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Perchlorate and the thyroid gland

J Wolff1

  • 1Laboratory of Biochemical Pharmacology, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA.

Pharmacological Reviews
|April 29, 1998
PubMed
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Perchlorate blocks iodide uptake by the thyroid, reducing thyroid hormone synthesis and protecting against excess iodide effects. It is useful for treating thyrotoxicosis, especially when combined with thionamides.

Area of Science:

  • Endocrinology
  • Pharmacology

Background:

  • Perchlorate inhibits thyroid hormone synthesis by blocking iodide uptake via the Na+/I- symporter.
  • It is concentrated in thyroid tissue but not significantly metabolized.

Purpose of the Study:

  • To elucidate the mechanisms and therapeutic applications of perchlorate in thyroid dysfunction.
  • To evaluate its efficacy in managing thyrotoxicosis and iodide-induced hypothyroidism.

Main Methods:

  • Competitive inhibition of iodide transport.
  • Therapeutic use in thyrotoxicosis and amiodarone-induced thyroid dysfunction.
  • Assessment of radioiodide discharge from the thyroid.

Main Results:

  • Perchlorate effectively reduces thyroid hormone synthesis and protects against iodide overload.

Related Experiment Videos

  • Combined therapy with thionamides is beneficial for severe thyrotoxicosis.
  • Lower doses and shorter durations improve safety profiles.
  • Conclusions:

    • Perchlorate is a valuable therapeutic agent for managing thyroid disorders, particularly thyrotoxicosis and iodide excess.
    • Its dual action on hormone synthesis and inhibitor formation offers comprehensive thyroid regulation.
    • Safe and effective use is enhanced with optimized dosing and combination therapy.