Department of Integrative Physiology, Gunma University Graduate School of Medicine, Gunma, Japan.
Endocrinology. 2018 Apr 1;159(4):1910-1921. doi: 10.1210/en.2017-03125.
Mild perinatal hypothyroidism may result from inadequate iodine intake, insufficient treatment of congenital hypothyroidism, or exposure to endocrine-disrupting chemicals. Because thyroid hormones are critical for brain development, severe hypothyroidism that is untreated in infancy causes irreversible cretinism. Milder hypothyroidism may also affect cognitive development; however, the effects of mild and/or moderate hypothyroidism on brain development are not fully understood. In this study, we examined the behavior of adult male mice rendered mildly hypothyroid during the perinatal period using low-dose propylthiouracil (PTU). PTU was administered through drinking water (5 or 50 ppm) from gestational day 14 to postnatal day 21. Cognitive performance, studied by an object in-location test (OLT), was impaired in PTU-treated mice at postnatal week 8. These results suggest that, although the hypothyroidism was mild, it partially impaired cognitive function. We next measured the concentration of neurotransmitters (glutamate, γ-aminobutyric acid, and glycine) in the hippocampus using in vivo microdialysis during OLT. The concentrations of neurotransmitters, particularly glutamate and glycine, decreased in PTU-treated mice. The expression levels of N-methyl-d-aspartate receptor subunits, which are profound regulators of glutamate neurotransmission and memory function, also were decreased in PTU-treated mice. These data indicate that mild perinatal hypothyroidism causes cognitive disorders in adult offspring. Such disorders may be partially induced secondary to decreased concentrations of neurotransmitters and receptor expression.
轻度围产期甲状腺功能减退症可能是由于碘摄入不足、先天性甲状腺功能减退症治疗不充分或暴露于内分泌干扰化学物质引起的。由于甲状腺激素对大脑发育至关重要,婴儿期未经治疗的严重甲状腺功能减退症会导致不可逆转的呆小病。更轻微的甲状腺功能减退症也可能影响认知发育;然而,轻度和/或中度甲状腺功能减退症对大脑发育的影响尚未完全了解。在这项研究中,我们使用低剂量丙硫氧嘧啶 (PTU) 检查了围产期轻度甲状腺功能减退症的成年雄性小鼠的行为。PTU 通过饮用水(14 天至 21 天的妊娠日 5 或 50ppm)给药。在 PTU 处理的小鼠中,在产后第 8 周的物体定位测试(OLT)中认知表现受损。这些结果表明,尽管甲状腺功能减退症很轻微,但它部分损害了认知功能。接下来,我们使用 OLT 期间的体内微透析测量了海马体中的神经递质(谷氨酸、γ-氨基丁酸和甘氨酸)浓度。在 PTU 处理的小鼠中,神经递质,特别是谷氨酸和甘氨酸的浓度降低。谷氨酸能神经传递和记忆功能的重要调节物 N-甲基-D-天冬氨酸受体亚基的表达水平也在 PTU 处理的小鼠中降低。这些数据表明,轻度围产期甲状腺功能减退症导致成年后代认知障碍。这种障碍可能部分是由于神经递质和受体表达减少引起的。