Goretzki P E, Wahl R A, Branscheid D, Roeher H D
Surgery. 1984 Dec;96(6):1001-8.
To determine whether the beta-blocking drug propranolol had any physiologic effect on normal (n = 14) and adenomatous (n = 15) human thyroid tissues, experiments were performed to study the binding of the beta-blockers 125I-iodocyanopindolol (125I-ICYP) and 125I-iodohydroxybenzylpindolol (125I-IHYP) and the stimulation of adenyl cyclase (AC) by isoproterenol. 125I-ICYP and 125I-IHYP failed to show high-affinity binding in 27 of 29 specimens, whereas two (one normal and one adenomatous) thyroid tissues demonstrated high-affinity binding (Kd 5.5 +/- 1 X 10(-9) M) for 125I-ICYP. Thyroid-stimulating hormone (0.3 IU/ml), guanosine triphosphate (10(-4) M), and Gpp (NH)p(10(-4) M) stimulated AC in all thyroid tissues, although in two tissues (normal) Gpp (NH)p failed to cause a significant increase. Isoproterenol (10(-4) M), in contrast, had no effect on basal AC activity or on guanosine triphosphate, and Gpp (NH) p stimulated AC activity in 26 of the 29 thyroid tissues. In one of the two tissues that increased AC in response to isoproterenol, the beta-blocking drugs propranolol hydrochloride, bunitrolol hydrochloride, and tolilprolol hydrochloride decreased AC stimulation to isoproterenol at concentrations of 10(-6) M (p less than 0.05). Higher concentrations of propranolol (10(-4) - 10(-2) M) decreased AC stimulation to thyroid-stimulating hormone (p less than 0.01), not only in this responsive tissue but also in tissues that failed to demonstrate high-affinity binding for 125I-ICYP and AC stimulation to isoproterenol (p less than 0.01). Thus most normal and adenomatous human thyroid tissues lack beta-receptors and a functioning beta-receptor AC system. High concentrations of propranolol in vitro decreased AC response by thyroid-stimulating hormone, but this is probably a nonreceptor-mediated effect.
为了确定β受体阻滞剂普萘洛尔对正常(n = 14)和腺瘤性(n = 15)人甲状腺组织是否有任何生理作用,进行了实验以研究β受体阻滞剂125I-碘氰吲哚洛尔(125I-ICYP)和125I-碘羟基苄基吲哚洛尔(125I-IHYP)的结合以及异丙肾上腺素对腺苷酸环化酶(AC)的刺激作用。125I-ICYP和125I-IHYP在29个标本中的27个中未显示出高亲和力结合,而两个(一个正常和一个腺瘤性)甲状腺组织对125I-ICYP表现出高亲和力结合(Kd 5.5±1×10⁻⁹ M)。促甲状腺激素(0.3 IU/ml)、鸟苷三磷酸(10⁻⁴ M)和Gpp(NH)p(10⁻⁴ M)刺激了所有甲状腺组织中的AC,尽管在两个(正常)组织中Gpp(NH)p未能引起显著增加。相比之下,异丙肾上腺素(10⁻⁴ M)对基础AC活性或鸟苷三磷酸没有影响,并且Gpp(NH)p在29个甲状腺组织中的26个中刺激了AC活性。在对异丙肾上腺素反应而增加AC的两个组织之一中,β受体阻滞剂盐酸普萘洛尔、盐酸布尼洛尔和盐酸托利洛尔在10⁻⁶ M浓度下降低了对异丙肾上腺素的AC刺激(p < 0.05)。更高浓度的普萘洛尔(10⁻⁴ - 10⁻² M)降低了对促甲状腺激素的AC刺激(p < 0.01),不仅在这个反应性组织中,而且在对125I-ICYP未显示高亲和力结合且对异丙肾上腺素无AC刺激的组织中也是如此(p < 0.01)。因此,大多数正常和腺瘤性人甲状腺组织缺乏β受体和功能性β受体-AC系统。体外高浓度的普萘洛尔降低了促甲状腺激素引起的AC反应,但这可能是一种非受体介导的效应。