Tan J P, Seidler F J, Schwinn D A, Page S O, Slotkin T A
Department of Pharmacology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Pediatr Res. 1997 Jul;42(1):93-102. doi: 10.1203/00006450-199707000-00015.
Adrenergic input influences renal cell replication/differentiation and the development of excretory function. Kidney cells make adrenoceptors before the arrival of the majority of nerve terminals, and the current study examines whether thyroid hormone plays a role in receptor development. Propylthiouracil (PTU) was given to pregnant and neonatal rats from gestational d 17 through postnatal d 5, a treatment that obtunds thyroid hormone levels throughout the first 2-3 wk postpartum. The PTU group showed significant deficits in the number of alpha1-receptors, and values resolved to normal in parallel with hormone level recovery. The effects were not secondary to alterations in cell differentiation or growth. as the period of receptor abnormalities did not correspond to that of growth inhibition. Similarly, the effects were selective for the alpha1-receptor, as no comparable effects were seen for total membrane protein or for alpha2-receptors. The role of thyroid hormone in alpha1-receptor ontogeny involved a critical developmental window; later in development neither treatment with PTU nor with large doses of thyroid hormone had any impact on alpha1-receptors. Studies of mRNAs encoding the alpha1-receptor subtypes indicated that hypothyroidism targets the alpha1a-subtype, which has been implicated in the transduction of neurotrophic signals; alpha1a-receptor mRNA also showed the largest proportional developmental increase compared with those encoding other alpha1-subtypes. Accordingly, thyroid hormone is likely to set the stage for the subsequent trophic control of renal development by neural input, and hypothyroidism during this critical window can be expected to result in abnormal renal functional development and increased perinatal risk.
肾上腺素能输入影响肾细胞的复制/分化及排泄功能的发育。在大多数神经末梢到达之前,肾细胞就已形成肾上腺素能受体,而本研究探讨甲状腺激素在受体发育过程中是否发挥作用。从妊娠第17天至出生后第5天,给怀孕及新生大鼠注射丙硫氧嘧啶(PTU),该处理可使产后头2 - 3周内的甲状腺激素水平降低。PTU组α1受体数量显著减少,且随着激素水平恢复,其值也恢复正常。这些影响并非细胞分化或生长改变的继发结果,因为受体异常期与生长抑制期并不一致。同样,这些影响对α1受体具有选择性,因为总膜蛋白或α2受体未见类似影响。甲状腺激素在α1受体个体发育中的作用涉及一个关键的发育窗口期;在发育后期,PTU处理或大剂量甲状腺激素处理均对α1受体无任何影响。对编码α1受体亚型的mRNA的研究表明,甲状腺功能减退针对的是α1a亚型,该亚型与神经营养信号转导有关;与编码其他α1亚型的mRNA相比,α1a受体mRNA在发育过程中的比例增加也最大。因此,甲状腺激素可能为随后神经输入对肾脏发育的营养控制奠定基础,在此关键窗口期出现甲状腺功能减退可能导致肾功能发育异常,并增加围产期风险。