Consideration on serum triiodothyronine (T3), thyroxine (T4) concentration and T3/T4 ratio in the patients of senile dementia--is it possible to prevent cerebro-vascular dementia?

Igaku kenkyu. Acta medica Pub Date : 1990-02-01
T Nakanishi
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Abstract

Serum T3 concentration and T3/T4 Ratio in the patients of senile dementia (SD) are smaller than those in the healthy. Especially, those in the group of cerebro-vascular dementia (CVD) were remarkably lower than the healthy. However average of serum T4 in the former is very similar to it in the latter. This fact suggests the disturbance of metabolic transformation of T4 to T3 in the post-apoplectic brain. It seems to lead man to the metabolic disturbances of glucose, protein, nucleic acid, etc, and moreover CVD. Basing on the experiences, the author thinks of the next .--'Cerebro-vascular dementia may be able to be prevented, if a very small dose of triiodothyronine (T3) is given to the early stage after an apoplectic attack with a consideration to side-effects of T3. Moreover, T3 may bring a preventive and therapeutic effect even to senile dementia of Alzheimer's type (SDAT).' 'The reason why the Japanese people have tended to suffer from CVD more frequently than SDAT, may be due to the customs, of which they have lived in seaside and taken iodine-rich fishes and marine plants as their subsidiary foods, as if the schizophrenic patients in the Alpine regions of iodine-lack were characterized by prevalence of so called negative symptoms'.

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对老年痴呆患者血清三碘甲状腺原氨酸(T3)、甲状腺素(T4)浓度及T3/T4比值的思考——是否有可能预防脑血管性痴呆?
老年性痴呆(SD)患者血清T3浓度和T3/T4比值均小于健康人。其中,脑血管性痴呆(CVD)组明显低于健康人。然而,前者与后者的血清T4平均值非常相似。这一事实表明,中风后大脑中T4到T3的代谢转化受到了干扰。它似乎会导致人体葡萄糖、蛋白质、核酸等代谢紊乱,进而导致心血管疾病。基于这些经验,作者认为:“如果在中风发作后早期给予非常小剂量的三碘甲状腺原氨酸(T3),并考虑到T3的副作用,脑血管痴呆可能是可以预防的。”此外,T3甚至对老年痴呆的阿尔茨海默氏型(SDAT)也有预防和治疗作用。“日本人比SDAT更容易患心血管疾病的原因,可能是由于他们生活在海边,以富含碘的鱼类和海洋植物为副食的习俗,就好像阿尔卑斯缺碘地区的精神分裂症患者普遍存在所谓的阴性症状一样”。
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