Thyroid hormone is essential for normal brain development. Therefore, it is a genuine concern that thyroid function can be altered by a very large number of chemicals routinely found in the environment and in samples of human and wildlife tissues. These chemicals range from natural to manufactured compounds. They can produce thyroid dysfunction when they are absent from the diet, as in the case of iodine, or when they are present in the diet, as in the case of thionamides. Recent clinical evidence strongly suggests that brain development is much more sensitive to thyroid hormone excess or deficit than previously believed. In addition, recent experimental research provides new insight into the developmental processes affected by thyroid hormone. Based on the authors' research focusing on the ability of polychlorinated biphenyls to alter the expression of thyroid hormone-responsive genes in the developing brain, this review provides background information supporting a new way of approaching risk analysis of thyroid disruptors. endemias occurring in different parts of the world have led to the proposal that the various symptoms of the two forms of cretinism arise from thyroid hormone deficits occurring at different developmental windows of vulnerability (15,17,49). Therefore, thyroid hormone appears to play an important role in fetal brain development, perhaps before the onset of fetal thyroid function.The second type of pathological situation is that of subtle, undiagnosed maternal hypothyroxinemia. The concept and definition of maternal hypothyroxinemia were developed in a series of papers by . Low thyroid hormone was initially defined empirically-those pregnant women with the lowest butanol-extractable iodine among all pregnant women (55,57). This work was among the first to document an association between subclinical hypothyroidism in pregnant women and neurological function of the offspring. After the development of radioimmunoassay for thyroid hormone, Pop et al. (58) found that the presence of antibodies to thyroid peroxidase in pregnant women, independent of thyroid hormone levels per se, is associated with significantly lower IQ in the offspring. Subsequent studies have shown that children born to women with thyroxine (T 4 ) levels in the lowest 10 th percentile of the normal range had a higher risk of low IQ and attention deficit (25). Excellent recent reviews discuss these studies in detail (24,57,59). Taken together, these studies present strong evidence that maternal thyroid hormone plays a role in fetal brain development before the onset of fetal thyroid function, and that thyroid hormone deficits in pregnant women can produce irreversible neurological effects in their offspring (18,19,22,37,(60)(61)(62).
Thyroid Hormone and Brain Development in Experimental AnimalsConsiderable research using experimental animals has provided important insight into the mechanisms and consequences of thyroid hormone action in brain development. The body of this work is far too extensive to review here but has been rev...