Psychoneuroendocrine effects of combined thyroxine and triiodothyronine versus tyrosine during prolonged Antarctic residence
Open accessAbstract
OBJECTIVES: We previously reported that cognitive function improves with thyroxine and that there is a circannual pattern to mood and human TSH during Antarctic residence. To extend these findings, we examined the effects of tyrosine and a combined levothyroxine/liothyronine supplement in euthyroid men and women who spent the austral summer (n = 43) and/or winter (n = 42) in Antarctica. STUDY DESIGN: Randomized, placebo-controlled, clinical trial. METHODS: Subjects were randomized to receive the following each day for 91.6 +/- 3.2 days in summer and/or 138.0 +/- 3.2 days in winter: (1) 12g tyrosine mixed in 113g applesauce; (2) 50 microg of levothyroxine and 12.5 microg of liothyronine (T4-T3 Supplement); or (3) placebo. Cognitive performance and mood were assessed using the Automatic Neuropsychological Assessment Metric - Isolated and Confined Environments. RESULTS: With placebo in summer, mood did not change while TSH decreased by 28%; in winter, there was a 136% degradation in mood (p < 0.01) and TSH increased by 18%. With combined T4-T3 supplement, there was a 51% degradation in mood in summer compared with placebo (p < 0.05) and TSH decreased by 57%; in winter there was a 135% degradation in mood while TSH was reduced by 26% (p < 0.05). Tyrosine use in summer was associated with no change in mood and a 30% decline in TSH, while in winter there was a 47% improvement in mood and TSH decreased by 28% along with a 6% increase in fT3 (p < 0.05). CONCLUSIONS: Administration of tyrosine leads to a significant reduction in serum TSH and improvement in mood in winter compared with placebo, while the combined T4-T3 supplement leads to a worsening of mood in summer and no improvement in winter. There appears to be a seasonal influence on the psychological response to interventions and the relationship to changes in TSH reductions.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
All reviewed studies except one used a within-subjects design with a counterbalanced treatment order.
“All studies except one (Palinkas et al., 2007) used a within-subjects design with a counterbalanced treatment order.”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
In the Antarctica study, plasma norepinephrine levels declined more in the tyrosine group than in the placebo group during winter.
“In the Antarctica study, plasma norepinephrine levels declined more in the tyrosine group than in the placebo group during the winter.”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
Only one reviewed study involved repeated tyrosine dosing over multiple days or daily supplementation over multiple weeks.
“Our literature search yielded only one study which involved repeated tyrosine dosing over multiple days (Palinkas et al., 2007).”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
In the only longitudinal study, tyrosine or placebo was supplemented for two seasons to research station residents in Antarctica.
“In the only study to use a longitudinal design, tyrosine or placebo was supplemented for two seasons to research station residents in Antarctica (Palinkas et al., 2007).”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
The Antarctica study reported lower serum thyroid-stimulating hormone and higher plasma free triiodothyronine levels as a result of tyrosine supplementation during winter, with no effects during summer.
“The Antarctica study reported lower serum thyroid-stimulating hormone and higher plasma free triiodothyronine levels as a result of tyrosine supplementation during the winter season, with no effects during the summer (Palinkas et al., 2007).”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
During the Antarctic summer, there were no significant changes in mood.
“During the summer, there were no significant changes in mood.”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
Over the Antarctic winter, tyrosine increased global mood scores from baseline by 47%, while placebo decreased them by 136%.
“Over the course of the Antarctic winter, tyrosine increased global mood scores from baseline by 47%, whereas in the placebo condition global mood scores decreased by 136%.”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
In the Antarctica study, plasma norepinephrine levels declined less in the tyrosine group than in the placebo group during summer.
“However, plasma norepinephrine levels declined less in the tyrosine group than in the placebo group during the summer (Palinkas et al., 2007).”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Palinkas et al., 2007
Cites
(1992) · Applied Ergonomics · doi:10.1016/0003-6870(92)90338-v · Cited by 7,153 · see citing works
Memory-scanning: mental processes revealed by reaction-time experiments.
Sternberg, S. (1969) · PubMed · Cited by 1,949 · see citing works
Deiodinases: implications of the local control of thyroid hormone action
Bianco, A. C., & Kim, B. W. (2006) · Journal of Clinical Investigation · doi:10.1172/jci29812 · Cited by 845 · see citing works
A 3 min reasoning test based on grammatical transformation
Baddeley, A. (1968) · Psychonomic Science · doi:10.3758/bf03331551 · Cited by 648 · see citing works
Bunevičius, R., Kažanavičius, G., Žalinkevičius, R., & Prange, A. J. (1999) · New England Journal of Medicine · doi:10.1056/nejm199902113400603 · Cited by 482 · cited 1× · see citing works
“A study by Bunevicius and colleagues (20) found an improvement in memory and mood when T4 was used in combination with T3 supplementation.”
BackgroundJorde, R., Waterloo, K. K., Storhaug, H. M., Nyrnes, A., Sundsfjord, J., & Jenssen, T. G. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2005-1775 · Cited by 242 · see citing works
Jaeschke, R., Guyatt, G. H., Gerstein, H. C., Patterson, C., Molloy, W., Cook, D., Harper, S., Griffith, L. E., & Carbotte, R. M. (1996) · Journal of General Internal Medicine · doi:10.1007/bf02598988 · Cited by 216 · see citing works
Physiological control of brain norepinephrine synthesis by brain tyrosine concentration
Gibson, C. J., & Wurtman, R. J. (1978) · Life Sciences · doi:10.1016/0024-3205(78)90633-1 · Cited by 206 · see citing works
Appelhof, B. C., Fliers, E., Wekking, E. M., Schene, A. H., Huyser, J., Tijssen, J. G. P., Endert, E., van Weert, H. C. P. M., & Wiersinga, W. M. (2005) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-2111 · Cited by 183 · see citing works
Siegmund, W., Spieker, K., Weike, A. I., Giessmann, T., Modess, C., Dabers, T., Kirsch, G., Sänger, E., Engel, G., Hamm, A. O., et al. (2004) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2004.02050.x · Cited by 152 · see citing works
Tyrosine reverses a cold-induced working memory deficit in humans
Shurtleff, D., Thomas, J. R., Schrot, J., Kowalski, K., & Harford, R. (1994) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(94)90299-2 · Cited by 142 · cited 1× · see citing works
“Shurtleff and colleagues (26) demonstrated in humans that pretreatment with 150 mg/kg tyrosine reverses cold-related declines in performance on a delayed matchingto-sample task.”
BackgroundCognitive and affective status in mild hypothyroidism and interactions with l-thyroxine treatment
Bono, G., Fancellu, R., Blandini, F., Santoro, G., & Mauri, M. F. (2004) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.2004.00262.x · Cited by 112 · see citing works
Stages of Change in Mood and Behavior During a Winter in Antarctica
Palinkas, L. A., & Houseal, M. (2000) · Environment and Behavior · doi:10.1177/00139160021972469 · Cited by 103 · see citing works
Reed, H. L., Reedy, K. R., Palinkas, L. A., Do, N., Finney, N. S., Case, H. S., LeMar, H. J., Wright, J. R., & Thomas, J. R. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.1.7092 · Cited by 100 · see citing works
Seasonal variation of depressive symptoms in Antarctica
Palinkas, L. A., CRAVALHO, M. A., & Browner, D. K. (1995) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1995.tb09803.x · Cited by 98 · see citing works
Habituation of thermal sensations, skin temperatures, and norepinephrine in men exposed to cold air
Leppäluoto, J., Korhonen, I., & Hassi, J. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.90.4.1211 · Cited by 93 · see citing works
Nutritional Needs in Cold and High-Altitude Environments
Institute of Medicine (1996) · National Academies Press eBooks · doi:10.17226/5197 · Cited by 92 · see citing works
Reed, H. L., SILVERMAN, E. D., Shakir, K. M. M., Dons, R. F., Burman, K. D., & O’Brian, J. T. (1990) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-70-4-965 · Cited by 89 · see citing works
Pituitary and autonomic responses to cold exposures in man
Leppäluoto, J., Pääkkönen, T., Korhonen, I., & Hassi, J. (2005) · Acta Physiologica Scandinavica · doi:10.1111/j.1365-201x.2005.01464.x · Cited by 83 · see citing works
Fava, M. (2003) · PubMed · Cited by 77 · see citing works
Subsyndromal Seasonal Affective Disorder in Antarctica
Palinkas, L. A., Houseal, M., & Rosenthal, N. E. (1996) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199609000-00003 · Cited by 70 · see citing works
The pituitary-thyroid axis in healthy men living under subarctic climatological conditions
Hassi, J., Sikkilä, K., Ruokonen, A., & Leppäluoto, J. (2001) · Journal of Endocrinology · doi:10.1677/joe.0.1690195 · Cited by 70 · see citing works
Lower TSH and higher T4 levels are associated with current depressive syndrome in young adults
Forman‐Hoffman, V. L., & Philibert, R. A. (2005) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00703.x · Cited by 68 · see citing works
Repeated exposure to moderate cold impairs matching-to-sample performance.
Thomas, J. R., Ahlers, S. T., House, J. F., & Schrot, J. (1989) · PubMed · Cited by 64 · see citing works
Palinkas, L. A. (2001) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(00)00064-0 · Cited by 57 · see citing works
Tyrosine pretreatment reverses hypothermia-induced behavioral depression
Rauch, T. M., & Lieberman, H. R. (1990) · Brain Research Bulletin · doi:10.1016/0361-9230(90)90299-f · Cited by 52 · see citing works
Influence of Extended Wakefulness on Automatic and Nonautomatic Processing
Humphrey, D. G., Kramer, A. F., & Stanny, R. R. (1994) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1177/001872089403600407 · Cited by 48 · see citing works
Reliabilities and Validities of the Mood Questionnaire
Ryman, D. H., Biersner, R. J., & Rocco, J. M. L. (1974) · Psychological Reports · doi:10.2466/pr0.1974.35.1.479 · Cited by 45 · see citing works
Effect of the Antarctic environment on hormone levels and mood of Chinese expeditioners
Xu, C., Guangjin, Z., Quanfu, X., Shandong, Z., Guoyuan, D., Yanzhen, X., & Palinkas, L. A. (2003) · International Journal of Circumpolar Health · doi:10.3402/ijch.v62i3.17562 · Cited by 44 · see citing works
Hypothermic general cold adaptation induced by local cold acclimation
Savourey, G., Barnavol, B., Caravel, J.-P., Feuerstein, C., & Bittel, J. H. M. (1996) · European Journal of Applied Physiology · doi:10.1007/bf02425482 · Cited by 42 · see citing works
Environmental influences on hypothalamic–pituitary–thyroid function and behavior in Antarctica
Palinkas, L. A., Reedy, K. R., Shepanek, M. A., Smith, M., Anghel, M., Steel, G. D., Reeves, D., Case, H. S., Do, N., & Reed, H. L. (2007) · Physiology & Behavior · doi:10.1016/j.physbeh.2007.06.008 · Cited by 39 · see citing works
Subclinical hyperthyroidism: Physical and mental state of patients
Schlote-Sautter, B., Nowotny, B., Schaaf, L., Kleinböhl, D., Schmidt, R., Teuber, J., Paschke, R., Vardarli, I., Kaumeier, S., & Usadel, K. H. (1992) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf02191961 · Cited by 39 · see citing works
Decreased free fraction of thyroid hormones after prolonged Antarctic residence
Reed, H. L., Brice, D. J., Shakir, K. M. M., Burman, K. D., D'Alesandro, M. M., & O’Brian, J. T. (1990) · Journal of Applied Physiology · doi:10.1152/jappl.1990.69.4.1467 · Cited by 36 · see citing works
Tyrosine ameliorates a cold-induced delayed matching-to-sample performance decrement in rats
Shurtleff, D., Thomas, J. R., Ahlers, S. T., & Schrot, J. (1993) · Psychopharmacology · doi:10.1007/bf02244915 · Cited by 33 · see citing works
Sher, L., Rosenthal, N. E., & Wehr, T. A. (1999) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00049-x · Cited by 32 · see citing works
Does Thyroid Hormone Have a Role as Adjunctive Therapy in Depression?1
JACKSON, I. M. D. (1996) · Thyroid · doi:10.1089/thy.1996.6.63 · Cited by 30 · see citing works
Harford, R. R., Reed, H. L., Morris, M. T., Sapien, I. E., Warden, R., & D‘Alesandro, M. M. (1993) · Metabolism · doi:10.1016/0026-0495(93)90274-r · Cited by 27 · see citing works
Defayolle, M., Boutelier, C., Bachelard, C., Rivolier, J., & Taylor, A. J. W. (1985) · Journal of Human Stress · doi:10.1080/0097840x.1985.9936753 · Cited by 26 · see citing works
Exaggerated TSH Responses to TRH in Depressed Patients With "Normal" Baseline TSH
Kraus, R. P., Phoenix, E., Edmonds, M., Nicholson, I. R., Chandarana, P. C., & Tokmakejian, S. (1997) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v58n0606 · Cited by 26 · see citing works
Pituitary and peripheral hormone responses to T3 administration during Antarctic residence
Reed, H. L., Ferreiro, J. A., Shakir, K. M. M., Burman, K. D., & O’Brian, J. T. (1988) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1988.254.6.e733 · Cited by 26 · see citing works
How to measure human adaptation in extreme environments: the case of Antarctic wintering-over.
Scanff, C. L., Larue, J., & Rosnet, É. (1997) · PubMed · Cited by 24 · see citing works
Biological clocks in depression: phase-shift experiments revisited
Souêtre, E., Salvati, E., Candito, M., & DARCOURT, G. (1991) · European Psychiatry · doi:10.1017/s0924933800000845 · Cited by 23 · see citing works
Lack of seasonal variation in abnormal TSH secretion in patients with seasonal affective disorder
Coiro, V., Volpi, R., Marchesi, C., Ferri, A. D., d'Amato, L., Caffari, G., Davolio, M., Rossi, E., Caffarra, P., & Chiodera, P. (1994) · Biological Psychiatry · doi:10.1016/0006-3223(94)91165-7 · Cited by 18 · see citing works
Visual evoked potentials in hypothyroidism: a long-term evaluation.
Tamburini, G., Tacconi, P., Ferrigno, P., Cannas, A., Massa, G. M., Mastinu, R., Velluzzi, F., Loviselli, A., & Giagheddu, M. (1998) · PubMed · Cited by 15 · see citing works
Case, H. S., Reed, H. L., Palinkas, L. A., Reedy, K. R., Do, N., Finney, N. S., & Seip, R. L. (2006) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2006.02588.x · Cited by 11 · see citing works
Marriott, B. M., & Carlson, S. J. (1996) · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Jongkees, B. J., Hommel, B., Kühn, S., & Colzato, L. S. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2015.08.014 · Cited by 177 · see citing works
Psychosocial issues in isolated and confined extreme environments
Palinkas, L. A., & Suedfeld, P. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.03.032 · Cited by 145 · see citing works
Behavioral and cognitive effects of tyrosine intake in healthy human adults
Hase, A., Jung, S. E., & aan het Rot, M. (2015) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2015.03.008 · Cited by 91 · see citing works
Kühn, S., Düzel, S., Colzato, L. S., Norman, K., Gallinat, J., Brandmaier, A. M., Lindenberger, U., & Widaman, K. F. (2017) · Psychological Research · doi:10.1007/s00426-017-0957-4 · Cited by 73 · see citing works
Chen, N., Wu, Q., Li, H., Zhang, T., & Xu, C. (2016) · International Journal of Biometeorology · doi:10.1007/s00484-015-1069-8 · Cited by 55 · see citing works
Choi, J.-Y., Park, M.-N., Kim, C.-S., Lee, Y.-K., Choi, E. Y., Chun, W. Y., & Shin, D.-M. (2017) · Scientific Reports · doi:10.1038/srep45693 · Cited by 32 · see citing works
Waraksa, E., Kowalski, K., Rola, R., Kłodzińska, E., Bieńkowski, T., & Namieśnik, J. (2018) · Microchemical Journal · doi:10.1016/j.microc.2018.12.033 · Cited by 10 · see citing works
Cognitive Performance and Neuromapping
Thoolen, S. J. J., & Strangman, G. E. (2022) · Springer eBooks · doi:10.1007/978-3-031-18440-6_4 · Cited by 6 · see citing works
Pharmacological Strategies to Improve Mental Performance
Cutsem, J. V., & Pattyn, N. (2024) · Routledge eBooks · doi:10.4324/9781003378969-8 · Cited by 4 · see citing works
Steel, G. D. (2015) · Springer eBooks · doi:10.1007/978-3-319-18947-5_17 · Cited by 4 · see citing works
Mental Performance in Extreme Environments (Space and Antarctica)
Pattyn, N., Charlesworth, S., & Manzey, D. (2024) · Routledge eBooks · doi:10.4324/9781003378969-17 · Cited by 2 · see citing works
Screening, Diagnostic, and Monitoring Challenges in Hypothyroidism: 2010
Hennessey, J. V. (2010) · Endocrine Practice · doi:10.1016/s1530-891x(20)42868-x · Cited by 1 · see citing works
Additional Evidence: Risk of Adverse Behavioral Conditions and Psychiatric Disorders
Catreine, J. A., Palinkas, L. A., Environments, C., Shea, C., Slack, K. J., Keeton, K. E., Leveton, L. B., Meta-analysis, A., & Strangman, G. E. (2011) · Cited by 1 · see citing works
Bloomgarden, Z. T. (2010) · Endocrine Practice · doi:10.4158/ep.16.s2.1
Loutfi, M., Ayoub, M. A., Khalil, H., & Assaf, I. (2018) · Egyptian Journal of Rabbit Science · doi:10.21608/ejrs.2018.46508
Colzato, L. S. (2017) · Springer eBooks · doi:10.1007/978-3-319-57505-6_1
Retracted
- Authors
- Palinkas, L. A., Reedy, K. R., Smith, M., Anghel, M., Steel, G. D., Reeves, D., Shurtleff, D., Case, H. S., Do, N. V., & Reed, H. L.
- Affiliations
- University of Southern California (US)
- United States Food and Drug Administration (US)
- George Washington University (US)
- University of California San Diego (US)
- Lincoln University (NZ)
- Clinvest (United States) (US)
- McDaniel College (US)
- Madigan Army Medical Center (US)
- MultiCare Health System (US)
- Corresponding author
- Palinkas, Lawrence A.
- Venue
- International Journal of Circumpolar Health
- Publisher
- Informa UK Limited
- Published
- 2007-12
- Volume
- 66
- Issue
- 5
- Pages
- 402-417
- ISSN
- 1239-9736 (ISSN-L)
- 2242-3982
- OpenAlex
- W2072584860
- Cited by
- 16
- References
- 47
- Citations by year
- 2024: 2 · 2022: 1 · 2021: 1 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 3
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Circumpolar Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Science Foundation
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Physiology › Spaceflight effects on biology
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- thyroxine, triiodothyronine, tyrosine supplementation, levothyroxine, liothyronine, thyroid-stimulating hormone, mood, cognitive performance, Antarctic expedition, seasonal variation, isolated and confined environments
- MeSH terms
- Adult, Affect, Antarctic Regions, Cognition, Drug Combinations, Female, Humans, Male, Seasons, Thyroid Hormones, Thyrotropin, Thyroxine, Triiodothyronine, Tyrosine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review