Barlet C, Doucet A
Pflugers Arch. 1986 Oct;407(4):428-31. doi: 10.1007/BF00652629.
The effects of long-term thyroidectomy and of subsequent triiodothyronine administration on kidney Na-K-ATPase were studied at the level of single nephron segments and were compared to the short-term effects previously reported. After 8-11 weeks, thyroidectomy resulted in a marked decrease in Na-K-ATPase activity in all the segments of the rabbit nephron, the proximal tubule, the thick ascending limb of Henle's loop, the distal convoluted tubule and the collecting tubule. Within this delay, thyroidectomy also decreased the ouabain-insensitive Mg-ATPase activity, the basal and hormone-stimulated adenylate-cyclase activity, and the volume of tubular epithelium in all the segments where these parameters were measured. Administration of 50 micrograms/kg body weight triiodothyronine to 8-11 weeks thyroidectomized rabbits did not restore Na-K-ATPase activity in any nephron segment within 48 h. These observations are different from those reported in animals thyroidectomized only 1 week before study since, within this latter delay, thyroidectomy altered specifically Na-K-ATPase activity, this action was observed on the proximal and collecting tubules exclusively and, triiodothyronine administration corrected Na-K-ATPase alterations after 48 h. Results of the present study indicate that in the long term, thyroidectomy has a wide spectrum of renal effects which involves the whole nephron and most cellular functions. The tubular involution induced by long-term thyroidectomy is probably responsible for the inability of kidney cells to quickly increase their Na-K-ATPase activity in response to hormonal stimulation.
在单个肾单位节段水平研究了长期甲状腺切除及随后给予三碘甲状腺原氨酸对肾脏钠钾ATP酶的影响,并与先前报道的短期影响进行了比较。8至11周后,甲状腺切除导致兔肾单位所有节段(近端小管、髓袢升支粗段、远曲小管和集合小管)的钠钾ATP酶活性显著降低。在此期间,甲状腺切除还降低了哇巴因不敏感的镁ATP酶活性、基础和激素刺激的腺苷酸环化酶活性,以及在测量这些参数的所有节段中肾小管上皮的体积。给8至11周甲状腺切除的兔子注射50微克/千克体重的三碘甲状腺原氨酸,在48小时内任何肾单位节段的钠钾ATP酶活性均未恢复。这些观察结果与仅在研究前1周进行甲状腺切除的动物报道不同,因为在后者的这段时间内,甲状腺切除特异性地改变了钠钾ATP酶活性,这种作用仅在近端小管和集合小管中观察到,并且三碘甲状腺原氨酸给药48小时后纠正了钠钾ATP酶的改变。本研究结果表明,长期来看,甲状腺切除具有广泛的肾脏影响,涉及整个肾单位和大多数细胞功能。长期甲状腺切除诱导的肾小管退化可能是肾细胞无法响应激素刺激而迅速增加其钠钾ATP酶活性的原因。