• 제목/요약/키워드: T3 (Triiodothyronine)

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불현성 갑상선기능저하증이 병발한 고령의 뇌졸중 환자의 호전 1례 (A Case Report of Cerebral Infarction in an Elderly Patient with Subclinical Hypothyroidism)

  • 우성호;김병철;심효주;나유진;강래엽;김진원;서호석;김정욱;김용호
    • 대한한방내과학회지
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    • 제28권3호
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    • pp.624-631
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    • 2007
  • Hypothyroidism is a common disease of the endocrinal system, characterized by fatigue, cold intolerance, bradycardia, and so on. Subclinical hypothyroidism is a common biochemical abnormality which can be found in routine screening tests of thyroid function. It is defined as an asymptomatic state which characterized by normal free thyroxine(FT4) and elevated thyroid stimulating hormone(TSH) levels. The purpose of this study was to evaluate the effect of treatment with palmijihwang-tang and to observe the changes in triiodothyronine(T3), free thyroxine(FT4), thyroid stimulating hormone(TSH) level and VAS of cold intolerance, hoarseness, dry skin. After the treatment, triiodothyronine(T3) increased from 57.12ng/dl to 120.53ng/dl. Free thyroxine(FT4) increased from 12.59pg/ml to 14.21pg/ml. Thyroid stimulating hormone(TSH) decreased from 10.61mU/L to 1.57mU/L. Cold intolerance, hoarseness and dry skin changed for the better. These results support a role for oriental medical therapy in treating subclinical hypothyroidism. Further case studies of herbal treatment of this ailment are needed.

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신부(娠婦)와 신생아(新生兒)에서 혈청(血淸)Thyroxine/Thyroxine-Binding Globulin 비(比) (Serum Thyroxine to Thyroxine-Binding Globulin Ratio in Pregnancy and Newborn)

  • 김지열
    • 대한핵의학회지
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    • 제16권2호
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    • pp.59-61
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    • 1982
  • To evaluate the diagnostic value of the ratio of serum tyroxine$(T_4)$/thyroxine-binding globulin (TBG) for the thyroid status in pregnancy and newborn serum thyroxine, TBG, triiodothyronine, and free thyroxine levels were radioimmunoassayed in normal pregnant women at each of the trimesters, and the calculated serum $T_4/TBG$ ratios were compared with other parameters such as $T_3/TBG$ ratio and free $T_4/TBG$ ratio and free $T_4/TBG$ ratio. Serum $T_4$ levels were elevated with the propotionate increase in TBG levels during pregnancy, leading to the nearly constant value of serum $T_4/TBG$ ratios as in normal non-pregnant controls. In contrast, serum $T_3/TBG$ and free $T_4/TBG$ ratios varied considerably during pregnancy. In newborn, $T_4$ levels were nearly not changed with compared non-pregnant control value and TBG levels were elevated. The results indicate that serum $T_4/TBG$ ratio is a better parameter than others in evaluating the thyroid status during pregnancy and but newborn is a no better.

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Retinoid X Receptor Isoforms $\alpha$ and $\beta$ Differentially Regulate 3,5,3’ -Triiodothyronine- induced Transcription

  • Rhee, Myung-chull
    • Animal cells and systems
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    • 제2권4호
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    • pp.489-493
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    • 1998
  • Various heterodimers of the thyroid hormone receptor (TR) with other nuclear hormone receptors confer a wide range of transcriptional activities on thyroid hormone response elements (TREs) in the presence of the thyroid hormone ($T_3$). The present study analyzed the potential roles of retinoid X receptor (RXR) isoforms $\alpha$ and $\beta$ in $T_3$-mediated transcription on a well characterized TRE, a direct repeat of AGGTCA separated by four nucleo-tides (DR4), using electrophoretic mobility shift assays and transient transfection in CV-1 cells. We demonstrated that RXR$\alpha$ supressed liganded $TR_{\alpha}$-induced transcription while $RXR_{\beta}$ did not although both $TR_{\alpha}/RXR_{\alpha}$ and $TR_{\alpha}/RXR_{\beta}$ heterodimers were the predominant forms bound to the TRE-DR4 in the presence of $T_3$. We further demonstrated using Scatchard analysis that the two heterodimers had similar affinities for the TRE-DR4. All these observations suggest that the TRE-DR4 accomodates different types of TR/RXR heterodimers for a more finely tuned transcriptional response to $T_3$.

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임신 중 바이러스성 감염요인과 갑상선 호르몬의 상관성 (Relationship between the Thyroid Hormone and Viral Infections in Pregnancy)

  • 임동규;박창은
    • 대한임상검사과학회지
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    • 제54권1호
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    • pp.28-37
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    • 2022
  • 임신은 갑상선 기능 검사의 중요한 해석을 필요로 하며 임신 중 갑상선 기능 이상과 외부 바이러스성 감염 인자들의 항체의 존재는 태아 및 산모의 건강에 영향을 미치기에 임신에서 갑상선 기능의 선별적 평가가 요구된다. 본 연구에서는 임신기간 동안 정상 산모들의 선택적 산전 감염인자 검사 항목 중에서 갑상선 관련 인자와 바이러스성 감염 인자의 임신시기별 상호 연관성을 알아보고자 하는 후향적 단편 실태조사이다. 분석한 결과를 살펴보면, T3는 나이가 증가함에 따라 감소하고, 특히 HCV가 양성인 그룹에서 양의 유의성을 보였다(P<0.01). 또한 HIV가 음성이지만 임계치에 근접하거나 쌍둥이 임산부에서는 FT4가 유의한 증가를 나타냈다(P<0.05). TSH는 30대 연령에서 높게 분포하였으며, 다른 바이러스성 감염인자와는 통계적 유의성이 나타나지 않았다. 또한, TSH의 결과 값을 삼분위로 나누어 분석한 결과, FT4와 T3은 양의 상관성을 보였으나 TSH와는 음의 상관성을 보였다(P<0.05). 따라서 본 연구를 통해서 임신 중 산전검사인 갑상선 검사와 바이러스성 감염인자의 검사를 통한 임신 중 평가는 임신 경과시간, 감염인자의 노출상태 및 정량적 수치의 상태를 반영하여 이루어져야 할 것이며, 갑상선 관련 내분비 인자에 대한 산전검사의 유용성에 대한 평가의 보완이 이루어져야 할 것으로 사료된다.

갑상선 호르몬이 잡견 폐장의 허혈-재관류 손상에 미치는 영향 (Effect of Thyroid Hormone on the Ischemia-Reperfusion Injury in the Canine Lung)

  • 김영태;성숙환
    • Journal of Chest Surgery
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    • 제32권7호
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    • pp.637-647
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    • 1999
  • 배경: 여러 장기의 생체 내 혹은 생체 외 실험에서 삼요드티로닌(triiodothyronine; T3)이 장기의 허혈-재관류 손상을 줄이는 효과가 있을 것으로 보고되고 있다. 이 연구에서는 삼요드티로닌을 투여하여 폐장 이식 초기 에 이식 실패의 가장 중요한 원인인 폐장 허혈-재관류 손상을 줄일 수 있을 것으로 가정하고 폐 허혈-재관류 손상을 평가할 수 있는 동물 실험 모델을 통하여 이를 증명하고자 하였다. 대상 및 방법: 체중 15~20 kg의 잡견 16마리를 무작위로 두 군으로 나눈 뒤, 대조군인 A군에는 식염 수를 정맥 주사하고 실험군인 B군에는 일측 폐 허혈 유발 전에 삼요드티로닌 $3.6\mu$g/kg을 정맥 주사하였으며 주사량 (ml)은 두 군에서 같게 하였다. 좌측 폐문부를 차단하여 좌측 폐 허혈을 100분간 유발시킨 후 재관류시켰고, 재관류 후 4시간 동안 우측 폐문부를 간헐적으로 차단하면서 좌측 폐의 가스 교환능, 혈역학적 변수, 호흡 역학적 변수를 측정하였다. 실 험 종료 후 폐 조직 일부를 생검하여 폐 조직 수분 함량, 지방 산화물(malonedialdehide; MDA)과 조직 내 ATP양을 측정하고, 광학 현미경 소견을 관찰하였다. 결과: 동맥혈 산소 분압은 두 군에서 모두 재관류 30분에 감소하였다가 서서히 회복하는 양상을 보였으며 재관류 30분에 A군은 $125\pm34$ mmHg, B군은 $252\pm44$ mmHg, 실험을 종료한 4시간에 A군은 $178\pm42$ mmHg, B군은 $330\pm37$ mmHg으로 전 과정을 통해 실험군인 B군에서 내내 높았다(p<0.05). 동맥혈 이산화탄소 분압, 폐혈관 저항, 기관내압 및 폐 탄성도 등 호흡 역학적 변수, 그리고 폐 조직 수분 함량은 두 군간에 차이가 없었다. 조직 내 MDA양은 A군$(0.53\pm0.05mu$M)에 비해 B군$(0.40\pm0.04\mu$M)에서 낮았다 (p<0.05). ATP양은 A군에서$0.48\pm0.07\mu$M/g, B군에서 $0.69\pm0.07\mu$M/g으로 B군에서 높았다(p<0.05). 폐 생검 조직의 광학 현미경 소견은 혈관 주위 호중구 침윤, 모세 혈관 출혈과 간질 내 울혈 등이 관찰되었고 두 군간의 차이는 없었다. 결론: 이상의 결과에서 삼요드티로닌이 폐장의 허혈-재관류 손상 후 산소 교환능을 개선시키고, 조직 내 지방 산화물의 생성을 줄이며 조직 ATP를 증가시킴으로써 이식폐 보존에 유용하게 이용될 수 있음을 입증하였다.

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토끼심장의 전기적 활동에 대한 갑상선 호르몬의 영향 (Effect of Thyroid Hormone on the Electrical Activity of Rabbit Heart)

  • 홍성근;권종국;정순일
    • The Korean Journal of Physiology
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    • 제20권1호
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    • pp.17-29
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    • 1986
  • 갑상선 호르몬의 표적기관(target organ) 중의 하나인 심장이 hyperthyroid상태에서 심박동수의 증가, 부정맥 그리고 세포 수들에서 sodium, potassium pump기능이 항진되는 것으로 보고되고 있다. 증진된 Pump기능과 더불어 positive chronotropic effect는 심장의 향도잡이로 알려진 동방결절 과 심방근에 어떤 변화에 의하여 발현되는지 알아보기 위하여 $3{\sim}6$개월령의 토끼 (체중 약 1.5kg내외)에 3,3',5-l-triiodothyronine$(T_3)$을 투여하며 실험적으로 hyperthyroid상태를 유도한 다음 심장세포 내에 유리미세전극을 삽입하여 기록한 결과 다음과 같은 성적을 얻었다. 1) 심박동수는 투여 전(Day 1) $169.0{\pm}28.0\;beat/min(Day\;7)$에서 $264.2{\pm}18.9\;beat/min(Day\;7)$으로 156% 가량 증가되었고 체중은 투여전 체중의 $68.2{\pm}2.0%$로 현저한 감소를 보였다. 2) $T_3$투여군에서 활동전압기간은 $148.0{\pm}29.1\;msec$에서 $107.0{\pm}13.6\;msec$로 감소하여 심박동증가를 반영하였으나 그 외의 활동전압 Parameter에서 대조군과 유의한 차를 관찰할 수 없었다. 3) 세포막에 대한 Potassium ion투과성의 영향을 알아보기 위하여 10, 15, $20mM-K^+\;Tyrode$용액을 사용한 결과 SA node에서 $15mM\;K^+$에서 활동전압 발사가 대조군에 비해 현저하게 감소하였고, 4) Ta 투여군에서 심방근의 안정막전압 탈분극 정도는 15mM(P<0.05), $20mM-K^+Tyrode$용액(P<0.05)에서 대조군보다 유의성있게 낮았다. 5) Sodium, potassium pump기능은 대조군에 비해 동방결절$(13.4{\pm}1.1\;vs.\;19.5{\pm}7.1mV,\;p<0.1)$과 심방근$(15.1{\pm}5.5\;vs.\;25.8{\pm}10.0mV,\;p<0.025)$에서 모두 높은 값을 얻었다. 6) $T_3$에 의한 calcium ion의 영향을 알아보기 위하여 $Ca^{++}\;channel\;blocker$$MnCl_2$를 사용한 결과 $T_3$ 투여군의 동방결절은 정상대조군의 것보다 낮은 농도의 $MnCl_2$ 용액에서 흥분성의 감소를 보였다.

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Effect of Organic Selenium (Sel-Plex) on Thermometabolism, Blood Chemical Composition and Weight Gain in Holstein Suckling Calves

  • Ebrahimi, Marzieh;Towhidi, Armin;Nikkhah, Ali
    • Asian-Australasian Journal of Animal Sciences
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    • 제22권7호
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    • pp.984-992
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    • 2009
  • The objective of this study was to determine the effects of milk supplemented with Sel-Plex on thyroid hormones, rectal temperature, plasma glucose and cholesterol concentrations, and body weight in suckling calves. Ten Holstein suckling male calves of approximately 1 month of age were selected and randomly allocated to one of two groups and fed either unsupplemented milk (control) or milk supplemented with 0.3 mg/kg DM Se from Sel-Plex (treated). The animals received treated milk and free choice starter for two months. Dry matter intake for each individual animal was recorded daily throughout the study. The calves were weighed and blood samples were taken weekly. Plasma concentrations of triiodothyronine ($T_{3}$), thyroxin ($T_{4}$) and $T_{3}$-Uptake were determined using radioimmunoassay kits. Plasma cholesterol and glucose concentrations were determined by enzymatic-colorimetric methods. Rectal temperature was recorded at blood sampling time. During the experiment, ambient temperature and relative humidity were recorded at the time of blood sampling and every four hours. Treatment significantly (p<0.01) affected the concentration of $T_{3}$, free $T_{3}$ index ($FT_{3}I$) and ratio of $T_{3}$:$T_{4}$ in plasma. The plasma concentrations of $T_{3}$ in treated calves were 33% higher than in the control. The plasma concentrations of $T_{4}$ (p<0.05), glucose (p<0.01) and cholesterol (p<0.01) were decreased in the treated group. Calves fed Sel-Plex had higher rectal temperature (p<0.01). Plasma free $T_{4}$ index (FT4I) did not differ significantly between the two groups. An increase in body weight was observed (p<0.09) in the treated group. The results indicated that milk fortified with Sel-Plex could increase tissue conversion of $T_{4}$ to $T_{3}$ and therefore improve thermometabolism in suckling calves.

Changes in the thyroid hormone profiles in children with nephrotic syndrome

  • Jung, Sun Hee;Lee, Jeong Eun;Chung, Woo Yeong
    • Clinical and Experimental Pediatrics
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    • 제62권3호
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    • pp.85-89
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    • 2019
  • Purpose: We compared thyroid hormone profiles in children with nephrotic syndrome (NS) during the nephrotic phase and after remission. Methods: This study included 31 pediatric NS patients. The thyroid hormone profiles included serum levels of triiodothyronine (T3), thyroxine (T4), thyroid-stimulating hormone (TSH), and free T4. Results: Of the 31 patients, 16 (51.6%) showed abnormal thyroid hormone profiles: 6 had overt hypothyroidism, 8 had subclinical hypothyroidism, and 2 had low T3 syndrome. The mean serum T3, T4, and free T4 levels in the nephrotic phase and after remission were $82.37{\pm}23.64$ and $117.88{\pm}29.49ng/dL$, $5.47{\pm}1.14$ and $7.91{\pm}1.56{\mu}g/dL$, and $1.02{\pm}0.26$ and $1.38{\pm}0.23ng/dL$, respectively; the levels were significantly lower in the NS nephrotic phase (P=0.0007, P<0.0001, and P=0.0002). The mean serum TSH levels during the nephrotic phase and after remission were $8.05{\pm}3.53$ and $4.08{\pm}2.05{\mu}IU/mL$, respectively; they were significantly higher in the nephrotic phase (P=0.0005). The urinary protein/creatinine ratio during the nephrotic phase was significantly correlated with serum T3, T4, and free T4 levels (r=-0.5995, P=0.0032; r=-0.5797, P=0.0047; r=-0.5513, P=0.0078) as well as with TSH levels (r=0.5022, P=0.0172). A significant correlation was found between serum albumin and serum T3 levels during the nephrotic phase (r=0.5385, P=0.0018) but not between serum albumin and T4, TSH, or free T4 levels. These significant correlations all disappeared after remission. Conclusion: Abnormal thyroid hormone profile findings were observed in 51.6% of pediatric patients with NS. Thyroid hormone levels normalized after remission, regardless of levothyroxine therapy.

흰쥐에서 김치식이가 조직과 분변의 지질조성과 Apo단백 및 Thyroxine 농도에 미치는 영향 (Effects of Kimchi on Tissue and Fecal Lipid Composition and Apolipoprotein and Thyroxine Levels in Rats)

  • 권명자;송영옥;송영선
    • 한국식품영양과학회지
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    • 제26권3호
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    • pp.507-513
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    • 1997
  • This study was carried out to examine whether kimchi has hypolipidemic effect and to know how it exert lipid-lowering effect in rats. Male Sprague-Dawley rats were fed with kimchi-fee diet, or 3%, or 5%, or 10% kimchi diets for 6 weeks. Plasma cholesterol level was lowered in rats fed all concentrations of kimchi diets, and plasma triglyceride(TG) level was lowered in 10% kimchi diet group compared with that of control significantly(p<0.05). Th intake of kimchi lowered VLDL-cholesterol and VLDL-TG levels, whereas increased HDL-cholesterol level significantly(p<0.05). LDL-cholesterol level was lowered only in 5% kimchi diet group and LDL-TG level was lowered in all kimchi diet groups compared with those of control significantly (p<0.05). the intake of 5% and 10% kimchi diets also lowered the levels of hepatic cholesterol, TG, total lipid, and apolipoprotein B, whereas increased the levels of fecal total fat, cholesterol, TG, and apolipoprotein A-1 significantly(p<0.05). Triiodothyronine(T$_3$) level was elevated in rats fed kimchi diet, whereas thyroxine(T$_4$) level was not affected by kimchi treatment. These observations support that the intake of kimchin in rats loweres plasma and hepatic lipid levels by increasing the excretion of TG and cholesterol through feces, by the elevation of T$_3$ level, and by the altered lipoprotein metabolism.

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Effect of KiFAY on Performance, Insulin-like Growth Factor-1, and Thyroid Hormones in Broilers

  • Kini, Amit;Fernandes, Custan;Suryawanshi, Dayaram
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권10호
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    • pp.1451-1457
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    • 2016
  • A comparative study was performed to investigate the efficacy of KiFAY as a feed additive on performance parameters, thyroid, and pancreatic hormone levels in broilers. Ninety birds (Vencobb 400) were randomly divided into three groups viz., Control (no DL-methionine supplementation), Treatment1 (containing added DL-methionine) and Treatment 2 (containing KiFAY and without DL-methionine supplementation). The performance parameters (weekly body weight, body weight gain, feed intake, and feed consumption ratio) were recorded and calculated during the whole study of 4 weeks. Analyses of insulin and insulin-like growth factor (IGF 1), triiodothyronine (T3), thyroxine (T4) and thyroid stimulating hormone (TSH) were performed at the end of the study. The results show that birds on supplementation of KiFAY performed significantly (p<0.001) better than other treatments. The weekly body weight, body weight gain, feed in-take and feed consumption ratio improved in KiFAY treated birds. The study found an increase in insulin and IGF1 levels (p<0.001) in KiFAY compared with the other treatments. Serum T3, T4, and TSH levels in the Treatment 2 were higher than other treatments (p<0.001). The KiFAY supplementation was able to improve performance with associated responses at a hormonal level in broilers.