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成年期碘缺乏大鼠的脑甲状腺功能减退症

Cerebral hypothyroidism in rats with adult-onset iodine deficiency.

作者信息

Obregón M J, Santisteban P, Rodríguez-Peña A, Pascual A, Cartagena P, Ruiz-Marcos A, Lamas L, Escobar del Rey F, Morreale de Escobar G

出版信息

Endocrinology. 1984 Aug;115(2):614-24. doi: 10.1210/endo-115-2-614.

Abstract

Rats fed chronically a low iodine diet may have low serum T4 and high circulating TSH, despite normal serum T3. As the brain depends to a great extent on intracellular generation of T3 from T4 for its total and nuclear T3, we have carried out two experiments to determine whether the brain of iodine-deficient rats may become hypothyroid, despite normal serum T3 levels. In both experiments we confirmed previous data, showing that the pituitary and liver of iodine-deficient rats with very low plasma T4 levels are hypothyroid as compared to those of animals receiving the same diet supplemented with KI, though not as markedly as animals which had undetectable circulating levels of both T4 and T3 as a consequence of chronic ingestion of KC1O-4, or of surgical thyroidectomy. We have further found that the nuclear T3 content was decreased in the brain of iodine-deficient rats, as compared with the animals on the iodine-supplemented diet. The nuclear to plasma ratios of labeled T3 showed that the uptake of this hormone into liver and brain nuclei is not decreased in the iodine-deficient rats as compared with those on the iodine-supplemented diet. This finding indicates that the decreased liver and brain nuclear T3 contents of iodine-deficient rats are likely to be a consequence of the marked reduction of their T4 pool, leading to decreased amounts of intracellularly generated T3. The number of spines on shafts of pyramidal neurons from the visual cortex of iodine-deficient rats was lower than that of rats fed the same diet supplemented with KI. Their distributions along the shaft were also not the same. Such changes might well be an index of cerebral hypothyroidism, as they are similar to those found after thyroidectomy of adult rats. It is concluded from the present findings that normal circulating T3 levels may not be sufficient to maintain brain euthyroidism in rats fed a diet iodine deficient enough to result in very low circulating T4 levels.

摘要

长期喂食低碘饮食的大鼠,尽管血清T3正常,但血清T4可能较低,循环TSH较高。由于大脑在很大程度上依赖于T4在细胞内生成T3以满足其总T3和核T3需求,我们进行了两项实验,以确定缺碘大鼠的大脑是否会出现甲状腺功能减退,尽管血清T3水平正常。在两项实验中,我们都证实了先前的数据,表明与接受补充KI的相同饮食的动物相比,血浆T4水平极低的缺碘大鼠的垂体和肝脏存在甲状腺功能减退,尽管不如因长期摄入KClO4或手术切除甲状腺而导致T4和T3循环水平均无法检测到的动物那么明显。我们进一步发现,与补充碘饮食的动物相比,缺碘大鼠大脑中的核T3含量降低。标记T3的核与血浆比率表明,与补充碘饮食的大鼠相比,缺碘大鼠肝脏和脑细胞核对这种激素的摄取并未减少。这一发现表明,缺碘大鼠肝脏和脑细胞核T3含量降低可能是其T4储备显著减少的结果,导致细胞内生成的T3量减少。缺碘大鼠视皮层锥体神经元轴突上的棘突数量低于喂食补充KI相同饮食的大鼠。它们沿轴突的分布也不相同。这些变化很可能是脑甲状腺功能减退的一个指标,因为它们与成年大鼠甲状腺切除术后发现的变化相似。从目前的研究结果可以得出结论,对于喂食足够缺碘以至于导致循环T4水平极低的大鼠,正常的循环T3水平可能不足以维持大脑的甲状腺功能正常。

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