Endocrinology Vol. 139, No. 5 2229-2234
Copyright © 1998 by The Endocrine Society
Iodothyronine Deiodinase Activities in Fetal Rat Tissues at Several Levels of Iodine Deficiency: A Role for the Skin in 3,5,3'-Triiodothyronine Economy?1
Janny P. Schröder-van der Elst2,
Daan van der Heide,
Gabriella Morreale de Escobar and
María Jesús Obregón
Unidad de Endocrinologia Molecular (J.P.S.-v.d.E., G.M.d.E.,
M.J.O.), Instituto de Investigaciones Biomédicas, Consejo
Superior de Investigaciones Científicas, 28029 Madrid, Spain;
and Human and Animal Physiology (D.v.d.H.), Agricultural University,
6709 PJ Wageningen, The Netherlands
Address all correspondence and requests for reprints to: Dr. J. P. Schröder-van der Elst, Instituto de Investigaciones Biomédicas, Arturo Duperier 4, 28029 Madrid, Spain. E-mail:
jvanderelst{at}biomed.iib.uam.es
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Abstract
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Iodothyronine deiodinases, types I, II, and III (D1, D2, and D3)
activities were measured in tissues of fetal rats, at 18 and 21 days of
gestation, at several levels of iodine deficiency (ID): mild ID diet
(MID) and moderately severe ID, MID + 0.005% perchlorate (MID+P). D2
was present in fetal skin, increased between days 18 and 21, and also
in MID and MID+P. In skin, D3 increased during ID at day 18, whereas
there was a decrease at day 21. Skin T4 decreased in MID
and MID+P, showing an inverse relationship with D2. Skin T3
decreased at day 18 in MID and MID+P but increased at day 21, probably
because of the increased D2 and decreased D3, maintaining
T3 concentrations. No effect of ID was observed on hepatic
D1. D2 increased in brain and brown adipose tissue at day 21 in MID+P.
No changes were found in maternal placental D2 and D3, but D2 and D3
increased in the fetal placenta at day 18 in MID+P.
A higher level of D2 is present in fetal skin than in the brain. As the
activity is increased, in even mild ID (and already at 18 days) it can
be concluded that skin D2 is likely to be of considerable physiological
importance, at least for fetal thyroid hormone economy, by contributing
to the intracellular T3 content of the skin and, possibly,
to the plasma T3.
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Introduction
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T4 IS BIOACTIVATED into
T3 by enzymatic deiodination. T3 homeostasis in
tissues is maintained by the iodothyronine deiodinase isoenzymes, types
I, II, and III (D1, D2, and D3). Their activity is dependent on the
thyroid (hormone) and nutritional status and is regulated by
glucocorticoids and growth factors (1, 2). The presence and activities
of these enzymes are tissue specific. D1 is found in the liver, kidney,
pituitary, and thyroid; D2 is found in the central nervous system,
pituitary, brown adipose tissue (BAT), placenta, (human) thyroid, and
muscle; D3 is present in the brain, skin, placenta, and several fetal
tissues (1, 2, 3, 4, 5). The ontogenic appearance of D1 in the rat fetal liver
and lung, of D2 in the fetal brain and BAT (6, 7, 8), and of D3 in the
cerebral cortex (9) and in fetal tissues (2) are well described.
Changes in tissue deiodinase activity are of great importance in those
organs, which are dependent on locally produced T3
(1, 2, 3, 4, 5, 6, 7, 8).
During pregnancy, thyroid hormones of maternal origin are found in
fetal rat tissues before onset of fetal thyroid function (10, 11, 12, 13), as
well as in humans (14, 15), and are, at present, believed to play a
role in early development (16, 17, 18) and to have a protective role when
fetal thyroid function is impaired (19), although this role is
sometimes contested (20). Until onset of its own thyroid function, the
fetus is mainly dependent on the maternal supply of T4
(10, 11, 12, 13). During pregnancy, T4 and T3 levels in
maternal plasma and tissues in the rat are decreased (21).
One of the situations in which thyroid function is impaired is iodine
deficiency (ID). ID is characterized by a decrease in plasma and tissue
T4 concentrations, normal or even higher than normal plasma
T3, and an increased plasma TSH. The thyroid is enlarged
(6, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32). There is a preferential synthesis and secretion of
T3 by the thyroid (23, 24), which is also stimulated by the
TSH-dependent increase in thyroid D1 activity (29, 33). This results in
higher T3/T4 ratios in plasma and tissues. In
this situation, less T4 from the maternal circulation is
available for the fetus (6, 12, 13, 18, 27). Fetal plasma and tissue
T4 and T3 levels are lowered and D2 activity is
increased in fetal brain and BAT, whereas D1 activity in liver
decreased (6). Most of these studies were performed with severely
iodine-deficient rats, whose fetuses had lowered plasma T3
levels.
Even in adult rats that were only marginally ID, with slightly lowered
plasma T4 levels, D2 activity increased in the brain
(34).
Our aim was to obtain more information about changes in iodothyronine
deiodinase activities in fetal rat tissues (brain, BAT, liver,
placenta, and skin) at degrees of ID that are more comparable with the
mild and moderate ID that affects inhabitants in large parts of the
world. We considered it of interest to assess the capacity of the
different iodothyronine deiodinases of the developing fetus, to respond
to these situations, and their contribution to the maintenance of
T3 levels.
Because it is known that there are developmental changes of D1, D2,
and/or D3 activities during the last stage of gestation, two
time-points were chosen, i.e. day 18 of gestation (just as
the fetal thyroid starts to function) and day 21 (1 day before birth)
(6, 7, 8, 9).
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Materials and Methods
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Animals
The experiments were approved by the local committee on animal
care. Three groups of rats (CPB/WU, Iffa Credo, Brussels, Belgium) were
used (BW, 210 ± 5 g). The rats were housed at 22 C, with
alternating 14-h light, 10-h dark periods. They were fed the American
Institute of Nutrition (AIN) diet (35), without iodine (mild iodine
diet, MID). In one group, potassium perchlorate (0.005%) was added to
this diet (MID+P); and in the third group, potassium iodide (1.5
µg/day) was added to the diet (MID+I). This last group served as
controls. After 3 months, rats were mated, and the day that sperm was
present was taken as day zero of pregnancy. During 5 days, the rats
were housed in metabolic cages. This allowed us to collect 24-h urine
and to measure the iodine excretion according to Sandell and Kolthoff
(36). At 18 and 21 days of pregnancy, three rats were bled and perfused
under light ether anesthesia. Fetal tissues were taken and were kept
frozen at -70 C until used. The skin was taken, excluding that of the
head, legs, and tail. The fetal and maternal (basal) sides of the
placenta were isolated by separation of the two distinct layers from
each other, with blunt forceps, on ice (37).
Chemicals
T4, T3, dithiothreitol (DTT), and
propylthiouracil (PTU) were from Sigma Chemical Co. (St. Louis, MO).
125I and 131I were from New England
Nuclear-Dupont (Dreieich, Germany), inner-ring labeled T3
was purchased from Formula (Berlin, Germany). Anion exchange
resins Dowex AG 1X2 and 50WX2 were obtained from Bio-Rad
(Richmond, CA).
Determinations of plasma TSH, T3, and T4 in
plasma and skin
In plasma, the concentrations of T4 and
T3 were assayed by rat-specific RIA (38). Plasma TSH was
measured by the specific RIA developed for the rat by the NIDDK (NIH,
Bethesda, MD). Reference preparation-2 was used as a standard.
In skin, thyroid hormones were determined as previously described in
detail for rat tissues (39). The fetal skin was frozen in liquid
nitrogen and crushed to a fine powder while frozen. The powder was
taken up quantitatively and homogenized in methanol, after which the
procedure of extraction and purification used for other tissues was
followed.
Determination of 5'-D1, D2, and D3 activities
For determination of D1, D2, and D3 activity the release of
[125Iodide] from [125I]-labeled substrates
was measured using homogenates.
Before use, the labeled substrates were purified by paper
electrophoresis, to separate them from the contaminating iodide. The
contribution of the mass of radioactive substrates added was taken into
account for calculation of the total substrate concentrations. After
the reaction, the [125I] iodide released was separated,
by ion exchange chromatography, on Dowex 50W-X2 columns, as previously
described (6, 7, 8, 40). The protein content was measured by the method of
Lowry et al. (41).
The conditions were as set forth below.
For D1. [125I]rT3 (60.000
cpm/tube) was used in the presence of 200 nM
rT3 and 2 mM DTT, after 15 min incubation at 37
C, using 2050 µg protein/100 µl.
For D2. [125I]T4 (60,000 cpm/tube)
was used in the presence of 2 nM T4, 1
µM T3, 20 mM DTT, and 1
mM PTU, after 1 h incubation at 37 C; 150200 µg
protein/100 µl was used (42). For skin, we checked with paper
chromatography and found that equal molar amounts of iodide and
T3 were released. Endogenous T4 from the skin
contributed less than 2% to the total substrate concentration.
For D3. [125I, 3]T3 (60,000
cpm/tube) was used in the presence of 20 nM T3,
20 mM DTT, and 1 mM PTU, after 1 h
incubation at 37 C; 3050 µg protein/100 µl was used.
Statistics
Mean values ± SE are given. Statistical
analysis was performed by ANOVA (43), and differences between mean
values were considered statistically significant at P
0.05.
The program SPSS 6.1 (Real Stats, Real Easy, Chicago, IL) was used for
comparison of the slopes of the linear regression.
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Results
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The experimental model chosen provided three levels of iodine
intake: normal iodine intake (MID+I), moderate (MID), and low iodine
intake (MID+P). The daily urinary iodine excretion was: 1.62 ±
0.08 µg (MID+I); 0.42 ± 0.04 µg (MID); and 0.60 ± 0.05
µg (MID+P). The excretion of iodine in MID+P is higher than that in
MID because the uptake of iodide, not only from the diet but also from
thyroid hormone metabolism, is completely blocked by perchlorate,
whereas in MID, part of this iodide can be reused for thyroid hormone
synthesis. The maternal BW (at day 18: 296 ± 8 g; at day 21:
321 ± 6 g) and the number and weight of fetuses were not
influenced by MID and MID+P (data not shown). The maternal thyroids
were enlarged in MID+P (58.0 ± 5.5 mg), compared with those of
controls (21.0 ± 4.2 mg) and MID (27.2 ± 2.4 mg).
Table 1
shows the T4,
T3, and TSH values in maternal and fetal plasma. In MID,
maternal plasma T4 was decreased to 60% of MID+I and
decreased below detection limit (<1.5 nM) in the MID+P
group at 21 days of gestation. Plasma TSH increased 10x in MID+P. The
plasma T3 concentrations did not change. Similar changes
were observed at days 18 and 21 of gestation.
In the fetal plasma, we found changes comparable with those described
for the mothers: a decrease in T4 concentration in MID,
with T4 being below detection limit in MID+P, together with
an unchanged plasma T3; an increase in plasma TSH was only
observed in MID+P.
Deiodinase activities
Liver. The developmental pattern, an increase in activity from
day 18 to day 21, was present in all three groups. Hepatic D1 activity
was not affected by MID and MID+P either on day 18 or on day 21 (Fig. 1
).

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Figure 1. Hepatic D1 activities in fetuses at day 18 and day
21 in MID+I, MID, and MID+P. Values are the means ±
SE. n = 8 fetal livers. For this and the following
figures: *, statistically significant difference at a given age, with
respect to MID+I; &, statistically significant difference between MID
and MID+P; #, statistically significant difference for a given group
between 18 and 21 days.
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BAT. No D2 activity could be measured at day 18, whereas it
was clearly detected on day 21. The mean value of D2 activity was
slightly higher at day 21 in MID, compared with MID+I, but the
difference was not statistically significant. A marked increase in D2
activity was present in MID+P at day 21 (Fig. 2
).

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Figure 2. D2 activity in fetal BAT at day 21. ND, BAT of 18
days was not present. Values are the means ± SE. *,
At least P < 0.05 (n = 8 fetal BAT); *,
statistically significant difference, at a given age, with respect to
MID+I; &, statistically significant difference between MID and MID+P.
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Brain. An increase in D2 activity was seen during development,
from day 18 to day 21. At day 18, no statistically significant
increases in D2 activity were found in MID and MID+P. At day 21, D2
activity clearly was increased in MID+P (but not in MID) fetuses.
In brain, the D3 activity at day 18 decreased in MID, and further in
MID+P fetuses, to 30% of MID+I values. On the contrary, at day 21, the
D3 activity increased 2-fold, both in MID and MID+P (Fig. 3
).

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Figure 3. D2 activity (left panel) and D3
activity (right panel) in brain from 18- and 21-day-old
fetuses. Values are the means ± SE. n = 8 fetal
brains. *, #, and &, as explained in Fig. 1 legend.
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Fetal side of the placenta. D3 activity was lower at day 21
than at day 18 in all three groups (Fig. 4
).

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Figure 4. D2 activity (left panel) and D3
activity (right panel) in the fetal side of the
placentas from 18- and 21-day-old fetuses. Values are the means ±
SE. n = 8 fetal placentas. *, #, and &, as explained
in Fig. 1 legend.
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D2 activity increased marginally (but significantly) in MID+P at day
18. This increase in D2 activity was not found at day 21. The same
increase in D3 activity was observed in MID+P at day 18.
Maternal placenta. There were no changes in D2 and D3
activities in the maternal basal side of the placenta caused by either
gestational age or by MID and MID+P (Fig. 5
).

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Figure 5. D2 activity (left panel) and D3
activity (right panel) in the maternal side of placentas
from 18- and 21-day-old fetuses. Values are the means ±
SE. n = 8 maternal placentas.
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D2 activity in the maternal side of the placenta was found to be about
10 times higher than in the fetal side of the placenta, whereas D3
activities were comparable.
At day 18, D3 activities in the fetal and maternal placenta were
similar, but they differed at day 21, when the activity in the maternal
placenta was much higher than in the fetal side.
Skin. D1 activity was not present in measurable amounts in
fetal skin. The changes in D2 and D3 activity in fetal skin are
presented in Fig. 6
. The developmental
increase in D2 activity, from day 18 to day 21, was present in all
three groups. Not only is D2 activity present in the fetal skin, but it
increased in MID fetuses and further increased 3- to 4-fold in MID+P,
both at day 18 and at day 21.

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Figure 6. D2 activity (left panel) and D3
activity (right panel) in fetal skin from 18- and
21-day-old fetuses. Values are the means ± SE. n
= 8 fetal skins. *, #, and &, as explained in Fig. 1 legend.
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The pattern was different for D3 activity in fetal skin. At day 18, the
D3 activity increased almost 2-fold in MID and in MID+P fetuses,
whereas at day 21, a sharp decrease in D3 activity was found: in MID
fetuses, the activity was 50% of the MID+I value; and in MID+P
fetuses, it was 30% of the MID+I value.
An inverse logarithmic relationship was found between the D2 activity
and the T4 concentration in skin, both at day 18 and at day
21 (Fig. 7
). A different sensitivity of
D2 activity to changes in the concentration of T4 is
observed at both gestational days. This suggests that the activity of
the enzyme is suppressed by smaller amounts of T4 at day
18. T4 concentration in the fetal skin increased from day
18 to day 21, and it decreased in the MID fetuses and was more
pronounced in the MID+P group (Fig. 8
).
The T3 concentration responded in an opposite manner to MID
and MID+P, with a decrease at day 18 and an increase at day 21.

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Figure 7. An inverse relationship was present between D2
activity and the T4 concentration in the skin. As
T4 content decreased, D2 activity increased, both at day 18
(open symbols) and day 21 (filled
symbols). Each correlation is obtained using the mean values
obtained from fetal samples from each dam of the three experimental
groups (the total number is 24 for each correlation) and the
SE for the mean of the fetal values from each dam. MID+I,
diamonds; MID, circles;
MID+P, squares. The slope of the linear
regression at day 18 is significantly different from that at day 21
(P < 0.0001, t = 9.7, df = 8). Values
for the slopes are -0.419 ± 0.026 at day 18; -0.086 ±
0.018 at day 21.
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Figure 8. In the left panel, fetal skin
T3 concentrations are shown at day 18 and at day 21 in
MID+I, MID, and MID+P. In the right panel, skin
T4 concentrations are presented at day 18 and at day 21 in
MID+I, MID, and MID+P. For both panels, values are the means ±
SE. *, at least P < 0.05; n =
68 fetal skins. *, #, and &, as explained in Fig. 1 legend.
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Discussion
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The plasma T4, T3, and TSH levels of the
MID+I rats are comparable with the plasma levels of rats on a
commercial pellet diet and with those of rats in kinetic experiments
receiving potassium iodide (10 mg/liter) in their drinking water to
prevent reuse of labeled iodide by the thyroid (44).
The degree of ID in this study was not as marked as that reported in
previous studies (6, 12, 13, 24, 25, 26, 27). Using the AIN diet, without
adding extra iodine, we induced a marginal ID. As was seen from the
urinary iodine excretion in MID, the rats received some iodine,
probably from the casein in the AIN diet (23). This degree of ID can be
compared with that occurring in large parts of the world, where endemic
goitre exists because of the low intake of iodine, often aggravated by
the interference of other nutritional or environmental factors with the
iodine-uptake, organification, and thyroid hormone secretion (45).
The diet, together with 0.005% perchlorate (200 times less than the
amount that is goitrogenic), resulted in the moderately severe ID, with
undetectable plasma T4, high TSH, but still normal
T3 levels in rat mothers and their fetuses. This degree of
ID was less than reported in previous studies (6, 12, 13, 24, 25, 26, 27) using
a Remington-type diet, and in which fetal plasma T3
decreased.
The normal T3 levels in ID in adult rats has long been
known (12, 22, 23, 24, 25, 26, 29, 30, 31, 32). How can the normal T3 levels in
the mild and moderately severe ID fetus be explained, considering that
the maternal supply of T4 is so much lower than in the
normal situation, and that maternal-to-fetal transfer of T3
is not sufficient to ensure normal fetal plasma T3 (19)?
One explanation can be the increase in fetal thyroidal T3
secretion. In the adult rat, TSH-stimulated D1 activity in the thyroid
(33); D1 activity was increased in the thyroid during ID (29). But it
is not known whether this is the case in the fetal thyroid. The finding
that the fetal thyroid is not stimulated to increase iodine uptake
gives the impression that the fetal thyroid is not yet fully responsive
to TSH (46). Another possibility is that extrathyroidal responses of
the iodothyronine deiodinases contribute to this phenomenon.
Until now, D2 activity had been found in the central nervous system,
pituitary gland, BAT, pineal gland, placenta, and muscle. Although
Kaplan et al. (42) showed the presence of D2 in human
cultured epidermal keratinocytes from the neonate and adult, no
activity was found in homogenates of fresh fetal or cadaveric
epidermis. But because the skin is a large part of the body mass in the
fetus (15%), it thus seemed an interesting target for our study.
This is the first time that the presence of D2 activity in the fetal
rat skin is reported. It seems to be higher than D2 activities in fetal
brain, and moreover, it responds to degrees of ID that do not affect
brain or BAT D2, and it does so already at day 18. Because D2 is of
crucial importance for both local production of T3 in
particular tissues and systemic thyroid hormone homeostasis, and
because BAT D2 is considered responsible for a large proportion of the
circulating T3 under hypothyroid conditions (47), the role
of the skin in producing T3 has to be taken into account.
Because of the total mass of the skin, the D2 activity might
contribute, in an important way, not only to the skin T3
content but eventually also to the plasma T3, especially in
situations in which the maternal supply of T4 is lowered.
As can be calculated, the amount of T3 in skin is 11.6% of
the total amount of T3 in the extrathyroidal fetal pool, as
measured by RIA (unpublished data), much more than brain (5.8%), or
even BAT (1.8%).
In addition to the availability of T4 in fetal tissues
during gestation and the level of ID, D3 activity also plays an
important role in fetal skin in regulating T3 levels by
inactivating the biological active thyroid hormone. There is no
significant difference between the T3 concentration in skin
between day 18 and day 21 in MID+I, whereas there is a clear and
significant increase in MID and MID+P from day 18 to day 21. Based only
on D2 and D3 activity, we cannot find a cause for this discrepancy.
At day 18, D3 increases in ID, which explains the lowering of the
T3 levels in the skin. But at day 21, a sharp decrease in
D3 activity is found in MID and MID+P, resulting in higher than normal
levels of T3 in this tissue; and so, the skin might
contribute to systemic T3. Skin T4 levels
decreased in accordance with the decrease in T4 in other
tissues (plasma, brain, and liver) during ID (6, 12, 13, 25). The
inverse relationship between T4 and D2 was found at both 18
and 21 days. This had been previously shown on day 21 in BAT (8) and
brain (7) in hypo and hyperthyroidism. Interesting is the fact that in
skin, the changes in D2 and D3 activity are already pronounced in MID
on day 18, whereas such an effect was not found in brain, suggesting an
earlier maturation of the skin.
D1 activity in liver did not change, indicating a diminished
T3 production caused by the lowered availability in
substrate (T4), as was described in the adult and fetal rat
(6, 29). D2 activity in brain and BAT increased in MID+P, in agreement
with previous findings, at day 21, under conditions of severe ID (6, 12, 13, 18, 27). Present data show that MID is not enough to elicit a
D2 response in the fetal brain and BAT, even at day 21. But even MID is
enough to affect D3 activity at both day 18 and day 21. The decrease in
cerebral D3 activity at day 18 is as expected in situations where lower
T3 levels occur. But at day 21, there is an unexpected
increase in D3 activity in MID and MID+P, counteracting the increase of
D2, at least in MID+P. No information is available about the response
of D3 in MID and severe ID. An essential aspect can be that, at a
certain time-point, one tissue will be more mature than the other. This
may cause differences in behavior and regulation of activity levels of
D3 in tissues such as skin and brain. Moreover, changes in growth
factors might influence the developmental patterns in tissues (48). The
induction of D3 activity by growth factors is stronger than that caused
by thyroid status. So, a minor change in growth factor (increase in D3)
at a given age can have a more important impact on D3 activity than
thyroid status (decrease in D3) (49).
D2 activity increased in the the fetal side of the placenta at day 18.
A developmental pattern of D2 was not observed in the placenta, in
contrast to D3. The developmental decrease in D3 activity was found in
the fetal side of the placenta, in accordance with McCann et
al. (2). In our study, there is no clear role for D2 and D3 in the
placenta, for the regulation of plasma T3 levels. The
absence of an effect in maternal placenta might indicate that D2 and D3
activities in this tissue are regulated by plasma T3. This
was also shown in human placenta during hypothyroidism (50).
Summary and conclusions
Mild and moderate ID caused a decrease in T4
concentrations, although the developmental increase from day 18 to day
21 was still observed. In spite of the lowered amount of substrate, the
marked increased D2 and decreased D3 activities at day 21 resulted in
higher than normal intracellular T3 concentrations.
T3 can remain entirely in the skin itself, but there might
be a net outflux of T3 into the circulation.
The presence of D2 in a tissue is considered an indication that this
tissue needs local production of T3 (as is the case of
brain and BAT). These results show that high D2 activity is present in
fetal skin, even higher than in fetal brain. Because the activity is
increased (as early as day 18) during both mild and moderately severe
ID, it can be concluded that skin D2 is likely to be of considerable
physiological importance, at least for fetal thyroid hormone economy,
by contributing to the intracellular T3 content of the
skin, for its own development and possibly by contributing to the
plasma T3. The latter would be a benefit for those tissues
dependent on plasma T3, but not for the brain, because this
organ is mainly dependent on T4 and its own D2 for its
intracellular T3 concentration.
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Acknowledgments
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We thank Mrs. S. Duran and Mrs. M. J. Presas for measuring
skin T3 and T4 content and Miss Z. A.
A. Huijsmans and Miss H. M. C. van Nuenen for their work
during their graduation period.
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Footnotes
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1 This work was supported by Training and Mobility of Researchers Grant
ERBFMBICT 960663 and Research Grant PB 950097 from Promoción
General del Conocimiento. Part of the study was presented, in
preliminary form, at the 24th Annual Meeting of The European Thyroid
Association, Munich, August 31-September 3, 1997. 
2 Recipient of Training and Mobility of Researchers Grant (Marie
Curie) from the European Community. 
Received October 13, 1997.
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