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抑郁症患者垂体对甲状腺激素的敏感性

Pituitary sensitivity to thyroid hormones in depressed patients.

作者信息

Loosen P T, Garbutt J C, Dew B, Prange A J

出版信息

Pharmacopsychiatry. 1987 May;20(3):85-9. doi: 10.1055/s-2007-1017080.

Abstract

To evaluate the feedback control of thyroid hormones on TSH release, 18 normal subjects and 16 depressed patients received two TRH injections: on days one and nine. Forty eight hours before the second TRH injection subjects and patients received either T3, 100 micrograms orally, or matched placebo. T3 administration resulted in a highly significant and similar reduction of delta max TSH and FT4-index levels in both subjects and patients whereas serum T3 levels were unchanged. These data suggest that the pituitary response to the negative feedback signal of T3 is intact in depressed patients.

摘要

为评估甲状腺激素对促甲状腺激素(TSH)释放的反馈控制,18名正常受试者和16名抑郁症患者接受了两次促甲状腺激素释放激素(TRH)注射:分别在第1天和第9天。在第二次TRH注射前48小时,受试者和患者口服100微克三碘甲状腺原氨酸(T3)或匹配的安慰剂。给予T3导致受试者和患者的最大TSH变化量(delta max TSH)和游离甲状腺素指数(FT4-index)水平均出现高度显著且相似的降低,而血清T3水平未变。这些数据表明,抑郁症患者垂体对T3负反馈信号的反应是完整的。

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