REVIEW PAPER
Impact of gut microbiota on thyroid diseases – do the guts control hormones? A literature review
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1
Faculty od Medical Sciences, Medical Unversity of Silesia in Katowice, Polska
2
Clinical Department of General Surgery, John Paul II Municipal Hospital in Rzeszów, Polska
3
Clinical Department of Hematology and Cancer Prevention, Municipal Hospital Group in Chorzów, Polska
Corresponding author
Wiktoria Skowron
Wydział Nauk Medycznych, Śląski Uniwersytet Medyczny w Katowicach, Katowice, Polska
KEYWORDS
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ABSTRACT
Introduction and objective:
The gut microbiota is a complex ecosystem of microorganisms that plays a key role in nutrient metabolism, vitamin synthesis, and the regulation of immune processes. A healthy gut is dominated by bacteria from the phyla Firmicutes and Bacteroides. A healthy gut microbiota
supports the body’s homeostasis through mutual interactions, but factors such as diet, medications, and stress can lead to dysbiosis, which increases the risk of disease. Current research indicates a link between the gut microbiota and thyroid function, including autoimmune diseases. Changes in the proportion of bacteria and correlations with anti-TPO and anti-TG antibody levels have been observed in numerous
studies. The aim of this study is to gather and systematize knowledge about the impact of microbiota on thyroid health, with particular emphasis on the mechanisms through which it influences hormonal function and the development of thyroid diseases
Review methods:
The review was based on a PubMed search using the phrases ‘microbiome and endocrine system’, ‘gutthyroid axis’, ‘gut microbiota and thyroid disease’.
Brief description of the state of knowledge:
The composition of the microbiota influences the availability of micronutrients, such as iodine, iron, copper, selenium, zinc, and vitamin D, which support thyroid function. Changes in the composition of the microbiota, leading to disruption of the intestinal barrier, may contribute to the development of autoimmune thyroid diseases. Supplementation with probiotics may improve microbial balance and support thyroid function.
Summary:
A healthy bacterial flora supports the immune system, and its disorders can lead to autoimmune thyroid
diseases. Further clinical studies will allow a more precise assessment of the impact of intestinal microbiota on thyroid function.
REFERENCES (39)
2.
Legakis I, Chrousos GP, Chatzipanagiotou S, et al. Thyroid Diseases and the Intestinal Microbiome. Horm Metab Res. 2023;55(12):813–818.
https://doi.org/10.1055/a-2190....
4.
Marlicz W, Yung DE, Skonieczna-Żydecka K, et al. From the emergence to the bacteria appearing: the role of gut barrier and microbiome in functional diseases of the body. Expert Rev Gastroenterol Hepatol. 2017;11:961–978.
https://doi.org/10.1080/174741....
7.
Wang S, Wu Y, Zuo Z, et al. Effect of vitamin D supplementation on thyroid autoantibody levels in autoimmune thyroiditis: a systematic review and meta-analysis. Endocrine. 2018;59(3):499–505.
https://doi.org/10.1007/s12020....
9.
Lahner E, Conti L, Cicone F, et al. Autoimmune, intestinal and additional autoimmunization: pathophysiology and treatment implications for patients. Best Pract Res Clin Endocrinol Metab. 2020;34(1):101373.
https://doi.org/10.1016/j.beem....
11.
Jiang W, Lu G, Gao D, et al. Links between the gut microbiota and its metabolites and host endocrine function. Front Endocrinol (Lausanne). 2022;13:943408.
https://doi.org/10.3389/fendo.....
12.
Fetissov SO. Role of the gut microbiome in host appetite control: influence of bacterial growth on feeding behaviour in animals. Nat Rev Endocrinol. 2017;13(1):11–25.
https://doi.org/10.1038/nrendo....
14.
Ralli M, Angeletti D, Fiore M, et al. Hashimoto’s thyroiditis: update on pathogenic factors, diagnostic protocols, therapeutic strategies and potential harmful consequences. Autoimmun Rev. 2020;19:102649.
https://doi.org/10.1016/j.autr....
16.
Docimo G, Cangiano A, Romano RM, et al. The human microbiota in endocrinology: implications for pathophysiology, treatment and prognosis in thyroid diseases. Front Endocrinol (Lausanne). 2020;11:586529.
https://doi.org/10.3389/fendo.....
17.
El-Zawawy HT, Ahmed SM, El-Attar EA, et al. Study of gut microbiome in Egyptian patients with autoimmune thyroid diseases. Int J Clin Pract. 2021;75(5):e14038.
https://doi.org/10.1111/ijcp.1....
18.
Cayres LCF, de Salis LVV, Rodrigues GSP, et al. Detection of alterations in the gut microbiota and intestinal permeability in patients with Hashimoto thyroiditis. Front Immunol. 2021;12:579140.
https://doi.org/10.3389/fimmu.....
19.
Ishaq HM, Mohammad IS, et al. Molecular estimation of alteration in intestinal microbial composition in Hashimoto’s thyroiditis patients. Biomed Pharmacother. 2017;95:865–874.
https://doi.org/10.1016/j.biop....
20.
Fenneman AC, Boulund U, Collard D, et al. Comparative taxonomic and functional gut microbiota profiles with respect to seroconversion of anti-thyroid peroxidase antibodies in euthyroid participants. Thyroid. 2024;34(1):101–111.
https://doi.org/10.1089/thy.20....
23.
Léger J, Carel JC. Diagnosis and treatment of hyperthyroidism from prenatal life to adolescence. Best Pract Res Clin Endocrinol Metab. 2018;32(4):373–386.
https://doi.org/10.1016/j.beem....
25.
Deng Y, Wang J, Xie G, et al. Correlation between gut microbiota and development of Graves’ disease: a prospective study. iScience. 2023;26(7):107188.
https://doi.org/10.1016/j.isci....
26.
Jiang W, Yu X, Kosik RO, et al. Gut microbiota may play a significant role in the pathogenesis of Graves’ disease. Thyroid. 2021;31(5):810–820.
https://doi.org/10.1089/thy.20....
27.
Salvi M, Colucci G, Masetti G, et al. Randomized probiotic trial INDIGO (new biomarkers and delineation of role of the microbiome in Graves’ orbitopathy). Endocr Abstr. 2019;63:GP71.
https://doi.org/10.1530/endoab....
28.
Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394–424.
https://doi.org/10.3322/caac.2....
30.
Liu Q, Sun W, Zhang H, et al. Interaction between gut microbiota, endocrine homeostasis and differentiated thyroid cancer. Cancers (Basel). 2022;14(11):2656.
https://doi.org/10.3390/cancer....
31.
Zhang J, Zhang F, Zhao C, et al. Gut dysbiosis is associated with thyroid nodules and correlates with clinical biomarkers of thyroid function. Endocrine. 2019;64(3):564–574.
https://doi.org/10.1007/s12020....
32.
Li A, Li T, Gao X, et al. Changes in the gut microbiome in patients with thyroid nodules. Front Cell Infect Microbiol. 2021;11:643968.
https://doi.org/10.3389/fcimb.....
33.
Yu X, Jiang W, Kosik RO, et al. Alterations of the gut microbiota and their potential link with thyroid cancer. J Adv Res. 2021;35:61–70.
https://doi.org/10.1016/j.jare....
34.
Liu CJ, Chen SQ, Zhang SY, et al. Comparative microbiota community in papillary thyroid cancer among patients of both genders and subtypes. J Microbiol. 2021;59(11):988–1001.
https://doi.org/10.1007/s12275....
35.
Gnanasekar A, Castaneda G, Iyengar A, et al. Intra-tumoral microbiome impacts prognosis in papillary thyroid carcinoma across genders and subtypes. Comput Struct Biotechnol J. 2021;19:1986–1997.
https://doi.org/10.1016/j.csbj....
36.
Dai D, Yang Y, Yang Y, et al. Microbiota changes in different tumor microenvironments of papillary thyroid carcinoma. J Transl Med. 2021;19(1):488.
https://doi.org/10.1186/s12967....
37.
Wang Y, Ma XM, Wang X, et al. New evidence on the role of epigenetics and the gut microbiome in pathogenesis of Graves’ orbitopathy. Front Endocrinol (Lausanne). 2022;12:788535.
https://doi.org/10.3389/fendo.....
38.
Fernández-García V, González-Ramos S, Martín-Sanz P, et al. Beyond traditional homeostasis: the advanced immune system and the microbiome. Mol Cell Endocrinol. 2021;533:111333.
https://doi.org/10.1016/j.mce.....
39.
Samimi H, Haghpanah V. Gut microbiome and pathophysiology of radioiodine-resistant papillary thyroid cancer. Trends Endocrinol Metab. 2020;31(9):627–630.
https://doi.org/10.1016/j.tem.....