scholarly journals Association of Reduced Free T3 to Free T4 Ratio with Lower Serum Creatinine in Japanese Hemodialysis Patients

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4537
Author(s):  
Masaaki Inaba ◽  
Katsuhito Mori ◽  
Yoshihiro Tsujimoto ◽  
Shinsuke Yamada ◽  
Yuko Yamazaki ◽  
...  
Keyword(s):  
Serum Creatinine ◽  
Serum Albumin ◽  
Muscle Mass ◽  
Muscle Tissue ◽  
Low T3 Syndrome ◽  
Free Triiodothyronine ◽  
Positive Correlation ◽  
Local Activation ◽  
Low T3 ◽  
Study Results

Purpose: Low T3 syndrome is defined by a fall in free triiodothyronine (FT3) in spite of normal serum thyroid-stimulating hormone (TSH) and often normal free thyroxin (FT4). A low FT3/FT4 ratio, a relevant marker for low T3 syndrome, is known as a risk of mortality in hemodialysis (HD) patients, as well as low muscle mass in the general population. Because of the local activation of T4 to FT3 in muscle tissue, we examined the association of FT3/FT4 ratio with serum creatinine, a marker of muscle mass and strength in HD patients to investigate the significance of muscle tissue in the development of low T3 syndrome in HD patients. Methods: This was a cross-sectional study derived from our prospective cohort study, named DREAM, of Japanese HD patients. After the exclusion of patients with treated and untreated thyroid dysfunction, 332 patients were analyzed in the study. Results: The serum FT4 and TSH of HD patients (n = 332) were 0.9 ± 0.1 ng/dL. and 2.0 ± 0.9IU/mL, which were within the respective normal range, while serum FT3 was 2.2 ± 0.3 pg/mL. As many as 101 out of 332 (30.4%) HD patients exhibited a serum FT3 less than the normal lower limit of 2.2 pg/mL. The serum FT3/FT4 ratio correlated significantly positively with serum creatinine, and inversely with serum log CRP and total cholesterol, while it exhibited a tendency towards positive correlation with serum albumin. Multiple regression analysis, which included serum creatinine, albumin, and log CRP, simultaneously, in addition to sex, age, diabetic kidney disease or not, log HD duration, body mass index, systolic blood pressure, and Kt/V, as independent variables, revealed an independent and significant positive association of serum creatinine, but not serum albumin or CRP, with the serum FT3/FT4 ratio. Conclusions: The present study demonstrated an independent and positive correlation of serum creatinine with the serum FT3/FT4 ratio in HD patients. The lack of association of the serum FT3/FT4 ratio with serum albumin and CRP suggested the presence of a creatinine-specific mechanism to associate with serum FT3/FT4 ratio. Because of the local activation of T4 to T3 at muscle tissue, a lower muscle mass may be causatively associated with low T3 syndrome.

scholarly journals Biochemical parameters of mild, moderate & severe COVID-19 patients

2021 ◽  
Vol 11 (2) ◽  
pp. 031-039
Author(s):  
Khushbun Nahar Layla ◽  
Shahanara Yeasmin ◽  
Sharif Ahmed Khan ◽  
Masba Uddin Chowdhury ◽  
Afrina Binte Azad ◽  
...  
Keyword(s):  
Serum Creatinine ◽  
Serum Albumin ◽  
Prothrombin Time ◽  
Serum Ferritin ◽  
Biochemical Parameters ◽  
Rt Pcr ◽  
College Hospital ◽  
Positive Correlation ◽  
Medical College ◽  
D Dimer

Background and objectives: Coronavirus disease 2019 (COVID-19) is affecting millions of people world-wide. It is caused by the severe acute respiratory syndrome corona virus 2(SARS-CoV-2). The laboratory findings are very important to assess the progress of the disease. The present study is aimed to discuss the biochemical parameters among mild, moderate and severe COVID-19 patients. Materials and methods: A cross sectional study were conducted in the Department of Physiology, Dhaka Medical College, Dhaka from January 2020 to December 2020. After obtaining ethical clearance, a total of 100 real time-polymerase chain reaction (RT-PCR) COVID-19 positive patients were selected from Dhaka Medical College Hospital. With all aseptic precautions, 10 ml of venous blood was collected from ante-cubital vein. D-dimer, prothrombin time, C-reactive protein (CRP), lactate dehydrogenase (LDH), serum ferritin, random blood glucose (RBG), serum creatinine, serum glutamic-pyruvic-transaminase (SGPT) and serum albumin measured in the Department of Laboratory Medicine, Dhaka Medical College Hospital, Dhaka. CRP was measured by Immunoturbidimetric method, serum ferritin was estimated by Chemiluminescent microparticle immunoassay. STA-neoplastine CI plus used with STA-R analyzer was used for determination of prothrombin time. D-dimer was estimated by Immunofluorescence Assay method. Serum LDH is measured by Dimention clinical chemistry system, serum albumin is measured by bromocresol purple dye binding method, serum creatinine is measured by Jaffe alkaline picrate method and serum SGPT is measured by colourmetric (IFCC 1980) method and RBG is measured by enzymatic colorimetric method (GOD-PAP). Data were recorded in a pre-designed structured data collection form. For statistical analysis, ANOVA followed by Bonferroni test, Chi square test, Spearman’s rho correlation coefficient test was performed as applicable using SPSS for windows version 25.0. Results: By analyzing biochemical parameters of mild, moderate and severe RT-PCR positive 100 COVID-19 patients revealed evaluation of biochemical parameters shows severity of the disease was significantly associated with CRP, SGPT, S. Creatinine, LDH, Ferritin, D-dimer & Prothrombin time. No significant association was found with RBG & S. Albumin. Bonferroni correction following ANOVA was performed to compare between each group. Spearman’s correlation reveals statistically significant strong positive correlation with CRP, Ferritin & D-dimer, moderate positive correlation with S. Creatinine, LDH and mild positive correlation with SGPT & Prothrombin time. Conclusion: This study showed D-dimer, prothrombin time, CRP, LDH, ferritin, serum creatinine and SGPT are significantly associated with the severity of the illness that is higher in severe group in comparison to mild and moderate groups. So, comprehensive analysis of the biochemical parameters will be very helpful for early identification & better management of severe disease.

On the albumin-dependence of measurements of free thyroxin. II. Patients with non-thyroidal illness.

1987 ◽  
Vol 33 (1) ◽  
pp. 87-92 ◽  
Author(s):  
G Csako ◽  
M H Zweig ◽  
C Benson ◽  
M Ruddel
Keyword(s):  
Serum Albumin ◽  
Binding Proteins ◽  
Equilibrium Dialysis ◽  
Poor Performance ◽  
Albumin Concentration ◽  
Low T3 Syndrome ◽  
Low T3 ◽  
One Step ◽  
The One

Abstract We studied the relation between thyroxin-binding proteins and free thyroxin (FT4) measurements by five radioimmunoassays (RIA) and an FT4 index (FT4I) in patients with non-thyroidal illness (NTI). The one-step FT4 RIAs and the FT4I frequently failed to identify the true FT4 status (as determined by equilibrium dialysis) of NTI patients. In these patients, falsely low FT4 results with one-step RIAs and FT4I were associated with decreasing total T3 and T4 concentrations, which, furthermore, paralleled decreasing serum albumin concentrations. All NTI patients with "low T3, low T4 syndrome" had subnormal albumin concentration. The two-step RIAs and equilibrium dialysis showed normal FT4 concentrations in most patients with NTI. However, sera from a subset of NTI patients with "low T3 syndrome" gave above-normal FT4 results with these methods. From their predictably poor performance in the presence of a subnormal albumin concentration, we conclude that the one-step FT4 RIAs and FT4I are inappropriate for testing the thyrometabolic status of NTI patients.

scholarly journals POS-342 HIGH PREVALENCE OF THYROID ABNORMALITIES AND LOW T3 SYNDROME IN MEXICAN SUBJECTS WITH CKD

2021 ◽  
Vol 6 (4) ◽  
pp. S148-S149
Author(s):  
E. Sabath ◽  
L. Cárdenas-Rodríguez ◽  
M.L. Robles-Osorio
Keyword(s):  
Low T3 Syndrome ◽  
Low T3 ◽  
High Prevalence ◽  
Thyroid Abnormalities

scholarly journals Respiratory Muscle Weakness as a Risk Factor for Pneumonia in Older People

Gerontology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Tatsuma Okazaki ◽  
Yoshimi Suzukamo ◽  
Midori Miyatake ◽  
Riyo Komatsu ◽  
Masahiro Yaekashiwa ◽  
...  
Keyword(s):  
Risk Factor ◽  
Muscle Strength ◽  
Older People ◽  
Serum Albumin ◽  
Muscle Mass ◽  
Muscle Weakness ◽  
Fat Mass ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Respiratory Muscle Weakness

Introduction: The respiratory muscle strength regulates the effectiveness of coughing, which clears the airways and protects people from pneumonia. Sarcopenia is an aging-related loss of muscle mass and function, the worsening of which is associated with malnutrition. The loss of respiratory and swallowing muscle strength occurs with aging, but its effect on pneumonia is unclear. This study aimed to determine the risks of respiratory muscle weakness on the onset and relapse of pneumonia in older people in conjunction with other muscle-related factors such as malnutrition. Methods: We conducted a longitudinal study with 47 pneumonia inpatients and 35 non-pneumonia controls aged 70 years and older. We evaluated the strength of respiratory and swallowing muscles, muscle mass, and malnutrition (assessed by serum albumin levels and somatic fat) during admission and confirmed pneumonia relapse within 6 months. The maximal inspiratory and expiratory pressures determined the respiratory muscle strength. Swallowing muscle strength was evaluated by tongue pressure. Bioelectrical impedance analysis was used to evaluate the muscle and fat mass. Results: The respiratory muscle strength, body trunk muscle mass, serum albumin level, somatic fat mass, and tongue pressure were significantly lower in pneumonia patients than in controls. Risk factors for the onset of pneumonia were low inspiratory respiratory muscle strength (odds ratio [OR], 6.85; 95% confidence interval [CI], 1.56–30.11), low body trunk muscle mass divided by height2 (OR, 6.86; 95% CI, 1.49–31.65), and low serum albumin level (OR, 5.46; 95% CI, 1.51–19.79). For the relapse of pneumonia, low somatic fat mass divided by height2 was a risk factor (OR, 20.10; 95% CI, 2.10–192.42). Discussion/Conclusions: Respiratory muscle weakness, lower body trunk muscle mass, and malnutrition were risk factors for the onset of pneumonia in older people. For the relapse of pneumonia, malnutrition was a risk factor.

Digestive processes of haematophagous insects. XII. Secretion of trypsin and carboxypeptidase B by Glossina morsitans morsitans Westwood (Diptera: Glossinidae)

1977 ◽  
Vol 55 (1) ◽  
pp. 215-222 ◽  
Author(s):  
R. H. Gooding
Keyword(s):  
Bovine Serum Albumin ◽  
Serum Albumin ◽  
Protein Content ◽  
Bovine Serum ◽  
Significant Positive Correlation ◽  
Glossina Morsitans Morsitans ◽  
Trypsin Activity ◽  
Glossina Morsitans ◽  
Carboxypeptidase B ◽  
Positive Correlation

There was a significant positive correlation between protein content and the amounts of trypsin and carboxypeptidase B (CPB) in the digestive portion of the midgut of Glossina morsitans morsitans, 24, 48, 72, and 96 h after feeding on a rabbit. CPB and trypsin activity were also positively correlated. Trypsin and CPB production were stimulated, to varying degrees, by bovine serum albumin (BSA), α-globulin, β-globulin, γ-globulin, and haemoglobin; the greatest response was to BSA. Peptides derived from BSA by trypsin cleavage also stimulated production of trypsin and CPB.

The Ratio Serum Creatinine/Serum Cystatin C (a Surrogate Marker of Muscle Mass) as a Predictor of Hospitalization in Chronic Obstructive Pulmonary Disease Outpatients

Respiration ◽  
2018 ◽  
Vol 97 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Carlos Antonio Amado ◽  
Maria Teresa García-Unzueta ◽  
Bernardo Alio Lavin ◽  
Armando Raúl Guerra ◽  
Juan Agüero ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Serum Creatinine ◽  
Pulmonary Disease ◽  
Muscle Mass ◽  
Cystatin C ◽  
Surrogate Marker ◽  
Chronic Obstructive ◽  
Serum Cystatin C ◽  
Serum Cystatin ◽  
Obstructive Pulmonary Disease

153 Prognostic Role of the Low Tri-Iodothyronine Syndrome in Brain Tumor Patients

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 237-237
Author(s):  
Adomas Bunevicius ◽  
Sarunas Tamasauskas ◽  
Vytenis Deltuva ◽  
Edward R Laws ◽  
Arimantas Tamasauskas
Keyword(s):  
Brain Tumor ◽  
Health Status ◽  
Adjuvant Treatment ◽  
Extent Of Resection ◽  
Histological Diagnosis ◽  
Low T3 Syndrome ◽  
Tumor Patients ◽  
Low T3 ◽  
Increased Risk ◽  
Discharge Outcomes

Abstract INTRODUCTION Reduced triiodothyronine (T3) concentrations were implicated in worse prognosis of brain tumor patients. We investigated the association of thyroid hormone concentrations with health-related quality of life (HRQoL), discharge outcomes and prognosis of brain tumor patients. METHODS Two-hundred and thirty brain tumor patients (70% women) before brain tumor surgery were evaluated for HRQoL (ERTC QLQ-C30 and QLQ-BN20 questionnaires); and thyroid function profile. The Low tri-iodothyronine (T3) syndrome was defined as T3 concentration below the reference range. Unfavorable hospital discharge outcomes were determined as Glasgow outcome scale score of = 3. Follow-up continued until November, 2015. RESULTS >Seventy-four percent of patients had Low T3 syndrome. After adjusting for the brain tumor histological diagnosis, patients' age, gender and functional status, lower free T3 concentrations were associated with worse HRQOL on the QLQ-C30 Global health status (ß = 0.302, P = 0.017), Emotional functioning (ß = 0.422, p<.001) and Cognitive functioning (ß = 0.259, P = 0.042) domains, and with greater symptom severity on the QLQ-BN20 Fatigue (ß = −0.238, p = .041), Motor dysfunction (ß = −0.283, P = 0.013) and Weakness of legs (ß = −0.269. P = 0.027) domains. Preoperative Low T3 syndrome increased risk for unfavorable discharge outcomes adjusting for age, gender and histological diagnosis (OR = 2.944, 95%CI [1.314-6.597], p = .009). In all patients, lower total (p = .038) and free (p = .014) T3 concentrations were associated with greater mortality adjusting for age, gender, extent of resection, adjuvant treatment and histological diagnosis. The Low T3 syndrome was associated with greater 5-year mortality for glioma patients (HR = 2.197; 95%CI [1.160-4.163], p = .016) and with shorter survival (249 [260] vs. 352 [399] days; p = .029) of high grade glioma patients independent of age, gender, extent of resection and adjuvant treatment. CONCLUSION The Low T3 syndrome is common in brain tumor patients and is associated with worse health status, impaired emotional and physical aspects of HRQoL and worse discharge outcomes. The Low T3 syndrome is associated with shorter survival of glioma patients.

scholarly journals Determinación de plomo, cadmio, mercurio y Bases Volátiles Nitrogenadas Totales (NBVT) en el músculo de tiburón azul Prionace glauca procedente de la zona sur del Perú

2020 ◽  
Vol 54 (3) ◽  
pp. 336
Author(s):  
Andrés Reátegui-Quispe ◽  
Daniel Pariona-Velarde
Keyword(s):  
Muscle Tissue ◽  
Total Volatile ◽  
Blue Shark ◽  
Fishery Resource ◽  
Prionace Glauca ◽  
Positive Correlation ◽  
Southern Zone ◽  
Total Length ◽  
Elasmobranch Species ◽  
And Gender

Blue shark Prionace glauca is one of the most important elasmobranch species landed and consumed in Peru. Due to its importance as fishery resource, were evaluated lead (Pb), cadmium (Cd), mercury (Hg) and Total Volatile Base Nitrogen (TVBN) in the muscle tissue of 25 specimens, captured in the southern zone of Peruvian sea. These analytes were compared with current regulations and were determined its relationship with sex and total length (TL). We obtained ranges between 0.04-0.25, 0.01-0.04 and 0.09-0.50 mg kg-1 for Pb, Cd and Hg, respectively. TVBN values were between 38.50-94.60 mg TVBN 100 g-1. Analytes did not have differences with TL and gender. Pb was positive correlation with TL, while the Cd, Hg and TVBN did not. This study provides sanitary information of blue shark muscle from Peruvian waters.

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