- Developmental
Disorders Caused By
- Thyroid Dysfunction
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There
are a number of developmental disorders that are caused by thyroid
dysfunction. Listed below are a number of scientific papers
with quotes, indicating the range of effects that can occur.
Brouwer
A., Morse D. C., Lans M. C., Schur A. G., Murk A. J., Klasson_Wehler
E., Bergman A., Visser T. J.
Toxicology
and Industrial Health 14 (1/2) 1998, 59-84.
Abstract
Several
classes of environmental contaminants have been claimed or suggested
to possess endocrine-disrupting potency, which may result in reproductive
problems and developmental disorders. In this paper the focus
is on the multiple and interactive mechanisms of interference of
persistent polyhalogenated aromatic hydrocarbons (PHAHs) and their
metabolites with the thyroid hormone system. Evidence suggests
that pure congeners or mixtures of PHAHs directly interfere with
the thyroid gland; with thyroid hormone metabolising enzymes, such
as uridine-diphosphate-glucuronyl transferases (UGTs), iodothyronine
deiodinases (IDs), and sulfotransferases (SULTs) in liver and brain;
and with the plasma transport system of thyroid hormones and experimental
animals and their offspring. Changes in thyroid hormone levels
in conjunction with high PHAH exposure was also observed in captive
as well as free ranging wildlife species and in humans. Maternal
exposure to PHAHs during pregnancy resulted in considerable fetal
transfer of hydroxylated PHAHs, which are known to compete with
thyroxine (T4) for plasma transthyretin (TTR) binding
sites, and thus may be transported to the fetus with those carrier
proteins that normally mediate the delivery of T4 to
the fetus. Concomitant changes in thyroid hormone concentrations
in plasma and in brain tissue were observed in fetal and neonatal
stages of development, when sufficient thyroid hormone levels are
esential for normal brain development. Alterations in structural
and functional neurochemical parameters, such as glial fibrillary
acidic protein (GFAP), synaptophysin, calcineurin, and serotonergic
neurotransmitters, were observed in the same offspring up to postnatal
day 90. In addition, some changes in locomotor and cognitive
indices of behaviour were observed in rat offspring, following i
utero and lactational exposure to PHAHs. Alterations in thyroid
hormone levels and subtle changes in neurobehavioural performance
were also observed in human infants exposed in utero and through
lactation to relatively high levels of PHAHs. Overall these
studies indicate that persistent PHAHs can disrupt the thyroid hormone
system at a multitude of interation sites, which may have a profound
impact on normal brain development in experimental animals, wildlife
species, and human infants.
Quotes
Many
classes of chemicals, both natural and of anthropogenic origin,
have been claimed to possess endocrine-disrupting potential, in
particular on the sex steroid systems. In addition, these
classes of "endocrine disruptors" have been linked with
abnormalities in sexual development, gonadal functions, and reproduction
in wildlife and in humans.
...there
also exists a wide body of evidence for interations of similar classes
of chemicals with the thyroid hormone system. Thyroid hormones,
as well as sex steroids, are very important in normal structural
and functional development of sexual organs and the brain. ...Therefore
it is important to include potential disruptions of the thyroid
system in the evaluations of the possible impact of chemicals in
our food and environment on health and normal development.
Hypothyroidism
and Brain Development
Thyroid
hormones are known to be very important for normal development.
Disruption of the thyroid hormone system during pregnancy may have
serious consequences for structural and functional aspects of normal
development of the brain and sexual organs, among other things.
Hypothyroidism is known to lead to disorders of neuronal process
growth in the developing brain
Another
aspect of hypothyroidism may be an interference or disruption of
neurotransmitter systems. Thyroid hormones are shown to be
modulators of nonadrenergic, serotonergic, and dopaminergic receptor
function.
...hypothyroidism
is associated with emotional instability, which may actually be
a consequence of changes in the serotonergic neurotransmitter system.
Other behavioural and functional consequences of developmental hypothyroidism
involve retarded development of cognitive and neuromotor funtions.
Hauser
P., McMillin J. M., Bhatara V. S.
Toxicology
and Industrial Health 14 (1/2) 1998, 85-101.
Abstract
Thyroid
hormones are essential for normal behavioural, intellectual, and
neurological development. Congenital hypothyroidism, if not
treated, can result in irreversible mental retardation, whereas
thyroid diseases with more moderate impairment of thyroid function,
such as resistance to thyroid hormone, cause less severe intellectual
and behavioural abnormalities, including attention deficit hyperactivity
disorder. There is increasing evidence the exposure to certain
synthetic compounds, including dioxins and polychlorinated biphenyls
(PCBs), during the perinatal period can also impair learning, memory,
and attentional processes in offspring. Animal and human
studies suggest that exposure to these environmental toxicants impair
normal thyroid function. Although the precise mechanisms of
action of the adverse effects these toxicants have on neurodevelopment
have not yet been elucidated, it is possible that they are partially
or predominantly mediated by the alterations in hormone binding
to the thyroid hormone receptor. The convergence of studies
that examine neurodevelopmental consequences of moderate impairment
of thyroid function, such as is found in resistance to thyroid hormone,
with those studies that demonstrate the adverse behavioural and
cognitive effects.
Sohmer
H., Freeman S.
Audiology
and Neuro-Otology 1 1996, 137-147.
Abstract
It seems
that many auditory maturational events are regulated by thyroid
hormone since elevation in thyroid hormone level always precedes
the onset of hearing in the fetus-neonate; low thyroid activity
in the developing human fetus or rat neonate leads to hearing loss;
earlier, elevated thyroid levels in rat neonate lead to earlier
onset of hearing. The hormone, bound to its receptors in the
nucleus, acts as a transcription factor activating genes which lead
to the synthesis of several proteins and enzymes involved in the
structural and functional development of many tissues (e.g. brain,
heart, kidney, skeletal muscle) including the ear. Several
types of congenital hearing loss of unexplained etiology may be
due to abnormalities in one or more stages of this gene cascade
since several types of congenital hearing loss have been shown to
involve defects in genes related to these events.
Quotes
There
is accumulating evidence that an important factor in the programmed
development of auditory function in the fetus in utero is the presence
and level of thyroid hormone.
A
hearing loss may also be associated with a defect in the production
of thyroid hormone.
...it
has been suggested that this hormone functions as a biological timing
mechanism for the normal sequence of brain maturation. It
has also been shown that the rate of transcription ofthe myelin
basic protein gene in rat brain is regulated by thyroid hormone.
It
is likely that thyroid hormone is also involved in the regulation
of the structural development of the brain and the ear.
Hearing
Loss Related To Disorders In The Thyroid Hormone Cascade.
The
overall findings presented here show that just as thyroid hormone
regulates and is responsible for several aspects of the structural
and functional development of several tissues and organs including
skeletal muscle, heart, kidney and brain, it is likely that the
hormone is also a key factor in the regulation of development of
the ear.
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