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Published on: June 3, 2019
Thyroid Hormone and Vascular Remodeling
1Department of Cardiology, Harasanshin Hospital.
Insights
Thyroid hormone impacts cardiovascular health, influencing atherosclerosis. This review explores thyroid hormone
Area of Science:
- Cardiovascular Endocrinology
- Vascular Biology
- Thyroid Disease
Background:
- Thyroid dysfunction, including hyperthyroidism and hypothyroidism, significantly impacts the cardiovascular system.
- Hypothyroidism is linked to increased atherosclerosis and ischemic heart disease, traditionally attributed to lipid profiles, hypertension, and endothelial dysfunction.
- Emerging evidence suggests direct anti-atherosclerotic roles for thyroid hormone.
Purpose of the Study:
- To review the role of thyroid hormone in vascular remodeling.
- To summarize basic and clinical studies on thyroid hormone's vascular effects.
- To discuss the therapeutic potential of thyroid hormone mimetics for hypercholesterolemia and atherosclerosis.
Main Methods:
- Literature review of basic and clinical studies.
- Analysis of mechanisms of thyroid hormone action on vasculature.
- Exploration of therapeutic applications.
Main Results:
- Thyroid hormone exhibits direct anti-atherosclerotic effects, including nitric oxide production and smooth muscle cell proliferation suppression.
- Thyroid hormone inhibits atherogenesis via direct vascular actions and modification of atherosclerosis risk factors.
- Thyroid hormone plays a role in vascular remodeling.
Conclusions:
- Thyroid hormone directly influences vascular health and remodeling, offering protective effects against atherosclerosis.
- Understanding these mechanisms opens avenues for novel therapeutic strategies targeting cardiovascular diseases.
- Thyroid hormone mimetics may hold promise for treating hypercholesterolemia and atherosclerosis.
Abstract:
Both hyperthyroidism and hypothyroidism affect the cardiovascular system. Hypothyroidism is known to be associated with enhanced atherosclerosis and ischemic heart diseases. The accelerated atherosclerosis in the hypothyroid state has been traditionally ascribed to atherogenic lipid profile, diastolic hypertension, and impaired endothelial function. However, recent studies indicate that thyroid hormone has direct anti-atherosclerotic effects, such as production of nitric oxide and suppression of smooth muscle cell proliferation. These data suggest that thyroid hormone inhibits atherogenesis through direct effects on the vasculature as well as modification of risk factors for atherosclerosis. This review summarizes the basic and clinical studies on the role of thyroid hormone in vascular remodeling. The possible application of thyroid hormone mimetics to the therapy of hypercholesterolemia and atherosclerosis is also discussed.
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