Liu Qing, Zhang Yue, Zhao Hailing, Yao Xiaomei
Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China.
Tianjin Key Laboratory of Ionic-Molecular of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, the Second Hospital of Tianjin Medical University, Tianjin, China.
Front Physiol. 2021 Jul 26;12:669652. doi: 10.3389/fphys.2021.669652. eCollection 2021.
This study aimed to investigate the potential role of fatty acids in high iodide intake-induced hypothyroidism and its complications and also in the intervention of iodide intake adjustment and 1,25-dihydroxy-vitamin D [1,25(OH)D] supplementation. Pregnant rats were allocated to two groups, namely, normal iodide (NI, 7.5 μg/day) intake and 100 times higher-than-normal iodide (100 HI, 750 μg/day) intake. The offspring were continuously administered potassium iodide from weaning [i.e., postnatal day 21 (PN21)] to PN90. After PN90, the offspring were either administered iodide intake adjustment (7.5 μg/day) or 1,25(OH)D supplementation (5 μg·kg·day), or both, for 4 weeks. Thyroid function tests (free triiodothyronine, free thyroxine, thyrotropin, thyroid peroxidase antibody, and thyroglobulin antibody), blood lipids (triglyceride, total cholesterol, free fatty acid, and low-density lipoprotein cholesterol), and vitamin D3 (VD3) levels were detected by ELISA. Cardiac function was measured by echocardiography. Blood pressure was measured using a non-invasive tail-cuff system. The serum fatty acids profile was analyzed by liquid chromatography-mass spectrometry. In the offspring rats with continued 100 HI administration, the levels of 8,9-dihydroxyeicosatrienoic acid (8,9-DHET) and thromboxane B2 (TXB2) were decreased, while those of prostaglandin J2 (PGJ2), prostaglandin B2 (PGB2), 4-hydroxydocosahexaenoic acid (4-HDoHE), 7-HDoHE, 8-HDoHE, and 20-HDoHE were increased. Significant correlations were found between PGB2, 8,9-DHET, 7-HDoHE levels and thyroid dysfunction, between PGJ2, 20-HDoHE, PGB2, 8,9-DHET levels and cardiac dysfunction, between PGJ2, 20-HDoHE levels and hypertension, between 4-HDoHE, 8-HDoHE, TXB2 levels and dyslipidemia, and between PGB2 and decreased VD3 level. After the treatment of iodide intake adjustment and 1,25(OH)D supplementation, the levels of 16-hydroxyeicosatetraenoic acids (16-HETE), 18-HETE, 5,6-epoxyeicosatrienoic acid (5,6-EET), 8,9-EET, 11,12-EET, 14,15-EET, PGE2, 5-oxo-ETE, and 15-oxo-ETE were increased. The significant associations between PGE2, 16-HETE, 18-HETE and improved thyroid function and also between 5,6-EET, 11,12-EET, 14,15-EET, 16-HETE, 15-oxo-ETE and attenuated dyslipidemia were detected. Increased levels of prostaglandins (PGs) and HDoHEs and decreased levels of 8,9-DHET and TXB2 might occur in the progression of cardiac dysfunction, hypertension, and dyslipidemia in high iodide intake-induced hypothyroidism. The increased levels of EETs and HETEs might help to ameliorate these complications after iodide intake adjustment and 1,25(OH)D supplementation.
本研究旨在探讨脂肪酸在高碘摄入所致甲状腺功能减退及其并发症中的潜在作用,以及在碘摄入调整和补充1,25 - 二羟基维生素D [1,25(OH)D]干预中的作用。将怀孕大鼠分为两组,即正常碘(NI,7.5μg/天)摄入组和高于正常碘100倍(100 HI,750μg/天)摄入组。子代从断奶[即出生后第21天(PN21)]至PN90持续给予碘化钾。PN90后,子代给予碘摄入调整(7.5μg/天)或补充1,25(OH)D(5μg·kg·天),或两者同时给予,持续4周。通过酶联免疫吸附测定法检测甲状腺功能指标(游离三碘甲状腺原氨酸、游离甲状腺素、促甲状腺激素、甲状腺过氧化物酶抗体和甲状腺球蛋白抗体)、血脂(甘油三酯、总胆固醇、游离脂肪酸和低密度脂蛋白胆固醇)以及维生素D3(VD3)水平。通过超声心动图测量心脏功能。使用无创尾套系统测量血压。通过液相色谱 - 质谱联用分析血清脂肪酸谱。在持续给予100 HI的子代大鼠中,8,9 - 二羟基二十碳三烯酸(8,9 - DHET)和血栓素B2(TXB2)水平降低,而前列腺素J2(PGJ2)、前列腺素B2(PGB2)、4 - 羟基二十二碳六烯酸(4 - HDoHE)、7 - HDoHE、8 - HDoHE和20 - HDoHE水平升高。发现PGB2、8,9 - DHET、7 - HDoHE水平与甲状腺功能障碍之间存在显著相关性,PGJ2、20 - HDoHE、PGB2、8,9 - DHET水平与心脏功能障碍之间存在显著相关性,PGJ2、20 - HDoHE水平与高血压之间存在显著相关性,4 - HDoHE、8 - HDoHE、TXB2水平与血脂异常之间存在显著相关性,以及PGB2与VD3水平降低之间存在显著相关性。在进行碘摄入调整和补充1,25(OH)D治疗后,16 - 羟基二十碳四烯酸(16 - HETE)、18 - HETE、5,6 - 环氧二十碳三烯酸(5,6 - EET)、8,9 - EET、11,12 - EET、14,15 - EET、前列腺素E2(PGE2)、5 - 氧代 - 二十碳四烯酸(5 - oxo - ETE)和15 - 氧代 - 二十碳四烯酸(15 - oxo - ETE)水平升高。检测到PGE2、16 - HETE、18 - HETE与甲状腺功能改善之间以及5,6 - EET、11,12 - EET、14,15 - EET、16 - HETE、15 - oxo - ETE与血脂异常减轻之间存在显著关联。在高碘摄入所致甲状腺功能减退的心脏功能障碍、高血压和血脂异常进展过程中,可能会出现前列腺素(PGs)和HDoHEs水平升高以及8,9 - DHET和TXB2水平降低。在进行碘摄入调整和补充1,25(OH)D后,EETs和HETEs水平升高可能有助于改善这些并发症。