Ly. Cheng et al., FILM AUTORADIOGRAPHY IDENTIFIES UNIQUE FEATURES OF [I-125] 3,3',5'-(REVERSE) TRIIODOTHYRONINE TRANSPORT FROM BLOOD TO BRAIN, Journal of neurophysiology, 72(1), 1994, pp. 380-391
I, Steady-state iodothyronine profiles in plasma are composed of thyro
id gland-synthesized hormones (mainly thyroxine) and tissue iodothyron
ine metabolites (mainly triiodothyronine and reverse triiodothyronine)
that have entered the bloodstream. The hormones circulate in noncoval
ently bound complexes with a panoply of carrier proteins. Transthyreti
n (TTR), the major high-affinity thyroid hormone binding protein in ra
t plasma, is formed in the liver. It is also actively and independentl
y synthesized in choroid plexus, where its function as a chaperone of
thyroid hormones from bloodstream to cerebrospinal fluid (CSF) is unde
rgoing close scrutiny by several groups of investigators. Because TTR
has high-affinity binding sites for both thyroxine and retinol binding
protein, its potential role as a mediator of combined thyroid hormone
and retinoic acid availability in brain is of further interest. 2. Wh
ile they are in the free state relative to their binding proteins, iod
othyronines in the cerebral circulation are putatively subject to tran
sport across both the blood-brain barrier (BBB) and choroid plexus CSF
barrier(CSFB) before entering the brain. Previous autoradiographic st
udies had already indicated that after intravenous administration the
transport mechanisms governing thyroxine and triiodothyronine entry in
to brain were probably similar, whereas those for reverse triiodothyro
nine were very different, although the basis for the difference was no
t established at that time. Intense labeling seen over brain ventricle
s after intravenous administration of all three iodothyronines suggest
ed that all were subject to transport across the CSFB. 3. To evaluate
the role of the BBB and CSFB in determining iodothyronine access to br
ain parenchyma, autoradiograms prepared after intravenous administrati
on of[I-125]-labeled hormones (revealing results of transport across b
oth barriers) were compared with those prepared after intrathecal (icv
) hormone injection (reflecting only their capacity to penetrate into
the brain after successfully navigating the CSFB). 4. Those studies re
vealed that thyroxine and triiodothyronine were mainly transported acr
oss the BBB. They shared with reverse triiodothyronine a generally sim
ilar, limited pattern of penetration from CSF into the brain, with cir
cumventricular organs likely to be the main recipients of iodothyronin
es (with or without retinol) transported across the CSFB. 5. Analysis
of all of the images obtained after intravenous and icv hormone admini
stration clarified the basis for the unique distribution of intravenou
sly injected reverse triiodothyronine. The hormone is excluded by the
BBB but may be subject to limited penetration into brain parenchyma vi
a the CSF. 6. Overall the observations single out reverse triiodothyro
nine as the iodothyronine showing the most distinctive as well as the
most limited pattern of transport from blood to brain. Although it is
considered to be a largely inactive metabolic product formed in the se
rvice of thyroxine disposal, a number of considerations suggest that r
everse triiodothyronine, actively formed from thyroxine within the bra
in at selected sites of inner ring monodeiodinase activity, may have a
s yet undiscovered functions. The present results raise the possibilit
y that, as in the case of other known neuroactive molecules that are f
ormed within the brain but excluded by the BBB, reverse triiodothyroni
ne generated intracerebrally may exert important brain-specific and si
te-specific functional effects.