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Thyroid Diseases and Intestinal Microbiome.

Ioannis Legakis1, George P Chrousos2, Stylianos Chatzipanagiotou3

  • 1Endocrinology and Metabolism, European University Cyprus, Nicosia, Cyprus.

Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones Et Metabolisme
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The human gut microbiome influences immune health and may trigger autoimmune thyroid diseases like Hashimoto's and Grave's disease. Further research is needed to understand the exact mechanisms involved.

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Area of Science:

  • Immunology
  • Microbiology
  • Endocrinology

Background:

  • The human microbiome is crucial for immune system development and function, particularly in the gut.
  • Disturbances in the gut microbiota (dysbiosis) are linked to various diseases, including immune system changes.
  • Autoimmune thyroid diseases (AITDs), such as Hashimoto's thyroiditis and Grave's disease, affect over 5% of the global population.

Approach:

  • This review synthesizes current research on the gut microflora's role in AITD pathogenesis.
  • It examines the potential involvement of gut microbiota in benign nodules and papillary thyroid cancer.
  • The review highlights the need for further investigation into the precise mechanisms of microbiota involvement.

Key Points:

  • The gut microbiome significantly impacts immune homeostasis.
  • Dysbiosis is associated with altered immune status and potentially AITDs.
  • Gut microbiota may play a role in the development of thyroid autoimmunity and cancer.

Conclusions:

  • While evidence suggests a link between gut microbiota and AITDs, the exact etiology remains unclear.
  • Further research is essential to elucidate the mechanisms by which gut microflora influences thyroid health.
  • Understanding this relationship could lead to novel therapeutic strategies for AITDs.