Effect of premature birth and survival on hepatic thyroxine 5'-monodeiodinase activity in baboons

D S Lewis1, D DeChant, R A deLemos

  • 1Department of Physiology and Medicine, Southwest Foundation for Biomedical Research, San Antonio, Texas 78228-0147.

Insights

Premature baboons show delayed thyroid hormone levels but their hepatic 5'-monodeiodinase type I (5'-MDI) activity matures postnatally. This suggests premature birth doesn't hinder 5'-MDI maturation despite initial hormone deficiencies.

Area of Science:

  • Endocrinology
  • Developmental Biology
  • Perinatology

Background:

  • Premature birth impacts neonatal thyroid hormone homeostasis.
  • Hepatic 5 -monodeiodinase type I (5 -MDI) is crucial for thyroid hormone activation.
  • Understanding 5 -MDI maturation in premature neonates is vital for clinical management.

Purpose of the Study:

  • To investigate plasma thyroid hormones and hepatic 5 -MDI activity in a primate model of premature birth.
  • To assess the impact of premature delivery on the developmental trajectory of 5 -MDI activity.
  • To determine if premature birth affects the postnatal maturation of hepatic 5 -MDI.

Main Methods:

  • Measurement of plasma T3 and T4 levels in fetal, premature, and term infant baboons.
  • Assay of hepatic 5 -MDI activity using dithiothreitol.
  • Kinetic analysis of 5 -MDI to determine Vmax and Km values.
  • Assessment of hepatic sulfhydryl groups in premature baboons.

Main Results:

  • Prematurely delivered baboons exhibited delayed T3 and T4 surges and prolonged hypothyroxinemia.
  • Hepatic 5 -MDI activity was significantly lower in fetal baboons but increased near term.
  • Postnatal hepatic 5 -MDI activity in premature baboons increased within 6 days, reaching levels similar to near-term fetuses.
  • Kinetic analysis indicated differences in Vmax but not Km for fetal versus premature 5 -MDI.
  • No significant differences in hepatic sulfhydryl groups were observed between premature baboon groups.

Conclusions:

  • Premature birth in baboons leads to transient deficiencies in thyroid hormones.
  • Despite initial deficits, hepatic 5 -MDI activity demonstrates significant postnatal maturation.
  • The findings suggest that premature birth does not impede the developmental maturation of hepatic 5 -MDI activity.