Journal Article

The correlation between triiodothyronine and the severity of liver fibrosis

Lin, Mingzhu, Zhang, Xiaofang, Wang, Liying, Huang, Peiying, Shi, Xiulin, He, Weiwei, Li, Xuejun, Huang, Caoxin, Huang, Yinxiang, Su, Weijuan, Wang, Shunhua, Zhao, Yan

2022

Overview

Background The severity of liver fibrosis is an important predictor of death in patients with non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus (T2DM). However, there is still no definite conclusion on the relationship between triiodothyronine (T3) and the severity of liver fibrosis. Thus, the aim of this study was to analyze the correlation between T3 level and the severity of liver fibrosis. Methods We performed a cross-sectional study of 2072 T2DM patients with normal thyroid function from January 2017 to January 2020. NAFLD fibrosis score (NFS), Fibrosis index based on the 4 factors (FIB-4) and BARD score (BARD) were used to assess the severity of fibrosis in T2DM patients, and linear regression analyses were used to determine the factors independently associated with liver fibrosis. Further experiments were performed to assess the impact of low T3 on fibrosis progression in mice model and explore possible mechanisms. Results Free triiodothyronine (fT3) levels had significantly inverse correlations with NFS and FIB-4, and BARD in T2DM patients ( P  < 0.05). In multiple linear regression analyses, decreased fT3 level was an independent risk factor for the severity of liver fibrosis of T2DM patients ( P  < 0.01). Findings from in-vivo experiment using mice model proved that hypothyroidism mice had more severe of liver fibrosis than those mice with normal thyroid function. We also found that T3 could inhibit the profibrotic TREM2 + CD9 + macrophage, which had been identified an important player in the progression of liver fibrosis. Conclusion The findings from this study proved an inverse correlation between T3 level and the severity of liver fibrosis, and lower fT3 level within the normal range was an independent risk factor for severe liver fibrosis.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Alcohol / Analysis / Animal experimentation / Animals / Antibodies / Biopsy / Body mass index / CD9 antigen / Cell culture / Cross-Sectional Studies / Diabetes / Diabetes mellitus (non-insulin dependent) / Diabetes Mellitus, Type 2 - complications / Diet / Endocrinology / Fatty liver / Fibrosis / Flow cytometry / Free triiodothyronine / High density lipoprotein / Hypothyroidism / Liver / Liver cancer / Liver Cirrhosis - diagnosis / Liver Cirrhosis - etiology / Liver diseases / Macrophages / Medical research / Medicine / Medicine & Public Health / Medicine, Experimental / Membrane Glycoproteins / Metabolic Diseases / Metabolism / Mice / Non-alcoholic fatty liver disease / Non-alcoholic Fatty Liver Disease - complications / Nutrition research / Receptors, Immunologic / Risk factors / rology / Thyroid gland / Thyroid hormones / Triiodothyronine / Type 2 diabetes / Type 2 diabetes mellitus / Values