Departamento de Patología, Instituto Nacional de Pediatría, Mexico.
Horm Metab Res. 2012 Feb;44(2):79-85. doi: 10.1055/s-0031-1297941. Epub 2011 Dec 27.
Hypothyroidism is a systemic disease resulting from either thyroid gland's anatomical and functional absence or lack of hypophyseal stimulation, both of which can lead to deficiency in thyroid hormone (TH) production. TH is essential for human and animal development, growth, and function of multiple organs. Children with deficient TH can develop alterations in central nervous system (CNS), striated muscle, bone tissue, liver, bone marrow, and cardiorespiratory system. Among the clinical outlook are signs like breathing difficulty, cardiac insufficiency, dysphagia, and repeated bronchial aspiration, constipation, muscle weakness, cognitive alterations, cochlear dysfunction, reduced height, defects in temperature regulation, anaemia, jaundice, susceptibility to infection, and others. Experimental and clinical studies have shown that TH is very essential for normal brain development. Other research work based on mice pointed out that a reduced level of TH in pregnant mother leads to congenital hypothyroidism in animal models and it is associated with mental retardation, deep neurologic deficiency that impacts on cognitive, learning, and memory functions. The principal experimental model studies that have focused on hypothyroidism are reviewed in this study. This is important on considering the fact that almost all animal species require thyroid hormones for their metabolism.
甲状腺功能减退症是一种全身性疾病,由甲状腺解剖和功能缺失或缺乏垂体刺激引起,这两者均可导致甲状腺激素(TH)产生不足。TH 对人类和动物的发育、生长以及多个器官的功能至关重要。患有 TH 不足的儿童可能会出现中枢神经系统(CNS)、横纹肌、骨组织、肝脏、骨髓和心肺系统的改变。临床特征包括呼吸困难、心脏功能不全、吞咽困难、反复支气管吸入、便秘、肌肉无力、认知改变、耳蜗功能障碍、身高降低、体温调节缺陷、贫血、黄疸、易感染等。实验和临床研究表明,TH 对正常大脑发育非常重要。其他基于小鼠的研究工作指出,母亲体内 TH 水平降低会导致动物模型中的先天性甲状腺功能减退症,并与智力迟钝、影响认知、学习和记忆功能的深度神经缺陷有关。本研究综述了主要的甲状腺功能减退症实验模型研究。这一点很重要,因为几乎所有动物物种的新陈代谢都需要甲状腺激素。