Thyroid Function and some Biochemical Indices in Male Active Smokers in Calabar Metropolis
Subject Areas : Journal of Chemical Health RisksNsonwu-Anyanwu Augusta Chinyere 1 , Egbe Edmund Richard 2 , Offor Sunday Jeremaiah 3 , Adeola Segun 4 , Usoro Chinyere Adanna Opara 5 , Ogundipe Sunday 6
1 - Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, College of Medical Sciences,
University of Calabar, Nigeria
2 - Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, College of Medical Sciences,
University of Calabar, Nigeria
3 - Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, College of Medical Sciences,
University of Calabar, Nigeria
4 - Department of Biochemistry Lagos state University, Ojo, Lagos, Nigeria
5 - Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, College of Medical Sciences,
University of Calabar, Nigeria
6 - Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, College of Medical Sciences,
University of Calabar, Nigeria
Keywords: SMOKERS, Calcium, vitamin C, albumin, Cigarette, Thyroid function,
Abstract :
Alterations in the homeostasis of biomolecules and multiple organ dysfunctions associated with cigarette smoke may suggest a dose dependent mechanism. This study assessed the triiodothyronine (T3), thyroxine (T4), thyrotropin (TSH), calcium (Ca), albumin and vitamin C levels in relation to smoking pack years (SPY) in male active smokers. Ninety consenting males (18-60 yr) comprising of moderate smokers (n=26), light smokers (n=24) and non-smokers (n=40) were studied. Triiodothyronine, thyroxine, TSH and cotinine were determined by ELISA, calcium, albumin and vitamin C by colorimetry. The BMI, calcium, albumin, vitamin C and TSH were higher and cotinine, T3 and T4 lower in non-smokers compared to moderate and light smokers. Light smokers had higher BMI, vitamin C and TSH and lower cotinine, T3 and T4 compared to moderate smokers. In smokers, cotinine correlated positively with SPY (r = 0.838, P = 0.000), T3 (r=0.339, P = 0.005), T4 (r = 0.443, P = 0.001) and negatively with BMI (r = -0.478, P = 0.000), vitamin C (r=-0.407, P=0.003) and TSH (r = -0.510, P = 0.000) while SPY correlated positively with T3 (r=0.586, P = 0.000), T4 (r = 0.608, P = 0.000) and negatively with BMI (r = -0.597, P = 0.000), vitamin C (r = -0.599, P = 0.000), albumin (r = -0.281, P = 0.048) and TSH (r = -0.578, P = 0.000). Cigarette smoking and increasing smoking pack year may be associated with abnormal thyroid function and altered calcium, albumin and vitamin C homeostasis.
- World Health Organisation (WHO), 2009. Report on the global tobacco epidemic, Implementing smoke-free environments. www.who.int/tobacco/mpower (Accessed March 14, 2016).
- Balhara Y.P.S., Deb K.S., 2014. Impact of tobacco on thyroid function. Thyroid Res Practice. 11(1), 6-16.
- Mostafa T., 2010. Cigarette smoking and male infertility. J Adv Res. 1, 179âââ186.
- Singh M., Tiwari S., Singh M., Singh,M.P., Bhave D., Singh J., 2015. Induced Biochemical Changes and Associated Complications In Smokers. IOSR J Biotechnol Biochem (IOSR-JBB). 1(14), 15-18.
- Mathew A.C., Kurian R., Akshaya K.M, Karthikeyan S., Chacko T.V., 2014. Association be-tween smoking and body mass index among males aged 20 years and above: A study in rural Tamil Nadu, South India South East. Asia J Public Health. 4(1), 53-58.
- Pincemail J., Vanbelle S., Degrune F., Cheramy-Bien J.P., Charlier C., Chapelle J.P, Giet D., Collette G., Albert A., Defraigne J.O., 2011. Lifestyle Behaviours and Plasma Vitamin C and ò-Carotene Levels from the ELAN Population (Li`ege, Belgium). J Nutr Metabol. Article ID 494370, 10 Pp doi:10.1155/2011/494370 pp 1-11.
- Alsalhen K.S., Abdalsalam R.D., Abdalsalam A., 2014. Effect of cigarette smoking on liver functions: a comparative study conducted among smokers and non-smokers male in El-beida City, Libya. Int Current Pharmaceutical J. 3(7), 291-295.
- Meral I., Arslan A., Him A., Arslan H., 2015. Smoking-related Alterations in Serum Levels of Thyroid Hormones and Insulin in Female and Male Students. Alternative Therapies Health Med. 21(5), 24-29.
- Adunmo G.O., Adesokan A.A., Akanji M.A., Bili-aminu S.A, AbdulAzeez I.M., Adunmo E., 2015. Lipid Peroxide Levels, Antioxidant Status, and Protein Changes in Nigerian Smokers. Int J Sci: Basic and Applied Research (IJSBAR). 21(1), 69-77.
- Sawicka-Gutaj N., Gutaj P., Sowià âski J., Wender-Oà ¼egowska E., Czarnywojtek A., BrÃâ¦zert M., Ruchaà âa M., 2014. Influence of cigarette smoking on thyroid gland âââ an update. Endokrynol Pol. 65(1), 54âââ62).
- Kapoor D., Jones T.H., 2005. Smoking and hor-mones in health and endocrine disorders. Europ J Endocrinol. 152, 491âââ499.
- Plurphanswat N., Rodu B., 2014. The association of smoking and demographic characteristics on body mass index and obesity among adults in the U.S., 1999âââ2012. BMC Obesity. 1, 18-27.
- Grizzell J.A., Echeverria V., 2014. New insights into the mechanisms of action of cotinine and its distinctive effects from nicotine. Neurochem Res. 27, 2032âââ2046.
- Franklin W., Lowell F.C., 1961. Unrecognized airway obstruction associated with smoking: a probable forerunner of obstructive pulmonary emphysema. Ann Intern Med. 54, 379âââ86.
- Spector D.A., Davis P.J., Helderman J.H., Bell B., Utiger R.D., 1976. Thyroid function and metabolic state in chronic renal failure. Ann Intern Med. 85(6), 724-730.
- Robbin J., 1973. Radioassay and Thyroid Gland. Metabolism. 22(8), 1021 - 1025
- Engall E., 1980. Estimation of thyroid smoking hormone. In: Vunakis H., Langone J.J. (eds.). Methods in Enzymology. Van Academic Press, New York. 7, 419-492.
- Langone J.J., Cook G., Bjercke R., Lifshitz M.H., 1988. Monoclonal antibody ELISA for cotinine in saliva and urine of active and passive smokers. J Immunol Methods. 114, 74-78.
- Roe J.H., Kuether C.A., 1943. Determination of vitamin C. J Biol Chem. 147, 399.
- Stern J., Lewis W.H.P., 1957. The colorimetric estimation of calcium in serum with O-cresolphthalein complexone. Clinica Chimica Acta. 2(6), 576-80.
- Doumas B.T., Biggs H.G, 1972. Determination of serum albuminâââ Standard methods of clinical chemistry âââ Acad. Press. N.Y. 7,175-188.
- Sneve M., Jorde R., 2008. Cross-sectional study on the relationship between body mass index and smoking, and longitudinal changes in body mass index in relation to change in smoking status: the Tromso Study. Scand J Public Health. 36, 397âââ407.
- Jo Y.H., Talmage D.A., Role L.W., 2002. Nicotinic receptor-mediated effects on appetite and food intake. J Neurobiol. 53, 618âââ632.
- Berlin I., 2009. Endocrine and metabolic effects of smoking cessation. Current Med Res Opinion. 25,527âââ34.
- Huot I., Paradis G., Ledoux M., 2004. Quebec Heart Health Demonstration Project Research Group. Factors associated with overweight and obesity in Quebec adults. Int J Obesity Related Metabol Dis. 28(6), 766âââ74.
- Kaufman A., Augustson E.M., Patrick H., 2012. Unraveling the Relationship between Smoking and Weight: The Role of Sedentary Behavior. J Obesity. Article ID 735465, 11 Pp. doi: 10.1155/2012/735465 pp1 -12.
- Young-Hwan J., Talmage D.A., Role L.W., 2002. Nicotinic Receptor-Mediated Effects on Appetite and Food Intake. J Neurobiol. 53(4), 618âââ632.
- Shah M., Hannan P.J., Jeffery R.W., 1991. Secular trend in body mass index in the adult population of three communities from the upper mid-western part of the U.S.A.; the Minnesota Heart Health Program. Int J Obes. 15, 499-503.
- Zainulabdeen J.A., Alak S.A., 2014. Effects of Smoking on Proteins Level and Alpha Amylase Activity in Sera of Iraqi Narghile Smokers. South East Asia J Public Health. 4(1), 53-58.
- Alsalhen K.S., Abdalsalam R.D., 2014. Effect of cigarette smoking on liver functions: a comparative study conducted among smokers and non-smokers male in El-beida City, Libya. Int Current Pharmaceut J. 3(7), 291-295.
- Emerson T.E., 1989. Unique features of albumin. A review Crit Care Med. 17, 690-694.
- Marx G., Chevion M., 1985. Site-specific modification of albumin by free radicals. Biochem J. 236, 397-400.
- Hu M.L., Louie S., Cross C.E., Motchnik P., Halli-well B., 1993. Antioxidant protection against hypo-chlorous acid in human plasma. J Lab Clin Med. 121(2), 257-262.
- Halliwell B., 1988. Albumin an important extracellular antioxidant? Biochem Pharmacol. 37(4), 569-571.
- Roche M., Rondean N.R., Singh E., Tarnus E., 2008. The antioxidants properties of serum albumin. Federation of European Biochemical Society. 582, 1783-1787.
- Tweed, J.O., Hsia, S.H., Lutfy, K., Friedman, T.C., 2012. The endocrine effects of nicotine and cigarette smoke. Trends Endocrinol Metab. 23(7), 334âââ342.
- Zhang X.Y., Leung F.W., 1994. Cigarette smoke aggravates acid induced duodenal mucosal injury in the rat: Role of mesenteric vasoconstriction. Scand J Gastroenterol. 29, 214âââ218.
- Krall E.A., Dawson-Hughes B., 1999. Smoking Increases Bone Loss and Decreases Intestinal Calcium Absorption. J Bone Miner Res. 1, 14(2), 215-220.
- Chatterjee S., Nandi R., 2015. Association Effect of Smoking on Bone Mineral Density, Serum Vitamin-D, Serum Calcium, Serum Phosphate, Serum Alkaline Phosphatases and Sex Hormones (Estradiol and Estriol) on Adult Females. Int Res J Medical Sci. 3(7), 1-7.
- Padmavathi P., Reddy V.D., Varadacharyulu N., 2009. Influence of chronic cigarette smoking on serum biochemical profile in male human volunteers. J Health Sci. 55(2), 265- 270.
- Waheeb D., Alharbi M., 2012. Electrolyte changes in cigarette smoking Male students. Pak J Pharmacol. 29(1), 33-38.
- Zhao Z., Reece E.A., 2005. Nicotine induced em-bryonic malformations mediated by apoptosis from increasing intracellular calcium and oxidative stress. Birth Defects Res B Dev Reprod Toxicol. 74(5), 383-391.
- Zia S., Ndoye A., Nguyen V.T., Grando S.A., 1997. Nicotine enhances expression of the alpha 3, alpha 4, alpha 5, and alpha 7 nicotinic receptors modulating calcium metabolism and regulating adhesion and motility of respiratory epithelial cells. Res Commun Mol Pathol Pharmacol. 97(3), 243-262.
- Adikema N.A., Adu E.M., 2013. Serum Lipids and Vitamin C Levels of Male Cigarette Smokers in Asaba, Delta State, Nigeria. Med J Babylon. 10(4), 976-984.
- Arinola O.G., Akinosun A.M., 2008. Antioxidant vitamins, nitric oxide and acute phase proteins in Nigerian cigarette smokers. Afr J Biomed Res. 11, 291 âââ 295.
- Kelly G., 2003. Smoking and Ascorbic Acid, The Interaction of Cigarette Smoking and Antioxidants. Part III: Ascorbic Acid Alternative Medicine Review. 8(1), 43-54.
- Pryor W.A., Stone K., 1993. Oxidants in cigarette smoke. Radicals, hydrogen peroxide, peroxynitrate, and peroxynitrite. Ann N Y Acad Sci. 686, 12âââ27.
- Pryor W.A., 1997. Cigarette smoke radicals and the role of free radicals in chemical carcinogenicity. Environ Health Perspect. 105, S875âââS882.
- Langlois M., Duprez D., Delanghe J., De B.M., Clement D.L., 2001. Serum vitamin C concentration is low in peripheral arterial disease and is associated with inflammation and severity of atherosclerosis. Circulation. 103, 1863âââ1868.
- Anderson R., 1991. Assessment of the roles of vitamin C, vitamin E, and beta-carotene in the modulation of oxidant stress mediated by cigarette smoke-activated phagocytes. Am J Clin Nutr. 53, S358âââS361.
- Lykkesfeldt J., Loft S., Nielsen J.B., Poulsen H.E., 1997. Ascorbic acid and dehydroascorbic acid as biomarkers of oxidative stress caused by smoking. Am J Clin Nutr. 65, 959âââ963.
- Lykkesfeldt J., Viscovich M., Poulsen H.E., 2003. Ascorbic acid recycling in human erythrocytes is in-duced by smoking in vivo. Free Radic Biol Med. 35, 1439âââ1447.
- Soldin O.P., Goughenour B.E., Gilbert S.Z., 2009. Thyroid hormone levels associated with active and passive cigarette smoking. Thyroid. 19, 817âââ823.
- Asvold B., Bjøro T., Nilsen T.I.L., Vatten L.J., 2007. Tobacco smoking and thyroid funcÃÂtion: a population-based study. Arch Intern Med. 167, 1428âââ1432.
- Shields B., Hill A., Bilous M., Knight B., Hattersley A.T., Bilous R.W., Vaidya B., 2009. Cigarette Smoking during Pregnancy Is Associated with Alterations in Maternal and Fetal Thyroid Function. J Clin Endocrinol Metab. 94(2), 570âââ574
- Ericsson U. B., Lindgärde F., 1991. Effects of cigarette smoking on thyroid function and the prevalence of goitre, thyrotoxicosis and autoimmune thyroiditis. J Intern Med. 229(1), 67-71.
- Balfour D.J.K., 1989. Influence of nicotine on the release of monoamines in the brain. Progress Brain Res. 79, 165-172.
- Utiger R.D., 1998. Effect of smoking on thyroid function. Europ J Endocrinol. 138, 368 âââ 369.
- Müller B., Zulewski H., Huber P., Ratcliffe J.G., Staub J.J., 1995. Impaired Action Of Thyroid Hormone Associated With Smoking In Women With Hypothyroidism. N Engl J Med. 333, 964-969.
- Kabat G.C., Kim M.Y., Wactawski-Wende J., 2012. Smoking and alcohol consumption in relation to risk of thyroid cancer in postmenopausal women. Cancer Epidemiol. 36, 335âââ340.
- Kitahara C.M., Linet M.S., Freeman L.E.B., 2012. Cigarette smoking, alcohol intake, and thyroid cancer risk: a pooled analysis of five prospecÃÂtive studies in the United States. Cancer Causes Control. 23, 1615âââ1624.
- Chen W.J., Kelly R.B., 2005. Effect of prenatal or perinatal nicotine exposure on neonatal thyroid status and offspring growth in rats. Life Sci. 76, 1249âââ1258.
- Fisher C.L., Mannino D.M., Herman W.H., Frumkin H., 1997. Cigarette smoking and thyroid hormone levels in males. Int J Epidemiol. 26(5), 972-7.
- Florescu A., Ferrence R., Einarson T., Selby P., Soldin O., Koren G., 2009. Methods for quantification of exposure to cigarette smoking and environmental tobacco smoke; focus on de-velopmental toxicology. Ther Drug Monit. 31(1), 14-30.
- Georgiadis E., Papapostolou C., Korakis T., Evagelopoulou K., Mantzoros C., Batrinos M., 1997. The influence of smoking habits on thyroid gland volume: an ultrasonic approach. J R Soc Health. 117, 355âââ358.
- Belin R.M., Astor B.C., Powe N.R., Ladenson P.W., 2004. 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, 6077âââ6086.
- Jorde R., Sundsfjord J., 2006. Serum TSH levels in smokers and non-smokers. The 5th Tromsø study. Exp Clin Endocrinol Diabetes. 114, 343âââ347.