Research progress on estrogen and estrogen receptors in the occurrence and progression of autoimmune thyroid diseases

IF 9.2 1区 医学 Q1 IMMUNOLOGY Autoimmunity reviews Pub Date : 2025-03-13 DOI:10.1016/j.autrev.2025.103803
Jiewen Xie , Jie Wang , Xuejiao Cui
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Abstract

Autoimmune thyroid disease (AITD) is a category of disease related to sex differences, with a significantly higher incidence in women than in men. In addition to X chromosome inactivation abnormalities, Estrogen and estrogen receptors may lead to the sex differences in AITD. Estrogen, estrogen receptors and estrogen receptor-mediated signaling pathways can affect the number and function of immune cells and the function of the thyroid to promote the development of AITD. This article describes the role of estrogen in regulating the composition ratio and the function of immune cells and the role of estrogen in promoting thyroid cell proliferation and thyroxine-binding protein and thyroid antibody production; the role of estrogen in stimulating the hypothalamus-pituitary–thyroid gland axis; and the role of estrogen and the estrogen receptor in the progression of AITD. These roles offer a new perspective for understanding the pathological mechanism of AITD and provide new targets for future therapeutic strategies.
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自身免疫性甲状腺疾病(AITD)是一类与性别差异有关的疾病,女性的发病率明显高于男性。除了X染色体失活异常外,雌激素和雌激素受体也可能导致AITD的性别差异。雌激素、雌激素受体和雌激素受体介导的信号通路可影响免疫细胞的数量和功能以及甲状腺的功能,从而促进 AITD 的发生。本文介绍了雌激素在调节免疫细胞的组成比例和功能方面的作用,以及雌激素在促进甲状腺细胞增殖、甲状腺素结合蛋白和甲状腺抗体产生方面的作用;雌激素在刺激下丘脑-垂体-甲状腺轴方面的作用;雌激素和雌激素受体在AITD进展中的作用。这些作用为了解AITD的病理机制提供了一个新的视角,并为未来的治疗策略提供了新的靶点。
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来源期刊
Autoimmunity reviews
Autoimmunity reviews 医学-免疫学
CiteScore
24.70
自引率
4.40%
发文量
164
审稿时长
21 days
期刊介绍: Autoimmunity Reviews is a publication that features up-to-date, structured reviews on various topics in the field of autoimmunity. These reviews are written by renowned experts and include demonstrative illustrations and tables. Each article will have a clear "take-home" message for readers. The selection of articles is primarily done by the Editors-in-Chief, based on recommendations from the international Editorial Board. The topics covered in the articles span all areas of autoimmunology, aiming to bridge the gap between basic and clinical sciences. In terms of content, the contributions in basic sciences delve into the pathophysiology and mechanisms of autoimmune disorders, as well as genomics and proteomics. On the other hand, clinical contributions focus on diseases related to autoimmunity, novel therapies, and clinical associations. Autoimmunity Reviews is internationally recognized, and its articles are indexed and abstracted in prestigious databases such as PubMed/Medline, Science Citation Index Expanded, Biosciences Information Services, and Chemical Abstracts.
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