Only T3+T4 ensures euthyroidism in all tissues of thyroidectomized rat.

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Endocrinology 1996 Jun;137(6):2490-502

Only the combined treatment with thyroxine and triiodothyronine ensures

euthyroidism in all tissues of the thyroidectomized rat.

Escobar-Morreale HF, del Rey FE, Obregon MJ, de Escobar GM

Molecular Endocrinology Unit, Consejo Superior de Investigaciones

Cientificas, Universidad Autonoma de Madrid, Spain.

hescobar@...

We have recently shown that it is not possible to restore euthyroidism

completely in all tissues of thyroidectomized rats infused with T4 alone.

The present study was undertaken to determine whether this is achieved when

T3 is added to the continuous sc infusion of T4.

Thyroidectomized rats were infused with placebo or T4 (0.80 and 0.90

microgram/100 g BW.day), alone or in combination with T3 (0.10, 0.15,

or 0.20 microgram/100 g BW.day).

Placebo-infused intact rats served as euthyroid controls.

Plasma and 12 tissues were obtained after 12 days of infusion.

Plasma TSH and plasma and tissue T4 and T3 were determined by RIA.

Iodothyronine deiodinase activities were assayed using cerebral cortex,

pituitary, brown adipose tissue, liver,and lung.

Circulating and tissue T4 levels were normal in all the groups infused with

thyroid hormones.

On the contrary, T3 in plasma and most tissues and plasma TSH only reached

normal levels when T3 was added to the T4 infusion. The combination of 0.9

microgram T4 and 0.15 microgram T3/100 g BW.day resulted in normal T4 and T3

concentrations in plasma and all tissues as well as normal circulating TSH

and normal or near-normal 5'-deiodinase activities.

Combined replacement therapy with T4 and T3 (in proportions similar to those

secreted by the normal rat thyroid) completely restored euthyroidism in

thyroidectomized rats at much lower doses of T4 than those needed to

normalize T3 in most tissues when T4 alone was used.

If pertinent to man, these results might well justify a change in the

current therapy for

hypothyroidism.

PMID: 8641203, UI: 96217290

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