Thyroid disease

Hypothyroid women have persistently higher oxidative stress compared to healthy controls

Eur Thyroid JPublished Prospective cohort study

Authors' conclusion

In hypothyroid women, no significant effect of levothyroxine treatment on the oxidative stress biomarkers 8-oxoGuo and 8-oxodG could be demonstrated. However, the excretion of these biomarkers was significantly higher than in healthy controls.

Study context

Population
Danish women with newly diagnosed hypothyroidism
Participants
45 / 45 / 18
Exposure
Hypothyroid women before vs after LT4-restored euthyroidism; euthyroid patients vs healthy controls
  • Baselinen = 45reference
  • Euthyroidismn = 45
  • Controlsn = 18
Outcome
Urinary excretion of 8-oxoGuo (RNA oxidation) and 8-oxodG (DNA oxidation)
Methodological detailsbefore–after comparison, healthy control comparison
  • Before–after comparison
  • Healthy control comparison

Main finding

As reported in the abstract

Urinary 8-oxoGuo (RNA oxidation), geometric mean · baseline vs euthyroidism

P = 0.39

Relative mean difference, 8-oxoGuo
0.97 (95% CI: 0.91-1.04)

Observational data: associations, not effects.

Further findings

Geometric mean, nmol/mmol creatinine

OutcomeBaselineEuthyroidismControlsP value
Urinary 8-oxodG (DNA oxidation), geometric mean · baseline vs euthyroidismNo significant change1.28 (95% CI 1.14–1.44)1.32 (95% CI 1.18–1.48)— not stated in the abstractP = 0.47
8-oxoGuo, euthyroid patients vs healthy controls · euthyroidismSignificantly higher in euthyroid patients— not stated in the abstract— not stated in the abstract1.23 (95% CI 1.07–1.42)P < 0.001
8-oxodG, euthyroid patients vs healthy controls · euthyroidismSignificantly higher in euthyroid patients— not stated in the abstract— not stated in the abstract1.04 (95% CI 0.88–1.23)P = 0.03

— not stated in the abstract

Urinary 8-oxodG (DNA oxidation), geometric mean — Relative mean difference, 8-oxodG
0.97 (95% CI: 0.88-1.06)

Associations at baseline (multiple linear regression)

FT4 positively associated with 8-oxoGuo
P < 0.001
FT4 positively associated with 8-oxodG
P = 0.04
8-oxoGuo positively associated with age
P = 0.04
8-oxoGuo negatively associated with TSH
P = 0.02

Original publication

Hypothyroid women have persistently higher oxidative stress compared to healthy controls. Eur Thyroid J. Published 3 November 2023. doi:10.1530/etj-23-0167

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