Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1980 Oct 11;281(6246):968–969. doi: 10.1136/bmj.281.6246.968

Carbimazole and autoantibody synthesis in Hashimoto's thyroiditis.

A M McGregor, H K Ibbertson, B R Smith, R Hall
PMCID: PMC1714378  PMID: 6893563

Abstract

Serum thyroxine, thyrotrophin, and thyroid microsomal antibody levels were measured in 20 patients with Hashimoto's thyroiditis and hypothyroidism before, during, and after treatment with carbimazole or placebo. Thyroid microsomal antibody levels fell during treatment in the 10 patients who received carbimazole, while serum thyroxine and thyrotrophin levels did not change. There were no changes in the placebo group. The study proves support for the concept that carbimazole may act directly on autoantibody synthesising lymphocytes localised in the thyroid. Such an effect might be valuable in influencing the autoimmune process in autoimmune thyroid disease.

Full text

PDF
968

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BUCHANAN W. W., KOUTRAS D. A., CROOKS J., ALEXANDER W. D., BRASS W., ANDERSON J. R., GOUDIE R. B., GRAY K. G. The clinical significance of the complement fixation test in thyrotoxicosis. J Endocrinol. 1962 Apr;24:115–125. doi: 10.1677/joe.0.0240115. [DOI] [PubMed] [Google Scholar]
  2. Bird T., Stephenson J. Evaluation of a tanned red cell technique for thyroid microsomal antibodies. J Clin Pathol. 1973 Aug;26(8):623–627. doi: 10.1136/jcp.26.8.623. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Evered D. C., Vice P. A., Green E., Appleton D. Assessment of thyroid hormone assays. J Clin Pathol. 1976 Dec;29(12):1054–1059. doi: 10.1136/jcp.29.12.1054. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Fenzi G., Hashizume K., Roudebush C. P., DeGroot L. J. Changes in thyroid-stimulating immunoglobulins during antithyroid therapy. J Clin Endocrinol Metab. 1979 Apr;48(4):572–576. doi: 10.1210/jcem-48-4-572. [DOI] [PubMed] [Google Scholar]
  5. Hall R. The immunoassay of thyroid-stimulating hormone and its clinical applications. Clin Endocrinol (Oxf) 1972 Jan;1(1):115–125. doi: 10.1111/j.1365-2265.1972.tb00383.x. [DOI] [PubMed] [Google Scholar]
  6. Lazarus J. H., Marchant B., Alexander W. D., Clark D. H. 35-S-antithyroid drug concentration and organic binding of iodine in the human thyroid. Clin Endocrinol (Oxf) 1975 Nov;4(6):609–615. doi: 10.1111/j.1365-2265.1975.tb01930.x. [DOI] [PubMed] [Google Scholar]
  7. Marchant B., Lees J. F., Alexander W. D. Antithyroid drugs. Pharmacol Ther B. 1978;3(3):305–348. doi: 10.1016/s0306-039x(78)80001-4. [DOI] [PubMed] [Google Scholar]
  8. McGregor A. M., Petersen M. M., Capiferri R., Evered D. C., Smith B. R., Hall R. Effects of radioiodine on thyrotrophin binding inhibiting immunoglobulins in Graves' disease. Clin Endocrinol (Oxf) 1979 Oct;11(4):437–444. doi: 10.1111/j.1365-2265.1979.tb03095.x. [DOI] [PubMed] [Google Scholar]
  9. McGregor A. M., Petersen M. M., McLachlan S. M., Rooke P., Smith B. R., Hall R. Carbimazole and the autoimmune response in Graves' disease. N Engl J Med. 1980 Aug 7;303(6):302–307. doi: 10.1056/NEJM198008073030603. [DOI] [PubMed] [Google Scholar]
  10. McLachlan S. M., McGregor A., Smith B. R., Hall R. Thyroid-autoantibody synthesis by Hashimoto thyroid lymphocytes. Lancet. 1979 Jan 20;1(8108):162–163. doi: 10.1016/s0140-6736(79)90559-2. [DOI] [PubMed] [Google Scholar]
  11. Mukhtar E. D., Smith B. R., Pyle G. A., Hall R., Vice P. Relation of thyroid-stimulating immunoglobulins to thyroid function and effects of surgery, radioiodine, and antithyroid drugs. Lancet. 1975 Mar 29;1(7909):713–715. doi: 10.1016/s0140-6736(75)91629-3. [DOI] [PubMed] [Google Scholar]
  12. Pinchera A., Liberti P., Martino E., Fenzi G. F., Grasso L., Rovis L., Baschieri L., Doria G. Effects of antithyroid therapy on the long-acting thyroid stimulator and the antithyroglobulin antibodies. J Clin Endocrinol Metab. 1969 Feb;29(2):231–238. doi: 10.1210/jcem-29-2-231. [DOI] [PubMed] [Google Scholar]
  13. Salabè G. B., Davoli C., Andreoli M. Identification in the thyroid of antithyroglobulin antibodies in the fibrous variant of Hashimoto's thyroiditis. Int Arch Allergy Appl Immunol. 1974;47(1):63–79. doi: 10.1159/000231201. [DOI] [PubMed] [Google Scholar]
  14. Tötterman T. H. Distribution of T-, B-, and thyroglobulin-binding lymphocytes infiltrating the gland in Graves' disease, Hashimoto's thyroiditis, and de Quervain's thyroiditis. Clin Immunol Immunopathol. 1978 Jul;10(3):270–277. doi: 10.1016/0090-1229(78)90181-2. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES