Saudi Journal of Pathology and Microbiology (SJPM)
Volume-4 | Issue-06 | 483-487
Original Research Article
Serum Apolipoprotein levels in Hypothyroidism
Manish Raj Kulshrestha, Vandana Tiwari, Pratima Tripathi
Published : June 30, 2019
Abstract
Dyslipidemia is a common finding in patients with thyroid disease, explained by the adverse effects of thyroid hormones
in almost all steps of lipid metabolism. Clinical hypothyroidism, through different mechanisms, are associated with lipid
alterations, mainly concerning total and LDL cholesterol and less often HDL cholesterol, triglycerides, lipoprotein (a),
apolipoprotein A1, and apolipoprotein B. In addition to quantitative, qualitative alterations of lipids have been also
reported, including atherogenic and oxidized LDL and HDL particles. In thyroid disease, dyslipidemia coexists with
various metabolic abnormalities and induce insulin resistance and oxidative stress via a vice-vicious cycle. The above
associations in combination with the thyroid hormone induced hemodynamic alterations, might explain the increased risk
of coronary artery disease, cerebral ischemia risk, and angina pectoris in older, and possibly ischemic stroke in younger
patients with overt or subclinical hyperthyroidism. This article presents a correlation study between hypothyroidism, Apo
B and Apo A. It has been found that the 55 subjects enrolled in this study show a significant correlation between TSH
and Apo B.