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大鼠甲状腺半切除术后的代偿性甲状腺肥大

Compensatory thyroid hypertrophy after hemithyroidectomy in rats.

作者信息

Clark O H, Lambert W R, Cavalieri R R, Rapoport B, Hammond M E, Ingbar S H

出版信息

Endocrinology. 1976 Oct;99(4):988-95. doi: 10.1210/endo-99-4-988.

Abstract

Thyroid enlargement occurs in association with a variety of circumstances characterized by an impaired capacity of the gland to secrete adequate amounts of hormone. To elucidate the factors responsible for such compensatory thyroid growth, particularly the role of TSH, we have observed the response of the serum TSH, T3 and T4 concentrations following hemithyroidectomy in the rat, and have attempted to correlate changes in these functions with changes in the weight and histology of the thyroid remnant. Hemithyroidectomy was performed in male Sprague-Dawley rats weighing 150 to 370 g, sham-operated animals serving as controls. As compared to findings in sham-operated animals, serum T4 concentrations declined promptly after hemithyroidectomy. In Experiment I serum T4 concentrations remained low for about 10 days and then returned to initial values. In Experiment II serum T4 concentrations remained lower than initial T4 values or values found in sham-operated animals until 34 days after hemithyroidectomy. Serum T3 concentrations were not significantly altered after hemithyroidectomy in either group but tended to be lower in the hemithyroidectomized animals. Serum TSH concentrations increased within 3 days after hemithyroidectomy and, for as long as 21 weeks, remained at values higher than those present preoperatively or those seen in sham-operated animals. Thyroid lobe weight increased following removal of the contralateral lobe and this increase was also sustained throughout the duration of the experiments. Biochemical and histological observations indicated that enlargement of the residual lobe was due to hypertrophy rather than hyperplasia.

摘要

甲状腺肿大与多种情况相关,其特征是甲状腺分泌足够量激素的能力受损。为了阐明导致这种甲状腺代偿性生长的因素,特别是促甲状腺激素(TSH)的作用,我们观察了大鼠半甲状腺切除术后血清TSH、T3和T4浓度的变化,并试图将这些功能变化与甲状腺残余部分的重量和组织学变化联系起来。对体重150至370克的雄性斯普拉格-道利大鼠进行半甲状腺切除术,假手术动物作为对照。与假手术动物的结果相比,半甲状腺切除术后血清T4浓度迅速下降。在实验I中,血清T4浓度在约10天内保持较低水平,然后恢复到初始值。在实验II中,血清T4浓度在半甲状腺切除术后34天一直低于初始T4值或假手术动物中的值。两组半甲状腺切除术后血清T3浓度均无显著变化,但半甲状腺切除动物的T3浓度往往较低。半甲状腺切除术后3天内血清TSH浓度升高,并且在长达21周的时间内,一直保持高于术前或假手术动物中的水平。切除对侧叶后甲状腺叶重量增加,并且在整个实验期间这种增加也持续存在。生化和组织学观察表明,残余叶的增大是由于肥大而非增生。

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