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尿毒症大鼠模型肝脏中三碘甲状腺原氨酸含量降低,但垂体中未降低:仅证明肝脏中存在与甲状腺激素缺乏相符的变化。

Reduced triiodothyronine content in liver but not pituitary of the uremic rat model: demonstration of changes compatible with thyroid hormone deficiency in liver only.

作者信息

Lim V S, Passo C, Murata Y, Ferrari E, Nakamura H, Refetoff S

出版信息

Endocrinology. 1984 Jan;114(1):280-6. doi: 10.1210/endo-114-1-280.

Abstract

Intracellular thyroid hormone concentration and action were examined in the liver and the pituitary of a nephrectomized rat model (Nx); the results were compared with those obtained from control (C), thyroidectomized (Tx), and nephrectomized-thyroidectomized (NxTx) littermates. Based on the severity of the uremia, Nx rats were subdivided into Nx1 and Nx2 groups; the former included rats with serum urea nitrogen of less than 100 mg/dl and the latter rats with serum urea nitrogen greater than 100 mg/dl. A group of rats pair-fed to the Nx rats was also included (PF). In the liver, nuclear T3 content (picograms per g liver) and T3-receptor binding capacity (Cmax, picograms T3 per mg DNA) were measured. The respective results from all groups of rats were as follows (asterisks denote values differing from C with a P value less than 0.05): C, 308 +/- (SE) 45 and 121 +/- 11; Nx1, 245 +/- 43 and 85 +/- 15; Nx2, 163 +/- 19 and 74 +/- 7; Tx, 43 +/- 11 and 91 +/- 10; NxTx, 33 +/- 10 and 54 +/- 6; and PF, 237 +/- 20 and 121 +/- 9. T3 receptor binding affinity (Ka), ranging from 3.62-5.28 X 10(9) M-1, was not significantly different among the six groups of rats. In the pituitary, T3 content (picograms per mg pituitary) was reduced only in the Tx rats, being 3.13 +/- 0.89 as compared to 7.04 +/- 1.48 in the C rats (P less than 0.05). In the Nx1, Nx2, and PF rats, pituitary T3 contents were 9.81 +/- 3.22, 13.01 +/- 3.60, and 7.83 +/- 1.08, respectively, and were not different from the C rats. Serum TSH was reciprocally elevated only in the Tx rats. The reduction in hepatic nuclear T3 content and T3-Cmax in the Nx2 rats is consistent with the presence of selective tissue deficiency of thyroid hormone. This is in agreement with the observation of reduced activity of two liver enzymes known to be under thyroid hormone regulation. The pituitary, however, had normal T3 content, suggesting a dissociation in thyroid hormone-dependent metabolic status between a peripheral tissue (liver) and the pituitary. This explains the failure to observe an increase in the serum TSH level, a manifestation of reduced intracellular rather than serum T3 concentration. Decreased food intake appeared not to be the cause of thyroid hormone abnormalities observed in uremia, as PF rats failed to manifest the changes found in Nx rats.

摘要

在肾切除大鼠模型(Nx)的肝脏和垂体中检测细胞内甲状腺激素浓度及作用;将结果与来自对照(C)、甲状腺切除(Tx)以及肾切除 - 甲状腺切除(NxTx)的同窝大鼠所得结果进行比较。根据尿毒症的严重程度,将Nx大鼠分为Nx1和Nx2组;前者包括血清尿素氮低于100mg/dl的大鼠,后者包括血清尿素氮高于100mg/dl的大鼠。还纳入了一组与Nx大鼠配对饲养的大鼠(PF)。在肝脏中,测量核T3含量(每克肝脏皮克数)和T3受体结合能力(Cmax,每毫克DNA结合的T3皮克数)。所有大鼠组的各自结果如下(星号表示与C组相比,P值小于0.05的差异值):C组,308±(SE)45和121±11;Nx1组,245±43和85±15;Nx2组,163±19和74±7;Tx组,43±11和91±10;NxTx组,33±10和54±6;PF组,237±20和121±9。六组大鼠的T3受体结合亲和力(Ka)在3.62 - 5.28×10⁹M⁻¹范围内,无显著差异。在垂体中,仅Tx大鼠的T3含量(每毫克垂体皮克数)降低,与C组大鼠的7.04±1.48相比为3.13±0.89(P<0.05)。在Nx1、Nx2和PF大鼠中,垂体T3含量分别为9.81±3.22、13.01±3.60和7.83±1.08,与C组大鼠无差异。血清TSH仅在Tx大鼠中呈反向升高。Nx2大鼠肝脏核T3含量和T3 - Cmax的降低与甲状腺激素选择性组织缺乏的存在一致。这与已知受甲状腺激素调节的两种肝酶活性降低的观察结果相符。然而,垂体的T3含量正常,表明外周组织(肝脏)和垂体之间甲状腺激素依赖性代谢状态存在分离。这解释了未观察到血清TSH水平升高的原因,血清TSH水平升高是细胞内而非血清T3浓度降低的表现。食物摄入量减少似乎不是尿毒症中观察到的甲状腺激素异常的原因,因为PF大鼠未表现出Nx大鼠中发现的变化。

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