1. Effects of iodine deficiency on thyroid hormone metabolism and the brain in fetal rats: the role of the maternal transfer of thyroxin
- Author
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Escobar, Gabriella Morreale de, Obregon, Maria Jesus, Calvo, Rosa, and Rey, Francisco Escobar del
- Subjects
Iodine deficiency diseases -- Physiological aspects ,Thyroid hormones -- Physiological aspects ,Thyroxine -- Physiological aspects ,Maternal-fetal exchange -- Physiological aspects ,Food/cooking/nutrition ,Health - Abstract
Thyroid hormones, thyroxin ([T.sub.4]) and 3,5,3'-triiodothyronine ([T.sub.3]), Of maternal origin, are available to the mammalian embryo early in development. However, after the onset of fetal thyroid function, they are of both fetal and maternal origin. Maternal [T.sub.4] has a protective effect on the fetal brain in cases of congenital hypothyroidism. In severe iodine deficiency, maternal [T.sub.4] is low, although [T.sub.3] is normal; the developing embryo is markedly [T.sub.4]-deficient; and [T.sub.3] deficiency increases with gestational age. In contrast to mechanisms in the hypothyroid fetus from a normal mother, the low [T.sub.4] of the iodine-deficient mother prevents any protective effects on the fetal brain. Thyroid hormone deficiency of the iodine-deficient fetus, including the brain, is more severe and prolonged than it is in the cases of maternal or fetal thyroid failures. These findings may help to explain the relationship between severe maternal hypothyroxinemia and the severe central nervous system damage of the neurological endemic cretin. Am J Clin Nutr Suppl 1993;57:280S-5S
- Published
- 1993