The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
Internal secretions, using the expression in its general sense, are
necessary for the co-ordination of the work of the various parts of
the animal mechanism. Colloid is the internal secretion of the thyroid
gland and of the parathyroids. Unlike most other internal secretions,
it is a substance easily analysed, and startlingly definite in its
chemical characteristics. It is composed mainly of a protein which
contains iodine. From this protein a substance termed “iodothyrin”
may be obtained, of which no less than 10 per cent. is iodine; but
it is uncertain whether iodothyrin is preformed in the gland. The
exact nature of the active substance of the internal secretion of the
thyroid gland matters little. Whether it be iodothyrin or a protein,
its activity depends upon the fact that it contains iodine in large
quantity. Iodine amounts to from 0·3 per cent. to 0·9 per cent. of the
weight of the whole thyroid gland in Man.
Iodine is very widely distributed in Nature. It is present in the air,
in rain-water, in herbage. It is also present in all parts of the
body, although in quantities which are infinitely minute. It is found
in sea-water, and is relatively abundant in marine plants. There is
no reason for supposing that it is deficient in districts in which
_goitre_ is common. It would appear more likely that the soil has
properties which result in the fixing of iodine in a form in which it
is not available for plant-food, and that in consequence animals are
unable to obtain a sufficient supply. Careful analyses have shown that
the thyroid glands of sheep bred in mountainous districts where goitre
is common contain but one-thirtieth part as much iodine as the thyroid
glands of sheep bred in places where goitre is rare. In ancient times
burnt sponge and seaweed were esteemed useful in the treatment of
goitre. Later, iodide of potassium given internally, and tincture of
iodine as an outward application, were the approved remedies. It is
now known that myxœdema and certain forms of goitre may be checked,
and even cured, by administering uncooked thyroid gland or even
tabloids of dried extract. Fortunately, it is not necessary to inject
it subcutaneously; the iodine-containing compound is so stable as to
resist the action of gastric juice.
Iodine stored in the thyroid and parathyroid glands is distributed
to all the tissues. The remarkable symptoms which indicate that the
tissues are not receiving an adequate supply may occur under either of
two conditions. Iodine may be deficient in the food, or the thyroid
gland may be incompetent; the former is the commoner cause. And here
we see the explanation of the formation of a goitre. By increasing the
size of the organ which selects iodine, Nature attempts to obtain and
store an adequate supply for distribution to the tissues.
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