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对丙硫氧嘧啶使大鼠甲状腺中甲状腺过氧化物酶失活的提议进行的重新审视。

A reexamination of the proposed inactivation of thyroid peroxidase in the rat thyroid by propylthiouracil.

作者信息

Taurog A, Dorris M L

机构信息

Department of Pharmacology, University of Texas Southwestern Medical Center, Dallas 75235.

出版信息

Endocrinology. 1989 Jun;124(6):3038-42. doi: 10.1210/endo-124-6-3038.

Abstract

The antithyroid drug 6-propylthiouracil (PTU) was previously shown in our laboratory to have an unexpectedly prolonged inhibitory effect on iodination in the thyroid glands of rats. Eighteen hours after injection of a relatively small dose, iodination in the thyroid remained inhibited by more than 90%. We previously suggested that the prolonged inhibitory effect might be due to inactivation of thyroid peroxidase (TPO), a reaction previously shown to occur under certain conditions in an in vitro iodinating system containing highly purified TPO. However, the analytical procedure used in our earlier study did not exclude the possibility that sufficient PTU remained in the thyroid even after 18 h to inhibit TPO-catalyzed iodination by a reversible mechanism. Development of an improved analytical procedure, based on HPLC, led us to reexamine the mechanism of the prolonged inhibitory effect of PTU on iodination in rat thyroid glands. Rats were injected with [35S]PTU (1 mumol/100 g BW), and ultrafiltrates prepared from their homogenized thyroid glands were analyzed by HPLC. The major 35S-labeled metabolites were identified as sulfate/sulfite, PTU sulfinate, and PTU sulfonate. However, even after 18 h, a significant amount of unchanged [35S]PTU was also present. The calculated mean concentration of residual PTU was 20 microM, a sufficiently high level to explain the observed inhibition of iodination on the basis of a reversible mechanism. Experiments were also performed to examine the intrathyroidal distribution of 35S at intervals after the injection of [35S]PTU. All of the oxidation products of PTU showed marked increases between 2 and 16 h after injection. Based on our view that TPO is the major mediator of intrathyroidal metabolism of PTU, this observation is inconsistent with our previous proposal that TPO is inactivated after PTU injection. The results of the present study, therefore, lead us to withdraw our previous suggestion that TPO is inactivated after injection of PTU into rats. It is more likely that inhibition of iodination by PTU in the rat thyroid involves competition between PTU and tyrosyl residues of thyroglobulin for oxidized iodine, comparable to the reversible mechanism of inhibition observed in the TPO model system.

摘要

抗甲状腺药物6-丙基硫氧嘧啶(PTU)先前在我们实验室中被证明对大鼠甲状腺中的碘化作用具有意外的延长抑制作用。注射相对小剂量的PTU 18小时后,甲状腺中的碘化作用仍被抑制超过90%。我们先前认为,这种延长的抑制作用可能是由于甲状腺过氧化物酶(TPO)失活,先前已证明在含有高度纯化TPO的体外碘化系统中,在某些条件下会发生这种反应。然而,我们早期研究中使用的分析程序并未排除即使在18小时后甲状腺中仍有足够的PTU通过可逆机制抑制TPO催化的碘化作用的可能性。基于高效液相色谱(HPLC)开发的一种改进分析程序,使我们重新审视PTU对大鼠甲状腺碘化作用延长抑制作用的机制。给大鼠注射[35S]PTU(1 μmol/100 g体重),并通过HPLC分析从其匀浆甲状腺制备的超滤物。主要的35S标记代谢产物被鉴定为硫酸盐/亚硫酸盐、PTU亚磺酸盐和PTU磺酸盐。然而,即使在18小时后,也存在大量未变化的[35S]PTU。计算得出的残余PTU平均浓度为20 μM,这一水平足以解释基于可逆机制观察到的碘化抑制作用。还进行了实验,以检查注射[35S]PTU后不同时间间隔甲状腺内35S的分布。PTU的所有氧化产物在注射后2至16小时之间均显著增加。基于我们认为TPO是甲状腺内PTU代谢的主要介质的观点,这一观察结果与我们先前提出的PTU注射后TPO失活的观点不一致。因此,本研究结果使我们撤回先前关于给大鼠注射PTU后TPO失活的建议。更有可能的是,PTU对大鼠甲状腺碘化作用的抑制涉及PTU与甲状腺球蛋白的酪氨酸残基竞争氧化碘,这与在TPO模型系统中观察到的可逆抑制机制类似。

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