Hatakeyama T, Yagi H
Biol Cybern. 1985;52(4):259-66. doi: 10.1007/BF00336982.
We propose a mathematical model of the human hypothalamus-anterior pituitary-thyroid system regulating basal metabolism, and practice computer simulation concerning primary thyropathy such as Graves' disease, hypothyroidism, T4-toxicosis and T3-toxicosis by use of this model. In order to throw light on properties of the system, indicial responses of the hormones, T4, T3, rT3, and TSH, and the function of the thyroid gland are computed. Medical treatments for Graves' disease and for hypothyroidism are simulated with a view to enhancing clinical significance. Performance of the simulation leads to an interesting result that when the convertion rate of blood T4 to blood T3 increases, explicit T3-toxicosis occurs, although the function of the thyroid gland is normal.
我们提出了一个调节基础代谢的人类下丘脑 - 垂体前叶 - 甲状腺系统的数学模型,并利用该模型对原发性甲状腺疾病(如格雷夫斯病、甲状腺功能减退、T4 中毒和 T3 中毒)进行了计算机模拟。为了阐明该系统的特性,计算了激素 T4、T3、反 T3 和促甲状腺激素(TSH)的阶跃响应以及甲状腺的功能。为了提高临床意义,对格雷夫斯病和甲状腺功能减退的医学治疗进行了模拟。模拟结果得出了一个有趣的结论:当血液中 T4 向 T3 的转化率增加时,尽管甲状腺功能正常,但会出现明显的 T3 中毒。