Selenite supplementation in euthyroid subjects with thyroid peroxidase antibodies
Summary Context Euthyroid thyroid peroxidase (TPO‐Ab)‐positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have shown a decrease in TPO‐Ab and improvement of quality‐of‐life (QoL) in L‐T4‐treated hypothyroid patients upon selenium supplem...
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Published in | Clinical endocrinology (Oxford) Vol. 80; no. 3; pp. 444 - 451 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford
Blackwell Publishing Ltd
01.03.2014
Blackwell Wiley Subscription Services, Inc |
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Abstract | Summary
Context
Euthyroid thyroid peroxidase (TPO‐Ab)‐positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have shown a decrease in TPO‐Ab and improvement of quality‐of‐life (QoL) in L‐T4‐treated hypothyroid patients upon selenium supplementation.
Objectives
To evaluate in euthyroid TPO‐Ab‐positive women without thyroid medication whether selenite decreases TPO‐Ab and improves QoL.
Design
Randomized, placebo‐controlled, double‐blind study.
Patients and methods
Euthyroid (TSH 0·5–5·0 mU/l, FT4 10–23 pm) women with TPO‐Ab ≥ 100 kU/l were randomized to receive 200 mcg sodium selenite daily (n = 30) or placebo (n = 31) for 6 months. TSH, FT4, TPO‐Ab, selenium (Se), selenoprotein P (SePP) and QoL were measured at baseline, 3, 6 and 9 months.
Results
There were no differences in baseline characteristics between the Se group and the placebo group. During selenite supplementation, serum Se and SePP did not change in the placebo group, but increased in the Se group. TPO‐Ab and TSH did not change significantly in any group. TPO‐Ab in the Se group were 895 (130–6800) at baseline, 1360 (60–7050) kU/l at 6 months, in the placebo group 1090 (120–9200) and 1130 (80–9900) kU/l, respectively (median values with range). TSH in the Se group was 2·1 (0·5–4·3) at baseline, 1·7 (0·0–5·3) mU/l at 6 months, in the placebo group 2·4 (0·7–4·4) and 2·5 (0·2–4·3) mU/l, respectively. QoL was not different between the groups.
Conclusion
Six months selenite supplementation increased markers of selenium status but had no effect on serum TPO‐Ab, TSH or quality‐of‐life in euthyroid TPO‐Ab‐positive women. |
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AbstractList | Summary
Context
Euthyroid thyroid peroxidase (TPO‐Ab)‐positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have shown a decrease in TPO‐Ab and improvement of quality‐of‐life (QoL) in L‐T4‐treated hypothyroid patients upon selenium supplementation.
Objectives
To evaluate in euthyroid TPO‐Ab‐positive women without thyroid medication whether selenite decreases TPO‐Ab and improves QoL.
Design
Randomized, placebo‐controlled, double‐blind study.
Patients and methods
Euthyroid (TSH 0·5–5·0 mU/l, FT4 10–23 pm) women with TPO‐Ab ≥ 100 kU/l were randomized to receive 200 mcg sodium selenite daily (n = 30) or placebo (n = 31) for 6 months. TSH, FT4, TPO‐Ab, selenium (Se), selenoprotein P (SePP) and QoL were measured at baseline, 3, 6 and 9 months.
Results
There were no differences in baseline characteristics between the Se group and the placebo group. During selenite supplementation, serum Se and SePP did not change in the placebo group, but increased in the Se group. TPO‐Ab and TSH did not change significantly in any group. TPO‐Ab in the Se group were 895 (130–6800) at baseline, 1360 (60–7050) kU/l at 6 months, in the placebo group 1090 (120–9200) and 1130 (80–9900) kU/l, respectively (median values with range). TSH in the Se group was 2·1 (0·5–4·3) at baseline, 1·7 (0·0–5·3) mU/l at 6 months, in the placebo group 2·4 (0·7–4·4) and 2·5 (0·2–4·3) mU/l, respectively. QoL was not different between the groups.
Conclusion
Six months selenite supplementation increased markers of selenium status but had no effect on serum TPO‐Ab, TSH or quality‐of‐life in euthyroid TPO‐Ab‐positive women. Summary Context Euthyroid thyroid peroxidase (TPO-Ab)-positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have shown a decrease in TPO-Ab and improvement of quality-of-life (QoL) in L-T4-treated hypothyroid patients upon selenium supplementation. Objectives To evaluate in euthyroid TPO-Ab-positive women without thyroid medication whether selenite decreases TPO-Ab and improves QoL. Design Randomized, placebo-controlled, double-blind study. Patients and methods Euthyroid (TSH 0·5-5·0 mU/l, FT4 10-23 pm) women with TPO-Ab ≥ 100 kU/l were randomized to receive 200 mcg sodium selenite daily (n = 30) or placebo (n = 31) for 6 months. TSH, FT4, TPO-Ab, selenium (Se), selenoprotein P (SePP) and QoL were measured at baseline, 3, 6 and 9 months. Results There were no differences in baseline characteristics between the Se group and the placebo group. During selenite supplementation, serum Se and SePP did not change in the placebo group, but increased in the Se group. TPO-Ab and TSH did not change significantly in any group. TPO-Ab in the Se group were 895 (130-6800) at baseline, 1360 (60-7050) kU/l at 6 months, in the placebo group 1090 (120-9200) and 1130 (80-9900) kU/l, respectively (median values with range). TSH in the Se group was 2·1 (0·5-4·3) at baseline, 1·7 (0·0-5·3) mU/l at 6 months, in the placebo group 2·4 (0·7-4·4) and 2·5 (0·2-4·3) mU/l, respectively. QoL was not different between the groups. Conclusion Six months selenite supplementation increased markers of selenium status but had no effect on serum TPO-Ab, TSH or quality-of-life in euthyroid TPO-Ab-positive women. [PUBLICATION ABSTRACT] Euthyroid thyroid peroxidase (TPO-Ab)-positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have shown a decrease in TPO-Ab and improvement of quality-of-life (QoL) in L-T4-treated hypothyroid patients upon selenium supplementation. To evaluate in euthyroid TPO-Ab-positive women without thyroid medication whether selenite decreases TPO-Ab and improves QoL. Randomized, placebo-controlled, double-blind study. Euthyroid (TSH 0·5-5·0 mU/l, FT4 10-23 pm) women with TPO-Ab ≥ 100 kU/l were randomized to receive 200 mcg sodium selenite daily (n = 30) or placebo (n = 31) for 6 months. TSH, FT4, TPO-Ab, selenium (Se), selenoprotein P (SePP) and QoL were measured at baseline, 3, 6 and 9 months. There were no differences in baseline characteristics between the Se group and the placebo group. During selenite supplementation, serum Se and SePP did not change in the placebo group, but increased in the Se group. TPO-Ab and TSH did not change significantly in any group. TPO-Ab in the Se group were 895 (130-6800) at baseline, 1360 (60-7050) kU/l at 6 months, in the placebo group 1090 (120-9200) and 1130 (80-9900) kU/l, respectively (median values with range). TSH in the Se group was 2·1 (0·5-4·3) at baseline, 1·7 (0·0-5·3) mU/l at 6 months, in the placebo group 2·4 (0·7-4·4) and 2·5 (0·2-4·3) mU/l, respectively. QoL was not different between the groups. Six months selenite supplementation increased markers of selenium status but had no effect on serum TPO-Ab, TSH or quality-of-life in euthyroid TPO-Ab-positive women. Euthyroid thyroid peroxidase (TPO-Ab)-positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have shown a decrease in TPO-Ab and improvement of quality-of-life (QoL) in L-T4-treated hypothyroid patients upon selenium supplementation.CONTEXTEuthyroid thyroid peroxidase (TPO-Ab)-positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have shown a decrease in TPO-Ab and improvement of quality-of-life (QoL) in L-T4-treated hypothyroid patients upon selenium supplementation.To evaluate in euthyroid TPO-Ab-positive women without thyroid medication whether selenite decreases TPO-Ab and improves QoL.OBJECTIVESTo evaluate in euthyroid TPO-Ab-positive women without thyroid medication whether selenite decreases TPO-Ab and improves QoL.Randomized, placebo-controlled, double-blind study.DESIGNRandomized, placebo-controlled, double-blind study.Euthyroid (TSH 0·5-5·0 mU/l, FT4 10-23 pm) women with TPO-Ab ≥ 100 kU/l were randomized to receive 200 mcg sodium selenite daily (n = 30) or placebo (n = 31) for 6 months. TSH, FT4, TPO-Ab, selenium (Se), selenoprotein P (SePP) and QoL were measured at baseline, 3, 6 and 9 months.PATIENTS AND METHODSEuthyroid (TSH 0·5-5·0 mU/l, FT4 10-23 pm) women with TPO-Ab ≥ 100 kU/l were randomized to receive 200 mcg sodium selenite daily (n = 30) or placebo (n = 31) for 6 months. TSH, FT4, TPO-Ab, selenium (Se), selenoprotein P (SePP) and QoL were measured at baseline, 3, 6 and 9 months.There were no differences in baseline characteristics between the Se group and the placebo group. During selenite supplementation, serum Se and SePP did not change in the placebo group, but increased in the Se group. TPO-Ab and TSH did not change significantly in any group. TPO-Ab in the Se group were 895 (130-6800) at baseline, 1360 (60-7050) kU/l at 6 months, in the placebo group 1090 (120-9200) and 1130 (80-9900) kU/l, respectively (median values with range). TSH in the Se group was 2·1 (0·5-4·3) at baseline, 1·7 (0·0-5·3) mU/l at 6 months, in the placebo group 2·4 (0·7-4·4) and 2·5 (0·2-4·3) mU/l, respectively. QoL was not different between the groups.RESULTSThere were no differences in baseline characteristics between the Se group and the placebo group. During selenite supplementation, serum Se and SePP did not change in the placebo group, but increased in the Se group. TPO-Ab and TSH did not change significantly in any group. TPO-Ab in the Se group were 895 (130-6800) at baseline, 1360 (60-7050) kU/l at 6 months, in the placebo group 1090 (120-9200) and 1130 (80-9900) kU/l, respectively (median values with range). TSH in the Se group was 2·1 (0·5-4·3) at baseline, 1·7 (0·0-5·3) mU/l at 6 months, in the placebo group 2·4 (0·7-4·4) and 2·5 (0·2-4·3) mU/l, respectively. QoL was not different between the groups.Six months selenite supplementation increased markers of selenium status but had no effect on serum TPO-Ab, TSH or quality-of-life in euthyroid TPO-Ab-positive women.CONCLUSIONSix months selenite supplementation increased markers of selenium status but had no effect on serum TPO-Ab, TSH or quality-of-life in euthyroid TPO-Ab-positive women. |
Author | Wiersinga, Wilmar M. Schomburg, Lutz Köhrle, Josef Hollenbach, Birgit Endert, Erik Fliers, Eric Eskes, Silvia A. Birnie, Erwin |
Author_xml | – sequence: 1 givenname: Silvia A. surname: Eskes fullname: Eskes, Silvia A. email: s.eskes@sfg.nl organization: Department of Endocrinology and Metabolism Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands – sequence: 2 givenname: Erik surname: Endert fullname: Endert, Erik organization: Department of Endocrinology and Metabolism Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands – sequence: 3 givenname: Eric surname: Fliers fullname: Fliers, Eric organization: Department of Endocrinology and Metabolism Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands – sequence: 4 givenname: Erwin surname: Birnie fullname: Birnie, Erwin organization: Department of Statistics and Education, St. Franciscus Gasthuis Rotterdam, Rotterdam, The Netherlands – sequence: 5 givenname: Birgit surname: Hollenbach fullname: Hollenbach, Birgit organization: Institute for Experimental Endocrinology, Charité Universitätsmedizin Berlin, Berlin, Germany – sequence: 6 givenname: Lutz surname: Schomburg fullname: Schomburg, Lutz organization: Institute for Experimental Endocrinology, Charité Universitätsmedizin Berlin, Berlin, Germany – sequence: 7 givenname: Josef surname: Köhrle fullname: Köhrle, Josef organization: Institute for Experimental Endocrinology, Charité Universitätsmedizin Berlin, Berlin, Germany – sequence: 8 givenname: Wilmar M. surname: Wiersinga fullname: Wiersinga, Wilmar M. organization: Department of Endocrinology and Metabolism Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands |
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Keywords | Human Endocrine gland Peroxidases Enzyme Antibody Peroxidase Thyroid gland Oxidoreductases Supplementation Endocrinology |
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Euthyroid thyroid peroxidase (TPO‐Ab)‐positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism.... Euthyroid thyroid peroxidase (TPO-Ab)-positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism. Previous studies have... Summary Context Euthyroid thyroid peroxidase (TPO-Ab)-positive subjects are at risk for progression to subclinical and overt autoimmune hypothyroidism.... |
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SubjectTerms | Adult Aged Autoantibodies - blood Biological and medical sciences Dietary Supplements Disease Progression Drug therapy Endocrinopathies Female Fundamental and applied biological sciences. Psychology Hormones Humans Hypothyroidism - blood Hypothyroidism - immunology Hypothyroidism - prevention & control Iodide Peroxidase - immunology Medical sciences Middle Aged Older people Selenium Sodium Selenite - administration & dosage Sodium Selenite - blood Thyroid Gland - drug effects Thyroid Gland - physiology Thyroiditis, Autoimmune - blood Thyroiditis, Autoimmune - immunology Thyroiditis, Autoimmune - prevention & control Vertebrates: endocrinology Young Adult |
Title | Selenite supplementation in euthyroid subjects with thyroid peroxidase antibodies |
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