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杂种犬的甲状腺激素抗体与桥本甲状腺炎

Thyroid hormone antibodies and Hashimoto's thyroiditis in mongrel dogs.

作者信息

Rajatanavin R, Fang S L, Pino S, Laurberg P, Braverman L E, Smith M, Bullock L P

机构信息

Division of Endocrinology and Metabolism, University of Massachusetts Medical School, Worcester 01655.

出版信息

Endocrinology. 1989 May;124(5):2535-40. doi: 10.1210/endo-124-5-2535.

Abstract

Abnormally elevated serum T3 concentrations measured by RIA were observed in 19 clinically euthyroid or hypothyroid mongrel dogs. The serum T4 concentrations in these sera were low, normal, or high. Measurement of the intensity of thyroid hormone binding to serum proteins was determined by equilibrium dialysis. A marked decrease in the percent free T3 was observed in these abnormal sera. Polyacrylamide gel electrophoresis, pH 7.4, of normal dog serum enriched with tracer 125I-labeled thyroid hormones demonstrated binding of [125I]T4 to transthyretin, thyroid hormone-binding globulin, and albumin and of [125I]T3 primarily to thyroid hormone-binding globulin. In all abnormal sera, polyacrylamide gel electrophoresis demonstrated strikingly higher binding of T3 to immunoglobulin (Ig). Eleven of 16 abnormal sera had minimal to moderate binding of T4 to Ig. The percent free T4 was lower only in dogs whose sera demonstrated markedly increased binding of T4 to Ig. All abnormal sera tested had positive antithyroglobulin antibodies, consistent with the diagnosis of autoimmune lymphocytic thyroiditis. As in humans, antibodies to thyroid hormones in dogs are more common in the presence of Hashimoto's thyroiditis and should be considered when elevated serum thyroid hormone concentrations are observed in the absence of clinical thyrotoxicosis. When an antibody to only one thyroid hormone is present, a marked discrepancy in the serum concentrations of T3 and T4 will be observed.

摘要

在19只临床甲状腺功能正常或甲状腺功能减退的杂种犬中,通过放射免疫分析法检测到血清三碘甲状腺原氨酸(T3)浓度异常升高。这些血清中的血清甲状腺素(T4)浓度低、正常或高。通过平衡透析法测定甲状腺激素与血清蛋白结合的强度。在这些异常血清中观察到游离T3百分比显著降低。用示踪剂125I标记的甲状腺激素富集的正常犬血清在pH 7.4条件下进行聚丙烯酰胺凝胶电泳,结果显示[125I]T4与转甲状腺素蛋白、甲状腺激素结合球蛋白和白蛋白结合,而[125I]T3主要与甲状腺激素结合球蛋白结合。在所有异常血清中,聚丙烯酰胺凝胶电泳显示T3与免疫球蛋白(Ig)的结合显著增加。16份异常血清中有11份T4与Ig的结合程度为轻度至中度。仅在血清中T4与Ig结合明显增加的犬中,游离T4百分比降低。所有检测的异常血清抗甲状腺球蛋白抗体均为阳性,这与自身免疫性淋巴细胞性甲状腺炎的诊断一致。与人类一样,犬体内甲状腺激素抗体在桥本甲状腺炎患者中更为常见,当在无临床甲状腺毒症的情况下观察到血清甲状腺激素浓度升高时应予以考虑。当仅存在一种甲状腺激素的抗体时,将观察到血清中T3和T4浓度的显著差异。

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