Smoking is a risk factor for Graves disease. However, Carlé et al. have demonstrated that individuals have a transient increased risk of developing overt autoimmune hypothyroidism in the first 2 years after quitting smoking. The mechanisms involved in these two opposing effects of smoking on the immune system are intriguing.
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References
Carlé, A. et al. Smoking cessation is followed by a sharp but transient rise in the incidence of overt autoimmune hypothyroidism—a population-based case–control study. Clin. Endocrinol. (Oxf.) http://dx.doi.org/10.1111/j.1365-2265.2012.04455.x.
Vestergaard, P. Smoking and thyroid disorders—a meta-analysis. Eur. J. Endocrinol. 146, 153–161 (2002).
Strieder, T. G., Prummel, M. F., Tijssen, J. G. & Wiersinga, W. M. Risk factors and prevalence of thyroid disorders in a cross-sectional study among healthy female relatives of patients with autoimmune thyroid disease. Clin. Endocrinol. (Oxf.) 59, 396–401 (2003).
Belin, R. M., Astor, B. C., Powe, N. R. & Ladenson, P. W. Smoke exposure is associated with a lower prevalence of serum thyroid autoantibodies and thyrotropin concentration elevation and a higher prevalence of mild thyrotropin concentration suppression in the third National Health and Nutrition Examination Survey (NHANES III). J. Clin. Endocrinol. Metab. 89, 6077–6086 (2004).
Pedersen, I. B. et al. Smoking is negatively associated with the presence of thyroglobulin autoantibody and to a lesser degree with thyroid peroxidase autoantibody in serum: a population study. Eur. J. Endocrinol. 158, 367–373 (2008).
Effraimidis, G., Tijssen, J. G. & Wiersinga, W. M. Discontinuation of smoking increases the risk for developing thyroid peroxidase antibodies and/or thyroglobulin antibodies: a prospective study. J. Clin. Endocrinol. Metab. 94, 1324–1328 (2009).
Asvold, B. O., Bjøro, T., Nilsen, T. I. & Vatten, L. J. Tobacco smoking and thyroid function: a population-based study. Arch. Intern. Med. 167, 1428–1432 (2007).
Knudsen, N. et al. High occurrence of thyroid multinodularity and low occurrence of subclinical hypothyroidism among tobacco smokers in a large population study. J. Endocrinol. 175, 571–576 (2002).
Effraimidis, G., Strieder, T. G., Tijssen, J. G. & Wiersinga, W. M. Natural history of the transition from euthyroidism to overt autoimmune hypo- or hyperthyroidism: a prospective study. Eur. J. Endocrinol. 164, 107–113 (2011).
Arnson, Y., Shoenfeld, Y. & Amital, H. Effects of tobacco smoke on immunity, inflammation and autoimmunity. J. Autoimmun. 34, J258–J265 (2010).
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Wiersinga, W. Quitting smoking—transient risk of autoimmune hypothyroidism. Nat Rev Endocrinol 8, 509–510 (2012). https://doi.org/10.1038/nrendo.2012.132
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DOI: https://doi.org/10.1038/nrendo.2012.132