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IMPACT OF GRAVES' DISEASE AND ANTITHYROID DRUG THERAPY ON BONE MINERAL DENSITY - PATHOPHYSIOLOGICAL MECHANISMS AND CLINICAL RELEVANCE.

Acta clinica Croatica
November 1, 2022
Dunja Mudri et al. (7 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore potential associations between vitamin D deficiency and Graves' disease, and whether vitamin D supplementation might be beneficial in hyperthyroidism therapy.

Results Summary

The abstract suggests that vitamin D deficiency may coexist with Graves' disease and could be involved in bone remodeling, but it does not provide conclusive evidence on whether vitamin D supplementation is effective in treating hyperthyroidism or improving bone mineral density.

Population

Patients with Graves' disease and potential vitamin D deficiency.

Effective Dosage

Not mentioned

Duration

Not mentioned

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Graves' disease
increase
thyroid hormone production
-
excessive
characterized by excessive thyroid hormone production
#1
Graves' disease
decrease
bone mineral density (BMD)
-
-
can be a decrease in bone mineral density (BMD)
#2
antithyroid drugs (ATD)
decrease
Graves' disease
-
remission
can lead to disease remission
#3
antithyroid drugs (ATD)
increase
bone mineral density (BMD)
-
improvement
improvement in BMD can be expected
#4
vitamin D deficiency
decrease
vitamin D levels
-
deficiency
can coexist along with Graves' disease
#5
vitamin D deficiency
neutral
bone remodeling
-
-
involved in the process of bone remodeling
#6
vitamin D supplementation
decrease
hyperthyroidism
-
helpful
might be helpful in therapy for hyperthyroidism
#7
stimulation of the Wnt pathway
increase
bone mass
-
-
leads to bone mass increase
#8
inhibition of the Wnt pathway
decrease
bone mass
-
-
leads to bone mass decrease
#9
Abstract

Graves' disease is an autoimmune disease characterized by excessive thyroid hormone production. One of the consequences of that state can be a decrease in bone mineral density (BMD). Graves' disease is often treated with antithyroid drugs (ATD) as first line therapy, which can lead to disease remission. Moreover, recent data show that improvement in BMD can be expected. However, vitamin D deficiency can coexist along with Graves' disease, which is also involved in the process of bone remodeling. It is still not known whether lower values of vitamin D can contribute to onset of Graves' disease and if its supplementation might be helpful in therapy for hyperthyroidism. In the past couple of decades, osteopenia and osteoporosis have become a major health burden not only in post-menopausal women but also as a result of other diseases, leading to extensive research into various pathophysiological mechanisms responsible for bone remodeling. The Wnt (wingless integrated) signaling pathway is a very important factor in bone homeostasis, especially the canonical pathway. Present data indicate that stimulation of the Wnt pathway leads to bone mass increase and, in contrast, its inhibition leads to bone mass decrease. Hence, inhibitors of the canonical Wnt pathway became the focus of interest, in particular sclerostin and dickkopf 1 (DKK1). Hyperthyroidism and osteopenia/osteoporosis are quite common today and can coexist together or as separate entities. In this article, we aimed to give an overview of possible associations and potential mutual pathophysiological mechanisms.

Medical Subject Headings (MeSH)
HumansFemaleAntithyroid AgentsBone DensityClinical RelevanceGraves DiseaseHyperthyroidismOsteoporosisBone Diseases, Metabolic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy50/10
Quality70/10
Citation Metrics
Total Citations1
Citations/Year0.3
Relative Citation Ratio0.11
NIH Percentile5.6%
Research Impact Scores
APT Score0.05
Weight Score2.10
Normalized Score0.54
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IMPACT OF GRAVES' DISEASE AND ANTITHYROID DRUG THERAPY ON BO... | Panacea Index