IMPACT OF GRAVES' DISEASE AND ANTITHYROID DRUG THERAPY ON BONE MINERAL DENSITY - PATHOPHYSIOLOGICAL MECHANISMS AND CLINICAL RELEVANCE.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.