Letizia C, Sellini M, Baccarini S, Scavo D
I Patologia Speciale Medica, Università degli Studi di Roma La Sapienza.
Minerva Med. 1991 Jun;82(6):333-7.
The study examined the relations between serum levels of angiotensin-converting enzyme and those of thyroid-stimulating hormone in a group of hyperthyroid patients, and the respective therapy. The study continued for 12 months, from the onset of disease until remission. From an analysis of the results it was seen that levels of SACE and TSH during the first 4 months were significantly different to those in normal subjects: levels of SACE were increased, whereas TSH levels had fallen. This difference gradually diminished over the course of the following 8 months, and SACE and TSH values returned to within normal limits. The increment of SACE may depend on the presence of damage to the vascular endothelium within and surrounding the thyroid, in addition to intense vasodilation caused by the hyperthyroid state. The correlation between increased SACE levels and the course of disease is further confirmed by the fact that levels returned to within normal values during thyrostatic therapy; this was also observed in the case of TSH.
该研究调查了一组甲状腺功能亢进患者血清中血管紧张素转换酶水平与促甲状腺激素水平之间的关系,以及相应的治疗情况。研究从疾病发作持续至缓解,为期12个月。通过对结果的分析发现,最初4个月内血清血管紧张素转换酶(SACE)水平和促甲状腺激素(TSH)水平与正常受试者相比有显著差异:SACE水平升高,而TSH水平下降。在接下来的8个月中,这种差异逐渐减小,SACE和TSH值恢复到正常范围内。SACE的升高可能除了取决于甲状腺功能亢进状态引起的强烈血管舒张外,还取决于甲状腺内部和周围血管内皮的损伤。SACE水平升高与疾病进程之间的相关性通过以下事实得到进一步证实:在进行抗甲状腺治疗期间,其水平恢复到正常范围内;TSH的情况也是如此。