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Increased thyroxine turnover and thyroidal function after stimulation of hepatocellular binding of thyroxine by phenobarbital
Open accessAbstract
Administration of phenobarbital to rats in a dosage schedule previously demonstrated to increase hepatocellular binding of thyroxine results in increased hormonal turnover, due both to increased deiodination and to fecal disposition of thyroxine iodine. The rate of biliary excretion of thyroxine iodine is roughly proportional to the hepatic content of exchangeable thyroxine. The enhanced peripheral disposition of thyroxine appears to lead to increased thyroidal function, as measured by isotopic iodine studies, and the maintenance of a normal nonradioactive serum PBI. On the other hand, thyroidectomized animals maintained on a constant replacement dose of L-thyroxine and treated with phenobarbital exhibit a marked fall in serum PBI. These findings suggest that increased thyroxine flux in phenobarbital-treated animals is secondary to primary stimulation of hepatocellular binding. Exchangeable intracellular thyroxine may thus be an important determinant of hormone turnover and, possibly, of hormonal action.
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“The effect of phenobarbital to increase T 4 and T3 metabolism has been documented in rodents (173) and humans (174,175), but effects on thyroid function are more notable in rats (172).”
From Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement (2014) · cites this paper as [173]
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Effect of Phenobarbital on Liver Functions in Patients with Dubin-Johnson Syndrome
Shani, M., Seligsohn, U., & Ben-Ezzer, J. (1974) · Gastroenterology · doi:10.1016/s0016-5085(19)32895-1 · Cited by 13
Kato, Y., Haraguchi, K., Kubota, M., Seto, Y., Ikushiro, S., Sakaki, T., Koga, N., Yamada, S., & Degawa, M. (2009) · Drug Metabolism and Disposition · doi:10.1124/dmd.109.028621 · Cited by 12
Altered Pituitary-Thyroid Function in the Brattleboro Rat with Diabetes Insipidus*
Fujimoto, S., & Hedge, G. A. (1982) · Endocrinology · doi:10.1210/endo-110-5-1628 · Cited by 12
Metadata
- Authors
- Oppenheimer, J. H., Bernstein, G., & Surks, M. I.
- Affiliations
- Albert Einstein College of Medicine (US)
- Venue
- Journal of Clinical Investigation
- Published
- 1968-06-01
- Volume
- 47
- Issue
- 6
- Pages
- 1399-1406
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC297295
- OpenAlex
- W2054942726
- Cited by
- 161
- References
- 22
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 3 · 2012: 3
- FWCI
- 9.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Interaction Studies and Fluorescence Analysis
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- phenobarbital, thyroxine, deiodination, biliary excretion, iodine, thyroid function, thyroidectomy, thyroxine replacement
- MeSH terms
- Animals, Bile, Blood Proteins, Chlordan, Iodine, Iodine Radioisotopes, Kidney, Liver, Male, Phenobarbital, Protein Binding, Thyroid Gland, Thyroidectomy, Thyroxine, Rats
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