Jp. Tan et al., A CRITICAL PERIOD FOR THE ROLE OF THYROID-HORMONE IN DEVELOPMENT OF RENAL ALPHA-ADRENERGIC RECEPTORS, Pediatric research, 42(1), 1997, pp. 93-102
Adrenergic input influences renal cell replication/differentiation and
the development of excretory function. Kidney cells make adrenoceptor
s before the arrival of the majority of nerve terminals, and the curre
nt study examines whether thyroid hormone plays a role in receptor dev
elopment. Propylthiouracil (PTU) was given to pregnant and neonatal ra
ts from gestational d 17 through postnatal d 5, a treatment that obtun
ds thyroid hormone levels throughout the first 2-3 wk postpartum. The
PTU group showed significant deficits in the number of alpha(1)-recept
ors, and values resolved to normal in parallel with hormone level reco
very. The effects were not secondary to alterations in cell differenti
ation or growth, as the period of receptor abnormalities did not corre
spond to that of growth inhibition. Similarly, the effects were select
ive for the alpha(1)-receptor, as no comparable effects were seen for
total membrane protein or for alpha(2)-receptors. The role of thyroid
hormone in alpha(1)-receptor ontogeny involved a critical developmenta
l window; later in development neither treatment with PTU nor with lar
ge doses of thyroid hormone had any impact on alpha(1)-receptors. Stud
ies of mRNAs encoding the alpha(1)-receptor subtypes indicated that hy
pothyroidism targets the alpha(1a)-subtype, which has been implicated
in the transduction of neurotrophic signals; alpha(1a)-receptor mRNA a
lso showed the largest proportional developmental increase compared wi
th those encoding other alpha(1)-subtypes. Accordingly, thyroid hormon
e is likely to set the stage for the subsequent trophic control of ren
al development by neural input, and hypothyroidism during this critica
l window can be expected to result in abnormal renal functional develo
pment and increased perinatal risk.