Kaplan M M, Utiger R D
J Clin Invest. 1978 Feb;61(2):459-71. doi: 10.1172/JCI108957.
To investigate mechanisms of extrathyroidal thyroid hormone metabolism, conversion of thyroxine (T(4)) to 3,5,3'-triiodothyronine (T(3)) and degradation of 3,3',5'-triiodothyronine (rT(3)) were studied in rat liver homogenates. Both reactions were enzymatic. For conversion of T(4) to T(3), the K(m) of T(4) was 7.7 muM, and the V(max) was 0.13 pmol T(3)/min per mg protein. For rT(3) degradation, the K(m) of rT(3) was 7.5 nM, and the V(max) was 0.36 pmol rT(3)/min per mg protein. Production of rT(3) or degradation of T(4) or T(3) was not detected under the conditions employed. rT(3) was a potent competitive inhibitor of T(4) to T(3) conversion with a K(i) of 4.5 nM; 3,3'-diiodothyronine was a less potent inhibitor of this reaction. T(4) was a competitive inhibitor of rT(3) degradation with a K(i) of 10.2 muM. Agents which inhibited both reactions included propylthiouracil, which appeared to be an allosteric inhibitor, 2,4-dinitrophenol, and iopanoic acid. Sodium diatrizoate had a weak inhibitory effect. No inhibition was found with alpha-methylparatyrosine, Fe(+2), Fe(+3), reduced glutathione, beta-hydroxybutyrate, or oleic acid. Fasting resulted in inhibition of T(4) to T(3) conversion and of rT(3) degradation by rat liver homogenates which was reversible after refeeding. Serum T(4), T(3), and thyrotropin concentrations fell during fasting, with no decrease in serum protein binding as assessed by a T(3)-charcoal uptake. There was no consistent change in serum rT(3) concentrations. Dexamethasone had no effect in vitro. In vivo dexamethasone administration resulted in elevated serum rT(3) concentrations after 1 day, and after 5 days, in inhibition of T(4) to T(3) conversion and rT(3) degradation without altering serum T(4), T(3), or thyrotropin concentrations. Endotoxin treatment had no effect of iodothyronine metabolism in liver homogenates. In kidney homogenates the reaction rates and response to propylthiouracil in vitro were similar to those in liver. No significant T(4) to T(3) conversion or rT(3) production or degradation could be detected in other tissues. These data suggest that one iodothyronine 5'-deiodinase is responsible for both T(4) to T(3) conversion and rT(3) degradation in liver and, perhaps, in kidney. Alterations in serum T(3) and rT(3) concentrations induced by drugs and disease states may result from decreases in both T(3) production and rT(3) degradation consequent to inhibition of a single reaction in the pathways of iodothyronine metabolism.
为研究甲状腺外甲状腺激素代谢机制,在大鼠肝脏匀浆中研究了甲状腺素(T4)向3,5,3'-三碘甲状腺原氨酸(T3)的转化以及3,3',5'-三碘甲状腺原氨酸(rT3)的降解。这两个反应均为酶促反应。对于T4向T3的转化,T4的米氏常数(Km)为7.7μM,最大反应速度(Vmax)为0.13 pmol T3/(min·mg蛋白)。对于rT3降解,rT3的Km为7.5 nM,Vmax为0.36 pmol rT3/(min·mg蛋白)。在所采用的条件下未检测到rT3的生成或T4或T3的降解。rT3是T4向T3转化的强效竞争性抑制剂,抑制常数(Ki)为4.5 nM;3,3'-二碘甲状腺原氨酸是该反应较弱的抑制剂。T4是rT3降解的竞争性抑制剂,Ki为10.2μM。抑制这两个反应的试剂包括丙硫氧嘧啶(似乎是变构抑制剂)、2,4-二硝基苯酚和碘番酸。泛影葡胺钠有较弱的抑制作用。α-甲基对酪氨酸、Fe(+2)、Fe(+3)、还原型谷胱甘肽、β-羟基丁酸或油酸未发现抑制作用。禁食导致大鼠肝脏匀浆对T4向T3转化和rT3降解的抑制,再喂食后可逆转。禁食期间血清T4、T3和促甲状腺激素浓度下降,通过T3-活性炭摄取评估血清蛋白结合无下降。血清rT3浓度无一致变化。地塞米松在体外无作用。体内给予地塞米松1天后血清rT3浓度升高,5天后抑制T4向T3转化和rT3降解,而不改变血清T4、T3或促甲状腺激素浓度。内毒素处理对肝脏匀浆中碘甲状腺原氨酸代谢无影响。在肾脏匀浆中,体外反应速率和对丙硫氧嘧啶的反应与肝脏相似。在其他组织中未检测到显著的T4向T3转化或rT3的生成或降解。这些数据表明,一种碘甲状腺原氨酸5'-脱碘酶负责肝脏以及可能肾脏中T4向T3的转化和rT3的降解。药物和疾病状态诱导的血清T3和rT3浓度变化可能是由于碘甲状腺原氨酸代谢途径中单一反应受抑制导致T3生成和rT3降解均减少所致。