Dipartimento delle Scienze Biologiche, Sezione di Fisiologia, Università di Napoli Federico II, Via Mezzocannone 8, 80134 Naples, Italy.
Cell Mol Life Sci. 2013 Sep;70(17):3125-44. doi: 10.1007/s00018-012-1217-9. Epub 2012 Dec 20.
Thyroid hormones affect growth, development, and metabolism of vertebrates, and are considered the major regulators of their homeostasis. On the other hand, elevated circulating levels of thyroid hormones are associated with modifications in the whole organism (weight loss and increased metabolism and temperature) and in several body regions. Indeed, tachycardia, atrial arrhythmias, heart failure, muscle weakness and wasting, bone mass loss, and hepatobiliary complications are commonly found in hyperthyroid animals and humans.
Most thyroid hormone actions result from influences on transcription of T3-responsive genes, which are mediated through nuclear receptors. However, there is significant evidence that tissue oxidative stress underlies some dysfunctions produced by hyperthyroidism.
During the last decades, increasing interest has been turned to the use of antioxidants as therapeutic agents in various diseases and pathophysiological disorders believed to be mediated by oxidative stress. In particular, because elevated circulating levels of thyroid hormones are associated with tissue oxidative injury, more attention has been paid to explore the application of antioxidants as therapeutic agents in thyroid related disorders.
At present, vitamin E is among the most commonly consumed dietary supplements due to the belief that it, as an antioxidant, may attenuate morbidity and mortality. This is due to the results of numerous scientific studies, which demonstrate that vitamin E has a primary function to destroy peroxyl radicals, thus protecting polyunsaturated fatty acids biological membranes from oxidative damage. However, results are also available indicating that protective vitamin E effects against oxidative damage can be obtained even through different mechanisms.
甲状腺激素影响脊椎动物的生长、发育和新陈代谢,被认为是其体内平衡的主要调节剂。另一方面,循环中甲状腺激素水平的升高与整个机体(体重减轻、新陈代谢和体温增加)以及几个身体部位的改变有关。事实上,心动过速、心房心律失常、心力衰竭、肌肉无力和消瘦、骨量流失以及肝胆并发症在甲状腺功能亢进的动物和人类中很常见。
大多数甲状腺激素的作用是通过核受体介导,影响 T3 反应基因的转录。然而,有大量证据表明,组织氧化应激是甲状腺功能亢进引起的一些功能障碍的基础。
在过去几十年中,人们越来越关注抗氧化剂作为治疗剂在各种疾病和病理生理紊乱中的应用,这些疾病和病理生理紊乱被认为是由氧化应激介导的。特别是,由于循环中甲状腺激素水平的升高与组织氧化损伤有关,因此更多地关注探索抗氧化剂作为治疗剂在甲状腺相关疾病中的应用。
目前,维生素 E 是最常被消费的膳食补充剂之一,因为人们相信它作为一种抗氧化剂,可以减轻发病率和死亡率。这是由于大量科学研究的结果,这些研究表明,维生素 E 的主要功能是破坏过氧自由基,从而保护多不饱和脂肪酸的生物膜免受氧化损伤。然而,也有研究结果表明,即使通过不同的机制,也可以获得对氧化损伤有保护作用的维生素 E 效应。