Epstein Y, Udassin R, Sack J
J Clin Endocrinol Metab. 1979 Nov;49(5):677-8. doi: 10.1210/jcem-49-5-677.
To determine the changes in thyroid hormone metabolism during short periods of exposure to heat, 30 euthyroid healthy male volunteers (aged 23--40 yr) were placed in a climatic chamber for 2 h (35 C, 50% relative humidity). The subjects were at complete rest during the first hour and performed light work (40 watts) during the second hour. Blood samples for T4, T3 and rT3 were drawn at 0, 60, and 120 min. Rectal temperature and heart rate were monitored continuously. No significant changes in T4, T3, rT3, rectal temperature, or heart rate were observed after the first hour (basal levels, 8.5 +/- 0.3 microgram/dl, 160 +/- 5 ng/dl, 14.5 +/- 2.5 ng/dl, 37.2 +/- 0.1 C, and 78 +/- 8 beats/min, respectively; mean +/- SEM). During the second hour, a significant rise in body temperature was recorded (38.5 +/- 0.1 C), accompanied by a significant decrease in mean serum T3 concentration and a rise in mean serum rT3 concentration, T4 concentration remained unchanged. Our findings suggest that, parallel to the elevation in body temperature, there is a shift in the conversion of T4 to the noncalorigenic rT3 metabolite rather than to T3.
为了确定短期暴露于高温环境下甲状腺激素代谢的变化,30名甲状腺功能正常的健康男性志愿者(年龄23 - 40岁)被置于气候舱中2小时(35℃,相对湿度50%)。受试者在第一个小时完全休息,在第二个小时进行轻度工作(40瓦)。在0、60和120分钟时采集血样检测T4、T3和反T3(rT3)。持续监测直肠温度和心率。第一个小时后,未观察到T4、T3、rT3、直肠温度或心率有显著变化(基础水平分别为8.5±0.3微克/分升、160±5纳克/分升、14.5±2.5纳克/分升、37.2±0.1℃和78±8次/分钟;均值±标准误)。在第二个小时,记录到体温显著升高(38.5±0.1℃),同时血清T3平均浓度显著降低,血清rT3平均浓度升高,T4浓度保持不变。我们的研究结果表明,与体温升高同时,T4向无产热作用的rT3代谢物的转化发生了改变,而非向T3的转化。