Research Article
Prospective Analysis of Lipid Variations in Hyperthyroid
Subjects from Lahore, Pakistan
Muhammad Amir Iqbal ,
1
Shaaf Ahmad ,
2
Tamseela Mumtaz ,
1,3
Zahra Naseem ,
1
Javeria Malik ,
1
Husna Ahmad ,
1
and Nabila Roohi
1
1
Institute of Zoology, University of the Punjab, Canal Road, Lahore, Punjab 54590, Pakistan
2
King Edward Medical University/Mayo Hospital, Hospital Road, Lahore, Punjab 54000, Pakistan
3
Department of Zoology, Government College for Women University, Faisalabad, Punjab, Pakistan
Correspondence should be addressed to Nabila Roohi; nabilaruhi@gmail.com
Received 10 March 2021; Accepted 11 August 2021; Published 6 September 2021
Academic Editor: Rasim Mogulkoc
Copyright © 2021 Muhammad Amir Iqbal et al. This is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work
is properly cited.
Perturbations in the actions of T
3
and T
4
influence the normal metabolic pathways. Responsiveness of lipid biomarkers like LDL-
C, HDL-C, TC, TG, Apo-A, and Apo-B after rehabilitation of thyroid profile attaining euthyroid state was determined. A total of
179 age-matched subjects of both genders were recruited for this research. Sixty healthy controls, thirty-four subclinical, fifty overt
hyperthyroid, and thirty-five follow-up subjects having 3 months of Carbimazole therapy were enrolled. Biochemical analysis was
performed by chemistry analyzer, RIA, and ELISA. One-way ANOVA was applied for the statistical analysis, while significance
(P <0:05) of means was compared by the Student-Newman-Keuls (SNK) test. Pronounced reduction (P <0:001) of cholesterol
in overt as compared to control and subclinical was noticed, whereas marked improvement (P <0:001) was evidenced in
follow-up. Prominent elevation (P <0:05) of TG in follow-up was evidenced as compared to control. Overt presented marked
reduction of HDL-C as compared to subclinical and control (P <0:01 and P <0:001), respectively. Pronounced elevation
(P <0:001) of HDL-C was evidenced after treatment. Overt presented reduction of LDL-C as compared to subclinical and
control (P <0:01 and P <0:05, respectively). The follow-up group demonstrated considerable (P <0:001) improvement of
LDL-C after treatment and elevation (P <0:05) as compared to control. Overt presented reduction of Apo-B as compared to
subclinical and control (P <0:05 and P <0:001, respectively). Improvement (P <0:05) of Apo-B was evidenced in follow-up.
Reduction (P <0:05) of Apo-A in overt as compared to control and elevation (P <0:05) in follow-up as compared to overt was
evidenced. Conclusively, improvement after treatment was evidenced in lipid profile.
1. Introduction
Thyroid hormones both tri-iodothyronine (T
3
) and tetra-
iodothyronine (T
4
) or thyroxin are the most vital biomole-
cules in the realm of thyroidology [1]. Both T
3
and T
4
are
under the influence of thyroid-stimulating hormone (TSH)
a glycoprotein, released by adenohypophysis that in turn is
controlled by thyroliberin of the hypothalamus [2]. Levels
of T
3
and T
4
in circulation execute a negative feedback effect
on pars distalis of the pituitary to synthesize TSH, a regula-
tory hormone, which later acts on the TSH receptor (TSH-
R) situated on the cellular membranes of thyroid follicles
[3]. TSH mediates iodine uptake, primarily through the
actions of sodium/iodide symporter [4].
Overt or clinical hyperthyroidism is characterized by ele-
vated serum free T
4
and T
3
levels in the presence of an undetect-
able TSH concentration. Indications of hyperthyroidism are
loss of weight, increased sweating, tremors of hands, weakness,
increased appetite, accelerated heartbeat, loose stools, irritabil-
ity, exophthalmos, heat intolerance, moist skin, and goiter [5].
Subclinical or asymptomatic thyroid disorder character-
izes the initial phase of thyroid dysfunction [6]. It is
Hindawi
BioMed Research International
Volume 2021, Article ID 9936782, 9 pages
https://doi.org/10.1155/2021/9936782