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丙硫氧嘧啶、胺碘酮、苯妥英钠、苯巴比妥和3-甲基胆蒽对大鼠肝脏和肾脏T4代谢及甲状腺功能影响的比较。

Comparison of the effects of propylthiouracil, amiodarone, diphenylhydantoin, phenobarbital, and 3-methylcholanthrene on hepatic and renal T4 metabolism and thyroid gland function in rats.

作者信息

De Sandro V, Chevrier M, Boddaert A, Melcion C, Cordier A, Richert L

机构信息

Rhône-Poulenc Rorer, Département Sécurité du Médicament, Centre de Recherche de Vitry-Alfortville, Vitry sur Seine, France.

出版信息

Toxicol Appl Pharmacol. 1991 Nov;111(2):263-78. doi: 10.1016/0041-008x(91)90030-i.

Abstract

We studied the effects of propylthiouracil (PTU), amiodarone (AMIO), diphenylhydantoin (DPH), phenobarbital (PB), and 3-methylcholanthrene (MC) on thyroid histomorphology, on the hepatic and renal enzymes involved in endogenous and exogenous metabolism, and on the plasma levels and pharmacokinetics of thyroid hormones after 7 and 14 days of treatment. PTU and PB, by decreasing both serum tetraiodothyronine (T4) and triiodothyronine (T3), induced a massive increase in serum thyrotropin (TSH) and thus induced thyroid hypertrophy. AMIO and MC, by decreasing respectively serum T3 and T4, also induced an increase of TSH, but to a lesser extent, not sufficient to induce thyroid hypertrophy. Hepatic 5'-deiodinase activity was decreased in all treated rats. Inhibition of this enzyme by PTU was demonstrated in vitro; AMIO also decreased the enzyme activity by a still unelucidated mechanism, which probably requires intact cell plasma membranes, whereas in PB- and MC-treated rats the decrease in enzyme activity certainly resulted from decreased serum concentrations of T4. In PTU-treated rats, and probably in MC-treated rats, decreases in circulating thyroid hormones were primarily due to impairment of synthesis and/or of secretion by the thyroid. In contrast, in PB-treated rats, the decrease in serum thyroid hormone levels seems to be due to increased excretion of these hormones, as T4 serum clearance was significantly increased. PB, a microsomal enzyme inducer, increased the cytochrome b5 and P450 content as well as the cytochrome P450-dependent O-depentylation of pentoxyresorufin. The other type of enzyme inducer, MC, did not affect cytochrome b5 and P450 levels, but did increase the cytochrome P450 dependent O-deethylation of ethoxyresorufin. PB increased the glucuronidation of morphine, whereas MC increased the glucuronidation of 1-naphthol. However, serum T4 clearance, mainly determined by its hepatic conjugation rate, was increased only in PB-treated rats. It appears from this study that the close metabolic relationship between the liver/kidney and the thyroid should be taken into consideration when the findings of chronic toxicology and carcinogenicity studies are interpreted.

摘要

我们研究了丙硫氧嘧啶(PTU)、胺碘酮(AMIO)、苯妥英(DPH)、苯巴比妥(PB)和3-甲基胆蒽(MC)对甲状腺组织形态学、参与内源性和外源性代谢的肝酶和肾酶,以及治疗7天和14天后甲状腺激素的血浆水平和药代动力学的影响。PTU和PB通过降低血清四碘甲状腺原氨酸(T4)和三碘甲状腺原氨酸(T3),导致血清促甲状腺激素(TSH)大量增加,从而引起甲状腺肥大。AMIO和MC分别通过降低血清T3和T4,也导致TSH增加,但程度较轻,不足以引起甲状腺肥大。所有经治疗的大鼠肝脏5'-脱碘酶活性均降低。PTU在体外可证明对该酶有抑制作用;AMIO也通过一种尚未阐明的机制降低酶活性,这可能需要完整的细胞质膜,而在PB和MC治疗的大鼠中,酶活性的降低肯定是由于血清T4浓度降低所致。在PTU治疗的大鼠中,可能也在MC治疗的大鼠中,循环甲状腺激素的降低主要是由于甲状腺合成和/或分泌受损。相反,在PB治疗的大鼠中,血清甲状腺激素水平的降低似乎是由于这些激素排泄增加,因为T4血清清除率显著增加。PB作为一种微粒体酶诱导剂,增加了细胞色素b5和P450的含量以及细胞色素P450依赖的戊氧基试卤灵O-脱烷基化。另一种酶诱导剂MC不影响细胞色素b5和P450水平,但增加了细胞色素P450依赖的乙氧基试卤灵O-脱乙基化。PB增加了吗啡的葡萄糖醛酸化,而MC增加了1-萘酚的葡萄糖醛酸化。然而,主要由其肝脏结合率决定的血清T4清除率仅在PB治疗的大鼠中增加。从这项研究看来,在解释慢性毒理学和致癌性研究结果时,应考虑肝脏/肾脏与甲状腺之间密切的代谢关系。

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