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VAV3

The Link Between Immunity and Low Thyroid Hormones (VAV3)

Written by Aleksa Ristic, MS (Pharmacy) on January 24th, 2020
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The VAV3 gene is crucial in the immune system control and development. Surprisingly, studies have identified different VAV3 variants associated with low thyroid hormones — read on for the details!

VAV3: Complex Roles in the Immune System

The VAV3 gene encodes for a protein (vav 3 guanine nucleotide exchange factor) with versatile regulatory functions in the immune, cardiovascular, and nervous systems. This protein activates specific enzymes that break down GTP, influencing lymphocyte cell replication, activity, and transcription of different genes [R].

VAV3 controls early T cell development and selection in the thymus. The lack of this protein allows for the survival of overactive T cells. On the other hand, overexpressed VAV3 hinders T cell activity and immune response, paving the path for cancer [R].

Indeed, scientists have observed high levels of VAV3 in different types of cancer, including thyroid cancer [R, R, R].

The VAV3 gene encodes for a protein that regulates the activity and development of immune cells. It ensures a balanced immune response, and excess levels are potentially associated with cancer formation.

VAV3 and Thyroid Health

Although scientists are still researching the roles of VAV3 in thyroid health, they have already identified different variants in this gene associated with thyroid function.

Hypothyroidism

A study of nearly 40,000 Caucasian (European) subjects looked to determine the main genetic variants that correlate with low thyroid hormones. Surprisingly, one VAV3 variant—rs4915077— showed a strong correlation: people with the “C” allele had 30% higher rates of hypothyroidism [R].

In a smaller clinical trial of 4,200 Asian participants, rs12126655 showed a significant association with TSH, a measure of thyroid function. The “G” allele carriers had significantly higher TSH levels and were more likely to have subclinical hypothyroidism. The authors stated insufficient sample size as a significant limitation of this study [R].

In subclinical hypothyroidism, TSH levels are slightly increased while T4 is in the normal range. It occurs in about 4% of the US population [R].

According to extensive genetic studies, VAV3 variants—rs4915077 and  rs12126655—are associated with increased TSH and hypothyroidism.

Autoimmune Background

VAV3 doesn’t play a direct role in thyroid function or development. Based on its physiological roles in the immune response, a group of scientists has suggested an autoimmune background of VAV3-associated hypothyroidism [R].

In support of this claim, a Japanese trial of 1,800 subjects has found a robust association between one VAV3 variant—rs7537605—and Hashimoto’s disease (autoimmune hypothyroidism). Those with at least one copy of the “A” allele had 60% higher rates of HD [R].

In theory, the above SNPs may reduce VAV3 expression and thus allow for the development of auto-reactive T cells. On the other hand, the opposite allele on rs4915076 (T) increases VAV3 expression in the thyroid and correlates with certain forms of thyroid cancer [R, R, R].

Still, the exact mechanisms VAV3-associated changes in thyroid function are yet to be determined.

VAV3-associated hypothyroidism may have an autoimmune background. One variant, rs7537605, is associated with Hashimoto’s disease in Japanese people.

Your VAV3 Results for Low Thyroid Hormones

You can see your genotype for several VAV3 SNPs in the table below. However, note that these variants are just associated with some aspects of thyroid health. That does not mean they will necessarily make you more prone to thyroid disorders! More research will be needed to determine whether and how much they contribute to the actual development of thyroid autoimmunity.

SNP Table

 

Primary SNPs:

VAV3 rs4915077:

  • “T” doesn’t correlate with hypothyroidism
  • “C” correlates with higher rates of hypothyroidism

VAV3 rs12126655:

  • “A” doesn’t correlate with hypothyroidism
  • “G” correlates with subclinical hypothyroidism

VAV3 rs7537605:

  • “G” doesn’t correlate with Hashimoto’s disease
  • “A” correlates with higher rates of Hashimoto’s disease

 

Population Frequency

About 13% of European descendants carry the “C” allele on rs4915077. This allele is more common in East Asian populations, with about 50% of people having at least one copy.

For the other two SNPs, rs12126655 and rs7537605, around 40% of the general population carry one copy of “problematic” alleles (“G” and “A”, respectively) and around 10% carry both copies. These alleles are a bit less common among South Asian descendants (e.g. India).

Recommendations

Lifestyle

Heavy Metals

Heavy metals, such as mercury and cadmium, can contribute to VAV3-related thyroid disorders, namely Hashimoto’s disease (HD), by increasing thyroid antibodies [R].

Mercury ions over-activate T cells and spike inflammatory IL-17 in exposed humans and animals, which may worsen the effects of discussed VAV3 variants [R].

Removal of mercury-containing dental amalgams cut thyroid antibodies in half in 27 people with mercury allergies and thyroid autoimmunity [R].

In a study of over 5,600 Chinese adults, women exposed to more cadmium had higher thyroglobulin antibody levels, observed in most HD patients. Sources of cadmium exposure include cigarette smoke, processed and instant foods, and contaminated large ocean fish [R].

Therefore, avoiding exposure to heavy metals sources — such as cigarette smoke, air and water pollution, batteries, paints, some plastics, processed foods, and contaminated ocean fish — may preserve your thyroid health [R, R].

Check out our list of safe and proven ways to detox heavy metals.

Heavy metals may contribute to VAV3-associated autoimmune hypothyroidism. Make sure to avoid mercury and cadmium exposure, and consider doing a heavy metal detox.

Diet

Please note that the regulatory bodies haven’t approved dietary approaches discussed below when it comes to thyroid disorders. Speak with your doctor before making any major dietary and lifestyle changes!

Elimination Diets

Gluten

Autoimmune hypothyroidism and celiac disease often go hand-in-hand. The most common autoimmune condition associated with non-celiac gluten sensitivity (NCGS) is Hashimoto’s disease [R, R, R].

In patients with celiac disease, gluten can increase T cell reactivity and the levels of inflammatory molecules (TNF-α, IL-6, and IL-1b). The above VAV3 variants may also contribute to overactive T cells, making this combination particularly dangerous [R, R].

According to a trial study in 34 women with autoimmune thyroid disease (AITD), a gluten-free diet reduced the levels of antibodies and resulted in mild clinical improvements. However, it had no apparent benefits for the thyroid in 27 adults with AITD and celiac disease [R].

Soy Isoflavones

In iodine-deficient individuals with hypothyroidism, soy isoflavones (genistein and daidzein) may further impair thyroid function. People with discussed genetic variations should pay special attention as genistein reduced VAV3 expression in one cell-based study [R, R].

That said, soy isoflavones aren’t likely to cause trouble in healthy people with adequate iodine levels.

Lectins

Dietary lectins may worsen inflammation in people sensitive to them. For example, lectins contributed to autoimmunity in one study with rheumatoid arthritis patients. Preliminary research suggests that avoiding lectins may reduce the symptoms of autoimmune conditions in sensitive individuals [R, R].

Still, more research is needed to clarify the possible connection between lectins and autoimmunity in humans.

Elimination diets such as the Lectin Avoidance Diet may help identify common food irritants — such as lectins and gluten — that may be worsening autoimmunity in sensitive individuals. Therefore, it might be worth giving a diet like this a test-run for a month or two to see how your body reacts [R, R, R].

Certain dietary compounds, such as gluten or lectins, may contribute to VAV3-associated hypothyroidism in sensitive people. Elimination diets may help identify these food sensitivities, although their therapeutic potential is not well-researched.

Supplements

Keep in mind that the FDA hasn’t approved the below supplements for the prevention or treatment of thyroid disorders. Always speak with your doctor before trying out any new supplements or treatment options.

Selenium + Myo-Inositol

Several clinical studies have reported that selenium supplementation improves thyroid function and reduces antibody levels in people with Hashimoto’s disease [R, R].

Myo-inositol, often combined with selenium, was particularly effective for autoimmune hypothyroidism in a couple of smaller clinical trials [R, R].

Vitamin B12

In a clinical trial of 116 patients with hypothyroidism, nearly 40% had a vitamin B12 deficiency. Vitamin B12 supplementation improved the symptoms in more than half of these subjects [R].

In a study of 110 patients with multiple sclerosis, those with vitamin B12 deficiency had significantly lower thyroid hormones [R].

A review of 6 clinical trials confirmed the connection between vitamin B12 deficiency and low thyroid hormones, especially in cases of autoimmune hypothyroidism [R].

Vitamin B12 supplements may help correct a deficiency, which is common in people with autoimmune hypothyroidism. The therapeutic effects of B12 supplements on thyroid function are not well researched.

Author photo
Aleksa Ristic
MS (Pharmacy)

Aleksa received his MS in Pharmacy from the University of Belgrade, his master thesis focusing on protein sources in plant-based diets.  

Aleksa is passionate about herbal pharmacy, nutrition, and functional medicine. He found a way to merge his two biggest passions—writing and health—and use them for noble purposes. His mission is to bridge the gap between science and everyday life, helping readers improve their health and feel better.

Disclaimer

The information on this website has not been evaluated by the Food & Drug Administration or any other official medical body. This information is presented for educational purposes only, and may not be used to diagnose or treat any illness or disease.

Also keep in mind that the “Risk Score” presented in this post is based only on a select number of SNPs, and therefore only represents a small portion of your total risk as an individual. Furthermore, these analyses are based primarily on associational studies, which do not necessarily imply causation. Finally, many other (non-genetic) factors can also play a significant role in the development of a disease or health condition — therefore, carrying any of the risk-associated genotypes discussed in this post does not necessarily mean you are at increased risk of developing a major health condition.

Always consult your doctor before acting on any information or recommendations discussed in this post — especially if you are pregnant, nursing, taking medication, or have been officially diagnosed with a medical condition.

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