Influence of Nicotinamide on the Radiosensitivity of Normal and Goitrous Thyroid in the Rat

Radioiodine is used to treat thyroid cancer and hyperthyroidism. In order to reduce radiation hazard to the patient and to people in contact with the patient it would be desirable to obtain the same therapeutic effect with lower activities of the radioisotope. This could be achieved by the simultane...

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Veröffentlicht in:Thyroid (New York, N.Y.) N.Y.), 2001-11, Vol.11 (11), p.13-1007
Hauptverfasser: Agote, M., Viaggi, M., Kreimann, E., Krawiec, L., Dagrosa, M.A., Juvenal, G.J., Pisarev, M.A.
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container_end_page 1007
container_issue 11
container_start_page 13
container_title Thyroid (New York, N.Y.)
container_volume 11
creator Agote, M.
Viaggi, M.
Kreimann, E.
Krawiec, L.
Dagrosa, M.A.
Juvenal, G.J.
Pisarev, M.A.
description Radioiodine is used to treat thyroid cancer and hyperthyroidism. In order to reduce radiation hazard to the patient and to people in contact with the patient it would be desirable to obtain the same therapeutic effect with lower activities of the radioisotope. This could be achieved by the simultaneous administration of a compound that increases tissue radiosensitivity. In this study we analyzed the use of nicotinamide (NA) as a radiosensitizer to radioiodine, to increase 131 I efficacy. NA administered during 30 days to Wistar rats failed to alter thyroid weight. The influence of NA on radiothyroidectomy induced by increasing doses of 131 I was examined in otherwise nontreated rats. NA produced a significant increase in the ablation caused by radioiodine. Goiter was then induced by the administration of methylmercaptoimidazol (MMI) to rats, followed by the treatment with radioiodine with and without simultaneous administration of NA. Thyroid weight per 100 g of body weight ratio was not changed by NA alone; 131 I administration caused a 25% decrease in goiter size, while 131 I plus NA produced a reduction of the ratio of 46% ( p < 0.01 vs. NA). No changes were observed in adenosine diphosphate (ADP)-ribosilation of thyroid nuclear protein in NA-treated rats. Thyroid blood flow (determined by 86 Rb uptake) was increased by 84% by NA. In conclusion, nicotinamide has a significant radiosensitizing effect to 131 I both in normal and goitrous rats. This action is because of an increase in thyroid blood flow, which probably enhances tissue oxgenation.
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In order to reduce radiation hazard to the patient and to people in contact with the patient it would be desirable to obtain the same therapeutic effect with lower activities of the radioisotope. This could be achieved by the simultaneous administration of a compound that increases tissue radiosensitivity. In this study we analyzed the use of nicotinamide (NA) as a radiosensitizer to radioiodine, to increase 131 I efficacy. NA administered during 30 days to Wistar rats failed to alter thyroid weight. The influence of NA on radiothyroidectomy induced by increasing doses of 131 I was examined in otherwise nontreated rats. NA produced a significant increase in the ablation caused by radioiodine. Goiter was then induced by the administration of methylmercaptoimidazol (MMI) to rats, followed by the treatment with radioiodine with and without simultaneous administration of NA. Thyroid weight per 100 g of body weight ratio was not changed by NA alone; 131 I administration caused a 25% decrease in goiter size, while 131 I plus NA produced a reduction of the ratio of 46% ( p &lt; 0.01 vs. NA). No changes were observed in adenosine diphosphate (ADP)-ribosilation of thyroid nuclear protein in NA-treated rats. Thyroid blood flow (determined by 86 Rb uptake) was increased by 84% by NA. In conclusion, nicotinamide has a significant radiosensitizing effect to 131 I both in normal and goitrous rats. 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subjects Adenosine Diphosphate Ribose - metabolism
Animals
Antithyroid Agents - pharmacology
Cell Nucleus - drug effects
Female
Goiter - radiotherapy
Iodine Radioisotopes - pharmacokinetics
Laboratory Research Reports
Methimazole - pharmacology
Niacinamide - pharmacology
Radiation Tolerance - drug effects
Rats
Rats, Wistar
Regional Blood Flow - drug effects
Rubidium Radioisotopes - pharmacokinetics
Thyroid Gland - blood supply
Thyroid Gland - drug effects
title Influence of Nicotinamide on the Radiosensitivity of Normal and Goitrous Thyroid in the Rat
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