Abstract
The many nonsubstrate effects of iodide in the thyroid appear to be due to at least four mechanisms: 1) a possible anion effect of iodide for which the supporting data are conflicting; 2) an inhibition of organic iodine formation (the so-called Wolff-Chaikoff effect); 3) the iodination of critical enzymes in the thyroid gland; and 4) the inhibition of cellular processes by iodinated products such as oxidized iodine itself, or an oxidation reaction involving iodine. The separation into these categories is not firm, but circumstantial evidence suggests that the mechanisms are different. In addition, high levels of iodide will saturate the iodide pump (Ki ≈3×10−5M) (1). In this case, however, the amounts of iodide which enter the thyroid cell remain large, despite transport saturation and are replaced by diffused iodide. Hence this subject will not be discussed here.
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Wolff, J. (1989). Excess Iodide Inhibits the Thyroid by Multiple Mechanisms. In: Ekholm, R., Kohn, L.D., Wollman, S.H. (eds) Control of the Thyroid Gland. Advances in Experimental Medicine and Biology, vol 261. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-2058-7_8
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