Ruiz de Oña C, Obregón M J, Escobar del Rey F, Morreale de Escobar G
Instituto de Investigaciones Biomédicas, C.S.I.C., Madrid, Spain.
Pediatr Res. 1988 Nov;24(5):588-94. doi: 10.1203/00006450-198811000-00010.
We have studied the ontogenesis of 5'-deiodinase (5'D) activity in rat brain during fetal life, its capacity to respond to maternal or fetal hypothyroidism, and its regulation by maternal thyroid hormones. Type II 5'D (5' D-II) activity increases 4-fold during the period studied (17 to 22 days of gestation), mainly between days 19 and 21. Fetal brain T4 concentrations increase in parallel with fetal plasma T4, whereas fetal brain T3 concentrations increase 18 times (days 17-21), six times more than would have been expected from the small increase in fetal plasma T3 levels. Maternal thyroidectomy did not affect 5'D-II activity or thyroid hormone concentrations in fetal brain (except brain T4 at 18 days of gestation). Fetal hypothyroidism, induced by giving a goitrogen (methimazole) to the mothers, depleted all fetal tissues studied, including the fetal thyroid, from thyroid hormones. By 19 days of gestation, the fetal brain was able to respond to hypothyroidism with a 3- to 5-fold increase in 5'D-II activity. Earlier onset of treatment with methimazole led to 2- to 3-fold increases in 5'D already at 17 and 18 days of gestation, showing that when fetal thyroid secretion starts the fetal brain 5'D-II is able to respond to hypothyroidism. Replacement of methimazole-treated mothers with physiological doses of T4, given by constant infusion, increased T4 and T3 concentrations in fetal brain, and inhibited fetal, as well as maternal, brain 5'D-II activity.(ABSTRACT TRUNCATED AT 250 WORDS)
我们研究了大鼠脑内5'-脱碘酶(5'D)活性在胎儿期的个体发生、其对母体或胎儿甲状腺功能减退的反应能力以及母体甲状腺激素对其的调节作用。在所研究的时期(妊娠17至22天)内,II型5'D(5'D-II)活性增加了4倍,主要在第19天至21天之间。胎儿脑内T4浓度与胎儿血浆T4平行增加,而胎儿脑内T3浓度增加了18倍(第17 - 21天),比胎儿血浆T3水平的小幅增加所预期的高出6倍。母体甲状腺切除术不影响胎儿脑内的5'D-II活性或甲状腺激素浓度(妊娠18天时的脑T4除外)。给母体注射致甲状腺肿物质(甲巯咪唑)诱导胎儿甲状腺功能减退,使所研究的所有胎儿组织,包括胎儿甲状腺,甲状腺激素耗竭。到妊娠19天时,胎儿脑能够通过5'D-II活性增加3至5倍来应对甲状腺功能减退。更早开始用甲巯咪唑治疗在妊娠17天和18天时就导致5'D增加2至3倍,表明当胎儿甲状腺开始分泌时,胎儿脑5'D-II能够对甲状腺功能减退做出反应。用生理剂量的T4持续输注替代接受甲巯咪唑治疗的母体,可增加胎儿脑内T4和T3浓度,并抑制胎儿以及母体脑内的5'D-II活性。(摘要截取自250字)