Orathel Sunny P, Thomas Ronnie, Chandramohanakumar N, Kulavelil Joy Job, Kumar Krishnapillai Girish, Menon Vadayath Usha, Jayaprakash P, Krishnan Sajitha, Manju P S, Param Shaiju, Rajamanickam M G, Unnikrishnan U G, Thomas Joe, Jose Ponnu
Medicine and Pulmonology, Rajagiri Hospital, Aluva, Ernakulam, Kerala, India.
Department of Community Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala 680005, India.
J Thyroid Res. 2020 May 13;2020:5208657. doi: 10.1155/2020/5208657. eCollection 2020.
Perchlorate is an anion that occurs as a contaminant in groundwater. It originates from the improper disposal of ammonium perchlorate, a component of rocket fuel. The objective of this study was to explore whether the exposure to perchlorate in drinking water had an impact on the thyroid function of the population residing near an ammonium perchlorate plant in Kerala. . Using an ecological study design, we compared the serum levels of thyroid-stimulating hormone, thyroxine, and thyroid peroxidase antibodies among a representative sample of 289 study subjects from the area surrounding the ammonium perchlorate enrichment plant to 281 study subjects in a control area.
The perchlorate concentration in the groundwater varied from 1600 ppb to 57,000 ppb in the 10 samples from the contaminated area and was below 24 ppb in all locations in the control area. No significant differences were found in the mean serum TSH concentration and mean T4 levels between the subjects from the contaminated area and the control area. On regression analysis, perchlorate contamination was not found to be a significant predictor of TSH.
This study did not find any significant association between perchlorate in drinking water and changes in thyroid hormone levels. Our findings indicate the need for further investigation of this hypothesis using urinary perchlorate as a measure of individual exposure.
高氯酸盐是一种阴离子,作为污染物存在于地下水中。它源于火箭燃料成分高氯酸铵的不当处置。本研究的目的是探讨饮用水中高氯酸盐暴露是否会对喀拉拉邦一家高氯酸铵工厂附近居民的甲状腺功能产生影响。采用生态学研究设计,我们比较了来自高氯酸铵富集工厂周边地区的289名研究对象的代表性样本与对照地区281名研究对象的血清促甲状腺激素、甲状腺素和甲状腺过氧化物酶抗体水平。
污染地区10个样本的地下水中高氯酸盐浓度在1600 ppb至57000 ppb之间,对照地区所有地点的浓度均低于24 ppb。污染地区和对照地区的受试者之间,血清促甲状腺激素平均浓度和平均T4水平未发现显著差异。回归分析显示,高氯酸盐污染不是促甲状腺激素的显著预测因素。
本研究未发现饮用水中的高氯酸盐与甲状腺激素水平变化之间存在任何显著关联。我们的研究结果表明,需要使用尿高氯酸盐作为个体暴露量度,对这一假设进行进一步研究。