Kennedy J A, Nicolson R, Wellby M L
Department of Clinical Chemistry, Queen Elizabeth Hospital, Woodville, South Australia.
J Endocrinol. 1994 Dec;143(3):557-64. doi: 10.1677/joe.0.1430557.
Elevation of non-esterified fatty acids (NEFA) in vivo is associated with abnormal control of TSH. To determine whether TSH secretion is directly inhibited by NEFA, as has been reported for GH, cultured rat anterior pituitary cells were exposed for 20 h to oleic acid in medium containing 7.7 x 10(-5) mol/l bovine serum albumin (BSA). In a molar ratio with albumin of 1.2 (total oleic acid 9 x 10(-5) mol/l), or greater, oleic acid inhibited basal GH secretion (maximum inhibition to 40% of control) while basal TSH was less affected, a ratio of 3 (2.3 x 10(-4) mol/l oleic acid) or greater causing a smaller degree of inhibition (maximum inhibition to 80% of control). In the presence of 10(-9) mol/l growth hormone-releasing hormone or 10(-8) mol/l TRH, inhibition was achieved at a ratio of 12 (9 x 10(-4) mol/l oleic acid) or greater. Basal TSH was less sensitive to inhibition by thyroxine (T4) in the presence of oleic acid/albumin at a ratio of 6 or greater, and inhibition by oleic acid was less than additive with T4 at a ratio of 6 or greater. Responses to tri-iodothyronine (T3) were unaffected at a ratio of 6 (4.6 x 10(-4) mol/l oleic acid), but a ratio of 12 inhibited the effects of both T3 and T4 on TSH.(ABSTRACT TRUNCATED AT 250 WORDS)
体内非酯化脂肪酸(NEFA)升高与促甲状腺激素(TSH)的异常调控有关。为了确定TSH分泌是否像生长激素(GH)那样直接受到NEFA的抑制,将培养的大鼠垂体前叶细胞在含有7.7×10⁻⁵mol/L牛血清白蛋白(BSA)的培养基中暴露于油酸20小时。当油酸与白蛋白的摩尔比为1.2(总油酸9×10⁻⁵mol/L)或更高时,油酸抑制基础GH分泌(最大抑制至对照的40%),而基础TSH受影响较小,当比例为3(2.3×10⁻⁴mol/L油酸)或更高时,抑制程度较小(最大抑制至对照的80%)。在存在10⁻⁹mol/L生长激素释放激素或10⁻⁸mol/L促甲状腺激素释放激素(TRH)的情况下,当比例为12(9×10⁻⁴mol/L油酸)或更高时才会出现抑制。当油酸/白蛋白比例为6或更高时,基础TSH对甲状腺素(T4)抑制的敏感性降低,且在比例为6或更高时,油酸与T4的抑制作用小于相加作用。当比例为6(4.6×10⁻⁴mol/L油酸)时,对三碘甲状腺原氨酸(T3)的反应不受影响,但比例为12时会抑制T3和T4对TSH的作用。(摘要截短于250字)