PLASMA INORGANIC IODIDE, A CHEMICAL REGULATOR OF NORMAL THYROID FUNCTION1
Abstract
In an earlier communication (Wolff and Chaikoff, 1948) it was shown that the administration of large amounts of iodine temporarily inhibits the capacity of the normal thyroid gland to bind iodine organically. This inhibition appeared to be related to the level of plasma iodine. So long as the concentration of plasma iodine exceeded 20–35γ per cent, no organic binding of iodine occurred in the gland, and only when the concentration fell below this critical range did the gland resume its function of depositing iodine in an organic form. On the basis of these findings it was postulated that the level of plasma iodine is part of a homeostatic mechanism governing hormone synthesis in the normal gland. Thus, when a large amount of iodine is ingested, the prevention of its deposition as organically bound compounds in the thyroid gland keeps the ingested iodine circulating as inorganic iodide, in which form it is readily excreted by the kidney.
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Iodine acutely lowers thyroid hormone concentrations by reducing hormone secretion and inhibits its own organification (the Wolff-Chaikoff effect).
“Iodine acutely lowers thyroid hormone concentrations by reducing hormone secretion (238,239), and inhibits its own organification (the Wolff-Chaikoff effect) (240).”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [240]
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“Iodine acutely lowers thyroid hormone concentrations by reducing hormone secretion (238,239), and inhibits its own organification (the Wolff–Chaikoff effect) (240).”
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- Authors
- WOLFF, J., & CHAIKOFF, I. L.
- Affiliations
- University of California, Berkeley (US)
- ORCID
- WOLFF, J.
- Venue
- Endocrinology
- Publisher
- The Endocrine Society
- Published
- 1948-06
- Volume
- 42
- Issue
- 6
- Pages
- 468-471
- ISSN
- 0013-7227 (ISSN-L)
- 1945-7170
- OpenAlex
- W1997063289
- Cited by
- 54
- References
- 0
- Citations by year
- 2026: 4 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 2 · 2014: 1 · 2013: 1
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Chemical Analysis and Environmental Impact
- Keywords
- thyroid function, thyroid hormone synthesis, iodine binding, thyroid gland
- MeSH terms
- Humans, Iodides, Iodine, Iodine Isotopes, Thyroid Gland
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