Glucose-6-phosphate dehydrogenase deficiency: a novel role for thyroxine in peroxide-induced hemolysis

G-6-PD deficient erythrocytes undergo hemolysis during exposure to hydrogen peroxide and thyroxine. Normal erythrocytes do not show this effect unless incubated in the absence of glucose. The inability of G-6-PD deficient cells to detoxify hydrogen peroxide apparently exposes them to the cytotoxic actions of thyroxine. It is suggested that the hemolysis and anemia associated with this genetic disorder is a consequence of the actions of both peroxide and thyroxine on erythrocyte membranes.