Cited by 23Thyroid Disorders and TreatmentsAdvanced Drug Delivery SystemsDrug Solubulity and Delivery Systems

Metal coordinated poly-zinc-liothyronine provides stable circulating triiodothyronine levels in hypothyroid rats

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Da Conceição, Rodrigo R., Fernandes, Gustavo W., Fonseca, Tatiana L., Bocco, Barbara M.L.C., Bianco, Antonio C.·2018·Thyroid

Abstract

BACKGROUND: Liothyronine (LT3) has limited short-term clinical applications, all of which aim at suppressing thyrotropin (TSH) secretion. A more controversial application is chronic administration along with levothyroxine in the treatment of hypothyroidism. Long-term treatment with LT3 is complicated by its unique pharmacokinetics that result in a substantial triiodothyronine (T3) peak in the blood three to four hours after oral dosing. This is a significant problem, given that T3 levels in the blood are normally stable, varying by <10% throughout the day. METHODS: O])n, known as poly-zinc-liothyronine (PZL), was synthesized and loaded into coated gelatin capsules for delivery to the duodenum where sustained release of T3 from PZL occurs. Male Wistar rats were made hypothyroid by feeding on a low iodine diet and water containing 0.05% methimazole for five to six weeks. Rats were given a capsule containing 24 μg/kg PZL or equimolar amounts of LT3. Blood samples were obtained multiple times from the tail vein during the first 16 hours, and processed for T3 and TSH serum levels. Some animals were treated daily for eight days, and blood samples were collected daily. RESULTS: Rats given LT3 exhibited the expected serum T3 peak (about fivefold baseline) at 3.5 hours, followed by a rapid decline, with serum levels almost returning to baseline values by 16 hours. In contrast, serum T3 in PZL-treated rats exhibited about a 30% lower T3 peak at nine hours. Furthermore, the plateau time, that is, the time-span during which the serum T3 concentration is at least half of T3 peak, increased from 4.9 to 7.7 hours in LT3- versus PZL-treated rats, respectively. Serum TSH dropped in both groups, but PZL-treated rats exhibited a more gradual decrease, which was delayed by about four hours compared to LT3-treated rats. Chronic treatment with either LT3 or PZL restored growth, lowered serum cholesterol, and stimulated hepatic expression of the Dio1 mRNA and other T3-dependent markers in the central nervous system. CONCLUSION: Capsules of PZL given orally restore T3-dependent biological effects while exhibiting a reduced and delayed serum T3 peak after dosing, thus providing a longer period of relatively stable serum T3 levels compared to capsules of LT3.

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Crossref · 10.1089/thy.2018.0205

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  • Poly-zinc-LT3 is a copolymer of zinc and T3 that forms a supramolecular complex with mucoadhesive properties, which, coupled with its hydrolysis behavior, make it a slow-release formulation of T3.

    “This copolymer of zinc and T3 forms a supramolecular complex that has mucoadhesive properties, which, when coupled with its hydrolysis behavior, make it a slow-release formulation of T3 (63).”

    From Emerging Therapies in Hypothyroidism (2024) · cites this paper as [63]

    The Discussion (page not available) describes PZL as a zinc–T3 polymeric complex with a supramolecular structure that promotes intestinal mucoadhesion and slower T3 delivery. It attributes the extended absorption to mucoadhesion and ligand exchange, not to hydrolysis behavior; that mechanism in the citing sentence is unsupported by our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • In hypothyroid rats, T3 clearance rate did not differ between poly-zinc-LT3 and LT3 treatment.

    “The T3 clearance rate did not show differences between poly-zinc-LT3- and LT3-treated rats.”

    From Emerging Therapies in Hypothyroidism (2024) · cites this paper as [63]

  • In rats, daily administration of poly-zinc-LT3 for 8 days produced pharmacodynamics similar to LT3, including reduction of serum cholesterol, restoration of growth rate, and induction of T3-dependent genes in heart, liver, and brain.

    “Daily administration of poly-zinc-LT3 for 8 days showed pharmacodynamics similar to LT3 treatment in rats, such as reduction of serum cholesterol, restoration of growth rate, and induction of T3-dependent genes in the heart, liver, and brain (63).”

    From Emerging Therapies in Hypothyroidism (2024) · cites this paper as [63]

  • In hypothyroid rats, poly-zinc-LT3 produced an approximately 30% lower peak serum T3 (Cmax) that was delayed (longer Tmax) by ~6 h compared with equimolar LT3.

    “Remarkably, the serum T3 levels exhibited favorable pharmacokinetics (PK) (63), i.e., an approximately 30% lower peak (lower Cmax) that was delayed (longer Tmax) by ~6 h as compared to serum T3 levels in rats given equimolar amounts of LT3.”

    From Emerging Therapies in Hypothyroidism (2024) · cites this paper as [63]

  • In hypothyroid rats, the decline in elevated TSH after poly-zinc-LT3 was delayed by ~4 h compared with LT3.

    “TSH levels, which were elevated, declined rapidly after LT3 administration, but the decline was delayed by ~4 h in poly-zinc-LT3-treated rats.”

    From Emerging Therapies in Hypothyroidism (2024) · cites this paper as [63]

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Research works printed but not linked: 4

  1. [14]Peterson SJ, Cappola AR, Castro MR, Dayan CM, Farwell AP, Hennessey JV, Kopp PA, Ross DS, Samuels MH, Sawka AM, Taylor PN, Jonklaas J, Bianco AC. 2018. An online survey of hypothyroid patients captured predominantly dissatisfied individuals. Thyroid 28:707–721 [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. [24]Price JD, Piccariello T, Palmer S. 2014. Metal-coordinated pharmaceuticals. Drug Dev Deliv 14:34–39 [Google Scholar]
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Authors
Da Conceição, R. R., Fernandes, G. W., Fonseca, T. L., Bocco, B. M. L. C., & Bianco, A. C.
Affiliations
  • Division of Endocrinology and Metabolism, Rush University Medical Center, Chicago, Illinois.
  • University of Chicago (US)
  • Division of Endocrinology, University of Chicago, Chicago, Illinois.
Corresponding author
Bianco, Antonio C.
Venue
Thyroid
Published
2018-11
Volume
28
Issue
11
Pages
1425-1433
ISSN
  • 1050-7256 (ISSN-L)
  • 1557-9077
OpenAlex
W2896972411
Cited by
23
References
36
Citations by year
2026: 1 · 2025: 3 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 7
FWCI
2.58
Type
journal article
Language
en
Open access
Locations
  • Thyroid (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (R44DK116396)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Drug Solubulity and Delivery Systems
Keywords
liothyronine, triiodothyronine, hypothyroidism, sustained drug release, thyroid-stimulating hormone, low iodine diet, methimazole, serum cholesterol, rats
MeSH terms
Animals, Hypothyroidism, Male, Thyrotropin, Triiodothyronine, Treatment Outcome, Rats, Wistar, Rats

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