Serum and salivary levels of thyroid antibodies (TPO-Ab&Tg-Ab) in the of hypothyroid patients with and without periodontitis

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Research Paper 01/12/2018
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Serum and salivary levels of thyroid antibodies (TPO-Ab&Tg-Ab) in the of hypothyroid patients with and without periodontitis

Sahar H. Al-Hindawi, Batool H. Al-Ghurabi
Int. J. Biosci.13( 6), 122-128, December 2018.
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Abstract

Hypothyroidism is the decrease in thyroid hormones production and thyroid gland function. Hashimoto’s thyroiditis is the most common cause of hypothyroidism with production of autoantibodies directed toward autoantigens thyroglobulin (Tg) and thyroid peroxidase (TPO). This study was carried out to determine and compare serum and salivary levels of thyroid antibodies (TPO-Ab and Tg- Ab) in hypothyroid patients (with and without periodontitis) and healthy control; as well as to estimate the possibility to evaluate and measured these antibodies in the saliva as measured in the serum. Serum and saliva samples were collected from sixty hypothyroid patients with age ranged (20-64) years (30 of patients were with periodontitis and 30 without periodontitis), compare with 30 subjects as control with age ranged (20-53) years. Enzyme linked immunosorbent assay (ELISA) was used to detect of TPO-Ab and Tg-Ab in the serum and saliva. The results showed elevated serum levels of TPO-Ab and Tg-Ab significantly (P<0.05) in patients groups as compared to control, whereas there are non-significant differences (P>0.05) between two patients groups (with and without periodontitis). However, there are non-significant differences (P>0.05) in salivary levels of TPO-Ab and Tg-Ab between two patients  groups as compared with control;  as well no significant differences were found between two patient groups. The current findings suggest that the presences of thyroid antibodies TPO-Ab and Tg-Ab which may contribute in the pathogenesis of hypothyroidism in autoimmune state. However, salivary concentration of these antibodies cannot reflect the concentration the in serum.

VIEWS 29

Ajeena IM. 2013. Prevalence of Neuromuscular Abnormalities in Newly Diagnosed Patients with Thyroid Dysfunction. American Journal Research Communication 1(3), 79-88.

Al-Shaibani AB, Sanad B, Al-A’araji SB, Al-Mofarji ST. 2014. Studying Association between Thyroid Disorders and Helicobacter pylori infection in Iraqi Patients.Baghdad Science Journal 11(4), 1528- 1514.

Bjoro T, Holmen J, Krueger O, Midthjell K, Hunstad K, Schreiner T,  Sandnes L, Brochmann H. 2000. Prevalence of thyroid disease, thyroid dysfunction and thyroid peroxidase antibodies in a large, unselected population.The Health Study of Nord-Trondelag (HUNT).European Journal Endocrinology 143, 639-647.

Chiappelli F, Iribarren F, Prolo P. 2006. Salivary biomarkers in psychobiological medicine. Bioinformation 8 (1), 331-334.

DeRuiter J. 2002. Thyroid Hormone Tutorial: Thyroid Pathology. Endocrine Module- Thyroid Section, p 1-29.

Ghoraishian SM, Moghaddam SH, Afkhami-Ardekani M. 2006. Relationship between Anti-Thyroid Peroxidase Antibody and Thyroid Function Test. Iran Journal Immunology 3(3), 146-149.

Gomes FIF, Aragão MGB, Barbosa FCB, Bezerra MM, Pinto VPT, Chaves HV. 2016. Inflammatory Cytokines Interleukin-1β and Tumour Necrosis Factor-α – Novel Biomarkers for the Detection of Periodontal Diseases: a Literature Review. Journal Oral Maxillofacial Research 7(2), 1-10.

Holsinger FC, Bui DT. 2007. Anatomy, Function, and Evaluation of the Salivary Glands. In: Myers EN, Ferris RL (eds.). Salivary gland disorders. XVI, Springer. http://www.springer.com.

Humphrey S, Williamson R. 2001. A review of saliva: normal composition, flow and function. Journal Prosthetic dentistry 85(2), 162-168.

Ito C, Watanabe M, Okuda N, Watanabe C, Iwatani Y. 2006. Association between the Severity of Hashimoto’s Disease and the Functional +874A/T Polymorphism in the Interferon-γ Gene. Endocrine Journal 53(4), 473-478.

Javaid MA, Ahmed AS, Durand R, Tran SD. 2016. Review Article: Saliva as a diagnostic tool for oral and systemic diseases.Journal Oral Biology Craniofacial Research 6(1), 67-76.

Joshi SR. 2011. Laboratory Evaluation of Thyroid Function. JAPI 59, 14-20.

Legakis I, Manousaki M, Detsi S, Nikita D. 2013. Thyroid Function and Prevalence of Anti-Thyroperoxidase (TPO) and Anti- Thyroglobulin (Tg) Antibodies in Outpatients Hospital Setting in an Area with Sufficient Iodine Intake: Influences of Age and Sex. Acta Medica Iranica (1), 25-34.

Nagler R. 2008. Saliva Analysis for Monitoring Dialysis and Renal Function. Clinical Chemistry 54(9), 1415-1417.

Pushparani DS. 2015. Role of Cytokines in Periodontal Wound Healing Process – A Review. Pharmaceutical Analytical Chemistry 1(1), 1000106.

Rani AS, Rekha DB, Reddy GA. 2016. Study of Hypothyroidism in Women with Abnormal Uterine Bleeding.Journal of Dental and Medical Sciences 15(4), 12-18.

Santin AP, Furlanetto TW. 2011. Role of Estrogen in Thyroid Function and Growth Regulation: Review Article. Journal Thyroid Research 2011, 1-7. http://dx.doi.org/10.4061/2011/875125

Sarfo-Kantanka O, Sarfo FS, Ansah EO, Yorke E, Akpalu J, Nkum BC, Eghan B. 2017. Frequency and determinants of thyroid autoimmunity in Ghanaian type 2 diabetes patients: a case-control study. BMC Endocrine Disorders 17(2), 1-8.

SAS. 2012. Statistical Analysis System, User’s Guide.  Statistical. Version 9.1th ed. SAS. Inst. Inc. Cary.NC USA.

Shah D, Dandekar S, Ganatra RD. 1978. Thyroglobulin levels in serum and saliva of patients with differentiated thyroid carcinoma. Proceedings of the Indian Academy of Sciences -Section B87 (7), 169-175.

Shinto AS, Pachen L, Sreekanth TK, George D. 2010. Prevalence of Antithyroid Antibodies in Histologically Proven Autoimmune Thyroid Diseases and Correlation with Thyroid Dysfunction in South India. Thyroid Science 5(9), 1-5.

Silva LM, Chavej J, Canalli MH, Zanetti CR. 2003. Determination of IgG sub classes and avidity of antithyroid peroxidase antibodies in patients with subclinical hypothyroidism- a comparison with patient with overt hypothyroidism. Hormone Research 59(3), 118-24.

Swain M, Swain T, Mohanty BK. 2005. Autoimmune Thyroid Disorders- An Update.Indian journal clinical biochemistry 20(1), 9-17.

Unnikrishnan AG, Kalra S, Sahay RK, Bantwal G, John M, Tewari N. 2013. Prevalence of hypothyroidism in adults: An epidemiological study in eight cities of India. Indian Journal Endocrinology and Metabolism 17(4), 647-652.

Van Herle AJ, Rosenblit PD, Van Herle TL, Van Herle P, Greipel M,  Kellett K. 1989.  Immunoreactive thyroglobulin in sera and saliva of patients with various thyroid disorders: Role of autoantibodies. Journal Endocrinological Investigation 12(3), 177-182.

Vanderpump MPJ. 2011. The epidemiology of thyroid disease. British Medical Bulletin 99, 39-51.

Vanderpump MPJ, Tunbridge MJ. 2002. Epidemiology and Prevention of Clinical and Subclinical Hypothyroidism. Thyroid 12(10), 839- 847.

Wiersinga WM. 2016. Clinical Relevance of Environmental Factors in the Pathogenesis of Autoimmune Thyroid Disease. Endocrinol Metabolism 31, 213-222.

Zahid TM, Bing-Yan W, Cohen RE. 2011. The Effects of Thyroid Hormone Abnormalities on Periodontal Disease Status. Journal of the International Academy of Periodontology 13(3), 80-85.

Zaletel K. 2007. Determinants of thyroid autoantibody production in Hashimoto’s thyroiditis. Expert Review Clinical Immunology 3(2), 217-223.

Zaletel K, Gaberšček S. 2011. Hashimoto’s Thyroiditis: From Genes to the Disease. Current Genomics 12(8), 576-588.

Zimmermann MB. 2009. Iodine Deficiency- Review. Endocrine Reviews 30(4), 376–408.