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Prof. Amol S. Dighe
Hormones: Thyroid and
antithyroidal agents
 Hormones are classified generally 1- thyroid hormones 2-
parathyroid hormones 3- pituitary hormones 4- Pancreatic
hormones 5- Adrenal gland hormones 6- Sex hormones
 Thyroid hormones –
 All vertebrates have thyroid glands.
 It is not essential for life but it is necessary for growth and mental well
being.
 In a healthy adult, it weight about 25 g and is composed of two lobes
which lie one on either side of the larynx.
 It is longer in women then in men.
 At the posterior surface of each thyroid gland, can be seen the parathyroid
gland.
 The hormone has molecular weight of about 680000 and it contains
organically bound iodine.
 A large quantity of iodine (0.06%) is present in thyroid gland, almost all of
which is firmly bound to protein largely in the form of the thyroid
 On hydrolysis , thyroglobulin is converted to several
iodinated tyroine derivatives.
 Thyroid hormones are part of thyroglobulin molecule which
is formed in the microsomes of the follicular cells.
 Thyroxine and tri-iodotyrosine are the principal thyroid
hormones.
 Chemically they are amino acid containing iodinated diphenyl
ethers.
 tri-iodotyrosine is more active then Thyroxine
 These hormones necessary for
 1- oxygen consumption, heat production and metabolism of carbohydrate,
fats and proteins
 2- proper functioning of gastrointestinal tract, cardiovascular, reproductive,
skeletal and neuromuscular system.
 3- optimal functioning of catecholamine, antidiuretic hormones.
 4- normal growth and differentiation.
Biosynthesis , storage and metabolism of
thyroid hormones.
 The biosynthesis of thyroid hormones is regulated by
variations in the plasma levels of thyroid stimulating
hormones (TSH) from the anterior pituitary gland.
 The conversion of inorganic iodide to thyroid hormones
involves following steps-
 1- iodine uptake by the gland
 2- oxidation of iodine and iodination of tyrosyl groups
 3- formation of thyroxine and tri-iodothyronine from iodotyrosines
 4- release of thyroxine and tri-iodothyronine.
SAR
 1- the two phenyl rings must be connected by an ether,
thioether or methylene linkage in order to maintain the
activity.
 2- a carboxyl group must be present in aliphatic side chain.
 3- halogen and methylene substituent's may be placed at 3
and 5 position.
 4- the 3 monosubstituted analogs are more active than the 3,
5 disubstituted compounds.
 5- for maximal activity, position 4 should be occupied by a
hydroxyl group
Antithyroid drugs
 These drug act by inhibition of the synthesis of thyroid
hormones.
 They exert immediate effects since they act at the first stage
of iodine incorporation by the gland.
 They are categorized as under
 1) Thiomides
 2) Aniline derivative
 3) polyhydric phenols
 4) ionic inhibitors that block the uptake of iodine by the gland
 5) Miscellaneous agents.
 1) Thiomides- thiourea and thiouracil derivative are among
the primary drugs to treat thyroid hyperactivity.
 The methyl and propylthiouracil are effective drug. Skin rashes
are the most common side effects of these drugs.
2)Aniline derivative-
 These agents interfere with some of the processes catalyzed by thyroid
peroxidase like, iodide oxidation, organification and coupling of
iodotyrosines.
 3) Polyhydric Phenols-
 The only clinical agents from this category is resorcinol.
 4) Ionic inhibitors-
 These anions resemble iodide ions and affects the power of thyroid gland
to accumulate iodide.
 e.g. Potassium perchlorate, thiocyanate.
 5) miscellaneous agents-
 Lithium carbonate- lithium appears to prevent the release of both
hormonal and non-hormonal iodine from the thyroid gland.

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Hormones thyroid and antithyroidal agents

  • 1. Prof. Amol S. Dighe Hormones: Thyroid and antithyroidal agents
  • 2.  Hormones are classified generally 1- thyroid hormones 2- parathyroid hormones 3- pituitary hormones 4- Pancreatic hormones 5- Adrenal gland hormones 6- Sex hormones  Thyroid hormones –  All vertebrates have thyroid glands.  It is not essential for life but it is necessary for growth and mental well being.  In a healthy adult, it weight about 25 g and is composed of two lobes which lie one on either side of the larynx.  It is longer in women then in men.  At the posterior surface of each thyroid gland, can be seen the parathyroid gland.  The hormone has molecular weight of about 680000 and it contains organically bound iodine.  A large quantity of iodine (0.06%) is present in thyroid gland, almost all of which is firmly bound to protein largely in the form of the thyroid
  • 3.  On hydrolysis , thyroglobulin is converted to several iodinated tyroine derivatives.  Thyroid hormones are part of thyroglobulin molecule which is formed in the microsomes of the follicular cells.  Thyroxine and tri-iodotyrosine are the principal thyroid hormones.  Chemically they are amino acid containing iodinated diphenyl ethers.  tri-iodotyrosine is more active then Thyroxine  These hormones necessary for  1- oxygen consumption, heat production and metabolism of carbohydrate, fats and proteins  2- proper functioning of gastrointestinal tract, cardiovascular, reproductive, skeletal and neuromuscular system.  3- optimal functioning of catecholamine, antidiuretic hormones.  4- normal growth and differentiation.
  • 4.
  • 5. Biosynthesis , storage and metabolism of thyroid hormones.  The biosynthesis of thyroid hormones is regulated by variations in the plasma levels of thyroid stimulating hormones (TSH) from the anterior pituitary gland.  The conversion of inorganic iodide to thyroid hormones involves following steps-  1- iodine uptake by the gland  2- oxidation of iodine and iodination of tyrosyl groups  3- formation of thyroxine and tri-iodothyronine from iodotyrosines  4- release of thyroxine and tri-iodothyronine.
  • 6.
  • 7. SAR  1- the two phenyl rings must be connected by an ether, thioether or methylene linkage in order to maintain the activity.  2- a carboxyl group must be present in aliphatic side chain.  3- halogen and methylene substituent's may be placed at 3 and 5 position.  4- the 3 monosubstituted analogs are more active than the 3, 5 disubstituted compounds.  5- for maximal activity, position 4 should be occupied by a hydroxyl group
  • 8. Antithyroid drugs  These drug act by inhibition of the synthesis of thyroid hormones.  They exert immediate effects since they act at the first stage of iodine incorporation by the gland.  They are categorized as under  1) Thiomides  2) Aniline derivative  3) polyhydric phenols  4) ionic inhibitors that block the uptake of iodine by the gland  5) Miscellaneous agents.  1) Thiomides- thiourea and thiouracil derivative are among the primary drugs to treat thyroid hyperactivity.
  • 9.  The methyl and propylthiouracil are effective drug. Skin rashes are the most common side effects of these drugs.
  • 10. 2)Aniline derivative-  These agents interfere with some of the processes catalyzed by thyroid peroxidase like, iodide oxidation, organification and coupling of iodotyrosines.
  • 11.  3) Polyhydric Phenols-  The only clinical agents from this category is resorcinol.  4) Ionic inhibitors-  These anions resemble iodide ions and affects the power of thyroid gland to accumulate iodide.  e.g. Potassium perchlorate, thiocyanate.  5) miscellaneous agents-  Lithium carbonate- lithium appears to prevent the release of both hormonal and non-hormonal iodine from the thyroid gland.