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- and
-thyroid hormone receptors
1Laboratory of Cerebral Metabolism, National Institute of Mental Health; 3Positron Emission Department, Clinical Center; and 2Laboratory of Molecular Biology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892
Submitted 19 February 2004 ; accepted in final form 16 July 2004
Abnormal thyroid function is usually associated with altered cardiac function. Mutations in the thyroid hormone (TH)-binding region of the TH
-receptor (TR
) that eliminate its TH-binding ability lead to the thyroid hormone resistance syndrome (RTH) in humans, which is characterized by high blood TH levels, goiter, hyperactivity, and tachycardia. Mice with "knock-in" mutations in the TH
-receptor (TR
) or TR
that remove their TH-binding ability have been developed, and those with the mutated TR
(TR
PV/PV) appear to provide a model for RTH. These two types of mutants show different effects on cerebral energy metabolism, e.g., negligible change in glucose utilization (CMRGlc) in TR
PV/PV mice and markedly reduced CMRGlc, like that found in cretinous rats, in the mice (TR
PV/+) with the knock-in mutation of the TR
gene. Studies in knockout mice have indicated that the TR
may also influence heart rate. Because mutations in both receptor genes appear to affect some parameters of cardiac function and because cardiac functional activity and energy metabolism are linked, we measured heart glucose utilization (HMRGlc) in both the TR
PV/PV and TR
PV/+ mutants. Compared with values in normal wild-type mice, HMRGlc was reduced (77 to 95%) in TR
PV/+ mutants and increased (87 to 340%) in TR
PV/PV mutants, the degree depending on the region of the heart. Thus the TR
PV/+ and TR
PV/PV mutations lead, respectively, to opposite effects on energy metabolism in the heart that are consistent with the bradycardia seen in hypothyroidism and the tachycardia associated with hyperthyroidism and RTH.
heart; thyroid hormone resistance syndrome; glucose metabolism; 2-deoxyglucose
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