Kun Yao, Xiaodong Wei, Haijun Wang, Xiazi Nie, Dai Qiang
Department of Nuclear Medicine Gansu Provincial Hospital Lanzhou China.
Emergency Department of Gansu Provincial Hospital Lanzhou China.
Food Sci Nutr. 2023 Jul 8;11(10):5657-5674. doi: 10.1002/fsn3.3538. eCollection 2023 Oct.
Thyroid cancer (TC) is categorized into papillary, follicular, medullary, and anaplastic. The TC is increasing in several countries, including China, the United States, the United Kingdom, Canada, France, Australia, Germany, Japan, Spain, and Italy. Thus, this review comprehensively covers the factors that affect thyroid gland function, TC types, risk factors, and symptoms. Lifestyle factors (such as nutrient consumption and smoking) and pollutants (such as chemicals and heavy metals) increased the thyroid-stimulating hormone (TSH) levels which are directly related to TC prevalence. The conventional and recent TC treatments are also highlighted. The role of the oral and gut microbiota as well as the application of probiotics on TC are also discussed. The variations in the composition of oral and gut microbes influence the thyroid function indirectly through alteration in metabolites (such as short-chain fatty acids) that are eminent for cellular energy metabolism. Maintenance of healthy gut and oral microbiota can help in regulating thyroid function by regulating iodine uptake. Oral or gut microbial dysbiosis can be considered as an early diagnosis factor or TC marker. High TSH during TC can increase the oral microbial diversity while disrupting the high ratio of Firmicutes and Bacteroidetes in the gut. Supplementation of probiotics as an adjuvant in TC treatment is beneficial. However, needs more extensive research to explore the direct effect of probiotics on thyroid function.
甲状腺癌(TC)分为乳头状癌、滤泡状癌、髓样癌和未分化癌。包括中国、美国、英国、加拿大、法国、澳大利亚、德国、日本、西班牙和意大利在内的几个国家,甲状腺癌的发病率都在上升。因此,本综述全面涵盖了影响甲状腺功能的因素、甲状腺癌类型、危险因素和症状。生活方式因素(如营养摄入和吸烟)以及污染物(如化学物质和重金属)会增加促甲状腺激素(TSH)水平,而促甲状腺激素水平与甲状腺癌患病率直接相关。文中还重点介绍了传统和最新的甲状腺癌治疗方法。同时也讨论了口腔和肠道微生物群的作用以及益生菌在甲状腺癌中的应用。口腔和肠道微生物组成的变化通过改变对细胞能量代谢至关重要的代谢产物(如短链脂肪酸)间接影响甲状腺功能。维持健康的肠道和口腔微生物群有助于通过调节碘摄取来调节甲状腺功能。口腔或肠道微生物失调可被视为早期诊断因素或甲状腺癌标志物。甲状腺癌期间促甲状腺激素水平升高会增加口腔微生物多样性,同时破坏肠道中厚壁菌门和拟杆菌门的高比例。补充益生菌作为甲状腺癌治疗的辅助手段是有益的。然而,需要更广泛的研究来探索益生菌对甲状腺功能的直接影响。
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