PMID- 23278171 OWN - NLM STAT- MEDLINE DCOM- 20140224 LR - 20130724 IS - 1365-2265 (Electronic) IS - 0300-0664 (Linking) VI - 79 IP - 3 DP - 2013 Sep TI - Low normal free T4 confers decreased high-density lipoprotein antioxidative functionality in the context of hyperglycaemia. PG - 416-23 LID - 10.1111/cen.12138 [doi] AB - OBJECTIVES: Low normal thyroid function may promote the development of atherosclerotic cardiovascular disease by thus far poorly defined mechanisms. We tested the impact of thyroid function on HDL antioxidative capacity, a metric of its antiatherogenic functionality, in euthyroid subjects with varying degrees of glucose tolerance. DESIGN AND SUBJECTS: Seventy subjects with Type 2 diabetes mellitus (T2DM), 37 subjects with impaired fasting glucose (IFG) and 31 subjects with normal fasting glucose (NFG) (revised NCEP-ATPIII criteria) participated in a cross-sectional study. MEASUREMENTS: HDL antioxidative capacity (standardized for HDL cholesterol) was measured as the percentage inhibition of low-density lipoprotein oxidation in vitro. RESULTS: TSH, free T4 and HDL antioxidative capacity were not different among NFG, IFG and T2DM subjects (P > 0.25 for each). HDL antioxidative capacity was correlated positively with free T4 (r = 0.320, P = 0.007), and negatively with plasma glucose (r = -0.394, P < 0.001) in T2DM only. Taking account of age and sex, the relationship of HDL antioxidative functionality with free T4 was modified by glucose tolerance status (P = 0.040 and P = 0.008 for interactions of IFG and T2DM with free T4 respectively). Prevailing plasma glucose also interacted positively with free T4 on HDL antioxidative capacity (P = 0.054). CONCLUSIONS: In the context of chronic hyperglycaemia, low free T4 within the euthyroid range confers diminished HDL antioxidative capacity, a pathophysiologically relevant metric of HDL functionality. CI - (c) 2012 John Wiley & Sons Ltd. FAU - Triolo, Michela AU - Triolo M AD - Department of Endocrinology, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands. FAU - de Boer, Jan Freark AU - de Boer JF FAU - Annema, Wijtske AU - Annema W FAU - Kwakernaak, Arjan J AU - Kwakernaak AJ FAU - Tietge, Uwe J F AU - Tietge UJ FAU - Dullaart, Robin P F AU - Dullaart RP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130511 PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (Antioxidants) RN - 0 (Blood Glucose) RN - 0 (Lipoproteins, HDL) RN - 0 (Thyroid Hormones) RN - Q51BO43MG4 (Thyroxine) SB - IM MH - Aged MH - Antioxidants/*metabolism MH - Atherosclerosis/metabolism MH - Blood Glucose/metabolism MH - Body Mass Index MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood MH - Female MH - Glucose Tolerance Test MH - Humans MH - Hyperglycemia/*blood/drug therapy MH - Lipoproteins, HDL/*metabolism MH - Male MH - Middle Aged MH - Oxidative Stress MH - Regression Analysis MH - Thyroid Hormones/blood MH - Thyroxine/*blood EDAT- 2013/01/03 06:00 MHDA- 2014/02/25 06:00 CRDT- 2013/01/03 06:00 PHST- 2012/11/23 00:00 [received] PHST- 2012/12/06 00:00 [revised] PHST- 2012/12/13 00:00 [revised] PHST- 2012/12/21 00:00 [accepted] PHST- 2013/01/03 06:00 [entrez] PHST- 2013/01/03 06:00 [pubmed] PHST- 2014/02/25 06:00 [medline] AID - 10.1111/cen.12138 [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2013 Sep;79(3):416-23. doi: 10.1111/cen.12138. Epub 2013 May 11.