Tahiliani A G, McNeill J H
Can J Physiol Pharmacol. 1984 Jun;62(6):617-21. doi: 10.1139/y84-099.
Cardiac functional abnormalities are frequently seen in diabetics and diabetes is also known to produce a state of mild hypothyroidism. To study the degree of involvement of diabetes-induced hypothyroidism on altered myocardial function, thyroid replacement therapy was carried out in streptozotocin-diabetic rats. Triiodothyronine (T3) treatment was initiated 3 days after the rats were made diabetic and was carried out for 6 weeks thereafter. Isolated perfused hearts from diabetic rats exhibited a depression in left ventricular developed pressure and positive and negative dP/dt at higher filling pressures as compared with controls. The depression could not be prevented by thyroid treatment. Calcium uptake activity in the cardiac sarcoplasmic reticulum (SR) was also depressed as a result of diabetes and this depression also was not prevented by thyroid treatment. Long chain acyl carnitine levels were found to be elevated in diabetic cardiac SR and could not be lowered by T3 treatment. The results indicate that the myocardial dysfunction observed in diabetic rats is due to factors other than the induced hypothyroidism.
心脏功能异常在糖尿病患者中很常见,而且糖尿病也会导致轻度甲状腺功能减退。为了研究糖尿病诱发的甲状腺功能减退对心肌功能改变的影响程度,对链脲佐菌素诱导的糖尿病大鼠进行了甲状腺替代治疗。大鼠糖尿病造模3天后开始进行三碘甲状腺原氨酸(T3)治疗,并持续6周。与对照组相比,糖尿病大鼠的离体灌注心脏在较高充盈压下左心室舒张末压、正负dP/dt均降低。甲状腺治疗无法预防这种降低。糖尿病还导致心肌肌浆网(SR)的钙摄取活性降低,甲状腺治疗也无法预防这种降低。发现糖尿病心肌SR中的长链酰基肉碱水平升高,T3治疗无法使其降低。结果表明,糖尿病大鼠中观察到的心肌功能障碍是由除诱发的甲状腺功能减退之外的其他因素引起的。