Knowledge of the metabolism of cholesterol in conditions of deranged function of the thyroid gland has been reviewed, and clinical correlations between serum lipids, basal metabolic rate, and thyroid status surveyed. The effects of the thyroid hormones, L-thyroxin and 3,5,3′-triiodo-L-thyronine (L-T 3) on circulating lipids, particularly in hypothyroidism, were summarized. They were compared with the following thyroxin analogues: D-thyroxin and 3,5,3′-triiodo-D-thyronine (D-T 3); 3,5-diiodo-L-thyronine (L-T 2) and D-T 2; 3,5,3′,5′-tetraiodothyroformic acid (Tetraform) and 3,5,3′-triiodothyroformic acid (Triform); 3,5,3′-triiodothyroacetic acid (Triac) and 3,5,3′,5′-tetraiodothyroacetic acid (Tetrac) ; 3,5,3′-triiodothyropropionic acid (Triprop) and 3,5,3′,5′-tetraiodothyropropionic acid (Tetraprop); 3,5-diiodothyroacetic acid (Diac); and 3,3′,5′-triiodo-DL-thyronine (3,3′,5′-T 3). Except for 3,3′,5′-T 3, which appears to antagonize some thyroid hormone effects peripherally, these analogues are thyroactive to greater or lesser degrees. Their cholesterol-lowering potency has been compared with other actions, and the significance of apparent dissociation of cholesterol-lowering and calorigenic effects has been assessed. Therapeutic implications have been briefly explored.
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