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下丘脑基部隔离对垂体-甲状腺活性及对丙硫氧嘧啶反应的影响。

The effect of basal hypothalamic isolation on pituitary-thyroid activity and the response to propylthiouracil.

作者信息

Fukuda H, Greer M A

出版信息

Endocrinology. 1977 Apr;100(4):911-7. doi: 10.1210/endo-100-4-911.

Abstract

Basal hypothalamic deafferentation extending from the posterior border of the optic chiasm to the mid-mammillary bodies resulted in depression of plasma TSH, thyroxine (T4), and triiodothyronine (T3) concentration to 50% of normal controls within 7 days. Administration of 0.15% propylthiouracil (PTU) in the diet form postoperative day 26 caused a pronounced drop in the plasma T3 level and a rise in plasma TSH level within two days in the control animals, but had little effect during this interval in the deafferented animals. After 12 days of PTU, plasma T3 and T4 concentrations had dropped to undetectable concentrations in the control animals but both were still detectable in the deafferented animals. After 25 days of PTU, plasms T4 and T3 levels were undetectable and plasma TSH levels were significantly elevated above normal in all animals. Thyroid hypertrophy at that time was as great in the deafferented as in the control rats, although plasma TSH concentration was 50% lower in the former. Administration of 0.1 mug/100 g BW TRH iv on postoperative day 37, when plasma T4 and T3 were undetectable in the controls but still present in the deafferented animals, produced an equally high concentration of plasma TSH in all animals. We interpret these data to support the concepts that: 1) a major source of neural drive of that TRH which stimulates the secretion of TSH by the adenohypophysis lies outside the medial basal hypothalamus, 2) a decrease in TRH reaching the adenohypophysis causes a lower setting of the "thyrostat" sensitive to the concentration of circulating thyroid hormone, and 3) increased TSH secretion and resultant goitrogenesis is delayed in animals with impaired TRH secretion because of the slower rate of secretion of thyroid hormone than in intact controls and the longer time thus required to markedly reduce the concentration of circulating thyroid hormone.

摘要

从视交叉后缘延伸至乳头体中部的下丘脑基底去传入神经支配,导致血浆促甲状腺激素(TSH)、甲状腺素(T4)和三碘甲状腺原氨酸(T3)浓度在7天内降至正常对照的50%。术后第26天开始在饮食中添加0.15%丙硫氧嘧啶(PTU),对照组动物在两天内血浆T3水平显著下降,血浆TSH水平升高,但在此期间去传入神经支配的动物影响较小。PTU处理12天后,对照组动物血浆T3和T4浓度降至无法检测水平,但去传入神经支配的动物中两者仍可检测到。PTU处理25天后,所有动物血浆T4和T3水平均无法检测到,血浆TSH水平显著高于正常。此时,去传入神经支配的大鼠甲状腺肥大程度与对照大鼠相同,尽管前者血浆TSH浓度低50%。术后第37天,当对照组血浆T4和T3无法检测到但去传入神经支配的动物中仍存在时,静脉注射0.1μg/100g体重的促甲状腺激素释放激素(TRH),所有动物血浆TSH浓度升高程度相同。我们对这些数据的解释支持以下观点:1)刺激腺垂体分泌TSH的TRH的主要神经驱动源位于内侧基底下丘脑之外;2)到达腺垂体的TRH减少导致对循环甲状腺激素浓度敏感的“甲状腺稳定器”设定值降低;3)由于甲状腺激素分泌速度比完整对照慢,因此需要更长时间才能显著降低循环甲状腺激素浓度,TRH分泌受损的动物中TSH分泌增加和由此导致的甲状腺肿形成延迟。

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