Urinary metabolomics reveals glycemic and coffee associated signatures of thyroid function in two population-based cohorts
Open accessAbstract
BACKGROUND: Triiodothyronine (T3) and thyroxine (T4) as the main secretion products of the thyroid affect nearly every human tissue and are involved in a broad range of processes ranging from energy expenditure and lipid metabolism to glucose homeostasis. Metabolomics studies outside the focus of clinical manifest thyroid diseases are rare. The aim of the present investigation was to analyze the cross-sectional and longitudinal associations of urinary metabolites with serum free T4 (FT4) and thyroid-stimulating hormone (TSH). METHODS: Urine Metabolites of participants of the population-based studies Inter99 (n = 5620) and Health2006/Health2008 (n = 3788) were analyzed by 1H-NMR spectroscopy. Linear or mixed linear models were used to detect associations between urine metabolites and thyroid function. RESULTS: Cross-sectional analyses revealed positive relations of alanine, trigonelline and lactic acid with FT4 and negative relations of dimethylamine, glucose, glycine and lactic acid with log(TSH). In longitudinal analyses, lower levels of alanine, dimethylamine, glycine, lactic acid and N,N-dimethylglycine were linked to a higher decline in FT4 levels over time, whereas higher trigonelline levels were related to a higher FT4 decline. Moreover, the risk of hypothyroidism was higher in subjects with high baseline trigonelline or low lactic acid, alanine or glycine values. CONCLUSION: The detected associations mainly emphasize the important role of thyroid hormones in glucose homeostasis. In addition, the predictive character of these metabolites might argue for a potential feedback of the metabolic state on thyroid function. Besides known metabolic consequences of TH, the link to the urine excretion of trigonelline, a marker of coffee consumption, represents a novel finding of this study and given the ubiquitous consumption of coffee requires further research.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
This observation is the first one to link a THM to coffee consumption.
“This observation is the first one to link a THM to coffee consumption, and so far, no clear-cut hypothesis has been tested to challenge a potential causal relationship (45, 46).”
From 3,5-T2—A Janus-Faced Thyroid Hormone Metabolite Exerts Both Canonical T3-Mimetic Endocrine and Intracrine Hepatic Action (2020) · cites this paper as [46]
The Discussion (Coffee metabolism) links urinary trigonelline, a marker of coffee consumption, with FT4 and says the reason for the association remains speculative. But it also says an association between trigonelline and the thyroid-hormone metabolite 3,5-T2 had been reported previously, so this paper does not support calling its observation the first link between a thyroid-hormone metabolite and coffee consumption. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Thyroid Hormone Regulation of Metabolism
Mullur, R., Liu, Y.-Y., & Brent, G. A. (2014) · Physiological Reviews · doi:10.1152/physrev.00030.2013 · Cited by 2,421 · see citing works
Coffee and Health: A Review of Recent Human Research
Higdon, J. V., & Frei, B. (2006) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408390500400009 · Cited by 1,090 · cited 1× · see citing works
“During the last decade several investigations dealt with the pleiotropic effects of coffee and/or its components on the metabolism and health status [32, 33].”
BackgroundCoffee: Biochemistry and Potential Impact on Health
Ludwig, I. A., Clifford, M. N., Lean, M. E. J., Ashihara, H., & Crozier, A. (2014) · Food Funct. · doi:10.1039/c4fo00042k · Cited by 537 · cited 3× · see citing works
“Trigonelline is known as an metabolite in the niacin metabolism and is found in many plants including fenugreek seeds, oat or potatoes and further represents a bioactive compound in coffee with a concentration ~1% [25].”
BackgroundAltered intestinal absorption of L-thyroxine caused by coffee
Benvenga, S., Bartolone, L., Pappalardo, M. A., Russo, A., Lapa, D., Giorgianni, G., Saraceno, G., & Trimarchi, F. (2008) · Thyroid · doi:10.1089/thy.2007.0222 · Cited by 191 · see citing works
Thienpont, L. M., Van Uytfanghe, K., Beastall, G., Faix, J. D., Ieiri, T., Miller, W. G., Nelson, J. C., Ronin, C., Ross, H. A., Thijssen, J. H., et al. (2010) · Clinical Chemistry · doi:10.1373/clinchem.2009.140194 · Cited by 135 · cited 1× · see citing works
“03% of T4 is free in the circulation [2]—plays a key role in clinical decision making with regard to the thyroid function together with thyroid-stimulating hormone (TSH) [3, 4].”
BackgroundThienpont, L. M., Van Uytfanghe, K., Beastall, G., Faix, J. D., Ieiri, T., Miller, W. G., Nelson, J. C., Ronin, C., Ross, H. A., Thijssen, J. H., et al. (2010) · Clinical Chemistry · doi:10.1373/clinchem.2009.140178 · Cited by 128 · cited 1× · see citing works
“03% of T4 is free in the circulation [2]—plays a key role in clinical decision making with regard to the thyroid function together with thyroid-stimulating hormone (TSH) [3, 4].”
BackgroundVita, R., Saraceno, G., Trimarchi, F., & Benvenga, S. (2013) · Endocrine · doi:10.1007/s12020-012-9772-2 · Cited by 91 · see citing works
Oral liquid levothyroxine treatment at breakfast: a mistake?
Cappelli, C., Pirola, I., Gandossi, E., Formenti, A., & Castellano, M. (2014) · European Journal of Endocrinology · doi:10.1530/eje-13-0693 · Cited by 41 · see citing works
Flagged first, then by citations
Research works printed but not linked: 45
- [2]Yen PM. Physiological and molecular basis of thyroid hormone action. Physiol Rev. 2001; 81(3): 1097– 142. 11427693
- [5]Wojakowska A, Chekan M, Widlak P, Pietrowska M. Application of metabolomics in thyroid cancer research. Int J Endocrinol. 2015; 2015: 258763 10.1155/2015/258763 25972898 PMC4417976 · DOI
- [6]Wu S, Gao Y, Dong X, Tan G, Li W, Lou Z, et al Serum metabonomics coupled with Ingenuity Pathway Analysis characterizes metabolic perturbations in response to hypothyroidism induced by propylthiouracil in rats. J Pharm Biomed Anal. 2013; 72: 109– 14. 10.1016/j.jpba.2012.09.030 23146233 · DOI
- [7]Wu S, Tan G, Dong X, Zhu Z, Li W, Lou Z, et al Metabolic profiling provides a system understanding of hypothyroidism in rats and its application. PLoS One. 2013; 8(2): e55599 10.1371/journal.pone.0055599 23409005 PMC3567130 · DOI
- [8]Constantinou C, Chrysanthopoulos PK, Margarity M, Klapa MI. GC-MS metabolomic analysis reveals significant alterations in cerebellar metabolic physiology in a mouse model of adult onset hypothyroidism. J Proteome Res. 2011; 10(2): 869– 79. 10.1021/pr100699m 21028881 · DOI
- [9]Jourdan C, Linseisen J, Meisinger C, Petersen AK, Gieger C, Rawal R, et al Associations between thyroid hormones and serum metabolite profiles in an euthyroid population. Metabolomics. 2014; 10(1): 152– 64. 10.1007/s11306-013-0563-4 24955082 PMC4042025 · DOI
- [10]Pietzner M, Budde K, Homuth G, Völker U, Völzke H, Nauck M, et al Distinct urinary metabolic profiles associated with serum TSH and FT4 concentrations. Metabolomics. 2015; 11(5): 1316– 26.
- [11]Pietzner M, Homuth G, Budde K, Lehmphul I, Volker U, Volzke H, et al Urine Metabolomics by (1)H-NMR Spectroscopy Indicates Associations between Serum 3,5-T2 Concentrations and Intermediary Metabolism in Euthyroid Humans. Eur Thyroid J. 2015; 4(Suppl 1): 92– 100. 10.1159/000381308 26601079 PMC4640298 · DOI
- [12]Jorgensen T, Borch-Johnsen K, Thomsen TF, Ibsen H, Glumer C, Pisinger C. A randomized non-pharmacological intervention study for prevention of ischaemic heart disease: baseline results Inter99. Eur J Cardiovasc Prev Rehabil. 2003; 10(5): 377– 86. 10.1097/01.hjr.0000096541.30533.82 14663300 · DOI
- [13]Ricos C, Alvarez V, Cava F, Garcia-Lario JV, Hernandez A, Jimenez CV, et al Current databases on biological variation: pros, cons and progress. Scand J Clin Lab Invest. 1999; 59(7): 491– 500. 10667686
- [14]Bouatra S, Aziat F, Mandal R, Guo AC, Wilson MR, Knox C, et al The human urine metabolome. PLoS One. 2013; 8(9): e73076 10.1371/journal.pone.0073076 24023812 PMC3762851 · DOI
- [15]Lopez M, Alvarez CV, Nogueiras R, Dieguez C. Energy balance regulation by thyroid hormones at central level. Trends Mol Med. 2013; 19(7): 418– 27. 10.1016/j.molmed.2013.04.004 23707189 · DOI
- [16]Singh SP, Snyder AK. Effect of thyrotoxicosis on gluconeogenesis from alanine in the perfused rat liver. Endocrinology. 1978; 102(1): 182– 7. 10.1210/endo-102-1-182 217582 · DOI
- [17]Wahren J, Wennlund A, Nilsson LH, Felig P. Influence of hyperthyroidism on splanchnic exchange of glucose and gluconeogenic precursors. J Clin Invest. 1981; 67(4): 1056– 63. 10.1172/JCI110117 7204566 PMC370664 · DOI
- [18]Sandler MP, Robinson RP, Rabin D, Lacy WW, Abumrad NN. The effect of thyroid hormones on gluconeogenesis and forearm metabolism in man. J Clin Endocrinol Metab. 1983; 56(3): 479– 85. 10.1210/jcem-56-3-479 6822648 · DOI
- [19]Mariani LH, Berns JS. The renal manifestations of thyroid disease. J Am Soc Nephrol. 2012; 23(1): 22– 6. 10.1681/ASN.2010070766 22021708 · DOI
- [20]Felt V, Husek P. Changes of essential amino acids in thyropathies. Hormone and metabolic research Hormon- und Stoffwechselforschung. 1982; 14(11): 596– 8. 10.1055/s-2007-1019090 7152471 · DOI
- [21]Harper AE, Ericson LE, Boldt RE, Elvehjem CA. Effect of Thyroid-Active Substances on the Betaine-Homocysteine Transmethylase Activity of Rat Liver. American Journal of Physiology. 1956; 184: 457– 60. 13302445
- [22]Shibata T, Akamine T, Nikki T, Yamashita H, Nobukuni K. Synthesis of betaine-homocysteine S-methyltransferase is continuously enhanced in fatty livers of thyroidectomized chickens. Poult Sci. 2003; 82(2): 207– 13. 12619796
- [23]Faber J, Kirkegaard C, Lumholtz IB, Siersbaek-Nielsen K, Friis T. Simultaneous measurement of 3,5-diiodothyronine and 3,5,3'-triiodothyronine turnover kinetics in euthyroid hyperthyroid, and hypothyroid subjects. J Clin Endocrinol Metab. 1982; 55(1): 8– 12. 10.1210/jcem-55-1-8 7076809 · DOI
- [24]Lehmphul I, Brabant G, Wallaschofski H, Ruchala M, Strasburger CJ, Kohrle J, et al Detection of 3,5-diiodothyronine in sera of patients with altered thyroid status using a new monoclonal antibody-based chemiluminescence immunoassay. Thyroid. 2014; 24(9): 1350– 60. 10.1089/thy.2013.0688 24967815 · DOI · Paper page
- [26]Lang R, Wahl A, Skurk T, Yagar EF, Schmiech L, Eggers R, et al Development of a hydrophilic liquid interaction chromatography-high-performance liquid chromatography-tandem mass spectrometry based stable isotope dilution analysis and pharmacokinetic studies on bioactive pyridines in human plasma and urine after coffee consumption. Anal Chem. 2010; 82(4): 1486– 97. 10.1021/ac902616k 20073472 · DOI
- [27]Lang R, Wahl A, Stark T, Hofmann T. Urinary N-methylpyridinium and trigonelline as candidate dietary biomarkers of coffee consumption. Mol Nutr Food Res. 2011; 55(11): 1613– 23. 10.1002/mnfr.201000656 21618426 · DOI · Paper page
- [31]Ogawa M, Suzuki Y, Endo Y, Kawamoto T, Kayama F. Influence of coffee intake on urinary hippuric acid concentration. Ind Health. 2011; 49(2): 195– 202. 21173531
- [32]Cano-Marquina A, Tarin JJ, Cano A. The impact of coffee on health. Maturitas. 2013; 75(1): 7– 21. 10.1016/j.maturitas.2013.02.002 23465359 · DOI
- [34]Acheson KJ, Gremaud G, Meirim I, Montigon F, Krebs Y, Fay LB, et al Metabolic effects of caffeine in humans: lipid oxidation or futile cycling? Am J Clin Nutr. 2004; 79(1): 40– 6. 14684395
- [35]Klieverik LP, Sauerwein HP, Ackermans MT, Boelen A, Kalsbeek A, Fliers E. Effects of thyrotoxicosis and selective hepatic autonomic denervation on hepatic glucose metabolism in rats. Am J Physiol Endocrinol Metab. 2008; 294(3): E513– 20. 10.1152/ajpendo.00659.2007 18182466 · DOI
- [36]Hiratani M, Muto K, Oshida Y, Ito S, Kasei M, Ueda S, et al Effect of sustained-release theophylline administration on pituitary-thyroid axis. J Allergy Clin Immunol. 1982; 70(6): 481– 5. 6292280
- [37]Rabe KF, Magnussen H, Dent G. Theophylline and selective PDE inhibitors as bronchodilators and smooth muscle relaxants. Eur Respir J. 1995; 8(4): 637– 42. 7664866
- [38]Zhang AQ, Mitchell SC, Smith RL. Dimethylamine in human urine. Clin Chim Acta. 1995; 233(1–2): 81– 8. 7758205
- [39]Mitchell SC, Zhang AQ, Smith RL. Dimethylamine and diet. Food Chem Toxicol. 2008; 46(5): 1734– 8. 10.1016/j.fct.2008.01.010 18282650 · DOI
- [40]Sinha RA, Singh BK, Yen PM. Thyroid hormone regulation of hepatic lipid and carbohydrate metabolism. Trends Endocrinol Metab. 2014; 25(10): 538– 45. 10.1016/j.tem.2014.07.001 25127738 · DOI
- [41]Wilson A, McLean C, Kim RB. Trimethylamine-N-oxide: a link between the gut microbiome, bile acid metabolism, and atherosclerosis. Curr Opin Lipidol. 2016; 27(2): 148– 54. 10.1097/MOL.0000000000000274 26959704 · DOI · Paper page
- [42]Hu X, Atzler D, Xu X, Zhang P, Guo H, Lu Z, et al Dimethylarginine dimethylaminohydrolase-1 is the critical enzyme for degrading the cardiovascular risk factor asymmetrical dimethylarginine. Arteriosclerosis, thrombosis, and vascular biology. 2011; 31(7): 1540– 6. 10.1161/ATVBAHA.110.222638 21493890 PMC3117037 · DOI
- [43]Leiper JM, Vallance P. The synthesis and metabolism of asymmetric dimethylarginine (ADMA). Eur J Clin Pharmacol. 2006; 62: 33– 8.
- [44]Tsikas D, Thum T, Becker T, Pham VV, Chobanyan K, Mitschke A, et al Accurate quantification of dimethylamine (DMA) in human urine by gas chromatography-mass spectrometry as pentafluorobenzamide derivative: evaluation of the relationship between DMA and its precursor asymmetric dimethylarginine (ADMA) in health and disease. J Chromatogr B Analyt Technol Biomed Life Sci. 2007; 851(1–2): 229– 39. 10.1016/j.jchromb.2006.09.015 17011246 · DOI
- [45]Achan V, Broadhead M, Malaki M, Whitley G, Leiper J, MacAllister R, et al Asymmetric dimethylarginine causes hypertension and cardiac dysfunction in humans and is actively metabolized by dimethylarginine dimethylaminohydrolase. Arteriosclerosis, thrombosis, and vascular biology. 2003; 23(8): 1455– 9. 10.1161/01.ATV.0000081742.92006.59 12805079 · DOI
- [46]Ittermann T, Bahls M, Atzler D, Friedrich N, Schwedhelm E, Boger RH, et al L-Arginine Derivatives Are Associated with the Hyperthyroid State in the General Population. Thyroid. 2016; 26(2): 212– 8. 10.1089/thy.2015.0385 26650143 · DOI
- [47]Gu LQ, Zhao L, Zhu W, Li FY, Zhang MJ, Liu Y, et al Relationships between serum levels of thyroid hormones and serum concentrations of asymmetric dimethylarginine (ADMA) and N-terminal-pro-B-type natriuretic peptide (NT-proBNP) in patients with Graves' disease. Endocrine. 2011; 39(3): 266– 71. 10.1007/s12020-011-9436-7 21387129 · DOI
- [48]Arikan E, Karadag CH, Guldiken S. Asymmetric dimethylarginine levels in thyroid diseases. J Endocrinol Invest. 2007; 30(3): 186– 91. 10.1007/BF03347423 17505150 · DOI
- [49]Hermenegildo C, Medina P, Peiro M, Segarra G, Vila JM, Ortega J, et al Plasma concentration of asymmetric dimethylarginine, an endogenous inhibitor of nitric oxide synthase, is elevated in hyperthyroid patients. J Clin Endocrinol Metab. 2002; 87(12): 5636– 40. 10.1210/jc.2002-020905 12466365 · DOI
- [50]Flores-Morales A, Gullberg H, Fernandez L, Stahlberg N, Lee NH, Vennstrom B, et al Patterns of liver gene expression governed by TRbeta. Mol Endocrinol. 2002; 16(6): 1257– 68. 10.1210/mend.16.6.0846 12040013 · DOI
- [51]Millatt LJ, Johnstone AP, Nussey SS, Whitley GS. Thyrocyte release of asymmetric dimethylarginine does not account for human thyrocyte inhibition of endothelial cell cyclic GMP. Eur J Endocrinol. 2000; 142(5): 493– 9. 10802528
- [52]Rasmussen LB, Ovesen L, Bulow I, Jorgensen T, Knudsen N, Laurberg P, et al Dietary iodine intake and urinary iodine excretion in a Danish population: effect of geography, supplements and food choice. Br J Nutr. 2002; 87(1): 61– 9. 11895314
- [53]Laurberg P, Pedersen KM, Hreidarsson A, Sigfusson N, Iversen E, Knudsen PR. Iodine intake and the pattern of thyroid disorders: a comparative epidemiological study of thyroid abnormalities in the elderly in Iceland and in Jutland, Denmark. J Clin Endocrinol Metab. 1998; 83(3): 765– 9. 10.1210/jcem.83.3.4624 9506723 · DOI
Cited by
Sorted by citations
Köhrle, J., Lehmphul, I., Pietzner, M., Renko, K., Rijntjes, E., Richards, K., Anselmo, J., Danielsen, M., & Jonklaas, J. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00787 · Cited by 23 · see citing works
Self-citation
- Authors
- Friedrich, N., Pietzner, M., Cannet, C., Thuesen, B. H., Hansen, T., Wallaschofski, H., Grarup, N., Skaaby, T., Budde, K., Pedersen, O., Nauck, M., & Linneberg, A.
- Affiliations
- Universitätsmedizin Greifswald (DE)
- Bruker (Germany) (DE)
- Capital Region of Denmark (DK)
- University of Copenhagen (DK)
- Corresponding author
- Friedrich, Nele
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2017-03-02
- Volume
- 12
- Issue
- 3
- Pages
- e0173078
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5333857
- OpenAlex
- W2592561541
- Cited by
- 23
- References
- 8
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 7 · 2018: 4
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- European Union’s Horizon 2020 research and innovation programme (657595)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Keywords
- urinary metabolites, thyroid function, free thyroxine, thyroid-stimulating hormone, hypothyroidism, glucose homeostasis, trigonelline, coffee consumption, alanine, lactic acid, glycine, dimethylamine, N,N-dimethylglycine, thyroid hormones
- MeSH terms
- Adult, Blood Glucose, Coffee, Female, Humans, Male, Middle Aged, Thyroid Function Tests, Metabolomics, Proton Magnetic Resonance Spectroscopy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review