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胰岛素对正常及甲状腺切除犬甲状腺激素血水平的影响。

Effect of insulin on thyroid hormone blood levels in normal and thyroidectomized dogs.

作者信息

Blum C, Brisson-Lougarre A, De Nayer P

出版信息

Diabete Metab. 1977 Dec;3(4):235-8.

PMID:598564
Abstract

Administration of insulin brings about an increase of thyroid hormone blood concentration. This study investigated the possibilities that the elevation is due to increased thyroid secretion or to liberation of hormone from hepatic stores. Monocomponent insulin was administered to intact dogs by jugular perfusion (25 mU/kg/min. for 15 min.) and to thyroidectomized dogs either as single dose i.m. (1 U/kg) or by jugular perfusion (as above). All animals showed at least halving of blood glucose concentration. In normal dogs, circulating labeled thyroid hormone increased with a 2-fold T3 rise. In thyroidectomized dogs, blood T3 as well as T4 remained persistently low, while plasma 125I-T4 disappearance slope was unchanged. When intact animals were held in a glycemic steady state by infusing insulin alone at low dose (0.5 mU/kg/min. for 15 min.) or insulin at the experimental dose (25 mU/kg/min. for 15 min) with simultaneous glucose infusion, blood T3, T4 and labeled PBI showed no changes. These data suggest that the increase of circulating thyroid hormones under insulin administration is due to a stimulation of thyroid secretion. The effect of insulin appears to result from induced hypoglycemia.

摘要

胰岛素的给药会导致甲状腺激素血浓度升高。本研究调查了这种升高是由于甲状腺分泌增加还是激素从肝脏储存中释放出来的可能性。通过颈静脉灌注(25 mU/kg/分钟,持续15分钟)将单组分胰岛素给予完整的狗,并以单次肌肉注射(1 U/kg)或颈静脉灌注(如上)的方式给予甲状腺切除的狗。所有动物的血糖浓度至少降低了一半。在正常狗中,循环中的标记甲状腺激素增加,T3升高了2倍。在甲状腺切除的狗中,血液中的T3和T4持续保持低水平,而血浆125I-T4的消失斜率没有变化。当通过单独以低剂量(0.5 mU/kg/分钟,持续15分钟)输注胰岛素或在同时输注葡萄糖的情况下以实验剂量(25 mU/kg/分钟,持续15分钟)输注胰岛素使完整动物保持血糖稳定状态时,血液中的T3、T4和标记的PBI没有变化。这些数据表明,胰岛素给药后循环甲状腺激素的增加是由于甲状腺分泌受到刺激。胰岛素的作用似乎是由诱导的低血糖引起的。

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