Sy. Wu et al., 3,3 '-Diiodothyronine sulfate excretion in maternal urine reflects fetal thyroid function in sheep, PEDIAT RES, 50(3), 2001, pp. 358-364
We have shown that there is significant fetal-to-maternal transfer of sulfa
ted metabolites of thyroid hormone after fetal infusion of a pharmacologic
amount of 3,3 ' ,5-triiodothyronine (T-3) or sulfated T3 in late pregnancy
in sheep (Am J Physiol 277:E915, 1999). The transferred iodothyronine sulfo
conjugate, i.e. 3,3 ' -diiodothyronine sulfate (T2S), of fetal origin appea
rs in maternal sheep urine. The present study was carried out to assess the
contribution of T2S of fetal origin to the urinary pool in ewes. Eighteen
date-bred ewes (mean gestational age of 115 d) and their twin fetuses were
divided into four groups. In group I (control, n = 5), both ewes (M) and th
eir fetuses (F) were sham operated for thyroidectomy (Tx). In group II, the
ewes (MTx, n = 4) and, in group III, the fetuses (FTx, n = 4) were subject
ed to Tx. In group IV (MTx . FTx, n = 5), both the ewe and fetus had Tx. Af
ter 10-12 d, fetal and/or maternal hypothyroidism were confirmed by serum t
hyroxine (< 15 nmol/L) measurements. In addition, we infused radioactive T3
without disturbing the T3 Pool in three singleton near-term fetuses and as
sessed the amount of radioactive iodothyronine that appeared in maternal ur
ine (MU). After infusing [I-125-3 '],3,5-T-3 via fetal vein to the near-ter
m normal fetuses, radioactive T2S was identified as the major metabolite in
MU by HPLC and T2S-specific antibody. MU T2S excretion (pmol/mmol creatini
ne) was significantly reduced by FTx and MTx . FTx but not by MTx. In addit
ion, positive correlations (p < 0.01) were found between MU T2S excretion a
nd fetal serum thyroxine and T-3 concentrations but not with maternal serum
thyroxine or T-3 levels. T2S of fetal origin contributes significantly to
the MU pool.