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生理剂量的反三碘甲状腺原氨酸对人体甲状腺-垂体功能无影响。

The failure of physiologic doses of reverse T3 to effect thyroid-pituitary function in man.

作者信息

Nicod P, Burger A, Strauch G, Vagenakis A G, Braverman L E

出版信息

J Clin Endocrinol Metab. 1976 Aug;43(2):478-81. doi: 10.1210/jcem-43-2-478.

DOI:10.1210/jcem-43-2-478
PMID:820712
Abstract

Reverse T3 (3,3',5'-triiodothyronine, rT3), a major product of the peripheral monodeiodination of thyroxine (T4), was administered to normal male volunteers in doses sufficient to sustain an elevated serum rT3 concentration similar to that frequently observed in patients with nonthyroidal illness. No changes in basal serum T4, T3, TSH and prolactin concentrations, nor in the T3, TSH and prolactin responses to iv TRH were observed during rT3 administration. These findings suggest that physiologic increases in serum rT3 concentration probably do not inhibit T4 to T3 conversion or the anterior pituitary TSH and prolactin responses to thyrotropin-releasing hormone (TRH).

摘要

反式三碘甲状腺原氨酸(3,3',5'-三碘甲状腺原氨酸,rT3)是甲状腺素(T4)外周单碘化的主要产物,以足以维持血清rT3浓度升高的剂量给予正常男性志愿者,该浓度类似于在非甲状腺疾病患者中经常观察到的浓度。在给予rT3期间,未观察到基础血清T4、T3、促甲状腺激素(TSH)和催乳素浓度的变化,也未观察到T3、TSH和催乳素对静脉注射促甲状腺激素释放激素(TRH)的反应变化。这些发现表明,血清rT3浓度的生理性升高可能不会抑制T4向T3的转化,也不会抑制垂体前叶TSH和催乳素对促甲状腺激素释放激素(TRH)的反应。

相似文献

1
The failure of physiologic doses of reverse T3 to effect thyroid-pituitary function in man.生理剂量的反三碘甲状腺原氨酸对人体甲状腺-垂体功能无影响。
J Clin Endocrinol Metab. 1976 Aug;43(2):478-81. doi: 10.1210/jcem-43-2-478.
2
Comparison of inhibitory effects of 3,5,3'-triiodothyronine (T3), thyroxine (T4), 3,3,',5'-triiodothyronine (rT3), and 3,3'-diiodothyronine (T2) on thyrotropin-releasing hormone-induced release of thyrotropin in the rat in vitro.3,5,3'-三碘甲状腺原氨酸(T3)、甲状腺素(T4)、3,3',5'-三碘甲状腺原氨酸(反T3,rT3)和3,3'-二碘甲状腺原氨酸(T2)对大鼠体外促甲状腺激素释放激素诱导的促甲状腺激素释放抑制作用的比较。
Endocrinology. 1978 Aug;103(2):393-402. doi: 10.1210/endo-103-2-393.
3
Reverse triiodothyronine does not alter pituitary-thyroid function in normal subjects.反三碘甲状腺原氨酸不会改变正常受试者的垂体-甲状腺功能。
J Clin Endocrinol Metab. 1984 Jun;58(6):1184-7. doi: 10.1210/jcem-58-6-1184.
4
Effect of Iopanoic acid on the pituitary-thyroid axis: time sequence of changes in serum iodothyronines, thyrotropin, and prolactin concentrations and responses to thyroid hormones.碘番酸对垂体-甲状腺轴的影响:血清碘甲状腺原氨酸、促甲状腺激素和催乳素浓度变化的时间顺序以及对甲状腺激素的反应。
J Clin Endocrinol Metab. 1981 Oct;53(4):779-83. doi: 10.1210/jcem-53-4-779.
5
Effects of three-day oral cholecystography on serum iodothyronines and TSH concentrations: comparison of the effects among some cholecystographic agents and the effects of iopanoic acid on the pituitary-thyroid axis.三日口服胆囊造影术对血清甲状腺素和促甲状腺激素浓度的影响:某些胆囊造影剂之间的效果比较及碘番酸对垂体-甲状腺轴的影响
Acta Endocrinol (Copenh). 1979 Nov;92(3):477-88. doi: 10.1530/acta.0.0920477.
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Effect of ACTH-stimulated glucocorticoid hypersecretion on the serum concentrations of thyroxine-binding globulin, thyroxine, triiodothyronine, reverse triiodothyronine and on the TSH-response to TRH.促肾上腺皮质激素刺激引起的糖皮质激素分泌过多对血清甲状腺素结合球蛋白、甲状腺素、三碘甲状腺原氨酸、反三碘甲状腺原氨酸浓度及促甲状腺激素对促甲状腺激素释放激素反应的影响。
Acta Med Acad Sci Hung. 1979;36(4):381-94.
7
Effect of endotoxin on hormonal responses to thyrotropin and thyrotropin-releasing hormone in dogs.内毒素对犬促甲状腺激素及促甲状腺激素释放激素激素反应的影响。
Am J Vet Res. 1998 Feb;59(2):186-91.
8
Sustained rises in serum thyrotropin, thyroxine, and triiodothyronine during long term, continuous thyrotropin-releasing hormone treatment in patients with amyotrophic lateral sclerosis.在肌萎缩侧索硬化症患者长期持续促甲状腺激素释放激素治疗期间,血清促甲状腺激素、甲状腺素和三碘甲状腺原氨酸持续升高。
J Clin Endocrinol Metab. 1986 Oct;63(4):808-14. doi: 10.1210/jcem-63-4-808.
9
Low serum free thyroxine index in ambulating elderly is due to a resetting of the threshold of thyrotropin feedback suppression.活动自如的老年人血清游离甲状腺素指数较低是由于促甲状腺激素反馈抑制阈值的重新设定。
J Clin Endocrinol Metab. 1991 Oct;73(4):843-9. doi: 10.1210/jcem-73-4-843.
10
Effect of acute increases in serum triiodothyronine on TSH and prolactin responses to TRH, and estimates of pituitary stores of TSH and prolactin in normal subjects and in patients with primary hypothyroidism.血清三碘甲状腺原氨酸急性升高对促甲状腺激素(TSH)以及TSH和催乳素对促甲状腺激素释放激素(TRH)反应的影响,以及正常受试者和原发性甲状腺功能减退患者垂体中TSH和催乳素储备的评估。
J Clin Endocrinol Metab. 1976 Mar;42(3):443-58. doi: 10.1210/jcem-42-3-443.

引用本文的文献

1
The effect of iodothyronines on the conversion of thyroxine into 3,3'-5-tri-iodothyronine in isolated rat renal tubules.碘甲状腺原氨酸对离体大鼠肾小管中甲状腺素转化为3,3',5'-三碘甲状腺原氨酸的影响。
Biochem J. 1980 Aug 15;190(2):239-42. doi: 10.1042/bj1900239.
2
Metabolic effect of 3,3',5'-triiodothyronine in cultured growth hormone-producing rat pituitary tumor cells. Evidence for a unique mechanism of thyroid hormone action.3,3',5'-三碘甲状腺原氨酸对培养的产生长激素的大鼠垂体肿瘤细胞的代谢作用。甲状腺激素作用独特机制的证据。
J Clin Invest. 1985 Aug;76(2):890-3. doi: 10.1172/JCI112049.
3
[Acute factitious hyperthyroidism--moderate clinical symptoms in 3 cases under beta-blocker treatment].
[急性人为性甲状腺功能亢进症——3例在β受体阻滞剂治疗下的中度临床症状]
Klin Wochenschr. 1986 Apr 1;64(7):319-26. doi: 10.1007/BF01711950.
4
L-triiodothyronine and L-reverse-triiodothyronine generation in the human polymorphonuclear leukocyte.人多形核白细胞中L-三碘甲状腺原氨酸和L-反式三碘甲状腺原氨酸的生成
J Clin Invest. 1978 Sep;62(3):577-84. doi: 10.1172/JCI109163.
5
Iodothyronine metabolism in rat liver homogenates.大鼠肝脏匀浆中的碘甲状腺原氨酸代谢
J Clin Invest. 1978 Feb;61(2):459-71. doi: 10.1172/JCI108957.