Skip to main content

Mechanisms by Which Iodine Induces Autoimmunity

  • Conference paper
Autoimmune Thyroiditis
  • 70 Accesses

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).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Weaver DK, Nishiyami RH, Burton WD, Batsakis JG (1966) Surgical thyroid disease: a survey before and after Iodine prophylaxis. Arch Surg 92:796–801

    Article  PubMed  CAS  Google Scholar 

  2. 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

    Article  PubMed  CAS  Google Scholar 

  3. 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

    Google Scholar 

  4. 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

    Article  CAS  Google Scholar 

  5. 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

    Article  CAS  Google Scholar 

  6. Bagchi N, Brown TR, Urdanivia E, Sun dick RS (1985) Induction of autoimmune thyroiditis in chickens by dietary iodine. Science 230:325–327

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  CAS  Google Scholar 

  8. Allen EM, Appel MC, Braverman LE (1987) Iodine-induced thyroiditis and hypothyroidism in the hemithyroidectomized BB/W rat. Endocrinology 121:481–485

    Article  PubMed  CAS  Google Scholar 

  9. Fischer PW, Campbell JS, Giroux A (1989) Effect of dietary iodine on autoimmune thyroiditis in the BB/W rat. J Nutr 119:502–507

    PubMed  CAS  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. Cohen SB, Weetman AP (1988) The effect of iodine depletion and supplementation in the Buffalo strain rat. J Endocrinol Invest 11:625

    PubMed  CAS  Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. Braverman LE (1986) Iodine-induced thyroid disease. In: Ingbar SH, Braverman LE (eds) Werner’s The thyroid, 5th edn. Lippincott, Philadelphia, pp 735–746

    Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. Berg G, Ekholm R (1975) Election microscopy of low iodinated thyroglobulin molecules. Biochem Biophys Acta 386:422–431

    PubMed  CAS  Google Scholar 

  16. Sundick RS, Herdegen D, Brown TR, Bagchi N (1987) The incorporation of dietary iodine into thyroglobulin increases its immunogenicity. Endocrinology 120:2078–2083

    Article  PubMed  CAS  Google Scholar 

  17. 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

    PubMed  CAS  Google Scholar 

  18. 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

    CAS  Google Scholar 

  19. 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

    Article  PubMed  CAS  Google Scholar 

  20. 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

    Article  CAS  Google Scholar 

  21. 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

    Google Scholar 

  22. 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

    Article  CAS  Google Scholar 

  23. 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

    Article  PubMed  CAS  Google Scholar 

  24. 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

    Article  PubMed  CAS  Google Scholar 

  25. Kumar KS, Walls R, Hochstein P (1977) Lipid peroxidation and hemolysis induced by lactoperoxidase and thyroid hormones. Arch Biochem Biophys 180:514–521

    Article  PubMed  CAS  Google Scholar 

  26. 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

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-76301-4_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53476-1

  • Online ISBN: 978-3-642-76301-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics