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Salah Sumar Al Zadjali
Department of Pharmacology
College of Medicine and Health Sciences
Dissertation
Title
Experimental Investigation on the Relationship between Lead Exposure, Thyroids and Systemic
Toxicity in Health and Diabetes
Faculty Advisor
Dr. Abdu Adem
Defense Date
26 April 2015
Abstract
Lead exposure can cause multiple systemic toxicities, particularly affecting the hematopoietic, nervous and renal systems.
However, its effects on the thyroid functions are not well elucidated and the pub-lished studies are controversial. In addition,
although there are several experimental thyroid models, each one of them has its own limitations. Accordingly, in this
dissertation, we investigated the possible rela-tionship between lead exposure, thyroid functions and short-term systemic
toxicity in two animal mod-els, namely normal (non-diabetic) and diabetic animals. We also investigated the possibility of
develop-ing a hormonal thyroid model. In the non-daibetic model, Wistar rats were divided into five groups and treated
for five days. The four treatment groups received 1, 25, 50, or 100 mg/ kg of lead acetate trihy-drate intraperitoneally
(i.p.), respectively. The control group received i.p. injections of distilled water. As for the diabetic model, diabetes was
induced with an i.p. injection of 60 mg/ kg streptozocin (STZ). Six weeks later, lead exposure experiments started. Here, four
groups were studied i.e. a control; and 25, 50 and 100 mg/ kg lead acetate groups. In each model, the measured blood
lead levels correlated very well with the administered doses of lead acetate. Treatment of the animals with lead acetate
resulted in signif-icant weight loss in both models. Lead exposure caused a dose-related increase in thyroid stimulating
hormone (TSH) in non-diabetic and diabetic animals. Although, thyroxine (T4) and triiodothyronine (T3) levels remained
within normal range in non-diabetic animals, their levels were reduced in diabetic ani-mals. The highest dose of lead (100
mg/ kg) significantly increased white blood cell counts and caused a significant decrease in the number of platelets in
non-diabetic animals. In addition, C-reactive protein levels increased significantly in response to lead exposure in this
model. Moreover, there was a signifi-cant increase in lactate dehydrogenase (LDH), aspartate aminotransferase, total
bilirubin, and urea levels; following lead exposure in non-diabetic animals. On the other hand, lead exposure in diabetic
animals increased urea levels and caused a significant decrease in creatinine levels in plasma. While the concen-trations
of malondialdehyde were not affected, glutathione stores were depleted in response to lead exposure in the diabetic
animals.Inthe last stage, we tried to develop a new experimental thyroid model, based on the use of hormones. In this
regard, animals were treated for five days with either thyrotropin-releasing hormone (TRH) or octreotide (OCT) to induce
hyperthyroidism or hypothyroidism, respectively. Although there were no effects on T4 and T3 levels, TRH was effective
in causing an increase in TSH levels. However, TRH also elevated LDH levels. The use of TRH did not cause any other
side effects on the tested parameters, which included weight change, oxidative stress markers and renal and hepatic
functions. In comparison, OCT failed to affect TSH, T4 and T3 levels, at the dose and treatment duration that we used. In
conclusion, short-term lead exposure in healthy and diabetic animal models affected the functions of the anterior pituitary
and thyroid glands, caused oxidative stress, liver and kidneys toxicity and induced systemic inflammation. In addition, we
found that TRH has a potential to induce hyperthyroidism in experimental animals. Keywords: lead; rat; diabetes; thyroid;
experimental model and systemic toxicity.