Greer M A, Sato N, Wang X, Greer S E, McAdams S
Department of Medicine, Oregon Health Sciences University, Portland 97201.
Neuroendocrinology. 1993 Apr;57(4):569-75. doi: 10.1159/000126408.
If a primary physiologic action of TRH is to regulate the set-point for negative feedback, a sudden drop in plasma thyroid hormone concentration should stimulate the same rate of in vivo increase in TSH secretion from normal and TRH-deprived thyrotrophs. To test this hypothesis, 3 experiments were performed in which young adult female rats were divided into 3 groups of 6-10 rats each: intact controls, hypothalamic paraventricular nuclei ablation (PVN) and sham-ablated (Sham). Sham and PVN rats were thyroparathyroidectomized 2-4 weeks after brain lesions and serial blood samples taken in all groups at frequent intervals from 0 to 58 days post-thyroidectomy. Plasma TSH was significantly higher than in intact controls by 3 days post-thyroidectomy in both the Sham and PVN groups (p < 0.05). At 14 days PVN plasma TSH was 4 x higher and at 30 days 8 x higher than in intact controls and remained consistently at 50% of that of the Sham group. There was no statistical difference between PVN and Sham in the rate of increase in TSH. Plasma T4 was 40% lower in PVN than in Sham at the time of thyroidectomy and became undetectable in both by day 3. The prompt parallel rate of rise of plasma TSH in Sham and PVN groups following thyroidectomy indicates that a primary physiologic action of TRH in the thyrotroph is to control the set-point for thyroid hormone negative feedback on TSH secretion.(ABSTRACT TRUNCATED AT 250 WORDS)
如果促甲状腺激素释放激素(TRH)的主要生理作用是调节负反馈的设定点,那么血浆甲状腺激素浓度的突然下降应该会刺激正常和缺乏TRH的促甲状腺细胞体内促甲状腺激素(TSH)分泌的增加速率相同。为了验证这一假设,进行了3项实验,将成年雌性大鼠分成3组,每组6 - 10只:完整对照组、下丘脑室旁核消融(PVN)组和假消融(Sham)组。Sham组和PVN组大鼠在脑部损伤后2 - 4周进行甲状腺甲状旁腺切除术,所有组在甲状腺切除术后0至58天频繁采集系列血样。在甲状腺切除术后3天,Sham组和PVN组的血浆TSH均显著高于完整对照组(p < 0.05)。在14天时,PVN组血浆TSH比完整对照组高4倍,在30天时高8倍,并且一直维持在Sham组的50%。PVN组和Sham组TSH的增加速率没有统计学差异。在甲状腺切除时,PVN组的血浆T4比Sham组低40%,到第3天时两组均检测不到。甲状腺切除术后Sham组和PVN组血浆TSH迅速平行上升,表明TRH在促甲状腺细胞中的主要生理作用是控制甲状腺激素对TSH分泌的负反馈设定点。(摘要截断于250字)