Impact of Thyroid Cancer Treatment on Renal Function: A Relevant Issue to Be Addressed

Paola, Rossella Di; De, Ananya; Capasso, Anna; Giuliana, Sofia; Ranieri, Roberta; Ruosi, Carolina; Sciarra, A.; Vitagliano, Caterina; Perna, Alessandra F.; Capasso, Giovambattista; Simeoni, Mariadelina

doi:10.3390/jpm13050813

Cited by 5 publications

(1 citation statement)

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“…Fatigue and insomnia are two common long-term complications of thyroidectomy, and from our clinical routine of post-surgery attendant, some patients complained of post-operative fatigue and insomnia. Previous publications also reported kidney injury after thyroidectomy (37) and some metabolites were associated with cancer-related renal diseases (Table S6). Our findings showed that metabolites associated with fatigue (Figure 5A) were enriched into set of cysteine and methionine metabolism, with changes of 5-methylthioadenosine (MTA) and cysteine.…”

Section: Discussionmentioning

confidence: 80%

Significant dysregulation of lipid metabolism in patients with papillary thyroid carcinoma after thyroidectomy

Zhou,

Li,

et al. 2023

Front. Endocrinol.

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IntroductionThyroidectomy and thyrotropin suppressive therapy is the widely used surgical treatment for papillary thyroid carcinoma (PTC) patients. However, systematic metabolic changes of post-operative PTC patients were rarely reported.MethodsHere, untargeted metabolomic detection of cohorts from PTC before (t0) and 1-month-after (t1) thyroidectomy, were performed to characterize circulating metabolic signatures after surgical treatment.ResultsOur results showed PTC patients exhibited lower thyroid stimulating hormone degree, higher total thyroxine, and significant lipid-related metabolic alternations after thyroidectomy, which included 97 upregulations (including 93 lipids) and 5 downregulations (including 2 lipids and 3 nucleotides). Enrichment of metabolic pathways mainly included biosynthesis of fatty acids, purine metabolism, and linoleic acid metabolism. We also demonstrated that differential surgical approaches (hemi- and total thyroidectomy) and post-operative complication phenotypes (insomnia, fatigue), might lead to characteristic metabolic signatures.DiscussionThis study revealed dynamic changes of metabolite characteristics of PTC patients after surgical treatment, which were associated with clinical thyroid function parameters, surgical approaches, and complication occurrence. It enlightened us to pay more attention on the post-operative metabolic dysregulation of PTC patients and their long-term qualities of life, so as to provide cautious clinical decisions on surgical choices, treatments, and follow-up details.

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Section: Discussionmentioning

confidence: 80%