Simultaneous measurements of serum free thyroxine (T
4) and triiodothyronine (T
3) fractions were studied using a modification of equilibrium dialysis described by Sterling and Brenner. To 1.2 ml of the serum to be assayed,
131I-T
4 and
125I-T
3 were added in a concentration of 2 μg/dl and 25 ng/dl, respectively, both of which were preliminarily dialysed according to Schussler and Plager. Half ml of the serum with tracers added was dialysed against 9 ml of phosphate buffer (ionic strength 0.15, pH 7.4) for 18 hours at 37°C and 0.1 ml was reserved from the rest in a counting tube (in duplicate). After the completion of dialysis, the dialysate was mixed with 1 ml of pool serum and the contaminating inorganic iodide (in the form of
131I or
125I) was eliminated by adsorption on anion exchange resin.
The radioactivity of 3 ml of the dialysate and 0.1 ml of the preserved serum (with the tracers added) was counted and the free (or dialysable) fractions were expressed as a ratio of the count of the former divided by that of the latter adjusted to an equal volume by calculation. The amount of either T
4 or T
3 added as tracers had no influence on free T
4 or T
3 fraction unless either of them was added to a concentration of 10 μg/dl.
When
125I-T
3 of low specific activity (50 μCi/ug) was used as a tracer, free T
3 fraction measured simultaneously with free T
4 fraction tended to be higher than that measured with a single tracer. When
125I-T
3 of higher specific activity (300 μCi/μg) was employed, free T
3 fraction obtained with two methods did not differ significantly. Using serum T
4 and T
3 concentrations measured by competitive protein binding analysis and radioimmunoassay, respectively, the free T
4 and T
3 concentrations were estimated with sera of normal, hyperthyroid, hypothyroid and uncomplicated pregnant subjects.
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