Is birthweight associated with thyroid autoimmunity? A study in twins.

Is birthweight associated with thyroid autoimmunity? A study in twins.
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出生体重与甲状腺自身免疫有关吗?

DOI:
10.1089/105072502760043440
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发表时间:
2002
期刊:
Thyroid : official journal of the American Thyroid Association
影响因子:
--
通讯作者:
B. Rees
B. Rees
中科院分区:
--
文献类型:
--
作者:
D. Phillips;C. Osmond;J. Baird;Alison Huckle;B. Rees

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虽然广泛的研究表明,一个人的倾向,发展自身抗体甲状腺过氧化物酶(TPOAb)和甲状腺球蛋白(TgAb)有遗传成分,最近的一份报告表明,生长限制在胎儿的生活也可能有助于。因此,我们测量了TPOAb和TgAb在人口为基础的研究双胞胎(44个单合子和91个双合子)出生于1950年和1955年之间谁是通过出生记录在英国伯明翰登记确定。TPOAb和TgAb通过高灵敏度免疫沉淀试验测定,其中分别可检测到0.01 U/mL和0.1 U/mL。在156名女性中的49名(31%)和116名男性中的7名(6%)中发现TPOAb,TgAb值相似(分别为31%和9%)。在28对纯合子中,10对TgAb一致,7对不一致,先证者一致率为74%。TPOAb的一致率相似(64%),高于双卵双胞胎的一致率。单卵双胞胎的TgAb患病率高于双卵双胞胎(30% vs. 17%,p = 0.01)。此外,我们发现,在单卵双胞胎中出生大小不一致的情况下,较小的双胞胎有较高的TPOAb患病率(p = 0.01)。我们的结果表明,遗传因素和早期环境因素都有助于甲状腺自身免疫的易感性。
Although extensive studies have suggested that an individual's predisposition to develop autoantibodies to thyroid peroxidase (TPOAb) and thyroglobulin (TgAb) has a genetic component, a recent report has suggested that growth restriction during fetal life may also contribute. We have therefore measured TPOAb and TgAb in a population-based study of twins (44 monozygous and 91 dizygous) born between 1950 and 1955 who were identified through a registry of birth records in Birmingham, United Kingdom. TPOAb and TgAb were measured by a highly sensitive immunoprecipitation assay in which 0.01 U/mL and 0.1 U/mL, respectively, were detectable. TPOAb were found in 49 of 156 (31%) of women and 7 of 116 (6%) of men with similar values for TgAb (31% and 9%, respectively). Of 28 monozygous pairs, 10 were concordant for TgAb and 7 discordant giving a probandwise concordance rate of 74%. Concordance rates for TPOAb were similar (64%) and were higher than concordance rates in dizygous twins. Monozygous twins had a higher prevalence of TgAb than dizygous twins (30% vs. 17%, p = 0.01). In addition, we found that where there was discordance in birth size within monozygous twin pairs, the smaller twin had a higher prevalence of TPOAb (p = 0.01). Our results suggest that both heritable and early environmental components contribute to the susceptibility to thyroid autoimmunity.
DOI: 10.1089/105072503768499653
发表时间: 2003-08-01
期刊: THYROID
影响因子: 6.6
作者:
Villanueva, R;Greenberg, DA;Tomer, Y
通讯作者: Tomer, Y