Searchable abstracts of presentations at key conferences in endocrinology

ea0044s10.3 | Clinical thyroidology update | SFEBES2016

Sick Euthyroid Syndrome

Boelen Anita

The “sick euthyroid syndrome” or “non-thyroidal illness syndrome” (NTIS) occurs in a large proportion of hospitalized patients and comprises a variety of alterations in the hypothalamus-pituitary-thyroid (HPT) axis that are observed during illness. One of the hallmarks of NTIS is decreased plasma triiodothyronine (T3) levels, in severe illness accompanied by low plasma thyroxine (T4) and increased plasma reverse T3 (rT3) concentrations. Downregulation of hy...

ea0034s5.3 | Endocrine consequences of major trauma | SFEBES2014

Thyroid hormone economy during critical illness

Boelen Anita

During illness changes in thyroid hormone metabolism occur, collectively known as the non-thyroidal illness syndrome (NTIS). NTIS is characterized by low serum thyroid hormone levels, while TSH and TRH expression do not increase, indicating a disturbance of the normal thyroid hormone feedback regulation.Although the common view was that NTIS results in overall downregulation of metabolism in order to save energy, recent work has shown that genes involved...

ea0065s4.2 | Thyroid hormone a key regulator in inflammation | SFEBES2019

Thyroid hormone in inflammation

van der Spek Anne H , Fliers Eric , Boelen Anita

Thyroid hormone levels are strongly affected by inflammation. In a wide spectrum of diseases, ranging from critical illness in the ICU to ischemic stroke, a decrease in circulating T3 and T4 is observed without the expected increase in TSH. This disruption of the negative feedback system of the hypothalamic–pituitary–thyroid (HPT) axis is accompanied by various changes in thyroid hormone metabolism at the cellular and tissue level. C...

ea0084op-04-17 | Oral Session 4: Basic 1 | ETA2022

Age and diet regulate intrahepatic thyroid hormone concentration in a mouse model of non-alcoholic fatty liver disease (NAFLD)

Bruinstroop Eveline , Boelen Anita , Yen Paul , Singh Brijesh

Background: Previously, we showed that thyroid hormone (TH) supplementation reduced hepatosteatosis in patients with non-alcoholic fatty liver disease (NAFLD) and was more effective in older patients. We hypothesized that intrahepatic TH concentrations may decrease with age. To investigate this issue, we examined the effects of age on intrahepatic TH concentrations in a mouse model of NAFLD.Methods: Intrahepatic TH levels and deiodinase activity were mea...

ea0081p206 | Thyroid | ECE2022

Discordance between fT4 and TSH concentrations during levothyroxine treatment

Jansen Heleen , Bult Marijn , Bisschop Peter H. , Boelen Anita , C Heijboer Annemieke , Hillebrand Jacquelien

Introduction: Physicians in our hospital notified the laboratory staff of a number of patients at the outpatient clinic with increased free T4 (fT4) concentrations without (complete) suppression of thyroid stimulating hormone (TSH). This phenomenon appeared to occur more frequently following implementation of a new automated fT4 immunoassay. The discordance between fT4 and TSH concentrations may be explained by analytical issues (not further explained here), incorrect referenc...

ea0022h2.5 | Oral Communications Highlights 2 | ECE2010

Effects of leptin administration on starvation-induced alterations in hepatic thyroid hormone metabolism in mice

Boelen Anita , Van Beeren Mieke , Vos Xander , Surovtseva Olga , Kwakkel Joan , Fliers Eric

Fasting induces profound metabolic changes in order to decrease energy expenditure and to conserve energy. One of the major adaptations is downregulation of the hypothalamus–pituitary–thyroid (HPT) axis, characterized by decreased serum thyroid hormone levels without an increase in serum TSH or in TRH expression in the hypothalamic paraventricular nucleus (PVN). Leptin has been proposed as a critical signal initiating the neuroendocrine response to fasting as it decr...

ea0025p154 | Diabetes, metabolism and cardiovascular | SFEBES2011

Over-expression of iodothyronine deiodinase III in the hypothalamic VMN as a potential model of local hypothyroidism

Greenwood Hannah , Counsell John , Richardson Errol , Dhillo Waljit , Boelen Anita , Williams Graham , Bassett Duncan , Bloom Steve , Gardiner James

The hypothalamo-pituitary–thyroid (HPT) axis maintains controlled systemic levels of thyroid hormone (TH). This is achieved through negative feedback via the hypothalamic arcuate and paraventricular nuclei. The effects of thyroid hormone in other hypothalamic nuclei are yet to be elucidated. Administration of triiodothyronine (T3, thyroid hormone) into the hypothalamic ventromedial nucleus (VMN) increases food intake in rats. Thyroid hormone activation and inac...

ea0084ps1-05-42 | Miscellaneous | ETA2022

Not all automated FT4 immunoassays measure accurately in samples of pregnant women and hemodialysis patients

Jansen Heleen , van Herwaarden Antonius , Vervloet Marc , Painter Rebecca , Huijgen Henk , Hillebrand Jacquelien , Boelen Anita , Heijboer Annemieke

Objectives: Free thyroxine (fT4) measurements are performed to detect thyroid disorders and monitor treatment. FT4 is measured using automated immunoassays (IAs) which face established analytical challenges due to low serum concentrations in the picomolar range and the precarious equilibrium between free and bound T4 (to thyroid-binding globulin (TBG) and (pre-)albumin). Furthermore, IAs are known to be affected by the composition of the serum sample (matrix-effects), which ca...

ea0025p8 | Bone | SFEBES2011

Thyrostimulin expression and signalling in the skeleton

Bassett J H Duncan , Hernandez Rebecca , Combs Charlotte , Spek Anne van der , Yu Ming , Williams Allan , Murphy Elaine , Boyde Alan , van Zeijl Clementine J J , Boelen Anita , Williams Graham R

Hypothyroidism and thyrotoxicosis have detrimental effects on skeletal development and adult bone strength. These effects result from thyroid hormone actions in bone, although a direct role for TSH in osteoblasts and osteoclasts was postulated following analysis of TSH receptor (TSHR) null mice. This hypothesis remains controversial as other studies failed to demonstrate osteoblast or osteoclast responses to TSH in vitro. Thyrostimulin is a heterodimeric glycoprotein ho...