Autophagy

Spermidine's Potential Role in Managing Hashimoto's Thyroiditis

Woman with inflamed throat due to Hashimoto's Thyroiditis | Oxford Healthspan

Hashimoto's Thyroiditis, an autoimmune disorder where the immune system attacks the thyroid gland, is a prevalent cause of hypothyroidism. This condition often leads to various symptoms like fatigue, weight gain, and depression, significantly impacting quality of life for individuals. While conventional treatments include hormone replacement therapy and lifestyle changes, recent research has highlighted the potential benefits of spermidine, a naturally occurring polyamine, in managing Hashimoto's Thyroiditis. In this blog we discuss the role and benefits of spermidine in hormone balance and how this may be translated to help those with Hashimoto's Thyroiditis.

What is Hashimoto's Thyroiditis?

Hashimoto's Thyroiditis is characterized as an autoimmune attack on the thyroid gland, leading to chronic inflammation and eventual thyroid dysfunction. Symptoms can be diverse and develop gradually, often making the condition challenging to diagnose early. Common symptoms include:

  • Fatigue
  • Weight gain
  • Sensitivity to cold
  • Dry skin and hair
  • Constipation
  • Muscle weakness
  • Depression
  • Memory issues

The standard treatment involves thyroid hormone replacement therapy, which helps manage symptoms but does not completely address the underlying autoimmune inflammation in cases, therefore some patients continue to experience symptoms related to inflammation or other autoimmune issues.

Impaired Autophagy in Hashimoto's Thyroiditis

Autophagy is a cellular process that involves the degradation and recycling of damaged cellular components. This process is crucial for maintaining cellular homeostasis and protecting cells from stress and damage [1]. In the case of Hashimoto's Thyroiditis, the normal autophagy process is disturbed, leading to an overproduction of harmful molecules known as reactive oxygen species (ROS) by the thyroid cells. Typically, autophagy would help regulate these ROS levels. However, in Hashimoto's thyroiditis this process is compromised, often due to elevated levels of a specific protein called IL-23 [2]. 

Therefore, the accumulation of ROS intensifies, leading to tissue damage and inflammation. This sets off a damaging cycle: increased ROS levels lead to heightened inflammation, further disrupting autophagy and causing even more ROS to accumulate [2]. Enhancing autophagy therefore has the potential to interrupt this and mitigate the severity of Hashimoto's disease. 

Benefits of Spermidine for Hashimoto's Thyroiditis

What is Spermidine?

Spermidine is a naturally-occurring compound found in various foods such as soybeans, aged cheese, mushrooms, whole grains, and certain vegetables. It plays a critical role in cellular processes, including cell growth, proliferation, and apoptosis. Studies suggest that spermidine has a number of potential health benefits targeting the hallmarks of aging, which includes immune system modulation and anti-inflammatory properties [1]. So, is it possible that these properties of spermidine could help to mitigate symptoms in Hashimoto's thyroiditis? 

Spermidine's Effect on Autophagy

As discussed, the process of autophagy is impaired in cases of Hashimoto's thyroiditis. Spermidine is known to supports this process, initiating sufficient cellular clean up and renewal [1]. Therefore, by enhancing autophagy, spermidine may help protect thyroid cells from further damage, aiding removal of harmful ROS build up, thus reducing overall inflammation in the thyroid gland. 

Spermidine's and the Immune System

The immune system plays a central role in the development of Hashimoto's Thyroiditis. Spermidine has been found to have immunomodulatory effects, which can help in regulating immune responses [3]. By modulating the immune system, spermidine could reduce the intensity of the autoimmune attack on the thyroid gland, potentially slowing the progression of the disease.

Chronic inflammation is a hallmark of Hashimoto's Thyroiditis [4]. Spermidine exhibits anti-inflammatory properties, which could be beneficial in reducing the inflammation associated with the autoimmune attack on the thyroid gland [5]. By decreasing inflammation, spermidine may help alleviate some of the symptoms such as fatigue and muscle pain.

Spermidine and the Gut-Thyroid Axis

The gut and thyroid are deeply interconnected through the thyroid-gut axis, highlighting the importance of gut health for optimal thyroid function [6]. This connection is particularly crucial for individuals with Hashimoto's Thyroiditis, who are more susceptible to "leaky gut." In this condition, harmful substances can leak into the bloodstream and trigger inflammation [7].

Focusing on improving gut health can help manage inflammation more effectively, leading to improved thyroid function and overall well-being [8]. Spermidine plays a supportive role by promoting the growth of beneficial bacteria and strengthening gut barrier integrity [9,10]. This helps prevent "leaky gut" by reinforcing the gut lining and avoiding gut dysbiosis, which encourages an overall healthier happier gut environment and, in turn, thyroid. For those with autoimmune conditions like Hashimoto's, improving gut health can be especially beneficial, potentially reducing the autoimmune response and supporting better thyroid function [8].

How to Incorporate Spermidine into Your Routine

Incorporating spermidine-rich foods into your diet is a natural way to benefit from this compound. Foods high in spermidine include:

  •  Soybeans
  • Aged cheese (e.g., cheddar, Parmesan)
  • Mushrooms
  • Whole grains (e.g., wheat germ, rice bran)
  • Certain vegetables (e.g., broccoli, cauliflower)

Additionally, you could consider food-derived spermidine supplements, like Primeadine®, which can provide a more concentrated daily dose to ensure you are consistently incorporating spermidine into your diet.

Conclusion

Hashimoto's Thyroiditis is a complex autoimmune disorder that requires a multifaceted approach for effective management. While first-line treatments focus on hormone replacement and lifestyle adjustments, emerging research suggests that spermidine might offer additional benefits. By promoting autophagy, modulating the immune system, reducing inflammation, and supporting gut health, spermidine could be a valuable adjunct in managing Hashimoto's Thyroiditis. Integrating spermidine into diet, either through food or supplementation, appears to be a promising avenue for improving the quality of life for those with this disorder.

References

[1] Madeo, F., Eisenberg, T., Pietrocola, F., & Kroemer, G. (2018). Spermidine in health and disease. Science, 359(6374), eaan2788

[2] Tao, T., Xu, H. (2020). Autophagy and Thyroid Disease. In: Le, W. (eds) Autophagy: Biology and Diseases. Advances in Experimental Medicine and Biology, vol 1207. Springer, Singapore. https://doi.org/10.1007/978-981-15-4272-5_31

[3] Karacay, C., Prietl, B., Harer, C., Ehall, B., Haudum, C. W., Bounab, K., Franz, J., Eisenberg, T., Madeo, F., Kolb, D., Hingerl, K., Hausl, M., Magnes, C., Mautner, S. I., Kotzbeck, P., & Pieber, T. R. (2022). The effect of spermidine on autoimmunity and beta cell function in NOD mice. Scientific reports, 12(1), 4502. https://doi.org/10.1038/s41598-022-08168-2

[4] Mancini, A., Di Segni, C., Raimondo, S., Olivieri, G., Silvestrini, A., Meucci, E., & Currò, D. (2016). Thyroid hormones, oxidative stress, and inflammation. Mediators of Inflammation, 2016, 6757154. https://doi.org/10.1155/2016/6757154

[5] Liu R, Li X, Ma H, Yang Q, Shang Q, Song L, Zheng Z, Zhang S, Pan Y, Huang P, Fang J, Li Y, Liu Z, Cao L, Feng C, Gong Z, Chen Y, Wang Y, Melino G, Shao C, Shi Y. Spermidine endows macrophages anti-inflammatory properties by inducing mitochondrial superoxide-dependent AMPK activation, Hif-1α upregulation and autophagy. Free Radic Biol Med. 2020 Dec;161:339-350. doi: 10.1016/j.freeradbiomed.2020.10.029. Epub 2020 Oct 24. PMID: 33122005.

[6] Zhu, X., Zhang, C., Feng, S. et al. Intestinal microbiota regulates the gut-thyroid axis: the new dawn of improving Hashimoto thyroiditis. Clin Exp Med 24, 39 (2024). https://doi.org/10.1007/s10238-024-01304-4

[7] Cayres LCF, de Salis LVV, Rodrigues GSP, Lengert AVH, Biondi APC, Sargentini LDB, Brisotti JL, Gomes E, de Oliveira GLV. Detection of Alterations in the Gut Microbiota and Intestinal Permeability in Patients With Hashimoto Thyroiditis. Front Immunol. 2021 Mar 5;12:579140. doi: 10.3389/fimmu.2021.579140. PMID: 33746942; PMCID: PMC7973118.

[8] Knezevic, J., Starchl, C., Tmava Berisha, A., & Amrein, K. (2020). Thyroid-Gut-Axis: How Does the Microbiota Influence Thyroid Function?. Nutrients, 12(6), 1769. https://doi.org/10.3390/nu12061769

[9] Ma, L., Ni, Y., Wang, Z., Tu, W., Ni, L., Zhuge, F., Zheng, A., Hu, L., Zhao, Y., Zheng, L., & Fu, Z. (2020). Spermidine improves gut barrier integrity and gut microbiota function in diet-induced obese mice. Gut microbes, 12(1), 1–19. https://doi.org/10.1080/19490976.2020.1832857

[10] Yan B, Mao X, Hu S, Wang S, Liu X, Sun J. Spermidine protects intestinal mucosal barrier function in mice colitis via the AhR/Nrf2 and AhR/STAT3 signaling pathways. Int Immunopharmacol. 2023 Jun;119:110166. doi: 10.1016/j.intimp.2023.110166. Epub 2023 Apr 25. PMID: 37104918.

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