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[肾病大鼠血清甲状腺激素与生长激素 - 胰岛素样生长因子轴及生长发育迟缓的关系]

[Relationship between serum thyroid hormone and GH-IGF axis, growth failure in nephrotic rats].

作者信息

Liu J H, Yi Z W

机构信息

Department of Pediatrics, Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Hunan Yi Ke Da Xue Xue Bao. 2001 Jun 28;26(3):263-6.

Abstract

OBJECTIVE

To investigate the individual effects of malnutrition, nephrosis and glucocorticoid therapy on serum thyroid hormone, and explore the relationship between serum thyroid hormone and GH-IGF axis, growth failure in nephrotic rats.

METHODS

Twenty-four male Sprague-Dawley (SD) rats were randomly divided into control group, pair-fed group, doxorubincin-induced nephrotic group (nephrotic group) and dexamethasone-treated nephrotic group (des-treated group). Serum T3/T4, GH and IGF-I were measured by RIA, serum IGFBPs were measured by Western ligand blot, liver GHR and IGF-I/IGFBPs mRNA were analyzed by radio-receptor assay and RT-PCR respectively.

RESULTS

  1. Serum thyroid hormone was low in pair-fed group, lower in nephrotic group and lowest in des-treated group except for high serum T4 in pair-fed group. 2. Serum thyroid hormone was positively related with liver GHR, IGF-I/IGFBP-3 mRNA and serum IGF-I/IGFBP-3, and negatively related with serum IGFBP-2. 3. Serum thyroid hormone was positively related with nose-tail length and weight (both P < 0.01).

CONCLUSIONS

The hypothyroidism is a possible mechanism of reducing serum IGF-I levels and biologic action, and resulting in growth failure in nephrotic syndrome.

摘要

目的

探讨营养不良、肾病及糖皮质激素治疗对血清甲状腺激素的个体影响,并探讨血清甲状腺激素与生长激素-胰岛素样生长因子(GH-IGF)轴、肾病大鼠生长发育迟缓之间的关系。

方法

将24只雄性Sprague-Dawley(SD)大鼠随机分为对照组、配对喂养组、阿霉素诱导肾病组(肾病组)和地塞米松治疗肾病组(地塞米松治疗组)。采用放射免疫分析法(RIA)检测血清T3/T4、GH和IGF-I水平,采用Western配体印迹法检测血清IGFBPs水平,分别采用放射受体分析法和逆转录-聚合酶链反应(RT-PCR)分析肝脏生长激素受体(GHR)和IGF-I/IGFBPs mRNA水平。

结果

  1. 配对喂养组血清甲状腺激素水平降低,肾病组更低,地塞米松治疗组最低,但配对喂养组血清T4水平较高。2. 血清甲状腺激素与肝脏GHR、IGF-I/IGFBP-3 mRNA及血清IGF-I/IGFBP-3呈正相关,与血清IGFBP-2呈负相关。3. 血清甲状腺激素与鼻尾长度和体重均呈正相关(均P < 0.01)。

结论

甲状腺功能减退可能是肾病综合征患儿血清IGF-I水平降低及其生物学活性降低,进而导致生长发育迟缓的机制之一。

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