Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging,Ministry of Education, Department of Endocrinology, Shandong Provincial Hospital of Affiliated to Shandong First Medical University, Jinan, 250021, Shandong, China.
Shandong Key Laboratory of Endocrinology and Lipid Metabolism, Jinan, 250021, Shandong, China.
J Ovarian Res. 2024 Jun 14;17(1):125. doi: 10.1186/s13048-024-01451-y.
Thyroid hormones(THs) are essential for the proper functioning of the ovaries, and multiple studies have shown that thyroid abnormalities, especially during adolescence and reproductive age, can lead to lifelong ovarian dysfunction. Autoimmune thyroid disease (AITD), one of the most common organ specific autoimmune diseases, is mainly mediated by cellular autoimmune reactions, and has strong inflammatory infiltration and immune active cells, including chemokines and cytokines, which are important components of ovarian aging. This suggests that autoimmune and inflammatory molecular processes may play a role in the emergence of ovarian dysfunction. The purpose of this review is to summarize recent in vivo and in vitro evidence of a complex relationship between AITD and ovarian dysfunction. AITD is closely related to the decline of ovarian function from the perspective of antibody, cytokine, oxidative stress, and genetic factors. Finally, some of the currently known treatments for AITD and hypo ovarian disease are summarized.
甲状腺激素(THs)对卵巢的正常功能至关重要,多项研究表明,甲状腺异常,尤其是在青春期和生殖期,可导致终生卵巢功能障碍。自身免疫性甲状腺疾病(AITD)是最常见的器官特异性自身免疫性疾病之一,主要由细胞自身免疫反应介导,具有强烈的炎症浸润和免疫活性细胞,包括趋化因子和细胞因子,这些都是卵巢衰老的重要组成部分。这表明自身免疫和炎症分子过程可能在卵巢功能障碍的发生中起作用。本综述的目的是总结最近关于 AITD 和卵巢功能障碍之间复杂关系的体内和体外证据。AITD 与卵巢功能下降的关系从抗体、细胞因子、氧化应激和遗传因素等方面进行了阐述。最后,总结了目前已知的一些 AITD 和低卵巢疾病的治疗方法。