Abend S L, Fang S L, Alex S, Braverman L E, Leonard J L
Department of Medicine, University of Massachusetts Medical School, Worcester 01655.
J Clin Invest. 1991 Sep;88(3):898-903. doi: 10.1172/JCI115392.
TSH secretion is decreased by both T4 and T3. This negative feedback control of TSH secretion has been correlated with an increase in pituitary nuclear T3 content, and it is not clear whether T4 exerts its effect directly on the thyrotroph or after its deiodination to T3. However, levels of the pituitary enzyme catalyzing T4 to T3 conversion, 5'D-II, are decreased in the presence of an increased amount of T4. Thus, it is unclear why the thyrotroph would have a mechanism for modulating the production of T3, if T3 is, in fact, the sole bioactive signal providing negative feedback inhibition. To examine this apparent paradox, we administered EMD 21388, a compound which inhibits the binding of T4 to transthyretin resulting in a rapid increase in circulating free T4 levels, to rats pretreated with radiolabeled T4 and T3. We observed increases in pituitary and liver T4 content of greater than 150%, without increases in the respective tissue T3 contents. The EMD 21388-treated rats also exhibited a 25% decrease in pituitary 5'D-II activity (103.8 +/- 15.8 fmol 125I released.mg protein-1.h-1, vs. control, 137.4 +/- 15.9, mean +/- SE), as did rats treated with sodium salicylate, another compound that inhibits T4-TTR binding (100.8 +/- 7.1). TSH levels significantly decreased 2 h after the administration of EMD 21388. These data demonstrate that despite a T4-mediated decrease in pituitary 5'D-II activity, an increase in T4 independently decreases TSH secretion.
T4和T3均可降低促甲状腺激素(TSH)的分泌。TSH分泌的这种负反馈控制与垂体细胞核内T3含量的增加相关,目前尚不清楚T4是直接作用于促甲状腺细胞,还是在脱碘转化为T3后才发挥作用。然而,在T4量增加时,催化T4转化为T3的垂体酶——5′-脱碘酶II(5'D-II)的水平却降低。因此,如果T3实际上是提供负反馈抑制的唯一生物活性信号,那么促甲状腺细胞为何会有调节T3产生的机制就不清楚了。为了研究这一明显的矛盾,我们给预先用放射性标记的T4和T3处理过的大鼠注射EMD 21388,该化合物可抑制T4与甲状腺素结合蛋白的结合,从而使循环游离T4水平迅速升高。我们观察到垂体和肝脏的T4含量增加超过150%,而相应组织的T3含量并未增加。用EMD 21388处理的大鼠垂体5'D-II活性也降低了25%(103.8±15.8 fmol 125I释放·mg蛋白-1·h-1,对照组为137.4±15.9,均值±标准误),用另一种抑制T4-甲状腺素结合蛋白结合的化合物水杨酸钠处理的大鼠也是如此(100.8±7.1)。注射EMD 21388后2小时,TSH水平显著降低。这些数据表明,尽管T4介导垂体5'D-II活性降低,但T4增加仍可独立降低TSH分泌。