Costa A, Arisio R, Benedetto C, Bertino E, Fabris C, Giraudi G, Marozio L, Maulà V, Pagliano M, Testori O
Ospedale Mauriziano Umberto I, Università degli Studi di Torino, Italy.
J Endocrinol Invest. 1991 Jul-Aug;14(7):559-68. doi: 10.1007/BF03346869.
This study was intended to quantify T3 and T4 in various human tissues at different stages of gestation as a contribute in the evaluation of the role of thyroid hormones in fetal development, particularly before the maturation of fetal thyroid function. Moreover, for a better comprehension of the influence of thyroid hormone status in tissues, the study was extended to adults. Embryonic specimens were obtained from voluntary abortions between 6 and 12 weeks of gestation, fetal and neonatal specimens from fetuses and neonates between 15 and 36 weeks of gestation after spontaneous abortion or stillbirth, and adult specimens from men (age range: 45-65 years) after death for cardiovascular diseases. Thyroid hormones were measured by the method of Gordon and coworkers. In embryos T3 and T4 were measured in limbs, carcasses, brain and liver: considering all values measured in the period 9-12 weeks, a mean concentration of 0.11 ng/g for T3 and 1.28 ng/g for T4 was obtained. In pooled limbs of 6-8 weeks T3 was barely measurable (0.01 ng/g). In the carcasses there was an increase in T3 and T4 concentrations of 40 and 20 times respectively from the 9th to the 12th week, when thyroid follicles organization takes place. In fetuses and adults T3 and T4 were measured in brain, heart, kidney, liver, lung, skeletal muscle and skin (mean concentrations: 0.86 ng/g for T3 and 7.44 ng/g for T4 in fetuses and neonates; 1.36 ng/g for T3 and 12.75 ng/g for T4 in adults). Hormones concentration increased with gestational age; the T3/T4 ratio increased until 22-24 weeks, when the prevalent increment in T4 occurs. T3 concentration up to 30 weeks was generally higher in tissues than in cord serum of the corresponding age. During the last month of gestation T3 increment was faster in serum. T4 level was always predominant in serum. In conclusion, T3 and T4 have been detected in the limbs of embryos before the onset of thyroid hormone secretion. Concentrations were 1/150 and 1/70, of the normal maternal blood values respectively. It is conceivable that these hormones are of maternal origin, and the question of whether such small quantities may play a role in fetal development is open.
本研究旨在定量测定妊娠不同阶段各种人体组织中的T3和T4,以有助于评估甲状腺激素在胎儿发育中的作用,特别是在胎儿甲状腺功能成熟之前。此外,为了更好地理解甲状腺激素状态对组织的影响,该研究扩展至成年人。胚胎标本取自妊娠6至12周的自愿流产者,胎儿和新生儿标本取自自然流产或死产后妊娠15至36周的胎儿和新生儿,成人标本取自因心血管疾病死亡的男性(年龄范围:45 - 65岁)。甲状腺激素采用Gordon及其同事的方法进行测定。在胚胎中,在四肢、躯干、脑和肝脏中测量T3和T4:考虑在9至12周期间测量的所有值,T3的平均浓度为0.11 ng/g,T4为1.28 ng/g。在6至8周的合并四肢中,T3几乎无法测量(0.01 ng/g)。在躯干中,从第9周到第12周,T3和T4浓度分别增加了40倍和20倍,此时甲状腺滤泡开始组织化。在胎儿和成年人中,在脑、心脏、肾脏、肝脏、肺、骨骼肌和皮肤中测量T3和T4(平均浓度:胎儿和新生儿中T3为0.86 ng/g,T4为7.44 ng/g;成年人中T3为1.36 ng/g,T4为12.75 ng/g)。激素浓度随胎龄增加;T3/T4比值在22至24周之前增加,此时T4出现普遍增加。直至30周,组织中的T3浓度通常高于相应年龄的脐带血清中的浓度。在妊娠最后一个月,血清中T3的增加更快。血清中T4水平始终占主导。总之,在甲状腺激素分泌开始之前,已在胚胎四肢中检测到T3和T4。其浓度分别为正常母体血液值的1/150和1/70。可以想象这些激素源自母体,而如此少量的激素是否可能在胎儿发育中起作用这一问题尚无定论。