ABSTRACT
Triiodothyronine (T3) binding to Ficoll-Isopaque purified human lymphocytes was studied. During incubation of lymphocytes with [125I]T3 in a calcium-free medium at 37°C, maximal uptake of T3 in nuclei occurred after 2 h and declined after prolonged incubation. Incubation of lymphocytes with T3 concentrations ranging from 1 × 10−11 to 1 × 10−9 mol/l and subsequent treatment with Triton X-100 to strip off [125I]T3 bound with low affinity was used for the estimation of affinity and capacity of nuclear T3 binding sites. The mean equilibrium affinity constant (Ka) estimated with the Scatchard method in 11 euthyroid healthy subjects was 4.5 × 109 1/mol, and the mean maximal binding capacity 25 × 10−15 mol/100 μg DNA. In a female patient with peripheral resistance to thyroid hormone action, the estimated Ka was 3.5 × 109 1/mol and the number of T3 binding sites 37 × 10−15 mol/100 μg DNA. Although not statistically different from the mean value in euthyroid subjects, this Ka value was outside the range of control values observed and was considered presumptive evidence that the nuclear T3 receptors in this patient have abnormally low affinity for its ligand. The nuclear T3 binding capacity in this patient was significantly increased.
418 PERIPHERAL RESISTANCE TO THYROID HORMONE IN AN INFANT
