Evidence map›Paper›PMID 42731096›Full record

ReviewFASEB journal : official publication of the Federation of American Societies for Experimental Biology2026

Endocrine-Metabolic Crosstalk Between Diabetes Mellitus and Hypothyroidism: From Network Mechanisms to Translational Stratification.

Xiuqing Yang, Tao Jiang, Zhengkun Bao, Fengzhen Xu, Ke Zhang, Rongbing Chen, Lingchao Chen, Wenting Wang, Libo Jin, Da Sun and 1 more

Abstract readReview
In one paragraph

Review in FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Xiuqing YangInstitute of Life Sciences & Biomedical Collaborative Innovation Center of Zhejiang Province, Wenzhou University, Wenzhou, China.ORCID https://orcid.org/0009-0000-0091-9277
Tao JiangInstitute of Life Sciences & Biomedical Collaborative Innovation Center of Zhejiang Province, Wenzhou University, Wenzhou, China.
Zhengkun BaoEmergency Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Fengzhen XuDepartment of Pediatrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ke ZhangDepartment of Nephrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Rongbing ChenDepartment of Biomedical Engineering, City University of Hong Kong, Hong Kong, SAR, China.ORCID https://orcid.org/0009-0004-2621-2711
Lingchao ChenDepartment of Endocrinology, Yiwu Central Hospital, The Affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu, China.
Wenting WangDepartment of Endocrinology, Yiwu Central Hospital, The Affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu, China.
Libo JinInstitute of Life Sciences & Biomedical Collaborative Innovation Center of Zhejiang Province, Wenzhou University, Wenzhou, China.
Da SunInstitute of Life Sciences & Biomedical Collaborative Innovation Center of Zhejiang Province, Wenzhou University, Wenzhou, China.ORCID https://orcid.org/0000-0001-7747-9951
Xia ChenDepartment of Endocrinology, Yiwu Central Hospital, The Affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu, China.ORCID https://orcid.org/0009-0009-0096-0160

Funding

Central Government Funds for Guiding Local Scientifuc and Technological Development 2025ZY01039Jinhua Science and Technology Bureau (Science and Technology Bureau of Jinhua City) 2024-3-022Wenzhou University (WZU) SHPY2025010
6 · The paper itself

Abstract

Diabetes mellitus (DM) and hypothyroidism (HypoT) are common endocrine-metabolic disorders that frequently coexist, forming a biologically complex comorbidity rather than a simple clinical overlap. Increasing evidence suggests that DM-HypoT comorbidity arises from reciprocal disturbances in insulin action, thyroid hormone signaling, immune-inflammatory regulation, and cellular energy sensing. Thyroid hormone deficiency may impair glucose utilization, promote insulin resistance, and aggravate metabolic stress, whereas diabetes-associated hyperinsulinemia, oxidative stress, and chronic inflammation may disrupt hypothalamic-pituitary-thyroid axis activity, thyroid hormone synthesis, and peripheral hormone activation. Subclinical hypothyroidism may represent an early biochemical phenotype within this interaction and often intersects with obesity and metabolic syndrome. Additional biological nodes, including gut dysbiosis, micronutrient imbalance, AGE-RAGE signaling, and tissue-specific mitochondrial dysfunction, may further amplify endocrine-metabolic dysregulation. However, causal hierarchy, tissue specificity, phenotype heterogeneity, and responsive patient subgroups remain incompletely defined. This review synthesizes current epidemiological and mechanistic evidence and proposes an integrated pancreatic islet-immune-gut-thyroid axis framework to support mechanism-informed risk stratification, biomarker development, and translational intervention strategies for DM-HypoT comorbidity.

Indexed as

Diabetes MellitusHypothyroidismAnimalsHumansInsulin ResistanceSignal TransductionThyroid HormonesThyroid Hormonesdiabetes mellitusendocrine–metabolic crosstalkhypothyroidisminsulin resistancethyroid hormone signaling

Identifiers

PMID42731096
PMCPMC13570681

What OpenQuestion holds

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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.