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Published in: Endocrine 3/2015

01-08-2015 | Viewpoint

Does microbiota composition affect thyroid homeostasis?

Authors: Camilla Virili, Marco Centanni

Published in: Endocrine | Issue 3/2015

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Abstract

The intestinal microbiota is essential for the host to ensure digestive and immunologic homeostasis. When microbiota homeostasis is impaired and dysbiosis occurs, the malfunction of epithelial barrier leads to intestinal and systemic disorders, chiefly immunologic and metabolic. The role of the intestinal tract is crucial in the metabolism of nutrients, drugs, and hormones, including exogenous and endogenous iodothyronines as well as micronutrients involved in thyroid homeostasis. However, the link between thyroid homeostasis and microbiota composition is not yet completely ascertained. A pathogenetic link with dysbiosis has been described in different autoimmune disorders but not yet fully elucidated in autoimmune thyroid disease which represents the most frequent of them. Anyway, it has been suggested that intestinal dysbiosis may trigger autoimmune thyroiditis. Furthermore, hypo- and hyper-thyroidism, often of autoimmune origin, were respectively associated to small intestinal bacterial overgrowth and to changes in microbiota composition. Whether some steps of this thyroid network may be affected by intestinal microbiota composition is briefly discussed below.
Literature
1.
go back to reference M. Montalto, F. D’Onofrio, A. Gallo, A. Cazzato, G. Gasbarrini, Intestinal microbiota and its functions. Dig. Liver. Dis. Suppl. 3, 30–34 (2009)CrossRef M. Montalto, F. D’Onofrio, A. Gallo, A. Cazzato, G. Gasbarrini, Intestinal microbiota and its functions. Dig. Liver. Dis. Suppl. 3, 30–34 (2009)CrossRef
2.
go back to reference M. Arumugam, J. Raes, E. Pelletier, D. Le Paslier, T. Yamada, D.R. Mende, G.R. Fernandes, J. Tap, T. Bruls, J.M. Batto, M. Bertalan, N. Borruel, F. Casellas, L. Fernandez, L. Gautier, T. Hansen, M. Hattori, T. Hayashi, M. Kleerebezem, K. Kurokawa, M. Leclerc, F. Levenez, C. Manichanh, H.B. Nielsen, T. Nielsen, N. Pons, J. Poulain, J. Qin, T. Sicheritz-Ponten, S. Tims, D. Torrents, E. Ugarte, E.G. Zoetendal, J. Wang, F. Guarner, O. Pedersen, W.M. de Vos, S. Brunak, J. Doré, MetaHIT Consortium, M. Antolín, F. Artiguenave, H.M. Blottiere, M. Almeida, C. Brechot, C. Cara, C. Chervaux, A. Cultrone, C. Delorme, G. Denariaz, R. Dervyn, K.U. Foerstner, C. Friss, M. van de Guchte, E. Guedon, F. Haimet, W. Huber, J. van Hylckama-Vlieg, A. Jamet, C. Juste, G. Kaci, J. Knol, O. Lakhdari, S. Layec, K. Le Roux, E. Maguin, A. Mérieux, R. Melo Minardi, C. M’rini, J. Muller, R. Oozeer, J. Parkhill, P. Renault, M. Rescigno, N. Sanchez, S. Sunagawa, A. Torrejon, K. Turner, G. Vandemeulebrouck, E. Varela, Y. Winogradsky, G. Zeller, J. Weissenbach, S.D. Ehrlich, P. Bork, Enterotypes of the human gut microbiome. Nature 473, 174–180 (2011)PubMedCentralPubMedCrossRef M. Arumugam, J. Raes, E. Pelletier, D. Le Paslier, T. Yamada, D.R. Mende, G.R. Fernandes, J. Tap, T. Bruls, J.M. Batto, M. Bertalan, N. Borruel, F. Casellas, L. Fernandez, L. Gautier, T. Hansen, M. Hattori, T. Hayashi, M. Kleerebezem, K. Kurokawa, M. Leclerc, F. Levenez, C. Manichanh, H.B. Nielsen, T. Nielsen, N. Pons, J. Poulain, J. Qin, T. Sicheritz-Ponten, S. Tims, D. Torrents, E. Ugarte, E.G. Zoetendal, J. Wang, F. Guarner, O. Pedersen, W.M. de Vos, S. Brunak, J. Doré, MetaHIT Consortium, M. Antolín, F. Artiguenave, H.M. Blottiere, M. Almeida, C. Brechot, C. Cara, C. Chervaux, A. Cultrone, C. Delorme, G. Denariaz, R. Dervyn, K.U. Foerstner, C. Friss, M. van de Guchte, E. Guedon, F. Haimet, W. Huber, J. van Hylckama-Vlieg, A. Jamet, C. Juste, G. Kaci, J. Knol, O. Lakhdari, S. Layec, K. Le Roux, E. Maguin, A. Mérieux, R. Melo Minardi, C. M’rini, J. Muller, R. Oozeer, J. Parkhill, P. Renault, M. Rescigno, N. Sanchez, S. Sunagawa, A. Torrejon, K. Turner, G. Vandemeulebrouck, E. Varela, Y. Winogradsky, G. Zeller, J. Weissenbach, S.D. Ehrlich, P. Bork, Enterotypes of the human gut microbiome. Nature 473, 174–180 (2011)PubMedCentralPubMedCrossRef
3.
go back to reference D. Festi, R. Schiumerini, C. Birtolo, L. Marzi, L. Montrone, E. Scaioli, A.R. Di Biase, A. Colecchia, Gut microbiota and its pathophysiology in disease paradigms. Dig. Dis. 29, 518–524 (2011)PubMedCrossRef D. Festi, R. Schiumerini, C. Birtolo, L. Marzi, L. Montrone, E. Scaioli, A.R. Di Biase, A. Colecchia, Gut microbiota and its pathophysiology in disease paradigms. Dig. Dis. 29, 518–524 (2011)PubMedCrossRef
4.
go back to reference F. Shanahan, Translating the microbiota to medicine. Nat. Rev. Gastrenterol. Hepatol. 9, 72–74 (2012)CrossRef F. Shanahan, Translating the microbiota to medicine. Nat. Rev. Gastrenterol. Hepatol. 9, 72–74 (2012)CrossRef
5.
go back to reference J.M.M. Natividad, E.F. Verdu, Modulation of intestinal barrier by intestinal microbiota: pathological and therapeutic implications. Pharmacol. Res. 69, 42–51 (2013)PubMedCrossRef J.M.M. Natividad, E.F. Verdu, Modulation of intestinal barrier by intestinal microbiota: pathological and therapeutic implications. Pharmacol. Res. 69, 42–51 (2013)PubMedCrossRef
6.
go back to reference A.J. Macpherson, N.L. Harris, Interactions between commensal intestinal bacteria and the immune system. Nat. Rev. Immunol. 4, 478–485 (2004)PubMedCrossRef A.J. Macpherson, N.L. Harris, Interactions between commensal intestinal bacteria and the immune system. Nat. Rev. Immunol. 4, 478–485 (2004)PubMedCrossRef
7.
go back to reference H. Tlaskalová-Hogenová, R. Stěpánková, H. Kozáková, T. Hudcovic, L. Vannucci, L. Tučková, P. Rossmann, T. Hrnčíř, M. Kverka, Z. Zákostelská, K. Klimešová, J. Přibylová, J. Bártová, D. Sanchez, P. Fundová, D. Borovská, D. Srůtková, Z. Zídek, M. Schwarzer, P. Drastich, D.P. Funda, The role of gut microbiota (commensal bacteria) and the mucosal barrier in the pathogenesis of inflammatory and autoimmune diseases and cancer: contribution of germ-free and gnotobiotic animal models of human diseases. Cell. Mol. Immunol. 8, 110–120 (2011)PubMedCentralPubMedCrossRef H. Tlaskalová-Hogenová, R. Stěpánková, H. Kozáková, T. Hudcovic, L. Vannucci, L. Tučková, P. Rossmann, T. Hrnčíř, M. Kverka, Z. Zákostelská, K. Klimešová, J. Přibylová, J. Bártová, D. Sanchez, P. Fundová, D. Borovská, D. Srůtková, Z. Zídek, M. Schwarzer, P. Drastich, D.P. Funda, The role of gut microbiota (commensal bacteria) and the mucosal barrier in the pathogenesis of inflammatory and autoimmune diseases and cancer: contribution of germ-free and gnotobiotic animal models of human diseases. Cell. Mol. Immunol. 8, 110–120 (2011)PubMedCentralPubMedCrossRef
8.
go back to reference E.C. Lauritano, A.L. Bilotta, M. Gabrielli, E. Scarpellini, A. Lupascu, A. Laginestra, M. Novi, S. Sottili, M. Serricchio, G. Cammarota, G. Gasbarrini, A. Pontecorvi, A. Gasbarrini, Association between hypothyroidism and small intestinal bacterial overgrowth. J. Clin. Endocrinol. Metab. 92, 4180–4184 (2007)PubMedCrossRef E.C. Lauritano, A.L. Bilotta, M. Gabrielli, E. Scarpellini, A. Lupascu, A. Laginestra, M. Novi, S. Sottili, M. Serricchio, G. Cammarota, G. Gasbarrini, A. Pontecorvi, A. Gasbarrini, Association between hypothyroidism and small intestinal bacterial overgrowth. J. Clin. Endocrinol. Metab. 92, 4180–4184 (2007)PubMedCrossRef
9.
go back to reference L. Zhou, X. Li, A. Ahmed, D. Wu, L. Liu, J. Qiu, Y. Yan, M. Jin, Y. Xin, Gut microbe analysis between hyperthyroid and healthy individuals. Curr. Microbiol. 69(5), 675–680 (2014)PubMedCrossRef L. Zhou, X. Li, A. Ahmed, D. Wu, L. Liu, J. Qiu, Y. Yan, M. Jin, Y. Xin, Gut microbe analysis between hyperthyroid and healthy individuals. Curr. Microbiol. 69(5), 675–680 (2014)PubMedCrossRef
10.
go back to reference A.M. Navarro, V.M. Suen, I.M. Souza, J.E. De Oliveira, J.S. Marchini, Patients with severe bowel malabsorption do not have changes in iodine status. Nutrition 21, 895–900 (2005)PubMedCrossRef A.M. Navarro, V.M. Suen, I.M. Souza, J.E. De Oliveira, J.S. Marchini, Patients with severe bowel malabsorption do not have changes in iodine status. Nutrition 21, 895–900 (2005)PubMedCrossRef
11.
go back to reference J. Hrdina, A. Banning, A. Kipp, G. Loh, M. Blaut, R. Brigelius-Flohé, The gastrointestinal microbiota affects the selenium status and selenoprotein expression in mice. J. Nutr. Biochem. 20, 638–648 (2009)PubMedCrossRef J. Hrdina, A. Banning, A. Kipp, G. Loh, M. Blaut, R. Brigelius-Flohé, The gastrointestinal microbiota affects the selenium status and selenoprotein expression in mice. J. Nutr. Biochem. 20, 638–648 (2009)PubMedCrossRef
12.
go back to reference M. Michalaki, S. Volonakis, I. Mamali, F. Kalfarentzos, A.G. Vagenakis, K.B. Markou, Dietary iodine absorption is not influenced by malabsorptive bariatric surgery. Obes. Surg. 24, 1921–1925 (2014)PubMedCrossRef M. Michalaki, S. Volonakis, I. Mamali, F. Kalfarentzos, A.G. Vagenakis, K.B. Markou, Dietary iodine absorption is not influenced by malabsorptive bariatric surgery. Obes. Surg. 24, 1921–1925 (2014)PubMedCrossRef
13.
go back to reference R.L. Vought, F.A. Brown, K.H. Sibinovic, G. McDaniel, Effect of changing intestinal bacterial flora on thyroid function in the rat. Horm. Metab. Res. 4, 43–47 (1972)PubMedCrossRef R.L. Vought, F.A. Brown, K.H. Sibinovic, G. McDaniel, Effect of changing intestinal bacterial flora on thyroid function in the rat. Horm. Metab. Res. 4, 43–47 (1972)PubMedCrossRef
14.
go back to reference T.T. Nguyen, J.J. DiStefano 3rd, L.M. Huang, H. Yamada, H.J. Cahnmann, 5′- and 5-deiodinase activities in adult rat cecum and large bowel contents inhibited by intestinal microflora. Am. J. Physiol. 265, E521–E524 (1993)PubMed T.T. Nguyen, J.J. DiStefano 3rd, L.M. Huang, H. Yamada, H.J. Cahnmann, 5′- and 5-deiodinase activities in adult rat cecum and large bowel contents inhibited by intestinal microflora. Am. J. Physiol. 265, E521–E524 (1993)PubMed
15.
go back to reference L. Sabatino, G. Iervasi, P. Ferrazzi, D. Francesconi, I.J. Chopra, A study of iodothyronine 5′-monodeiodinase activities in normal and pathological tissues in man and their comparison with activities in rat tissues. Life Sci. 68, 191–202 (2000)PubMedCrossRef L. Sabatino, G. Iervasi, P. Ferrazzi, D. Francesconi, I.J. Chopra, A study of iodothyronine 5′-monodeiodinase activities in normal and pathological tissues in man and their comparison with activities in rat tissues. Life Sci. 68, 191–202 (2000)PubMedCrossRef
16.
go back to reference S.Y. Wu, W.L. Green, W.S. Huang, M.T. Hays, I.J. Chopra, Alternate pathways of thyroid hormone metabolism. Thyroid 15, 943–958 (2005)PubMedCrossRef S.Y. Wu, W.L. Green, W.S. Huang, M.T. Hays, I.J. Chopra, Alternate pathways of thyroid hormone metabolism. Thyroid 15, 943–958 (2005)PubMedCrossRef
17.
go back to reference M.P. Hazenberg, W.W. de Herder, T.J. Visser, Hydrolysis of iodothyronine conjugates by intestinal bacteria. FEMS Microbiol. Rev. 4, 9–16 (1988)PubMedCrossRef M.P. Hazenberg, W.W. de Herder, T.J. Visser, Hydrolysis of iodothyronine conjugates by intestinal bacteria. FEMS Microbiol. Rev. 4, 9–16 (1988)PubMedCrossRef
19.
go back to reference J.J. DiStefano 3rd, A. de Luze, T.T. Nguyen, Binding and degradation of 3,5,3′-triiodothyronine and thyroxine by rat intestinal bacteria. Am. J. Physiol. 264, E966–E972 (1993)PubMed J.J. DiStefano 3rd, A. de Luze, T.T. Nguyen, Binding and degradation of 3,5,3′-triiodothyronine and thyroxine by rat intestinal bacteria. Am. J. Physiol. 264, E966–E972 (1993)PubMed
20.
go back to reference T.T. Nguyen, J.J. DiStefano 3rd, H. Yamada, Y.M. Yen, Steady state organ distribution and metabolism of thyroxine and 3,5,3′-triiodothyronine in intestines, liver, kidneys, blood, and residual carcass of the rat in vivo. Endocrinology 133, 2973–2983 (1993)PubMed T.T. Nguyen, J.J. DiStefano 3rd, H. Yamada, Y.M. Yen, Steady state organ distribution and metabolism of thyroxine and 3,5,3′-triiodothyronine in intestines, liver, kidneys, blood, and residual carcass of the rat in vivo. Endocrinology 133, 2973–2983 (1993)PubMed
21.
go back to reference B. Gereben, A. Zeöld, M. Dentice, D. Salvatore, A.C. Bianco, Activation and inactivation of thyroid hormone by deiodinases: local action with general consequences. Cell Mol. Life Sci. 65(4), 570–590 (2008)PubMedCrossRef B. Gereben, A. Zeöld, M. Dentice, D. Salvatore, A.C. Bianco, Activation and inactivation of thyroid hormone by deiodinases: local action with general consequences. Cell Mol. Life Sci. 65(4), 570–590 (2008)PubMedCrossRef
22.
go back to reference A.M. Faria, A.C. Gomes-Santos, J.L. Gonçalves, T.G. Moreira, S.R. Medeiros, L.P. Dourado, D.C. Cara, Food components and the immune system: from tonic agents to allergens. Front. Immunol. 17, 1–16 (2013) A.M. Faria, A.C. Gomes-Santos, J.L. Gonçalves, T.G. Moreira, S.R. Medeiros, L.P. Dourado, D.C. Cara, Food components and the immune system: from tonic agents to allergens. Front. Immunol. 17, 1–16 (2013)
23.
go back to reference T.T. Macdonald, G. Monteleone, Immunity, inflammation, and allergy in the gut. Science 307, 1920–1925 (2005)PubMedCrossRef T.T. Macdonald, G. Monteleone, Immunity, inflammation, and allergy in the gut. Science 307, 1920–1925 (2005)PubMedCrossRef
25.
go back to reference K. Mori, Y. Nakagawa, H. Ozaki, Does the gut microbiota trigger Hashimoto’s thyroiditis? Discov. Med. 14, 321–326 (2012)PubMed K. Mori, Y. Nakagawa, H. Ozaki, Does the gut microbiota trigger Hashimoto’s thyroiditis? Discov. Med. 14, 321–326 (2012)PubMed
26.
go back to reference M. Rotondi, L. Chiovato, S. Romagnani, M. Serio, P. Romagnani, Role of chemokines in endocrine autoimmune diseases. Endocr. Rev. 28(5), 492–520 (2007)PubMedCrossRef M. Rotondi, L. Chiovato, S. Romagnani, M. Serio, P. Romagnani, Role of chemokines in endocrine autoimmune diseases. Endocr. Rev. 28(5), 492–520 (2007)PubMedCrossRef
27.
go back to reference E. Bosi, L. Molteni, M.G. Radaelli, L. Folini, I. Fermo, E. Bazzigaluppi, L. Piemonti, M.R. Pastore, R. Paroni, Increased intestinal permeability precedes clinical onset of type 1 diabetes. Diabetologia 49, 2824–2827 (2006)PubMedCrossRef E. Bosi, L. Molteni, M.G. Radaelli, L. Folini, I. Fermo, E. Bazzigaluppi, L. Piemonti, M.R. Pastore, R. Paroni, Increased intestinal permeability precedes clinical onset of type 1 diabetes. Diabetologia 49, 2824–2827 (2006)PubMedCrossRef
28.
go back to reference F.C. Sasso, O. Carbonara, R. Torella, A. Mezzogiorno, V. Esposito, L. Demagistris, M. Secondulfo, R. Carratu’, D. Iafusco, M. Cartenì, Ultrastructural changes in enterocytes in subjects with Hashimoto’s thyroiditis. Gut 53, 1878–1880 (2004)PubMedCentralPubMedCrossRef F.C. Sasso, O. Carbonara, R. Torella, A. Mezzogiorno, V. Esposito, L. Demagistris, M. Secondulfo, R. Carratu’, D. Iafusco, M. Cartenì, Ultrastructural changes in enterocytes in subjects with Hashimoto’s thyroiditis. Gut 53, 1878–1880 (2004)PubMedCentralPubMedCrossRef
29.
go back to reference A.P. Weetman, Cellular immune responses in autoimmune thyroid disease. Clin. Endocrinol. 61, 405–413 (2004)CrossRef A.P. Weetman, Cellular immune responses in autoimmune thyroid disease. Clin. Endocrinol. 61, 405–413 (2004)CrossRef
30.
go back to reference I. Horie, N. Abiru, Y. Nagayama, G. Kuriya, O. Saitoh, T. Ichikawa, Y. Iwakura, K. Eguchi, T helper type 17 immune response plays an indispensable role for development of iodine-induced autoimmune thyroiditis in nonobese diabetic-H2h4 mice. Endocrinology 150, 5135–5142 (2009)PubMedCrossRef I. Horie, N. Abiru, Y. Nagayama, G. Kuriya, O. Saitoh, T. Ichikawa, Y. Iwakura, K. Eguchi, T helper type 17 immune response plays an indispensable role for development of iodine-induced autoimmune thyroiditis in nonobese diabetic-H2h4 mice. Endocrinology 150, 5135–5142 (2009)PubMedCrossRef
32.
go back to reference S. Yu, P.K. Maiti, M. Dyson, R. Jain, H. Braley-Mullen, B cell-deficient NOD.H-2h4 mice have CD4+ CD25+ T regulatory cells that inhibit the development of spontaneous autoimmune thyroiditis. J. Exp. Med. 203, 349–358 (2006)PubMedCentralPubMedCrossRef S. Yu, P.K. Maiti, M. Dyson, R. Jain, H. Braley-Mullen, B cell-deficient NOD.H-2h4 mice have CD4+ CD25+ T regulatory cells that inhibit the development of spontaneous autoimmune thyroiditis. J. Exp. Med. 203, 349–358 (2006)PubMedCentralPubMedCrossRef
33.
go back to reference B. Deplancke, Gaskins, H.R: Microbial modulation of innate defense: goblet cells and the intestinal mucus layer. Am. J. Clin. Nutr. 73, 1131S–1141S (2001)PubMed B. Deplancke, Gaskins, H.R: Microbial modulation of innate defense: goblet cells and the intestinal mucus layer. Am. J. Clin. Nutr. 73, 1131S–1141S (2001)PubMed
34.
go back to reference D. Pabla, F. Akhlaghi, H. Zia, A comparative pH-dissolution profile study of selected commercial levothyroxine products using inductively coupled plasma mass spectrometry. Eur. J. Pharm. Biopharm. 72, 105–110 (2009)PubMedCrossRef D. Pabla, F. Akhlaghi, H. Zia, A comparative pH-dissolution profile study of selected commercial levothyroxine products using inductively coupled plasma mass spectrometry. Eur. J. Pharm. Biopharm. 72, 105–110 (2009)PubMedCrossRef
35.
go back to reference S. Benvenga, L. Bartolone, S. Squadrito, F. Lo Giudice, F. Trimarchi, Delayed intestinal absorption of levothyroxine. Thyroid 5, 249–253 (1995)PubMedCrossRef S. Benvenga, L. Bartolone, S. Squadrito, F. Lo Giudice, F. Trimarchi, Delayed intestinal absorption of levothyroxine. Thyroid 5, 249–253 (1995)PubMedCrossRef
36.
go back to reference W.E. Visser, E.C. Friesema, T.J. Visser, Minireview: thyroid hormone transporters: the knowns and the unknowns. Mol. Endocrinol. 25, 1–14 (2011)PubMedCrossRef W.E. Visser, E.C. Friesema, T.J. Visser, Minireview: thyroid hormone transporters: the knowns and the unknowns. Mol. Endocrinol. 25, 1–14 (2011)PubMedCrossRef
37.
go back to reference L.F. de Sousa Moraes, L.M. Grzeskowiak, T.F. de Sales Teixeira, C. Gouveia Peluzio Mdo, Intestinal microbiota and probiotics in celiac disease. Clin. Microbiol. Rev. 27, 482–489 (2014)PubMedCentralPubMedCrossRef L.F. de Sousa Moraes, L.M. Grzeskowiak, T.F. de Sales Teixeira, C. Gouveia Peluzio Mdo, Intestinal microbiota and probiotics in celiac disease. Clin. Microbiol. Rev. 27, 482–489 (2014)PubMedCentralPubMedCrossRef
38.
go back to reference C. Virili, G. Bassotti, M.G. Santaguida, R. Iuorio, S.C. Del Duca, V. Mercuri, A. Picarelli, P. Gargiulo, L. Gargano, M. Centanni, Atypical celiac disease as cause of increased need for thyroxine: a systematic study. J. Clin. Endocrinol. Metab. 97, E419–E422 (2012)PubMedCrossRef C. Virili, G. Bassotti, M.G. Santaguida, R. Iuorio, S.C. Del Duca, V. Mercuri, A. Picarelli, P. Gargiulo, L. Gargano, M. Centanni, Atypical celiac disease as cause of increased need for thyroxine: a systematic study. J. Clin. Endocrinol. Metab. 97, E419–E422 (2012)PubMedCrossRef
39.
go back to reference M. Cellini, M.G. Santaguida, I. Gatto, C. Virili, S.C. Del Duca, N. Brusca, S. Capriello, L. Gargano, M. Centanni, Systematic appraisal of lactose intolerance as cause of increased need for oral thyroxine. J. Clin. Endocrinol. Metab. 99, E1454–E1458 (2014)PubMedCrossRef M. Cellini, M.G. Santaguida, I. Gatto, C. Virili, S.C. Del Duca, N. Brusca, S. Capriello, L. Gargano, M. Centanni, Systematic appraisal of lactose intolerance as cause of increased need for oral thyroxine. J. Clin. Endocrinol. Metab. 99, E1454–E1458 (2014)PubMedCrossRef
40.
go back to reference M. Ruchała, E. Szczepanek-Parulska, A. Zybek, The influence of lactose intolerance and other gastro-intestinal tract disorders on L-thyroxine absorption. Endokrynol. Pol. 63, 318–323 (2012)PubMed M. Ruchała, E. Szczepanek-Parulska, A. Zybek, The influence of lactose intolerance and other gastro-intestinal tract disorders on L-thyroxine absorption. Endokrynol. Pol. 63, 318–323 (2012)PubMed
41.
go back to reference M. Centanni, Thyroxine treatment: absorption, malabsorption, and novel therapeutic approaches. Endocrine 43, 8–9 (2013)PubMedCrossRef M. Centanni, Thyroxine treatment: absorption, malabsorption, and novel therapeutic approaches. Endocrine 43, 8–9 (2013)PubMedCrossRef
42.
go back to reference T. He, K. Venema, M.G. Priebe, G.W. Welling, R.J. Brummer, R.J. Vonk, The role of colonic metabolism in lactose intolerance. Eur. J. Clin. Invest. 38, 541–547 (2008)PubMedCrossRef T. He, K. Venema, M.G. Priebe, G.W. Welling, R.J. Brummer, R.J. Vonk, The role of colonic metabolism in lactose intolerance. Eur. J. Clin. Invest. 38, 541–547 (2008)PubMedCrossRef
43.
go back to reference M.M. Walker, N.J. Talley, Review article: bacteria and pathogenesis of disease in the upper gastrointestinal tract—beyond the era of Helicobacter pylori. Aliment. Pharmacol. Ther. 39, 767–779 (2014)PubMedCrossRef M.M. Walker, N.J. Talley, Review article: bacteria and pathogenesis of disease in the upper gastrointestinal tract—beyond the era of Helicobacter pylori. Aliment. Pharmacol. Ther. 39, 767–779 (2014)PubMedCrossRef
44.
go back to reference M. Centanni, L. Gargano, G. Canettieri, N. Viceconti, A. Franchi, G. Delle Fave, B. Annibale, Thyroxine in goiter, Helicobacter pylori infection, and chronic gastritis. N. Engl. J. Med. 354, 1787–1795 (2006)PubMedCrossRef M. Centanni, L. Gargano, G. Canettieri, N. Viceconti, A. Franchi, G. Delle Fave, B. Annibale, Thyroxine in goiter, Helicobacter pylori infection, and chronic gastritis. N. Engl. J. Med. 354, 1787–1795 (2006)PubMedCrossRef
Metadata
Title
Does microbiota composition affect thyroid homeostasis?
Authors
Camilla Virili
Marco Centanni
Publication date
01-08-2015
Publisher
Springer US
Published in
Endocrine / Issue 3/2015
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-014-0509-2

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