Evidence map›Paper›PMID 33524107›Full record

ArticleThe Journal of clinical endocrinology and metabolism2021

Dyslipidemia, Insulin Resistance, Ectopic Lipid Accumulation, and Vascular Function in Resistance to Thyroid Hormone β.

Carla Moran, Carmel M McEniery, Nadia Schoenmakers, Catherine Mitchell, Alison Sleigh, Laura Watson, Greta Lyons, Keith Burling, Peter Barker, Krishna Chatterjee

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Guideline
  2. Article
  3. medRxiv : the preprint server for health sciences · 2026
    Article
  4. Review
  5. Article
  6. Characteristics of Dyslipidemia in Adults With Resistance to Thyroid Hormone β.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. The Metabolic Syndrome, a Human Disease.International journal of molecular sciences · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Resistance to Thyroid Hormones: A Case-Series Study.International journal of molecular sciences · 2022
    Article
  18. Review
  19. Article
  20. Frontiers in nutrition · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Carla MoranWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Carmel M McEnieryDivision of Experimental Medicine and Immunotherapeutics, University of Cambridge, Cambridge, UK.
Nadia SchoenmakersWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Catherine MitchellDepartment of Endocrinology, Hillingdon Hospital, Hillingdon, UK.
Alison SleighWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Laura WatsonWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Greta LyonsWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Keith BurlingNIHR Cambridge BRC Core Biochemical Assay Laboratory, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Peter BarkerNIHR Cambridge BRC Core Biochemical Assay Laboratory, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Krishna ChatterjeeWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBHillingdon Hospital · GB

Funding

Department of HealthMedical Research Council G0600717Wellcome TrustWellcome Trust 210755/Z/18/ZWellcome Trust 219496/Z/19/Z
6 · The paper itself

Abstract

purposeIn resistance to thyroid hormone due to mutations in thyroid hormone receptor β, peripheral tissues are variably refractory to the action of circulating thyroid hormones. We evaluated parameters contributing to atherosclerotic risk in this disorder.

methodsWe measured low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), nonesterified fatty acids (NEFA), intrahepatic lipid (IHL) and intramyocellular lipid (IMCL), Homeostasis-model assessment of insulin resistance (HOMA-IR), augmentation index (AIx) and pulse wave velocity (PWV), flow-mediated dilatation, and carotid intima-media thickness (cIMT) in an unselected, genetically confirmed cohort of adult RTHβ patients (n = 27-77) and compared these with measurements in healthy subjects (up to n = 100) and thyrotoxic patients (n = 40).

resultsResistance to thyroid hormone beta (RTHβ) patients exhibited higher LDL-C (P = 0.008) and TG (P = 0.002) and lower HDL-C concentrations (P = 0.015 × 10-2) than control subjects, with LDL-C being higher than in thyrotoxic patients with comparable hyperthyroxinemia. Proprotein convertase subtilisin/kexin 9 (P = 0.002) and apolipoprotein B (P = 0.0009) levels were reduced in thyrotoxic patients but not lower in RTHβ patients or control subjects. Intrahepatic lipid (P = 0.02 × 10-4), IMCL (P = 0.002), HOMA-IR (P = 0.01 × 10-2), and NEFA (P = 0.04 × 10-6) were significantly higher in RTHβ patients than control subjects. Flow-mediated dilatation was increased (P = 0.04) but cIMT (P = 0.71), PWV P = 0.81), and AIx (P = 0.95) were unaltered in RTHβ patients.

conclusionsWe have documented mixed dyslipidemia with hepatic and IMCL accumulation in RTHβ, suggesting that surveillance for these metabolic abnormalities is warranted. How they combine with enhanced endothelial function and unaltered vessel wall thickness and compliance to determine overall cardiometabolic risk in this disorder remains to be defined.

Indexed as

Insulin ResistanceMutationAdultBiomarkersCarotid Intima-Media ThicknessCase-Control StudiesDyslipidemiasFemaleFollow-Up StudiesHumansHypercholesterolemiaLipidsMalePrognosisThyroid Hormone Receptors betaThyroid HormonesBiomarkersLipidsThyroid Hormone Receptors betaThyroid Hormonesdyslipidemiahepatic steatosisresistance to thyroid hormone betathyroid hormone receptorvascular function

Identifiers

PMID33524107
PMCPMC8063262
OpenAlexW3120732355

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.