Testa I, Rasetti C, Ippoliti M, Boni M, De Sio G, Recchioni A, Testa R
Istituto di Clinica Medica, Università degli Studi di Ancona.
Boll Soc Ital Biol Sper. 1993 Jan;69(1):25-31.
Aim of our study was estimating if TSH could influence the timing of ANP release. About it we observed 70 male subjects: 40 were euthyroid patients aged 42 +/- 5 years (group A); 20 patients treated by thyroxine in doses sufficient for inhibiting TSH release, aged 45 +/- 7 years (group B). A third group (C) was composed by 10 subjects with high basal levels of serum T3 and T4 with no thyrostatic therapy, aged 40 +/- 9 years. These subjects underwent a TRH test estimating at -30', 0', 30', 60', 120' plasma concentrations of TSH, ANP, T3, T4. In reply to physiological stimulus induced on patients of group A we observed a significant increase of TSH values (max at 60') and ANP levels (max at 120'). No significant variations occurred during the TRH test in T3 and T4 concentrations. In groups B and C no important modifications were observed neither in TSH nor in ANP plasma levels. ANP secretion seems to be dependent from the secretory condition of hypothalamus-pituitary-thyroid axis both in physiological and pathological conditions.
我们研究的目的是评估促甲状腺激素(TSH)是否会影响心钠肽(ANP)释放的时间。关于这一点,我们观察了70名男性受试者:40名是甲状腺功能正常的患者,年龄为42±5岁(A组);20名接受足够剂量甲状腺素治疗以抑制TSH释放的患者,年龄为45±7岁(B组)。第三组(C组)由10名血清T3和T4基础水平高且未接受甲状腺抑制治疗的受试者组成,年龄为40±9岁。这些受试者接受了促甲状腺激素释放激素(TRH)试验,在-30'、0'、30'、60'、120'时评估血浆中TSH、ANP、T3、T4的浓度。对于A组患者所诱导的生理刺激,我们观察到TSH值显著升高(60'时达到最大值)和ANP水平显著升高(120'时达到最大值)。在TRH试验期间,T3和T4浓度没有显著变化。在B组和C组中,TSH和ANP血浆水平均未观察到重要变化。在生理和病理条件下,ANP的分泌似乎都依赖于下丘脑-垂体-甲状腺轴的分泌状态。