Bürgi U, Bürgi-Saville M E, Burgherr J, Clément M, Lauber K
Endocrine Division, University Clinic of Medicine, Inselspital, Bern, Switzerland.
Int J Obes. 1990 Dec;14(12):1023-38.
The effects of a combined treatment with supraphysiological doses of the thyroid hormone T3 (15 micrograms/kg BW/day, s.c.) and high doses of a predominant beta 1-blocker (atenolol, 12.5 and 25 mg/kg BW, 3X/day, s.c.) or a non-specific beta-blocker (propranolol, 5 mg/kg BW s.c. and 33 mg/kg BW p.o., each 3X/day) on energy intake, body composition and the heart were studied in overfed rats with an increased body fat content. The goal of the study was to investigate whether the above treatment constitutes a therapy for obesity in that T3 causes weight and fat loss and the beta-blockers prevent the unwanted T3-effects on the heart (tachycardia and increased heart weight). T3 did not increase energy intake above the level seen in overfed animals. It caused loss of body weight due to loss of fat but not protein, an increase in interscapular brown adipose tissue (IBAT) weight and fat, tachycardia and an increase in heart weight. Atenolol and propranolol blocked T3-induced tachycardia. With the exception of the highest propranolol dose which abolished the T3-induced increase in IBAT fat content, the beta-blockers did not modify the other T3 effects. Thus, in spite of the weight and fat loss and the lack of significant protein loss and tachycardia observed under T3/high dose beta-blockers treatment, the T3-induced increase in heart weight makes this treatment unsuitable as a therapy for obesity.
研究了用超生理剂量的甲状腺激素T3(15微克/千克体重/天,皮下注射)与高剂量的主要β1受体阻滞剂(阿替洛尔,12.5和25毫克/千克体重,每天3次,皮下注射)或非特异性β受体阻滞剂(普萘洛尔,5毫克/千克体重皮下注射和33毫克/千克体重口服,各每天3次)联合治疗对体脂含量增加的过度喂养大鼠的能量摄入、身体组成和心脏的影响。该研究的目的是调查上述治疗是否构成肥胖症的一种疗法,因为T3可导致体重和脂肪减少,而β受体阻滞剂可预防T3对心脏产生的不良影响(心动过速和心脏重量增加)。T3并未使能量摄入增加超过过度喂养动物所见的水平。它导致体重因脂肪而非蛋白质的减少而下降,肩胛间棕色脂肪组织(IBAT)重量和脂肪增加,心动过速以及心脏重量增加。阿替洛尔和普萘洛尔可阻断T3诱导的心动过速。除了最高剂量的普萘洛尔消除了T3诱导的IBAT脂肪含量增加外,β受体阻滞剂并未改变T3的其他作用。因此,尽管在T3/高剂量β受体阻滞剂治疗下观察到体重和脂肪减少,且无明显蛋白质丢失和心动过速,但T3诱导的心脏重量增加使得这种治疗不适合作为肥胖症的疗法。