Účinky jódu
Antioxidant
- Laminaria brown algae contain an iodine concentration 300,000 times higher than any other living organism, and inorganic iodine acts as a scavenger of various reactive oxygen species (ROS)
- Similar antioxidant effects have been described in other photosynthetic organisms
- In some invertebrates
- Polyps of the jellyfish Aurelia aurita
- Urchin larvae
- In vertebrates, micromolar amounts of iodine decrease damage by ROS
- Increasing the total antioxidant status in rat and human serum
- Preventing lipid peroxidation in the eyes of rabbits
- In several tissues of vertebrates
- Iodine released by deiodination of thyroxine
- Antioxidant agent and an inhibitor of lipoperoxidation
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
Molecular iodine supplements
- Decrease lipid peroxidation in normal and tumor mammary tissues
- From rats with methyl nitrosourea (MNU)-induced mammary cancer
- Prevent the cardiac damage induced by the antineoplastic agent doxorubicin
- I2 (0.05% in drinking water) administered 2 days before starting the antineoplastic treatment
- Moderate iodine diets
- Improve the lipid profile in mice
- Increasing low density lipoprotein receptors and scavenger receptor class B type 1 (SR-B1) in liver
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Iodine supplementation
- Decreased hypercholesterolemia in overweight women
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Moderate I2 supplement
- Prevented the pancreatic damage secondary to hypothyroidism by methimazole
- Normalizing thyroid hormone synthesis in the thyroid
- Preventing the oxidative status in pancreatic tissue
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Several studies suggest that iodine works by
- Neutralizing ROS
- By acting as a free radical iodinating tyrosine, histidine, and double bonds of polyunsaturated fatty acids in cell membranes
- Making them less reactive to ROS
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Model of prostatic hyperplasia I2 supplements prevent
- testosterone-induced oxidative stress
- Decreasing lipoperoxidation
- Inhibiting the activity of both nitric oxide synthase (NOS) and type 2 cyclooxygenase (Cox2)
- I2 supplement also inhibit the formation of prostaglandins
- With equivalent intensity to that observed with Celecoxib (a specific Cox2 inhibitor)
- Cox2 inhibition can occur by
- Deactivating the heme iron active site
- Or as a competitor of its main substrate, arachidonic acid (AA)
- Formation of 6-iodolactone (6-IL) from AA
- Can decrease the formation of prostaglandins
- 6-IL acts as a direct inhibitor of the enzyme
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Interaction of I2 with the nuclear factor erythroid-2-related factor-2 (Nrf2) pathway
- Nrf2 is a promoter of the antioxidant response to endogenous and exogenous stressors
- Trigger the expression of phase II protective antioxidant enzymes such as
- Superoxide dismutase (SOD)
- Catalase (Cat)
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Under basal conditions, Nrf2 is anchored to the cytoplasm through the actin cytoskeleton-binding protein 1 (Keap1)
Apoptóza
- mitochondrial membrane potential (MMP) is required for a variety of mitochondrial functions
- protein import,
- ATP production,
- Regulation of metabolite transport
- The mitochondrial intermembrane space contains proteins that can induce apoptosis
- Caspases (e.g., cytochrome c)
- Apoptosis-inducing factor (AIF)
- Execute a caspase-independent apoptotic death program
- Antiapoptotic protein Survivin (SVV)
- Release and degradation
- Release of these factors requires
- Abatement of the MMP
- Thiol depletion is a powerful trigger
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
Molecular iodine treatment
- Accompanied by depletion of cellular thiol content
- Dissipation of the MMP in estrogen-responsive (MCF-7) and non-responsive (MDA-MB-231) human cell lines
- Pre-incubation of MCF-7 cells with N-acetylcysteine (NAC)
- Prevents the apoptotic effect of I2
- I2 treatment increased mitochondrial permeability in tumorozních bu. and decreased it in mimo tumorozních bu.
- Suggesting a differential sensitivity toward iodine
- Formation 6-IL (iodovaný derivát k. arachidonové) detected in thyroid tissue of rat, pig, horse, and human
- Elevated prostaglandin levels in cancerous tissues compared to normal tissues
- Prostaglandins are produced from AA by Cox2
- Indicating high levels of AA in several tumors
- MNU-induced tumors contain four times higher basal concentrations of AA
- After 0.05% I2 treatment
- 6-IL levels were 15-fold higher than in normal mammary tissue
- Role for 6-IL in the antiproliferative effect of I2
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- In human cancer cell lines where lipids like 6-IL were identified after I2 treatment
- Addition of I2 or 6-IL triggered apoptosis
- Cancer cells are more sensitive to I2 than normal cells
- Propose that the high concentration of AA in tumoral cells is the crucial component that
- When iodinated, is responsible for the antiproliferative effect of I2
- Both I2 and 6-IL supplementation
- Significantly modified the expression of PPARs
- Originally associated with lipid metabolism regulation
- Widely expressed
- Part of the nuclear receptor family that binds thyroid hormones, steroids, and vitamins
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- PPAR alpha, PPAR beta/delta, and PPARgamma
- Differential tissue distribution
- Early development, cell proliferation, differentiation, apoptosis, and metabolic homeostasis
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- 20–200 mcM I2
- Increased the expression of PPAR gamma mRNA and protein
- Decreased the expression of mRNA for PPAR alpha
- no effect on PPAR beta/delta expression in MCF-7 cells
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- 6-IL is a specific agonist of PPAR gamma
- In vitro affinity 6 times higher than AA
- Increased by the conformational changes resulting from the incorporation of halogens
- Phenyl acetate < phenyl butyrate < p-chlorophenyl acetate < p-iodophenyl butyrate)
- Antineoplastic effects of iodine or iodolipids:
- Exerted on different types of cells that can take up I2
- Exhibit apoptotic induction by PPAR gamma agonists
- Prostate,
- Lung carcinoma,
- Pancreas carcinoma,
- Melanoma,
- Glioblastoma,
- Neuroblastoma cells
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
I-
- Appears to be more efficient than I2 in restoring the thyroid gland to normality in goiter stages
Excess of I-
- Decreased iodine organification and hormonal secretion
- Thyroglobulin proteolysis
- Decreased glucose and amino acid transport
- Decreased protein and RNA biosynthesis
- Significant inhibition of thyrocyte proliferation under both in vitro and in vivo conditions
- Multifaceted mechanism has been postulated
- Transforming growth factor beta-1 (TGF-beta1)
- Triiodothyronine (T3)
- Iodolipids such as 6-IL or 2-iodohexadecanal (2-IHDA)
- All the inhibitory actions of iodine can be reversed
- With drugs that block the enzyme thyroid peroxidase (TPO), such as
- Methylmercaptoimidazole (MMI)
- Propylthiouracil (PTU)
- The specific species of iodine generated by TPO has not been identified - there are several candidates
- I-,
- I0 (free radical of iodine)
- IO- (hypoiodite)
- I2
- Excess of KI (10–50 mM)
- Induces apoptosis in primary thyrocyte cells
- But if TPO activity is blocked with PTU, the apoptotic effect of I- is eliminated
- Lung cancer cells (without absorption of natural iodide) transfected with NIS or NIS/TPO
- Supplement of KI (30 mM), induced apoptosis only in cells transfected with NIS/TPO
- Indicating that oxidation of I- by TPO is required to exert apoptotic effects
Imunomodulace
- Thymus, as well as many immune cells capture and metabolize iodine
- Can act as an inhibitor or activator
- Cell damage models induced by non-infectious agents
- Iodine prevents the inflammatory response with a radical scavenging effect
- Iodine promoted inhibition of
- ROS production and oxygen consumption of human polymorphonuclear leukocytes
- Neutrophil chemotaxis
- Human complement
- Mast cell degranulation
- nitric oxide
- TNF-alpha production by murine and human macrophages
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Iodine is oxidized by myeloperoxidase
- Into free radical iodine and is used to kill bacteria
- This ancestral defense mechanism has been documented in
- Roseolovirus spp. bacteria as a defense against other species
- Iodide supplementation increases
- Granulocyte chemotaxis to inflamed areas
- Improves phagocytosis of bacteria
- Micromolar concentrations of iodine
- Improve the Th2 response of leukocytes
- Increasing the release of IL6, IL8-CXCL8 and IL10
- Marani and Venturi described that in the central region of Italy, partial iodine deficiency (urinary excretion of 4 mg/day)
- Enough to maintain euthyroid conditions
- Accompanied by serious alterations in the immune response of school-age children
- Lugol’s oral solution supplement (2 mg/week) for 8 months
- Restored the normal immune response evaluated by skin tests
- Similar responses to Lugol’s supplement in patients with infections in which the immune system was compromised
- Such as granulomatous,
- Lepromatous,
- Syphilitic,
- Fungal tuberculous lesions
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- I2 the mediated activation or inhibition of immune responses depending on the cellular context
- Cell damage environment without antigens
- Iodine supplementation inhibits
- Degranulation of neutrophil and mast cells
- Production of macrophages NO and TNF alpha
- In response to extracellular antigens (e.g., bacteria or fungi)
- I2 improves the phagocytosis and chemotaxis of activated neutrophils
- Activates the Th2 response
- Increase of cytokine secretion (IL-6, IL-10, IL-8-CXCL8)
- Promoting the activation and differentiation of Treg lymphocytes and M2 macrophages
- Response to intracellular antigens (e.g., virus-infected cells and cancer cells)
- I2 activates the Th1 response
- Increases the cytokine production of IL-2 and IFNgamma
- Promoting the activation and proliferation of effector cells (NK, CTL and M1 macrophages)
- Differential response
- Might be associated with epigenetic modifications
- Facilitated by the I2-mediated activation of the demethylase enzyme (DMT3)
- Regulates the Th fate by activating and/or inactivating the specific genes for the differentiation
- Th1 (T-bet and STAT4) or Th2 (GATA3)
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- I2 supplementation, alone or in co-administration with conventional chemotherapies
- Accompanied by the activation of anti-tumor immune responses in several models (rodents, dogs and humans)
- The remaining tumors from these treatments, which contain
- Multiple necrotic areas, also show CD8+ immune cell infiltration
- Transcriptomic analysis of human samples
- I2 supplementation up-regulated Th1 and Th17 pathways including
- Differentiation by activation of T-cell receptor
- Cytotoxicity by NK and CD8+,
- Lymphocyte migration
- Formation of tertiary lymphoid structures
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Micromolar supplementation of I2 improves the Th1 response in leukocytes from normal subjects
- By increasing the release of IL2 and IFN-gamma cytokines
- Activation of PPAR gama receptors might be involved
- Participate in the modulation of several immune cells
- PPAR gamma exerts anti-inflammatory responses on infections
- Antitumoral immune response has also been suggested
- Cyclophosphamide metronomic therapy
- Activation of the immune cascade
- PPAR gamma was proposed as the main inducer
- PPAR gamma was positively correlated with changes in IRF1, STAT1, and IRF4
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- I2 as an oxidized agent
- Can exert epigenetic modifications associated with the activation of important demethylase enzymes like DMT3 (unpublished results)
- Other natural antioxidants
- resveratrol or curcumin, exert part of their effects by modifying the methylation/demethylation equilibrium genes for the differentiation
- Th1 (T-bet and STAT4)
- Th2 (GATA3)
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
Toxicodynamics
- Local
- Iodine precipitates proteins
- The affected cells may be killed
- The effect is similar to that of a corrosive acid
- Systemic
- Acute inhibition of the synthesis of iodotyrosine and iodothyronine.
- Topical
- Bactericidal activity
- 1% tincture will kill 90% of bacteria in 90 seconds
- 5% tincture in 60 seconds and a 7% tincture in 15 seconds
- Oral: The primary function of iodine
- Control the rate of cellular oxidation through its presence in the biosynthesis of iodated thyroid hormone
- Carcinogenicity:
- There is no evidence as to whether iodine is carcinogenic or not.
- Deliberate or inadvertent intake of radioactive elements or their compounds
- Intake of labelled iodine and derivatives concentrating in the thyroid gland
- Give rise to cancer in that organ
- Teratogenicity:
- Iodides diffuse across the placenta.
- Infant and neonatal death from respiratory distress secondary to goitre has been reported in mothers taking iodides.
- Chronic topical maternal use of povidone-iodine during pregnancy has been associated with clinical and biochemical hypothyroidism in the infant.
- Exposure to iodine-131 can damage or ablate the developing thyroid of the human fetus.
- Hypothyroidism, either congenital or of late onset
- Reported in at least 5 children whose mothers were exposed to iodine-131 during pregnancy
- Endocrine system effects:
- Iodine and iodides produce goiter, hypothyroidism as well as hyperthyroidism
- Side effects of iodine given for radioprotection:
- Iodine induced goiter and iodine induced hypothyroidism special risk groups are
- Fetus and neonates
- Iodine induced hyperthyroidism special risk group are
- People living in iodine deficient areas
- People with a history of hyperthyroidism
- Extrathyroidal side effects are
- Gastrointestinal complaints (nausea, pain),
- Taste abnormalities,
- Cutaneous and mucous membrane such as irritation, rash, edema (including face and glottis),
- Allergic like reactions such as
- Fever, eosinophilia, serum sickness like symptoms, vasculitis
- Special risk groups are patients with
- Hypocomplementemic vasculitis
- Allergic effects:
- Whether iodine is administered topically or systematically
- Iodine and iodides can give rise to allergic reactions:
- Urticaria,
- Angioedema,
- Cutaneous hemorrhage or purpuras
- Fever,
- Arthralgia,
- Lymphadenopathy
- Eosinophila
- Acne form or severe eruptions
- Iodism effects:
- A mild toxic syndrome called iodism results from repeated administration of small amount of iodine.
- Iodism is characterised by
- Hyper salivation,
- Coryza,
- Sneezing,
- Conjunctivitis,
- Headache,
- Laryngitis,
- Bronchitis,
- Stomatitis,
- Parotitis,
- Enlargement of the submaxillary glands,
- Skin rashes
- Gastric upsets
- In rare cases
- Jaundice,
- Bleeding from mucous membranes
- Bronchospasm may occur
- Inflammatory states
- May be aggravated by these adverse reactions [10]
Antimikrobiální účinky
- Iodine also exhibits fungicidal, cystocidal, antiprotozoal effect
- Has activity against some spores [11]
Cellular Differentiation
- Maintaining the integrity of thyroid epithelium
- Studies associating iodine intake and thyroid cancer have led to controversy
- Chronic iodine deficiency is firmly established as a risk factor for follicular thyroid cancer
- Others suggested that iodine supplementation programs could increase the incidence of papillary thyroid cancer
- In chronic iodine-deficient populations
- Moderate iodine supplements
- Prevent the transformation from differentiated to anaplastic thyroid cancer
- The most aggressive type of thyroid cancer with a median survival of 4–12 months from the time of diagnosis
- In vivo studies of mammary cancer (MNU-induced model, xenografts in the nu/nu Foxn1 mouse, and canine and human patients)
- I2 treatment
- Increases the expression of
- NIS, PDS, LPO,
- estrogen alpha receptors (ERalpha)
- Reduces the invasive and metastatic inducers like
- Vascular endothelial growth factor (VEGF)
- Urokinase-type plasminogen activator (uPA)
- Bcl2,
- SVV,
- Indicating a consistent effect on differentiation
- Similar results were obtained in trophoblast cells exposed to iodine supplementation
- Increasing the synthesis of chorionic gonadotropin
- Studies related to stemness markers in breast and cervical cancer cells
- I2 supplementation decreased the stem cell-like population
- Transforming the survival cells into non-invasive type cells incapable of generating xenografts
- In both conditions PPARgamma receptors were increased
Complexes of iodine with polymers
- Iodinol,
- Iodanate,
- Iodovidone,
- Povidone-iodine,
- Iodopyron,
- Iodoform,
- Hiniofon [11]
- Are used as:
- Antiseptics
- Irrigation of tonsils in chronic tonsillitis
- Purulent otitis media
- Sinusitis
- Keratitis
- Furunculitis
- Periodontitis fields [11]
Jód
- Studies show it enhances healing - Dr. Myhill in her book The Infection Game – Life is an Arms Race.
- Skin painted with iodine before incision does not get infected and heals perfectly.’
- Considers iodine one of the tools that has revolutionized her practice
- ‘Like vitamin C it contact-kills all microbes.
- It is the only agent that is consistently active against
- Gram positive
- Gram-negative bacteria
- Mycobacteria,
- Spores,
- Amoebic cysts,
- Fungi,
- Protozoa,
- Yeasts,
- Drug-resistant bacteria such as MRSA
- Viruses [7]
- Other papers have noted that evidence shows that iodine has a generally a 99.99 percent virus-killing activity against
- Hepatitis A,
- SARS (Sudden Acute Respiratory Syndrome) coronavirus Enterovirus 71
- Coxsackievirus A16
- Influenza [7]
- ‘There is no virus that is resistant to iodine.’
- Dr Myhill
- World Health Organization
- Includes iodine on its list of essential medicines.
- Bugs don’t appear to have developed resistance to it [7]
Žaludek
- Antioxidant properties, I- may act as an antimicrobial agent in saliva and gastric juice as well
- In saliva, I- has been reported to enhance epidermal growth factor levels, which promotes mucosal healing and intestinal growth
Slinné žlázy
- A bactericidal/bacteriostatic effect is consistent with the presence of an H2O2/peroxidase system
- Duox2 mRNA was detected in salivary glands by in situ hybridization
- H2O2 generated by this enzyme is used by lactoperoxidase (LPO)
- A heme-dependent secreted peroxidase
- Produced by the submucosal glands
- Abundantly secreted in saliva
- Oxidize SCN- (a NIS substrate) to hypothiocyanite (OSCN-)
- Present in human saliva at micromolar concentrations
Stomach
- NIS is expressed on the
- Basolateral surface of mucin-secreting and parietal cells in the stomach
- Basolateral surface of gastric mucosal cells
- Mediates the active uptake of I- from the blood into the gastric epithelial cells
- Secreted into the gastric juice
- Gastric NIS plays no role in the absorption of dietary I-
- Gastric NIS expression is downregulated in
- Gastric cancer
- Intestinal metaplasia
- May be a marker for the diagnosis and possibly evaluation of the prognosis of stomach cancer patients.
Small intestine
- NIS is also present in enterocytes of the small intestine
- Dietary I- is absorbed
- Km for Na+-dependent, ClO4--sensitive I- transport in small intestine
- Comparable to that of thyroid cells ( 10mcM–30mcM)
- Pertechnetate (TcO4-), a NIS substrate
- Transported by the small intestine in a ClO4--sensitive manner in vivo
- I- secreted into the saliva and the gastric juice is reabsorbed and recycled via NIS in the small intestine
- Together with the dietary I- pool
- Cl- channels and pendrin may be present in the intestine
- These transporters have a Km for I- transport at least two orders of magnitude higher (in the mM range) than the concentration of I- in most foods.
- SMVT
- Transport I- with a Km of ~150mcM in voltage-clamped oocytes
- Biotin transport at the brush border of enterocytes
- Intestinal NIS expression is decreased by high I- in the diet
- As it is in the thyroid
- High I- downregulates NIS protein expression
- I- uptake in the small intestine in a time-dependent manner in vivo
- It seems that NIS downregulation after high I- exposure
- Is an autoregulatory mechanism to protect the thyroid or other I--transporting tissues
NIS mediates the translocation
- I- víc než/rovno selenium cyanate (SeCN-) víc než thiocyanate (SCN-) víc než ClO3- víc než NO3-
- Br-, BF4-, IO4-, and BrO3-- are also transported, but to a lesser extent
- Maximal transport rate of ~80% of that of I-
- Pertechnetate (TcO4-), which exists only as the metastable nuclear isomer 99mTcO4-, is also a NIS substrate
- 99mTc is widely used in nuclear medicine
- Perrhenate (ReO4-) as 188ReO4-
- Attractive clinical use in the treatment of tumors expressing NIS endogenously or via gene transfer (Section IX.E.)
- ClO4- - competitive NIS inhibitor and environmental pollutant
Kůže
- The problem with the use of iodine
- High concentrations it is toxic and irritates the skin and mucous membranes
- Combination with polysaccharides and polymers, iodine significantly loses toxicity
- Acts more slowly and longer (within 5 hours)
- Maintaining antiviral and antimicrobial properties (Nikulin V.N., Gerasimenko V.V., 2008; Svirskaya E ., 2008)
MERS
- After the outbreak of the MERS
- A team from the Institute of Virology, Infectious Diseases and Epidemiology and the Philipps University of Marburg in Germany
- Decided to carry out a study (Infect Dis Ther. 2015 Dec; 4(4): 491–501)
- Using very low doses of iodine as a skin cleanser, a surgical scrub and a mouthwash gargle
- Against two types of viruses: A Modified vaccinia virus Ankara (MVA) and the MERS virus.
- In both instances, the team were able to inactivate levels of virus corresponding to more than 99.99 % [7]
Metabolické účinky jódu
- Increases the lecithin-cholesterol coefficient
- Lipoproteinase +
- Fibrinolytic activity of the blood +
- Slows down blood coagulation
- Lowers cholesterol
- Lowers beta-lipoproteins [11]
I2
- As an oxidized component
- Directly neutralizes free radicals
- Induces the expression of type II antioxidant enzymes
- Inactivates proinflammatory pathways
- In neoplastic cells, I2
- Generates iodolipids with nuclear actions
- Activation of apoptotic pathways
- Inhibition of markers related to stem cell maintenance, chemoresistance, and survival
- I2 has been postulated as an immune modulator depending on the cellular context
- Can function as an inhibitor or activator of immune responses
- Molecular iodine increased in adults to at least 1 mg/day
- In specific pathologies to obtain the potential extrathyroid benefits
- Oxidized iodine can act as an
- Electron donor neutralizing reactive oxygen species (ROS)
- Attach to the double bonds of some polyunsaturated fatty acids in cell membranes, making them less reactive to ROS
- Iodine binds to lipids, such as arachidonic acid (AA)
- Exerts apoptosis
- Has differentiation effects on diverse epithelial cells
- Iodine is uptaked and metabolized by immune cells
- Can act as an anti-inflammatory or proinflammatory agent
- Depend on the chemical form of iodine that is ingested
- Is not reduced to iodide (I-) in the blood before being absorbed in the gastrointestinal tract
- Induces differential effects
- Its capture is 40% lower in the thyroid
- I2 is more effective in decreasing mammary alterations secondary to iodine deficiency
I-
- Appears to be more efficient than I2 in restoring the thyroid gland to normality in goiter stages
- I2 (3–6 mg/day)
- In patients with fibrocystic breast disease is accompanied by remission of symptoms, as well as significant anti-inflammatory effects
- Benign prostatic hyperplasia (BPH) in preclinical and clinical models
- In human patients with early BPH (Grade I and II)
- Supplement of 5 mg/day of Lugol’s solution (mix 1:3; I2:KI) for 8 months
- Decreased the prostate-specific antigen (PSA) circulating levels and improved the urinary flow and symptoms scale
I2
- Chemical form responsible for antineoplastic effects
- Originates from the first descriptions of the consumption of seaweed or Lugol’s solution
- Seaweeds contain iodine in several chemical forms although the exact proportion is not known
- Traditional Eastern breast cancer medicine
- Long used iodine-rich seaweeds as a cancer treatment to “soften” tumors and “reduce” nodulation
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Addition of small proportions (2 to 5%) of Laminaria angustata, Porphyra tenera or Laminaria religiosa to the diet
- Significantly delays the occurrence of tumors in rats treated with the chemical carcinogen, 7,12-dimethylbenzanthracene (DMBA)
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Iodine exhibited an antineoplastic effect in extrathyroidal tissues
- Rat mammary cancer model induced by DMBA, using 0.05% Lugol’s solution
- KI, I2, or Lugol’s solution
- Can induce antineoplastic actions
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Protective effect of 0.1% KI
- Is lost when the enzyme lactoperoxidase (LPO), which is present in mammary cancers, is inhibited by MMI
- Indicating that I- from KI needs to be oxidized to have the apoptotic effect
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- I2 prevents DMBA-induced DNA adduct formation
- In pre-malignant and cancer tissues
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- LPO can oxidize natural or synthetic estrogens to catechol estrogens
- Resulting estrogenic quinones have been shown to react with DNA to form mutagenic adducts
- Can initiate or promote cancer
- Higher levels of E2-DNA adducts are present in the urine of breast cancer patients and women at high risk for this disease
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Apoptosis effects of iodine in several cancer cell lines
- Different mechanisms and pathways
- Direct action
- Oxidized iodine dissipates the mitochondrial membrane potential
- Triggering mitochondrion-mediated apoptosis
- Indirect effect
- Iodolipids formation
- Activation of peroxisome proliferator-activated receptors type gamma (PPARgamma)
www.ncbi.nlm.nih.gov/pmc/articles/PMC7865438/#B17-ijms-22-01228
- Structural component of thyroid hormones
- Essential for differentiation of the nervous system during development
- Crucial regulators of energetic metabolism
- Public health policies have been established to guarantee that populations consume the required amount of iodine to eradicate iodine deficiency disorders.
- International Council for Control of Iodine Deficiency Disorders (ICCIDD)
- Recommended dietary allowance of iodine is 150–299 mcg/day for normal thyroid functioning
- Maximum limit of iodine intake with the lowest observed adverse effect level (LOAEL) is 1700–1800 mcg/day
- 1988, the joint of Food and Agriculture Organization of the United Nations and WHO Expert Committee on Food Additives
- Suggested the maximal upper level from all iodine sources of 1 mg/day would be safe for most of the population
- Except those with iodine sensitivity or underlying thyroid disorders
- Increased intake of iodide can have interactions with medications
- lithium
- Sulfisoxazole
- But similar studies with molecular iodine do not exist
- Several studies report that iodine supplements at moderately high concentration
- Are well tolerated in euthyroid subjects
- Only high doses (over 30 mg/day), mainly as I-, generate hypothyroidism and goiter
- Which rapidly revert to normal when these individuals stop taking iodine at high concentrations
- Physiopathology of various organs that uptake it, mainly
- Thyroid, mammary, prostate, pancreas, and ovaries, and potentially in the gastric, immune, and nervous systems
- In molecular form, iodine acts as an antioxidant throughout the body
- If ingested at concentrations higher than 1 mg/day
- Dose-response studies in humans have demonstrated that I2 at concentrations of 1 to 6 mg/day
- Exhibited significant beneficial actions in benign pathologies like
- Fibrocystic breast disease
- Prostatic hyperplasia
- Polycystic ovaries (unpublished results)
- The treatments in these studies lasted from five weeks up to two years
- Did not have any side effects at these concentrations
- Some of the dose-response studies analyzed the highest concentration of iodine (9 and 12 mg/day)
- Showed the same benefits
- Accompanied, in some cases, by transient hypothyroidism
- Minor side effects like headache, sinusitis, acne or diarrhea
- Effects disappeared when the high dose of supplemental iodine was suspended
- Antineoplastic action of the I2 supplement
- Without harmful effects on the thyroid has also been observed in
- Mammary and prostatic pathologies in preclinical (rodents and canines) and clinical protocols
- Thyroid captures 40% less I2 than I-
- Acceptable upper limits for iodine intake during pregnancy are not well defined
- Consequences of excess iodine in newborns are not well documented
- Iodine intake in any of its forms above the upper limits is not recommended in pregnant women or infants.