F. Santini et al., A STUDY OF THE SERUM 3,5,3'-TRIIODOTHYRONINE SULFATE CONCENTRATION INNORMAL AND HYPOTHYROID FETUSES AT VARIOUS GESTATIONAL STAGES, The Journal of clinical endocrinology and metabolism, 76(6), 1993, pp. 1583-1587
We have studied T3 sulfate (T3S) levels, blindly, in coded plasma samp
les from 21 normal and 3 hypothyroid fetuses at different stages of ge
station (19-42 weeks). Fetal plasma samples were obtained by cordocent
esis. T3S was detectable in all samples studied, with values ranging f
rom 50-294 (mean +/- SD, 130 +/- 62 pmol/L). Plasma T3S was low (<45 p
mol/L) in all 4 normal adult control subjects studied simultaneously;
serum T3S ranged from less than 20 to 130 in another set of 18 control
subjects (mean +/- SD, 63 +/- 32 pmol/L). Fetal T3S values were posit
ively correlated with gestational age (r = 0.43; P < 0.05), but not wi
th free T4 (FT4), FT3, or TSH values. In the 3 hypothyroid fetuses at
31, 38, and 40 weeks gestation, respectively, plasma TSH was elevated
(26, 98, and 24 mU/L, respectively), FT4 was low (10, 6.7, and 7.5 pmo
l/L, respectively), and FT3 was normal or high (3.2, 8.2, and 2.2 pmol
/L, respectively). However, T3S values in hypothyroid fetuses (88, 133
, and 252 pmol/L, respectively) were similar to those in normal fetuse
s at corresponding gestational ages. We conclude that 1) T3S is detect
able in fetal circulation from at least 19 weeks gestation, and its co
ncentration increases with fetal age; 2) plasma T3S concentrations in
the fetus at 19-40 weeks gestation are at least comparable to but gene
rally higher than those in the adult; and 3) plasma T3S levels in hypo
thyroid fetuses are similar to those in normal fetuses. Recent studies
demonstrating the ability of some fetal rat tissues (eg. cerebral cor
tex) to desulfate T3S to T3 have suggested a possible role of T3S as a
source of T3. Normal T3S in fetal hypothyroidism suggests that T3S ma
y contribute to attenuation of the effects of hypothyroidism during in
trauterine life.