Goitrogen
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 .
Goitrogenic drugs and chemicals
Chemicals that have been shown to have goitrogenic effects include:
Sulfadimethoxine (Albon), propylthiouracil , potassium perchlorate , and iopanoic acid .
Some oxazolidines such as goitrin .
Ions such as thiocyanate (from cigarette smoking for example) 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,) vegetables in the genus Brassica (such as broccoli and cabbage ),[ page needed ] and other cruciferous vegetables . The goitrogenic nature of brassica vegetables appears doubtful, particularly when accompanied by adequate dietary iodine .
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.
References
↑ Bender, David A. (2009). "Goitrogens" . A dictionary of food and nutrition (3rd ed.). Oxford: Oxford University Press. ISBN 978-0-19-923487-5 .
↑ 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. doi :10.2460/javma.1989.194.04.519 . PMID 2921200 .
↑ 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. Bibcode :1997CBI...103...79V . doi :10.1016/S0009-2797(96)03745-3 . PMID 9055870 .
1 2 Vanderpas J (2006). "Nutritional epidemiology and thyroid hormone metabolism". Annu. Rev. Nutr. 26 (1): 293– 322. Bibcode :2006ARNut..26..293V . 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 .
↑ Galanty, Agnieszka; Grudzińska, Marta; Paździora, Wojciech; Służały, Piotr; Paśko, Paweł (2024). "Do Brassica Vegetables Affect Thyroid Function?—A Comprehensive Systematic Review" . International Journal of Molecular Sciences . 25 (7): 3988. doi :10.3390/ijms25073988 . PMC 11012840 . PMID 38612798 .
↑ 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 .