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Endocrinology Vol. 139, No. 11 4626-4633
Copyright © 1998 by The Endocrine Society


ARTICLES

Direct Measurement of the Contributions of Type I and Type II 5'-Deiodinases to Whole Body Steady State 3,5,3'-Triiodothyronine Production from Thyroxine in the Rat*

Thuvan T. Nguyen, Francisco Chapa and Joseph J. DiStefano, III

Biocybernetics Laboratory, Departments of Computer Science and Medicine, University of California, Los Angeles, California 90095-1596

Address all correspondence and requests for reprints to: Prof. Joseph J. DiStefano III, University of California, 4531 Boelter Hall, Los Angeles, California 90095-1596. E-mail: joed{at}cs.ucla.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Appendix
 References
 
Production of T3 from T4 in tissues is catalyzed by two 5'-deiodinases, type I (D1) and type II (D2), but the quantitative contribution of each pathway to whole body T3 production is not well established. In the presence of propylthiouracil (PTU), D1, but not D2, can be effectively blocked, providing an experimental probe for addressing this problem. Decades ago, this approach provided indirect estimates ranging from 23–44% contribution by D2, based on plasma T3 appearance rate comparisons (PAR3 = PCR3 [T3]p) in periodically T4-injected athyreotic rats vs. controls. Two, more recent studies, using constant infusions of T4 for replacement, achieved 22% and 65% estimates, respectively, from PAR3 comparisons. We have revisited this problem more directly and precisely, with two major differences in experiment design. We used direct whole body steady state measurements of T3 production, instead of indirect plasma-only data (PAR3). We also used (euthyroid) physiological doses of both T4 (0.9 µg/day·100 g BW) and T3 (0.15 µg/day·100 g BW) for replacement in two thyroidectomized rat groups, instead of T4 only, in a 7-day constant steady state, dual tracer infusion protocol. The first group also had chronically implanted 150-mg PTU pellets (TXR-PTU); the other had implanted 0.1 N NaOH placebo pellets (TXR-EU); each delivered their product at constant rates. A third euthyroid intact group was used as the controls. The completeness of D1 inhibition was ascertained in a fourth group, identically treated with 150-mg PTU pellets, in which negligible D1 activity was found in liver and kidney using labeled rT3 as substrate for the 5'-D assays and minimal (1 mM) dithiothreitol as cofactor. In the TXR-PTU group, the percentage of T4 converted to T3 was 11.8%, compared with 23.4% (P < 0.0005) in the TXR-EU group, and 22.7% (P = NS) in controls. Thus, in euthyroid steady state, D2 contributes about half of the T3 produced from T4.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Appendix
 References
 
IT IS NOW well established that T3 production from T4 is locally regulated and catalyzed by at least two tissue-specific 5'-deiodinase enzymes, type I (D1) and type II (D2), distinguishable by several factors. D1 is highly sensitive to inhibition by 6-propyl-2-thiouracil (PTU) and other thiols (1), with a Km in the nanomolar range with physiological cofactors such as glutathione (2), and its affinity is higher for rT3 than for T4 (1). D1 is expressed in many tissues, but the highest levels are found in liver, kidney, and thyroid in humans and rodents (3). In contrast, D2 is relatively insensitive to PTU, it also has a Km in the nanomolar range, and its affinity is higher for T4 than for rT3 (1). In rodents, D2 is expressed primarily in the central nervous system, anterior pituitary, and brown adipose tissue (4, 5, 6) and in humans in the central nervous system (7), placenta, skeletal muscle, heart, and thyroid (8, 9, 10).

D1 and D2 activities are strongly correlated with thyroid hormone status. D2 activity is increased in hypothyroidism (2, 11) or hypothyroxinemia of iodine deficiency (12) and decreased in hyperthyroidism (13); D1 activity is decreased in hypothyroidism and increased in hyperthyroidism (2, 11). Each deiodinase also responds to thyroidal status differently in different tissues, with D2 tissues having a tighter T3 homeostasis than D1 tissues, suggesting tissue-specific deiodinase regulation of local thyroid hormone concentrations (14).

Quantitatively, the D1 pathway has long been assumed to be the major one for peripheral deiodination of T4 to T3 in euthyroid rats, with D2 considered the main pathway for extrathyroidal T3 generation when the enzyme levels are sufficiently elevated and/or when D1 activity is depressed (6). However, the relative contributions of D1 and D2 to whole body T3 production are still not well established, the question having been rarely addressed on a whole body basis. Three reports, published more than 20 yr ago, provided estimates of the contribution of PTU-insensitive (D2) pathways to T3 production from T4 ranging from 23–44% (15, 16, 17), consistent with the idea of D1 dominance. Two, more recent reports provide estimates ranging from 22–65% (18, 19). All were obtained using noncompartmental analysis of plasma-borne data only, an indirect approach that can be unreliable in comparative studies (20). We have revisited this problem more directly and precisely, as described below, to quantify the contributions of each of the D1 and D2 pathways to whole body extrathyroidal steady state T3 production in vivo.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Appendix
 References
 
Iodothyronines and their acetic acid derivatives were purchased from Henning (Berlin, Germany) or Sigma Chemical Co. (St. Louis, MO). [125I]Na (I*; >17 mCi/mg) and [131I]Na (I**; ~9.21 Ci/mg) for radioiodination were purchased from New England Nuclear (Boston, MA). Tracer 131I-labeled 3,5,3'-T3 (T3**; ~3680 mCi/mg) and [125I]T4 (T4*; ~3000 mCi/mg), each labeled in the outer ring, were synthesized from 3,5-diiodothyronine and T3, respectively, and T4* was purified on HPLC as previously described (19). T3** was purified on Sephadex LH-20 (Sigma Chemical Co.), using ethyl acetate-MeOH-2N NH4OH as eluent, as described below. I* and I** contaminations of T3** and stock solutions were less than 2% and less than 5%, respectively, and were accounted for in all results. All counting of 125I and 131I radioactivity was performed in a dual channel counter (model 1197, Tracor, Austin, TX), with appropriate corrections for counting volume and density differences, and isotopic cross-over. BSA, 2-N-propyl-6-thiouracil (PTU), iopanoic acid, Sephadex G-25, and other reagents were purchased from Sigma Chemical Co., and Alzet Osmotic Minipumps (model 2001) were purchased from Alza Corp. (Palo Alto, CA). A combination of 0.1 ml/100 g BW Ketaject (ketamine HCl, Phoenix Pharmaceuticals, Inc., St. Joseph, MO) and 0.1 ml/100 g BW Anased (xylazine, Lloyd Laboratory, Shenandoah, IA) were used as anesthetics. PTU pellets (150 mg/7 days) and 0.1 N NaOH placebo pellets manufactured to special order were purchased from Innovative Research of America (Sarasota, FL). Evaporations were conducted under vacuum in a rotary evaporator (model SVC-100H, Savant, Hicksville, NY). All HPLC analyses were performed using a gradient HPLC system (model 2150-G1, LKB/Pharmacia, Piscataway, NJ) with a reverse phase 3-µm analytical ODS column (Bodman), UV detector (LKB/Pharmacia), and fraction collector (LKB SuperRak) for radioactive samples collected 15 drops/tube. The mobile phase was acetonitrile-H2O (40:60; 0.1% phosphoric acid) run at 1.5 ml/min.

Animals and care
Animal studies were approved by the UCLA Chancellor’s Animal Research Committee. Sprague-Dawley male euthyroid and surgically thyroidectomized (TX) rats purchased from Harlan Sprague-Dawley (Indianapolis, IN), 250–350 g, were housed in individual metabolic cages and maintained at 21–25 C on a 12-h light, 12-h dark schedule and fed tap water and Wayne Lab Blox ad libitum. Critical kinetic studies were performed in two TX rat groups; all rats were replaced with both T4 (0.9 µg/day·100 g BW) and T3 (0.15 µg/day·100 g BW). T4 was included in the pump with T4* tracer; T3 was included with T3** in a second pump (see below). These infusion rates were found to produce euthyroid concentrations in tissues as well as plasma of TX rats (21). The first group (n = 7) also had chronically implanted 150-mg PTU pellets (TXR-PTU), and the second (n = 4) had implanted 0.1-N NaOH placebo pellets (TXR-EU). A third group of euthyroid intact rats (n = 4) was used as the controls (EU). Two additional euthyroid intact rats, one with a PTU pellet and the other with a placebo pellet implanted, were used in a pilot study to test for in vivo 5'-D activity (see below).

All TX rats were studied 3 weeks after thyroidectomy. Potassium iodide (0.1%) was added to the drinking water of all rats 2 days before the start of the experiment and throughout the infusion period to inhibit (dilute) radiolabeled iodide uptake by the thyroid. TX rats also received 3% calcium lactate in their drinking water. Food and water intake, feces and urine production, and body weight were measured daily, and the animals were also monitored continually for overall health status. On the day of minipump implantation (day 0), a 0.5-ml sample of blood was collected via translumbar vena cava puncture for measurement of hematocrits and endogenous plasma T3 and T4 concentrations.

Pump preparation and implantation days -1 and 0
Infusates were prepared as described previously (20, 22, 23). In brief, the purified tracers T3** and T4* were evaporated to dryness and reconstituted in an aqueous solution of 20 mM NaOH, 50 mM Na2CO3, and 2% BSA. Minipumps were filled with about 200 µl of this infusate (~200 µCi/7 days·pump of T3** in one pump, and about 0.7–1 mCi/7 days·pump of T4* in a second pump), equal to approximately 2.5 ng/day·100 g BW T3 and about 10 ng/day·100 g BW T4. These infusion rates represented small perturbations of endogenous production rates of T3 and T4 in all groups (<1% for T3 and <2% for T4 in controls, and <3% for T3 and <10% for T4 in TX rats). The radiochemical purity of infusate samples collected after filling (day -1) and immediately before implantation (day 0) were determined by chromatographic analysis (see below).

Rats were anesthetized ip, and both minipumps were implanted sc between the shoulders. The skin was closed with wound clips, and the rat was treated with topical and minimal im (0.03 mg kanamycin sulfate) antibiotics to prevent infection. The animals were then placed in individual metabolic cages for the duration of the study.

Day 7 operations
The rats were anesthetized, and 3–6 ml blood were collected in heparinized syringes by cardiac puncture through the thoracic cage. This provided final hematocrits, sera for RIAs, steady state concentrations of total 125I and 131I in plasma, and, after chromatography, plasma concentrations of labeled T3** (denoted Cp3** or Cp4*) as well as their metabolites. Pumps were removed, and fur was shaved to ease homogenization, which results in no loss of iodothyronines, as fur radioactivity is virtually all I* or I** (20, 23). Residual pump contents were chromatographed to obtain day 7 infusate spectra.

Homogenization, extraction, and chromatography
Whole rat carcass was frozen in liquid nitrogen, rapidly crushed in a mill, and transferred immediately into a blender with dry ice to produce a fine tissue powder. A 3-fold dilution (vol/wt) of extractant (95% ethanol, 10 mM PTU, 10 mM iopanoic acid, and 1% NH4OH) was added to the tissue powder, stirred, and stored at -30 C overnight for CO2 sublimation (20, 23). Approximately 4.5-g aliquots of homogenate were transferred into each of eight preweighed glass tubes, followed by vigorous vortexing for 2 min. Total homogenate radioactivity in each tube was measured and divided by the tube tissue weight to obtain the homogenate concentration of total 125I (denoted CH125*) and 131I (denoted CH131**), which was then corrected for isotopic crossover, and all were averaged. Homogenate tubes were centrifuged at 2500 rpm for 20 min at 4 C, and supernatants were combined. After two additional extractions, providing more than 90% recoveries of total radioactivity, supernatants were frozen at -30 C until chromatography.

All sample extracts were chromatographed on both Sephadex G-25 (LPLC) and HPLC. For HPLC, extracts were evaporated with unlabeled T3 (4 µg) and T4 (5 µg) to facilitate accurate quantification of radioactive components, reconstituted in mobile phase (acetonitrile-H2O, 40:60; 0.1% phosphoric acid), and centrifuged for 10 min at 14,000 rpm. Supernatants were syringe-filtered (0.2 µm) before injection onto HPLC. For LPLC, duplicate tissue extracts were first evaporated in vacuum and reconstituted in 1 M NaOH; unextracted plasma samples were chromatographed in duplicate as previously described (22). This aqueous system distinctly separates all labeled components of interest, including labeled iodoprotein (in the void volume), iodide, T1, T2, T3, rT3, and T4.

T3** Sephadex LH-20 purification
We adapted a separation method reported by Williams and co-workers (24). Sephadex LH-20 was equilibrated in ethyl acetate-methanol-2 N NH4OH (400:100:40, vol/vol/vol) eluent for 24 h, and the fines were discarded by decantation. Swollen gel was transferred into an 0.8 x 26-cm glass column (Bio-Rad), with glass-wool fitted at the bottom, and packed with the same eluent to a column height of 23 cm for 3 h at a flow rate of 0.8 ml/min. The tracer sample was applied to the column, and 1-ml fractions were collected and counted to determine the elution patterns of T3** and T4**. Duplicate fractions under the T3** peaks were chromatographed on LPLC and HPLC to verify the purity of the T3** peak.

Total blood T3 and T4 pools
Total blood hormone pools are needed because red blood cell (RBC)-associated pools of T3 and T4 are substantial in euthyroid rats (20). The ratios of RBC to plasma tracer T3** and T4* concentrations (K3 {equiv} CRBC3**/Cp3** and K4 {equiv} CRBC4*/Cp4*) are needed to compute blood T3** and T4* concentrations and pool sizes using Eq III below. The rationale and methodology for these measurements are described fully in the same reference.

In vitro assay for in vivo 5'-D activity
The completeness of type I 5'-deiodinase (D1) inhibition in vivo was ascertained in vitro in liver and kidney homogenates in a pilot study with two additional euthyroid intact rats. These animals were treated identically as in the critical study groups, with 150-mg PTU or placebo (0.1 N NaOH) pellets implanted sc for 7 days. On day 7, the rats were anesthetized and killed, and liver and kidneys were dissected out and immediately frozen in liquid N2. Liver and kidneys were homogenized in 3 vol 0.01 M Tris-HCl, 0.25 M sucrose, and 1 mM EDTA, pH 7.4, buffer (25) and centrifuged at 1100 x g for 15 min. Labeled rT3*, containing less than 4% free I* contaminant, was used as the deiodinase substrate. Supernatants (0.1 ml S1) and blanks in homogenization buffer (n = 6 each) were supplemented with about 0.1 µCi (0.12 nM) rT3*, then treated with 0.1 M potassium phosphate, 1 mM EDTA, and 1 mM dithiothreitol (DTT), pH 7.0 (1:3 vol/vol), and incubated at 37 C for 5 min. In our pilot studies, we also verified that 1 mM DTT was optimum (25), using 0, 1, 5, 10, and 20 mM DTT in similarly prepared samples; 0 and 1 mM DTT gave no activity, and 5 mM and above reactivated in vitro samples inhibited by PTU in vivo. The reaction was stopped with 0.5 ml 33% horse plasma, then centrifuged at 1500 x g for 10 min. We used horse plasma instead of BSA because our pilot studies showed that horse plasma protein binding with rT3* was complete, whereas it was not with BSA, especially for kidney samples. Tissue supernatants (S2) and blanks were chromatographed directly on Sephadex G-25 to quantify the fractions of I*, T2*, and rT3* in the samples.

RIAs
Plasma samples were assayed in triplicate for T3 and T4 concentrations using GammaCoat M[125I] total T3 and T4 assay kits (Incstar Corp., Stillwater, MN). Day 0 (before infusions) and day 7 sera were assayed together after several months of frozen storage. Day 7 samples had less than 0.5% of the amount of RIA radioactivity added at the time of assay.

Modeling, data, and statistical analyses
The percent T4 to T3 conversion rate (%CR4–3) computations were based a new experiment design model, shown in Fig. 1Go. This model explicitly incorporates corrections for small amounts of T3 and T4 contaminants in the infusates, an extension of the model used for computing percent conversion in our earlier work (20, 23). The key equations are summarized below. Most were derived and justified in our earlier work, and several new ones incorporate the complexities introduced by including dual contaminant inputs. All data were analyzed using these equations. This purely algebraic constant steady state infusion model does not require simplifying pseudosteady state or other assumptions required by pulse-dose noncompartmental or compartmental approaches. Results are reported as the mean ± SD, and significance levels were determined by unpaired Student’s t test.



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Figure 1. Experiment design model for computing CR4–3. Tracer infusion contaminants are explicitly included and accounted for in the computations based on this model.

 
Infusion rates of labeled T3** (IR3**) and T4* (IR4*) on day 7 were determined from

(I)
where Cinf125** and Cinf131** are the concentrations of total 125I and 131I in the infusate on day 7 (counts per min/ml), f3** and f4* are the fractions of T3** and T4* in this infusate determined from day 7 chromatograms, and R is the pump infusion rate (milliliters per h).

From Eq IGo, the plasma clearance rates of T3 and T4 are

(II)
where Cp3** and Cp4* are the concentrations of T3** and T4* in plasma on day 7.2

We evaluated the total blood tracer T3** and T4* pool sizes (Q**blood3 = Qplasma3** + QRBC3** and Qblood4** = Qplasma4* + QRBC4*) in terms of plasma and RBC T3** or T4* radioactivity concentrations per unit mass (cpm/g), hematocrits, blood densities (db = 1.097 ± 0.0048 g/ml; n = 3), and plasma densities (dp = 1.031 ± 0.03 g/ml; n = 3). The total T3** pool in blood is:

(III)
where K3 {equiv} CRBC3**/Cp3** is the ratio of RBC to plasma T3** concentrations (similar equation for T4*), and Vp is the plasma volume. The Qblood4** formula is the same, with subscript 4 substituted for 3 in Eq III (20, 23).

The steady state total body tracer T3** and T4** pool sizes (Qtotal3**, Qtotal4**) are estimated as the product of the measured concentration of total 125I and 131I in the whole body homogenate (CH125**, CH131**), the fraction measured chromatographically as T3** or T4* (fH3 or fH4), and the measured total body mass M, corrected by compensating for the pool of T3** or T4* (Qr3** or Qr4**) in the mass Mr (grams) of blood removed from the animal before death, i.e.

(IV)
where Qr3** = Vr Qblood3**/Vb and Qr4** = Vr Qblood4**/Vb, where Vb is total blood volume, and Vr = 1.097/Mr is the volume removed (20, 23).

The percentage of whole body T4 converted to T3 (conversion ratio) can be calculated from whole body tracer T4*, T3*, and T3** measurements. However, the derivation is complicated further here by explicit inclusion of the contaminant infusion rates in Fig. 1Go (see Appendix). This yields:

(V)
where Q*or**total and Q*or**blood are the masses of tracer measured in whole body (carcass) and blood, respectively.

The absolute conversion rate of T4 into T3 is:

(VI)
where Cp4 is the endogenous steady state plasma T4 concentration; and the absolute production rate of T3 from T4 is:

(VII)
reflecting the differences in molecular weight of T3 and T4. The %CR4–3 is the overall efficiency of conversion of available whole body T4 to T3, by both D1 and D2 deiodinases. Kinetically, an increase or decrease in %CR4–3 does not distinguish changes in: (a) the rate of enzyme production and availability to locally available substrate T4; or (b) the kinetic rate at which product T3 is formed in these reactions, which presumably depends on cofactor availability and possibly other factors; or both.

For comparison purposes, we also computed traditional noncompartmental values for the conversion ratio:

(VIII)
using Eq IIGo and VIGo, where Cp3 and Cp4 are the endogenous steady state plasma T3 and T4 concentrations.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Appendix
 References
 
5'-Deiodinase enzyme activity
Figure 2Go depicts D1 activity results in control and PTU-treated liver and kidney samples. The rT3* in liver and kidney control samples was virtually completely degraded, whereas the PTU-treated samples were unchanged compared with blank samples in the assays. These data support our critical study results, namely that a 150-mg PTU pellet implanted for 7 days effectively blocked D1 activity, at least in major D1 organs liver and kidneys.



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Figure 2. D1 activity in control and PTU-treated liver and kidney samples (mean ± SD) and corresponding Sephadex chromatograms for a typical sample. Significant activity shown in control samples is fully inhibited in PTU-treated samples. [Note that ordinate scales on the chromatograms (in counts per min) are not shown here or in Fig. 3Go, because only relative, not absolute, peak areas are relevant. Ordinates are scaled for optimum visualization.]

 
Steady state conversion rates and plasma hormone concentrations
The first row of Table 1Go summarizes our primary results. Total T4 converted to T3 (%CR4–3) was reduced 50.1% in the PTU-treated group (TXR-PTU) compared with that in the untreated group TXR-EU (P < 0.0005), implying that D1 and D2 each contribute about half of the T3 production from T4. Corresponding results for the euthyroid intact group are also shown in Table 1Go (third column) as are plasma hormone concentrations for all groups on day 7 (second row) and day 0 (before pump implantations; third row). Steady state conversion measures are the same for the euthyroid intact (EU) and thyroidectomized and replaced (TXR-EU) groups (row 1); plasma hormone concentrations are euthyroid, but somewhat higher in the TXR-EU group (see Discussion).


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Table 1. Whole body percentage of T4 converted to T3 and endogenous plasma TH concentrations in the steady state, day 7 (mean ± SD).

 
Tissue chromatograms and steady state metabolites
Typical HPLC elution patterns for T3** and T4* whole body homogenates are shown in Fig. 3Go for TXR-PTU and TXR-EU animals. They represent a composite, overall whole body picture of the distribution of T3** and T4* and their primary metabolites in the steady state. Chromatograms for different rats were similar within each group. For 131I label (**) in steady state, whole body extracts contained mainly I** and T3** in both TXR-EU and TXR-PTU rat groups. For 125I label (*), whole body extracts contained mainly I*, T3*, rT3*, and T4* for both TXR-EU and TXR-PTU rat groups and much smaller T3* fractions in TXR-PTU than in TXR-EU rat groups. There were no detectable analogs, tracer Triac or Tetrac, in any chromatograms, which would elute distinctly after the T4 peak in our system.



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Figure 3. Representative HPLC chromatograms of steady state whole body extracts in untreated (TXR-EU) and PTU-treated (TXR-PTU) thyroidectomized and replaced groups after 7 days of T3** infusions (left) and T4* infusions (right).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Appendix
 References
 
Physiological effects of PTU treatment
In the critical PTU-treated TXR-PTU group, we observed a body weight decrease of 7%, a hematocrit decrease of 28%, slightly depressed urinary excretion, and slightly increased fecal excretion of [125I]T4 and [131I]T3 radioactivities compared with those in the TXR-EU rat group. Similar results were reported by others, where PTU treatment depressed urinary excretion and increased fecal excretion of injected tracer T4 or T3 total radioactivity proportionally (19, 26). These researchers assumed the increased fecal hormone to be most likely conjugated iodothyronines, supporting the theory that conjugation acts as an overflow disposal mechanism when the deiodination pathway is inhibited. We agree.

Inhibition of D1 by PTU
PTU inhibits D1 uncompetitively and has been commonly used as a tool for suppressing D1 activity. Peripheral T4 to T3 conversion was inhibited by PTU in rats (15, 16, 17, 18, 19) and in humans (27), with an apparent insignificant effect on D2 production of T3 (25). The questions for us were: how much PTU is needed to completely block D1 without other significant side-effects, and how should it be delivered? In pilot studies, we found that implanted PTU pellets (150 mg, for 7 days) effectively blocked D1 enzyme activity, at least in liver and kidneys, when we tested several conditions and PTU treatments. The constant infusions of PTU from the implanted pellets, rather than intermittent dosing (16, 17, 26, 28) or dependence on the animal’s water drinking or eating habits (15, 18, 19), also seemed to be a more reliable way to deliver the PTU.

New experiment design model
Our experiment design model is based in part on the well established idea, at least in the rat, that 5'-monodeiodination of T4 to T3 occurs in tissues and not in blood. Conversion Eq VGo was derived from this model in terms of measurable whole body and blood radioactively labeled hormone; unlabeled endogenous blood levels are not needed in any computations. Eq VGo also incorporates corrections for small [125I]T3 or [131I]T4 contaminants in the infusates, as it can be very difficult to eliminate them completely. Ignoring contaminants can have significant effects on results in pathological states (20, 23), as noted below for this study.

From Eq VGo, the percent whole body conversion rate (conversion ratio) was %CR4–3 = 22.7% in intact EU rats and 23.4% in TXR-EU rats, the latter in excellent agreement with previously published results (18, 19, 20, 22, 23). In contrast, with D1 blocked in our TXR-PTU group, the %CR4–3 was reduced 50% (P < 0.0005) relative to that in the EU and TXR-EU groups, based on Eq VGo. For this pathological state, if we had ignored the effects of contaminants, we would have erroneously computed that the D2 pathway contributes 64% instead of 50% of T3 production.

Contribution of D1 vs. D2 To whole body T3 sources
We found four reports providing estimates approximating the contribution of D2 pathways to whole body T3 production, three published more than 20 yr ago (15, 16, 17) and one published recently by Veronikis and co-workers (18). A fifth study with similar goals and design (19) provided enough data to make noncompartmental calculations, as with all the others. Estimates ranged widely, from 23–44% in Refs. 15, 16, 17 to 22% in Ref. 19 to 65% in Ref. 18 . Recent increasing interest in local tissue T3 regulation, especially via D2 pathways, motivated us to revisit this problem, using more direct, contemporary approaches and knowledge. Instead of intermittent, periodic replacement treatment with injected T4 only, as in Refs. 15, 16, 17 , or infusion of T4 only as in Refs. 18, 19 , we constantly infused both T4 and T3 for steady state replacement at rates recently reported as physiological for the whole animal, in tissues as well as blood (21). Lack of T3 replacement in the study reported in Ref. 18 , which otherwise was performed the most similarly to our own, could account for the high (65%) value they reported. A hypothyroid T3 state in tissues (21) should increase the activity of the D2 pathway. However, the indirect noncompartmental formula used by this group could also have been problematic.

Our main result, that 50.1% of T3 production from T4 is attributable to D2 and the other half to D1 pathways, is based on direct, whole body measures. Our data also permit estimation of this percentage using the same noncompartmental formula used by all previous groups, Eq VIII above, which depends solely on (indirect) plasma clearance rates and endogenous hormone levels in plasma. This calculation suggests that only 23% of T3 production from T4 would be attributable to D2, a value at the low end of the estimates reported previously (15, 16, 17, 19). The problems and ambiguities inherent in using noncompartmental methods for comparative studies have been noted repeatedly in our earlier work (20, 29). They were especially significant in demonstrating a conversion rate estimate anomaly in fasting rats (20), where we found an increased conversion ratio by direct measurement and the opposite by noncompartmental analysis of our data.

As it turned out, in our TXR rat groups, the use of replacement dosages reported to induce tissue euthyroidism (21) appears to have overcompensated somewhat, based on comparisons of the day 7 steady state plasma T3 and T4 concentrations achieved. Day 7 values are indeed well within the euthyroid range, and conversion rates are the same in the TXR-EU and intact EU groups; but day 7 hormone concentrations are greater than corresponding values in the intact EU group. Day 0 RIA values indicate that the TXR groups were initially severely hypothyroid, but some residual thyroid tissue probably remained after surgery, probably accounting for the nonnegligible values measured after 3 weeks, on day 0 of the study. However, we do not believe that this was the cause of the higher T3 and T4 concentrations on day 7. The exogenous replacement dosages would inhibit any secretion from residual thyroid tissue via feedback inhibition of TSH. The question remains, then, as to how overcompensation might affect our primary result, that half of T3 production from T4 is attributable to D2. At some level, it might have the effect of decreasing D2 activity, and therefore, 50% would underestimate the contribution, if there were an effect. Fifty percent might then be considered a lower bound.

Another possible complicating factor, which could bias our results in the other direction, is additional effects of PTU on D1. D1 not only promotes T4 to T3 conversion by 5'-deiodination, but it is also involved in the clearance of T3 and T4 by 5-deiodination of their sulfated analogs, and this, in turn, is inhibited by PTU (30, 31). If this effect were significant in our study treatment, it might result in an increase in plasma and/or tissue levels of T3 (and T3* tracer), because conjugation is, in general, reversible. This would bias our results toward overestimation of the contribution of D2 to T3 production from T4. In fact, in contrast with the lack of effect of PTU on T3 clearance reported previously (30), our data provide some evidence for reduced steady state clearance of T3 in the PTU-treated group: the fractional elimination rate of T3, k3 (h-1), was about a third less, although the difference was not statistically significant. This, then, would act in the direction of reducing the possible effects of overreplacement discussed above, thereby reducing the probability of bias in our 50% estimate.

Until recently, the D1 pathway was considered to be the major one for peripheral T3 production from T4 in euthyroid rats, with the D2 pathway thought to contribute most extrathyroidal T3 only when enzyme levels were sufficiently elevated and/or liver and kidney D1 activity was depressed (6). Our results imply equal importance for the D2 pathway in the euthyroid condition, consistent with the preferential substrate ordering of D2 for T4, compared with that of D1, which favors deactivating pathways (rT3) more strongly. Our results are also consistent with recent findings of substantial D2 activity in human skeletal muscle, heart, and/or thyroid tissue by several groups (8, 9). Similar attempts at finding significant D2 activity in rodent skeletal muscle have been unsuccessful to date (10), suggesting possible species differences. Alternatively, muscle deiodinase might be heterogeneously distributed and highly localized, possibly making detection and isolation of the enzyme more difficult in small muscle samples. These issues remain to be investigated.


    Appendix
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Appendix
 References
 
Exogenous input of tracer T4 (denoted T4*) is assumed to be contaminated with some tracer T3*, from unavoidable substitution labeling, or from T4*->T3* conversion in the pump over 7 days. We call these inputs IR4* and IR3*. On day 7, IR3* ranged from 10–13% of total * infused, for all rats studied. The simultaneous and distinct exogenous input of differently labeled tracer T3 (denoted T3** may also be contaminated with some T4**, from unavoidable double-labeling and possibly incomplete purification. These inputs are denoted IR3** and IR4**. In our study, IR4** was eventually eliminated by more fastidious control over iodination and chromatography parameters.

It is useful to separate the model for the steady state into two parts for analysis, as in Fig. 1Go, even though both parts (experiments) are done simultaneously. We assume in both that rate constants k3 and kCR (min-1) remain constant, based on a small-perturbation experiment overall.

We need to solve for CR4-3* (and/or CR4-3**), obtainable by writing four independent mass-flux balance equations from the two models. From Fig. 1Go, we have:

(A-I)

(A-II)
Then, lumping the T3-pools together in each model, we have:

(A-III)

(A-IV)
Eqs. (A-III) and (A-IV) are two linear equations in two unknowns, k3 and kCR:

(A-V)
Solving for kCR, we get:

(A-VI)
Therefore, from (A-I):

(A-VII)
Then, the % of whole-body tracer T4 converted to tracer T3 is:

(A-VIII)
Now, Qtis {equiv} Qtotal - Qblood, where Qtotal and Qblood are the masses of tracer measured in whole-body (carcass) and blood, respectively. Thus, (A-VIII) becomes (A-IX), as shown below.

Now if Qblood3 << Qtotal3 for each tracer, we can approximate (A-IX) well by (A-X):

(A-IX)

(A-X)
With IR4** = 0, which we achieved in our critical kinetic study groups, (A-X) reduces further to:

(A-XI)
Finally, we note that, if all contaminant terms (IR3*, Qtotal4**, Qblood4**) are set equal to 0, Eq. (A-IX) reduces to our earlier formula (20, 23), where Qtis {equiv} Qtotal - Qblood.

(A-XII)
All quantities in Eqs. (A-I)–(A-XII) represent measurements made on day 7, in steady state.


    Footnotes
 
1 This work was supported primarily by NIH Grant DK-34839, supplemented by a T.R.A.C. grant from Knoll Pharmaceutical Co. Back

2 For T3, only a minimum value of true PCR3 of endogenous T3 (PCR3min) is available from a feasible tracer study such as this one (29 ). The true PCR3 can be estimated only if all of the multiple tissue sources of T3 can be traced simultaneously. Back

Received March 23, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Appendix
 References
 

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