DeVito W J, Connors J M, Hedge G A
Acta Endocrinol (Copenh). 1987 Jan;114(1):27-36. doi: 10.1530/acta.0.1140027.
We studied the effects of degree and duration of hypothyroidism on the pituitary TSH concentration and the pituitary TSH secretory response to TRH. Varying degrees of hypothyroidism were achieved in thyroparathyroidectomized rats (THYREX) by continuous sc infusion of T3 (0.2, 0.3, 0.4, or 0.5 microgram/100 g X day) or T4 (0.6, 1.2, or 1.8 microgram/100 g X day). While T3 was more potent than T4, both resulted in a dose-dependent suppression of the post-thyroidectomy rise in TSH. After 7 or 14 days of severe hypothyroidism (nonreplaced THYREX rats) the pituitary TSH secretory response to TRH (250 ng/100 g body weight, iv) was found to be decreased when compared to that of euthyroid rats. Decreasing the degree of hypothyroidism increased the pituitary secretory response to TRH and the pituitary TSH content. The results indicate that in the hypothyroid rat: severe hypothyroidism results in a blunted pituitary TSH response to TRH through 14 days after thyroidectomy, at 7 and 14 days after thyroidectomy the pituitary TSH response to exogenous TRH is inversely related to the basal plasma TSH concentration, the pituitary TSH concentration increases with the duration of hypothyroidism, the pituitary TSH content is increased by low rates of thyroid hormone replacement, and the pituitary TSH response to exogenous TRH is directly related to the pituitary TSH content.
我们研究了甲状腺功能减退的程度和持续时间对垂体促甲状腺激素(TSH)浓度以及垂体TSH对促甲状腺激素释放激素(TRH)分泌反应的影响。通过连续皮下输注三碘甲状腺原氨酸(T3,0.2、0.3、0.4或0.5微克/100克×天)或甲状腺素(T4,0.6、1.2或1.8微克/100克×天),在甲状腺甲状旁腺切除的大鼠(THYREX)中实现了不同程度的甲状腺功能减退。虽然T3比T4更有效,但两者均导致甲状腺切除术后TSH升高呈剂量依赖性抑制。在严重甲状腺功能减退7天或14天后(未补充甲状腺激素的THYREX大鼠),与甲状腺功能正常的大鼠相比,发现垂体TSH对TRH(250纳克/100克体重,静脉注射)的分泌反应降低。降低甲状腺功能减退的程度可增加垂体对TRH的分泌反应以及垂体TSH含量。结果表明,在甲状腺功能减退的大鼠中:严重甲状腺功能减退导致甲状腺切除术后14天内垂体TSH对TRH的反应减弱,在甲状腺切除术后7天和14天,垂体TSH对外源性TRH的反应与基础血浆TSH浓度呈负相关,垂体TSH浓度随甲状腺功能减退的持续时间增加,低剂量甲状腺激素替代可增加垂体TSH含量,垂体TSH对外源性TRH的反应与垂体TSH含量直接相关。