Abstract
The evidence that iodine may be a causative agent in autoimmune thyroiditis is substantial. Persuasive data derive from studies of the epidemiology of thyroid autoimmunity in human populations as well as experimental manipulations of animal models. These are summarized in this report. We then discuss several hypothetical mechanisms by which excess iodine may induce thyroid autoimmunity. Finally, we propose a number of experiments using animal models and patients with Hashimoto’s thyroiditis to test our hypotheses.
This work was supported by grants from the National Institutes of Health (DK-20028, DK-35846).
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References
Weaver DK, Nishiyami RH, Burton WD, Batsakis JG (1966) Surgical thyroid disease: a survey before and after Iodine prophylaxis. Arch Surg 92:796–801
Boukis MA, Koutras DA, Souvatzoglou A, Evangelopoulou A, Vrontakis M, Moulopoulos SD (1983) Thyroid hormone and immunological studies in endemic goiter. J Clin Endocrinol Metab 57:859–862
Koutras DA, Karaiskos KS, Evangelopoulou K, Boukis MA, Piperingos GD, Kitsopanides J, Makriyannis D, Mantzos J, Sfontouris J, Souvatzoglou A (1986) Thyroid autoantibodies after iodine supplementation. In: Drexhage HA, Wiersinga WM (eds) The thyroid and autoimmunity. Excerpta Medica, Amsterdam, pp 211–212
Monteiro E, GalvĂ¡o-Teles A, Santos ML, MourĂ¡o L, Correia MJ, Lopo Tuna J, Ribeiro C (1986) Antithyroid antibodies as an early marker for thyroid disease induced by amioda-rone. Br Med J 292:227–228
Martino E, Macchia E, Aghini-Lobardi F, Antonelli A, Lenziardl M, Concetti R, Fenzi GF, Baschierl L, Pinchera A (1986) Is humoral thyroid autoimmunity relevant in amioda-rone iodine-induced thyrotoxicosis (AIIT)? Clin Endocrinol 24:627–633
Bagchi N, Brown TR, Urdanivia E, Sun dick RS (1985) Induction of autoimmune thyroiditis in chickens by dietary iodine. Science 230:325–327
Allen, EM, Appel MC, Braverman LE (1986) The effect of iodide ingestion on the development of spontaneous lymphocytic thyroiditis in the diabetes-prone BB/W rat. Endocrinology 118:1977–1981
Allen EM, Appel MC, Braverman LE (1987) Iodine-induced thyroiditis and hypothyroidism in the hemithyroidectomized BB/W rat. Endocrinology 121:481–485
Fischer PW, Campbell JS, Giroux A (1989) Effect of dietary iodine on autoimmune thyroiditis in the BB/W rat. J Nutr 119:502–507
Allen E, Nogimori T, Rajatanavin R, Like A, Chushing G, Ingbar S, Braverman L (1986) The effects of Methimazole on the development of spontaneous diabetes and thyroiditis in the BB/W rat. Am J Med Sci 292:267
Cohen SB, Weetman AP (1988) The effect of iodine depletion and supplementation in the Buffalo strain rat. J Endocrinol Invest 11:625
Becker DV, Braverman LE, Dunn JT, Gaitan E, Gorman C, Maxon H, Schneider AB, Middlesworth LV, Wolff J (1984) The use of iodine as a thyroidal blocking agent in the event of a reactor accident. JAMA 252:659–661
Braverman LE (1986) Iodine-induced thyroid disease. In: Ingbar SH, Braverman LE (eds) Werner’s The thyroid, 5th edn. Lippincott, Philadelphia, pp 735–746
Zabel KM, Rawitch AB (1984) Thyroglobulin structure-function: the efect of iodination on the structure of human thyroglobulin. Biochem Biophys Res Commun 121:310–316
Berg G, Ekholm R (1975) Election microscopy of low iodinated thyroglobulin molecules. Biochem Biophys Acta 386:422–431
Sundick RS, Herdegen D, Brown TR, Bagchi N (1987) The incorporation of dietary iodine into thyroglobulin increases its immunogenicity. Endocrinology 120:2078–2083
Champion BR, Rayner DC, Byfield PGH et al. (1987) Critical role of iodination for T cell recognition of thyroglobulin in experimental murine thyroid autoimmunity. J Immunol 139:3665
Thrall JH, Gillen MT, Johnson MC, Corcoran RJ, Wartofsky L (1978) Quantitative thyroid fluorescent scanning: technique and clinical experience. Am J Roentgenol 130:517–522
Jonckheer MH, Vanhaelst L, Deconinck F, Michotte Y (1981) Atrophic autoimmune thyroiditis; relationship between the clinical state and intrathyroidal iodine as measured in vivo in man. J Clin Endocrinol Metab 53:476–479
Takeuchi K, Suzuki H, Horiuchi Y, Mashimo K (1970) Significance of iodine-perchlorate discharge test for detection of iodine organification defect of the thyroid. J Clin Endocrin 31:144–146
Follis RH jr (1964) Further observations on thyroiditis and colloid accumulation in hyperplastic thyroid glands of hamsters receiving excess iodine. Lab inv 13:1590–1599
Mahmoud I, Colin I, Many M-C, Denef J-F (1986) Direct toxic effect of iodide in excess on iodine-deficient thyroid glands; epithelial necrosis and inflammation associated with lipofuscin accumulation. Exp Molec Pathol 44:259–271
Yamamoto M, Saito S, Sakurada T, Kaise K, Kaise N, Yoshika K, Kitaoka H, Fukazawa H, Yoshinaga K (1981) Abnormalities of iodine and protein in the thyroid of patients with Hashimoto’s thyroiditis. Tohoku J Exp Med 135:323–330
Santisteban P, Hargreaves AJ, Cano J, Avila J, Lamas L (1985) Effects of high doses of iodide on thyroid secretion: evidence for the presence of iodinated membrane tubulin. Endocrinology 117:607–612
Kumar KS, Walls R, Hochstein P (1977) Lipid peroxidation and hemolysis induced by lactoperoxidase and thyroid hormones. Arch Biochem Biophys 180:514–521
Sundick RS, Bagchi N, Brown TR. Mechanisms by which iodine induces autoimmunity. In: Drexhage HA, Vijlder JJM de, Wiersinga WM (eds) The Thyroid Gland, Environment and Autoimmunity, Excerpta Medica International Congress Series 896, Elsevier Science Publishers, Amsterdam 1990, pp 13–22
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Sundick, R.S., Bagchi, N., Brown, T.R. (1991). Mechanisms by Which Iodine Induces Autoimmunity. In: Scherbaum, W.A., Bogner, U., Weinheimer, B., Bottazzo, G.F. (eds) Autoimmune Thyroiditis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76301-4_19
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DOI: https://doi.org/10.1007/978-3-642-76301-4_19
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