The impact of propylthiouracil therapy on lipid peroxidation and antioxidant status parameters in hyperthyroid patients

Acta Med Okayama. 1999 Feb;53(1):27-30. doi: 10.18926/AMO/31651.

Abstract

This study was performed on 17 hyperthyroid patients and 15 healthy controls. The patients were under propylthiouracil (PTU) therapy at a dosage of 3 x 100 mg/day for one month. Blood samples, taken at the beginning and on the 30th day of therapy, were analyzed for hormonal parameters (T3, T4, TSH), lipid peroxidation endproduct [thiobarbituric acid reactive substances (TBARS)] and antioxidant status parameters: glutathione (GSH), glutathione peroxidase (GSH-Px) and CuZn superoxide dismutase (CuZn SOD). Hyperthyroid patients were observed to have significantly higher TBARS, GSH and CuZn SOD levels than controls (P < 0.05, P < 0.001, P < 0.001, respectively). PTU therapy caused a relief in oxidative stress as reflected by significantly decreased TBARS levels (P < 0.001) and a selective modification in the antioxidant status parameters: significant decreases in GSH and CuZn SOD levels (P < 0.001) and a significant increase in GSH Px (P < 0.01) activity. Our findings suggest a selective modification of the antioxidative profile in hyperthyroidism. PTU should also be considered as an in vivo antioxidant, in addition to its antithyroid action.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Antithyroid Agents / therapeutic use*
  • Erythrocytes / metabolism
  • Female
  • Glutathione / blood*
  • Glutathione Peroxidase / blood
  • Humans
  • Hyperthyroidism / drug therapy*
  • Hyperthyroidism / metabolism*
  • Lipid Peroxides / metabolism*
  • Male
  • Middle Aged
  • Oxidoreductases / blood*
  • Propylthiouracil / therapeutic use*
  • Reference Values
  • Superoxide Dismutase / blood
  • Thiobarbituric Acid Reactive Substances / metabolism

Substances

  • Antithyroid Agents
  • Lipid Peroxides
  • Thiobarbituric Acid Reactive Substances
  • Propylthiouracil
  • Oxidoreductases
  • Glutathione Peroxidase
  • Superoxide Dismutase
  • Glutathione