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K. P. ElKNER ET Al. 1 the monkey: Time ;crimination perfor- ~ct of parathion on . Ind. Health 18:441- COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN MALE AND FEMALE RATS tion in man: Mecha- parathion in rhesus T. T. Sherer, K. D. Thrall, R. J. Bull PharmacologylToxicology Program, College of Pharmacy, Washington State University, Pullman, Washington lccidental poisoning ~n acetylcholinester- Jupillographic study. ived January 12, 1990 :cepted June 27, 1990 In risk assessments the various forms of iodine have been treated as if they were toxicologically equivalent. While iodide (1-) and iodate (103 -) have been studied, no studies concerned with the subchronic toxicity of iodine (lJJhave been conducted in experimental animals. This study examined toxicities associated with iodine. Rats were treated with 0, 1, 3, 10, and 100 mg/I of either iodine or iodide (as Nal) in the drinking water for 100 d. Treatment had no effect on body, brain, or heart weights in either sex, or on tes(es weights in male rats. Although differences in kidney and liver weights were noted, they did not appear to be treatment related. Thyroid weight in male rats was significantly increased with an increasing concentration of iodide in the water, but not iodine. In contrast, thyroid weight decreased at the highest dose of iodide in female rats. Hematocrit, hemoglobin, and blood urea nitrogen (BUN) values were relatively constant and did not vary with treatment. There were no significant differences in AST, ALT, cholesterol, and triglyceride values. After 10 d on treatment a dose-related trend in increased plasma T4 concentrations was observed in both sexes treated with iodine. Statistically significant increases in the TiT3 ratio in both sexes was also noted with iodine treatment. This increase was maintained for 100 d of treatment. Iodide did not produce this effect at 10 d. Although there was a significant increase in TiT) ratios in female rats after 100 d of treatment with iodide, the magni- tude of the changes was smaller than that observed with iodine treatments. The results of this study indicate that iodine and iodide affect thyroid hormone status in substantially different ways. :otic eye. Can. Med. .1987. Ocular miotic loxur insecticides on If pupillary effects of ~io/ogical Monitoring American Chemical ~rase activity in dogs. INTRODUCTION Iodine is an essential element that is necessary for normal thyroid function. Iodine from dietary sources is used in the synthesis of thyrox- ine (T4)and triiodothyronine (T3)within the thyroid gland (Vagenakis and Braverman, 1975). The ingestion of iodine in foods, drugs, and water can have profound effects on the thyroid status of individuals. The use of iodine as a drinking water disinfectant for short periods of time is well established. It is frequently used by backpackers and other recreationists where potable water is not immediately available (Zemlyn et aI., 1981). U.S. Army troops have used iodine as a disinfectant in the past by adding purification tablets to water from various sources (Mor- Thiswork was supported by NASA grant NAG 9-226. Requests for reprints should be sent to Todd T. Sherer, Pharmacologyrroxicology Program, College of Pharmacy, Washington State University, Pullman, WA 99164-6510. 89 Journal of Toxicology and Environmental Health, 32:89-101, 1991 Copyright @ 1991 by Hemisphere Publishing Corporation ---
13

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Page 1: COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN ... · thyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and

K. P. ElKNER ET Al.

1 the monkey: Time

;crimination perfor-

~ct of parathion on. Ind. Health 18:441-

COMPARISON OF TOXICITY INDUCED BY IODINEAND IODIDE IN MALE AND FEMALE RATS

tion in man: Mecha-

parathion in rhesus

T. T. Sherer, K. D. Thrall, R. J. Bull

PharmacologylToxicology Program, College of Pharmacy,Washington State University, Pullman, Washingtonlccidental poisoning

~n acetylcholinester-Jupillographic study.

ived January 12, 1990

:cepted June 27, 1990

In risk assessments the various forms of iodine have been treated as if they weretoxicologically equivalent. While iodide (1-) and iodate (103 -) have been studied, nostudies concerned with the subchronic toxicity of iodine (lJJhave been conducted inexperimental animals. This study examined toxicities associated with iodine. Ratswere treated with 0, 1, 3, 10, and 100 mg/I of either iodine or iodide (as Nal) in the

drinking water for 100 d. Treatment had no effect on body, brain, or heart weights ineither sex, or on tes(es weights in male rats. Although differences in kidney and liverweights were noted, they did not appear to be treatment related. Thyroid weight inmale rats was significantly increased with an increasing concentration of iodide in thewater, but not iodine. In contrast, thyroid weight decreased at the highest dose ofiodide in female rats. Hematocrit, hemoglobin, and blood urea nitrogen (BUN) valueswere relatively constant and did not vary with treatment. There were no significantdifferences in AST, ALT, cholesterol, and triglyceride values. After 10 d on treatment adose-related trend in increased plasma T4 concentrations was observed in both sexestreated with iodine. Statistically significant increases in the TiT3 ratio in both sexeswas also noted with iodine treatment. This increase was maintained for 100 d of

treatment. Iodide did not produce this effect at 10 d. Although there was a significantincrease in TiT) ratios in female rats after 100 d of treatment with iodide, the magni-tude of the changes was smaller than that observed with iodine treatments. Theresults of this study indicate that iodine and iodide affect thyroid hormone status insubstantially different ways.

:otic eye. Can. Med.

.1987. Ocular mioticloxur insecticides on

If pupillary effects of

~io/ogical MonitoringAmerican Chemical

~rase activity in dogs.

INTRODUCTION

Iodine is an essential element that is necessary for normal thyroidfunction. Iodine from dietary sources is used in the synthesis of thyrox-ine (T4)and triiodothyronine (T3)within the thyroid gland (Vagenakis andBraverman, 1975).The ingestion of iodine in foods, drugs, and water canhave profound effects on the thyroid status of individuals.

The use of iodine as a drinking water disinfectant for short periods oftime is well established. It is frequently used by backpackers and otherrecreationists where potable water is not immediately available (Zemlynet aI., 1981). U.S. Army troops have used iodine as a disinfectant in thepast by adding purification tablets to water from various sources (Mor-

Thiswork was supported by NASA grant NAG 9-226.Requests for reprints should be sent to Todd T. Sherer, Pharmacologyrroxicology Program,

College of Pharmacy, Washington State University, Pullman, WA 99164-6510.

89

Journal of Toxicology and Environmental Health, 32:89-101, 1991Copyright @ 1991 by Hemisphere Publishing Corporation

---

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.. ... ._- - - -

90 T.T.SHERER ETAL.

gan and Karpen, 1953).NASAhas used iodine-releasing resins to disinfectwater in short-term space missions. Although iodine has been used incommunity water supplies on a trial basis (Freund et aL, 1966; Squatritoet aL, 1986; Thomas et aL, 1969), it has yet to become a widely acceptedalternative to chlorine.

The main concern over the use of iodine as a disinfectant has beenthe production of congenital goiter. The role that increased iodine intakeplays in this condition is not clear (Carswell et aL, 1970; Wolff, 1969).Whether thyroid goiter occurs at levels of iodine likely to be encoun-tered in drinking water is controversial, as little convincing evidence ex-ists on either side.

A major difficulty is that little attention has been paid to the role thatthe chemical form of iodine plays in its toxiCity. Much of the past litera-ture treats the various forms of iodine as if they are entirely equivalenttoxicologically.Oddly, studies of iodide 0-) and iodate (1°3-) have beenmost frequently studied (Mahmoud et aL, 1986; Savoie et aL, 1975), andthis data forms the basis of most safety evaluations of iodine as a drink-ing water disinfectant. Iodine (12)is the form that is the active disinfectantand is present in finished water. This form is capable of halogenating andoxidizing organic chemicals present in the gastrointestinal tract. Whileno studies evaluating the subchronic toxicity of iodine in experimental,animals have appeared in the published literature, Freund and investiga-tors (1966) evaluated the effects of iodine (1 mg/I) on a population ofprison inmates. The results of this study showed a decrease of radioac-tive iodide uptake by the thyroid compared to controls, but there wereno effects on thyroid hormone levels.

The present work was undertaken to determine whether unique tox-icities of iodine could be identified. This was determined by comparingthe subchronic effects of iodine with iodide in male and female Sprague-Dawley rats.

METHODS

The subchronic study was conducted using a staggered design (Le.,animals randomly assigned to treatment groups and equal proportionsof the animals introduced into each treatment group over a 4-d period).A total of 120 Sprague-Dawley rats was purchased from Simonsen Labo-ratories (Gilroy, Calif.) and these were started on study at 34-38 d of age.Twelve female and 12 male rats were assigned to a control group and 6males and 6 females were assigned to each treatment group. Animalswere treated with 1, 3, 10, and 100 mg/I of either iodine or iodide (as Nal)in the drinking water. The animals were placed on a 12/12-h light/darkcycle, and samples for analysis were collected during the middle of thelights-on phase. Animals were housed 3 per cage and water bottles were

SUBCHRONIC EFFECTS

changed every (corded. All animi

Blood samplEwarming under atermination of th.at d 10 as well a5Corp. (Arlingtonutilize a compEAmersham (Marcwas 3.6 and 4.0%T3and 3.1% for T

The human trused to construc1differences betwElaboratory. Rat T,thyroid hormoneexchange resin bi

Total Hemoglo

A diagnostic ~Mo.) for the detelThis assay is basEwith alkaline pot;potassium cyanidabsorption at 540

Urea Nitrogen

A diagnosticdetermination ofon the hydrolysi5Ammonia then reence of sodium ntration of ammoldophenol, which

Triglycerides

A diagnostic Idetermination of twere extracted frsuch as glucose, gsolid absorbent. Tto form glycerol (iodate to form for

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".T. SHERER ET AL.

'lS to disinfectbeen used in966; Squatritodely accepted

tant has beeniodine intakeWolff, 1969).

o be encou n-~evidence ex-

) ~he role thathe past litera-elyequivalent13-) have beenaI., 1975), and,ne as a drink-Ie disinfectantogenating and11tract. Whileexperimental

and investiga-population oflse of radioac-lut there were

er unique tox-by comparingmale Sprague-

:!d design (Le.,al proportions. a 4-d period).imonsen Labo-34-38 d of age.)1group and 6,roup. Animalsiodide (as Nal)12-h light/darkmiddle of the

~r bottles were

--

SUBCHRONIC EFFECTSOF IODINE VERSUSIODIDE 91

changed every other day after consumption was measured and re-corded. All animals were fed Purina rodent chow ad lib.

Blood samples were taken from the tail vein (700 Id/animal, afterwarming under a heat lamp) at d 10 and from the inferior vena cava upontermination of the study (d 100). Plasma T3and T4levels were determinedat d 10 as well as at d 100. Amerlex kits were obtained from AmershamCorp. (Arlington Heights, III.)to measure total T3and total T4'These kitsutilize a competition radioimmunoassay procedure developed byAmersham (Mardell, 1978). The interassay coefficient of variation (c.v.)was 3.6 and 4.0% for T3 and T4, respectively. Intraassay c.v:s were 3.0% forT3 and 3.1 % for T4'

The human thyroid hormone standards supplied with these kits wereused to construct the standard curve, as preliminary studies showed nodifferences between these standards and rat standards prepared in ourlaboratory. Rat T4 and T3 standards were prepared by the addition ofthyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and Wynford-Thomas, 1982).

Total Hemoglobin

A diagnostic kit was purchased from Sigma Chemical Co. (St. Louis,Mo.) for the determination of total hemoglobin in 20 ~I of whole blood.This assay is based on the oxidation of hemoglobin to methemoglobinwith alkaline potassium ferricyanide. Methemoglobin then reacts withpotassium cyanide to form cyanomethemoglobin, which has maximumabsorption at 540 nm.

Urea Nitrogen

A diagnostic kit was purchased from Sigma Chemical Co. for thedetermination of urea nitrogen in 10 ~I serum. The procedure is basedon the hydrolysis of urea by urease to ammonia and carbon dioxide.Ammonia then reacts with alkaline hypochlorite and phenol in the pres-ence of sodium nitroprusside (catalyst) to form indophenol. The concen-tration of ammonia is directly proportional to the absorbance of in-dophenol, which is measured spectrophotometrically at 570 nm.

Triglycerides

A diagnostic kit was purchased from Sigma Chemical Co. for thedetermination of triglyceride concentrations. In this method triglycerideswere extracted from plasma with isopropanol. Interfering substances,such as glucose, glycerol, phosphatides, and bilirubin, are removed by asolid absorbent The triglyceride-containing extract is reacted with KOHto form glycerol and fatty acids. The glycerol is then reacted with per-iodate to form formaldehyde, which is reacted with NH4+ and acetylace-

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_ilf~'::~.')...>

92 T. T. SHERERETAL.

tone to form diacetyldihydrolutidine. The final product is yellow andexhibits maximum absorbance at 410 nm.

Alanine Aminotransferase

A diagnostic kit was purchased from Sigma Chemical Co. for thequantitative determination of alanine aminotransferase (ALn activity inserum. In this procedure ALTcatalyzes the transfer of the amino groupfrom alanine to 2-oxoglutarate, to form glutamate and pyruvate. The py-ruvate formed is then reduced to lactate in the presence of lactate dehy-drogenase (LDH), with simultaneous oxidation of reduced NADH. Therate of decrease in absorbance at 340 nm is directly proportional to ALTactivity.

Aspartate Aminotransferase

A diagnostic kit was purchased from Sigma Chemical Co. for thequantitative determination of aspartate aminotransferase (ASn activity inserum. ASTcatalyzes the transfer of the amino group from aspartate to (X-

ketoglutarate, to form glutamate and oxaloacetate. The oxaloacetateformed is then reduced to malate in the presence of malate dehydro-genase (MDH), with the simultaneous oxidation of reduced NADH. Therate of decrease in absorbance at 340 nm is directly proportional to ASTactivity.

Total Cholesterol

The method for total cholesterol determination in 50 JLIof serum hasbeen previously reported (Caraway, 1960). This method is based on thedevelopment of a violet color by the reaction of cholesterol with ferriciron in a strongly acid solution. Photometric readings made at 560 nm areproportional to cholesterol concentration.

Statistics

A one-way analysis of variance (ANaYA)was used to test for statisticaldifferences among treatment groups. Groups with a p value :5 .05(ANaYA) were subjected to pairwise comparisons using Tukey's multiplerange test for thyroid hormone levels and two-sample (-test for all others.

RESULTS

Body weights were unaffected by iodide (1-) or iodine (12)during thecourse of treatment (Table 1). Also listed in Table 1 are thyroid, brain,liver, kidney, heart, and testes weights. In male Sprague-Dawley rats thy-roid weights increased with an increasing concentration of iodide in thedrinking water. The increase was statistically significant using a one-wayANaYA (p < .05 with a one-tailed test). When thyroid weights were cor-rected for body weight, this ratio was significantly increased at the 10

I

L

SUBCHRONIC EFFEOS OF

TABLE1. Organ Weights irTheir Drinking Water for 1

TreatmentBody(g)

'Value differs significantlybValue differs significant!}

and 100 ppm levels idecreased in female

logical examination (sin revealed no path

Kidney weights vmale rats (Table 1). .much less marked ifLiver weight appearehigh doses of 12,but

Control 396r

1 mg/l 393

3 mg/l 401

10 mg/l 389

100 mg/l 400

p value 0.92

121 mgll 389

3 mg/l 396

10 mg/l 392

100 mg/l 384

p value 0.87

Control 251r

1 mg/l 256

3 mg/l 241

10 mg/l 248

100 mg/l 254

p value 0.39

121 mg/l 266

3 mgll 242

10 mgll 255100 mgll 268

p value 0.14

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--

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body weight (Table 2). No other organ weights were affected by iodide oriodine treatment. .

Table 3 contains the data comparing the hematological parametersmeasured in this study. Hematocrit, hemoglobin, and blood urea nitro-gen (BUN) values are relatively consistent and do not statistically varywith treatment. There were variations in AST, ALT, cholesterol, and tri-glyceride values between treatment groups, but there are no consistenttreatment-related effects. No statistically significant differences wereseen among any of the hematological parameters.

The effects of iodide and iodine on plasma thyroid hormone concen-trations after 10 d of treatment are reported in Figures 1 and 2. There is adose-related trend of increased plasma T4concentrations in both sexes

94 T. T.SHERERETAL.

TABLE2. Organ Weights as a Percentage of Body Weight in RatsTreated with Iodide or Iodinefor 100 Days

Treatment Thyroid Brain Liver Kidney Heart Testes

Males

Control 0.0035 0.41 3.3 0.34 0.34 0.45r

1 mg/l 0.0045 0.41 3.1 0.33 0.37 0.453 mg/I 0.0040 0.40 3.1- 0.34 0.34 0.46

10 mg/I 0.0052- 0.41 3.1 0.30- 0.35 0.44100 mg/I 0.0066- 0.42 3.5 0.35 0.35 0.46

1.1value 0.08 0.69 0.01 0.Q3 0.24 0.82

121 mg/I 0.0035 0.42 3.3 0.35 0.37 0.473 mg/I 0.0039 0.41 3.1 0.32 0.35 0.45

10 mg/I 0.0039 0.42 3.2 0.33 0.37 0.45100 mg/I 0.0042 0.43 3.4 0.36 0.35 0.45

P value 0.56 0.94 0.17 0.12 0.61 0.85

Females

Control 0.0053 0.62 3.1 0.32 0.39r

1 mg/I 0.0053 0.61 3.1 0.28b 0.373 mg/I 0.0061 0.64 3:1 0.31 0.40

10 mg/I 0.0061 0.62 3.2 0.31 0.40100 mg/I 0.0048 0.61 3.2 0.32 0.38

P value 0.03 0.81 0.69 0.005 0.50'2

1 mg/I 0.0058 0.59 3.2 0.32 0.393 mg/I 0.0065 0.64 3.2 0.32 0.40

10 mg/l 0.0056 0.64 3.2 0.32 0.39100 mg/I 0.0049 0.59 3.3 0.34 0.39

P value 0.13 0.15 0.91 0.51 0.98-

-Value differs significantly from the control at p < .05 using two-sample t-test.bValue differs significantly from the control at p < .005 using two-sample t-test.

SUBCHRONIC EFFECTS01

treated with iodine

only in female rats.iodide-treated rats.

ing water, the increing in a 1.6-fold inc(p s .05 by ANOVAin T4 following iodirin a significantly incwas unaffected.

After '100 d of

trends in the T/f) rcwith iodine and iocHowever, decrease<

TABLE3. Hematological Pc

Treatment Hematocrit

Control 47r

1 mg/I 473 mg/I 45

10 mg/I 48100 mg/I 46

p value 0.44'2

1 mg/l 473 mg/I 49

10 mg/I 47100 mg/l 47

p value 0.35

Control 46r

1 mg/I 453 mg/I 46

10 mg/I 45100 mg/I 46

p value 0.91'2

1 mg/l 453mg/1 45

10 mg/I 44100 mg/I 46

i p value 0.84

I,

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T.T.SHERER ET AL.

ith Iodide or Iodine

),39

0.370.40

0.400.38

0.50

0.390.400.390.39

0.98

t-test.e t-test.

ded by iodide or

)gical parametersblood urea nitro-: statistically vary)Iesterol, and tri-are no consistentdifferences were

lormone concen-and 2. There is a

inS in both sexes

SUBCHRONICEFFECTSOF IODINE VERSUSIODIDE 95

treated with iodine. However, this is significantly different from controlonly in female rats. The T4 values did not show a consistent change iniodide-treated rats. In females treated with 100 mg/I iodine in their drink-ing water, the increase in T4was associated with a decrease in TJ, result-ing in a 1.6-fold increase in the TiTJ ratio that was statistically significant(p :5 .05 by ANOVA and Tukey multiple-range analysis). A similar increasein T4following iodine treatment was observed in male rats, also resultingin a significantly increased TiTJ ratio (p :5 .05). In this case, however, TJwas unaffected.

After 100 d of treatment thyroid hormone levels showed similartrends in the TiTJ ratio in iodine-treated animals. The ratio was increasedwith iodine and iodide treatments in males (Fig. 3) and females (Fig. 4).However, decreased TJ was more responsible for this increase in the

-Ieart Testes

).34 0.45

).37 0.45

).34 0.46J.35 0.44J.35 0.46

),24 0.82

J.37 0.47J.35 0.45).37 0.45

).35 0.45

).61 0.85

TABLE3. HematologicalParametersin RatsTreatedwith Iodideor Iodine for 100Days

Hemoglobin Cholesterol Triglycerides BUNTreatment Hematocrit (g/dl) AST AlT (mg/dl) (mg/dl) (mg/dl)

Males

Control 47 15.1 33 20 286 69 42r

1 mg/l 47 13.2 34 7 322 19 48

3 mg/l 45 14.7 36 10 187 35 42

10 mg/l 48 13.3 30 20 92 24 54

. 100 mg/l 46 14.2 30 21 181 44 43

P value 0.44 0.65 0.96 0.73 0.30 0.32 0.3612

1 mg/l 47 13.2 30 52 179 49 45

3 mg/l 49 13.9 32 13 239 66 43

10 mg/l 47 13.8 42 24 140 57 42

100 mgll 47 13.1 41 16 196 88 40

P value 0.35 0.47 0.67 0.38 0.29 0.86 0.89

Females

Control 46 13.5 62 33 249 18 34r

1 mg/l 45 12.8 31 12 183 19 37

3 mg/l 46 12.4 38 91 326 14 35

10 mgll 45 15.7 109 34 301 21 36100 mgll 46 11.9 35 21 184 23 40

P value 0.91 0.43 0.41 0.18 0.49 0.93 0.84

121 mg/l 45 15.6 32 15 165 34 393 mg/l 45 14.0 120 23 199 15 36

10 mg/l 44 15.7 25 7 225 20 32100 mgll 46 14.7 28 118 220 10 35

P value 0.84 0.55 0.33 0.23 0.72 0.58 0.43

Page 8: COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN ... · thyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and

'.

96 T.T.SHERER ET AL. SUBCHRONIC EFFECTS C

E........

C>c:

C')t-........t-~

FIGURE1. Plasma thyroxine (T~ and triiodothyronine (TJ) concentrations and TiTJ ratios (:t SEM)in male rats treated with varying concentrations of iodide or iodine in their drinking water for 10 d.Ten animals were used in the control group and at least 4 in the treated groups except for 1- at 10mg/l where n -3.

-

FIGURE 2. Plasma thyroxinin female rats treated with'10 d. Twelve animals were I

f

t,

t

L

E........

C>c:Mt-

(

C

Page 9: COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN ... · thyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and

FIGURE 2. Plasmathyroxine (14)and triiodothyronine (1J) concentrations and T4rrJ ratios (:t SEM)in female rats treated with varying concentrations of iodide and iodine in their drinking water for10 d. Twelve animals were used in the control group and 6 in the treated groups.

-- ----

TT. T. SHERERETAL.

I

SUBCHRONIC EFFECTSOF IODINE VERSUSIODIDE 97

!

I

Females. 10 days

A50

I

EI 1 e

'140

......C>c

30, I.- ie20

(. Control o Iodide <> Iodine

-}

1.2

E 1.1

I1 /1"i

,/' \......

f' \\\ ,,//

1

C> //

I C 1.0M

I .- 0.9

I

I

0.8

1-50 I Ae

t'? 40.-T ,,/1-/-----11 l

........,.-

30 !..J r 2000

I -o II 1 3 10 100

Id T4rrJratios(:t SEM) , Iodine. mg/LIrinking water for 10 d.ups except for ,- at 10

Page 10: COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN ... · thyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and

98 T. T. SHERERETAL.

FIGURE3. Effectsof subchronic treatment (100 d) of male rats with varying concentrations ofiodide or iodine in their drinking water on plasma thyroxine (T~, triiodothyronine (TJ), and TiTJratios (:I: SEM).Twelveanimals were used in the control group and at least 4 in the treated groupsexcept for 1- at 10 mg/l where n - 3.

ratio, rather than an increase in T4' While iodine lead to significant in-creases in the T/TJ ratio in male rats, iodide did not. In females, bothiodine and iodide treatment resulted in statistically significant elevationsin T/rJ ratios. The effect of iodide was much less predictable (Le., itoccurred at the lowest and highest doses) and was smaller than thatobserved with iodine.

SUBCHRONIC EFFEas I

E.......

C>c:

E.......

C>c:

FIGURE 4. Effects of subc,iodide or iodine in their dratios (:!: SEM).Eleven anir

except for 12at 3 mg/l whe

Males, 100 days

E70

t",........

0> 60c 'I '..;0.-----al- SO

E0.8

........0> 0.7c:

a(I)

I- 0.6 ... I Q-- ......... .

. Control 0 IOdide <>

r110

l/J--J---

I.(I)

100 lI-........I- 90

80L..i....;t-J I I I

3 10 100

Iodine, mg/L

Page 11: COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN ... · thyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and

r. T. SHERER ET Al. SUBCHRONIC EFFECTS OF IODINE VERSUS IODIDE 99

[.

I

[.

r

I

)Q

; concentrations ofmine (Ty, and TiTJI the treated groups

Iodine, mg/L

significant in-females, both

:ant elevationslictable (Le., italler than that

FIGURE4. Effects of subchronic treatment (100 d) of female rats with varying concentrations ofiodide or iodine in their drinking water on plasma thyroxine (T~, triiodothyronine (TJ)' and TiTJratios (:t SEM). Eleven animals were used in the control group and at least 4 in the treated groupsexcept for 12at 3 mgll where n - 3.

-.i

Females, 100 days

E70

1.......

r ,.,C>

60 I,." ,,. ,c: ,

------150l

1.2r I

I ,

I \ I1.1I ,

E I \

,....... I ,C> 1.0

I ,C I ,

I ,,.: I ,

? .,

0.9 ,,,

o.al 1 :.. Control o Iodide <> Iodine

90.- - ..

Page 12: COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN ... · thyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and

-. - -- .- ... .... .-

100 T. T. SHERERETAL. SUBCHRONIC EFFECTSOF

DISCUSSION REFERENCES

Treatment of rats with iodine or iodide at concentrations as high as100 mg/l in drinking water produced no signs of overt toxicity. The onlydocumented effects were referable to modifications of thyroid function.

The effects of iodine and iodide on thyroid function appear to bequite different. Iodide treatment produced significant increases in thy-roid weights in male but not female rats. The basis for this sex-linkeddifference in sensitivity to iodide is not known. One possible explanationfor this result may be the relatively low control levels of T3in male rats atd 100 when compared to females and relative to T31evels in both sexes atd 10. The reduction of T3compared to the already low basal levels mayinduce a stronger feedback mechanism on the thyroid, leading to anenlargement.

Despite the effect on thyroid weight, iodide had little consistent ef-fect on plasma thyroid hormone levels. Conversely, iodine treatment hadno significant effects on thyroid weight, but produced significant in-creases in the TiT3 ratio. The increase in ratio appears to depend primar-ilyon increases in T4early in treatment, but is dominated by decreases inT3at later times.

The effects of iodide treatment on thyroid function are consistentwith results predicted from the "Wolff-Chaikoff effect" (Wolff, 1969; Va-genakis and Braverman, 1975; Saito et aI., 1985). This effect is character-ized by increased thyroid hormone synthesis due to an increase in totalintrathyroidal organic iodine. However, with larger doses of iodide (be-yond a critical dose), intrathyroidal organic iodine is decreased, leadingto a decrease in T4and T3formation.

The effects of iodine on the TiT3 ratio have not been previously re-ported. Lack of a similar effect with iodide indicates that this effect isspecific to iodine or is a result of its reactivity. Previous work has shownthat iodine reacts in the gastrointestinal tract to produce iodine speciesthat are not concentrated by the thyroid (Thrall and Bull, 1990). It is rea-sonable to conclude that differential effects of iodine and iodide on thy-roid hormone levels may well be attributed to by-products of these reac-tions in the gastrointestinal tract.

The mechanism by which 12increases the TiT3 ratio is not clear. Atleast two possibilities exist: (1) iodinated tyrosine, para-aminobenzoicacid, and histidine have been shown to be capable of inhibiting 5'-deiodinase (Bercz and Bawa, 1986; Bercz et aI., 1987), the enzyme respon-sible for converting T4to T3;or (2) iodine could react with metabolites ofthyroxine excreted into the intestine to regenerate thyroid hormones(Banerjee and Datta, 1981).Our laboratory is presently investigating thesealternate hypotheses.

Banerjee, R. K., and Datta,possible role in extratt

Bercz, J. 1'.,and Bawa, R. 19tants used in drinking

Bercz, J. 1'.,Bawa, R.,_and C(by iodinated isomers 0

Caraway, W. T.1960. MicrochC. Thomas.

Carswell, F., Kerr, M. M., arduced by maternal ingt

Freund, G., Thomas, W. c., Jwater supplies on thyrc

Mahmoud, I., Colin, I., Man}iodine-deficient thyroidcin accumulation. Exp. I

Mardell, R. 1978.A strategyCentre.

Morgan, D. 1'.,and Karpen, R.of water. U.S. Armed FOJ

Saito, K., Yamamoto, K., Takaiinduced by externally a(transport system. ). Bioc

Savoie, J. c., Massin, J. P., napparently normal thyrol

Squatrito, S., Vigneri, R., Runeand treatment of endemi). Clin. Endocrinol. Metal

Stringer, B. M. J., and Wynfor,thyroid hormone radioiruse with rat samples. Ho.

Thomas, W. c., Jr., Black, A. PArch. Environ. Health 19:'

Thrall, K. D., and Bull, R. J.Sprague-Dawley rat. Func

Vagenakis, A. G., and BravermClin. North Am. 59(5):1075

Wolff, J. 1969. Iodide goiter an47:101-124.

Zemlyn, S., Wilson, W. W., andtion). West. ). Med. 135:161

'fIli;,_:..-:~,,1':;;.'.l t"':""".>H_'..'

Page 13: COMPARISON OF TOXICITY INDUCED BY IODINE AND IODIDE IN ... · thyroid hormone to thyroid-hormone-free rat sera, obtained by an anion-exchange resin binding technique (Stringer and

T.T. SHERERETAL.

ntrations as high as~rt toxicity. The onlyof thyroid function.lCtion appear to bemt increases in thy-s for this sex-linked::>ossibleexplanation; of T3in male rats atvels in both sexes atow basal levels maylroid, leading to an

I little consistent ef-::>dinetreatment haduced significant in-'S to depend primar-ated by decreases in

ction are consistent!ct" (Wolff, 1969; Va-s effect is character-, an increase in totaldoses of iodide (be-; decreased, leading

been previously re-~s that this effect is)USwork has shownduce iodine speciesBull, 1990). It is rea-

e and iodide on thy-)ducts of these reac-

ratio is not clear. Atpara-aminobenzoic

>Ie of inhibiting 5'-the enzyme respon-:with metabolites of~ thyroid hormonesy investigating these

TSUBCHRONIC EFFECTSOF IODINE VERSUS IODIDE 101

REFERENCES

Banerjee, R. K., and Datta, A. G. 1981. Gastric peroxidase-Localization, catalytic properties andpossible role in extrathyroidal thyroid hormone formation. Acta Endocrinol. 96:208-214.

Bercz, J. P., and Bawa, R. 1986. Iodination of nutrients in the presence of chlorine based disinfec-tants used in drinking water treatment. Toxicol. Lett. 34:141.

Bercz, J. P., Bawa, R., and Condie, L. W. 1987. Inhibition of hepatic and renal thyroxine deiodinaseby iodinated isomers of amino acids. Toxicologist 7(1):137.

Caraway, W. T. 1960. Microchemical Methods for Blood Analysis, pp. 55-60. Springfield, III.: CharlesC. Thomas.

Carswell, E, Kerr, M. M., and Hutchison, J. H. 1970. Congenital goitre and hypothyroidism pro-duced by maternal ingestion of iodides. Lancet 1:1241-1243.

Freund, G., Thomas, W. c., Jr., Bird, E. D., Kinman, R. N., and Black, A. P. 1966. Effect of iodinatedwater supplies on thyroid function. j. Clin. Endocrinol. Metab. 26:619-624.

Mahmoud, /., Colin, /., Many, M. c., and Denef, J. E 1986. Direct toxic effect of iodide in excess on

iodine-deficient thyroid glands: Epithelial necrosis and inflammation associated with lipofus-cin accumulation. Exp. Mol. Pathol. 44:259-271.

Mardell, R. 1978. A strategy of in vitro tests of thyroid function. Amersham: The RadiochemicalCentre.

Morgan, D. P., and Karpen, R. J. 1953. Test of chronic toxicity of iodine as related to the purificationof water. U.S. Armed Forces Med. j. 4(5):725-728.

Saito, K., Yamamoto, K., Takai, T., and Kuzuya, T.1985. Efflux of preloaded iodide from the thyroid

induced by externally added iodide. A study using a biological model of the thyroid iodidetransport system. j. Biochem. 97:599-604.

Savoie, J. c., Massin, J. P., Thomopoulos, P., and Leger, E 1975. Iodine-induced thyrotoxicosis inapparently normal thyroid glands. j. Clin. Endocrinol. Metab. 41(4): 685-691.

Squatrito, S., Vigneri, R., Runello, E, Ermans, A. M., Polley, R. D., and Ingbar, S. H. 1986. Preventionand treatment of endemic iodine-deficiency goiter by iodination of a municipal water supply.j. Clin. Endocrinol. Metab. 63(2):368-375.

Stringer, B. M. J., and Wynford-Thomas, D. 1982. Importance of maintaining species homology inthyroid hormone radioimmunoassays: Modification of 'human' radioimmunoassay kits foruse with rat samples. Hormone Res. 16:392-397.

Thomas, W. c., Jr., Black, A. P., Freund, G., and Kinman, R. N. 1969. Iodine disinfection of water.Arch. Environ. Health 19:124-128.

Thrall, K. D., and Bull, R. J. 1990. Differences in the distribution of iodine and iodide in theSprague-Dawley rat. Fundam. Appl. Toxieol. 15:75-81.

Vagenakis, A. G., and Braverman, L.E.1975. Adverse effects of iodides on thyroid function. Med.Clin. North Am. 59(5):1075-1088.

Wolff, J. 1969. Iodide goiter and the pharmacologic effects of excess iodide (review). Am. j. Med.47:101-124.

Zemlyn, S., Wilson, W. w., and Hellweg, P.A. 1981. A caution on iodine water purification (informa-tion). West. j. Med. 135:166-167.

Received january 25, 1990

Accepted july 4, 1990

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