Thyroid-gut axis: the relationship between gut microbiota and hypothyroidism

Authors

DOI:

https://doi.org/10.18378/rebes.v15i3.11365

Keywords:

Gut microbiota, Hypothyroidism, Dysbiosis, Metabolism, Nutrition

Abstract

Objective: Systematically review recent scientific literature regarding the relationship between gut microbiota and hypothyroidism. Methods: A bibliographic search was conducted in PubMed and Frontiers databases using descriptors "gut microbiota", "hypothyroidism", "thyroid diseases", and "Mendelian randomization". Articles from the last two years directly addressing this relationship were included. Results: Eight studies were selected, demonstrating a significant association between gut microbiota alterations and the development or worsening of hypothyroidism. Reductions in short-chain fatty acid-producing bacteria, specific metabolites directly affecting thyroid function, and causal associations confirmed by robust studies were observed. Conclusion: There is a significant interaction between gut microbiota and hypothyroidism, indicating that dietary interventions targeting microbiota modulation could positively influence thyroid health, thus warranting further clinical research.

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References

IANG, W. et al. The relationships between the gut microbiota and its metabolites with thyroid diseases. Frontiers in Endocrinology, v. 13, p. 943408, 2022. Disponível em: https://doi.org/10.3389/fendo.2022.943408. Acesso em: 7 maio 2025.

LIU, X. et al. Investigating causal associations among gut microbiota, metabolites and autoimmune hypothyroidism: a univariable and multivariable Mendelian randomization study. Frontiers in Immunology, v. 14, p. 1213159, 2024. Disponível em: https://doi.org/10.3389/fimmu.2023.1213159. Acesso em: 7 maio 2025.

MENDOZA-LEÓN, M. J. et al. Gut microbiota short-chain fatty acids and their impact on the host thyroid function and diseases. Frontiers in Endocrinology, v. 14, p. 1192216, 2023. Disponível em: https://doi.org/10.3389/fendo.2023.1192216. Acesso em: 7 maio 2025.

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XIE, L.; ZHAO, H.; CHEN, W. Relationship between gut microbiota and thyroid function: a two-sample Mendelian randomization study. Frontiers in Endocrinology, v. 14, p. 1240752, 2023. Disponível em: https://doi.org/10.3389/fendo.2023.1240752. Acesso em: 7 maio 2025.

Published

2025-11-21

How to Cite

Mota, J. A. B., Silveira , D. . M. M., Silva, R. A., Pereira, L. G. H., Nascimento, M. M. do N., Cabrera, D. S. C., … Melo , R. N. A. de. (2025). Thyroid-gut axis: the relationship between gut microbiota and hypothyroidism. Revista Brasileira De Educação E Saúde, 15(3), 753–760. https://doi.org/10.18378/rebes.v15i3.11365

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