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Preliminary
Observations
on
the
Effect
of
Dietary
Brussels
Sprouts
on
Thyroid
Function
M.
McMillan,
E.
A.
Spinks
1
&
G.
R.
Fenwick
1
Department
of
Chemical
Pathology,
Lewisham
Hospital,
London
SE13
6LH,
and
1
AFRC
Food
Research
Institute,
Colney
Lane,
Norwich
NR4
7UA,
UK
1
Brassica
vegetables
are
the
major
source
of
glucosinolates
in
the
human
diet.
Certain
gluco-
sinolates
are
readily
converted
into
goitrogenic
species,
notably
5-vinyloxazolidine-2-thione
and
thiocyanate
ion.
The
effect
of
dietary
Brussels
sprouts,
a
particularly
rich
source
of
such
gluco-
sinolates,
on
thyroid
function
has
been
examined.
2
Inclusion
of
cooked
Brussels
sprouts
(150
g
daily
for
4
weeks)
into
a
normal
diet
of 10
volunteer
subjects
had
no
effect
on
thyroid
function
as
determined
by
measurement
of
thyrotrophic
hormone,
thyroxine
and
tri-iodothyronine
even
though
the
sprouts
contained
high
concentrations
(220
mg/100
g)
of
glucosinolates.
3
In
view
of
the
reported
antithyroid
activity
of
5-vinyloxazolidine-2-thione
it
is
suggested
that
this
lack
of
activity
of
cooked
Brussels
sprouts
is
due
to
inactivation
during
cooking
of
myrosinase,
the
specific
glucosinolate-degrading
enzyme.
Introduction
Green
vegetables
form
a
significant
part
of
the
UK
diet
and
their
consumption
is
presently
being
actively
encouraged
by
the
medical
profession.
The
majority
of
the
green
vegetables
consumed
in
this
country
are
brassicas,
e.g.
cabbage,
Brussels
sprouts
and
cauli-
flower.
These,
together
with
roots
such
as
swede
and
turnips,
contain
varying
proportions
of
glucosino-
lates
(mustard
oil
glucosides)
(I;
Figure
1),
com-
pounds
generally
considered
to
be
responsible
for
a
range
of
undesirable,
antinutritional
and
toxic
effects
(Fenwick et
al.,
1983a).
Such
effects
have
generally
been
observed
after
the
feeding
to
livestock
and
poultry
of
oilseeds
(especially
rapeseed),
or
their
products,
which
contain
high
levels
of
these
gluco-
sides ;
this
situation
has
resulted
in
the
introduction
and
cultivation
of
new
varieties
containing
very
much
lower
levels
of
these
compounds
(Fenwick,
1984).
Among
the
undesirable
problems
associated
with
glucosinolates
(or,
more
accurately,
with
the
products
of
their
hydrolysis
which
is
brought
about
by
an
enzyme,
myrosinase,
generally
considered
to
be
present
in
all
glucosinolate-containing
plants)
those
affecting
the
thyroid
have
been
studied
in
particular
detail.
The
effect
has
been
linked
to
the
hydrolysis
products
of
two
glucosinolates
(progoitrin,
Ia;
gluco-
brassicin,
Ib),
namely
5-vinyloxazolidine-2-thione
(also
called
goitrin,
II)
and
thiocyanate
ion
(III)
Figure
1
Glucosinolates
in
Brussels
sprouts
and
their
goitrogenic
products.
(Figure
1).
The
former,
derived
from
progoitrin
is
the
more
potent,
exerting
its
effect
via
interference
of
thyroid-hormone
synthesis.
In
contrast,
thiocyanate
ion
competes
with
iodine
for
uptake
by
the
thyroid
gland.
Elfving
(1980)
has
considered
5-vinyl-
oxazolidine-2-thione
to
be
one
of
the
aetiological
factors
associated
with
endemic
goitre
in
Finland
and
there
have
been
a
number
of
reports
of
the
screening
16
of
milk
and
dairy
products
for
traces
(<
50
wg/1)
of
this
compound
(Benns
et
al.,
1979;
Josefsson,
1979).
As
part
of
a
continuing
study
(Heaney
&
Fenwick,
1980;
Fenwick
et al. ,
1983b;
Sones
et al. ,
1984a)
into
the
presence
and
properties
of
glucosinolates
and
their
hydrolysis
products
in
food
and
feedstuffs,
we
have
determined
the
levels
of
these
compounds
in
the
brassica
vegetables
and,
recently,
have
estimated
the
mean
daily
intake
of
glucosinolates
in
the
UK
(Sones
et
al.,
1984b).
The
results
obtained
suggested
that,
based
on
previous
assessment
of
its
goitrogenicity
in
humans,
the
amount
of
5-vinyloxazolidine-2-thione
potentially
present
in
the
diet
of
a
minority
(5%)
of
the
UK
population
would
be
expected
to
produce
a
discernible
effect.
The
following
study
was
therefore
conducted
to
examine
the
effect
of
a
realistic
intake
of
those
gluco-
sinolates
capable
of
yielding
goitrogenic
products
(via
the
consumption
of
Brussels
sprouts)
on
normal
thyroid
function
and
metabolism.
Materials
and
methods
From
previous
work
(Heaney
&
Fenwick,
1980)
it
was
possible
to
identify
a
variety
of
Brussels
sprout
particularly
rich
in
progoitrin.
These
sprouts
were
obtained
from
a
local
source
and
stored
at
+4°C
before
being
sent,
in
weekly
batches,
to
Lewisham
Hospital,
London,
UK.
Each
batch
was
analysed
individually
and
all
showed
a
content
of
glucosinolates
consistent
with
that
expected
of
this
variety.
The
feeding
trial
was
conducted
with
10
volunteer
subjects
(seven
male,
three
female)
who
were
healthy
non-resident
hospital
staff.
For
the
first
period
(phase
A)
of
2
weeks
they
maintained
their
normal
diet,
recording
any
consumption
of
brassica
vegetables,
to
establish
baseline
thyroid
hormone
concentrations.
Then,
in
the
second
period
(phase
B)
of
4
weeks,
150
g
of
sprouts,
boiled
or
steamed
for
a
standard
time
of
9
min,
were
included
daily
in
the
evening
meal.
In
the
third
period
(phase
C)
of
2-3
weeks
volunteer
subjects
excluded
brassicas
from
their
diet.
Over
the
whole
experimental
period
venous
blood
samples
were
collected
between
09.00
and
11.00
hours,
two,
three
or
four
times
per
week,
the
serum
was
separated
without
delay
and
stored
at -20°C
before
analysis
for
thyrotrophic
hormone
(TSH),
total
and
free
thyroxine
(T4)
and
total
tri-iodothyronine
(T3).
For
each
analyte
all
specimens
from
an
indivi-
dual
patient
were
included
in
the
same
assay
batch
together
with
appropriate
internal
quality-control
specimens.
All
assays
were
satisfactory
under
the
surveillance
of
national
external
quality
assessment
schemes.
Serum
TSH
was
measured
by
immunoradiometric
assay
employing
’ZSI-labelled
monoclonal
antibody
to
human
TSH,
immobilization
by
incubation
with
a
second
anti-TSH
monoclonal
antibody
coupled
to
solid
phase
and
separation
by
layering
in
sucrose
solution
(Boots-Celltech
Diagnostics
Ltd,
Slough,
Buckinghamshire,
UK).
The
limit
of
sensitivity
of
this
system
was
found
to
be
0.06-0.08
milli-units
(Ekins,
1970),
the
maximum
precision
was
1.8-2.8%
CV
with
CV
less
than
10%
at
analyte
concentrations
as
low
as
0.4-1.0
milli-units.
Serum
total
T4
was
determined
by
an
in-house
radioimmunoassay
with
double
antibody
separation.
Serum
total
T3
was
by
in-house
radioimmunoassay
with
polyethylene
glycol-assisted
double-antibody
separation.
Serum
free
T4
was
determined
by
using
the
Amerlex
kit
(Amersham
International).
Glucosinolate
contents
of
the
fresh
and
cooked
Brussels
sprouts
were
analysed
by
high-performance
liquid
chromatography
(Spinks et
al.,
1984).
The
cooked
material
was
set
aside,
randomly,
two
samples
per
week,
stored
at
-20°C
and
analysed
separately.
5-Vinyloxazolidine-2-thione
was
analysed
as
de-
scribed
by
Benns et
al.
(1979)
and
thiocyanate
ion
was
determined
spectrophotometrically
(Johnston
&
Jones,
1966).
Samples
of
Brussels
sprouts
were
ana-
lysed
for
myrosinase
content
by
a
method
as
described
by
Wilkinson
et
al.
(1984).
Results
The
fresh
Brussels
sprouts
contained
a
total
of
247
mg
of
glucosinolates/100
g
of
which
progoitrin
and
glucobrassicin
comprised
66
and
70
mg/100
g
re-
spectively.
After
cooking,
these
glucosinolate
con-
centrations
had
fallen
to
124-165
mg
(mean
148
mg)/
100
g;
40-53
mg
(mean
46
mg)/100
g
and
23-28
mg
(mean
26
mg)/100
g
respectively,
a
finding
broadly
in
agreement
with
that
reported
by
Sones et
al.
(1984b).
These
values
are
consistent
with
the
cooked
sprouts
being
a
major
dietary
source
of
progoitrin.
The
serum
thyroid
hormone
values
for
all
subjects
throughout
the
8
or
9
weeks
of
the
study
are
available
from
the
authors
on
request.
All
values of
total
T4
4
(60-160
nmol/1)
and
total
T3
(1.2-3.5
nmol/I
were
within the
respective
reference
ranges
and
there
were
no
significant
departures
from
the
reference
ranges
for
TSH
(0.2-7.0
milli-units)
and
free
T4
(8.8-23.0
pmol/1).
Small
daily
fluctuations
occurred
in
the
sub-
jects
as
well
as
in
two
additional
female
subjects
who
were
observed
during
the
first
phase
of
the
study
only.
Thcrc
were
no
consistent
changes
in
any
of
the
parameters
studied
in
either
phase
B
(with
sprouts)
or
in
phase
C
(excluding
all
brassicas)
(Table
1).
This
was
true
for
the
group
of
volunteer
subjects
as
a
whole
and
for
each
individual
within
it.
An
increase
in
secretion
of
TSH
is
recognized
as
the
earliest
indi-
cation
of
hypothyroidism
when
the
thyrotrophic
con-
trol
mechanism
is
intact.
Although
serum
TSH
con-
centrations
were
measured
with
sufficient
sensitivity
to
allow
detection
of
even
minimal
differences,
no
significant
increase
was
observed.
In
conditions
of
continued
dietary
iodine
deficiency
it
is
known
that
17
Table
1
Mean
serum
thyroid
hormone
concentrations
of
10
volunteer
subjects
TSH
=
thyrotrophic
hormone;
T4
=
thyroxine;
T3
=
tri-
iodothyronine
a
= see
Armitage
(1971)
T3
may
be
synthesized
preferentially
(Beckers
&
Delange,
1980).
Goitrin
is
believed
to
impede
cova-
lent
binding
of
iodine
to
thyroglobulin
and
prevent
the
oxidation
of
iodide
by
thyroid
iodide
peroxidase
(Gaitan,
1980).
In
any
event,
in
the
present
short-
term
study,
the
ratios
of
T3/F4
remained
unaltered.
Total
T4
remained
unchanged
and
there
was
a
posi-
tive
correlation
between
total
T4
and
free
T4
in
the
group
as
well
as
individuals,
indicating
that
brassica
ingestion
had
not
affected
the
amount
of
binding
protein
or
the
extent
of
binding.
It
appears
therefore
that
under
the
conditions
of
the
present
study
no
general
tendency
toward
alteration
in
thyroid
function
has
been
demonstrable.
Discussion
During
the
4-week
period
when
sprouts
were
con-
sumed
the
subjects
had
a
mean
daily
intake
of 222
mg
of
total
glucosinolates,
corresponding
to
69
mg
of
progoitrin
and
39
mg
of
glucobrassicin
respectively.
From
the
data
obtained
by
Sones et
al.
(1984b)
it
is
possible
to
estimate
that
5%
of
the
population
of
the
UK
have
a
daily
intake
of
glucosinolates
in
excess
of
200
mg
during
the
winter
months,
including
50
and
60
mg
of
progoitrin
and
glucobrassicin
respectively.
This
calculation
takes
account
of
environmental
and
agronomical
factors
and
of
the
fact
that,
due
to
the
autumn
and
winter
harvesting
of
glucosinolate-rich
Brussels
sprouts,
total
intake
during
the
winter
period
is
double,
and
that
of
progoitrin
five
times
greater
than,
that
in
the
summer.
It
should,
however,
be
emphasized
that
these
values
may
still
be
a
con-
siderable
underestimate
since
the
calculation
takes
no
account
of
the
intake of
processed
vegetables
or
of
those
grown
domestically
neither
of
which
sources
were
included
in
the
MAFF
intake
values
(Sones et
al.,
1984b).
The
levels
of
intake
therefore
in
the
present
study
may
be
seen
as
realistic.
The
great
proportion
of
brassicas
are
consumed
in
the
UK
after
cooking
or
processing,
during
which
the
myrosinase
would
be
expected
to
be
partly
or
totally
inactivated.
We
have
demonstrated,
in
the
course
of
other
work,
that
residual
myrosinase
can
be
detected
in
Brussels
sprouts
which
have
been
boiled
for
6-7
mins
(E.
A.
Spinks,
K.
Sones
&
G.
R.
Fenwick,
unpublished
work).
In
the
present
study
only
five
of
the
eight
cooked
sprout
samples
examined
possessed
detectable
myrosinase
activity,
ranging
from
1
to
4%
(mean
2.4%)
of
that
originally
present.
Subsequent
analysis
of
the
cooked
sprout
samples
failed
to
detect
any
free
5-vinyloxazolidine-2-thione
or
thiocyanate
ion;
thus
the
effect,
if
any,
of
the
sprouts
on
the
thyroid
function
may
be
supposed
to
be
a
result
of
the
intact
glucosinolates
or
of
any
metabolites
produced
therefrom
in
vivo.
Little
is
known
about
such
metabolism,
although
there
is
some
evidence
to
indicate
that
at
least
partial
breakdown
of
glucosinolates
does
occur
when
animals
and
poultry
consume
rapeseed
meal
in
which
the
endogenous
myrosinase
has
been
inactivated
(Greer,
1962;
Pearson et
al.,
1983).
In
man
it
has
been
ob-
served
(Oginsky et
al.,
1965)
that
glucosinolates
may
be
degraded
by
Paracolobactrum
and
Greer
&
Deeney
(1959)
have
reported
that
5-vinyloxazolidine-2-
thione
may
be
formed from
progoitrin
in
vivo
with-
out
the
necessity
of
a
source
of
exogenous
myrosinase.
It
would,
however,
seem
desirable
to
re-examine
this
report
by
using
modern
methods
of
analysis.
If
it
were
to
be
assumed
that
the
appropriate
precursors
yielded
5-vinyloxazolidine-2-thione
and
thiocyanate
ion
quantitatively
in
the
body,
then
daily
intakes
of
14
and
3
mg
respectively
would
result.
Moreover,
ad-
ditional
thiocyanate
ion
would
be
expected
to
result
from
the
metabolism
of
other
glucosinolate-derived
products;
for
example
nitriles
(via
the
effect
of
rho-
danase)
and
isothiocyanates
(Langer
&
Stolc,
1965).
Even
if
these
latter
processes
occurred
it
would
be
unlikely
that
the
level
of
thiocyanate
ion
would
reach
that
required
to
produce
an
effect
on
thyroid
function
since
it
has
been
reported
that
a
single
dose
of
250-
1000
mg
was
necessary
to
produce
a
significant
re-
duction
in
radioactive
iodine
uptake
(Vilkki et
al.,
1962).
More
recently,
Dahlberg et
al.
(1984)
have
shown
that
a
daily
intake
of
8
mg
of
thiocyanate
ion
(via
milk
containing
20
mg
of
thiocyanate/1)
for
12
weeks
had
no
observable
effect
on
thyroid
function.
The
situation
for
5-vinyloxazolidine-2-thione
is
rather
different,
since
the
potential
intake
in
the
present
study
(14
mg/day)
is
comparable
with
single
doses
(25-50
mg)
found
by
Vilkki et
al.
(1962)
and
Langer et
al.
(1971)
to
reduce
significantly
radio-
active
iodine
uptake
by
the
thyroid.
Peltola
&
Krusius
(1971)
have
also
shown
that
a
daily
dose
of
100-
400
wg
for
5-6
months
reduced
the
radioactive
iodine
uptake
of
patients
suffering
from
mild
thyrotoxicosis.
On
the
basis
of
these
results,
it
would
seem
unlikely
that
the
5-vinyloxazolidine-2-thione
would
not
have
shown
an
effect,
bearing
in
mind
the
sensitivity
of the
methods
used
in
the
present
study
to
monitor
thyroid
function.
It
is
considered
more
likely
that
the
lack
of
18
observed
effect
is
a
result
of the
absence
of
5-vinyl-
oxazolidine-2-thione
from
the
system,
either
because
the
parent
glucosinolates
are
not
being
broken
down
in
vivo,
or
because
such
breakdown
does
occur
but
does
not. yield
the
same
(goitrogenic)
product
as
is
produced
by
plant
myrosinase.
An
additional
possi-
bility
that
cannot
be
excluded
is
that
breakdown
to
5-vinyloxazolidine-2-thione
does
occur in
vivo
(as
reported
by
Greer
&
Deeney,
1959),
but
that
this
compound
is
subsequently
further
metabolized
to
non-goitrogenically
active
products.
Further
work
is
needed
to
distinguish
between
these
possibilities.
Langer
&
Michajlovskij
(1969)
and
Elfving
(1980)
have
observed
the
formation
of
4-hydroxy-5-vinyl-
oxazolidine-2-thione
(IV)
(Figure
1)
after
the
in-
jection
of
35S-labelled
goitrin
into
the
rat;
however,
according
to
the
former
workers,
this
metabolite
also
possessed
antithyroid
activity.
Other
chemical
changes
in
the
structure
of
oxazolidinethiones,
involving
ring
opening
and
polymerization,
have
been
observed
in
ruminants
(Lanzani et
al.,
1974).
While
these
might
be
expected
to
produce
changes
in
the
antithyroid
effects,
the
situation
in
man
is
unknown.
Further
work
is
clearly
necessary
to
elucidate
the
fate
of
dietary
glucosinolates
in
man.
Such
studies
would
also
be
relevant
to
the
reported
anticarcino-
References
genic
effects
of
a
variety
of
other
breakdown
products
of
indole
glucosinolates
(Fenwick et
al.,
1983a).
However,
on
the
basis
of
the
present
limited
study,
it
is
considered
that
concern
over
the
intake
of
signifi-
cant
amounts
of
goitrogens
via
the
consumption
of
boiled
green
vegetables
may
have
been
overstated.
The
vegetables
considered
here
have
been
cooked,
thus
inactivating
the
enzyme
responsible
for
forma-
tion
of
the
goitrogens.
Consumption
of
uncooked
(e.g.
coleslaw,
pickled
and
fermented
cabbage)
or
partially
cooked
brassicas
might
be
expected
to
lead
to
a
larger
intake
of
goitrogens
and
these
also
enter
the
body
via
milk
or
dairy
products
after
the
feeding
of
cattle
on
rapeseed,
brassica
forages
or
fodders.
Under
these
circumstances,
an
effect
on
normal
thyroid
function
may
be
observed,
particularly
among
selected
’at-risk’
groups,
e.g.
children
and
pregnant
women.
Studies
are
in
progress
to
examine
such
possibilities.
The
authors
are
grateful
to
Mr
R.
K.
Heaney,
Mr.
J.
Franklin
and
Dr
R.
Shepherd,
AFRC
Food
Research
Insti-
tute,
Norwich,
and
to
Dr
J.
G.
Vaughan,
Queen
Elizabeth
College,
London,
for
assistance
in
the
work
presented
here.
Thanks
are
also
due
to
Dr
D.
G.
Lindsay,
MAFF
Food
Science
Division,
for
originally
suggesting
this
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