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REVIEW article

Front. Microbiol.

Sec. Infectious Agents and Disease

Volume 16 - 2025 | doi: 10.3389/fmicb.2025.1625179

Viral infection and thyroid disorders: a narrative review

Provisionally accepted
  • Jining Medical University, Jining, China

The final, formatted version of the article will be published soon.

Thyroid disorders, including thyroid dysfunction, autoimmune thyroid diseases (AITDs), and thyroid cancers (TCs), are receiving increasing attention as significant public health concerns. Viral infection can interfere with normal immune function by activating innate and adaptive immunity, causing endocrine disorders. As an important endocrine gland, thyroid function is easily affected by viral infection, inducing the formation of autoantigens by mimicking thyroid components, thereby promoting the development of AITDs. Viruses like herpes simplex virus (HSV), Epstein-Barr virus (EBV), Hepatitis C virus (HCV) and human parvovirus B19 (B19V) are potential candidates associated with AITDs. These viral infections also play a key role in tumor pathogenesis, where chronic infection or reactivation of viruses can change the immune microenvironment in the body and promote the occurrence and development of cancer. Numerous studies have confirmed the associations between various viruses, such as B19V, EBV, HSV and HCV, with TCs. This review examines the impacts of viral infections on thyroid function and the underlying mechanisms involved, and also analyzes the common characteristics and mechanisms of viral infection-induced TCs. By analyzing the existing research hypotheses, we summarized the possible mechanisms of viral infection-induced thyroid disorders and also identified the potential role of viral infection in the process of anaplastic transformation of TC. This information provides insights into the model of multistage carcinogenesis of TCs, especially the mechanism of the transition from differentiated to undifferentiated or anaplastic TCs.

Keywords: viral infection, autoimmune disease, Thyroid disease, thyroid cancer, Anaplastic transformation

Received: 08 May 2025; Accepted: 27 May 2025.

Copyright: © 2025 Li and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Yitian Li, Jining Medical University, Jining, China
Weiyang Li, Jining Medical University, Jining, China

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