Männistö P T, Ranta T, Leppäluoto J
Acta Endocrinol (Copenh). 1979 Jun;91(2):271-81. doi: 10.1530/acta.0.0910271.
Male Sprague-Dawley rats were given graded doses of methylmercaptoimidazole (MMI), propylthiouracil (PTU), KClO4 or KI in drinking water for 4 days, or the lowest effective dose of each drug for various times. The rats were sacrificed at 1--2 p.m. and serum T3, T4 and TSH concentrations were measured by radioimmunoassays. It was found that administration of 5 mg/l of MMI, 10 mg/l of PTU and 100 mg/l of KClO4 for 4--14 days induced a transient rise in serum TSH and a fall in serum T3 or T4 or in both. The effects of KI were not consistent. In another series of experiments, PTU (10 mg/l) was given in drinking water for 4 days, and then graded doses of T3 or T4 were given iv, or 100 ng of TRH was injected into a tail vein, or the animals were exposed to 4 degrees C for 30 min. The initial high TSH levels were further increased by TRH and cold and decreased by T3 and T4. The PTU-treated animals had goitres after 4 days. We infer that low doses, that is to say 10--100 times lower than previously described, of antithyroid drugs induce a hypothyroidism characterized by an increased TSH level and a decreased serum T3 or T4 level or both. A 4 days' treatment with PTU (40 mg/l in tap water) is a suitable tool for studying the effect of various conditions on TSH secretion.
将雄性Sprague-Dawley大鼠置于含有不同剂量甲巯基咪唑(MMI)、丙硫氧嘧啶(PTU)、高氯酸钾(KClO4)或碘化钾(KI)的饮用水中4天,或给予每种药物的最低有效剂量并持续不同时间。下午1点至2点处死大鼠,采用放射免疫分析法测定血清三碘甲状腺原氨酸(T3)、甲状腺素(T4)和促甲状腺激素(TSH)浓度。结果发现,给予5mg/L的MMI、10mg/L的PTU和100mg/L的KClO4持续4至14天,可导致血清TSH短暂升高,血清T3或T4或两者降低。KI的作用并不一致。在另一系列实验中,饮用水中给予PTU(10mg/L)4天,然后静脉注射不同剂量的T3或T4,或尾静脉注射100ng促甲状腺激素释放激素(TRH),或将动物暴露于4℃环境30分钟。TRH和寒冷使最初较高的TSH水平进一步升高,T3和T4则使其降低。经PTU处理4天后,动物出现甲状腺肿大。我们推断,低剂量(即比先前描述的剂量低10至100倍)的抗甲状腺药物可导致甲状腺功能减退,其特征为TSH水平升高,血清T3或T4水平降低或两者均降低。用PTU(自来水中40mg/L)处理4天是研究各种条件对TSH分泌影响的合适手段。