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静脉持续输注酒石酸促甲状腺激素两小时对人体血浆促甲状腺激素释放激素及其靶激素水平的影响(作者译)

[Changes of plasma levels of TRH and its target hormones by two hour constant intravenous infusion of TRH tartrate in man (author's transl)].

作者信息

Nihei N, Ikeda Y, Murata Y, Kamikawa T, Suzuki Y, Yamazaki N

出版信息

Nihon Naibunpi Gakkai Zasshi. 1979 Sep 20;55(9):1089-97. doi: 10.1507/endocrine1927.55.9_1089.

Abstract

Constant iv infusion of TRH tartrate for 2 hours was administered to normal men in a dosage of 0.5 (n=4), 1.0 (n=2) and 2 (n=4) mg/120 minutes. Measurements at every 15 minutes were performed for plasma levels of TRH, TSH, Thyroxine (T4) and Triiodothyronine (T3) by radioimmunoassay. Plasma levels of TRH increased promptly and stayed at the same levels until the end of the infusion. The Mean Clearance Rate (MRC), Half-life and Volume of Distribution of TRH were respectively, 4.62 +/- 0.53 L/min. (M +/- SE), 17.8 +/- 3.8 minutes and 112 +/- 15 L in the 0.5 mg administered group and 6.38 +/- 2.50 L/min., 9.0 +/- 1.4 minutes and 82 +/- 30 L in the 2 mg administered group. Plasma levels of TRH increased in two phases, and increments of plasma TSH were dose dependable to the dosage of TRH. Plasma levels of T4 increased gradually in the course of TRH infusion and stayed at high levels even in the withdrawal phase of TRH. Plasma levels of T3 increased markedly during and after the TRH infusion in the 0.5 mg administered group, while increments of plasma T3 were minute in the 2 mg administered group. From the above data, it is suggested that the amount of TRH production in man, which is much more than has previously been reported, may indicate the existence of an extrahypothalamic synthesis of TRH in man.

摘要

以0.5mg/120分钟(n = 4)、1.0mg/120分钟(n = 2)和2mg/120分钟(n = 4)的剂量,对正常男性持续静脉输注酒石酸TRH 2小时。每隔15分钟通过放射免疫分析法测定血浆中TRH、促甲状腺激素(TSH)、甲状腺素(T4)和三碘甲状腺原氨酸(T3)的水平。TRH的血浆水平迅速升高,并在输注结束前保持在相同水平。在给予0.5mg的组中,TRH的平均清除率(MRC)、半衰期和分布容积分别为4.62±0.53L/分钟(M±SE)、17.8±3.8分钟和112±15L;在给予2mg的组中,分别为6.38±2.50L/分钟、9.0±1.4分钟和82±30L。TRH的血浆水平呈两个阶段升高,血浆TSH的增加与TRH的剂量呈剂量依赖性。在TRH输注过程中,T4的血浆水平逐渐升高,甚至在TRH撤药阶段仍保持在高水平。在给予0.5mg的组中,TRH输注期间及之后T3的血浆水平显著升高,而在给予2mg的组中,血浆T3的增加幅度很小。根据上述数据,提示人体中TRH的产生量比以前报道的要多得多,这可能表明人体中存在下丘脑外TRH合成。

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