Sebille A
Pathol Biol (Paris). 1978 Nov;26(8):503-6.
The hight number of muscular disorders which may be observed clinically in thyroid dysfunction contrast with the paucity of knowledge concerning the mechanisms of action of the thyroid hormones. Those which have been described allowed the following conclusions to be made : 1) The thyroid hormones simultaneously increase the oxydative phosphorylation in mitochondria and the activation of glycogen phosphorylase. 2) They modify the properties of cell membrane without noticialy changing the cytoplasm (light and electron microscopically). These modifications are concommitant with a reduction in resting membrane potential associated with anomalies of Na+ conductance and Ca+ uptake. 3) The appareance and the number of motor units in each muscle is dependant on the hormonal impregnation. However, these diverses actions do not reveal whether the thyroid hormone receptors are in the muscle or if they act via the intermediary of a neuronal trophic factor.
在甲状腺功能障碍中临床上可观察到大量肌肉疾病,这与对甲状腺激素作用机制的了解匮乏形成对比。已描述的那些疾病得出了以下结论:1)甲状腺激素同时增加线粒体中的氧化磷酸化和糖原磷酸化酶的活化。2)它们改变细胞膜的特性,而在细胞质方面(光学显微镜和电子显微镜下)没有明显变化。这些改变伴随着静息膜电位的降低以及与钠电导和钙摄取异常相关。3)每块肌肉中运动单位的出现和数量取决于激素的作用。然而,这些不同的作用并未揭示甲状腺激素受体是否在肌肉中,或者它们是否通过神经元营养因子起作用。