Porterfield S P
Horm Metab Res. 1985 Dec;17(12):655-9. doi: 10.1055/s-2007-1013636.
Studies were conducted to determine if brief exposure, in utero, to high levels of T4 or to the synthetic thyromimetic agent 3,5-dimethyl-3'-isopropyl-L-thyronine (DIMIT) can produce permanent disruption of the thyroid control system in a manner analogous to the changes in the "set point" reported to occur due to neonatal T4 exposure in the "neo-T4 syndrome". If such a change were to occur, it could explain the persistent thyroid disturbances seen in the progeny of hypothyroid mother rats. These latter progeny are exposed in utero to both low and high serum T4 levels. Maternal T4 treatment produced a 4-fold elevation in fetal serum T4 accompanied by a large decrease in serum TSH levels. The brief treatment in utero with high doses of T4 or of DIMIT resulted in higher neonatal mortality and the T4-treatment produce subsequent growth stunting. These treatments resulted in suppression of the fetal/neonatal thyroid which was very apparent at 5 days of age. At 30 days post-partum, the thyroid control system of the progeny of the T4 and DIMIT-treated animals was still abnormal with low serum T4 levels accompanied with normal serum TSH and T3 levels. At 60 days of age, serum T4 levels remained low in the progeny of the T4-treated animals and the TSH response to TRH was subnormal in both the progeny of the T4-treated and the DIMIT-treated animals. However, serum and pituitary TSH and serum T3 were normal. The thyroid control system of the rat is sensitive to prenatal exposure to hyperthyroxinemia as it is to postnatal exposure.(ABSTRACT TRUNCATED AT 250 WORDS)
开展了多项研究,以确定子宫内短期暴露于高水平甲状腺素(T4)或合成甲状腺模拟剂3,5 - 二甲基 - 3'-异丙基 - L - 甲状腺原氨酸(DIMIT)是否会以类似于“新T4综合征”中因新生儿期暴露于T4而导致的“设定点”变化的方式,永久性破坏甲状腺控制系统。如果发生这种变化,就可以解释甲状腺功能减退的母鼠后代中持续出现的甲状腺紊乱现象。这些后代在子宫内会暴露于低水平和高水平的血清T4中。母体给予T4治疗使胎儿血清T4升高4倍,同时血清促甲状腺激素(TSH)水平大幅下降。子宫内短期高剂量给予T4或DIMIT导致新生儿死亡率升高,T4治疗还导致随后的生长发育迟缓。这些治疗导致胎儿/新生儿甲状腺受到抑制,在5日龄时非常明显。产后30天,接受T4和DIMIT治疗的动物后代的甲状腺控制系统仍然异常,血清T4水平低,同时血清TSH和T3水平正常。60日龄时,接受T4治疗的动物后代血清T4水平仍然较低,接受T4治疗和DIMIT治疗的动物后代对促甲状腺激素释放激素(TRH)的促甲状腺激素反应均低于正常水平。然而,血清和垂体促甲状腺激素以及血清T3正常。大鼠的甲状腺控制系统对产前暴露于甲状腺素血症敏感,就如同对产后暴露一样敏感。(摘要截选至250字)