Beyond respiratory effects: A narrative review of air pollution’s impact on thyroid function

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Názov: Beyond respiratory effects: A narrative review of air pollution’s impact on thyroid function
Autori: Rahul Garg
Zdroj: Environmental Disease, Vol 10, Iss 2, Pp 36-47 (2025)
Informácie o vydavateľovi: Ovid Technologies (Wolters Kluwer Health), 2025.
Rok vydania: 2025
Predmety: thyroid dysfunction, air pollution, pm₂.₅, hyperthyroidism, free triiodothyronine, hypothyroidism, autoimmune thyroid disease, thyroid stimulating hormone, Public aspects of medicine, RA1-1270, free thyroxine, heavy metals
Popis: This review examines the growing body of evidence connecting exposure to air pollution with thyroid dysfunction across various populations and life stages. Recent epidemiological, clinical, and mechanistic investigations increasingly identify air pollution – both particulate matter and gaseous pollutants – as a potential endocrine disruptor affecting thyroid function. Evidence suggests that airborne contaminants, especially fine particulate matter (PM₂.₅; particles with an aerodynamic diameter of ≤2.5 μm), may disrupt thyroid hormone balance, contribute to autoimmune thyroid conditions, and potentially increase thyroid cancer risk. Key biological mechanisms underlying these associations include oxidative stress, inflammation, direct endocrine disruption, neuroendocrine system disruption, and epigenetic alterations. Particularly susceptible populations include pregnant women, developing fetuses, children, older adults, and individuals with preexisting thyroid conditions or compromised thyroid function. This review identifies significant research gaps, including the need for enhanced exposure assessment methodologies, longitudinal studies, and investigation of component-specific effects within air pollution mixtures, particularly heavy metals. Given the essential role of thyroid hormones in metabolism, development, and numerous physiological processes, these findings carry noteworthy inferences for clinical practice and public health policy. The development of targeted interventions, improved screening protocols, and stronger air quality standards are necessary to address this emerging public health concern. Comprehensive air quality management represents a promising approach to minimize the global burden of thyroid disorders.
Druh dokumentu: Article
Jazyk: English
ISSN: 2468-5704
2468-5690
DOI: 10.4103/ed.ed_4_25
Prístupová URL adresa: https://doaj.org/article/c215f01adc384aaca67ccd226dee7984
Rights: CC BY NC SA
Prístupové číslo: edsair.doi.dedup.....48ab1c210b6b85a71a861c2a653bab5c
Databáza: OpenAIRE
Popis
Abstrakt:This review examines the growing body of evidence connecting exposure to air pollution with thyroid dysfunction across various populations and life stages. Recent epidemiological, clinical, and mechanistic investigations increasingly identify air pollution – both particulate matter and gaseous pollutants – as a potential endocrine disruptor affecting thyroid function. Evidence suggests that airborne contaminants, especially fine particulate matter (PM₂.₅; particles with an aerodynamic diameter of ≤2.5 μm), may disrupt thyroid hormone balance, contribute to autoimmune thyroid conditions, and potentially increase thyroid cancer risk. Key biological mechanisms underlying these associations include oxidative stress, inflammation, direct endocrine disruption, neuroendocrine system disruption, and epigenetic alterations. Particularly susceptible populations include pregnant women, developing fetuses, children, older adults, and individuals with preexisting thyroid conditions or compromised thyroid function. This review identifies significant research gaps, including the need for enhanced exposure assessment methodologies, longitudinal studies, and investigation of component-specific effects within air pollution mixtures, particularly heavy metals. Given the essential role of thyroid hormones in metabolism, development, and numerous physiological processes, these findings carry noteworthy inferences for clinical practice and public health policy. The development of targeted interventions, improved screening protocols, and stronger air quality standards are necessary to address this emerging public health concern. Comprehensive air quality management represents a promising approach to minimize the global burden of thyroid disorders.
ISSN:24685704
24685690
DOI:10.4103/ed.ed_4_25