Mechanism for the Anti-Thyroid Action of Minocycline
Received August 19, 1996 Abstract: Administration of minocycline (MN), a tetracycline antibiotic,
produces a black pigment in
the thyroids of humans and several species of experimental animals and
antithyroid effects in
rodents. We have previously shown that these effects appear to be
related to interactions of
MN with thyroid peroxidase (TPO), the key enzyme in thyroid hormone
synthesis. In the
present study, the mechanisms for inhibition of TPO-catalyzed
iodination and coupling reactions
by MN were investigated. MN was stable in the presence of TPO and
H2O2, but adding iodide
or a phenolic cosubstrate caused rapid conversion to several products.
TPO-dependent product
formation, characterized by on-line LC-APCI/MS and 1H-NMR,
involved oxidative elimination
to form the corresponding benzoquinone with subsequent dehydrogenation
at the aliphatic
4-(dimethylamino) group. Addition of thiol-containing polymers
(bovine serum albumin or
thiol-agarose chromatographic beads) had a minimal effect on MN
oxidation by TPO, but
substantially reduced product formation and produced concomitant losses
in free thiols.
Covalent bonding through a thioether linkage of a reactive
intermediate, the benzoquinone
iminium ion, was inferred from these findings. Iodide- and
phenolic cosubstrate-dependent
oxidation of tetracycline to demethylated and dehydrogenated products
was also observed,
although at a slower rate than MN. The products and kinetics
observed with MN were
consistent with oxidation of MN by either the enzymatic iodinating
species formed by reaction
of TPO compound I with iodide or phenoxyl radicals/cations generated by
TPO-mediated
oxidation of a phenolic cosubstrate. The proposed reaction
mechanism is consistent with
alternate substrate inhibition of TPO-catalyzed iodination of tyrosyl
residues in thyroglobulin
(Tg) by MN, as previously reported. Furthermore, the observed
phenoxyl radical-mediated
oxidation of MN is consistent with its previously reported potent
inhibition of the coupling of
hormonogenic iodotyrosine residues in Tg in the reaction that forms
thyroid hormones. The
proposed reaction mechanism also implicates a reactive benzoquinone
iminium ion intermediate
that could be important in toxicity of MN.

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