Relationship between thyroid gland micromorphology, thyroid hormones and thyroid stimulating hormone in the blood (literature review)

Cover Page

Cite item

Full Text

Abstract

One of the common thyroid pathologies is hypothyroidism. This syndrome is caused by a deficiency of thyroid hormones caused by iodine deficiency in the body. According to statistics, there is an increase in the prevalence and incidence of hypothyroidism. The article presents statistical data on the prevalence and hypothyroidism. An analysis of experimental data was conducted and the main changes occurring in the thyroid gland during hypothyroidism were identified. An assessment was made of the relationship between structural changes in the thyroid gland and the levels of TSH, T3 and T4 in the blood. During the study of the experimental data, it was revealed that changes in the morphology of the thyroid gland in hypothyroidism affect both the components of the parenchyma and stroma. There is an increase in the proportion of small and medium follicles of various shapes. The height of A-cells and the diameter of their nucleus increase. Vacuolization and the appearance of cavities with colloid are noted in the cytoplasm of cells. The volume of the stroma increases, while the volume density of the blood and lymphatic capillaries decreases. There is a direct relationship between the degree of change in the hormonal status of the body in hypothyroidism and the severity of morphological changes in the thyroid gland.

About the authors

Nikita O. Tsyplikhin

Medical Institute, Penza State University

Author for correspondence.
Email: cyplikhin@mail.ru

Assistant of the sub-department of morphology, postgraduate student

(40 Krasnaya street, Penza, Russia)

Marija G. Fedorova

Medical Institute, Penza State University

Email: fedorovamerry@gmail.com

Candidate of medical sciences, associate professor, head of the sub-department of morphology

(40 Krasnaya street, Penza, Russia)

Ekaterina V. Komarova

Medical Institute, Penza State University

Email: ekaterina-log@inbox.ru

Candidate of biological sciences, associate professor, associate professor of the sub-department of morphology

(40 Krasnaya street, Penza, Russia)

Natal'ya S. Yakovleva

Medical Institute, Penza State University

Email: natali.yakovleva2002@yandex.ru

Student

(40 Krasnaya street, Penza, Russia)

Vladislav S. Vasil'ev

Medical Institute, Penza State University

Email: vsvasilyev@list.ru

Senior lecturer of the sub-department of human physiology, postgraduate student

(40 Krasnaya street, Penza, Russia)

References

  1. Abdulkhabirova F.M., Babarina M.B. Modern methods of diagnosis and treatment of hypothyroidism syndrome. Trudnyy patsient = Difficult patient. 2014;12(7):42‒47. (In Russ.)
  2. Biryukova E.V., Kileynikov D.V., Solov'eva I.V. Hypothyroidism: the current state of the problem. Meditsinskiy sovet = Medical advice. 2020;(7):92‒103. (In Russ.). doi: 10.21518/2079-701X-2020-7-96-107
  3. Kuznetsov E.V., Zhukova L.A., Pakhomova E.A. et al. Endocrine diseases as a medical and social problem of our time. Sovremennye problemy nauki i obrazovaniya = Modern issues of science and education. 2017;(4):62‒62. (In Russ.)
  4. Nasvaliev Z.A.U., Zhurakulov M.Sh.U., Zhuraev Sh.B.U. et al. Hypotireosis. Science and Education. 2023;4(5):328‒338. (In Russ.)
  5. Tsanava I.A., Bulgakova S.V., Melikova A.V. et al. Hypothyroidism in the elderly. Klinicheskaya gerontologiya = Clinical gerontology. 2021;27(3-4):75‒81. (In Russ.). doi: 10.26347/1607-2499202103-04075-081
  6. Verbovoy A.F., Dolgikh Yu.A., Verbovaya N.I. Hypothyroidism is an interdisciplinary problem. RMZh. Meditsinskoe obozrenie = Russian medical journal. Medical review. 2022;6(9):509‒515. (In Russ.). doi: 10.32364/2587-6821-2022-6-9-509-515
  7. Korovkina E.V., Shklyaev A.E. Pathogenetic aspects of complex therapy of cognitive impairment in patients with primary hypothyroidism. Dnevnik Kazanskoy meditsinskoy shkoly = Bulletin of Kazan medical school. 2019;(1):182‒187. (In Russ.)
  8. Styazhkina S.N., Akhmetshina G.Z., Ognev O.I. et al. Postoperative hypothyroidism. Mezhdunarodnyy studencheskiy nauchnyy vestnik = International Student Scientific Bulletin. 2016;(6):67‒67. (In Russ.)
  9. Erkenova L.D. Dynamics of morphofunctional changes in the adrenal glands of rats with experimental hypothyroidism. Vestnik nauchnykh konferentsiy = Bulletin of scientific conferences. 2020;(7-2):166‒169. (In Russ.)
  10. Glushakov R.I., Kozyrko E.V., Sobolev I.V. et al. Thyroid disease and the risk of developing non-thyroid pathology. Kazanskiy meditsinskiy zhurnal = Kazan medical journal. 2017;98(1):77‒84. (In Russ.). doi: 10.17750/KMJ2017-77
  11. Panfilova E.A., Isaeva M.P., Troshina E.A. Hypothyroidism: a lecture for primary care physicians. Meditsinskiy sovet = Medical advice. 2020;(11):124‒130. (In Russ.). doi: 10.21518/2079-701X-2020-11-124-130
  12. Priputnevich D.N. On the issue of analyzing the prevalence of hypothyroidism in patients with affective disorders. Prikladnye informatsionnye aspekty meditsiny = Applied information aspects of medicine. 2015;18(4):50‒56. (In Russ.)
  13. Shutova A.S., Dzeranova L.K., Vorotnikova S.Yu. et al. Stress-induced endocrinopathies. Vestnik Kyrgyzsko-Rossiyskogo Slavyanskogo universiteta = Bulletin of the Kyrgyz- Russian Slavic University. 2021;21(1):98‒106. (In Russ.)
  14. Troshina E.A., Platonova N.M., Panfilova E.A. Dynamics of epidemiological indicators of thyroid pathology in the population of the Russian Federation: analytical report for the period 2009-2018. Problemy endokrinologii = Issues of endocrinology. 2021;67(2):10‒19. (In Russ.). doi: 10.14341/probl12433
  15. Dolgikh Yu.A., Verbovoy A.F., Sharonova L.A. Subclinical hypothyroidism. Klinicheskaya meditsina = Clinical medicine. 2017;95(2):118‒122. (In Russ.). doi: 10.18821/0023-2149-2017-95-2-118-122
  16. Morgunova T.B., Fadeev V.V. Hypothyroidism: modern principles of diagnosis and treatment. Meditsinskiy sovet = Medical advice. 2016;(3):79‒81. (In Russ.). doi: 10.21518/2079-701X-2016-3-79-81
  17. Petunina N.A., Trukhina L.V. Hypothyroidism. RMZh = Russian medical journal. 2013;21(12):664‒666. (In Russ.)
  18. Puzin D.A., Aristarkhov V.G., Aristarkhov R.V. et al. Using the low-intensity laser therapy in the treatment of subclinical hypothyroidism of various etiologies. Lazernaya meditsina = Laser medicine. 2017;21(1):11‒14. (In Russ.)
  19. Shestakova T.P. Subclinical hypothyroidism - a modern view of the problem. RMZh = Russian medical journal. 2016;24(1):6‒8. (In Russ.)
  20. Sergalieva M.U., Abdulkadyrova E.I., Yasenyavskaya A.L. Experimental models of thyroid pathology. Astrakhanskiy meditsinskiy zhurnal = Astrakhan medical journal. 2020;15(1):98‒107. (In Russ.). doi: 10.17021/2020.15.1.98.107
  21. Chaulin A.M., Grigor'eva Yu.V., Suvorova G.N. et al. Experimental models of hypothyroidism. Morfologicheskie vedomosti = Morphological bulletin. 2021;29(1):69‒76. (In Russ.). doi: 10.20340/mv-mn.2021.29(1):69-76
  22. Dolomatov S.I., Novikov N.Yu., Kasich I.N. et al. Peculiarities of the renal response of hypothyroid white rats to a single administration of L-thyroxine. Eksperimental'naya i klinicheskaya farmakologiya = Experimental and clinical pharmacology. 2018;81(6):9‒13. (In Russ.). doi: 10.30906/0869-2092-2018-81-6-9-13
  23. Kamilov F.Kh., Ganeev T.I., Kozlov V.N. et al. Selection of the method of administration and dose of thiamazole for modeling hypothyroidism in laboratory rats. Biomeditsina = Biomedicine. 2018;(1):59‒70. (In Russ.)
  24. Lemza S.V., Khamaeva N.A., Toropova A.A. et al. “Tireoton” as a phytocorrector of brain mitochondrial dysfunction in experimental hypothyroidism. Baykal'skiy meditsinskiy zhurnal = Baikal medical journal. 2015;133(2):112‒115. (In Russ.)
  25. Maksyutov R.R., Baymatov V.N., Ponomareva L.F. et al. Studying the thyroid status of rats during correction of disorders induced by experimental hypothyroidism. Rossiyskiy veterinarnyy zhurnal = Russian Veterinary Journal. 2013;(3):36‒39. (In Russ.)
  26. Razakov B.Yu., Chartakov K. Experimental models of thyroid pathology. Mirovaya nauka = World science. 2024;(4):80‒83. (In Russ.)
  27. Botasheva V.S., Erkenova L.D., Kubanova A.B. et al. Morphological changes in the pancreas in postoperative hypothyroidism in an experiment. Meditsinskiy alfavit = Medical alphabet. 2022;(12):34‒37. (In Russ.). doi: 10.33667/2078-5631-2022-12-34-37
  28. Kogotyzheva M.A., Erkenova L.D., Dolaev A.A. Protective effect of Mexidol on the liver in postoperative hypothyroidism. Sotsial'no-politicheskie i ekonomicheskie aspekty razvitiya sovremennogo obshchestva: nauchnye teorii, rossiyskiy i mezhdunarodnyy opyt: sb. nauch. st. po itogam Mezhdunar. nauch.-prakt. konf. (Sankt-Peterburg, 11‒12 marta 2022 g.) = Socio-political and economic aspects of the development of modern society: scientific theories, Russian and international experience: proceedings of the International scientific and practical conference (Saint Petersburg, March 11-12, 2022). Saint Petersburg: Izd-vo SPbGEU 2022:31‒34. (In Russ.)
  29. Konoplyanko V.A., Klebanov R.D. Pathophysiological processes in hypothyroidism in an experiment. Zdorov'e i okruzhayushchaya sreda = Health and environment. 2015;2(25):102‒105. (In Russ.)
  30. Kulimbetov M.T., Rashitov M.M., Saatov T.S. Modeling experimental hypothyroidism caused by natural chronic iodine deficiency in the diet. Mezhdunarodnyy endokrinologicheskiy zhurnal = International journal of endocrinology. 2009;2(20):22‒27. (In Russ.)
  31. Corriveau S., Blouin S., Raiche É. et al. Levothyroxine treatment generates an abnormal uterine contractility patterns in an in vitro animal model. Journal of Clinical & Translational Endocrinology. 2015; 2(4):144‒149. doi: 10.1016/j.jcte.2014.09.005
  32. Meng L., Rijntjes E., Swarts H.J. et al. Prolonged hypothyroidism severely reduces ovarian follicular reserve in adult rats. Journal of Ovarian Research. 2017;10(1):19. doi: 10.1186/s13048-017-0314-7
  33. Keum J., Ryu K.Y., Roh J. Radioactive Iodine-induced hypothyroidism interferes with the maturation of reproductive organs during puberty in immature female rats. Toxicological Research. 2022;39(1):53‒60. doi: 10.1007/s43188-022-00147-z
  34. Yang J., Yi N., Zhang J. et al. Generation and characterization of a hypothyroidism rat model with truncated thyroid stimulating hormone receptor. Scientific Reports. 2018;8(1):4004. doi: 10.1038/s41598-018-22405-7
  35. Zhang X., Malik B., Young C. et al Maintaining the thyroid gland in mutant thyroglobulin- induced hypothyroidism requires thyroid cell proliferation that must continue in adulthood. Journal of Biological Chemistry. 2022;298(7):102066. doi: 10.1016/j.jbc.2022.102066
  36. Tykheev A.A., Zhamsaranova S.D., Tomitova E.A. Morphological analysis of the thyroid gland in conditions of experimental hypothyroidism and correction. Obrazovanie i nauka: materialy natsional'noy konferentsii, Ulan-Ude, 15–23 aprelya 2019 = Education and science: proceedings of the national conference, Ulan-Ude, April 15–23, 2019. Ulan-Ude: Vostochno-Sibirskiy gosudarstvennyy universitet tekhnologiy i upravleniya, 2019:420‒430. (In Russ.). EDN: SCQBAP
  37. Gorchakova O.V., Gorchakov V.N., Demchenko G.A. et al. Morphological characteristics of the tissue microregion of the thyroid gland in experimental hypothyroidism. Sibirskiy nauchnyy meditsinskiy zhurnal = Siberian scientific medical journal. 2019;39(4):46‒54. (In Russ.). doi: 10.15372/SSMJ20190406
  38. Smelova I.V., Golovneva E.S. Studying the morphofunctional changes in thyroid follicles in rats under normal conditions and with hypothyroidism after exposure to medium- intensity laser radiation. Vestnik Rossiyskogo gosudarstvennogo meditsinskogo universiteta = Bulletin of the Russian State Medical University. 2018;(3):67‒74. (In Russ.). doi: 10.24075/vrgmu.2018.028
  39. Tykheev A.A., Lygdenov D.V., Sordonova E.V. et al. The influence of organic forms of trace elements on morphological changes in thyroid cells. Vestnik Krasnoyarskogo gosudarstvennogo agrarnogo universiteta = Bulletin of Krasnoyarsk State Agrarian University. 2019;(6):66‒75. (In Russ.)
  40. Arkhipova E.V., Damdinova G.Kh. The effect of “Tireoton” on the morphofunctional state of the thyroid gland in experimental hypothyroidism. Acta Biomedica Scientifica. 2012;(6):55‒59. (In Russ.)
  41. Bil'zhanova G.Zh., Chekurov I.V., Vishnevskaya T.Ya. Morphofunctional profile of the thyroid gland of male Wistar rats in the framework of the experimental model “Hypothyroidism- stress”. Izvestiya Orenburgskogo gosudarstvennogo agrarnogo universiteta = Proceedings of Orenburg State Agrarian University. 2016;(2):177‒180. (In Russ.)
  42. Khachatryan T.S. Effects of ultra-low doses of the choline ester N-(2-methoxybenzoyl)- O-isopropyl-α, β-dehydrothyrosine on subclinical hypothyroidism in rats. Issledovaniya v oblasti estestvennykh nauk = Research in the natural sciences. 2013;(12). (In Russ.). Available at: https://science.snauka.ru/2013/12/6417
  43. Kuznetsov I.M., Mozerov S.A., Kalashnikova S.A. Features of structural changes in the thyroid gland in rats with chronic endogenous intoxication depending on the level of general nonspecific reactivity of the body. Volgo-gradskiy nauchno-meditsinskiy zhurnal = Volgograd scientific and medical journal. 2009;(2):44‒46. (In Russ.)
  44. Zdor V.V., Markelova E.V. The state of the cytokine profile in experimental thyrotoxicosis in Wistar rats. Acta Biomedica Scientifica. 2012;(3):280‒283. (In Russ.)
  45. Sviridonova M.A., Fadeev V.V., Il'in A.V. Circadian and individual variability of TSH and thyroid hormone levels in individuals without thyroid dysfunction. Klinicheskaya i eksperimental'naya tireoidologiya = Clinical and experimental thyroidology. 2010;(6):39‒45. (In Russ.)
  46. Tsareva Yu.O., Sokolov I.M., Aristarin M.A. Thyroid function and its biorhythmic changes in ischemic heart disease and atrial fibrillation. Sovremennye problemy nauki i obrazovaniya = Modern issues of science and education. 2015;(1):1371. (In Russ.). EDN: VIEXUD
  47. Pronina T.S., Shitov L.A. Circadian rhythm of adrenal and thyroid hormones in adult dogs and puppies. Problemy endokrinologii = Issues of endocrinology. 2004;50(6):39‒42. (In Russ.)
  48. Tsareva Yu.O., Mayskova E.A., Fedotov E.A., Shvarts Yu.G. Changes in thyroid function during the day in patients with stable coronary heart disease with persistent atrial fibrillation. Serdtse: zhurnal dlya praktikuyushchikh vrachey = Heart: journal for practicing physicians. 2014;13(6):354‒359. (In Russ.). EDN: VHFZCJ
  49. Sozykin A.A., Zernova A.G. The influence of biological rhythms on the endocrine glands of the human body. Sovremennye voprosy morfologii endokrinnoy sistemy: sb. materialov II mezhregional'noy nauch.-prakt. konf. studentov, aspirantov i molodykh uchenykh (Rostov-na-Donu, 22 noyabrya 2018 g.) = Modern issues of the morphology of the endocrine system: proceedings of the 2nd interregional scientific and practical conference of students, postgraduate students and young scientists (Rostov-on-Don, November 22, 2018). Rostov-on-Don, 2018:164‒170. (In Russ.). EDN: YRQSFF
  50. Skudarnova I.M., Soboleva N.V., Mychka N.V. Gormony shchitovidnoy zhelezy = Thyroid hormones. Kol'tsovo: ZAO «Vektor-Best, 2006:31. (In Russ.)

Supplementary files

Supplementary Files
Action
1. JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Согласие на обработку персональных данных с помощью сервиса «Яндекс.Метрика»

1. Я (далее – «Пользователь» или «Субъект персональных данных»), осуществляя использование сайта https://journals.rcsi.science/ (далее – «Сайт»), подтверждая свою полную дееспособность даю согласие на обработку персональных данных с использованием средств автоматизации Оператору - федеральному государственному бюджетному учреждению «Российский центр научной информации» (РЦНИ), далее – «Оператор», расположенному по адресу: 119991, г. Москва, Ленинский просп., д.32А, со следующими условиями.

2. Категории обрабатываемых данных: файлы «cookies» (куки-файлы). Файлы «cookie» – это небольшой текстовый файл, который веб-сервер может хранить в браузере Пользователя. Данные файлы веб-сервер загружает на устройство Пользователя при посещении им Сайта. При каждом следующем посещении Пользователем Сайта «cookie» файлы отправляются на Сайт Оператора. Данные файлы позволяют Сайту распознавать устройство Пользователя. Содержимое такого файла может как относиться, так и не относиться к персональным данным, в зависимости от того, содержит ли такой файл персональные данные или содержит обезличенные технические данные.

3. Цель обработки персональных данных: анализ пользовательской активности с помощью сервиса «Яндекс.Метрика».

4. Категории субъектов персональных данных: все Пользователи Сайта, которые дали согласие на обработку файлов «cookie».

5. Способы обработки: сбор, запись, систематизация, накопление, хранение, уточнение (обновление, изменение), извлечение, использование, передача (доступ, предоставление), блокирование, удаление, уничтожение персональных данных.

6. Срок обработки и хранения: до получения от Субъекта персональных данных требования о прекращении обработки/отзыва согласия.

7. Способ отзыва: заявление об отзыве в письменном виде путём его направления на адрес электронной почты Оператора: info@rcsi.science или путем письменного обращения по юридическому адресу: 119991, г. Москва, Ленинский просп., д.32А

8. Субъект персональных данных вправе запретить своему оборудованию прием этих данных или ограничить прием этих данных. При отказе от получения таких данных или при ограничении приема данных некоторые функции Сайта могут работать некорректно. Субъект персональных данных обязуется сам настроить свое оборудование таким способом, чтобы оно обеспечивало адекватный его желаниям режим работы и уровень защиты данных файлов «cookie», Оператор не предоставляет технологических и правовых консультаций на темы подобного характера.

9. Порядок уничтожения персональных данных при достижении цели их обработки или при наступлении иных законных оснований определяется Оператором в соответствии с законодательством Российской Федерации.

10. Я согласен/согласна квалифицировать в качестве своей простой электронной подписи под настоящим Согласием и под Политикой обработки персональных данных выполнение мною следующего действия на сайте: https://journals.rcsi.science/ нажатие мною на интерфейсе с текстом: «Сайт использует сервис «Яндекс.Метрика» (который использует файлы «cookie») на элемент с текстом «Принять и продолжить».