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Stress and the thyroid gland
Authors:L I Nadolnik
Institution:(1) EPOCA Epidemiology Research Center, Department of Environmental and Occupational Health “Clinica del Lavoro L. Devoto”, Maggiore Hospital Foundation IRCCS, University of Milan, via San Barnaba 8, 20122 Milan, Italy;(2) Occupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH/DHHS, 6120 Executive Blvd, Bethesda, MD 20892–7236, USA;
Abstract:The review highlights the effects of acute and chronic stress on thyroid gland metabolism. Special attention is paid to the influence of stress and the direct effects of glucocorticoids on the thyroid status, the activities of thyrocytes, iodine uptake, its oxidation and organification as well as peripheral metabolism of thyroid hormones (deposition and transport of thyroid hormones, deiodinase activities in different tissues). The role of stress in the development of thyroid pathology is analyzed and characteristic features of thyroid function alterations during impaired functioning of the pituitary-adrenal system are established. Taking into consideration serious consequences of thyroid deficiency for the body, even in subclinical thyroid insufficiency, the mechanisms of the stress-induced impairments in thyroid functions are of interest for further studies.
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