Cited by 138Thyroid Disorders and TreatmentsBone health and osteoporosis researchBone Metabolism and Diseases

The skeletal consequences of thyrotoxicosis

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Nicholls, Jonathan J, Brassill, Mary Jane, Williams, Graham R, Bassett, J H Duncan·2012·Journal of Endocrinology

Abstract

Euthyroid status is essential for normal skeletal development and the maintenance of adult bone structure and strength. Established thyrotoxicosis has long been recognised as a cause of high bone turnover osteoporosis and fracture but more recent studies have suggested that subclinical hyperthyroidism and long-term suppressive doses of thyroxine (T4) may also result in decreased bone mineral density (BMD) and an increased risk of fragility fracture, particularly in postmenopausal women. Furthermore, large population studies of euthyroid individuals have demonstrated that a hypothalamic-pituitary-thyroid axis set point at the upper end of the normal reference range is associated with reduced BMD and increased fracture susceptibility. Despite these findings, the cellular and molecular mechanisms of thyroid hormone action in bone remain controversial and incompletely understood. In this review, we discuss the role of thyroid hormones in bone and the skeletal consequences of hyperthyroidism.

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Authors
Nicholls, J. J., Brassill, M. J., Williams, G. R., & Bassett, J. H. D.
Affiliations
Imperial College London (GB)
Venue
Journal of Endocrinology
Published
2012-03-27
Volume
213
Issue
3
Pages
209-221
ISSN
  • 0022-0795 (ISSN-L)
  • 1479-6805
OpenAlex
W2147323739
Cited by
138
References
124
Citations by year
2026: 5 · 2025: 12 · 2024: 10 · 2023: 11 · 2022: 9 · 2021: 9 · 2020: 11 · 2019: 5 · 2018: 6 · 2017: 14 · 2016: 7 · 2015: 7 · 2014: 19 · 2013: 12 · 2012: 1
FWCI
1.72
Type
journal article
Language
en
Open access
Locations
  • Journal of Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Medical Research Council
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
Keywords
thyrotoxicosis, hyperthyroidism, bone mineral density, fragility fractures, subclinical hyperthyroidism, bone turnover, hypothalamic-pituitary-thyroid axis, postmenopausal women, skeletal development
MeSH terms
Humans, Hyperthyroidism, Hypothalamo-Hypophyseal System, Models, Biological, Osteoporosis, Thyroid Gland, Thyrotoxicosis, Thyroxine, Bone Density, Fractures, Bone

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