The Effect of Simvastatin on Thyroid Function in Experimental Autoimmune Thyroiditis Induced in Rats

Yaqeen Talib Mohammed, Nadia Hameed Mohameed, Inaam Samih Arif
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Abstract

Autoimmune thyroiditis or Hashimoto’s thyroiditis (HT): is the most common autoimmune thyroid disease. is characterized by marked lymphocytic infiltration and the presence of serum autoantibodies against Thyroid peroxidase (TPO) and Thyroglobulin (TG). HT is a prevalent cause of hypothyroidism in areas of the world where dietary iodine is sufficient. Genetic predisposition and cellular and humoral immunity play a role in thyroid autoimmune pathogenesis. Antithyroid antibodies are produced by interaction between APC, T cells, and B cells to fix complement. Thyroid tissue is more severely damaged by complement-dependent antibody-mediated cytotoxicity. Statins, the powerful inhibitors of HMG-CoA reductase have pleotropic effects including anti-inflammatory and immunomodulatory effects. In this current study, Experimental autoimmune thyroiditis was induced in twenty-four female Wistar rat. Simvastatin was given at a dose of 4mg/kg for 30 days. Thyroid autoantibodies and Thyroid hormones were measured by ELISA technique Results showed that Simvastatin reduced autoantibodies against TPO and TG. It also lowered serum level of TSH and increased serum level of T4. Due to the undesirable side effects associated with the current treatment options used in Autoimmune thyroiditis. Simvastatin might be a promising approach in the treatment of this disease.
辛伐他汀对实验性自身免疫性甲状腺炎大鼠甲状腺功能的影响
自身免疫性甲状腺炎或桥本氏甲状腺炎(HT):是最常见的自身免疫性甲状腺疾病,以明显的淋巴细胞浸润和血清中出现针对甲状腺过氧化物酶(TPO)和甲状腺球蛋白(TG)的自身抗体为特征。在世界上膳食碘充足的地区,HT 是甲状腺功能减退症的常见病因。遗传易感性以及细胞和体液免疫在甲状腺自身免疫发病机制中发挥着作用。抗甲状腺抗体是由APC、T细胞和B细胞相互作用固定补体而产生的。补体依赖性抗体介导的细胞毒性会对甲状腺组织造成更严重的损害。他汀类药物是HMG-CoA还原酶的强效抑制剂,具有抗炎和免疫调节等多种作用。在本研究中,24 只雌性 Wistar 大鼠被诱发了实验性自身免疫性甲状腺炎。辛伐他汀的剂量为 4 毫克/千克,持续 30 天。结果表明,辛伐他汀可减少针对TPO和TG的自身抗体。辛伐他汀还降低了促甲状腺激素的血清水平,提高了T4的血清水平。由于目前用于自身免疫性甲状腺炎的治疗方案存在不良副作用。辛伐他汀可能是治疗这种疾病的一种很有前景的方法。
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