Target intelligence / Profile preview

Iodine-131 (as sodium iodide I-131) (I-131)

Target
I-131
Molecular classification
radiopharmaceutical, radioisotope
01

Overview

Iodine-131 (I-131) is a radioactive isotope of iodine used as a radiopharmaceutical primarily in the treatment of hyperthyroidism and well-differentiated thyroid carcinoma. When administered orally as sodium iodide I-131, it is selectively taken up by thyroid tissue due to the organ’s expression of the sodium/iodide symporter. I-131 emits beta particles, which cause local cell death and tissue ablation, and gamma particles, which allow for imaging. This compound enables targeted ablation of thyroid tissue (in hyperthyroidism or ablation of remnant or metastatic thyroid cancer), as well as diagnostic procedures to evaluate thyroid function and disease extent. The molecule itself is not a receptor, enzyme, or signaling molecule, but a radioactive therapeutic agent designed to exploit physiological iodine uptake in thyroid tissues.

Other names
Radioiodine I-131Sodium iodide I-131I-131 radiopharmaceuticalRadiopharmaceutical I-131
02

Mechanism of action

Delivers targeted radiation to thyroid tissue through the emission of beta particles (for tissue destruction) and gamma particles (for imaging/diagnosis); uptake is mediated by the sodium/iodide symporter in thyroid cells

03

Biological functions

AblationImaging
04

Disease associations

CancerHyperthyroidismThyroid carcinomaDifferentiated thyroid cancerToxic multinodular goiterToxic adenomaEvaluation of thyroid function
05

Safety considerations

Hypothyroidism (common and usually permanent)Temporary sore throatRadiation precautions (to protect others)Small risk of secondary malignancies or effects on reproductive health (avoid in pregnancy and breastfeeding)Potential sialadenitis (salivary gland inflammation)
06

Biomarkers

Iodine uptake capability (measured as Radioactive Iodine Uptake, or RAIU)Thyroglobulin (used to monitor thyroid cancer recurrence after ablation)

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