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胎儿甲状腺切除术对新生羔羊产热的影响。

Effect of fetal thyroidectomy on newborn thermogenesis in lambs.

作者信息

Polk D H, Callegari C C, Newnham J, Padbury J F, Reviczky A, Fisher D A, Klein A H

出版信息

Pediatr Res. 1987 May;21(5):453-7. doi: 10.1203/00006450-198705000-00006.

Abstract

We investigated the effect of the transient neonatal hyperthyroid state on thermogenesis at birth by measuring rectal temperature, plasma free fatty acids, plasma catecholamines, and in vitro brown adipose tissue respiration in thyroidectomized (n = 6) and sham operated (n = 5) fetal sheep. Surgery was performed at an average of 133 days of gestation followed by cesarean delivery at 146 days. Fetuses were delivered into a constant room temperature of 25 degrees C. Serial measurements were made in utero before delivery and at timed intervals after birth. Serum 3,3',5 triiodothyronine and thyroxine concentrations in the neonatal period were normal in sham operated and nondetectable in thyroidectomized fetuses. Rectal temperatures and serum free fatty acid levels were reduced in thyroidectomized newborns. Plasma epinephrine concentrations were increased and the hypothyroid neonates were acidotic when compared to control animals. In vitro basal and norepinephrine stimulated brown adipose tissue respiration were reduced in thyroidectomized compared to control animals. These results indicate that thyroid hormone deficiency impairs nonshivering thermogenesis in brown adipose tissue and leads to hypothermia despite augmented plasma epinephrine values.

摘要

我们通过测量甲状腺切除的(n = 6)和假手术的(n = 5)胎羊的直肠温度、血浆游离脂肪酸、血浆儿茶酚胺以及体外棕色脂肪组织呼吸,研究了短暂的新生儿甲状腺功能亢进状态对出生时产热的影响。手术平均在妊娠133天时进行,随后在146天时剖宫产。胎儿被分娩到25摄氏度的恒定室温环境中。在分娩前子宫内以及出生后的定时间隔进行连续测量。假手术胎儿新生儿期血清3,3',5 - 三碘甲状腺原氨酸和甲状腺素浓度正常,而甲状腺切除的胎儿中检测不到。甲状腺切除的新生儿直肠温度和血清游离脂肪酸水平降低。与对照动物相比,甲状腺功能减退的新生儿血浆肾上腺素浓度升高且存在酸中毒。与对照动物相比,甲状腺切除的胎羊体外基础和去甲肾上腺素刺激的棕色脂肪组织呼吸降低。这些结果表明,甲状腺激素缺乏会损害棕色脂肪组织中的非寒战产热,尽管血浆肾上腺素值升高,但仍会导致体温过低。

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