Wolf C F, Keck F S, Brinkmann A, Rigos D, Lindner K H, Grünert A
Institut für Klinische Chemie, Medizinische Universitätsklinik und Poliklinik, Universität Ulm, Germany.
Horm Metab Res. 1995 Mar;27(3):126-30. doi: 10.1055/s-2007-979923.
We investigated the formation of a "nonthyroidal illness" (NTI) in pigs undergoing ventricular fibrillation (VF) and resuscitation. Seven minutes after VF twenty-one pigs received either Epinephrine (E: 45 micrograms/kg B.W.; n = 7), Norepinephrine (NE: 45 micrograms/kg B.W.; n = 7), or Vasopressin (VP: 0.8 U/kg B.W.; n = 7). We determined the serum concentrations (sc) of total T4 (TT4), FT4, total T3 (TT3) and rT3 120 min before, during (t0), and 5, 15, 60 and 120 min after VF. At the end of the observation period we figured out the in-vitro T3-generation (kM, Vmax), the in-vitro rT3-generation, the in-vitro rT3-decomposition (kM, Vmax) and the content of cytosolic sulfhydryls (total sulfhydryls, non-protein bound sulfhydryls) in liver and kidney specimen. Animals not undergoing VF served as controls (C) for parameters measured in the intracellular compartment. TT4- and TT3-sc decreased to 3.3 +/- 0.6 micrograms/dl (p < 0.05, vs. t0) and 15.2 +/- 4.1 ng/dl (p < 0.05, vs t0), resp. FT4-sc remained stable for five minutes (2.63 +/- 0.41 ng/dl) before declining to 1.8 +/- 0.39 ng/dl (p < 0.05, vs. t0). The rT3-sc raised finally to 46.9 +/- 7.3 ng/dl (p < 0.05, vs t0). Iodothyronine sc did not exhibit differences between E-, NE- and VP-treatment. Neither in-vitro T3-generation, nor in-vitro rT3-generation, nor in-vitro rT3-decomposition nor intracellular sulfhydryl content were affected by the events of VF and resuscitation as compared to the controls.(ABSTRACT TRUNCATED AT 250 WORDS)
我们研究了经历室颤(VF)和复苏的猪体内“非甲状腺疾病”(NTI)的形成。室颤7分钟后,21只猪分别接受肾上腺素(E:45微克/千克体重;n = 7)、去甲肾上腺素(NE:45微克/千克体重;n = 7)或血管加压素(VP:0.8单位/千克体重;n = 7)。我们测定了室颤前120分钟、室颤期间(t0)以及室颤后5、15、60和120分钟时总T4(TT4)、游离T4(FT4)、总T3(TT3)和反T3(rT3)的血清浓度(sc)。在观察期结束时,我们测定了肝脏和肾脏标本的体外T3生成(kM,Vmax)、体外rT3生成、体外rT3分解(kM,Vmax)以及胞质巯基含量(总巯基、非蛋白结合巯基)。未经历室颤的动物作为细胞内区室测量参数的对照(C)。TT4和TT3的sc分别降至3.3±0.6微克/分升(p < 0.05,与t0相比)和15.2±4.1纳克/分升(p < 0.05,与t0相比)。FT4的sc在下降至1.8±0.39纳克/分升(p < 0.05,与t0相比)之前稳定了5分钟(2.63±0.41纳克/分升)。rT3的sc最终升至46.9±7.3纳克/分升(p < 0.05,与t0相比)。甲状腺素sc在E、NE和VP治疗组之间未表现出差异。与对照组相比,室颤和复苏事件对体外T3生成、体外rT3生成、体外rT3分解或细胞内巯基含量均无影响。(摘要截短至250字)