrosis |
| topic | Non-alcoholic fatty liver disease Fibrosis Type 2 diabetes mellitus Free triiodothyronine |
| url | https://doi.org/10.1186/s12902-022-01228-8 |
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