Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal
Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
Faculty of Medicine, University of Porto, Porto, Portugal
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Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal
Faculty of Medicine, University of Porto, Porto, Portugal
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Faculty of Medicine, University of Porto, Porto, Portugal
North Lisbon University Hospital Center, Lisbon, Portugal
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University Hospital Center of São João, Porto, Portugal
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University Hospital Center of São João, Porto, Portugal
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Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal
Faculty of Medicine, University of Porto, Porto, Portugal
University Hospital Center of São João, Porto, Portugal
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Faculty of Medicine, University of Porto, Porto, Portugal
University Hospital Center of São João, Porto, Portugal
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Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal
Faculty of Medicine, University of Porto, Porto, Portugal
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also affect endocrine organs, such as the thyroid gland ( 1 , 2 ). Angiotensin-converting enzyme 2 (ACE-2) receptor was reported as the functional receptor of the SARS-CoV virus ( 3 ). Recent studies reported that SARS-CoV-2 also employs the same
Institute of Molecular Pathology and Immunology of the University of Porto (IPATIMUP), Porto, Portugal
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Health Investigation and Innovation Institute (i3S), University of Porto, Porto, Portugal
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Health Investigation and Innovation Institute (i3S), University of Porto, Porto, Portugal
Public Health Unit, ACES Baixo Mondego, Coimbra, Portugal
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Department of Endocrinology, Hospital University Centre of São João, Porto, Portugal
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Faculty of Medicine of the University of Porto (FMUP), Porto, Portugal
Health Investigation and Innovation Institute (i3S), University of Porto, Porto, Portugal
Department of Pathology, Faculty of Medicine of the University of Porto, Porto, Portugal
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Introduction Autoimmune thyroid disease (AITD) is one of the most prevalent groups of autoimmune diseases ( 1 ). Hashimoto’s thyroiditis (HT) and Graves' disease (GD) are the most significant AITDs ( 2 ), GD being around ten times less common
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
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Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
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Department of Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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) #2/female 79/79 PTC T3bNXMX/II LN 10 1 PR 17 6 2 2 (CCB, ACE-i) #3/female 33/75 PTC T2N1aMX/I LN 10 1 PR 68 1 2 2 (ACE-i, CCB) #4/female 42/58 FTC T2NXM0 /I Lung, vertebrae 20 0 PR
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the thyroid tissue [ 9 ]. Although SARS-CoV-2 has not yet been isolated in the thyroid, the possibility of direct viral damage has not been ruled out. Interactions with ACE2 receptor – Angiotensin-converting enzyme 2 (ACE2) receptors are
Center of Brain, Behavior and Metabolism (CBBM)/Medizinische Klinik I, University of Lübeck, Lübeck, Germany
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Center of Brain, Behavior and Metabolism (CBBM)/Medizinische Klinik I, University of Lübeck, Lübeck, Germany
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Institute for Experimental Endocrinology, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
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) and excluded. Statistical testing was performed using a multiple t test and controlled with the Sidak-Bonferroni correction for multiple comparisons for each tissue. For pulmonary angiotensin-1-converting enzyme ( Ace ) an unpaired, nonparametric, 2
Department of Clinical Sciences and Community Health, University of Milan, Italy
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Department of Clinical Sciences and Community Health, University of Milan, Italy
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Department of Clinical Sciences and Community Health, University of Milan, Italy
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-converting enzyme 2 (ACE2) is the entry receptor used by SARS-CoV-2 to infect the host cell ( 3 , 4 ). Both ACE2 and the transmembrane protease serine 2 (TMPRSS2), necessary for SARS-CoV-2 internalisation and activation, are highly expressed in the thyroid tissue
University Center of João Pessoa – UNIPE, João Pessoa, PB, Brazil
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Post-Graduation Program in Cognitive Neuroscience and Behavior, Psychology Department of the Center of Human Sciences, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
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Postgraduate Program in Interactive Processes of Organs and Systems, Health & Science Institute, Federal University of Bahia, Salvador, BA, Brazil
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-CoV-2). To infect the cells, the virus relies on a structural protein (Spike) that recognizes the angiotensin-converting enzyme 2 (ACE2) cell receptor ( 1 , 2 ), which is expressed in a wide range of tissues, including the thyroid gland ( 3 , 4
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Department of Medicine, Section of Endocrinology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Departments of Medicine, Oncology, Pathology and Laboratory Medicine, Biochemistry and Molecular Biology, and Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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TUS malignancy risk assessment should be performed ( 2 , 3 ). Currently, there are multiple guidelines for the malignancy risk stratification of thyroid nodules based on TUS features, which include: the 2015 American Thyroid Association (ATA
Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy
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Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy
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Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy
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Department of Endocrinology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
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Department of Endocrinology and Diabetes Care and Prevention Unit, IRCCS Sant’Orsola-Malpighi Polyclinic, Bologna, Italy
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Department of Endocrinology and Diabetes Care and Prevention Unit, IRCCS Sant’Orsola-Malpighi Polyclinic, Bologna, Italy
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Department of Endocrinology and Diabetes Care and Prevention Unit, IRCCS Sant’Orsola-Malpighi Polyclinic, Bologna, Italy
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Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy
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Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy
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viral damage because of the expression of the angiotensin-converting enzyme 2 (ACE2) on thyroid follicular cells, and its receptor being used by SARS-CoV-2 to invade the cells ( 14 ). Another possible mechanism is molecular mimicry, where antibodies
Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
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nodules has enhanced the need for endocrinologists to be able to define the risk of malignancy as accurately as possible ( 2 ). Ultrasound (US) is the first-line method to identify malignant thyroid nodules with the advantages of accessibility, cost