Costante G, Crupi D, Catalfamo R, Trimarchi F
Istituto Pluridisciplinare di Clinica Medica e Terapia Medica, University of Messina, Italy.
J Endocrinol Invest. 1990 Jun;13(6):469-74. doi: 10.1007/BF03348602.
Thyroid hormone binding autoantibodies have been observed in serum from patients affected by either thyroid disorders or autoimmune nonthyroid diseases. In most instances, no major involvement of thyroid status of these patients has been reported. However, some authors have attributed the occurrence of hypothyroidism to high capacity thyroid hormone binding autoantibodies. In order to verify such a hypothesis, the effect of these autoantibodies on serum TSH and liver mitochondrial alpha-glycerophosphate dehydrogenase has been investigated in rats, wherein circulating T3-binding antibodies (max cap 10(-12) 10(-8) to mol/l) were induced by active immunization. Starting from the 3rd week after antigen injection, the binding of 125I-T3 to serum immunoglobulins was progressively increased, with a peak at the 5th week. In immunized animals considered as a whole group, serum TSH levels were significantly higher and liver mitochondrial alpha-glycerophosphate dehydrogenase activity was significantly lower than in normal rats (m +/- SE: 145 +/- 15 vs 34 +/- 2 ng/dl and 0.0450 +/- 008 vs 0.0980 +/- 005 delta A. mg/prot/.min, respectively; p less than 0.001). The pattern of both TSH increase and alpha-glycerophosphate dehydrogenase decrease were similar to the evolution of 125-I-T3 binding to serum immunoglobulins, the maximal TSH values and lowest enzyme levels being observed at the 5th week after the beginning of the experiments.(ABSTRACT TRUNCATED AT 250 WORDS)
在患有甲状腺疾病或自身免疫性非甲状腺疾病的患者血清中已观察到甲状腺激素结合自身抗体。在大多数情况下,这些患者的甲状腺状态未被报道有重大影响。然而,一些作者将甲状腺功能减退的发生归因于高容量甲状腺激素结合自身抗体。为了验证这一假设,在大鼠中研究了这些自身抗体对血清促甲状腺激素(TSH)和肝线粒体α-甘油磷酸脱氢酶的影响,其中通过主动免疫诱导循环T3结合抗体(最大结合能力为10(-12)至10(-8)mol/l)。从抗原注射后的第3周开始,125I-T3与血清免疫球蛋白的结合逐渐增加,在第5周达到峰值。在作为一个整体的免疫动物组中,血清TSH水平显著高于正常大鼠,肝线粒体α-甘油磷酸脱氢酶活性显著低于正常大鼠(平均值±标准误:分别为145±15与34±2ng/dl以及0.0450±0.008与0.0980±0.005ΔA.mg/蛋白/.分钟;p<0.001)。TSH升高和α-甘油磷酸脱氢酶降低的模式与125-I-T3与血清免疫球蛋白结合的演变相似,在实验开始后的第5周观察到最大TSH值和最低酶水平。(摘要截断于250字)