Levels of immunoreactive thyrotrophin-releasing hormone like material (IR-TRH LM) were measured in paired maternal and umbilical cord serum samples (n = 45) and in serum of non-pregnant women (n = 63), using a sensitive and specific radioimmunoassay.In all pairs IR-TRH LM in venous cord serum (mean 91.3 pg/ml, range 20\p=n-\270) was markedly elevated as compared to maternal serum (mean 13.5 pg/ml, range 0\p=n-\37, P < 0.001, the maternal levels being similar to those in non-pregnant women (mean 12.0 pg/ml, range 0\p=n-\39, P > 0.1). In 23 cases IR-TRH LM was also measured in arterial cord serum: arterial and venous cord levels were highly significantly correlated (r = 0.904) with higher arterial levels in 22 out of 23 cases (mean 117.8 pg/ml, range 32\p=n-\280 and 90.6 pg/ml, range 20-270, P < 0.001), suggesting that cord IR-TRH LM is not of placental origin. There was no correlation between individual levels of IR-TRH LM and either TSH, T4, T3 or FT4 levels in either maternal or cord serum.Agar gel electrophoresis and equilibrium dialysis of adult and cord serum pre-incubated with [125I]TRH or [3H]TRH revealed no protein binding. Cord IR-TRH LM was immunologically, as well as in paper electrophoresis and in gelfiltration, indistinguishable from synthetic and hypothalamic TRH. In vitro degradation of synthetic TRH was much slower in cord serum as compared to maternal and control serum (P < 0.001). In vitro degradation of cord IR-TRH LM could not be demonstrated, neither by cord serum itself nor by adult serum, this in contrast to hypothalamus extracted TRH which was readily degraded by adult serum. Neither the presence of an inhibiting substance, nor methodological factors seem to account for the apparently different behaviour of cord IR-TRH. It is suggested that circulating IR-TRH could be closely related, but still different from tissue extracted and synthetic TRH. The striking differences in foetal, perinatal and adult thyroid physiology, with drastic changes in hormonal levels occurring in the early postnatal period, are well documented (Fisher et al. 1977;Fisher 1978).A physiologic role of thyrotrophin-releasing hor¬ mone (TRH) in the regulation of foetal and perina¬ tal thyroid function is not yet established. The main purpose of the present study was to gain informa¬ tion on the levels of circulating IR-TRH in neo¬ nates and their possible relation to thyroid func¬ tion.
Material and Methods
Subjects and samplingproceduresUmbilical cord and maternal blood was collected imme¬ diately after delivery following normal fullterm preg¬ nancy in 45 healthy women. In all subjects paired sam¬ ples were obtained by simultaneous puncture of the umbilical cord vein (UCV) and of the maternal femoral artery (MFA); whenever possible (n = 23) an additional