title: Immunoprotective steroids and SHBG in non-treated hypothyroidism and their relationship to autoimmune thyroid disorders.
abstract: Immunomodulatory steroids, dehydroepiandrosterone and its 7-hydroxylated metabolites and sex hormone-binding globulin (SHBG) were determined in sera of 88 women aged 18-75 years. The group consisted of 34 healthy women, 37 women with subclinical and 17 women with manifest hypothyroidism. In all subjects the laboratory parameters of thyroid function (thyrotropin, free thyroxine and triiodothyronine) and thyroid autoantibodies to thyroid peroxidase and thyroglobulin were determined. The aim was to find out 1) whether the above steroids and SHBG levels differ in individual groups according to thyroid status, 2) whether correlations exist among investigated steroids and thyroid laboratory parameters, and 3) whether the respective steroid and SHBG levels differ according to the presence of principal thyroid autoantibodies. With the exception of 7beta-hydroxy-dehydroepindrosterone levels, which were decreased in patients with manifest hypothyroidism (p<0.05), no significant differences in steroid and SHBG levels among groups according to diagnosis were found. On the other hand, significantly decreased levels of all the immunomodulatory steroids studied were found in subjects with positive titres of thyroid autoantibodies. This finding was supported by a tight negative correlation among the above steroids and thyroid autoantibodies. In addition, these steroids correlated negatively with thyrotropin and positively with free thyroid hormones. The results point to a negative relationship between the above mentioned immunoprotective steroids and the extent of the autoimmune process in hypothyroidism.
authors.affiliation: Institute of Endocrinology, Prague, Czech Republic.
authors.forename: K
authors.initials: K
authors.lastname: Drbalová
authors.forename: P
authors.initials: P
authors.lastname: Matucha
authors.forename: M
authors.initials: M
authors.lastname: Matějková-Běhanová
authors.forename: R
authors.initials: R
authors.lastname: Bílek
authors.forename: L
authors.initials: L
authors.lastname: Kříž
authors.forename: H
authors.initials: H
authors.lastname: Kazihnitková
authors.forename: R
authors.initials: R
authors.lastname: Hampl
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015551:Autoimmunity / Q000502:physiology; D003687:Dehydroepiandrosterone / Q000031:analogs & derivatives / Q000097:blood; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000276:immunology* / Q000378:metabolism*; D008875:Middle Aged; D012738:Sex Hormone-Binding Globulin / Q000378:metabolism*; D013963:Thyroid Hormones / Q000097:blood*; D013967:Thyroiditis, Autoimmune / Q000276:immunology* / Q000378:metabolism*; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood; D014284:Triiodothyronine / Q000097:blood
chemical_list: D012738:Sex Hormone-Binding Globulin; D013963:Thyroid Hormones; D014284:Triiodothyronine; D003687:Dehydroepiandrosterone; C003587:7-hydroxydehydroepiandrosterone; D013972:Thyrotropin; D013974:Thyroxine