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Erschienen in: Endocrine 2/2014

01.11.2014 | Original Article

Sustained high levels of serum leptin rather than IL-6 observed in patients with postpartum thyroiditis during their first postpartum year

verfasst von: Huiling Guo, Xiu Liu, Chenyang Li, Yushu Li, Miao Sang, Zhongyan Shan, Weiping Teng, Haixia Guan

Erschienen in: Endocrine | Ausgabe 2/2014

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Abstract

The purpose of the study is to explore the roles of leptin and interleukin-6 (IL-6) during the first postpartum year in the occurrence and development of postpartum thyroiditis (PPT). We retrospectively collected serum samples from 57 PPT patients consisting of 34 overt PPT (O-PPT) and 23 subclinical PPT (S-PPT) in addition to 37 healthy postpartum women at four postpartum time points, i.e., 3-day and 3, 6, 12-month postpartum. Serum leptin and IL-6 levels were measured by radioimmunoassay and ELISA assay, respectively. Leptin level and leptin/BMI (LEP/BMI) ratio were higher in PPT patients than in control during the first postpartum year, but were not significantly different between O-PPT and S-PPT. However, a similar trend but did not reach significant difference in IL-6 level was observed during the postpartum period in PPT patients and control women. We conclude that a sustained high level of serum leptin after delivery may be involved in the pathogenesis of PPT. IL-6 does not contribute to the development of PPT.
Literatur
1.
Zurück zum Zitat N. Amino, H. Mori, Y. Iwatani, O. Tanizawa, M. Kawashima, I. Tsuge, K. Ibaragi, Y. Kumahara, K. Miyai, High prevalence of transient post-partum thyrotoxicosis and hypothyroidism. N. Engl. J. Med. 306, 849–852 (1982)PubMedCrossRef N. Amino, H. Mori, Y. Iwatani, O. Tanizawa, M. Kawashima, I. Tsuge, K. Ibaragi, Y. Kumahara, K. Miyai, High prevalence of transient post-partum thyrotoxicosis and hypothyroidism. N. Engl. J. Med. 306, 849–852 (1982)PubMedCrossRef
2.
Zurück zum Zitat A. Stagnaro-Green, Postpartum thyroiditis. Best Pract. Res. Clin. Endocrinol. Metab. 18, 303–316 (2004)PubMedCrossRef A. Stagnaro-Green, Postpartum thyroiditis. Best Pract. Res. Clin. Endocrinol. Metab. 18, 303–316 (2004)PubMedCrossRef
3.
Zurück zum Zitat A.F. Muller, H.A. Drexhage, A. Berghout, Postpartum thyroiditis and autoimmune thyroiditis in women of 1119 childbearing age: recent insights and consequences for antenatal and postnatal care. Endocr. Rev. 22, 605–630 (2001)PubMedCrossRef A.F. Muller, H.A. Drexhage, A. Berghout, Postpartum thyroiditis and autoimmune thyroiditis in women of 1119 childbearing age: recent insights and consequences for antenatal and postnatal care. Endocr. Rev. 22, 605–630 (2001)PubMedCrossRef
4.
Zurück zum Zitat H. Guan, C. Li, Y. Li, C. Fan, Y. Teng, Z. Shan, W. Teng, High iodine intake is a risk factor of post-partum thyroiditis: result of a survey from Shenyang, China. J. Endocrinol. Invest. 28, 876–881 (2005)PubMedCrossRef H. Guan, C. Li, Y. Li, C. Fan, Y. Teng, Z. Shan, W. Teng, High iodine intake is a risk factor of post-partum thyroiditis: result of a survey from Shenyang, China. J. Endocrinol. Invest. 28, 876–881 (2005)PubMedCrossRef
5.
Zurück zum Zitat J.L. Kuijpens, M. De Hann-Meulman, H.L. Vader, V.J. Pop, W.M. Wiersinga, H.A. Drexhage, Cell-mediated immunity and postpartum thyroid dysfunction: a possibility for the prediction of disease? J. Clin. Endocrinol. Metab. 83, 1959–1966 (1998)PubMed J.L. Kuijpens, M. De Hann-Meulman, H.L. Vader, V.J. Pop, W.M. Wiersinga, H.A. Drexhage, Cell-mediated immunity and postpartum thyroid dysfunction: a possibility for the prediction of disease? J. Clin. Endocrinol. Metab. 83, 1959–1966 (1998)PubMed
6.
Zurück zum Zitat A. Stagnaro-Green, S.H. Roman, R.H. Cobin, el-Harazy E, Wallenstein S, Davies TF: a prospective study of lymphocyte-initiated immunosuppression in normal pregnancy: evidence of a T-cell etiology for postpartum thyroid dysfunction. J. Clin. Endocrinol. Metab. 74, 645–653 (1992)PubMed A. Stagnaro-Green, S.H. Roman, R.H. Cobin, el-Harazy E, Wallenstein S, Davies TF: a prospective study of lymphocyte-initiated immunosuppression in normal pregnancy: evidence of a T-cell etiology for postpartum thyroid dysfunction. J. Clin. Endocrinol. Metab. 74, 645–653 (1992)PubMed
7.
Zurück zum Zitat Y. Zhang, R. Proenca, M. Maffei, M. Barone, L. Leopold, J.M. Friedman, Positional cloning of the mouse obese gene and its human homologue. Nature 372, 425–432 (1994)PubMedCrossRef Y. Zhang, R. Proenca, M. Maffei, M. Barone, L. Leopold, J.M. Friedman, Positional cloning of the mouse obese gene and its human homologue. Nature 372, 425–432 (1994)PubMedCrossRef
8.
Zurück zum Zitat F. Zhang, M.B. Basinski, J.M. Beals, S.L. Briggs, L.M. Churgay, D.K. Clawson, R.D. DiMarchi, T.C. Furman, J.E. Hale, H.M. Hsiung, B.E. Schoner, D.P. Smith, X.Y. Zhang, J.P. Wery, R.W. Schevitz, Crystal structure of the obese protein leptin-E 100. Nature 387, 206–209 (1997)PubMedCrossRef F. Zhang, M.B. Basinski, J.M. Beals, S.L. Briggs, L.M. Churgay, D.K. Clawson, R.D. DiMarchi, T.C. Furman, J.E. Hale, H.M. Hsiung, B.E. Schoner, D.P. Smith, X.Y. Zhang, J.P. Wery, R.W. Schevitz, Crystal structure of the obese protein leptin-E 100. Nature 387, 206–209 (1997)PubMedCrossRef
9.
Zurück zum Zitat C.S. Mantzoros, S.J. Moschos, Leptin: in search of role(s) in human physiology and pathophysiology. Clin. Endocrinol. (Oxf). 49, 551–567 (1998)PubMedCrossRef C.S. Mantzoros, S.J. Moschos, Leptin: in search of role(s) in human physiology and pathophysiology. Clin. Endocrinol. (Oxf). 49, 551–567 (1998)PubMedCrossRef
10.
Zurück zum Zitat G.M. Lord, G. Matarese, J.K. Howard, R.J. Baker, S.R. Bloom, R.I. Lechler, Leptin modulates the T-cell immune responses and reverses starvation-induced immunosuppression. Nature 394, 897–901 (1998)PubMedCrossRef G.M. Lord, G. Matarese, J.K. Howard, R.J. Baker, S.R. Bloom, R.I. Lechler, Leptin modulates the T-cell immune responses and reverses starvation-induced immunosuppression. Nature 394, 897–901 (1998)PubMedCrossRef
11.
Zurück zum Zitat S. Barbosa Vde, J. Rêgo, N. Antônio da Silva, Possible role of adipokines in systemic lupus erythematosus and rheumatoid arthritis. Rev. Bras. Reumatol. 52, 271–287 (2012) S. Barbosa Vde, J. Rêgo, N. Antônio da Silva, Possible role of adipokines in systemic lupus erythematosus and rheumatoid arthritis. Rev. Bras. Reumatol. 52, 271–287 (2012)
12.
Zurück zum Zitat A.P. Weetman, R. Bright-Thomas, M. Freeman, Regulation of interleukin-6 release by human thyrocytes. J. Endocrinol. 127, 357–361 (1990)PubMedCrossRef A.P. Weetman, R. Bright-Thomas, M. Freeman, Regulation of interleukin-6 release by human thyrocytes. J. Endocrinol. 127, 357–361 (1990)PubMedCrossRef
13.
Zurück zum Zitat L. Bartalena, S. Brogioni, L. Grasso, E. Martino, Increased serum interleukin-6 concentration in patients with subacute thyroiditis: relationship with concomitant changes in serum T4-binding globulin concentration. J. Endocrinol. Invest. 16, 213–218 (1993)PubMedCrossRef L. Bartalena, S. Brogioni, L. Grasso, E. Martino, Increased serum interleukin-6 concentration in patients with subacute thyroiditis: relationship with concomitant changes in serum T4-binding globulin concentration. J. Endocrinol. Invest. 16, 213–218 (1993)PubMedCrossRef
14.
Zurück zum Zitat L. Bartalena, L. Grasso, S. Brogioni, F. Aghini-lombardi, L.E. Braverman, E. Martino, Serum interleukin-6 in amiodarone-induced thyrotoxicosis. J. Clin. Endocrinol. Metab. 78, 423–427 (1994)PubMed L. Bartalena, L. Grasso, S. Brogioni, F. Aghini-lombardi, L.E. Braverman, E. Martino, Serum interleukin-6 in amiodarone-induced thyrotoxicosis. J. Clin. Endocrinol. Metab. 78, 423–427 (1994)PubMed
15.
Zurück zum Zitat M. Salvi, G. Girasole, M. Pedrazzoni, M. Passeri, N. Giuliani, R. Minelli, Increased serum concentrations of Interleukin-6 (IL-6) and soluble IL-6 receptor in patients with Graves’ disease. J. Clin. Endocrinol. Metab. 81, 2976–2979 (1996)PubMed M. Salvi, G. Girasole, M. Pedrazzoni, M. Passeri, N. Giuliani, R. Minelli, Increased serum concentrations of Interleukin-6 (IL-6) and soluble IL-6 receptor in patients with Graves’ disease. J. Clin. Endocrinol. Metab. 81, 2976–2979 (1996)PubMed
16.
Zurück zum Zitat I. Celik, S. Akalin, T. Erbas, Serum levels of interleukin 6 and tumor necrosis factor-a in hyperthyroid patients before and after propylthiouracil treatment. Eur. J. Endocrinol. 132, 668–672 (1995)PubMedCrossRef I. Celik, S. Akalin, T. Erbas, Serum levels of interleukin 6 and tumor necrosis factor-a in hyperthyroid patients before and after propylthiouracil treatment. Eur. J. Endocrinol. 132, 668–672 (1995)PubMedCrossRef
17.
Zurück zum Zitat D. Teng, C. Li, Y. Teng, Y. Ouyang, Y. Li, W. Teng, Dynamic changes of IgG subtypes of thyroid peroxidase antibody in patients with postpartum thyroiditis. Gynecol. Obstet. Invest. 69, 24–29 (2010)PubMedCrossRef D. Teng, C. Li, Y. Teng, Y. Ouyang, Y. Li, W. Teng, Dynamic changes of IgG subtypes of thyroid peroxidase antibody in patients with postpartum thyroiditis. Gynecol. Obstet. Invest. 69, 24–29 (2010)PubMedCrossRef
18.
Zurück zum Zitat X. Shi, C. Li, Y. Li, H. Guan, C. Fan, Y. Teng, Y. Ouyang, Z. Shan, W. Teng, Circulating lymphocyte subsets and regulatory T cells in patients with postpartum thyroiditis during the first postpartum year. Clin. Exp. Med. 9, 263–267 (2009)PubMedCrossRef X. Shi, C. Li, Y. Li, H. Guan, C. Fan, Y. Teng, Y. Ouyang, Z. Shan, W. Teng, Circulating lymphocyte subsets and regulatory T cells in patients with postpartum thyroiditis during the first postpartum year. Clin. Exp. Med. 9, 263–267 (2009)PubMedCrossRef
19.
Zurück zum Zitat L. Siemińska, C. Wojciechowska, B. Kos-Kudła, B. Marek, D. Kajdaniuk, M. Nowak, J. Głogowska-Szelag, W. Foltyn, J. Strzelczyk, Serum concentrations of leptin, adiponectin, and interleukin-6 in postmenopausal women with Hashimoto’s thyroiditis. Endokrynol. Pol. 61, 112–116 (2010)PubMed L. Siemińska, C. Wojciechowska, B. Kos-Kudła, B. Marek, D. Kajdaniuk, M. Nowak, J. Głogowska-Szelag, W. Foltyn, J. Strzelczyk, Serum concentrations of leptin, adiponectin, and interleukin-6 in postmenopausal women with Hashimoto’s thyroiditis. Endokrynol. Pol. 61, 112–116 (2010)PubMed
20.
Zurück zum Zitat P.F. Teixeira, M.D. Cabral, N.A. Silva, D.V. Soares, V.B. Braulio, A.P. Couto, J.L. Henriques, A.J. Costa, A. Buescu, M. Vaisman, Serum leptin in overt and subclinical hypothyroidism: effect of levothyroxine treatment and relationship to menopausal status and body composition. Thyroid. 19, 443–450 (2009)PubMedCrossRef P.F. Teixeira, M.D. Cabral, N.A. Silva, D.V. Soares, V.B. Braulio, A.P. Couto, J.L. Henriques, A.J. Costa, A. Buescu, M. Vaisman, Serum leptin in overt and subclinical hypothyroidism: effect of levothyroxine treatment and relationship to menopausal status and body composition. Thyroid. 19, 443–450 (2009)PubMedCrossRef
21.
Zurück zum Zitat R. Gunaydin, T. Kaya, A. Atay, N. Olmez, A. Hur, M. Koseoglu, Serum leptin levels in rheumatoid arthritis and relationship with disease activity. South. Med. J. 99, 1078–1083 (2006)PubMedCrossRef R. Gunaydin, T. Kaya, A. Atay, N. Olmez, A. Hur, M. Koseoglu, Serum leptin levels in rheumatoid arthritis and relationship with disease activity. South. Med. J. 99, 1078–1083 (2006)PubMedCrossRef
22.
Zurück zum Zitat D.A. Fraser, J. Thoen, J.E. Reseland, O. Forre, J. Kjeldsen-Kragh, Decreased CD4+ lymphocyte activation and increased interleukin-4 production in peripheral blood of rheumatoid arthritis patients after acute starvation. Clin. Rheumatol. 18, 394–401 (1999)PubMedCrossRef D.A. Fraser, J. Thoen, J.E. Reseland, O. Forre, J. Kjeldsen-Kragh, Decreased CD4+ lymphocyte activation and increased interleukin-4 production in peripheral blood of rheumatoid arthritis patients after acute starvation. Clin. Rheumatol. 18, 394–401 (1999)PubMedCrossRef
23.
Zurück zum Zitat G. Mazziotti, A.B. Parkes, M. Lage, L.D. Premawardhana, F.F. Casanueva, J.H. Lazarus, High leptin levels in women developing postpartum thyroiditis. Clin. Endocrinol. (Oxf). 60, 208–213 (2004)PubMedCrossRef G. Mazziotti, A.B. Parkes, M. Lage, L.D. Premawardhana, F.F. Casanueva, J.H. Lazarus, High leptin levels in women developing postpartum thyroiditis. Clin. Endocrinol. (Oxf). 60, 208–213 (2004)PubMedCrossRef
24.
Zurück zum Zitat J.S. Flier, M. Harris, A.N. Hollenberg, Leptin, nutrition, and the thyroid: the why, the wherefore, and the wiring. J. Clin. Invest. 105, 859–861 (2000)PubMedCrossRefPubMedCentral J.S. Flier, M. Harris, A.N. Hollenberg, Leptin, nutrition, and the thyroid: the why, the wherefore, and the wiring. J. Clin. Invest. 105, 859–861 (2000)PubMedCrossRefPubMedCentral
25.
Zurück zum Zitat A. Oge, F. Bayraktar, F. Saygili, E. Guney, S. Demir, TSH influences serum leptin levels independent of thyroid hormones in hypothyroid and hyperthyroid patients. Endocr. J. 52, 213–217 (2005)PubMedCrossRef A. Oge, F. Bayraktar, F. Saygili, E. Guney, S. Demir, TSH influences serum leptin levels independent of thyroid hormones in hypothyroid and hyperthyroid patients. Endocr. J. 52, 213–217 (2005)PubMedCrossRef
26.
Zurück zum Zitat M.J. Diekman, J.A. Romijn, E. Endert, H. Sauerwein, W.M. Wiersinga, Thyroid hormones modulate serum leptin levels: observations in thyrotoxic and hypothyroid women. Thyroid. 12, 1081–1086 (1998)CrossRef M.J. Diekman, J.A. Romijn, E. Endert, H. Sauerwein, W.M. Wiersinga, Thyroid hormones modulate serum leptin levels: observations in thyrotoxic and hypothyroid women. Thyroid. 12, 1081–1086 (1998)CrossRef
27.
Zurück zum Zitat U. Leonhardt, U. Ritzel, G. Schäfer, W. Becker, G. Ramadori, Serum leptin levels in hypo and hyperthyroidism. J. Endocrinol. 157, 75–79 (1998)PubMedCrossRef U. Leonhardt, U. Ritzel, G. Schäfer, W. Becker, G. Ramadori, Serum leptin levels in hypo and hyperthyroidism. J. Endocrinol. 157, 75–79 (1998)PubMedCrossRef
28.
Zurück zum Zitat S. Corbetta, P. Enafaro, S. Gianbona, L. Persani, W.F. Blum, P. Beck-Peccoz, Lack of effects of circulating thyroid hormone level on serum leptin concentrations. Eur. J. Endocrinol. 137, 659–663 (1997)PubMedCrossRef S. Corbetta, P. Enafaro, S. Gianbona, L. Persani, W.F. Blum, P. Beck-Peccoz, Lack of effects of circulating thyroid hormone level on serum leptin concentrations. Eur. J. Endocrinol. 137, 659–663 (1997)PubMedCrossRef
29.
Zurück zum Zitat M. Owecki, Z. El Ali, R. Wasko, E. Nikisch, A. Dziubandowska, A. Sulikowska, J. Sowiński, Circulating leptin levels are not influenced by thyroid status in hypothyroid and euthyroid women. Neuro Endocrinol. Lett. 28, 417–421 (2007)PubMed M. Owecki, Z. El Ali, R. Wasko, E. Nikisch, A. Dziubandowska, A. Sulikowska, J. Sowiński, Circulating leptin levels are not influenced by thyroid status in hypothyroid and euthyroid women. Neuro Endocrinol. Lett. 28, 417–421 (2007)PubMed
30.
Zurück zum Zitat J.H. Lazarus, A. Kokandi, Thyroid disease in relation to pregnancy: a decade of change. Clin. Endocrinol. (Oxf). 53, 265–278 (2000)PubMedCrossRef J.H. Lazarus, A. Kokandi, Thyroid disease in relation to pregnancy: a decade of change. Clin. Endocrinol. (Oxf). 53, 265–278 (2000)PubMedCrossRef
31.
Zurück zum Zitat A. Kokandi, A. Parkes, L. Premawardhana, R. John, J. Lazarus, Association of postpartum thyroid dysfunction with antepartum hormonal and immunological changes. J. Clin. Endocrinol. Metab. 88, 1126–1132 (2003)PubMedCrossRef A. Kokandi, A. Parkes, L. Premawardhana, R. John, J. Lazarus, Association of postpartum thyroid dysfunction with antepartum hormonal and immunological changes. J. Clin. Endocrinol. Metab. 88, 1126–1132 (2003)PubMedCrossRef
32.
Zurück zum Zitat G. Matarese, A. La Cava, V. Sanna, G.M. Lord, R.I. Lechler, S. Fontana, S. Zappacosta, Balancing susceptibility to infection and autoimmunity: a role for leptin? Trends Immunol. 23, 182–187 (2002)PubMedCrossRef G. Matarese, A. La Cava, V. Sanna, G.M. Lord, R.I. Lechler, S. Fontana, S. Zappacosta, Balancing susceptibility to infection and autoimmunity: a role for leptin? Trends Immunol. 23, 182–187 (2002)PubMedCrossRef
33.
Zurück zum Zitat G. Matarese, V. Sanna, A. Di Giacomo, G.M. Lord, J.K. Howard, S.R. Bloom, R.I. Lechler, S. Fontana, S. Zappacosta, Leptin potentiates experimental autoimmune encephalomyelitis in SJL female mice and confers susceptibility to males. Eur. J. Immunol. 31, 1324–1332 (2001)PubMedCrossRef G. Matarese, V. Sanna, A. Di Giacomo, G.M. Lord, J.K. Howard, S.R. Bloom, R.I. Lechler, S. Fontana, S. Zappacosta, Leptin potentiates experimental autoimmune encephalomyelitis in SJL female mice and confers susceptibility to males. Eur. J. Immunol. 31, 1324–1332 (2001)PubMedCrossRef
34.
Zurück zum Zitat V. Sanna, A. Di Giacomo, A. La Cava, R.I. Lechler, S. Fontana, S. Zappacosta, G. Matarese, Leptin surge precedes onset of autoimmune encephalomyelitis and correlates with development of pathogenic T cell responses. J. Clin. Invest. 111, 241–250 (2003)PubMedCrossRefPubMedCentral V. Sanna, A. Di Giacomo, A. La Cava, R.I. Lechler, S. Fontana, S. Zappacosta, G. Matarese, Leptin surge precedes onset of autoimmune encephalomyelitis and correlates with development of pathogenic T cell responses. J. Clin. Invest. 111, 241–250 (2003)PubMedCrossRefPubMedCentral
35.
Zurück zum Zitat L. Ahmad, A. Parkes, J. Lazarus, L. Bartalena, E. Martino, E. Diamond, A. Stagnaro-Green, Interleukin-6 levels are not increased in women with postpartum thyroid dysfunction. Thyroid. 8, 371–375 (1998)PubMedCrossRef L. Ahmad, A. Parkes, J. Lazarus, L. Bartalena, E. Martino, E. Diamond, A. Stagnaro-Green, Interleukin-6 levels are not increased in women with postpartum thyroid dysfunction. Thyroid. 8, 371–375 (1998)PubMedCrossRef
36.
Zurück zum Zitat A.B. Pedro, J.H. Romaldini, K. Takei, Changes of serum cytokines in hyperthyroid Graves’ disease patients at diagnosis and during methimazole treatment. Neuroimmunomodulation 18, 45–51 (2011)PubMedCrossRef A.B. Pedro, J.H. Romaldini, K. Takei, Changes of serum cytokines in hyperthyroid Graves’ disease patients at diagnosis and during methimazole treatment. Neuroimmunomodulation 18, 45–51 (2011)PubMedCrossRef
Metadaten
Titel
Sustained high levels of serum leptin rather than IL-6 observed in patients with postpartum thyroiditis during their first postpartum year
verfasst von
Huiling Guo
Xiu Liu
Chenyang Li
Yushu Li
Miao Sang
Zhongyan Shan
Weiping Teng
Haixia Guan
Publikationsdatum
01.11.2014
Verlag
Springer US
Erschienen in
Endocrine / Ausgabe 2/2014
Print ISSN: 1355-008X
Elektronische ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-014-0176-3

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