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Biomedical subjects

R D Hesch

Publications and source records attributed to R D Hesch.

At least 109 records · Page 6Linked to original sources

Autoantibodies against parathyroid hormone in a patient with terminal renal insufficiency.

An autoantibody against mid-C-regional, possibly mid-regional, parathyroid hormone was detected in the plasma of a patient with terminal renal insufficiency who was on intermittent haemodialysis. 43-68(Tyr)hPTH and 42-55(Tyr)hPTH were selectively bound by his IgG fraction. 43-68(Tyr)hPTH had the highest affinity for the autoantibody; intact parathyroid hormone did not displace radiolabelled 42-55(Tyr)hPTH or 43-68(Tyr)hPTH. As concentrations of circulating antibodies against mid-C/mid-regional parathyroid hormone fell rises in intact and mid-C-regional parathyroid hormone levels and in alkaline phosphatase activity were observed. This autoantibody directed against the middle portion of the parathyroid hormone molecule seemed to have some protective properties against the osteoblast-stimulating activity of the hormone, implying that the mid-C-region or middle region of the molecule has some biological importance.

Adult↗

Osteoporosis: a bone turnover defect resulting from an elevated parathyroid hormone concentration within the bone-marrow cavity?

Recently the bone-marrow cavity blood concentration of parathyroid hormone (PTH) has been shown to exceed that of the peripheral blood. As PTH is a primary modulator of bone cell activity, altered levels of the hormone in the bone-marrow blood may play a significant role in the aetiology of bone disease. We therefore measured PTH concentrations in marrow cavity and venous blood of 9 osteoporotic and 14 control subjects using sequence specific radioimmunoassays for intact and mid-carboxyl (Mid-C) regional human PTH (hPTH). Intact and Mid-C PTH levels were identical in the peripheral blood of control and osteoporotic subjects. Furthermore, bone-marrow cavity blood concentrations of Mid-C PTH, whilst universally higher than those found in peripheral blood, were also comparable in the osteoporotic and control subjects. The sole difference in the PTH composition of bone-marrow cavity blood from osteoporotic subjects was an increased concentration of intact PTH. The origins and consequences of elevated levels of intact PTH within the marrow cavity blood of osteoporotic subjects are discussed.

Bone Marrow↗

Content and heterogeneity of distribution of iodine in human and bovine thyroid glands determined by neutron activation analyses.

While performing activation analytical investigations on the actual concentration of the long-lived radioactive 129iodine in human and bovine thyroid glands the absolute natural nonradioactive 127 iodine content was determined. In all thyroid glands an uneven distribution of 127I was found (in human thyroids from 0 to 0.75 micrograms 127I /mg, in bovine thyroids from 0 to 3.5 micrograms 127I /mg). The mean value of iodine concentration in human thyroid glands ranged from 230 micrograms/g to 490 micrograms/g. This is important because TSH independent autonomy is found at a cellular and follicular level during the development from diffuse to nodular goiter. Both processes may, however, not be related to each other. The resolution of the method used in our study is between the microscopic and the scintigraphic level with an accuracy of +/- 1%, and it shows an intermediate heterogeneity of iodine in thyroid glands.

Adult↗

Antihormonal effects of plant extracts: iodothyronine deiodinase of rat liver is inhibited by extracts and secondary metabolites of plants.

Aqueous extracts from plants such as Lycopus virginicus , Melissa officinalis ( Laminaceae ), and Lithospermum officinale ( Boraginaceae ), containing various antihormonal components, also inhibit both the extrathyroidal enzymic T4-5'-deiodination to T3 and the T4-5'-deiodination. The effects were dose dependent and ultimately complete using rat liver microsomes as a source of the enzyme in vitro. The "specific inhibitory activity" of extracts depends on the plant species used and the extraction procedure applied. It can be increased by either extraction of freeze dried aqueous extracts and decreased by oxidation with KMnO4. The active principle(s) exhibits chemical characteristics of phenols or phenolcarboxylic acids: rosmarinic acid, ellagic acid, and luteolin -7 beta-glucoside are active inhibitory components whilst other secondary plant metabolites consisting only of a single diphenolic ring e.g. cinnamic acid and derivatives are inactive. The inhibition of both iodothyronine-5'- and -5-deiodinase by this new class of iodine-free phenolic inhibitors--belonging to the cinnamic acid-flavonoid-type--supports the hypothesis that in rat liver only a single enzyme catalyses both deiodination pathways and might be of pharmacological interest for the treatment of hyperthyroidism.

Animals↗

Inhibition by certain plant extracts of the binding and adenylate cyclase stimulatory effect of bovine thyrotropin in human thyroid membranes.

The present studies were undertaken to explore the mechanism by which, as previous studies have shown, freeze-dried aqueous extracts (FDE) of plants of the species Lycopus virginicus and Lycopus europaeus, Melissa officinalis (Laminaceae), and Lithospermum officinale (Boraginaceae) have the ability to inhibit at least many of the effects of exogenous and endogenous TSH on the thyroid gland. To this end, we have examined the in vitro effects of FDE from these plants on the ability of bovine TSH (bTSH) to both bind to human thyroid plasma membranes (TPM) and activate adenylate cyclase therein. FDE of these four species produced a dose-related, ultimately complete, inhibition of the binding of 125I-labeled bTSH when studied at 4 C in a 20 mM Tris-HCl-0.5% BSA buffer, pH 7.45. Half-maximum inhibition of bTSH binding was produced by approximately 50 mU/ml bTSH and only about 10-30 micrograms/ml of the four active FDE. When studied in Tris-BSA-50 mM NaCl buffer at 37 C, these FDE remained inhibitory to bTSH binding, but their potency was decreased to about one fifth of that seen in the absence of NaCl. The binding of [125I]hCG to rat testis membranes was also inhibited by all of these FDE, but no effect on the binding of [125I]insulin to crude rat liver membranes was observed. In concentrations as high as 1 mg/ml, FDE of Verbena officinalis (Verbenaceae), which belongs to the same order (Tubiflorae) as the other plants, but exhibits no antithyrotropic or antigonadotropic activity in vivo, had no effect on either the binding of bTSH to thyroid membranes or the binding of hCG to rat testis membranes. No inhibition of [125I]bTSH binding occurred when TPM were preincubated with the four active FDE, washed, and then incubated with [125I]bTSH in medium devoid of FDE. Hence, the inhibition of [125I]bTSH binding seen when labeled hormone and active FDE were added together was not due to irreversible binding of FDE to TPM or damage to the TSH receptor. When [125I]bTSH was incubated with the active FDE in Tris-BSA and the mixture was chromatographed on Sephadex G-100 using the same buffer, [125I]bTSH was shifted from an apparent mol wt of 30,000 and eluted at the void volume. Direct binding of [125I]bTSH in fractions from the new, large molecular peak was nil. Addition of a large excess of unlabeled bTSH during preincubation prevented the shift in the elution pattern of [125I] bTSH produced by these FDE.(ABSTRACT TRUNCATED AT 400 WORDS)

Adenylyl Cyclases↗

Analysis of immunoreactive and biologically active human parathyroid hormone-peptides by high-performance-liquid-chromatography.

A combination of high-performance-liquid-chromatography (HPLC), sensitive radioimmunoassays and a homologous in vitro bioassay was used to characterise human parathyroid hormone (hPTH)-peptides in human parathyroid adenoma and plasma. Chromatography of several synthetic hPTH-peptides allows the calibration of the HPLC column. On the basis of sequence hydrophobicity the elution position of peptides can be predicted. A model for the determination of the minimal peptide sequence of each peptide has been developed which based on immunological and physico-chemical properties allows the characterisation of unknown hPTH-peptides. Using this technique the heterogeneity of circulating hPTH-peptides in human plasma has been examined. Plasma extracts from healthy individuals, osteoporotic, hyperparathyroid and pseudo-hyperparathyroid patients were investigated. A uniform pattern in the heterogeneity of hPTH-peptides was detected. Using parathyroid adenoma as reference disease specific changes were characterised.

Adenoma↗

Molecular structure and biochemical activity of 3,5,3'-triiodothyronamine.

The thyroid hormone decarboxylation product, 3,5,3'-triiodothyronamine (T3AM), has been shown to inhibit the cAMP production stimulated by isoproterenol in turkey erythrocytes. This adrenergic receptor binding inhibition was not shown by the thyroid hormones nor by tyramine, but was observed for 3,5-diiodotyramine, 3,5-diiodothyronamine, and thyronamine. T3AM also inhibits prolactin secretion in cultured pituitary cells as well as domperidon binding in rat corpora striata membranes. T3AM has no thyromimetic activity at the nuclear level. The molecular structure of T3AM, determined as a borosalicylate salt by X-ray diffraction techniques, is the first report of a decarboxylated thyroid hormone analogue.

Animals↗

Syndromes related to defective iodothyronine metabolism.

"Syndromes related to defective iodothyronine metabolism" have been frequently observed in clinical practice. As for methodological and pathophysiological reasons T4, T3, rT3 and TSH estimations are of limited value in these situations, thus, the interpretation of the laboratory findings becomes frequently difficult. Furthermore determining the individual "whole body"- or "organ-thyroid state" requires more than measuring the serum concentrations of thyroid hormones. Iodothyronine metabolism is strongly organ specific, therefore, alterations in plasma thyroid hormone concentrations cannot reflect the specific cellular and subcellular thyroid hormone concentrations of individual organs. However, there is some experimental evidence, that disease-induced alterations in plasma thyroid hormone levels are a simple reflection of the catabolic state of the organisms. At present the biological implication of altered thyroid hormone economy in non-thyroidal illness should not be considered as an energy sparing, i.e. protein sparing effect, anymore: Thyroid hormones in their physiological concentrations act as anabolic hormones. There is no general indication for substituting diminished T3. Up to now, preliminary data suggest the benefit of T3-substitution in septic shock or in "respiratory distress syndrome". However, the possible benefit of improved cardiovascular of respiratory function should be compared carefully to the harm of the therapy, i.e. T3-induced increase in protein catabolism or possible deterioration in preexisting ischemic heart disease: From a clinical point of view, most of non-thyroidal illness-induced changes in ITH-metabolism seem to implicate a pitfall in physician's diagnosis of the thyroid state rather than a therapeutic question.

Body Temperature Regulation↗

Biochemical characteristics of iodothyronine monodeiodination by rat liver microsomes: the interaction between iodothyronine substrate analogs and the ligand binding site of the iodothyronine deiodinase resembles that of the TBPA-iodothyronine ligand binding.

T4-analogs modified at the aliphatic side chain R are substrates for rat liver microsomal iodothyronine-5'(3')-deiodinase (ITH-D). The variation of the substrate constitution allows a mapping of the ITH-D substrate ligand-binding site. Highest affinity for the ITH-5'(3')-D was presented by Tetrac among a homologous series of carboxylic acid side chain analogs. A net negative charge of the side chain and/or the blockage of the amino function increase the affinity of the enzyme-ligand interaction. However, not only charge (electrostatic interactions), but also steric (constitution) and configurational (D-, L-alanine) contributions affect the ligand-binding site interaction. These studies present further evidence that the route of deiodination is dependent on properties of the ligand-binding site and/or catalytically-active site of the enzyme, and not on the pKa-value of the 4'-OH-group of the ITH-analogue ligands. Alterations of incubation-pH change the dissociation state of the thiolate-imidazolium ion-pair of the enzyme ligand-binding site. This can provoke changes in the enzymic route of the T4-monodeiodination cascade from 5'(3')- to the 5(3)-deiodination pathway and vice versa. The same shift can be obtained by the choice of the configuration of the alanine side chain. ITH-D exhibits substrate (ligand) binding characteristics similar to both TBPA and the nuclear T3-receptor with respect to the ITH-analogue side chain constitution: All three prefer acetic acid derivatives as ligands. In contrast to the nuclear T3-receptor both ITH-D and TBPA prefer ITH-(analogues) with a 3',5'-disubstitution which yields a dissociated 4'-phenoxi group of the molecule. These similarities may suggest that ITH-binding proteins, ITH-receptors and ITH-metabolizing enzymes may represent a closely related family of proteins. They may possibly be derived from a common ancestral ITH-binding protein. The limited substrate specificity of rat liver ITH-D, which fulfills a major contribution in ITH-metabolism in vivo, may be of physiological relevance for the poorly characterized metabolism of naturally occurring (Tetrac) and pharmacologically important (D-T4) ITH-analogs.

Animals↗

Parathyroid hormone concentration gradients across the human bone marrow.

Parathyroid hormone (PTH) concentrations were compared in blood drawn from the bone marrow and antecubital vein of patients undergoing marrow biopsy for suspected hematological neoplasia. Radioimmunological analysis revealed that the bone marrow blood had a higher PTH content than blood from the peripheral circulation. Thyroid hormone-binding globulin was not distributed asymmetrically, showing that the gradient is PTH specific. The intact PTH content of marrow blood was 65% greater than that in the venous system, whereas carboxyl regional PTH levels showed a 34% gradient in favor of the marrow. Although the majority of patients were found to have hematological malignancies, there was no discernible influence of tumor on the PTH gradients. The physiological implications and possible origins of the asymmetrical PTH distribution are discussed.

Bone Marrow↗

Triiodothyronamine--a beta-adrenergic metabolite of triiodothyronine?

Triiodothyronamine (Triam) is a potential metabolite of triidothyronine (T3), resulting from decarboxylation of the side-chain. In an attempt to elucidate the physiological properties of Triam we have investigated the binding of Triam to beta-adrenergic receptors, using turkey-erythrocytes and performing binding studies with ( (-)(3H)-dihydroalprenolol) ( (-)(3H)-DHA) as a specific beta-adrenergic ligand. The inhibition constant Ki for Triam was determined as 5 X 10(-6) M, compared to dopamine (Ki = 1,3 X 10(-2) M), norepinephrine (Ki = 3 X 10(-4) M), epinephrine (Ki = 5 X 10(-5) M) and isoproterenol (Ki = 3 X 10(-6) M). The inhibition of ( (-)(3H)-DHA)-binding by Triam was further compared with other iodothyronines thyroxine (T4), T3, 3,3',5'-triiodothyronine (rT3) and 3,3'-diiodothyronine (3,3'-T2). It is concluded that Triam binds to beta-adrenergic receptors like naturally occurring amines but different from typical circulating iodothyronines.

Animals↗

A homologous biological probe for parathyroid hormone in human serum.

A method of measuring the biological activity of parathyroid hormone (PTH) in human serum that depends on the activation of its natural target enzyme, human renal cortical adenylate cyclase, is described. Optimal sensitivity ranging in different assays from 14 to 20 pg 1-34 hPTH/ml was achieved in the presence of the GTP-analogue GppNHp (10 mumol/L), 5 mmol/L MgCl2 and 1.25 mmol/L EGTA. Basal and stimulated cAMP production was reproducible within assays (c.v. below 7%, S.E.M., n = 3) and between assays (c.v. 5 to 14%, S.E.M., n = 4). The recovery of 1-34 hPTH added to individual test sera averaged 94%. The specificity of the method was established as follows: 1.) Other tested hormones, at 100 ng/ml, were ineffective; 2.) In the majority of peripheral sera from patients with hyperfunctioning parathyroid glands elevated bio-activity was detected; 3.) The circulating bio-activity fell rapidly after removal of parathyroid adenomata; 4.) Treatment with antisera for hPTH reduced the bio-activity; 5.) A PTH-antagonist inhibited the bio-activity.

Adenoma↗

Hepatic osteodystrophy in primary biliary cirrhosis: a possible defect in Kupffer cell mediated cleavage of parathyroid hormone.

Twelve of fourteen female patients with primary biliary cirrhosis, receiving vitamin D supplementation, exhibited unequivocal signs of osteoporosis but not of osteomalacia. Vitamin D treatment reproduced normal 25-hydroxyvitamin D levels in all but two patients and the 1,25 and 24,25-dihydroxyvitamin D metabolic pathways appeared to be unimpaired. A possible mechanism for the vitamin D resistant osteoporosis has been identified following the observation that, in those patients with severe cirrhosis, the circulating concentration of intact PTH was elevated. The increase in intact hormone appears to be at the expense of the carboxyl-regional PTH produced by hepatic Kupffer cell mediated cleavage of intact PTH. As a defect in Kupffer cell function is documented in primary biliary cirrhosis we postulate that the increased intact PTH/decreased carboxyl-regional PTH concentrations arise as a result of diminished Kupffer cell mediated cleavage. The reduced generation of cleaved PTH, due to this loss of Kupffer cell activity, would thus contribute to the development of osteoporosis in primary biliary cirrhosis.

24,25-Dihydroxyvitamin D 3↗

Influence of age, strain and season on diurnal periodicity of thyroid stimulating hormone, thyroxine, triiodothyronine and parathyroid hormone in the serum of male laboratory rats.

The influence of age, strain and season on the diurnal pattern of serum hormone levels from the pituitary-thyro-parathyroid complex was studied in male laboratory rats. Distinct 24 h periodicity in the serum levels of thyroid stimulating hormone (TSH) and triiodothyronine (T3) was observed in all groups of rats. There was no influence of age (40, 60 and 90 days old Sprague-Dawley rats), but a significant influence of strain (Sprague-Dawley vs. BH/Ztm rats) and season (summer vs. winter) on the diurnal pattern of serum TSH and T3 levels. Significant 24 h periodicity in serum thyroxine (T4) levels existed during winter in BH/Ztm rats, but not in Sprague-Dawley (SD) rats of any age. Adult SD rats demonstrated 24 h periodicity in serum levels of T4 only in summer. No diurnal periodicity in serum levels of parathyroid hormone (PTH) was observed in any group of rats. There were significant changes in 24 h mean serum levels of TSH and T3 throughout pubertal development. Twenty-four h mean serum levels of T3 and T4 were significantly higher in summer than in winter. Twenty-four h mean serum levels of T4 were significantly lower in BH/Ztm rats than in SD rats. Significant correlation was observed between serum concentrations of T3 and T4, TSH and T4, and between TSH and T3 in some groups of rats, but not in all. The results indicate that 24 h periodicity of serum hormone levels from the pituitary-thyroid complex of male laboratory rats may vary with age and strain of the animals and with the season of experiment performance.

Age Factors↗

Circannual variations in serum concentrations of pituitary, thyroid, parathyroid, gonadal and adrenal hormones in male laboratory rats.

Seasonal effects were studied on basal levels of hormones in the serum of adult male Sprague-Dawley rats, which were born and raised under rigorously controlled laboratory conditions. Groups of 90-day-old rats were killed at monthly intervals by rapid decapitation. Significant fluctuations were observed throughout the observation period of 19 months in serum levels of TSH, prolactin, androgens, tri-iodothyronine and LH. Minor fluctuations were observed in serum levels of FSH, corticosterone, parathyroid hormone and thyroxine. The results indicate that male laboratory rats exhibit circannual and semi-annual fluctuations in serum levels of several hormones even though the animals were born, raised and maintained in constant laboratory conditions.

Androgens↗

Preoperative localization of parathyroid tumours by high resolution sonography.

Because of the frequent topographically unusual localization of parathyroid tumours the intraoperative identification remains a problem to the surgeon. Therefore, the accuracy of the preoperative localization of the parathyroid glands was assessed in 17 patients with extrarenal hyperparathyroidism using high resolution sonography (Siemens RA 1 and Sonoline 8000 small parts scanner operating at 7.5 mHz/5 MHz). The clinically suspected diagnosis was supported by changes in calcium, phosphate and alkaline phosphatase levels without any signs of renal dysfunction and by elevated levels of PTH in the 44-68 hPTH radioimmunoassay. All patients subsequently underwent surgery and the preoperative sonographic diagnosis could be confirmed in 82% of the cases. The smallest adenoma visualized measured 0.8 X 0.8 cms. The only carcinoma in the study did not appear sonographically different to the adenomata. These preliminary results suggest that high resolution sonography may become a valuable aid in the surgical management of extrarenal hyperparathyroidism.

Adenoma↗