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American Physiological Society, AJP - Endocrinology and Metabolism, 2(283), p. E326-E331, 2002

DOI: 10.1152/ajpendo.00313.2001

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RXR receptor agonist suppression of thyroid function: Central effects in the absence of thyroid hormone receptor

This paper is available in a repository.
This paper is available in a repository.

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Abstract

High-affinity agonists for the retinoic acid X receptors (RXR) have pleotropic effects when administered to humans. These include induction of hypertriglyceridemia and hypothyroidism. We determined the effect of a novel high-affinity RXR agonist with potent antihyperglycemic effects on thyroid function of female Zucker diabetic rats and nondiabetic littermates and in db/ db mice. In both nondiabetic and ZFF rats, AGN194204 causes a 70–80% decrease in thyrotropin (TSH), 3,3′,5-triiodothyronine, and thyroxine (T4) concentrations. In the db/ db mouse, AGN194204 causes a time-dependent decrease in thyroid hormone levels with the fall in TSH that was significant after 1 day of treatment preceding the fall in T4levels that was significant at 3 days of treatment. Treatment with AGN194204 caused an initial increase in hepatic 5′-deiodinase mRNA levels which then fell to undetectable levels by 3 days of treatment and continued to be low at 7 days of treatment. After treatment for 5 days with AGN194204, both wild-type and thyroid hormone receptor β (TRβ−/−)-deficient mice demonstrated a nearly 50% decrease in serum TSH and T4concentrations. The results suggest that a high-affinity RXR agonist with antihyperglycemic activity can cause central hypothyroidism independently of TRβ, the main mediator of hormone-induced TSH suppression.