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Thyroglobulin in cord blood

The influence of the mode of delivery and the smoking habits of the mother

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Abstract

The cord thyroglobulin (Tg) concentration was estimated in 160 full-term newborns of whom 103 were delivered normally, 26 by elective Ceasarean section and 31 by vacuum extraction. There was no correlation between the median cord Tg concentration and gestational age at delivery (37–43 weeks), birth weight or sex of the child or the median cord TSH concentration. The median cord Tg concentration was significantly higher in the children born by Ceasarean section than in those delivered by vacuum extraction (P<0.001). The same tendency was found when smokers and non-smokers were compared separately. Mechanical force on the thyroid gland during labour and delivery therefore does not seem to increase the cord Tg concentration.

The influence of maternal cigarette smoking on the cord Tg concentration was studied also. Forty-five mothers were smokers. The median cord Tg concentration in the children of these women was significantly higher than in the children of non-smoking mothers (130 μg/l vs 100 μg/l,P<0.001), whereas the median cord TSH concentration did not differ between these groups. It therefore seems possible that components of cigarette smoke, e.g. thiocyanate, may have a direct effect on the thyroid gland of the fetus.

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Abbreviations

Tg:

thyroglobulin

VE:

vacuum extraction

Tg-ab:

Tg antibodies

S-Tg:

serum thyroglobulin

References

  1. Andrews J (1973) Thiocyanate and smoking in pregnancy. J Obstet Gynecol 80:810–814

    Google Scholar 

  2. Assem ESK, Cairo MB (1964) Thyroglobulin in the serum of paturient women and newborn infants. Lancet I:139–141

    Google Scholar 

  3. Black EG, Bodden SJ, Hulse JA, Hoffenberg R (1982) Serum thyroglobulin in normal and hypothyroid neonates. Clin Endocrinol 16:267–274

    Google Scholar 

  4. Borup Christensen S, Ericsson U-B, Janzon L, Tibblin S, Melander A (1984) Influence of cigarette smoking on goiter formation, thyroglobulin and thyroid hormone levels in women. J Clin Endocrinol Metab 58:615–618

    Google Scholar 

  5. Daniel PM, Pratt OE, Roitt IM, Torrigiani G (1967) The release of thyroglobulin from the thyroid gland into thyroid lymphatics; the identification of thyroglobulin in the thyroid lymph and in the blood of monkeys by physical and immunological methods and its estimation by radioimmunoassay. Immunology 12:489–504

    Google Scholar 

  6. Ericsson U-B, Larsson I, Thorell JI (1984) Purification and storage of thyroglobulin. Two important factors influencing the radioimmunoassay for thyroglobulin. Scand J Clin Lab Invest 44:477–485

    Google Scholar 

  7. Ericsson U-B, Larsson I, Murne A, Thorell JI (1984) A new sensitive immunosorbent radioassay for the detection of circulating antibodies to polypeptide hormones and proteins. Scand J Clin Lab Invest 44:487–493

    Google Scholar 

  8. Juchau MR (1971) Human placental hydroxylation of 3,4-benzpyrene during early gestation and at term. Toxicol Appl Pharmacol 18:665–675

    Google Scholar 

  9. Katsumata Y, Suzuki O, Oya M, Yada S (1980) Plasma thyroglobulin as an indicator of mechanical asphyxia-comparison of plasma thyroglobulin levels by radioimmunoassay and the results of precipitation-electrophoresis. Med Sci Law 20:84–88

    Google Scholar 

  10. Ket JL, de Vijlder JJM, Bikker H, Gons MH, Tegelaers WHH (1981) Serum thyroglobulin levels: the physiological decrease in infancy and the absence in athyroidism. J Clin Endocrinol Metab 58:1301–1303

    Google Scholar 

  11. Lever EG, Refetoff S, Scherberg NH, Carr K (1983) The influence of percutaneous fine needle aspiration on serum thyroglobulin. J Clin Endocrinol Metab 56:26–29

    Google Scholar 

  12. Manning F, Walker D, Feyerabend C (1978) The effect of nicotine on fetal breathing movements in conscious pregnant ewes. Obstet Gynecol 52:563–568

    Google Scholar 

  13. Melander A, Nilsson E, Sundler F (1972) Sympathetic activation of thyroid hormone secretion in mice. Endocrinology 90:194–199

    Google Scholar 

  14. Melander A, Ericson LE, Ljunggren J-G, Norberg K-A, Persson B, Sundler F, Tibblin S, Westgren U (1974) Sympathetic innervation of the normal human thyroid. J Clin Endocrinol Metab 39: 713–718

    Google Scholar 

  15. Melander A, Westgren U, Ericson LE, Sundler F (1977) Influence of the sympathetic nervous system on the secretion and metabolism of thyroid hormone. Endocrinology 101:1228–1237

    Google Scholar 

  16. Melander A (1978) Regulatory influences on thyroid function: sympathetic nervous-adrenal medullary system. In: Werner SC, Ingbar SH (eds) The thyroid. Harper & Row, New York, pp 216–222

    Google Scholar 

  17. Melander A, Nordenskjöld E, Lundh B, Thorell J (1981) Influence of smoking on thyroid activity. Acta Med Scand 209: 41–43

    Google Scholar 

  18. Osotimehin B, Black EG, Hoffenberg R (1978) Thyroglobulin concentration in neonatal blood: a possible test for neonatal hypothyroidism. Br Med J 2:1467–1468

    Google Scholar 

  19. Pezzino V, Filetti S, Belfiore A, Proto S, Donzelli G, Vigneri R (1981) Serum thyroglobulin levels in the newborn. J Clin Endocrinol Metab 52:364–366

    Google Scholar 

  20. Reinwein D, Irmscher K (1965) Untersuchung zur Wirkung von Rhodanid auf den Jodstoffwechsel der menschlichen Schilddrüse. Acta Endocrinol 49:629–640

    Google Scholar 

  21. Suzuki K, Horiguchi T, Comas-Urrutia AC, Mueller-Heubach E, Morishima HO, Adamsons K (1974) Placental transfer and distribution of nicotine in the pregnant rhesus monkey. Am J Obstet Gynecol 119:253–262

    Google Scholar 

  22. Thorell JL, Larson SM (1978) Radioimmunoassay and related techniques. Methodology and clinical applications. Mosby, St Louis

    Google Scholar 

  23. US Public Health Service: Smoking and health. A report of the surgeon general. US Department of Health, Education and Welfare, Washington, DHW Publication NO (PHS) 79-50006

  24. van Herle AJ, Uller RP, Matthews NL, Brown J (1973) Radioimmunoassay for measurement of thyroglobulin in human serum. J Clin Invest 52:1320–1327

    Google Scholar 

  25. van Herle AJ, Vassart G, Dumont JE (1979) Control of thyroglobulin synthesis and secretion. N Engl J Med 301:307–314

    Google Scholar 

  26. Welch RM, Gommi B, Alvares AP, Conney AH (1972) Effect of enzyme induction on the metabolism of benzo(a)pyrene and 3′-methyl-4-monomethylaminoazobenzene in the pregnant and fetal rat. Cancer Res 32:973–978

    Google Scholar 

  27. Wilson J (1965) Leber's hereditary optic atrophy: a possible defect of cyanide metabolism. Clin Sci 29:505–515

    Google Scholar 

  28. Wilson J, Matthews DM (1966) Metabolic inter-relationships between cyanide, thiocyanate and vitamin B12 in smokers and non-smokers. Clin Sci 31:1–7

    Google Scholar 

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Ericsson, U.B., Ivarsson, S.A. & Persson, P.H. Thyroglobulin in cord blood. Eur J Pediatr 146, 44–47 (1987). https://doi.org/10.1007/BF00647282

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  • DOI: https://doi.org/10.1007/BF00647282

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