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促甲状腺素刺激试验——监测三碘甲状腺原氨酸价值的新视角。

Thyrotropin stimulation test--new perspective on value of monitoring triiodothyronine.

作者信息

Oliver J W, Held J P

出版信息

J Am Vet Med Assoc. 1985 Nov 1;187(9):931-4.

PMID:4055518
Abstract

Thyrotropin (thyroid stimulating hormone; TSH) stimulus to thyroid cells of horses and dogs resulted in increased serum triiodothyronine (T3) concentrations that were detected earlier than those of thyroxine (T4). Doubling of the base-line T3 values in horses was detected 0.5 hours after injection of 5 IU of TSH IV, with peak response of 5 times base-line value detected 2 hours after injection. Doubling of T4 values in horses was noticed between 2 and 3 hours, with the peak response of 2.4 times base-line value at 4 hours after injection of TSH. Doubling of base-line T3 values in dogs in response to 0.2 IU TSH/kg of body weight (IV-5 IU maximum dose) was noticed at 1 hour, whereas T4 response doubled between 1.5 and 2 hours. Peak release of T3 and T4 in response to TSH in dogs had not developed by 4 hours; however, the percentage increase over base-line values was greater for T3 than T4 at early sampling time points, and this response has resulted in an increased T3/T4 ratio in hypothyroid dogs. Thus, in both dogs and horses, these studies indicated that T3 response to TSH could be used as a measure of thyroid function at earlier time intervals after TSH administration than one measures T4 response.

摘要

促甲状腺激素(甲状腺刺激素;TSH)对马和狗的甲状腺细胞产生刺激后,血清三碘甲状腺原氨酸(T3)浓度升高,且T3浓度升高比甲状腺素(T4)出现得更早。静脉注射5国际单位TSH后0.5小时,马的基础T3值翻倍,注射后2小时检测到峰值反应为基础值的5倍。马的T4值在2至3小时之间翻倍,注射TSH后4小时峰值反应为基础值的2.4倍。静脉注射0.2国际单位TSH/千克体重(最大剂量5国际单位)后,狗的基础T3值在1小时时翻倍,而T4反应在1.5至2小时之间翻倍。狗对TSH反应的T3和T4峰值释放到4小时时仍未出现;然而,在早期采样时间点,T3相对于基础值的增加百分比高于T4,这种反应导致甲状腺功能减退的狗的T3/T4比值升高。因此,在狗和马中,这些研究表明,与测量T4反应相比,TSH给药后更短的时间间隔内,T3对TSH的反应可作为甲状腺功能的一项指标。

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Thyrotropin stimulation test--new perspective on value of monitoring triiodothyronine.促甲状腺素刺激试验——监测三碘甲状腺原氨酸价值的新视角。
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引用本文的文献

1
Nonthyroidal illness syndrome in adult horses.成年马的非甲状腺疾病综合征
J Vet Intern Med. 2014 Mar-Apr;28(2):609-17. doi: 10.1111/jvim.12274. Epub 2014 Jan 13.