不同浓度碘对大鼠仔鼠垂体促甲状腺激素细胞的影响

目的探讨不同浓度碘对60日龄仔鼠垂体TSH细胞的影响。方法将断乳1个月的Wistar大鼠仔鼠,雌雄各半随机分为5组:NI组、10HI组、50HI组、100HI及LI组。饲养3个月的雌雄大鼠1∶1合笼交配产生仔鼠,断乳后的仔鼠喂养同上述大鼠。测定60日龄仔鼠垂体TSH细胞的体密度、强阳性细胞百分数及甲状腺的相对重量、血清甲状腺激素水平。结果50HI、100HI组仔鼠垂体TSH细胞的体密度、强阳性细胞百分数及血清T4明显高于NI组,LI组垂体TSH细胞的体密度明显高于NI组、血清T4明显低于NI组,各碘过量组甲状腺的相对重量与NI组相比没有差别,LI组仔鼠甲状腺的相对重量明显高于NI组。结论碘缺乏对甲状腺、垂体TSH细胞的影响要强于碘过量对甲状腺、垂体TSH细胞所造成的影响。     

有机磷阻燃剂TDCIPP对雌性大鼠甲状腺的潜在毒性作用

目的: 研究磷酸三(1, 3-二氯-2-丙基)酯(TDCIPP)对雌性大鼠甲状腺系统的潜在毒性作用及机制。方法: 将32只离乳3周的雌性SD大鼠随机分为对照组(玉米油灌胃)及TDCIPP低、中、高剂量组(50、100、250 mg/kg·d,溶于玉米油)(n=8),灌胃给药21 d,每天1次。于末次给药后处死动物,取血和甲状腺、肝脏,检测血清中促甲状腺激素(TSH)、三碘甲腺原氨酸(T3), 甲状腺素(T4)和游离甲状腺素(FT4)水平变化;组织切片(HE染色)用于检测甲状腺形态学病变;RT-PCR技术与Western blot技术检测与甲状腺功能相关的基因和蛋白表达的变化。结果: 与对照组比较,TDCIPP染毒后大鼠甲状腺出现滤泡排列不规则、胶质变少、滤泡增生、肥大等现象,TDCIPP低剂量组的血清TSH水平和高剂量组的T3水平均显著升高(P＜0.05),低剂量组促甲状腺激素受体(TSHR)mRNA表达和中、高剂量组甲状腺激素受体β(TRβ)蛋白表达均显著降低(P＜0.05,P＜0.01),中、高剂量组甲状腺过氧化物酶(TPO)mRNA表达显著增高(P＜0.05,P＜0.01),三个剂量组尿苷二磷酸葡萄糖醛酸转移酶(UGTs)、细胞色素氧化酶-3A1(CYP3A1)蛋白表达水平显著上调(P＜0.05)。结论: 大鼠暴露在50 mg/(kg·d)以上剂量的TDCIPP,即可以刺激甲状腺组织的增生,改变血清中甲状腺素的水平,干扰甲状腺的功能,表现出对甲状腺的毒性作用。     

左甲状腺素钠片联合甲状腺片用于甲状腺癌术后TSH抑制治疗的临床效果评价

摘要 目的：探究左甲状腺素钠片联合甲状腺片用于甲状腺癌术后促甲状腺激素（TSH）抑制治疗的临床效果。方法：选择2021年1月-2022年6月本院收治的甲状腺癌手术并进行碘131清甲治疗后行TSH抑制治疗的80例患者为本次研究对象,开展动态分组法,对照组及观察组,n=40。单纯左甲状腺素钠片治疗为对照组,左甲状腺素钠片联合甲状腺片治疗为观察组。比较甲状腺功能、肝肾功能、治疗效果及不良反应。结果：治疗后,游离三碘甲状腺原氨酸（FT3）、游离四碘甲状腺原氨酸（FT4）水平,观察组及对照组均较治疗前提高,但观察组低于对照组;TSH水平,两组均较治疗前降低,且观察组较对照组低（P＜0.05）;治疗前,肌酐（Scr）、谷丙转氨酶（ALT）、谷草转氨酶（AST）水平,观察组及对照组比较无差异（P＞0.05）,治疗后,各指标水平,两组均较治疗前降低,且观察组较对照组低（P＜0.05）;观察组治疗有效率高于对照组（P＜0.05）;观察组及对照组不良反应率比较无差异（P＞0.05）。结论：左甲状腺素钠片联合甲状腺片用于甲状腺癌术后TSH抑制治疗可明显改善患者甲状腺功能,提高免疫功能及治疗效果,效果优于左甲状腺素钠片单独治疗,且安全性较高。     

妊娠期高血压疾病对早产大鼠甲状腺形态及功能的影响

目的 建立妊娠期高血压疾病(hypertensive disorder complicating pregnancy, HDCP)孕鼠模型,观察HDCP对不同胎龄早产大鼠甲状腺形态及功能的影响。方法 SD孕鼠随机分为对照组和HDCP组,HDCP组自妊娠期(gestational day, GD)第13天起注射左旋硝基精氨酸甲酯(L-NAME;250 mg/(kg·d)),对照组注射等量生理盐水。早产大鼠于GD18～21行剖宫产术获得,记录两组仔鼠体重及身长;分离肝及甲状腺,肝组织匀浆用于检测甲状腺激素水平,甲状腺组织用于观察甲状腺形态及超微结构。结果 与对照组相比,HDCP组孕鼠血压及尿蛋白明显升高(P<0.05);HDCP组早产大鼠体重及身长明显低于对照组(P<0.01)。与对照组相比,HDCP组19～21 d早产大鼠TSH水平明显升高(P<0.01),T3、T4水平差异无显著性;HE染色显示,对照组仔鼠滤泡腔于GD18出现,而HDCP组于GD19出现,且数量明显减少;透射电镜下,HDCP组粗面内质网明显肿胀、脱颗粒,伴储积物。结论 成功建立HDCP孕鼠模型;与对照...     

碘过量大鼠仔鼠垂体促甲状腺激素细胞的组织学研究

目的探讨不同剂量碘过量对大鼠20日龄仔鼠垂体促甲状腺激素细胞的形态学影响。方法将断乳1个月的Wistar大鼠,雌雄各半,随机分为4组：NI组、10HI组、50HI组、100HI组。饲养3个月的雌雄大鼠1：1合笼交配产生仔鼠,断乳后的仔鼠喂养同上述大鼠。测定20日龄仔鼠垂体TSH细胞的体密度和面数密度。结果100HI组仔鼠垂体TSH细胞的体密度高于NI组,10HI、50HI与NI组相比无差异,各碘过量组的面数密度与NI组相比也无差别。结论大剂量碘过量可造成大鼠仔鼠乖体TSH细胞分泌颗粒蓄积,细胞体积增大。     

甲状腺癌患者血清促甲状腺激素和甲状腺激素表达水平及临床意义

目的:探讨甲状腺癌患者血清促甲状腺激素和甲状腺激素表达水平及临床意义。方法:应用电化学发光方法检测甲状腺癌组、甲状腺良性病变组和正常对照组血清促甲状腺激素(TSH)和甲状腺激素(TT3、FT3、TT4、FT4)水平。结果:①血清TSH在三组中比较有统计学意义(P〈0.001),甲状腺癌组血清TSH水平(3.56±0.93ulU/ml)明显高于甲状腺良性病变组(2.82±0.70ulU/ml)和正常对照组(2.04±0.56ulU/ml);TSH与肿瘤病理分期和肿瘤大小呈正相关(P<0.05)。②血清FT3、FT4水平在三组中有统计学意义(均P〈0.001),甲状腺癌组FT3、FT4水平处于较低水平,二者均明显低于甲状腺良性病变组和正常对照组(P<0.001);FT3与肿瘤病理分期和淋巴结转移呈负相关(P<0.05)。③TT3和TT4水平在三组之间比较均无统计学意义(P>0.05)。结论:高水平TSH可增加甲癌复发的危险性。低甲状腺激素水平在甲状腺癌形成中可能起到一定的作用,因此可以将其作为预测甲癌复发的重要指标之一。     

养殖条件下3种锦蛇甲状腺相关激素和生长的比较研究

为深入了解人工饲养条件下棕黑锦蛇(Elaphe schrenckii)、赤峰锦蛇(E.anomala)和王锦蛇(E.carinata)生长情况及与甲状腺相关激素的关系,本研究在蛇类非冬眠时期的5月、7月和9月,以尾静脉采血获得3种锦蛇的血清,检测其血清中促甲状腺激素释放激素(TRH)、促甲状腺激素(TSH)和甲状腺素(T4)含量,并记录观察期间3种蛇的体重和体长的增长以及进食量。检测结果,王锦蛇的促甲状腺激素释放激素(TRH)、促甲状腺激素(TSH)和甲状腺素(T4)含量均低于其他2种锦蛇,3种锦蛇促甲状腺激素释放激素(TRH)、促甲状腺激素(TSH)含量最高值均出现在7月份;除了赤峰锦蛇外,棕黑锦蛇和王锦蛇的甲状腺素(T4)含量最高值也出现在7月份,与蛇类快速生长的时间相一致。另外,棕黑锦蛇甲状腺素(T4)含量与进食量的相关系数高于赤峰锦蛇和王锦蛇,而其饲料的转化率也高于后两者,其间存在的关系还需要深入研究。由上述结果可以看出,3种锦蛇促甲状腺激素释放激素(TRH)、促甲状腺激素(TSH)和甲状腺素(T4)含量和变化趋势有着明显的差别,且血清甲状腺素(T4)含量与蛇的进食量、生长和饲料转化率之间有密切的关系。     

131I对男性甲状腺功能亢进症血清性激素及甲状腺球蛋白水平影响研究

目的:探讨~(131)I对男性甲状腺功能亢进症患者血清性激素及甲状腺球蛋白水平的影响。方法:收集我院收治的男性甲状腺功能亢进症患者74例,随机分为对照组和实验组,每组各37例,对照组患者给予他巴唑口服,20-30 mg/次,每日口服1次。实验组患者在对照组基础上给予~(131)I治疗。治疗结束后,检测并比较两组患者血清游离三碘甲状腺素(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)、睾酮(T)、雌二醇(E2)、甲状腺球蛋白(TG)水平的变化以及临床疗效。结果:与治疗前相比,两组患者血清FT3、FT4、T、E2、TG水平均显著下降,TSH水平明显升高(P0.05);与对照组相比,实验组患者血清FT3、FT4、T、E2、TG水平较低,TSH水平以及临床治疗有效率较高(P0.05)。结论:~(131)I能够显著降低男性甲状腺功能亢进症血清FT3、FT4、T、E2、TG水平,升高TSH水平,临床效果较好。     

肝病患者血清甲状腺相关物质的检测与意义

目的探讨不同程度肝病患者血清甲状腺激素水平的变化及其意义。方法应用放射免疫法分别检测114例慢性肝炎、130例肝硬化、96例重型肝炎、120例健康体检者的血清甲状腺激素水平(T3、T4、FT3、FT4、rT3、TSH),抗甲状腺过氧化物酶抗体(抗TPO)、抗甲状腺球蛋白抗体(抗TG)的含量变化。结果肝病患者较正常人血清甲状腺素水平(T3、T4、FT3、FT4)显著降低,而抗TPO、抗TG、rT3含量显著升高,差异有统计学意义;随着肝功能受损程度的加重,血清甲状腺素水平(T3、T4、FT3、FT4)降低程度差异有统计学意义。结论肝病患者血清甲状腺激素水平的检测对评估肝功能、判断病程及预测预后有一定的临床意义。     

甲亢甲低患者肝纤维化指标检测的临床意义分析

目的：探讨甲状腺功能亢进（甲亢）、甲状腺功能减低（甲低）与肝纤维化指标的关系及其可能的机制。方法：采用放射免疫分析法（R1A）检测57例甲亢患者、43例甲低患者、39例甲亢治疗后甲状腺激素正常者和50例健康成人的血清Ⅳ型胶原（1V-C）、Ⅲ型前胶原（PCⅢ）、透明质酸（HA）、层粘连蛋白（LN）、T3、T4、FT3、FT4、TSH、TGA、TMA含量。结果：甲亢患者组血清中1V-C、PCⅢ含量比正常对照组及甲低患者组显著性增高（P〈0.05）;治疗后甲状腺激素下降,1V-C、PCⅢ含量也随之下降（与治疗前比较P〈0.01）;HA、LN在四组中无显著性差异（P〉0.05）,在甲亢治疗前后无显著性差异（P〉0.05）。各项肝纤维化指标与TGA、TMA的阳性率无关。结论：甲亢患者可有不同程度的肝功能损害,血清中甲状腺激素水平增高时,1V-C、PCⅢ水平也增高,在用1V-C、PCⅢ判断肝纤维化时应注意有无甲状腺疾病特别是甲亢。未发现HA、LN含量与甲状腺激素水平的关系。     

维生素A缺乏大鼠致敏后免疫功能低下对肺炎的影响机制

目的探讨维生素A（VA）缺乏对致敏后免疫细胞发育、功能的影响机制。方法：低VA饲料喂养大鼠8周时用卵蛋白致敏并分组。VAS组隔天口服vA100u,治疗3次;VAD组与正常组口服大豆油。用免疫组织化学法观察细胞角蛋白19（CK19）、病理学检查肺与脾病理变化、ELISA法检查血清Th因子水平等。结果VAD组胸腺萎缩,胸腺上皮细胞（TEC）肥大、聚集、CK19少。血IL—10、IL-4、胸腺索a-1升高。肺感染病灶多,肺泡隔浸润细胞较少与红细胞渗出多。VAS组胸腺细胞增生,TEC内CK193上调,血IFN—γ水平较低、IL-4、IL-10明显下调。小气道单层纤毛柱状上皮正常,管壁淋巴细胞浸润较重,肺泡区巨噬细胞多、渗出红细胞少。结论VA缺乏并致敏后胸腺TEC、胸腺细胞等发育和功能异常。补充VA改善胸腺TEC结构、促进淋巴细胞增生与非特异免疫功能,保护呼吸道黏膜与肺泡上皮。     

板蓝根多糖对无初乳仔鼠十二指肠IgG+和SIgA+细胞表达的影响

目的 研究不同浓度板蓝根多糖(Indigowoad Root Polysaccharide,IRP)对SD系无初乳仔鼠十二指肠IgG+和SIgA+细胞表达的影响.方法 40窝0d仔鼠随机分为A～E组:(A)初乳组,(B)常乳组,(C)常乳+高IRP组,(D)常乳+中IRP组,(E)常乳+低IRP组.各组分别灌胃生理盐水,生理盐水,低、中、高剂量的IRP,于0、7、14、21、28 d随机取6只进行取材,运用免疫组织化学技术,通过Moticam 2306图像处理系统对各实验组仔鼠十二指肠中IgG+和SIgA+细胞及分泌物的分布和面积进行统计分析.结果 IgG+和SIgA+细胞首先出现于腺体周围固有层,然后在绒毛固有层、上皮细胞之间和肌层也有分布.IgG+和SIgA+细胞数量随日龄增大而增加,且C、D、E组的IgG+和SIgA+细胞数量在7～28 d高于B组.在7～14d、14～21 d、21～28 d发挥最佳效果的组别依次为E、D、C组.结论 IRP可以促进无初乳仔鼠十二指肠黏膜IgG+和SIgA+细胞的表达.随着日龄增大,发挥最佳免疫效应的IRP浓度逐渐减小.     

鱼油对断奶大鼠脏器指数及肠道菌群影响的研究

目的探讨鱼油对断奶大鼠脏器指数及肠道菌群的影响。方法选取（21±3）d日龄断奶SD大鼠96只,雌雄各半,随机分为2组,实验组饲喂添加0．5％鱼油的饲料,对照组饲喂正常饲料。分别于第7、14、21、28天处死各组大鼠12只,分别测定大鼠肝脏指数、胸腺指数及脾脏指数;应用梯度稀释法和培养法测定大鼠4种肠道正常菌群,即肠杆菌、双歧杆菌、乳酸杆菌、葡萄球菌。结果实验组第7天脾脏指数与对照组相比差异有显著性（P〈0．05）,第28天肝脏指数和胸腺指数与对照组相比差异有显著性（P〈0．05）;实验组第7、14和21天肠道内肠杆菌数量与对照组相比差异有显著性（P〈0．05）,第7天大鼠肠道内葡萄球菌数量与对照组相比差异有显著性（P〈0．05）,第14天大鼠肠道内葡萄球菌数量与对照组相比差异有非常显著性（P〈0．01）,实验组大鼠肠道内乳酸杆菌和双歧杆菌数量与对照组相比虽有所增高,但差异无显著性（P〉0．05）。结论鱼油可以明显提高断奶大鼠的脏器指数,并且可通过增加断奶大鼠肠道内双歧杆菌和乳酸杆菌数量,降低肠道内肠杆菌和葡萄球菌数量,进而调节断奶大鼠的肠内菌群,改善肠道内环境。     

Levothyroxine monotherapy cannot guarantee euthyroidism in all athyreotic patients

Context

Levothyroxine monotherapy is the treatment of choice for hypothyroid patients because peripheral T4 to T3 conversion is believed to account for the overall tissue requirement for thyroid hormones. However, there are indirect evidences that this may not be the case in all patients.

Objective

To evaluate in a large series of athyreotic patients whether levothyroxine monotherapy can normalize serum thyroid hormones and thyroid-pituitary feedback.

Design

Retrospective study.

Setting

Academic hospital.

Patients

1,811 athyreotic patients with normal TSH levels under levothyroxine monotherapy and 3,875 euthyroid controls.

Measurements

TSH, FT4 and FT3 concentrations by immunoassays.

Results

FT4 levels were significantly higher and FT3 levels were significantly lower (p<0.001 in both cases) in levothyroxine-treated athyreotic patients than in matched euthyroid controls. Among the levothyroxine-treated patients 15.2% had lower serum FT3 and 7.2% had higher serum FT4 compared to euthyroid controls. A wide range of FT3/FT4 ratios indicated a major heterogeneity in the peripheral T3 production capacity in different individuals. The correlation between thyroid hormones and serum TSH levels indicated an abnormal feedback mechanism in levothyroxine-treated patients.

Conclusions

Athyreotic patients have a highly heterogeneous T3 production capacity from orally administered levothyroxine. More than 20% of these patients, despite normal TSH levels, do not maintain FT3 or FT4 values in the reference range, reflecting the inadequacy of peripheral deiodination to compensate for the absent T3 secretion. The long-term effects of chronic tissue exposure to abnormal T3/T4 ratio are unknown but a sensitive marker of target organ response to thyroid hormones (serum TSH) suggests that this condition causes an abnormal pituitary response. A more physiological treatment than levothyroxine monotherapy may be required in some hypothyroid patients.     

Thyroid-thymus interactions during development and aging

A good body of experimental and clinical evidences suggests that bidirectional interactions do exist between the neuroendocrine system and the thymus activity. In particular, thymic endocrine activity seems to be strongly influenced by neuroendocrine signals. In this context, studies performed in hyper- and hypothyroid subjects and in the low triiodothyronine (T3) syndrome, which affects premature infants, have clearly shown that thyroid hormones and in particular T3 physiologically modulate thymic peptide secretion. In vitro experiments, with thymic whole-organ cultures, have demonstrated that thyroid hormones exert their action on the epithelial cells of the thymus deputed to synthesize and secrete thymic peptides and that such an effect does not seem to depend on the known permissive action of thyroid hormones.     

Kinetics of thymic stroma development in the foetal period

The kinetics of thymic epithelial cell development was examined in Wistar strain rats between 13th and 21st days of foetal life. The studies were based on immunocytochemical localisation of cytokeratin 16 (CK 16), Ki67 and on ultrastructural observations of thymus development. Expression of CK16 in individual groups was evaluated using the Micro Image v.4.0 software. In order to monitor changes in CK16 expression in individual days of foetal life, their results were subjected to statistical analysis, demonstrating: (1) correlation between CK16 expression and duration of foetal life, (2) most pronounced CK16 expression on the 16th day of foetal life, (3) typical localisation of CK16-positive cells in individual days of foetal life. The morphological observations suggest that individual subpopulations of epithelial cells differ in their kinetics of proliferative activity.     

大鼠产后压力性尿失禁模型的建立与探讨

目的 应用在大鼠阴道内放置水囊模拟产伤破坏大鼠盆底组织的方法建立产后压力性尿失禁( postpartum urinary incontinence,PPUI)的动物模型,并对此模型进行初步研究.方法 对40只SD雌性大鼠进行持续8h水囊扩张阴道,随机选取PPUI模型建立成功的大鼠25只并与对照同龄大鼠5只分别于模型建立后1d、1周、2周、4周、8周进行喷嚏实验以及尿动力学测定,张力换能器测定盆底肌肉肌力强度,采用JSCC标准化对应法测定血清生化指标(LDH,CK),应用逆转录-聚合酶链反应检测caspase-3基因表达,胆碱酯酶染色法计数盆底肌肉乙酰胆碱受体数量.结果 建模后喷嚏实验阳性率明显升高,阳性率为72.5％(29/40),尿动力学检测最大膀胱容量及漏尿点压力均降低,盆底肌肉收缩力下降,血清LDH、CK水平上升,盆底耻尾肌乙酰胆碱受体数量减少,与对照组比较均差异有显著性(P＜0.05).耻尾肌组织中caspase-3基因表达在建立模型当日达到最高,与对照组差异有显著性(P＜0.05),之后逐渐下降.结论 大鼠阴道内放置8h水囊的方法可以成功模拟产后压力性尿失禁,引起尿动力以及盆底肌肉的相关损伤指标发生改变.     

Possible role of GH/IGF-1 in the ovarian function of adult hypthyroid rats

We have monitored estrous cycle and measured serum estradiol, GH, IGF-1, T4 and T3 levels in adult hypothyroid female rats which were divided into four groups: H group, hypothyroid rats without treatment; H-T4 group, hypothyroid rats injected daily with T4; HT4-PTU group, hypothyroid rats injected daily with T4 plus PTU (propylthiouracil), and H-T4-IOP group, hypothyroid rats injected daily with T4 plus IOP (iopanoic acid); Euthyroid rats (E group) were used as control. Our results indicate that the lack of sexual cycle in H animals was associated with lower values of estradiol, GH and IGF-1 in comparison to E group; the restoration of sexual cycle in H-T4 group was associated with values of estradiol, GH and IGF-1 higher than those of H group, whereas in H-T4-PTU and H-T4IOP groups the restoration was associated with higher values of GH and IGF-1 and values of estradiol similar to those of H group. These data could suggest a potential role of GH/IGF-1 axis, at least in part, in the lack of sexual cycle in H group and in the ovulation induction in H-T4, H-T4-PTU and H-T4-IOP groups.     

Resveratrol ameliorates thymus senescence changes in D-galactose induced mice

The thymic microenvironment plays an important role in the development of T cells. A decrease of thymic epithelial cells is the main cause of age-related thymic atrophy or degeneration. Resveratrol (RSV), a phytoalexin produced from plants, has been shown to inhibit the adverse effects of dietary obesity on the structure and function of the thymus. D-Galactose (D-gal) can induce accelerated aging in mice. In the present study, young mice (2 months old) were injected with D-gal (120 mg/kg/day) for 8 consecutive weeks to construct an accelerated aging model. Compared with normal control mice, the thymus epithelium of the D-gal treated mice had structural changes, the number of senescent cells increased, the number of CD4+ T cells decreased, and CD8+ T cells increased. After RSV administration by gavage for 6 weeks, it was found that RSV improved the surface phenotypes of D-gal treated mice, and recovered thymus function by maintaining the ratio of CD4+ to CD8+ cells. It also indicated that RSV enhanced the cell proliferation and inhibited cell senescence. Increased autoimmune regulator (Aire) expression was present in the RSV treated mice. The lymphotoxin-beta receptor (LTβR) expression also increased. These findings suggested that RSV intake could restore the alterations caused by D-gal treatment in the thymus via stimulation of Aire expression.