Abstract

Objective:Serum 3, 3’,5-triiodothyronine (T3) remains low in near-term fetus to prevent the growing fetus from undue exposure to its active catabolic effect in mammals. The present study was undertaken to gain insight in the role of placenta in T3 metabolism, fetal to maternal transfer of T3, and its metabolites by in situ placenta perfusion with outer-ring labeled [125I]-T3 in pregnant guinea pig, a species showing increased sulfated 3, 3’-diiodothyronine (T2S) levels in maternal serum in late pregnancy (term = 65 days), similarly to humans in pregnancy.Materials and Methods:One-pass placenta perfusions performed on pregnant guinea pigs were studied between 58 – 65 days of gestation. In two separate experiments, the umbilical artery of the guinea pig placenta was perfused in situ at 37°C with outer-ring labeled [125I]-T3. Maternal sera and umbilical effluents were obtained for analysis at the end of a 60-minute perfusion, when the steady-state levels of radioactivity were reached in the placenta effluent after 30-minute.Results:Sulfated [125I]-T2S was readily detected in the maternal serum as the major metabolite of T3 following the perfusion of placenta with [125I]-T3, suggesting that placental inner-ring deiodinase and sulfotransferase may play an important role in fetal T3 homeostasis and in the fetal to maternal transfer of sulfated iodothyronine metabolites.Conclusions:The expression of type 3 deiodinase (D3) and thyroid hormone sulfotransferase activity in placenta may play an important role to protect developing organs against undue exposure to active thyroid hormone in late gestation in the fetus. The combined activities of D3 and sulfotransferase promoted a placental transfer of T2S into maternal circulation. The maternal circulation of T2S is fetal T3 in origin and its role as a fetal thyroid function biomarker deserves further evaluations and studies.

Highlights

  • Optimal level of thyroid hormone (TH) is essential for normal neurological development in developing mammals, including humans, A critical amount of TH is especially important in the central nervous system (CNS) maturation

  • Santini et al [8] found that the placenta plays an important role in maintaining the low serum T3 in fetuses late in gestation. These findings suggest the importance of the placenta in fetal T3 metabolism, and it is possible that fetal-to-maternal transfer of the sulfated iodothyronines via placenta is one mechanism responsible for optimization of serum T3 concentrations in the fetus

  • This suggests that placental inner-ring deiodinase and sulfotransferase may play an important role in fetal T3 homeostasis and in the fetal to maternal transfer of sulfated iodothyronine metabolites

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Summary

Introduction

Optimal level of thyroid hormone (TH) is essential for normal neurological development in developing mammals, including humans, A critical amount of TH is especially important in the central nervous system (CNS) maturation. Deficiency or excess of TH in the CNS during fetal and neonatal periods can lead to morphological and functional abnormalities [2, 3]. The most severe form of TH deficiency in human fetus and neonate is the syndrome of cretinism. A milder form of fetal TH deficiency is observed in children of women with high serum TSH during pregnancy who performed less well in IQ and other neuropsychological tests [4, 5]. These findings underline the importance of TH in human brain development. Sack et al [7] showed that umbilical cord cutting, removing the lamb from

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