Goldey E S, Kehn L S, Rehnberg G L, Crofton K M
Neurotoxicology Division, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina 27711, USA.
Toxicol Appl Pharmacol. 1995 Nov;135(1):67-76. doi: 10.1006/taap.1995.1209.
Deafness is a common result of severe hypothyroidism during development in humans and laboratory animals; however, little is known regarding the sensitivity of the auditory system to more moderate changes in thyroid hormone homeostasis. The current investigation compared the relative sensitivity of auditory function, motor function, and growth to the effects of moderate to severe perinatal hypothyroidism in the rat. Rats received propylthiouracil (PTU) in drinking water at concentrations of 0, 1, 5, and 25 ppm from Gestation Day 18 until postnatal day (PND) 21, and the effects on their offspring were evaluated. At 1 ppm, PTU did not affect any of the measured endpoints. Serum thyroxin concentrations were sharply reduced in the 5 and 25 ppm PTU groups at all ages sampled (PND 1, 7, 14, and 21). Marked reductions in serum triiodothyronine (T3) concentrations were also detected for all ages > or = 7 at 25 ppm PTU, whereas no effects of 5 ppm PTU on serum T3 were apparent until PND 21. Compared to the controls, pups exposed to the highest dose of PTU demonstrated a delay in eye opening, reduced body weights, decreased and/or delayed preweaning motor activity, and persistent, postweaning hyperactivity. Only slight and transient effects on eye opening and ontogeny of motor activity were seen at the intermediate dose of PTU (5 ppm). Reflex modification audiometry revealed that, compared to controls, adult offspring from the 5 and 25 ppm treatment groups showed dose-dependent auditory threshold deficits (35 to > 50 dB) at all frequencies tested (1, 4, 16, 32, and 40 kHz). Such dose-dependent effects indicate that the developing auditory system may be sensitive to mild hypothyroidism, suggesting the possible need for routine audiometric screening for infants and children at risk for iodine deficiency, myxedema, and/or exposure to thyrotoxic environmental agents.
在人类和实验动物的发育过程中,耳聋是严重甲状腺功能减退的常见后果;然而,关于听觉系统对甲状腺激素稳态更适度变化的敏感性,人们所知甚少。当前的研究比较了大鼠围产期轻度至重度甲状腺功能减退对听觉功能、运动功能和生长的相对敏感性。从妊娠第18天到出生后第21天,大鼠饮用含0、1、5和25 ppm丙硫氧嘧啶(PTU)的水,并评估对其后代的影响。1 ppm时,PTU对任何测量终点均无影响。在所有采样年龄(出生后第1、7、14和21天),5和25 ppm PTU组的血清甲状腺素浓度急剧降低。在25 ppm PTU时,所有≥7日龄的血清三碘甲状腺原氨酸(T3)浓度也显著降低,而直到出生后第21天,5 ppm PTU对血清T3均无明显影响。与对照组相比,暴露于最高剂量PTU的幼崽睁眼延迟、体重减轻、断奶前运动活动减少和/或延迟,以及断奶后持续多动。在PTU中间剂量(5 ppm)时,仅对睁眼和运动活动个体发育有轻微和短暂影响。反射修正听力测定显示,与对照组相比,5和25 ppm处理组的成年后代在所有测试频率(1、4、16、32和40 kHz)均表现出剂量依赖性听觉阈值缺陷(35至>50 dB)。这种剂量依赖性效应表明,发育中的听觉系统可能对轻度甲状腺功能减退敏感,提示可能需要对有碘缺乏、黏液性水肿和/或接触甲状腺毒性环境因素风险的婴幼儿进行常规听力筛查。