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地方性甲状腺肿及其并发症中甲状腺过氧化物酶活力测定

THYROID PEROXIDASE ACTIVITY IN ENDEMIC GOITER AND ITS COMPLICATIONS

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【作者】 杨翠波

【Author】 Yang Cuibo

【机构】 天津医学院病理生理教研室

【摘要】 <正> 甲状腺过氧化物酶(Thyroid peroxid-ase,TPO)在碘氧化,酪氨酸碘化、偶联等甲状腺激素合成过程中起着重要的作用。Fragu P.(1977)报告29例弥漫性散发性甲肿病例,其 TPO 活力比正常甲状腺增高2倍,

【Abstract】 Thyroid peroxidase is involved inseveral steps of the biosynthesis ofthyroid hormone as in utilization ofH2O2:oxidation of iodide to iodi-ne,iodination of thyroglobulin,and a coupling reaction leading toT4 and T3 formation.We have measured peroxidaseactivities in 15 specimens of ende-mic goiter and some complication-s,using guaiacol oxidation assayprocedures of Nakashima and Ta-urog (1978).The method of extra-ction and isolation of TPO was asfollows:after homogenization,centrifugation and solubilization,the activity of the soluble TPOwas measured on spectrophotometerat 470 nm.The results suggest that TPO ac-tivity is various in different stag-es of endemic goiter.In the earlystage,goiter is diffuse.TPO activ-ity is 7 times as high as normaltissue,showing its strong compen-satory activity.When goiter nod-ules occured TPO activity is stillhigher and is 4.5 times as high asnormal tissue.But when the TPOactivity of perinodular tissue wascompared with normal tissue,the-re is no significant difference.Atthe final stage,there is a hugeendemic goiter nodule with degen-erative changes,TPO activity isvery low,showing its compensato-ry deterioration.In endemic goiter with its comp-lications including hyperthyroid-ism,Hashimoto’s disease and car-cinoma,the TPO activity was det-ermined.An autonomous hot nodule was found in a patient with en-demic goiter complicated with hyp-erthyroidism.The TPO activity is5.6 times as high as normal tissue.In a case of Hashimoto’s diseaseenzyme activity is lower than nor-mal.In two cases of carcinoma,enzyme activity is slightlv higherthan normal.

  • 【文献出处】 中国地方病学杂志 ,Chinese Journal of Endemiology , 编辑部邮箱 ,1986年01期
  • 【被引频次】2
  • 【下载频次】16
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