Substances that disrupt the production of thyroid hormones
Broccoli is a goitrogenic food
Goitrogens are substances that disrupt the production of thyroid hormones . This triggers the pituitary to release thyroid-stimulating hormone (TSH), which then promotes the growth of thyroid tissue, eventually leading to goiter .[ 1]
Goitrogenic drugs and chemicals
Chemicals that have been shown to have goitrogenic effects include:
Sulfadimethoxine (Albon),[ 2] propylthiouracil ,[ 3] potassium perchlorate ,[ 4] and iopanoic acid .[ 5]
Some oxazolidines such as goitrin .[ 6]
Ions such as thiocyanate [ 7] (from cigarette smoking for example[ 8] ) and perchlorate decrease iodide uptake by competitive inhibition and, as a consequence of reduced thyroxine and triiodothyronine secretion by the gland, cause, at low doses, an increased release of thyrotropin (by reduced negative feedback ), which then stimulates the gland.[citation needed ]
Amiodarone inhibits peripheral conversion of thyroxine to triiodothyronine ; also interferes with thyroid hormone action.[citation needed ]
Lithium inhibits thyroid hormone release.[citation needed ]
Phenobarbitone , phenytoin , carbamazepine , rifampin induce metabolic degradation of triiodothyronine (T3 ) and thyroxine (T4 ).[citation needed ]
Goitrogenic foods
Foods which have been demonstrated to have goitrogenic effects include soy , cassava (when crushed and not detoxified by soaking,[ 7] ) vegetables in the genus Brassica (such as broccoli and cabbage ),[ 9] [page needed ] and other cruciferous vegetables .[ 10] In places where iodine deficiency exists in tandem with millet being a major component of the diet, millet consumption can contribute to thyroid enlargement which is the start of endemic goiter.[ 11]
See also
References
^ Bender, David A. (2009). "Goitrogens" . A dictionary of food and nutrition (3rd ed.). Oxford: Oxford University Press. ISBN 9780199234875 .
^ Blackwell T, Werdin R, Eisenmenger M, FitzSimmons M (March 1989). "Goitrogenic effects in offspring of swine fed sulfadimethoxine and ormetoprim in late gestation" . Journal of the American Veterinary Medical Association . 194 (4): 519–523.
^ Rosenfeld H, Ornoy A, Shechtman S, Diav-Citrin O (2009). "Pregnancy outcome, thyroid dysfunction and fetal goitre after in utero exposure to propylthiouracil: a controlled cohort study" . Br J Clin Pharmacol . 68 (4): 609–17. doi :10.1111/j.1365-2125.2009.03495.x . PMC 2780286 . PMID 19843064 .
^ Soldin OP, Braverman LE, Lamm SH (2001). "Perchlorate Clinical Pharmacology and Human Health: A Review" . Ther Drug Monit . 23 (4): 316–31. doi :10.1097/00007691-200108000-00002 . PMC 3640367 . PMID 11477312 .
^ Andreucci M, Solomon R, Tasanarong A (2014). "Side Effects of Radiographic Contrast Media: Pathogenesis, Risk Factors, and Prevention" . Biomed Res Int . 2014 : 741018. doi :10.1155/2014/741018 . PMC 4034507 . PMID 24895606 .
^ Verhoeven DT, Verhagen H, Goldbohm RA, van den Brandt PA, van Poppel G (February 1997). "A review of mechanisms underlying anticarcinogenicity by brassica vegetables". Chem. Biol. Interact. 103 (2): 79–129. doi :10.1016/S0009-2797(96)03745-3 . PMID 9055870 .
^ a b Vanderpas J (2006). "Nutritional epidemiology and thyroid hormone metabolism". Annu. Rev. Nutr. 26 : 293–322. doi :10.1146/annurev.nutr.26.010506.103810 . PMID 16704348 .
^ Erdogan MF (2003). "Thiocyanate overload and thyroid disease". BioFactors (Review). 19 (3–4): 107–11. doi :10.1002/biof.5520190302 . PMID 14757960 .
^ Mitchell, Richard Sheppard; Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson (2007). Robbins Basic Pathology (8th ed.). Philadelphia: Saunders. ISBN 978-1-4160-2973-1 .
^ Gaitan, Eduardo (July 1990). "Goitrogens in Food and Water". Annual Review of Nutrition . 10 (1): 21–37. doi :10.1146/annurev.nu.10.070190.000321 . PMID 1696490 .
^ Eduardo Gaitan; Raymond, H. Lindsay; Robert D. Reichert; Sidney H. Ingbar; Robert C. Cooksey; Jim Legan; Edward F. Meydrech; John Hill; Ken Kubota (1989). "Antithyroid and Goitrogenic Effects of Millet: Role of C-Glycosylflavones". The Journal of Clinical Endocrinology & Metabolism . 68 (4): 707–714. doi :10.1210/jcem-68-4-707 . PMID 2921306 .
External links