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Highlights of the 78th Annual Meeting American Thyroid ... - Thyrolink

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<strong>American</strong> <strong>Thyroid</strong> Association – <strong>Highlights</strong> <strong>of</strong> <strong>the</strong> 78 th <strong>Annual</strong> <strong>Meeting</strong>19Valter Boldarine and colleagues, Sao Paulo, Brazil,reported on an enhanced quantitative RT-PCR assay forblood thyroglobulin (Tg mRNA) using modified primersprepared from a region covering exons 40–41. Thisnew method for Tg mRNA quantification was reliable,allowed separation <strong>of</strong> patients free <strong>of</strong> disease from thosewith metastases, and could be an appropriate molecularmarker in <strong>the</strong> follow up <strong>of</strong> patients with DTC, especiallythose with positive TgAb.decreased growth plates, and elevated T 4 and TSH.Finally, <strong>the</strong> TSH receptor knockout animals have veryhigh levels <strong>of</strong> TSH with very low levels <strong>of</strong> T 4 . Theseanimals later develop severe osteoporosis that is notreversed with treatment with T 4 .On <strong>the</strong> same subject, Claudia Nakabashi, Sao Paulo,Brazil, reported that using a sensitive immunoassay forTg had comparable sensitivity in follow-up <strong>of</strong> patientswith DTC on T 4 suppression to measuring serum Tglevels after stimulation by inducing hypothyroidism.Raffaele Napoli, Naples, Italy, postulated that TSH itselfmay have an effect on vascular function independentfrom its role in stimulating thyroid hormone productionand release. They found that infusing high levels <strong>of</strong> TSHinto <strong>the</strong> brachial artery for 4 hours acutely and directlyaffects forearm blood flow and potentiates <strong>the</strong> vasodilatoryresponse to acetylcholine and <strong>the</strong> vasoconstrictoryresponse to norepinephrine.Stephen James and colleagues, Birmingham, UK, proposeda role for <strong>the</strong> monocarboxylate transporter MCT8independent <strong>of</strong> its T 3 transporting function. They foundthat repression <strong>of</strong> MCT8 by siRNA resulted in a significantincrease in proliferation in fetal embryonal NT2and placental JEG-3 cells in vitro, similar to that seenwith mutations <strong>of</strong> MCT8 reported in males with severepsychomotor defects. These results fur<strong>the</strong>r extend <strong>the</strong>evidence <strong>of</strong> a potential role for MCT8 in <strong>the</strong> modulation<strong>of</strong> cell proliferation, independent <strong>of</strong> T 3 transport.The possibility that some <strong>of</strong> <strong>the</strong> effects <strong>of</strong> hypothyroidismon bone could be due to <strong>the</strong> high levels <strong>of</strong> TSH,ra<strong>the</strong>r than <strong>the</strong> low level <strong>of</strong> thyroid hormone, wasaddressed by Wendy Van der Deure and colleagues,Rotterdam, NL. They studied mice with total knockout<strong>of</strong> <strong>the</strong> TRα gene, <strong>the</strong> TRβ gene or TSH receptor gene.Homozygous TRα1 knockout mice appear euthyroid,but have delayed ossification. In contrast, homozygousTRβ knockout mice have advanced ossification,

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