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新生儿甲状腺功能减退症对成年雄性子代大鼠糖代谢、胰岛素分泌和胰岛形态的影响。

Effect of neonatal hypothyroidism on carbohydrate metabolism, insulin secretion, and pancreatic islets morphology of adult male offspring in rats.

机构信息

Department of Physiology, the Medical School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Endocrinol Invest. 2013 Jan;36(1):44-9. doi: 10.3275/8468. Epub 2012 Jun 25.

DOI:10.3275/8468
PMID:22732210
Abstract

BACKGROUND

Neonatal hypothyroidism has serious effects on growth, development, and metabolism.

AIM

This study aims to investigate the effects of the neonatal hypothyroidism on carbohydrate metabolism, islet insulin secretion and morphology of the pancreatic islets in adult male offspring.

MATERIALS/SUBJECTS AND METHODS: Lactating mothers of Wistar rats consumed 0.02% solution of 6-propyl-2-thiouracil during the weaning period (neonatal hypothyroid group), while mothers of the control group drank merely tap water. Body weight and survival of pups were followed up. Intravenous glucose tolerance test was performed in adult male offspring and 5-6 weeks later, glucose-stimulated insulin secretion (GSIS) was evaluated.

RESULTS

During the glucose tolerance test, plasma glucose level of the neonatal hypothyroid group (13.18 ± 0.59 mmol/l) was significantly higher at 5 min compared to the control group (11.54 ± 0.47 mmol/l), whereas plasma insulin concentrations and GSIS of the groups was not significantly different. Homeostasis model assessment of insulin resistance of adult male offspring of the hypothyroid group (9.1 ± 1.0) was significantly higher as compared to the control group (4.5 ± 0.6). Area (14,613.0 ± 2646.3 μm2) and the diameter of the islets (147 ± 3.0 μm) of the neonatal hypothyroid group were significantly lower, as compared to the control group (32,886.3 ± 4690.3 and 206.6 ± 5.9 μm2 and μm, respectively).

CONCLUSION

Neonatal hypothyroidism can alter carbohydrate metabolism in euthyroid adult offspring, which may increase susceptibility to the development of glucose intolerance and occurrence of Type 2 diabetes later in life.

摘要

背景

新生儿甲状腺功能减退症对生长、发育和代谢有严重影响。

目的

本研究旨在探讨新生儿甲状腺功能减退症对成年雄性子代糖代谢、胰岛胰岛素分泌和胰岛形态的影响。

材料/研究对象和方法:新生期(新生儿甲状腺功能减退组)哺乳期 Wistar 大鼠的母亲饮用 0.02%丙基-2-硫代尿嘧啶溶液,而对照组的母亲仅饮用自来水。观察仔鼠体重和成活率。成年雄性子代行静脉葡萄糖耐量试验,5-6 周后行葡萄糖刺激胰岛素分泌(GSIS)试验。

结果

葡萄糖耐量试验中,新生儿甲状腺功能减退组(13.18±0.59mmol/L)5 分钟时的血浆葡萄糖水平明显高于对照组(11.54±0.47mmol/L),而两组的血浆胰岛素浓度和 GSIS 无明显差异。甲状腺功能减退组成年雄性子代的稳态模型评估胰岛素抵抗(9.1±1.0)明显高于对照组(4.5±0.6)。甲状腺功能减退组的胰岛面积(14613.0±2646.3μm2)和胰岛直径(147±3.0μm)明显小于对照组(32886.3±4690.3μm2和 206.6±5.9μm)。

结论

新生儿甲状腺功能减退症可改变甲状腺功能正常成年子代的糖代谢,使其易发生葡萄糖耐量异常,并增加成年后发生 2 型糖尿病的风险。

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