Interleukin−1 receptor antagonist and heat shock protein 90alfa are independently associated with fatigue and general health in euthyroid Hashimoto’s thyroiditis - Report - MDSpire

Interleukin−1 receptor antagonist and heat shock protein 90alfa are independently associated with fatigue and general health in euthyroid Hashimoto’s thyroiditis

  • By

  • Roald Omdal

  • Tore Grimstad

  • Grete Jonsson

  • Jan Terje Kvaløy

  • Charlotte Gibbs

  • Laurens C. Reitsma

  • Tomm Bernklev

  • Geir Hoff

  • July 2, 2026

  • 0 min

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Independent Associations of Interleukin-1 Receptor Antagonist and Heat Shock Protein 90α

Overview

This study identifies IL-1Ra and HSP90α as independent biomarkers associated with fatigue and overall health in euthyroid patients with Hashimoto’s thyroiditis.

Background

Hashimoto’s thyroiditis is a common autoimmune thyroid disease that can lead to significant fatigue and impaired health-related quality of life, even in patients with normal thyroid hormone levels. Understanding the role of inflammatory mediators in symptom generation is crucial for improving patient outcomes. This study explores the associations of specific biomarkers with patient-reported outcomes in this population.

Data Highlights

BiomarkerAssociation with FatigueAssociation with General Health
IL-1RaPositiveNegative
HSP90αInverseNot significant
IL-6Correlation onlyNot significant
TNF-αNot significantNot significant
Anti-TPONot significantNot significant

Key Findings

  • Patients exhibited severe fatigue, with median scores indicating high symptom burden.
  • IL-1Ra was consistently associated with poorer general health and increased fatigue.
  • HSP90α showed an inverse relationship with fatigue, suggesting a potential protective effect.
  • IL-6, TNF-α, and anti-TPO did not show significant associations with patient-reported outcomes.
  • Findings indicate that immune-mediated mechanisms may play a role in symptom generation in euthyroid Hashimoto’s patients.

Clinical Implications

The study highlights the importance of assessing inflammatory biomarkers like IL-1Ra and HSP90α in patients with Hashimoto’s thyroiditis who experience fatigue and impaired health-related quality of life.

Conclusion

IL-1Ra and HSP90α are identified as key biomarkers associated with fatigue and overall health in euthyroid patients with Hashimoto’s thyroiditis.

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