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原发性甲状腺功能减退症和自身免疫性甲状腺炎改变了调节神经发生的基因在患者血液中的转录活性。

Primary hypothyroidism and autoimmune thyroiditis alter the transcriptional activity of genes regulating neurogenesis in the blood of patients.

机构信息

Department of Medical Rehabilitation, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.

Department of Clinical Immunology, Allergology and Endocrinology, HSEEU "Bukovinian State Medical University", Chernivtsi, Ukraine.

出版信息

Endocr Regul. 2021 Jan 29;55(1):5-15. doi: 10.2478/enr-2021-0002.

Abstract

Thyroid hormones play an important role in the development and maturation of the central nervous symptom and their failure in the prenatal period leading to an irreversible brain damage. Their effect on the brain of adult, however, has not been fully studied. With the discovery of neurogenesis in the adult brain, many recent studies have been focused on the understanding the basic mechanisms controlling this process. Many neurogenesis regulatory genes are not only transcribed but also translated into the blood cells. The goal of our study was to analyze the transcriptional activity of neurogenesis regulatory genes in peripheral blood cells in patients with thyroid pathology. The pathway-specific PCR array (Neurotrophins and Receptors RT2 Profiler PCR Array, QIAGEN, Germany) was used to identify and validate the neurogenesis regulatory genes expression in patients with thyroid pathology and control group. The results showed that GFRA3, NGFR, NRG1, NTF3, NTRK1, and NTRK2 significantly decreased their expression in patients with autoimmune thyroiditis with rising serum of autoantibodies. The patients with primary hypothyroidism, as a result of autoimmune thyroiditis and postoperative hypothyroidism, had significantly lower expression of FGF2, NGFR, NRG1, and NTF3. The mRNA level of CNTFR was markedly decreased in the group of patients with postoperative hypothyroidism. No change in the ARTN, PSPN, TFG, MT3, and NELL1 expression was observed in any group of patients. The finding indicates that a decrease in thyroid hormones and a high level of autoantibodies, such as anti-thyroglobulin antibody and anti-thyroid peroxidase antibody, affect the expression of mRNA neurogenesis-regulated genes in patients with thyroid pathology.

摘要

甲状腺激素在中枢神经系统的发育和成熟中发挥着重要作用,其在产前的缺失会导致不可逆转的脑损伤。然而,它们对成年人大脑的影响尚未得到充分研究。随着成年人大脑神经发生的发现,许多最近的研究集中在理解控制这一过程的基本机制上。许多神经发生调节基因不仅转录,而且还翻译成血细胞。我们的研究目的是分析甲状腺病理患者外周血中神经发生调节基因的转录活性。使用途径特异性 PCR 阵列(神经生长因子和受体 RT2 Profiler PCR 阵列,QIAGEN,德国)来鉴定和验证甲状腺病理患者和对照组中神经发生调节基因的表达。结果表明,GFRA3、NGFR、NRG1、NTF3、NTRK1 和 NTRK2 在自身抗体升高的自身免疫性甲状腺炎患者中的表达显著降低。由于自身免疫性甲状腺炎和术后甲状腺功能减退而导致原发性甲状腺功能减退症的患者,FGF2、NGFR、NRG1 和 NTF3 的表达显著降低。术后甲状腺功能减退症患者的 CNTFR mRNA 水平明显降低。在任何一组患者中均未观察到 ARTN、PSPN、TFG、MT3 和 NELL1 表达的变化。这些发现表明,甲状腺激素的降低和高水平的自身抗体,如抗甲状腺球蛋白抗体和抗甲状腺过氧化物酶抗体,会影响甲状腺病理患者中神经发生调节基因的 mRNA 表达。

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