Sebille A
Sem Hop. 1979;55(15-16):825-8.
The right number of muscular disorders which may be observed clinically in thyroid dysfunction contrast with the paucity of knowledge concerning the mechanisms of action of the thyroid hormones. Those which have been described allowed the following conclusions to be made: 1) The thyroid hormones simultaneously increase the oxydative phosphorylation in mitochondria and the activation of glycogen phosphorylase. 2) They modify the properties of cell membrane without noticiably changing the cytoplasm (light and electron microscopically). These modifications are concommitant with a reduction in resting membrane potential associated with anomalies of Na+ conductance and Ca+ uptake. 3) The appearance and the number of motor units in each muscle is dependant on the hormonal impregnation. However, these diverses actions do not reveal wether the thyroid hormone receptors are in the muscle or if they act via the intermediary of a neuronal trophic factor.
临床上可观察到的甲状腺功能障碍相关的肌肉疾病数量不少,这与我们对甲状腺激素作用机制的了解匮乏形成了鲜明对比。已描述的这些疾病可以得出以下结论:1)甲状腺激素同时增加线粒体中的氧化磷酸化和糖原磷酸化酶的活性。2)它们改变细胞膜的特性,而在细胞质方面(光学显微镜和电子显微镜下)没有明显变化。这些改变伴随着静息膜电位的降低,同时伴有钠电导和钙摄取异常。3)每块肌肉中运动单位的出现和数量取决于激素的作用。然而,这些不同的作用并未揭示甲状腺激素受体是在肌肉中,还是通过神经营养因子介导发挥作用。