Mantzoros C S, Rosen H N, Greenspan S L, Flier J S, Moses A C
Department of Medicine, Charles A. Dana Research Institute, Boston, Massachusetts, USA.
J Clin Endocrinol Metab. 1997 Feb;82(2):497-9. doi: 10.1210/jcem.82.2.3741.
Leptin, a 16-kDa adipocyte-derived protein whose circulating levels reflect energy stores, increases the resting metabolic rate and thermogenesis in rodents. Thyroid hormones also increase the basal metabolic rate, but nothing is known about possible interactions between leptin and thyroid hormone. Activation of beta-adrenergic receptors decreases leptin levels in rodents. To test the hypothesis that thyroid hormones, by causing a "functional hyperadrenergic" state, result in decreased leptin concentrations in humans, we studied 22 normal healthy men before and after the administration of T3 for 1 week to induce moderate hyperthyroidism. Short term thyroid hormone excess does not alter circulating leptin concentrations despite a demonstrated effect on heart rate, systolic blood pressure, cholesterol levels, and metabolic indexes of bone turnover. Elucidation of the apparently separate pathways by which thyroid hormones, beta-agonists, and leptin regulate energy expenditure and food intake may have important implications for our understanding of the mechanisms for regulating energy homeostasis in health and disease.
瘦素是一种由脂肪细胞分泌的16千道尔顿蛋白质,其循环水平反映能量储备,可提高啮齿动物的静息代谢率和产热。甲状腺激素也会提高基础代谢率,但瘦素与甲状腺激素之间可能存在的相互作用尚不清楚。β-肾上腺素能受体的激活会降低啮齿动物的瘦素水平。为了验证甲状腺激素通过导致“功能性高肾上腺素能”状态从而使人体瘦素浓度降低这一假设,我们对22名正常健康男性在服用T3 1周以诱导中度甲状腺功能亢进前后进行了研究。尽管甲状腺激素短期过量对心率、收缩压、胆固醇水平和骨转换代谢指标有明显影响,但并未改变循环瘦素浓度。阐明甲状腺激素、β-激动剂和瘦素调节能量消耗和食物摄入的明显不同途径,可能对我们理解健康和疾病状态下能量稳态的调节机制具有重要意义。