Radioactive Iodine Therapy and Glucose Tolerance

Radioactive iodine therapy is commonly used as an adjuvant therapy in follicular and papillary thyroid carcinoma (PTC) and in the treatment of Graves' disease (GD). The basis of this therapy is the accumulation of radioactive iodine by the sodium-iodide symporter (NIS) in the thyroid gland. Exp...

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Veröffentlicht in:Cell journal (Yakhteh) 2017-07, Vol.19 (2), p.184-193
Hauptverfasser: Samadi, Roghaieh, Shafiei, Babak, Azizi, Fereidoun, Ghasemi, Asghar
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creator Samadi, Roghaieh
Shafiei, Babak
Azizi, Fereidoun
Ghasemi, Asghar
description Radioactive iodine therapy is commonly used as an adjuvant therapy in follicular and papillary thyroid carcinoma (PTC) and in the treatment of Graves' disease (GD). The basis of this therapy is the accumulation of radioactive iodine by the sodium-iodide symporter (NIS) in the thyroid gland. Expression of NIS by extrathyroidal tissues such as islets of pancreas has been reported. Radioactive iodine uptake by pancreatic beta-cells can potentially damage these cells. In this study, we discuss the possible associations between radioactive iodine and glucose intolerance. Overall, radioactive iodine uptake by the pancreas may damage beta-cells and predispose patients to glucose intolerance or type 2 diabetes, particularly in patients exposed to radioactive iodine therapy following total thyroidectomy. Further studies are needed to clarify and confirm this association.
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subjects Beta cells
Chromium
Damage
Diabetes mellitus (non-insulin dependent)
Glucose
Glucose tolerance
Graves disease
Intolerance
Iodides
Iodine
Iodine radioisotopes
Mortality
Pancreas
Papillary thyroid carcinoma
Review
Therapy
Thyroid
Thyroid cancer
Thyroid gland
Thyroidectomy
title Radioactive Iodine Therapy and Glucose Tolerance
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