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Title: Three-compartmental analysis of effects of D-propranolol on thyroid hormone kinetics

Journal Article · · American Journal of Physiology; (USA)
OSTI ID:6834472

Tracer thyroxine (T{sub 4}), 3,3{prime},5-triiodothyronine (T{sub 3}), and 3,3{prime},5{prime}-triiodothyronine (rT{sub 3}) kinetic studies were performed in normal T{sub 4} substituted subjects before and during oral D-propranolol treatment to determine whether changes in thyroid hormone metabolism in a propranolol-induced low-T{sub 3} syndrome result from inhibition of 5{prime}-deiodination or inhibition of transport of iodothyronines into tissues. Data were analyzed according to a three-compartmental model of distribution and metabolism. No changes were observed in size of the three T{sub 4} compartments or in fractional and mass transfer rates of T{sub 4} from plasma to the rapidly (REP) and slowly (SEP) equilibrating pools. Serum T{sub 3}, free T{sub 3}, T{sub 3} plasma pool, T{sub 3} mass transfer rate to REP and SEP, and the T{sub 3} pool masses were all significantly decreased during propranolol to a similar extent as the T{sub 3} plasma production rate (PR). It is concluded that the D-propranolol-induced changes in thyroid hormone metabolism, resulting in a low-T{sub 3} syndrome, are due to inhibition of thyroid hormone deiodination. This is in contrast to the low-T{sub 3} syndrome during caloric deprivation, which results from inhibition of transport of iodothyronines into the liver.

OSTI ID:
6834472
Journal Information:
American Journal of Physiology; (USA), Vol. 255:1; ISSN 0002-9513
Country of Publication:
United States
Language:
English