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Effects of chronic fluorosis on thyroxine, triiodothyronine, and protein-bound iodine in cows

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Abstract

This study was conducted to evaluate the effects of chronic fluorosis in cows on their blood serum levels of thyroxine (T 4), triiodothyronine (T 3), and protein-bound iodine (PBI). Data collected from twenty cows with chronic fluorosis in the Tendurek Mountain region (altitude about 2000 m) in East Anatolia, Turkey, were compared with data from ten healthy cows from the Van region (altitude 1700 m). Statistically significant differences (p<0.05) between the serum values in the controls and the fluorotic cows were found: 5.7±0.48 vs 3.7±0.45 µg/dL for T 4 , 1.53±0.038 vs 0.97±0.051 ng/mL for T 3 , and 3.8±0.29 vs 2.6±0.23 µg/dL for PBI. Hypothyroidism was therefore evident in the cows with chronic fluorosis.
Fluoride 2005;38(1):65–68 Research report 65
Fluoride 2005;38(1)
EFFECTS OF CHRONIC FLUOROSIS ON THYROXINE,
TRIIODOTHYRONINE, AND PROTEIN-BOUND IODINE IN COWS
A Cinar,a M Selcukb
Van, Turkey
SUMMARY: This study was conducted to evaluate the effects of chronic fluorosis in
cows on their blood serum levels of thyroxine (T4), triiodothyronine (T3), and
protein-bound iodine (PBI). Data collected from twenty cows with chronic fluorosis
in the Tendurek Mountain region (altitude about 2000 m) in East Anatolia, Turkey,
were compared with data from ten healthy cows from the Van region (altitude 1700
m). Statistically significant differences (p<0.05) between the serum values in the
fluorotic cows and the controls were found: 5.7±0.48 vs 3.7±0.45 µg/dL for T4,
1.53±0.038 vs 0.97±0.051 ng/mL for T3, and 3.8±0.29 vs 2.6±0.23 µg/dL for PBI.
Hypothyroidism was therefore evident in the cows with chronic fluorosis.
Keywords: Chronic Fluorosis; Cows in Turkey; Protein-bound iodine; Thyroxine;
Triiodothyronine.
INTRODUCTION
Fluoride is known to accumulate not only in bones and teeth but also, to a lesser
extent, in soft tissues, especially the cardiovascular system.1 Fluoride can rapidly
cross certain cell membranes and is distributed in skeletal and cardiac muscle,
liver, skin, and erythrocytes.2-4 High concentration of fluoride are noxious in the
environment, affecting the health of humans and animals.5 Volcanic regions are
usually rich in fluoride, and chronic fluorosis is often present in such areas.6,7
Because many parts of East Anatolia, Turkey, are covered with volcanic ash,
some trace elements are scarce, and some are abundant, such as fluoride, in the
drinking water, soil, and flora.6,8 As a result, endemic fluorosis has been known
for many years in this region. The level of fluoride in the available drinking water
ranges from 5.7 to 15.2 ppm.6,8 This high level especially affects dairy cows.7
Thyroid dysfunction, stunted growth, and low milk production have been
reported in livestock with fluorosis,6 but this finding is disputed.7
The effects of chronic fluorosis on different mechanisms have been exam-
ined,1,2,9-13 but the effect of fluoride on thyroid hormones and protein bound
iodine has had limited study in cows, and the findings are not in agreement.6,7 In
this study, we report results of our examination of the effects of chronic fluorosis
on thyroid hormones and protein bound iodine in fluorotic cows.
a
aFor correspondence: Ali Cinar, Department of Physiology, Faculty of Veterinary Medicine,
Yuzuncu Yil University, Van 65080, Turkey. E-mail: alicinar25@mynet.com
bDepartment of Physical Education and Sport, Faculty of Education, University of Yuzuncu Yil,
65080, Van, Turkey
66 Cinar, Selcuk
Fluoride 2005;38(1)
MATERIALS AND METHODS
Thirty cows above 3 years of age (20 fluorotic and 10 healthy) were included in
this study. The 20 cows with chronic fluorosis were obtained from the Tendurek
Mountain region (altitude about 2000 m) in East Anatolia. All animals with fluo-
rosis were living in and around Tendurek Mountain (Van-AğrΙ, Turkey). Chronic
fluorosis was diagnosed after clinical examination of the cows.9,14 The ten
healthy cows used as the control group were obtained from our own Van region
(altitude 1700 m). Blood serum levels of thyroxine (T4) and triiodothyronine (T3)
were determined by radioimmunoassay (RIA)15,16. The level of PBI was mea-
sured spectrophotometrically.8 Statistical analyses were performed by Student’s t
test.
RESULTS AND DISCUSSION
In this study, the serum levels of thyroxine (T4), triiodothyronine (T3), and pro-
tein-bound iodine (PBI) in the control cows were in the normal range of healthy
cows, but they were significantly lower (p<0.05) in the fluorotic cows (Table).
These findings are consistent with the results of research with sheep,8 calves,15
cattle,16 and rats.18 In sheep with chronic fluorosis, a significant decrease in the
levels of protein-bound iodine, and an increase in fluoride in blood were reported
by Bildik.8 Shivashankara et al17 found reduced serum potassium and urea in
children with chronic fluorosis. In another study,18 rats with chronic fluorosis had
decreases in T3 and T4 hormones released from thyroid gland. On the other hand,
Choubisa7 reported that none of a group of fluorotic domestic animals exhibited
any apparent evidence of hypothyroidism, stunted growth, low milk production,
or correlation between gender and the prevalence of fluorosis, but the prevalence
Tab l e. Serum levels of thyroxine, triiodothyronine, and protein-bound
iodine in control (healthy) and fluorotic cattle (mean±SD)
Thyroxine (T4)
µg/dL
Triiodothyronine
(T3) ng/mL
Iodine (PBI)
µg/dL
Control cattle (n = 10) 5.7±0.48a1.53±0.038a3.8±0.29a
Fluorotic cattle (n = 20) 3.7±0.45b0.97±0.051b2.6±0.23b
Standard normal values
and ranges15,16
6.22
4.2 – 8.6
1.6
1.4 – 4.0
3.53
2.7 – 4.1
a,bMeans in the same column with different superscripts differ significantly,
(p<0.05).
Effects of chronic fluorosis on thyroid hormones in cows 67
Fluoride 2005;38(1)
and severity of skeletal fluorosis increased with increasing fluoride exposure and
age.
By contrast, chronic fluoride poisoning in Cornwall Island cattle on the St.
Lawrence River was manifested clinically by stunted growth and dental fluorosis
to a degree of severe interference with drinking and mastication, so that the cows
died at or had to be slaughtered after the third pregnancy.19 In fluorosed dairy
cows studied by Hillman et al,13 urinary fluoride and eosinophilia increased, as
did thyroid depression and blood cholesterol. The results of the present study are
therefore similar to findings in the literature.13,15,18 A decrease in PBI, T3, and T4
levels in the blood is known to be associated with a decrease in the rate of metab-
olism by as much as 30 to 40% in cases of hypothyroidism.20
As Guan et al18 have shown, chronic fluoride intoxication can cause severe
morphological and functional changes in the thyroid gland of the rat. In our view,
the reason for decreased levels of T4, T3, and PBI in our cows with chronic fluo-
rosis might be due to: 1) inhibition of the absorption of the iodine and some
amino acids (e.g., tyrosine) in the gastrointestinal tract, 2) insufficient synthesis
and secretion of thyroglobulin and oxidized iodides from the thyroid glands, 3)
low levels of bioavailable iodine in the Tendurek Mountain region.
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Published by the International Society for Fluoride Research
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Supplementary resource (1)

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Blood and urine were collected from 72 cows in six dairy herds with varying severity of dental and bone fluorotic lesions. Urinary fluoride averaged 5.13 ppm and ranged from 1.04 to 15.7 ppm fluoride. Thyroxine and triiodothyronine in serum decreased with increasing urinary fluoride, eosinophils increased, and cholesterol tended to decrease. Cattle afflicted with fluorosis developed hypothyroidism, anemia, and eosinophilia of leukocytes. Bone ash averaged 2400 ppm fluoride in 22 specimens from eight herds (range 850 to 6935 ppm fluoride). Mineral supplements were the main sources of excess fluoride. Fluoride lesions were on some cows of all herds suggesting that fluoride may affect the health and performance of some cows in "normal" herds. Fluoride lesions were on young cattle and calves in fluorosis herds.
Article
An aluminum plant on the south bank of the St. Lawrence river, southwest of Cornwall Island, Ontario, Canada, has emitted 0.816 metric tons of fluoride daily since 1973; considerably higher amounts were emitted from 1959 to 1973. The plant has been designated as the "major source of fluoride emissions impacting on Cornwall Island." Chronic fluoride poisoning in Cornwall island cattle was manifested clinically by stunted growth and dental fluorosis to a degree of severe interference with drinking and mastication. Cows died at or were slaughtered after the third pregnancy. The deterioration of cows did not allow further pregnancies. Fluoride concentrations in ash of biopsied coccygeal vertebrae increased significantly with age and were dependent on distance from and direction to the aluminum plant. Fluoride in bone ash of a 7-month old-fetus exceeded 500 ppm; fluoride thus was passed transplacentally. Analyses of fluoride in ash of bones obtained at necropsy of cattle from 4 months of age to 4 to 5 years of age showed increased amounts with age. Cancellous bone retained far higher amounts than cortical bone, a reflection of the normally higher metabolic rate of cancellous bone. Concentrations exceeding 10,000 ppm fluoride were recorded in cancellous bone of a 4-to 5-year-old cow. The target cells for fluoride in chronic fluorosis were shown to be the ameloblasts, the dental pulp cells and the odontoblasts and, in bone, primarily the resorbing osteocytes and also the osteoblasts. Atrophy and necrosis of the ameloblasts were responsible for enamel defects. The existing enamel showed brown discoloration from fluoride deposits. The pulp cells underwent fibrous and osseous metaplasia and necrosis of the ectopic bone occurred. The odontoblasts were atrophic and the dentin showed brown discoloration. The resorbing osteocytes were inactive and osteosclerosis resulted. This was especially pronounced in areas of normally great apposition, i.e. in the metaphyses. The epiphyseal plate became squeezed between petrotic bone and growth was stunted. Resorption of alveolar bone surrounding the deciduous teeth was severely retarded or arrested. A delay in eruption of permanent teeth occurred; it was up to 3.5 years in incisor teeth. Interference with the resorbing osteocytes in fluorotic bone was also demonstrated by loss of collagen birefringency in such bone. Failure of bone resorption also caused retention of trabecular bone in the cortices; this was observed even in a 4-t0-5-year-old cow. In areas where modeling into osteonic bone had begun, fluoride deposits were extremely heavy but this bone showed numerous soft osteons in microradiographs. The toxic effect of fluoride on osteocytes also resulted in the death of the cells. Such osteonecrosis occurred mainly in gnathic bone. There was atrophy of the osteoblasts. Osteopenia thus resulted from osteonecrosis and osteoporosis. Subperiosteal exostoses were not observed in long bones. The degree of fluorosis in Cornwall Island cattle was severe...