Starling J R, Weese J L
J Surg Res. 1985 Nov;39(5):413-9. doi: 10.1016/0022-4804(85)90095-2.
Chronic hypothyroidism can result in an increased susceptibility to severe pulmonary or genitourinary tract infections. We postulate that decreased lysosomal activity in the pulmonary alveolar macrophage (PAM), peritoneal macrophage, and mononuclear leukocyte may be a factor which results in the impaired response to infections in hypothyrosis. In this study rats underwent total thyroidectomy and had their PAMs, peritoneal macrophages, and mononuclear leukocytes analyzed after 4, 8, and 12 weeks. The total lysosomal activity (postnuclear homogenate + lysosomal-rich cell fraction) of PAMs was 50% of age-matched controls. Peritoneal macrophage lysosomal enzyme activity was 25-30% of control activity. In separate experiments, rats were administered physiologic replacement of triiodothyronine (T3) 8 weeks after thyroidectomy. This resulted in PAM and peritoneal macrophage lysosomal enzyme activity similar to control activity. Mononuclear leukocyte lysosomal enzyme activity from hypothyroid rats showed decreases in only one of the three enzymes monitored (beta-glucuronidase). Hypothyroidism did result in a decrease in total number of mononuclear leukocytes harvested per animal. Administration of T3 resulted in mononuclear leukocyte beta-glucuronidase activity similar to euthyroid rats (44 +/- 8 U/mg protein vs 42 +/- 3 U/mg protein). In summary, hypothyroidism in the rat results in decreases in subcellular lysosomal enzyme activity in PAMs, peritoneal macrophages, and mononuclear leukocytes.
慢性甲状腺功能减退会导致对严重肺部或泌尿生殖道感染的易感性增加。我们推测,肺泡巨噬细胞(PAM)、腹腔巨噬细胞和单核白细胞中溶酶体活性降低可能是导致甲状腺功能减退时感染反应受损的一个因素。在本研究中,大鼠接受了甲状腺全切除术,并在4周、8周和12周后对其PAM、腹腔巨噬细胞和单核白细胞进行了分析。PAM的总溶酶体活性(核后匀浆+富含溶酶体的细胞部分)为年龄匹配对照组的50%。腹腔巨噬细胞溶酶体酶活性为对照活性的25 - 30%。在单独的实验中,大鼠在甲状腺切除术后8周给予生理剂量的三碘甲状腺原氨酸(T3)替代治疗。这导致PAM和腹腔巨噬细胞溶酶体酶活性与对照活性相似。甲状腺功能减退大鼠的单核白细胞溶酶体酶活性在监测的三种酶中仅有一种(β - 葡萄糖醛酸酶)降低。甲状腺功能减退确实导致每只动物收获的单核白细胞总数减少。给予T3导致单核白细胞β - 葡萄糖醛酸酶活性与甲状腺功能正常的大鼠相似(44±8 U/mg蛋白质对42±3 U/mg蛋白质)。总之,大鼠甲状腺功能减退导致PAM、腹腔巨噬细胞和单核白细胞亚细胞溶酶体酶活性降低。