Hepatic Thyroid Hormone Levels Following Chronic Alcohol Consumption: Direct Experimental Evidence in Rats Against the Existence of a Hyperthyroid Hepatic State
Corresponding Author
Rolf Teschke
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Rolf Teschke, M.D., Medizinische Kli- nik D der Universitat Dusseldorf, Moorenstrasse 5, D-4000 Dusseldorf, West Germany.===Search for more papers by this authorFernando Moreno
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Dr. Moreno is the recipient of a fellowship from the Heinrich-Hertz Foundation, Dusseldorf, West Germany
Search for more papers by this authorEdgar Heinen
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorJorg Herrmann
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorHans-Ludwig Kruskemper
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorGeorg Strohmeyer
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorCorresponding Author
Rolf Teschke
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Rolf Teschke, M.D., Medizinische Kli- nik D der Universitat Dusseldorf, Moorenstrasse 5, D-4000 Dusseldorf, West Germany.===Search for more papers by this authorFernando Moreno
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Dr. Moreno is the recipient of a fellowship from the Heinrich-Hertz Foundation, Dusseldorf, West Germany
Search for more papers by this authorEdgar Heinen
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorJorg Herrmann
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorHans-Ludwig Kruskemper
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorGeorg Strohmeyer
Medical Departments D and C of the University of Diisseldorf, Diisseldorf, West Germany
Search for more papers by this authorAbstract
To study the effect of chronic alcohol consumption on hepatic levels of thyroid hormones, female Sprague-Dawley rats (n = 24) were pair-fed nutritionally adequate liquid diets containing either ethanol (36% of total calories) or isocaloric carbohydrates for 21 days. Compared to controls, chronic alcohol consumption failed to result in a significant change of hepatic thyroid hormone levels (thyroxine: 14.7 ± 1.81 ng per gm of liver wet weight vs. 15.0 ± 1.59; triiodothyronine: 2.60 ± 0.16 ng per gm of liver wet weight vs. 2.66 ± 0.18). Similar results were obtained when the hepatic levels of thyroid hormones were expressed per total liver, per gram of liver protein or per 100 gm of body weight. Moreover, prolonged alcohol ingestion led to a significant reduction of serum total thyroxine by 31.6% (p ± 0.001), free thyroxine by 38.9% (p ± 0.02), total triiodothyronine by 40.2% (p ± 0.001) and free triiodothyronine by 56.1% (p ± 0.001) when compared to their pair-fed controls, whereas thyroid-stimulating hormone levels remained virtually unchanged. These data, therefore, clearly show that chronic alcohol consumption is incapable of creating a hyperthyroid hepatic state in rats, and limit the rationale for antithyroid treatment in patients with alcoholic liver disease.
References
- 1 Hartroft WS. Nutritional factors in the pathogenesis of alcoholic fatty liver. In: W Gerok, K Sickinger, HH Hennekeuser, eds. Alkohol und Leber. Stuttgart: Schattauer, 1971: 169–179.
- 2 Lieber CS, Rubin E. Alcoholic fatty liver in man on a high protein and low fat diet. Am J Med 1968; 44: 200–206.
- 3
Lieber CS,
DeCarli LM.
Metabolic effects of alcohol on the liver. In:
CS Lieber, ed.
Metabolic aspects of alcoholism.
Baltimore:
University Park Press,
1977:
31–79.
10.1007/978-94-011-6153-4_2 Google Scholar
- 4 Teschke R, Matsuzaki S, Ohnishi K, et al. Microsomal ethanol oxidizing system (MEOS): current status of its characterization and its role. Alcoholism: Clin Exp Res 1977; 1: 7–15.
- 5 Domschke S, Domschke W, Lieber CS. Hepatic redox state: atten-tuation of the acute effects of ethanol induced by chronic ethanol consumption. Life Sci 1974; 15: 1327–1334.
- 6 Zetterman RK, Sorrell MF. Immunologic aspects of alcoholic liver disease. Gastroenterology 1981; 81: 616–624.
- 7 Israel Y, Videla L, MacDonald A, et al. Metabolic alterations produced in the liver by chronic ethanol administration: comparison between the effects produced by ethanol and by thyroid hormones. Biochem J 1973; 134: 523–529.
- 8 Israel Y, Kalant H, Orrego H, et al. Experimental alcohol-induced hepatic necrosis: suppression by propylthiouracil. Proc Natl Acad Sci USA 1975; 72: 1137–1141.
- 9 Britton RS, Israel Y. Effect of 6- n-propyl-2-thiouracil on the rate of ethanol metabolism in rats treated chronically with ethanol. Biochem Pharmacol 1980; 29: 2951–2955.
- 10 Bernstein J, Videla L, Israel Y. Metabolic alterations produced in the liver by chronic ethanol administration. Changes related to energetic parameters of the cell. Biochem J 1973; 134: 515–521.
- 11 Videla L, Bernstein J, Israel Y. Metabolic alterations produced in the liver by chronic ethanol administration. Increased oxidative capacity. Biochem J 1973; 134: 507–514.
- 12 Bernstein J, Videla L, Israel Y. Hormonal influences in the development of the hypermetabolic state of the liver produced by chronic administration of ethanol. J Pharm Exp Ther 1975; 192: 583–591.
- 13 Israel Y, Videla L, Fernandez-Videla V et al. Effects of chronic ethanol treatment and thyroxine administration on ethanol metabolism and liver oxidative capacity. J Pharm Exp Ther 1975; 192: 565–574.
- 14 Bernstein J, Videla L, Israel Y. Role of the sodium pump in the regulation of liver metabolism in experimental alcoholism. Ann NY Acad Sci 1974; 242: 560–572.
- 15 Orrego H, Kalant H, Israel Y, et al. Effect of short-term therapy with propylthiouracil in patients with alcoholic liver disease. Gastroenterology 1979; 76: 105–115.
- 16 DeCarli LM, Lieber CS. Fatty liver in the rat after prolonged intake of ethanol with a nutritionally adequate new liquid diet. J Nutr 1967; 91: 331–336.
- 17 Heinen E, Herrmann J, Mosny D, et al. Inhibition of peripheral deiodination of 3,5,3'-triiodothyronine: an adverse effect of propylthiouracil in the treatment of T3-thyrotoxicosis. J Endocrinol Invest 1981; 4: 331–334.
- 18 Takaishi M, Miyachi Y, Aoki M, et al. Comparison of the methods for tissue triiodothyronine (T3) extraction and subsequent radioimmunoassay. Acta Endocrinol 1978; 87: 125–132.
- 19 Lowry OH, Rosebrough NJ, Farr AL, et al. Protein measurement with the Folin phenol reagent. J Biol Chem 1951; 193: 265–275.
- 20 Moreno F, Teschke R, Strohmeyer G. Effect of thyroid hormones on the activities of hepatic alcohol metabolizing enzymes. Biochem Biophys Res Commun 1979; 89: 806–812.
- 21 Moreno F, Petrides AS, Heinen E, et al. Hepatic microsomal ethanol-oxidizing system (MEOS): increased activity following propylthiouracil administration. Alcoholism: Clin Exp Res 1981; 5: 85–91.
- 22 Goldberg M, Hehir R, Hurowitz M. Intravenous triiodothyronine in acute alcoholic intoxication. N Engl J Med 1960; 263: 1336–1339.
- 23 Kalant H, Sereny G, Charlebois R. Evaluation of triiodothyronine in the treatment of acute alcoholic intoxication. N Engl J Med 1962; 267: 1–6.
- 24 Lieber CS, DeCarli LM. The role of the hepatic microsomal ethanol oxidizing system (MEOS) for ethanol metabolism in vivo. J Pharmacol Exp Ther 1972; 181: 279–287.
- 25 Salaspuro MP, Lieber CS. Non-uniformity of blood ethanol elimination: its exaggeration after chronic consumption. Ann Clin Res 1978; 10: 294–297.
- 26 Lieber CS, DeCarli LM. Hepatic microsomal ethanol-oxidizing system. In vitro characteristics and adaptive properties in vivo. J Biol Chem 1970; 245: 2505–2512.
- 27 Teschke R, Hasumura Y, Joly J-G et al. Microsomal ethanol-oxidizing system (MEOS): purification and properties of a rat liver system free of catalase and alcohol dehydrogenase. Biochem Bio-phys Res Commun 1972; 49: 1187–1193.
- 28 Teschke R, Hasumura Y, Lieber CS. NADPH-dependent oxidation of methanol, ethanol, propanol and butanol by hepatic microsomes. Biochem Biophys Res Commun 1974; 60: 851–857.
- 29 Teschke R, Moreno F, Petrides AS. Hepatic microsomal ethanol oxidizing system (MEOS): respective roles of ethanol and carbohydrates for the enhanced activity after chronic alcohol consumption. Biochem Pharmacol 1981; 30: 1745–1751.
- 30 Yuki T, Thurman RG, Schwabe U, et al. Metabolic changes after prior treatment with ethanol. Evidence against an involvement of the Na+ + Reactivated ATPase in the increase in ethanol metabolism. Biochem J 1980; 186: 997–1000.
- 31 Gordon ER. ATP metabolism in an ethanol-induced fatty liver. Alcoholism: Clin Exp Res 1977; 1: 21–25.
- 32 Cederbaum AL, Dicker E, Lieber CS et al. Ethanol oxidation by isolated hepatocytes from ethanol-treated and control rats: factors contributing to the metabolic adaptation after chronic ethanol consumption. Biochem Pharmacol 1978; 27: 7–15.
- 33 Ricci RL, Crawford SS, Miner PB Jr The effect of ethanol on hepatic sodium plus potassium activated adenosine triphosphatase activity in the rat. Gastroenterology 1981; 80: 1445–1450.
- 34 Garcia MV, Perez-Gonzalez MN Cabezas JA. Enzyme activities in liver and brain fractions from alcoholic and control rats. Int J Biochem 1981; 13: 179–186.
- 35
Schaffer WT,
Denckla WD,
Veech RL.
The effect of chronic ethanol consumption on the rate of whole animal and perfused liver oxygen consumption. In:
RG Thurman,
Alcohol and aldehyde metabolizing systems–IV: Advances in experimental medicine and biology.
New York and London:
Plenum Press,
1980:
587–593.
10.1007/978-1-4757-1419-7_61 Google Scholar
- 36 Cederbaum AI Dicker E, Lieber CS et al. Factors contributing to the adaptive increase in ethanol metabolism due to chronic consumption of ethanol. Alcoholism: Clin Exp Res 1977; 1: 27–31.
- 37
Gordon GG,
Southren AL.
Metabolic effects of alcohol on the endocrine system. In:
CS Lieber,
Metabolic aspects of alcoholism.
Baltimore:
University Park Press,
1977:
249–302.
10.1007/978-94-011-6153-4_9 Google Scholar
- 38 Kley HK, Both H, Moreno F. Alkohol und Endokrinium. In: R Teschke, CS Lieber, eds. Alkohol und Organschaden. Epide-miologische, klinische, biochemische und therapeutische Aspekte. Baden-Baden: Witzstrock, 1981: 124–145.
- 39 Morgan MY. Alcohol and the endocrine system. Br Med Bull 1982; 38: 35–42.
- 40 Selzer ML, VanHouten WH. Normal thyroid function in chronic alcoholism. J Clin Endocrinol Metab 1964; 24: 380–382.
- 41 Augustine JR. Laboratory studies in acute alcoholics. Can Med Assoc J 1967; 96: 1367–1370.
- 42 Chopra IJ, Solomon DH, Chopra U, et al. Alterations in circulating thyroid hormones and thyrotropin in hepatic cirrhosis: evidence for euthyroidism despite subnormal serum triiodothyronine. J Clin Endocrinol Metab 1974; 39: 501–511.
- 43 Green JRB, Snitcher EJ, Mowat NAG, et al. Thyroid function and thyroid regulation in euthyroid men with chronic liver disease: evidence of multiple abnormalities. Clin Endocrinol 1977; 7: 453–461.
- 44
Wright J,
Merry J,
Fry D et al.
Pituitary function in chronic alcoholism.
Adv Exp Med Biol
1976;
59:
253–255.
10.1007/978-1-4757-0632-1_16 Google Scholar
- 45 Modigiiani E, Periac P, Perret G et al. La reponse au TRH au cours de 53 hepatopathies alcooliques chroniques. Ann Med Interne 1979; 130: 297–302.
- 46 Carter JN, Eastman CJ, Corcoran JM et al Effect of severe, chronic illness on thyroid function. Lancet 1974; 2: 971–974.
- 47 Nomura S, Pittman CS, Chambers JB Jr. et al Reduced peripheral conversion of thyroxine to triiodothyronine in patients with hepatic cirrhosis. J Clin Invest 1975; 56: 643–652.
- 48 Hepner GW, Chopra IJ. Serum thyroid hormone levels in patients with liver disease. Arch Intern Med 1979; 139: 1117–1120.
- 49 Israel Y, Walfish PG, Orrego H, et al. Thyroid hormones in alcoholic liver disease. Effect of treatment with 6-n-propylthiour-acil. Gastroenterology 1979; 76: 116–122.
- 50 Halle P, Pare P, Kaptein E, et al. Double-blind, controlled trial of propylthiouracil in patients with severe acute alcoholic hepatitis. Gastroenterology 1982; 82: 925–931.
- 51 Maddrey WC. Propylthiouracil treatment of alcoholic hepatitis. Gastroenterology 1979; 76: 218–219.
- 52 Ludwig J. Drug effects on the liver. A tabular compilation of drugs and drug-related hepatic diseases. Dig Dis Sci 1979; 24: 785–796.
- 53 Zimmerman HJ. Drug-induced liver disease: An overview. Seminars in Liver Disease 1981; 1: 93–103.
- 54 Oppenheimer JH, Dillmann WH, Schwartz HL, et al. Nuclear receptors and thyroid hormone action: a progress report. Fed Proc 1979; 38: 2154–2161.
- 55 Nakamura H, Hamada S, Imura H. Sequential changes in rat liver nuclear tri-iodothyronine receptors and mitochondrial α-glycerophosphate dehydrogenase activity after administration of tri-iodothyronine. Biochem J 1979; 182: 377–382.
- 56 Surks MI, Oppenheimer JH. Concentration of L-thyroxine and L-triiodothyronine specifically bound to nuclear receptors in rat liver and kidney. J Clin Invest 1977; 60: 555–562.
- 57 Nakamura H, Hamada S, Imura H. Increase in liver nuclear triiodothyronine receptors associated with increased deoxyribonucleic acid by long-term administration of tri-iodothyronine in thyroidec-tomized rats. Biochem J 1979; 184: 143–148.
- 58 Orrego H, Israel Y, Blendis LM. Alcoholic liver disease: information in search of knowledge? Hepatology 1981; 1: 267–283.
- 59 Britton RS, Koves G, Orrego H, et al. Suppression by antithyroid drugs of experimental hepatic necrosis after ethanol treatment. Effect on thyroid gland or on peripheral deiodination? Toxicol Appl Pharmacol 1979; 51: 145–155.
- 60 Pirola RC, Lieber CS. The energy cost of the metabolism of drugs including ethanol. Pharmacology 1972; 7: 185–196.
- 61 Pirola RC, Lieber CS. Energy wastage in rats given drugs that induce microsomal enzymes. J Nutr 1975; 105: 1544–1548.
- 62 Pirola RC, Lieber CS. Energy wastage in alcoholism and drug abuse: possible role of hepatic microsomal enzymes. Am J Clin Nutr 1976; 29: 90–93.
- 63 Rubin E, Bacchin P, Gang H, et al. Induction and inhibition of hepatic microsomal and mitochondrial enzymes by ethanol. Lab Invest 1970; 22: 569–580.
- 64 Misra PS, Lefevre A, Ishii H, et al. Increase of ethanol, meproba-mate and pentobarbital metabolism after chronic ethanol administration in man and rats. Am J Med 1971; 51: 346–351.
- 65 Hoensch H, Hartmann F, Schomerus H, et al. Monooxygenase enzyme activity in alcoholics with varying degrees of liver damage. Gut 1979; 20: 666–672.
- 66 Lieber CS, Seitz HK, Garro AJ, et al. Alcohol-related diseases and carcinogenesis. Cancer Res 1979; 39: 2863–2886.