Custro N, Scafidi V
Cattedra di Patologia Medica I, Università di Palermo.
Boll Soc Ital Biol Sper. 1990 Jun;66(6):521-8.
We have attempted to determine if mild hyperglucagonemia induced by exogenous glucagon infusion induces changes of serum thyroid hormone levels. Eleven healthy subjects, overnight fasting, received glucagon infusion (2 mg/90 min i.v.), whereas 5 healthy subjects (control group) received normal saline infusion. In the subjects infused with exogenous glucagon plasma glucagon concentrations increased from 130 +/- 24 pg/ml to 550 +/- 68 pg/ml at the end of infusion. At the same time no significant changes in serum T3, rT3 and T4 levels were found. A significant increase in serum rT3 levels was found 270 min after glucagon infusion withdrawal, whereas serum T4 levels remained unaltered during the whole period. Normal saline infusion failed to induce any variation in control group, however a late (at 6th hour) mild increase of serum rT3 in these subjects resulted comparable to the same increase of glucagon infused subjects. The results from this study suggest that mild increase in plasma glucagonemia, as found in patients with severe illness, does not induce a short-time significant lowering of serum T3 and a simultaneous rise of serum rT3 in normal subjects.
我们试图确定外源性输注胰高血糖素所诱发的轻度高胰高血糖素血症是否会引起血清甲状腺激素水平的变化。11名健康受试者在隔夜禁食后接受胰高血糖素输注(静脉注射2毫克/90分钟),而5名健康受试者(对照组)接受生理盐水输注。在外源性输注胰高血糖素的受试者中,输注结束时血浆胰高血糖素浓度从130±24皮克/毫升增至550±68皮克/毫升。与此同时,未发现血清T3、反T3和T4水平有显著变化。在停止输注胰高血糖素270分钟后,血清反T3水平显著升高,而血清T4水平在整个期间保持不变。生理盐水输注未能在对照组诱发任何变化,然而这些受试者血清反T3在后期(第6小时)轻度升高,结果与输注胰高血糖素的受试者的相同升高情况相当。本研究结果表明,在重病患者中所发现的血浆胰高血糖素血症轻度升高,在正常受试者中不会引起血清T3短期内显著降低以及血清反T3同时升高。