28
devoid of physiological activity. Hence an iodo-

protein containing onlythese iodoamino acidsis
likely to be-also physiglogically inactive. The
reason theseindividuals have such an iodoprotein

in the blood is not clear. The data on normal controls from the Eastern United States, who showed

0.80 ug% iodoproteiniodine in their séfum,sug-

gest thatit is a normal, albeit minor, constituent.
The method.of chromatography employed is such

that well under 5% (or 0.2 pge%) of serum thy-

roxine iodine appears in the unretardedor iodoprotein fraction. Therefore, the finding of iodoprotein does not appear to be a methodologic
artifi

More‘recently, with the developmentof thyroid

abnormalities in the exposed Marshallese (to be
described), it was possible to examine serum iodoprotein levels in cases with thyroid hypofunction.
These data are presented in Table 16. It seems
likely that the source of the iodoprotein waslargely
extrathyroidal, since the levels of iodoprotein were

near the normally high Marshallese values (a) in
cases which had been on suppressive thyroxine

therapy, (b) in cases with atrophic glands due to

radiation (subjects No. 3 and No. 5), and (c) in

thyroidectomized cases. The source of the iodoprotein is not known. The previously reported finding
of high plasma proteins,’ particularly gamma
globulins, in the Marshallese is of interest but may
be an unrelated phenomenon. It will be important
to see in future studies whetherthe iodoprotein
can be labeled with radioiodine.
The data on urine iodine show values in the
normal range. In general, it had been expected
that individuals living close to the sea and eating
seafood and fish would show relatively higher
iodine intake. The inhabitants of the Marshall

Islands have fish as one of their main sources of
animal protein. Furthermore, these people are
constantly exposed to sea spray, since the island
at its widest is about '4 mile across, andits highest
point is 20 ft above hightide.
The data:onprimary iadine were used with the

results

amount

to Thyront. Function

J Total

No.

iodine, -PRI,

ug

cee es

3°
5S

65

i7a.

7

a:

« »

age
<i
De
s
:
t

“32
gee B31

L Gi

2

10
aetLB

Fis

*Phyroidectomized**

te ALB <05

2°

Iodoprotein

T, adine, . ioding,*

Hypath¥toid

1,

6 Os

=6«<05

2.0

a SRD

>
(2.2)
(1.3)

| (1)
“

>1.3)

(>0.8}

ibe:

(By

3.2 [4.5]
3.8 [2.9]
ence between#
suredidirectly by
+41Thyroxifft

dine secreted daily by the

thyroid.

Thevalue 76"pg/day is.somewhat hehe the

Serum lodopiBtein Lévels in Relation

Subject”

ed with aEseudiestto calgulate the

3% fag/dayfound
Stanbury et'al.** ar
g/day
ie ‘by Fr
Ingbar** butloserto the
we 7
dayproposed by Riggs.*’ Unfortuae :
Bug is known aboutthe rate of turn-

sever ofthe serum iodoprotein.If it hasqnughly the
semgrate ofdegradation and the same volumeof
ition as thyroxine and it is asaymedgta have
in the thyxeid gland, then,

Marshallese thymids te

ould ex-

ANIC

portional to the level.eforganic iodine
/dditiongf odalippporine vatues
ave e levglsfor
Marshallese
multiplicationof the ratio by
‘Use. best.value. for iodine seca normal

ee 2.22+4.53
vac. 0.8043.Tex OSSva/ay.

This
ns Hhicy welliienthe76-yp/dy

lated independently frog rine;
studies and is compati with Flinical picture

eink

+Treated with t-thyroxine, 0.2 mg per day, for 6
months. Values in brackets are determination made prior
to starting thyroxine treatment (1965).

epasruthypid status
of amclevated PBI
elevatéd thyroid iodiffésecretion rate. However, as noted above, it seems somewhat morelike-

ly that the serum iodoprotein is not of thyroidal

origin.

Select target paragraph3