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. 2025 Apr;48(4):861-876.
doi: 10.1007/s40618-024-02505-0. Epub 2024 Nov 22.

Lactoferrin alleviates oxidative stress and endoplasmic reticulum stress induced by autoimmune thyroiditis by modulating the mTOR pathway in the thyroid

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Lactoferrin alleviates oxidative stress and endoplasmic reticulum stress induced by autoimmune thyroiditis by modulating the mTOR pathway in the thyroid

Haoran Ding et al. J Endocrinol Invest. 2025 Apr.

Abstract

Autoimmune thyroiditis (AITD) is a prevalent autoimmune disorder characterized by the immune system's attack on thyroid tissue, potentially leading to thyroid dysfunction, with a current lack of effective treatment modalities. Lactoferrin, a crucial functional dietary component obtainable from food sources, primarily exists in mammalian milk. We aim to investigate whether dietary supplementation with lactoferrin can protect the thyroid in Experimental Autoimmune Thyroiditis (EAT) rats. Our study reveals significantly elevated levels of oxidative stress (OS) and endoplasmic reticulum stress (ERS) in the AITD. Lactoferrin markedly reduces OS and infiltration of inflammatory cells in the thyroid tissue of EAT rats. Furthermore, lactoferrin inhibits ERS levels in the thyroid of EAT rats and alleviates cellular apoptosis. In vivo and in vitro experiments elucidate that its protective effect is primarily achieved through the inhibition of mTOR signaling pathway activation. In summary, lactoferrin, a nutrient readily obtainable from food sources, appears to be effective in mitigating thyroid damage in AITD.

Keywords: Autoimmune thyroiditis; Endoplasmic reticulum stress; Lactoferrin; MTOR pathway; Oxidative stress.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare that they have no conflict of interest. Ethics statement: Animal experimentation received approval from the Institutional Animal Care and Use Committee of Nanjing University (2022AE02003). Clinical sample collection received approval from the Institutional Care and Use Committee of Nanjing University (2023-345-01). Consent to publish: Each author has read this manuscript and agreed to publish it. Consent to participate: The specimen of thyroiditis is derived from the pathological tissue after surgery for benign thyroid diseases. All the patients gave written informed consent according to the Declaration of Helsinki, and all experimental methods were conducted following relevant guidelines.

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