Comparison of the effects of propylthiouracil, amiodarone, diphenylhydantoin, phenobarbital, and 3-methylcholanthrene on hepatic and renal T4 metabolism and thyroid gland function in rats

Toxicol Appl Pharmacol. 1991 Nov;111(2):263-78. doi: 10.1016/0041-008x(91)90030-i.

Abstract

We studied the effects of propylthiouracil (PTU), amiodarone (AMIO), diphenylhydantoin (DPH), phenobarbital (PB), and 3-methylcholanthrene (MC) on thyroid histomorphology, on the hepatic and renal enzymes involved in endogenous and exogenous metabolism, and on the plasma levels and pharmacokinetics of thyroid hormones after 7 and 14 days of treatment. PTU and PB, by decreasing both serum tetraiodothyronine (T4) and triiodothyronine (T3), induced a massive increase in serum thyrotropin (TSH) and thus induced thyroid hypertrophy. AMIO and MC, by decreasing respectively serum T3 and T4, also induced an increase of TSH, but to a lesser extent, not sufficient to induce thyroid hypertrophy. Hepatic 5'-deiodinase activity was decreased in all treated rats. Inhibition of this enzyme by PTU was demonstrated in vitro; AMIO also decreased the enzyme activity by a still unelucidated mechanism, which probably requires intact cell plasma membranes, whereas in PB- and MC-treated rats the decrease in enzyme activity certainly resulted from decreased serum concentrations of T4. In PTU-treated rats, and probably in MC-treated rats, decreases in circulating thyroid hormones were primarily due to impairment of synthesis and/or of secretion by the thyroid. In contrast, in PB-treated rats, the decrease in serum thyroid hormone levels seems to be due to increased excretion of these hormones, as T4 serum clearance was significantly increased. PB, a microsomal enzyme inducer, increased the cytochrome b5 and P450 content as well as the cytochrome P450-dependent O-depentylation of pentoxyresorufin. The other type of enzyme inducer, MC, did not affect cytochrome b5 and P450 levels, but did increase the cytochrome P450 dependent O-deethylation of ethoxyresorufin. PB increased the glucuronidation of morphine, whereas MC increased the glucuronidation of 1-naphthol. However, serum T4 clearance, mainly determined by its hepatic conjugation rate, was increased only in PB-treated rats. It appears from this study that the close metabolic relationship between the liver/kidney and the thyroid should be taken into consideration when the findings of chronic toxicology and carcinogenicity studies are interpreted.

Publication types

  • Comparative Study

MeSH terms

  • Amiodarone / pharmacology*
  • Animals
  • Body Weight / drug effects
  • Cytochrome P-450 Enzyme System / metabolism
  • Cytochromes b5 / metabolism
  • Glucuronosyltransferase / metabolism
  • Kidney / drug effects
  • Kidney / enzymology
  • Kidney / metabolism*
  • Liver / drug effects
  • Liver / enzymology
  • Liver / metabolism*
  • Male
  • Methylcholanthrene / pharmacology*
  • Microsomes, Liver / enzymology
  • Microsomes, Liver / metabolism
  • Organ Size / drug effects
  • Oxygenases / metabolism
  • Phenobarbital / pharmacology*
  • Phenytoin / pharmacology*
  • Propylthiouracil / pharmacology*
  • Rats
  • Rats, Inbred Strains
  • Thyroid Gland / anatomy & histology
  • Thyroid Gland / drug effects*
  • Thyroid Gland / physiology
  • Thyrotropin / blood
  • Thyroxine / blood
  • Thyroxine / metabolism*
  • Triiodothyronine / blood

Substances

  • Triiodothyronine
  • Methylcholanthrene
  • Phenytoin
  • Propylthiouracil
  • Thyrotropin
  • Cytochromes b5
  • Cytochrome P-450 Enzyme System
  • Oxygenases
  • Glucuronosyltransferase
  • Amiodarone
  • Thyroxine
  • Phenobarbital