Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Department of Surgery, Kiryu Kosei General Hospital, Kiryu, Gunma, Japan.
Sci Rep. 2021 May 11;11(1):9975. doi: 10.1038/s41598-021-89378-y.
This study was conducted to clarify the relationship between thyroid function and gastrointestinal motility. We established an experimental configuration in which the feedback of thyroid function was completely removed using conscious dogs. With hypothyroidism, time of phase I of interdigestive migrating contractions (IMC) was longer, time of phase II and phase III was significantly shortened, and both the continuous time of strong tetanic contraction at antrum and 10-h frequency of phase III counted from the first IMC after meal significantly decreased. Whereas, hyperthyroidism caused the opposite events to those with hypothyroidism. Furthermore, We found giant migrating contractions (GMC) occurred from the upper gastrointestinal tract when we administrated high dose of thyroid hormone. One GMC occurred from anal sides propagated to cardiac, and this propagation was similar to the emesis-like interdigestive motor activity, the other GMC occurred from oral sides propagated to anal sides and this was similar to the diarrhea-like interdigestive motor activity. We examined the relationship between thyroid function and gastrointestinal hormones including of ghrelin, GLP-1, and cholecystokinin (CCK). However, we could not find significant differences under different thyroid hormone status. This is the first report that thyroid hormone activated upper gastrointestinal motility without mediating gastrointestinal hormones.
本研究旨在阐明甲状腺功能与胃肠道动力之间的关系。我们建立了一个实验模型,在该模型中,使用有意识的狗完全消除了甲状腺功能的反馈。在甲状腺功能减退症中,I 期消化间期移行性收缩(IMC)的时间延长,II 期和 III 期的时间明显缩短,并且从餐后第一次 IMC 开始计算的胃窦部强痉挛性收缩的连续时间和 III 期的 10 小时频率均显著降低。相反,甲状腺功能亢进症引起的事件与甲状腺功能减退症相反。此外,当我们给予大剂量甲状腺激素时,我们发现从上消化道发生了巨大移行性收缩(GMC)。一个 GMC 从肛门侧传播到心脏,这种传播类似于呕吐样消化间期运动活动,另一个 GMC 从口腔侧传播到肛门侧,类似于腹泻样消化间期运动活动。我们检查了甲状腺功能与包括胃饥饿素、GLP-1 和胆囊收缩素(CCK)在内的胃肠激素之间的关系。然而,我们在不同的甲状腺激素状态下没有发现显著差异。这是第一个报告甲状腺激素激活上消化道动力而不介导胃肠激素的报告。