Department of Medical Rehabilitation, Ivan Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
Department of Clinical Immunology, Allergology and Endocrinology, Bukovinian State Medical University, Chernivtsi, Ukraine.
J Med Life. 2022 Jan;15(1):109-116. doi: 10.25122/jml-2021-0372.
The article discusses a new hypothesis that autoimmune diseases of the thyroid gland can lead to depression and neurological complications. It is believed that the neuronal N-methyl-D-aspartate receptor plays a significant role in depression pathophysiology and neurological and mental diseases, respectively. The study involved 153 patients with various forms of thyroid pathology. GRIN2B levels in the sera of the patients and healthy individuals were quantified using enzyme-linked immunosorbent assay with highly sensitive Human GRIN2B (Glutamate Receptor, Ionotropic, N-Methyl-D-Aspartate 2B) ELISA Kit. Genotyping of the glutamate ionotropic receptor NMDA type subunit 1, GRIN1 (rs4880213) gene polymorphism. The CT genotype of the NMDA gene (rs4880213) was predominant in the surveyed population. The C allele of the NMDA gene was more frequent than the T allele among patients with thyroid disease. GRIN2B levels were significantly decreased in patients with postoperative hypothyroidism 3.45 times, and in patients with AIT-induced hypothyroidism, there was a probable increase in GRIN2B levels by 1.58 times compared with controls. GRIN2B levels were significantly different in patients of different groups depending on thyroid pathology. Our study showed direct close correlation (r=0.635) between GRIN2B and anti-TPO levels (p<0.001), a significant direct close correlation (r=0.527) between GRIN2B and anti-TG levels in the blood (p<0.001). Our results allow us to consider the GRIN2B level as an important prognostic minimally invasive marker of neurological complications in endocrine pathology.
本文探讨了一个新假说,即甲状腺自身免疫性疾病可能导致抑郁和神经并发症。据信,神经元 N-甲基-D-天冬氨酸受体在抑郁症发病机制以及神经和精神疾病中分别发挥重要作用。该研究纳入了 153 名患有各种甲状腺病理的患者。采用高度敏感的人谷氨酸受体,离子型,N-甲基-D-天冬氨酸 2B(GRIN2B)ELISA 试剂盒,通过酶联免疫吸附试验对患者和健康个体的血清中的 GRIN2B 水平进行定量。对谷氨酸离子型受体 NMDA 型亚基 1,GRIN1(rs4880213)基因多态性进行基因分型。在所调查的人群中,NMDA 基因(rs4880213)的 CT 基因型占优势。NMDA 基因的 C 等位基因在甲状腺疾病患者中比 T 等位基因更为常见。术后甲状腺功能减退症患者的 GRIN2B 水平显着降低,为对照组的 3.45 倍,而 AIT 诱导的甲状腺功能减退症患者的 GRIN2B 水平可能增加 1.58 倍。根据甲状腺病理学,不同组别的患者的 GRIN2B 水平存在显着差异。我们的研究表明,GRIN2B 与抗 TPO 水平之间存在直接密切相关(r=0.635)(p<0.001),与血液中的抗 TG 水平之间存在显着直接密切相关(r=0.527)(p<0.001)。我们的研究结果表明,可以将 GRIN2B 水平视为内分泌病理学中神经并发症的重要预后微创标志物。