Objective: To assess the relationship between thyroid function and renal injury in Patients with Hashimoto's Thyroiditis. Method: To select 156 diagnosed HT patients as the research object, according to whether there is renal injury, they were divided into renal injury group with 21 cases and non-renal injury group with 135 cases. According to the thyroid function, they were divided into HT hyperthyroidism group (Group A) with 19 cases, normal HT thyroid function group (Group B) with 37 cases, HT subclinical hypothyroidism group (Group C) with 61 cases, and HT hypothyroidism group (Group D) with 39 cases. Besides, 40 cases of healthy check-up people are selected as the control group. ECLIA is adopted to test the thyroid function index of each group, Serum cystatin C and 24-hour urinary microalbumin were measured by immunoturbidimetry, serum creatinine was measured by creatine oxidase method, and the endogenous creatinine clearance rate was calculated. Result: TSH, TPOAb and TGAb in renal injury group were distinctly higher than those in non-renal injury group, while FT3 and FT4 were distinctly lower than those in non-renal injury group; Comparison of serum creatinine in Hashimoto groups, Group D is significantly higher than other groups, Group C is obviously higher than Group A, Group B, and the control group, Group B is obviously higher than Group A, Group A is significantly lower than other groups; Comparison of cystatin C and creatinine clearance of each group, Group D is significantly lower than other groups, Group C is obviously lower than Group A, Group B, and the control group, Group B is obviously lower than Group A, Group A is significantly higher than other groups; Comparison of 24-hour urinary microalbumin of each group, Group D is significantly higher than other groups, Group C is obviously higher than Group A, Group B, and the control group, and the differences have statistic significance (P<0.05). The correlation analysis shows that FT3, FT4 are in negative correlation with serum creatinine and in positive correlation with cystatin C and creatinine clearance; TSH, TPOAb, TGAb is in positive correlation with 24-hour urinary microalbumin. Conclusion: There are obvious differences in renal function indexes of HT patients with different thyroid function states, which may be related to the effect of thyroid hormones and autoantibodies.
Published in | Science Journal of Public Health (Volume 9, Issue 3) |
DOI | 10.11648/j.sjph.20210903.16 |
Page(s) | 98-102 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Hashimoto's Thyroiditis, Thyroid Function, Renal Injury
[1] | Liao eryuan, YUAN Lingqing. Endocrinology and metabolism [M]. 4th Edition. Beijing: People's Medical Publishing House, 2019: 428. |
[2] | Zhao Lian. The level of inflammatory marker in the serum of patients with Hashimoto thyroiditis [D]. [Master's thesis]. Suzhou: Suzhou University, 2017: 1. |
[3] | Amato AA, Santos GM, NevesFde A. Thyroid hormone action in chronic kidney disease [J]. CurrOpin Endocrinol Diabetes Obes, 2008, 15 (5): 459-465. |
[4] | Wei Xiaoqing. Clinical Analysis on Hypothyroidism and Renal Damage [D]. [Master's thesis]. Wuhu: Wan Nan Medical College, 2016: 1. |
[5] | Gabalec F, Srbova L, Nova M, et al. Impact of Hashimoto's thyroiditis, TSH levels, and anti-thyroid antibody positivity on differentiated thyroid carcinoma incidence [J]. Endokrynol Pol, 2016, 67 (1): 48-53. |
[6] | GeJunbo, XuYongjian. Internal Medicine [M]. 8th Edition. Beijing: People's Medical Publishing House, 2013: 698. |
[7] | Dai Rongqin, Liu Yuzhi, Wang Fengling, et al. The incidence of hashimoto's thyroiditis in medical examination population in Huanghua City, Hebei Province [J]. Chinese Journal of Endemiology, 2019, 38 (2): 140-143. |
[8] | Wang Jianzhong, Zhang Man. Laboratory Diagnostics [M]. 8th Edition. Beijing: Peking University Medical Press, 2019: 356. |
[9] | Quesada A, Sainz J, Wangensteen R, et al. Nitric oxide synthase activity in hyperthyroid and hypo-thyroid rats [J]. Eur J Endocrinol, 2002, 147 (1): 117-122. |
[10] | Gunqor O, Kircelli F, Voroneanu L, et al. Hormones and arterial stiffness in patients with chronic kidney disease [J]. J Atheroscler Thromb, 2013, 20 (9): 698-707. |
[11] | Bulur O, Dal K, Ertugrul DT, et al. Renal function improves with the treatment of hypothyroidism [J]. Endocr Res, 2017, 42 (3): 246 251. |
[12] | Zhang Ke, Tong Shutao, Zhang Detai. Correlation between serum thyroid hormones and Cr and Cys C in patients with initial thyroid dysfunction [J]. Laboratory Medicine, 2020, 35 (7): 691-694. |
[13] | Schmid C, Ghirlanda-Keller C, Zwimpfer C, et al. Triiodothyronine stimulates cystatin C production in bone cells [J]. Biochem Biophys Res Commun, 2012, 419 (2): 425-430. |
[14] | Wei Xiaoqing, Wang Hong, Qian Guangrong, et al. Correlation between serum thyroid patients with type 2 hormone levels and renal damage in diabetic nephropathy [J]. Medical Journal of West China, 2019, 31 (5): 774-777, 781. |
[15] | Briet C, Suteau Courant V, Munier M, et al. Thyrotropin receptor, still much to be learned from the patients [J]. Best Pract Res Clin Endocrinol Metab, 2018, 32 (2): 155 164. |
[16] | Yang Sijue, Kang Jian, Guan Haixia. Research progress in the influence of thyroid dysfunction on chronic kidney disease [J]. Chinese Journal of Internal Medicine, 2021, 60 (1): 80-83. |
[17] | Das G, Taylor PN, Abusahmin H, et al. Relationship between serum thyrotropin and urine albumin excretion in euthyroid subjects with diabetes [J]. Ann Clin Biochem, 2019, 56 (1): 155 162. |
[18] | Li Di, Li Yan, PengRui. Study of renal damage associated with Graves disease [J]. Laboratory Medicine and Clinic, 2017, 14 (10): 1397-1398, 1401. |
[19] | Rongqin Dai, Yuzhi Liu, Jinbiao Zhang. The Research on the Correlation of Thyroid Function and Serum Immunological Indexes in Patients with Hashimoto's Thyroiditis [J]. American Journal of Life Sciences, 2020, 8 (2): 19-22. |
APA Style
Rongqin Dai, Qian Xu, Yang Chen, Ying Li, Chao Shen Zhang, et al. (2021). Research on Renal Injury in Hashimoto's Thyroiditis Patients with Different Thyroid Function. Science Journal of Public Health, 9(3), 98-102. https://doi.org/10.11648/j.sjph.20210903.16
ACS Style
Rongqin Dai; Qian Xu; Yang Chen; Ying Li; Chao Shen Zhang, et al. Research on Renal Injury in Hashimoto's Thyroiditis Patients with Different Thyroid Function. Sci. J. Public Health 2021, 9(3), 98-102. doi: 10.11648/j.sjph.20210903.16
AMA Style
Rongqin Dai, Qian Xu, Yang Chen, Ying Li, Chao Shen Zhang, et al. Research on Renal Injury in Hashimoto's Thyroiditis Patients with Different Thyroid Function. Sci J Public Health. 2021;9(3):98-102. doi: 10.11648/j.sjph.20210903.16
@article{10.11648/j.sjph.20210903.16, author = {Rongqin Dai and Qian Xu and Yang Chen and Ying Li and Chao Shen Zhang and Jinbiao Zhang}, title = {Research on Renal Injury in Hashimoto's Thyroiditis Patients with Different Thyroid Function}, journal = {Science Journal of Public Health}, volume = {9}, number = {3}, pages = {98-102}, doi = {10.11648/j.sjph.20210903.16}, url = {https://doi.org/10.11648/j.sjph.20210903.16}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20210903.16}, abstract = {Objective: To assess the relationship between thyroid function and renal injury in Patients with Hashimoto's Thyroiditis. Method: To select 156 diagnosed HT patients as the research object, according to whether there is renal injury, they were divided into renal injury group with 21 cases and non-renal injury group with 135 cases. According to the thyroid function, they were divided into HT hyperthyroidism group (Group A) with 19 cases, normal HT thyroid function group (Group B) with 37 cases, HT subclinical hypothyroidism group (Group C) with 61 cases, and HT hypothyroidism group (Group D) with 39 cases. Besides, 40 cases of healthy check-up people are selected as the control group. ECLIA is adopted to test the thyroid function index of each group, Serum cystatin C and 24-hour urinary microalbumin were measured by immunoturbidimetry, serum creatinine was measured by creatine oxidase method, and the endogenous creatinine clearance rate was calculated. Result: TSH, TPOAb and TGAb in renal injury group were distinctly higher than those in non-renal injury group, while FT3 and FT4 were distinctly lower than those in non-renal injury group; Comparison of serum creatinine in Hashimoto groups, Group D is significantly higher than other groups, Group C is obviously higher than Group A, Group B, and the control group, Group B is obviously higher than Group A, Group A is significantly lower than other groups; Comparison of cystatin C and creatinine clearance of each group, Group D is significantly lower than other groups, Group C is obviously lower than Group A, Group B, and the control group, Group B is obviously lower than Group A, Group A is significantly higher than other groups; Comparison of 24-hour urinary microalbumin of each group, Group D is significantly higher than other groups, Group C is obviously higher than Group A, Group B, and the control group, and the differences have statistic significance (P<0.05). The correlation analysis shows that FT3, FT4 are in negative correlation with serum creatinine and in positive correlation with cystatin C and creatinine clearance; TSH, TPOAb, TGAb is in positive correlation with 24-hour urinary microalbumin. Conclusion: There are obvious differences in renal function indexes of HT patients with different thyroid function states, which may be related to the effect of thyroid hormones and autoantibodies.}, year = {2021} }
TY - JOUR T1 - Research on Renal Injury in Hashimoto's Thyroiditis Patients with Different Thyroid Function AU - Rongqin Dai AU - Qian Xu AU - Yang Chen AU - Ying Li AU - Chao Shen Zhang AU - Jinbiao Zhang Y1 - 2021/05/24 PY - 2021 N1 - https://doi.org/10.11648/j.sjph.20210903.16 DO - 10.11648/j.sjph.20210903.16 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 98 EP - 102 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20210903.16 AB - Objective: To assess the relationship between thyroid function and renal injury in Patients with Hashimoto's Thyroiditis. Method: To select 156 diagnosed HT patients as the research object, according to whether there is renal injury, they were divided into renal injury group with 21 cases and non-renal injury group with 135 cases. According to the thyroid function, they were divided into HT hyperthyroidism group (Group A) with 19 cases, normal HT thyroid function group (Group B) with 37 cases, HT subclinical hypothyroidism group (Group C) with 61 cases, and HT hypothyroidism group (Group D) with 39 cases. Besides, 40 cases of healthy check-up people are selected as the control group. ECLIA is adopted to test the thyroid function index of each group, Serum cystatin C and 24-hour urinary microalbumin were measured by immunoturbidimetry, serum creatinine was measured by creatine oxidase method, and the endogenous creatinine clearance rate was calculated. Result: TSH, TPOAb and TGAb in renal injury group were distinctly higher than those in non-renal injury group, while FT3 and FT4 were distinctly lower than those in non-renal injury group; Comparison of serum creatinine in Hashimoto groups, Group D is significantly higher than other groups, Group C is obviously higher than Group A, Group B, and the control group, Group B is obviously higher than Group A, Group A is significantly lower than other groups; Comparison of cystatin C and creatinine clearance of each group, Group D is significantly lower than other groups, Group C is obviously lower than Group A, Group B, and the control group, Group B is obviously lower than Group A, Group A is significantly higher than other groups; Comparison of 24-hour urinary microalbumin of each group, Group D is significantly higher than other groups, Group C is obviously higher than Group A, Group B, and the control group, and the differences have statistic significance (P<0.05). The correlation analysis shows that FT3, FT4 are in negative correlation with serum creatinine and in positive correlation with cystatin C and creatinine clearance; TSH, TPOAb, TGAb is in positive correlation with 24-hour urinary microalbumin. Conclusion: There are obvious differences in renal function indexes of HT patients with different thyroid function states, which may be related to the effect of thyroid hormones and autoantibodies. VL - 9 IS - 3 ER -