iThei mdcdaelcinfd o c elllllrllll cdt heTable 14: Partial List of Environmental Agents
That Interfere with Thyroid FunctionAgent Example of Sources Mode of Action Human StudiesPCBs* Coolants and lubricantsThyroid receptor
agonist/antago-
nist, can alter
levels of T4 and
TSHIncrease in TSH,
thyroid volume,
thyroid
antibodiesOrganochlorine
pesticidesPesticide on
cropsAccelerate
metabolism of T4No human
studiesPBDEs* retardantsFlame^Bind to thyroid
receptors,
displacing T4
from binding
proteinsIncrease in
Hashimoto’sBPA Plastic bottlesAntagonizes
thyroid
receptorsNo human
studiesPerchlorate,
thiocyanateRocket fuel,
fertilizer, smokingInhibits iodine
uptakeNo human
studiesTriclosan Antibacterial soaps Reduces serum T4 No human studies^Isoflavones* Soy products Inhibits TPO activityPotential
increase in
Hashimoto’sAdapted from Eschler DC, Hasham A, Tomer Y. Cutting edge: the etiology of autoimmune thy-
roid diseases. Clin Rev Allergy Immunol. Oct 2011:41(2):190–197.
*Human studies associated this as a trigger or accelerator in the development of Hashimoto’s.