COMPARAflVI: IIIICI'I LII _ mmomcmmv AND ‘i'HlOURAClL AIMINIII'MIIDM W, I'HI .6R€§WTLI AND DIVILOIMINI III was E"flunk to: €339 aggro; If M; 5. ' mmam STATE 666262 "Robot? G Schirmet €932 ——-—--._ n J- o I»- 'V I This is to certify that the i thesis entitled . Comparative Effects of Thyroi- dectomy and Thiouracil Administration I on the Growth and Development of Dogs t presented by Ebbert G. Schirmer has been accepted towards fulfillment of the requirements for Me So degree in PzflSiOlogy " s. P. flg'flgb. Major professor A COMPARATIVE EFFECTS OF THYROIDECTOME AND THIOURACIL.ADMINISTRATION ON THE GROWTH AND DEVELOPMENT OF DOGS By ROBERT G. §2§IRMER A THESIS Submitted to the School of Graduate Studies of Michigan State College of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Physiology and Pharmacology 1952 ' ACKNOWLEDGMENTS The author would like to offer his sincere thanks and appreciation to Dr. E. P. Reineke for his patience, under- standing and assistance during the course of this work, withp out which completion could not have been accomplished. Thanks are also due to the other members of the Department of Physiology and Pharmacology for their consultation, and eSpecially to Dr. L. F. Wolterink who gave helpful suggestions from time to time. I Thanks are due to the late Dr. C. S. Bryan through.whose efforts this work was started, and who gave considerable aid and advice in setting up a course of study. Gratitude is extended to Mr. George R. Lynch who so ably cared for the animals, and whose assistance in carrying out the mechanical tasks associated with the experiments was invaluable. The assistance of Miss Louise Feng in completing the technical aspects of the studies with radioactive iodine is greatly appreciated. To Dr. W. D. Baten for his aid in the statistical treat- ment of the data, and to Mrs. M. Anderson for her translation of the German literature, sincere thanks are extended. The author would like to express his sincere thanks for the assistance and understanding afforded particularly during the preparation of this manuscript to his wife, Lillian. The expenses in connection with this work were defrayed by funds from the Michigan State College Agricultural Experiment Station. The thiouracil used was supplied.by the Lederle Labor- atories, Pearl River, New York. TABLE OF CONTENTS INTRODUCTION. . . . . . . . . . . . . . 1 REVIEW OF LITERATURE. . . . . . . . . . . . 3 Effects of Thyroidectomy . . . . . . . . . . . . 3 Effects 33 Body Weight. . . . . . . . . . . 4 Effects 2g Body Stature and Skeletal Growth 5 Effects pg Dentition. . . . . . . . . . . . 7 Effects 33 Body Temperature . . . . . . . 7 Effects 23 Pulse Rate . . . . . . . . . . . 8 Effects 23 HemOpoietic System . . . . . . . 8 Effects 2g Food Intake. . . . . . . . . . 9 Effects 22 General Appearance and Vitality. 9 Effects of Thiouracil Administration . . . . . . lO Effects 22 Body Weight. . . . . . . . . . . 11 Effects g3 Body Stature and Skeletal Growth 1% Effects 23 Body Temperature . . . . . . . . 15 Effects 9g Pulse Rate . . . . . . . . . . . 16 Effects 23 Food Intake. . . . . . . . . . . 16 Effects 23 the Hemopoietic System . . . . . 17 General Effects . . . . . . . . . . . . . . 18 1131 Uptake in Experimental Hypothyroidism . . . 19 Cell Plasma Ratios of Radioactive Iodine . . . . 22 MATERIALS AND METHODS . . . . . . . . . . . . . . . . 23 General. . . . . . . . . . . . . . . . . . . . . 23 Thyroidectomy. . . . . . . . . . . . . . . . . . 25 Thiouracil Administration. Body Weights . . Tibial Measurements. Dentition. . . . Body Temperatures. Pulse Rates. . Food Intake. . Blood.Examination. 1131 Uptake. . . Cell Plasma 1131 Ratios. RESULTS 0 O O O C O 0 Body Weights . . Tibial Measurements. Dentition. . . . Body Temperatures. Pulse Rates. . Food Intake. . . Blood Examination. 1131 Uptake. . . . ‘Qpll Plasma 1131 Ratios. DISCUSSION. . . . . SUMMARY . . . . . CONCLUSIONS . . . . . .LITERATURE CITED. . . APPENDIX. . . . . . . 26 27 2s 28 29 . 29 . 29 30 3o 31 32 32 39 he 44 INTRODUCTION Since the late 1800's, when physiologists first became interested in the thyroid gland and its function, there has _ been more interest and research in this phase of endocrinology than any other. Thyroid function has been studied quite thoroughly in most species of experimental animals and in man. If one is to review the literature on this subject he will find differ- ences in reaction of the various species to experimentally induced hyperthyroid and hypothyroid states. The study of thyroid function resolves itself into more or less of a separate problem in each species. There are similarities of course, but there are also differences among the various species which should be brought out. The experimental animal employed in this paper, the dog, has been used very little in research along these lines, the probable reason being that this species is inherently quite nervous and does not lend itself well to experiments of a metabolic nature. The dog is not as simple an animal to keep and work with as some of the smaller species. As a result, literature available on experimental hypo- thyroidism in dogs is quite meager. From the literature, one might gain the impression that the thyroid is not as essential for normal body function in this species as in others. Dye and.Maugham (1929) reported cretinism in the dog following surgical thyroidectomy, but their tables lead one to suspect a smaller change than is represented in the written portion of their work. Mayer (1947) and Glock (1949) are very much in agreement that goitrogen administration produces no change in growth or development of dogs, although both report gross and microscopic evidence of thyroid hyper- trOphy and hyperplasia; Clinically, the writer has observed a condition of older dogs which in some respects resembles human myxedema. The animals become overweight and blocky in appearance. The skin is thickened, particularly over the lumbar and gluteal regions, and the hair in these areas becomes sparse and wiry. No edema has been seen. The cases have, for the most part, responded well to thyroid administration. When the thyroid gland was first noted it was theorized that its purpose was to fill out and lend a smoother appear- ance to the neck region. Schiff (ISSG) in his research on thyroid function stated that it seemed quite improbable that an organ with the highly specialized structure of the thyroid would be placed in the body for the sake of appearance. It seems as though this thought might easily be applied to the thyroid of the dog, in view of the more recent research. With the before mentioned statements in mind, it was decided that clarification of the functional status of the thyroid of the dog might be attained through concurrent study of chemically and surgically induced hypothyroidism. ' REVIEW OF THE LITERATURE Effects of Thyroidectomy Early studies on the effects of thyroidectomy are some- what clouded in that the full significance of the parathyroid was not understood at that time, and the results reported in these earlier papers reflect the effects of thyroparathyroid— ectomy rather than of thyroidectomy alone. Schiff (1884) was the first to investigate this field. He stated that the removal of the thyroid of the dog almost invariably resulted in death, while in rodents no severe symptoms were noted. These results were confirmed.by Hersley (1891) who described nervous symptoms, severe tetany, con- vulsions, and early fatal termination following thyroidectomy in dogs and other carnivore. This worker was apparently the first to describe the effects of thyroidectomy in ungulata by unwittingly leaving the external parathyroid when operating. These results in dogs have been duplicated.by Vincent and Jolly (1905), and Carlson and Woelfel (1910). Considerable light was shed on this subject by the work of Gley (1891) who first designated the importance of leaving the parathyroid glands intact when removing the thyroid. He found that this procedure resulted in a marked reduction in symptomatology and considered the parathyroid a Ihelper organ” which could replace the function of the thyroid. With the advent of these findings more attention was given the individual study of these glands. Effects pg Body Weight The effect of thyroidectomy on the body weight of dogs is described by Dye and Maugham (1929). In dogs which were thyroidectomized at five to six weeks of age a noticeable decrease of weight gain was seen at the end of two weeks following the operation. It was found that frequently the retardation of growth was masked by the excessive deposition of adipose tissue, but that the retardation invariably exceeded the fatty deposition and the weight gain remained adversely affected. Binswanger (1936) presented data which confirms this work. His body weight charts showed somewhat more definite differences. These findings have been duplicated in other species. Larson (1919: 1920) found significant retardation in weight gain together with unthriftiness in young rats after thyroid- ectomy. Similar results were observed in this species by Hammett (1922). Salmon (1938) found severe retardation of weight gain in newborn rats which had been thyroparathyroid- ectomized. She observed that a growth plateau was established at three weeks after the operation, and that while injections of thyroid substance stimulated further growth and weight gain, injections of parathyroid substance gave little reaponse. In sheep and goats, Simpson (1924) reported a distinct retardat- ion of weight gain in animals thyroidectomized at three to four weeks of age. Landauer (1929) reported a general arrest of growth in domestic fowl in three naturally occurring cases of thyrogenous dwarfism. In monkeys, Flieschman, Shumaker and Straus (1943) reported one case in which growth was completely arrested. Considerable drop in weight gain following thyroidectomy in immature guinea pigs has been reported by Silberberg and Silberberg (1940). The above results were obtained on immature animals. Thyroidectomy in older animals has not shown any demonstrable , effect on the body weight as indicated by the work of Simpson (1913) except possibly in the manner of decreased basal metap bolic rate and consequent fattening. An initial loss followed by an increase of weight in thyroidectomized mature dogs was reported by Bergman (1949). Effects pp EEQX Stature Egg Skeletal Growth A definite change in body stature and relative growth and deve10pment of the osseous skeleton is seen in most cases in which thyroidectomy is performed in the young experimental animal. Dye and Maugham (1929) reported broadening of the head, shortening and broadening of the muzzle, thickening of the neck, and feet, and relatively broader and thicker limbs in young dogs after thyroidectomy. The animals appeared stunted and hump-backed, and showed typical cretinism. Edema was not present in the various parts of the body as observed in human patients suffering from hypothyroidism (Cecil 1946). The effects on dogs were confirmed.by Binswanger (1936). In the domestic fowl with thyrogenous dwarfism, Landauer (1929) reported bulging of the eyes and edema of the surrounding tissue accompanied by arrested skeletal development. Simpson (1913) described sheep which had been thyroidectomized at two months of age as having a squat, stunted appearance. Reineke and Turner (1941) reported that goats appeared dull and sleepy, and exhibited a relaxed stance after thyroidectomy at four weeks of age. The skeletal system seems from all accounts to be severely affected by surgically induced hypothyroidism. The average length: of the long bones was less in dogs which were thyroid- ectomized at four to six weeks of age. There was very little change in the width of the diaphysis of the long bones, but the lengthpbreadth index was considerably greater in thynhid- ectomized as compared to control animals (Dye and Maugham 1929). Binswanger (1936) also reported this striking difference, particularly in the length of the long bones. He stated that while the normal controls had gained full length of the long bones by nine months of age, the thyroidectomized animals gained as much as 3 cm after this age. In rats, Hammett (1927) observed the same degree of retardation in both bone growth and body weight. In this work it was found that bone weight remained the same, but that the long bones were considerably shorter in thyroidectomized animals than in controls. Very little disturbance of the diaphysis of the long bones, but definite delay in the replacement of hypertrophic cartilage cells by bone was reported in immature guinea pigs after thyroidectomy. Proliferation of the cartilage cells was maintained and temporarily increased in some cases (Silberberg and Silberberg, 1940). In sheep thyroidectomized at two months of age, Liddell (1925) reported the appearance of prognathism at six months of age. He also noted that the skulls were shorter and dis- proportionately wide in these animals. Reineke and Turner (1941) observed a growth lag in the jaw bones of goats after early thyroidectomy. It has been found that hypothyroidism may be the cause of some of the deforming bone diseases of children such as Perth'es disease and OsgoodpSchlatters disease (Schaefer and Purcell, 1941). Effects pp Dentition It would be reasonable to assume, in view of the effects of thyroidectomy on the develoPment of bone, that teething might also be affected. Binswanger (1936) stated that secondary dentition in thyroidectomized dogs occurs from one to two weeks later than in normal control animals. With the exception of one case in which the secondary molars did not appear, Dye and.Maugham (1929) saw no effect on dentition. Delayed eruption of secondary teeth.has been observed in sheep (Liddell, 1925). Effects pp 9393: Temperature In dogs, Binswanger (1936) reported an average temper- ature drop of .300 following thyroidectomy. The body temper— ature of adult thyroidectomized dogs averaged only slightly less (.50 F) than prior to the Operation (Bergman 1949). Simpson (l913)reported a distinct fall in body temperature after thyroidectomy at two months of age. In his work with cats, Smith (1894) stated that thyroidectomy results in in- efficient function of the heat regulatory mechanisms of the animal body. Effects pp Pulse_Rate Binswanger (1936) observed a decrease in pulse rate in thyroidectomized dogs. Bergman (1949) reported a 16% drop in the pulse rate following thyroidectomy of adult dogs. The pulse rate of rats was slowed to fifty to one hundred beats 'per minute after thyroidectomy compared to a normal of three hundred beats per minute in control animals (Fishbeurne and Cunningham, 1938). In thyroidectomized sheep two years of age and over, Simpson (1913) observed only a slight slowing of the pulse. The same worker reported a distinct fall in pulse rate in young, thyroidectomized lambs within two weeks after the operation. Jailer, Sperry, Engle, and Smelser (1944) reported circulation time decreased by approximately 30% in adult monkeys following thyroidectomy. Studies in human beings have revealed correlation of metabolism and pulse rate in children, but the relationship is lost as aging takes place. (Sutliff and Holt 1925). Effects pp Hemopoietic System The effect of thyroidectomy on the blood of animals is not well established. In dogs, Goldberg and Chaikoff (1952) reported that in two of six dogs thyroidectomized by the use of 1131 a drop in red cell count of 20% to 30% was seen. The cells in this case appeared hypochromic. Landauer (1929) in his studies on naturally - occurring thyrogenous dwarfism in fowl found a decrease in the number of bone marrow cells, and in some cases complete replacement of the bone marrow by connective tissue. Maerocytic anemia, with decreased cell volume and hemoglobin was seen in rabbits after thyroidectomy by Kunde, et a1 (1932). Effects pp Food Intake Little attention has been given specifically to food intake following thyroidectomy, although it is generally assumed to be less. This is reported specifically in dogs by Bergman (1949). Effects pp General Appearance and Vitality A distinct lassitude, particularly after seven months of age, and a coarse dry hair coat is described by Binswanger (1936) in thyroidectomized dogs. In his work with the collie, he stated that the ears did not stand in the normal upright manner after thyroidectomy. Goldberg and Chaikeff (1952) reported sluggishness, thickening of the skin and coarse, wiry hair in dogs thyroidectomized with radioactive iodine. Thyroidectomy in sheep resulted in listlessness and a stupid appearance. Falling wool was observed in some cases and in all cases there was a diminution of fleece weight when shorn. Horn growth in sheep and goats was found to be markedly lO retarded (Simpson 1924). In thyroidectomized rats, Larson (1920) reported unthriftiness and laziness. Landauer (1929) showed this in the domestic fowl. Thyroidectomy at four to twenty days of age delayed the appearance of mature feathers in the brown leghorn fowl. When mature feathers did appear they showed a decrease in melanin, decrease in barbules and had a tendancy to become long and tapered. (Blivaiss and Domm 1942). The effects on activity are probably due to a decrease in metabolic rate. The decrease in basal metabolic rats following thyroidectomy has been shown to be quite constant among the species. In the dog a 30% drop in BMR was reported by Bergman (1949). In the rat, a 20% to 30% drop was observed (Mayer and Ransom 1945), while in the pigeon the drop was 27% (larvin and Smith 1943). Workers on other species have produced similar results. ngects of Thiouracil Administration Following the discovery that several naturally eccuring materials such as cabbage and rape seed would produce a condition resembling goiter when fed ever a period of time, much attention has been given to the inhibition of thyroidal activity by chemical compounds. Astwood (1943 a) compared a number of chemicals by biological methods and concluded that those containing the thieureylene radical produced the great- est effect with the least toxicity. The compound 2- thieuracil was found to be one of the most effective in inhibiting thyroid _functien. 11 The effect of these compounds on the thyroid gland is hypertrophy and hyperplasia, with decreased colloid content of the follicles and increased height of acinar epithelium (Mackenzie and.Mackenzie 1943). In studies on the effect of thieurea and sulfenamides on the thyroid of rats, Astwoed, et a1 (1943) determined that the administration of thyroxine inhibited the effects on the gland, and that likewise these effects did not occur in hypophysectomized animals. This work indicated that possibly an overproduction of thyrotrophin was responsible for the gross and microscopic changes in the thyroid of animals treated with goitrogens. 'The administration of thieuracil to human patients causes a more rapid uptake of iodine by the thyroid gland and also a very rapid loss (Stanley and Astwood 1947). Franklin, et a1 (1944) demonstrated that there was less thyroxine and diiodotyrosine in the thyroid of rats after the administration of thieuracil. Thyroglobulin storage was inhibited completely by the administration of thieurea to rabbits (Bauman, et a1 1944). These studies show that thieuracil administration results in a definite inhibition of thyroxine formation at the diiodotyrosine level. Effect 3;; _B_q_dy Weight Danowski, et a1 (1946) reported no change from normal of weight gain in dogs fed thieuracil. In his experiments with.beag1e puppies, Mayer (1947) reported no differences 12 from control animals in body weight gain between pups fed thiouracil twice daily for the first sixty days of the experiment, then once daily for four months, at the rate of 25 - 30 mg per kilogram of body weight. No obvious difference in growth as measured by body weight was noted in puppies by Glock (1949). The adult dogs which.were given thiouracil maintained their body weight as well as the controls. Williams, et al (1944) demonstrated that thiouracil definitely inhibited the growth of young rats, and that the administration of growth hormone did not reverse this effect. After the administration of thiouracil to rats, Hughes (1944) found growth to be very much inhibited after the first ten days. His control animals ultimately weighed twice as much as those treated. In adult rats fed 1% thiouracil in their diet an average weight loss of 42 gm in twenty to twenty- two days of treatment was recorded by Leathem (1945). Astwood, et al (1945) found a very definite retardation of body weight gain in rats on goitrogenic drugs and used this as a means of estimating the effectiveness of several of these compounds. A.loss of weight was reported in adult rats fed .5% thiouracil in the ration (Leathem, 1946). A marked depression of growth was reported by Boatman and Moses (1951) in young rats receiving .5% thiouracil in the diet. Bauman and.Marine (1945) reported that rats fed 40 mg of thiouracil daily gained weight at nearly the same rate as normally handled littermates, but that increased dosage caused stunting. 13 In the chick, Mixner et a1 (1944) found that .l% thiouracil in the ration for twelve days produced the maximal effect on the thyroid. Lighter, perhaps more hyperthyroid breeds, gave the greater response. Kempster and Turner (1945) noted that .2% thiouracil in the ration of broilers for sixteen days did not influence body weight, food consumption, or economy of gain, but that there was an improvement of finish. In a second trial covering a period of five weeks, it was found that this level of thiouracil produced lower gains, greater food consumption per pound gain and consistently lower grade when slaughtered. In New Hampshire cockerels fed on rations containing .025, .05 and .1 percent thiouracil respectively, Mixner,et a1 (1946) found a progressive decrease in weight gain as thiouracil was increased. Glazener and.Jud1 (1946) found a depressed growth when .2% thiouracil was given to young chicks in the mash. This is confirmed by Andrews and Schnetzler (1946) who stated that in addition to growth depression there was a greater efficiency of food consumption, and a significant improvement of flashing and fat deposition in broilers. The use of .l% thiouracil in the ration of swine has been reported to cause an increase in body weight gain and reduced total food requirement per pound of gain (McMillan, et a1 1947). When the administration of thiouracil is started before maturity less weight gain is seen. (Beeson, et a1 1947). Swine given .25% thiouracil in the feed gain rapidly 14 at first and then stop gaining, although they consume less feed.per pound gain than controls (VanderNoot, et a1, 1948). p In these studies it was found that the normally active breeds responded more vigorously to this therapy than the breeds which are more docile. Andrews, et a1, (1947) reported a depression of weight gain of .064 to .071 lb per day in lambs, with no difference in feed consumption per pound of gain when feeding .33 gm of thiouracil daily in the ration. Weight gain in steers was not altered by 4 to 6 gm of thiouracil daily, but there was a slight increase in weight gain and slightly better gain per pound of feed when 2 to 4 gm were administered daily. There was a tendency to improve the dressing percentage and degree of finish at both dosage levels (Beeson, et a1, 1947). McQuillan and Trikojus (1946) found that guinea pigs given 80 mg of thiourea twice daily did not gain weight as fast as controls. Effects 23 Eggy Stature and Skeletal Growth Studies on the skeletal growth of animals made hypo- thyroid.by the administration of anti-thyroid compounds have not been emphasized in the literature. In most cases it has been simpler to use the body weight as an index of drug activity. No changes in growth rate or body stature were reported in dogs by Glock (1949) or by Mayer (1947) after administration 15 of thiouracil. Epiphysial fusion was unaltered macroscopically and microscopically in the latter case. A distinct retardation of skeletal growth in rats was noted.by Williams, et a1 (1944). Likewise, Hughes (1944) showed that the administration of 1% thiouracil in the drink- ing water of rats caused inhibition of growth and caused persistence of infantile skull proportions. Intermittent (once-weekly) doses showed no effect. Mixner, et.al (1946) showed that 1% thiouracil produced a distinct decrease in length gains in New Hampshire cockerels. Depression of growth in the body skeleton of the chick was seen after the administration of .2% thiouracil in the feed (Glazener and Jull 1946). In their work on swine, McMillen, et a1 (1947) showed that there was possibly a slight decrease in skeletal growth in animals fed .1% thiouracil in the ration for a period of forty-one days. A concentration_of .25% thiouracil caused a more rapid gain for the first ten days, but almost a cessation of skeletal growth after that time (VanderNoot, et al 1948). ' Very definite retardation of growth, causing a short, I'chuffy" appearance in swine fed for six weeks on .1% thiouracil was seen by Beeson, et a1 (1947). . Effects gg'gggy Temperature Although specific study of the body temperature as influenced by thiouracil administration has not been attempted, it is assumed that the effect would be depression as reported 16 following surgical ablation of the thyroid gland (Salmon 1938). .A lower body temperature was noted by Hughes (1944) in rats fed.1% thiouracil in their drinking water. Effects _o_n_ 133133 BEL? Leblond and Hoff (1944) fed thiourea to rats over a four month.period and produced a reduction of heart rate from 313 to 218 per minute. Effects 23 Food.;ntake Leathem (1945) found that the daily food consumption of rats fed .1% thiouracil remained normal for ten days and then was slightly below normal. In rats given .1% thiouracil in drinking water no change in quantity of food consumed was noted (Rawson, et a1 1944). Much more research has been done on meat-producing animals in which case the ratio of weight gain to food consumption is an important factor. In broilers fed .2% thiouracil in the ration for sixteen days no influence on food consumption or economy of gain was noted by Kempster and Turner (1945). They found, however, that over a longer period of time (five weeks) food consumption per unit gain increased. Mixner, et a1 (1946) reported an increased gain, while food consumption decreased in cockerels fed .025, .05 and .l% thiouracil in their mash. These findings are born out by Andrews and Schnetzler (1946) who noted greater efficiency of food consumption in broilers fed on the same percentages of thiouracil for a period of eight weeks. 17 In swine, McMillen, et a1 (1947) showed that feeding a ration containing .1% thiouracil reduced total feed require- ment per unit gain. This is substantiated.by the work of VanderNoot, et al (1948). ‘ Andrews, et a1 (1947) reported no change in feed consump- tion per unit gain in lambs fed .25 to 2 gm of thiouracil daily. Steers fed 4 to 6 gm of this compound daily for fifty-four days showed a slightly increased gain per pound of feed (Beeson, et a1 1947). Effects 9n the Hemopoietic System In dogs fed thiouracil, Mayer (1947) found no significant change in the blood picture except in two experimental animals which showed high relative lymphocyte counts (6o%+). A mild anemia, averaging three million less red blood cells, has been reported in rats fed .1% thiouracil in their diet for a period of one hundred and fifty days. Leucopenia was observed in some cases, but this finding was not constant (Leathem 1945). The administration of .2% thiouracil in the feed resulted in granulocytopenia, lymphocytosis and reduced red blood cells and hemoglobin (Gordon, et al 1945). Warren (1945) studied the effects of thiouracil in vitro and found that when 100 mg % thiouracil was added to autogenous neutral serum the respiration of bone marrow placed in the serum was reduced. He notes that the compound has an affinity for the myeloid cells, particularly the more immature, but that the erythroid elements are disturbed very little. 18 Many more reports of maleffects of thiouracil on the blood have been reported in the human being due to its use in treatment of clinical thyrotoxicosis. Kahn and Stock (1944) reported a case of fatal agranulocytosis which developed after the administration of 30.8 gm of thiouracil over a fifty-four day period. In one patient showing anemia, leuco- penia and complete agranulocytosis the effect on the bone marrow was apparently irreparable (Gargill and.Lesses 1945). Williams, et a1 (1944) found no ante-mortem or post-mortem abnormalities in six patients fed 6 gm of thiouracil daily for twenty-eight days. A marked lowering of the granulo- cytic cells was noted in 20% of human patients on thiouracil and 2% showed complete agranulocytosis (Fishberg and Vorzimer 1945). In clinical patients being treated for thyrotoxicosis, toxic reactions to thiouracil were noted in 14.5%, and 1.2% showed agranulocytosis (Williams et a1 1946). Other untoward reactions are seen such as fever, skin rash and adenopathy, but the agranulocytosis is the dangerous symptom, usually indicating a fatal termination (Bierwaltes and Sturgis 1946). General Effects The effect of thiouracil on the integumentary system seems to be much the same as that of thyroidectomy. Hughes (1944) reported a delay in the development of the adult coat in rate. No effect on pigmentation or hair growth was noted by Dieke (1947) after thiourea administration, although phenyl- thiourea and alpha-napthyl thiourea caused inhibition of both. 19 Beeson, et a1 (1947) reported thickened skin and dull, coarse hair in swine fed .1% thiouracil in the ration for six weeks. Comb growth in cockerels was adversely affected by thiouracil administration (Mixner, et a1 1946), as was feather pigment- ation (Juhn, 1944). ’ Sluggish reflexes and awkward muscular movements were noted in rats which were given thiouracil (Hughes 1944). McMillen, et a1 (1947) noted this effect in swine. Thiouracil reduced the basal metabolic rate of rats 23% when given at the rate of .1% in the drinking water (Reineke, et a1 1945). McCartney and Shaffer (1949) found that chicks given .1% thiouracil in the ration required 16% less oxygen. In human patients, Astwood (1943 b) showed that the administration of .2 to 1 gm of thiourea twice daily gave relief from the symptoms of thyrotoxicosis and caused the basal metabolic rate to return to normal. Dosage of .8 gm daily to a patient suffering with thyrotoxicosis lowered the basal metabolic rate from + 64 to + 10 in four days. When an attempt was made to withdraw the drug, the rate again increased (Kahn and Stock, 1944). Attention is drawn to the marked similarity between the effect of thiouracil administration and that of thyroidectomy. ;}31 Uptake in Experimental Hypothyroidism The work of Hertz, et a1 (1938) opened the way for further intensive study of thyroid physiology. The normal thyroid was found to collect more radioactive Iodine-than 20 do other tissues. The administration of thiocyahate or the feeding of cabbage to rabbits was found to cause an increased affinity of the hyperplastic gland for iodine (Hertz, et a1, 1940). Horton, et a1 (1943) reported that the completely thyroidectomized rat was still able to convert iodide to diiodotyrosine and thyroxine. By chemical analysis they determined that ninety-six hours after the injection of radio-active iodine into thyroidectomized animals 30% of this material present in the liver and small intestine was protein-bound; 20% being found in the diiodotyrosine fraction and 8% in the thyroxine-like fraction. There has been considerable study of iodine metabolism in the thyroid as influenced by the various anti-thyroid compounds. Franklin, et a1 (1944) found that thyroids removed one day after the feeding of thiouracil for one week, contained only 12% as much thyroxine as controls, and that this condition persisted to a progressively smaller degree for about two weeks at which time the amounts of labeled thyroxine and diiodotyrosine in the gland had returned to normal. An average of only 10% of a tracer dose of radioactive iodine was concentrated by the thyroid gland of rats given .1% thiouracil daily in their drinking water after twenty-eight days while controls took up an average 56%. LRawson, et a1,(1944), indicated that apparently the thiouracil blocked the uptake of radioactive iodine by the gland. In an attempt to gain 21 confirmatory evidence on the efficiency of the thiourea group of goitrogens, Stanley and Astwood (1947) injected radioactive iodine into human patients being treated with thiourea and found that while the controls took the iodine up more slowly, gaining a plateau at twenty-four to forty- eight hours and then remaining constant for some time, the thiourea-treated patients showed a very rapid uptake of radioiodine by the thyroid, but did not retain a plateau for over thirty-six hours. McGinty, et a1, (1948) found that eight hours after a single injection of thiouracil rats showed partial escape from the drug, as indicated by the use of radioactive iodine as a tracer. In chicks, on the other hand, it was twenty-four hours before this partial escape was noted. Rawson, et a1 (1948) noted that rats which had been fed .2% thiouracil in the ration for a period of time took up only about 1/10 to 1/5 as much 1131 as control animals. The thyroids in this case were examined four hours after the 1131 injection. Only a slight difference in the amount of 1131 concentrated in the thyroid gland of rats given thiouracil and controls is noted at a short period (three hours) after injection (Boatman and.Moses 1951). In rats which received a tracer dose of 1131 forty-eight hours prior to the administration of 1% thiouracil in the drinking water, Albert and Tenney (1951) report 50% excretion of radioactive iodine daily, while the normal rate is 8-9% daily. 22 Cell Plasma Ratios of Radioactive Iodine In research on the permeability of cell membranes of human red blood cells, Hall, et a1 (1950) concluded that ionic chlorine, bromine and iodine pass rapidly across the cell membrane in vitro and that equilibrium is rapidly established. They observed that in the case of iodine the distribution in cells and plasma is about equal. Salter. (1940) had previously reported the erythrocyte to contain approximately 50% of the blood iodine. Utilizing I131 as a tracer, Scott, et a1 (1951) studied the effect of various levels of thyroid function on the relative amounts of iodine present in the cells and plasma. They found that the initial cell plasma ratio was the same in hypothyroid, euthyroid, and hyperthyroid patients, but that the ratio dropped as the inorganic 1131 was bound to protein in the thyroid. The A drop in the cell plasma ratio was caused.by the impermeability of the cells to the larger protein-combined.molecules. The rate of drop of the cell plasma ratio is interpreted as an expression of thyroid activity. Boatman and.Moses (1951 a) determined only a slight rise of 1131 in the plasma twenty-four hours after an intra- peritoneal injection, the cell plasma ratio being quite constant over a twenty-four hour period. 23 MATERIALS AND METHODS General Twelve pups were procured at the age of six and one-half weeks. There were two litters of six pups each, one litter being a collie-farm shepherd cross, and the other a shepherd- setter cross, in so far as the owners were able to acertain. One pup in the shepherdssetter litter was a male, the remainder of this litter and all of the other litter were females. The pups were divided at random into four groups, two pups from each litter being placed in a group. Identification, was achieved by tatooing the assigned numbers on the inner surface of the ear flap. The male pup was number 4 in the thiouracil group. The animals were of fairly uniform size and stature at the onset of the experiment (see Figures I and II). The animals were housed in the central portion of Animal Disease barn No. 2 in individual kennels built especially for this experiment. These kennels were of 2x4 frame construction with chicken wire sides, tops and doors. Shavings were used as bedding material and were changed daily. The room temper- ature fluctuated between 58° and 68° F. Humidity and odor was controlled by an exhaust fan system. These animals were not allowed out of doors, but were allowed to exercise inside while the kennels were being cleaned. From the beginning of the experiment until the animals were three months of age they were fed three times daily. The 24 first feeding, at 7 a.m., consisted of canned Ken-L-Ration dog food and fresh skim milk. At noon they were fed skim milk and about 6 p.m. they were given skim milk, canned Ken- L-Ration and KenfiL-Biskit. From three months of age until the termination of the experiment the dogs were fed a combination of fresh skim milk and Ken-L-Biskit dog food morning and night. The amount of food given each dog was governed by the feeder's experience as to how much the individual would eat. The animals were full-fed as nearly as possible. Water was placed before the dogs twice daily for a period of about ten minutes. It was found that the quantity consumed when given in this manner was quite small. As soon as the dogs were procured they were given lcc. per pound of body weight of anti-canine distemper serum sub- cutaneously in the cervical region. This was repeated two weeks later. At three months of age each animal was given lcc. of Ashe-Lockhart distemper vaccine intradermally in the flank fold. This procedure was repeated ten days later. The dogs were heavily infested with toxacara caninum at the onset. They were given Vermiplex (Pitman-Moore) in prescribed dosage to relieve this condition. Two weeks later another dose of this compound was given, and there- after no evidence of intestinal parasites could be found upon microscopic examination of the feces. 25 A heavy infestation of ctenocephalides caninum neces— sitated the use of pyrone powder (Jen—Sal) containing 10% D.D.T. This powder was applied four times at five day inter- vals, and following that only when it was thought necessary. Thyroidectomy Thyroidectomy was performed on four of the puppies seven days after the initial data were taken. The animals were anesthetized with Halatol (Jen-Sal) given intravenously in the cephalic vein. They were clipped over the ventral portion of the anterior cervical region, and this area scrubbed with liquid germicidal detergent. An incision was made through the skin on the mid-line extending from the level of the cricoid cartilage distally for a distance of 4 cm. The sterno-hyoid muscles were separated for the same length and this region of the trachea was bared. The thyroid glands were disected free of fatty tissue. The external parathyroid, lying on the antero-lateral surface of the thyroid was located in all but one case. This was dissected away from the surface of the thyroid gland taking care to preserve the small branches of the anterior thyroid vessels supplying it. The anterior thyroid vessels were then ligated distal to the point where the parathyroid branches left it. The lobe of the thyroid which was disected free first was left in position until that of the opposite side was free. They were then removed simultaneously taking the thin isthmus 26 of facia which crosses the ventral surface of the trachea with them. The muscle separation was then closed with interrupted sutures of cotton. The skin incision was closed in the same manner. Recovery from the operation was uneventful and the sutures were removed five days later with good healing evident. I Seven days following the operation one of the dogs showed symptoms of tetany when being handled. Symptoms were relieved with the intravenous injection of 5 cc of a 10% solution of calcium gluconate twice daily. The animal died two days later. This dog was the one in which we had difficulty locating the parathyroids. None of the other individuals of the group showed any deviation from normal. Thiouracil Administration The administration of powdered 2-thiouracil' was started in four of the remaining eight animals on the day following thyroidectomy of the four dogs previously mentioned. It was given by individual dosage by means of gelatin capsules. The dogs were given the drug at approximately 7 a.m. and 6 p.m. daily, at least ten minutes before they were fed. The dosage given was approximate but an effort was made to admin- ister 25 to 40 mg per kg twice daily. This was accomplished by weighing an empty capsule first, then filling it in a standard manner and reweighing it. By subtracting the two 27 values we were able to acertain the amount of 2-thiouracil each capsule size would hold. Rather than weighing individual capsules, the one weighed initially was used as a standard by which to pack the capsules used in the experiment. The animals were started on a dosage of 140 mg of 2-thiouracil twice daily and as the body weight of the individuals increased so that the level given reached the lower range it was again adjusted to the point where the animal was receiving close to 40 mg/kg twice daily. Body_fleights The dogs were weighed before the evening feeding at seven day intervals during the experiment on a spring type dairy scale. It was found that the animals were too active to be weighed in the basket with which this scale was equipped, so a rope sling was fashioned. A rope loop, approximately three feet in diameter was placed on the floor between the front and rear legs with the dog in standing position. The anterior part of this loop was drawn between the forelimbs and the loop thus formed drawn over the head so that it rested just anterior to the shoulders. The edges of the original loop were then picked up on either side of the dog and brought together over the back. It was found that the dog could be elevated to the scale hook in a harness of this type with very little discomfort and a minimum of struggling. As a result, the weight could be easily read to the nearest quarter- pound with some degree of accuracy. 28 Tibial Measurements Radiographs were taken of the left tibia in lateral position at four to sixeweek intervals during the experiment. The machine used was a 10 milliampere General Electric portable. The cassettes were screen-type bakelite without grid inserts. Kodak Blue Brand medical x-ray film was used. The animal was placed in lateral recumbency with the left leg in contact with the x—ray cassette. The right leg was held forward and outward to avoid interference. The tibia was aligned to be directly in the path of the x-rays. Relaxation was attained by holding the animal in this position for a few moments before the radiograph was taken. Exposures were standardized at 10 milliamperes and 50 kilovolt potential for .25 second at a distance of 26 inches in all cases. The films were processed in the conventional method. Measurements were made from the original radiographs of the overall length of the tibia, width of the tibial diaphysis at midshaft, width at the distal epiphyseal fusion point, and the proximal and distal fusion points of the tibial tubercle. A transparent mm scale was used in these measurements. In order to facilitate printing, the films were increased slightly from their original size in a uniform manner so that differences would still be apparent. Dentition Examination of the mouth of each animal was performed weekly, noting primarily the appearance time of the secondary teeth. Body Temperatures Rectal temperatures were taken weekly with the animals in a post-absorptive state. A standardized Fahrenheit rectal thermometer was used. The thermometer was left in place for two minutes before being read. Since the animals were easily excited when anyone was in the room, it was decided to start with a different dog each time the temperatures were taken. It was thought that this might compensate to some degree for the temperature rise associated with excitement. Pulse Rates Pulse rates were taken weekly on the animals from the fifth to the thirteenth week of the experiment. The pulse was taken directly over the heart by palpation. Counts were taken for a full minute and recorded in this manner. Pulse rates were taken in the same order as the body temper- atures. Food Intake A rough estimate of the food intake was made by measur- ing the amount of food fed in a pint measure and subtracting the amount which was left. The value thus derived was recorded in pounds. 30 Blood Examination During the last week of the experiment 5 cc of blood was drawn from the cephalic vein of each animal. This was placed immediately in a vial containing sodium oxalate. Data were recorded for the following: 1) The red blood cell count, using the standard haemo- cytometer method. 2) The hemoglobin was estimated with the use of the Sahli hemometer. Results were read in grams. 3) The white blood cell counts, using the standard haemocytometer methods. 4) Cell volume was estimated by the method of Wintrobe. 5) Sedimentation time was determined by Westergren's method. 6) Differential Counts. Blood smears were stained with Wright's stain and 100 white cells counted and class- ified in each case. The methods used in this part of the work were described by Todd and Sanford (1948). ;}31 Uptake Five-tenths cc of a stock solution containing 1500 micro- 131 as sodium iodide was diluted with 40 cc curies per cc of I of distilled water to give a solution strength of approximately 20 microcuries per cc. Each dog was given .1 cc per pound of body weight of this solution intravenously via the cephalic vein. A separate 31 needle was used to withdraw the radioactive material from the storage vial. After the material was injected into the vein, blood was drawn into the syringe two or three times and reinjected into the vein to avoid deposition of the radio- active material around the site of puncture. The animal was then removed to an adjacent room where background counts were taken. Counts were then taken over the thyroid and over the medial aspect of the tibial region. The total time elapsed between the time of injection and the first series of counts was five minutes. Subsequent counts were taken in this manner at 12, 2M, 48, 72 and 170 hours after the injection. A Tracerlab portable laboratory monitor was used for making the counts. Cell Plasma Ratios of I131 Blood samples were drawn from the jugular vein 5 minutes, 12, 2k, 48 and 72 hours after the injection of 1131 described above. Care was taken to avoid the region of the thyroid. The venipuncture was made as far caudally as possible. A sample of lOcc of blood from each animal was placed in tubes containing .5 cc of 30% sodium citrate solution and mixed gently. Separation of the cells and plasma and subsequent count- ing was performed by the method described by Scott, et al (1951). 32 RESULTS Bogy_Weight Appendix tables I, IA and IB show the overall tabulation of body weights during the experiment. Note that in appendix table II in which body weight averages are given that the thiouracil group averaged consistently less than the other two groups, and that the thyroidectomized and control groups were quite consistently alike, within experimental error. Figure I on the following page points out that the differences in weight gain between the thiouracil group and the two remaining groups increase as the experimental period increases. At the onset of the experiment there was approxi- mately one pound difference in the groups and at the end of the experiment the thiouracil group averaged about eight pounds less than the others. These differences did not prove to be statistically significant when checked by means of analysis of covariance, because of the failure of dog number 5 to gain weight in relation to the other members of the group. 33 H .5 mhzofig >ocm S Va Sat I \“ \.\ s sfi §u \mmM§\ 9 Q N say/20d 0m 0+. 3n Tibial Measurements The tibias of the control group of dogs grew more rapidly and attained greater final length during the course of the experiment than the thiouracil-treated or thyroidp ectomized group as shown by figure II. The thyroidectomized animals grew faster than the thiouracil group as measured by growth in length of the tibia. Complete data on tibial length measurements and group averages are given in appendix tables III and IV. These differences were highly significant when subjected to an analysis of covariance. Measurements of the distal epiphysis of the tibia show what is apparently a lag in the development of this bone in the thiouracil group. The dogs of the control group showed the greatest mean width of tibial epiphysis at the second month, and the thyroidectomized group at the third and fourth months, whereas the thiouracil-treated group had apparently not reached its greatest mean width at the time of the last radiograph. This is shown by figure III. The specific measurements and averages are shown in tables V and VI in the appendix. The differences are not statistically sign- ificant. The tibial diaphysis ultimately grew wider in the control group than in the other groups as can be seen in tables VII and VIII of the appendix. These differences were slight but approached significance when subjected to analysis of covariance. 35 In measuring the proximal and distal unfused areas of the tibial tubercle it was noted that proximal fusion which seems to take place first was complete about two months earlier in the control group than in either the thiouracil or thyroidectomized groups. Distal fusion was also advanced in the control group. This slowing of fusion was more noticeable in the thiouracil group than in the thyroidect- omized group. See table A. page 38, and figures IX to XIX in the appendix. me: $52: is: “IKEQS .v n N a a d . . q \O\o 3.33%; E 1‘ .\ llX\X «ugh—Sm w! . £3 "#9 04/1 WV] 7 9i 0N Hf mesa...” 2;: b 39: m§>§< ax.» 5S3?» / o \0\ fl ”VA / kumchx E\ .30 L“ Q '47 Wild/M ma 38 TABLE A FUSION OF TIBIAL TUBERCLE MEASUREMENT OF PROXIMAL AND DISTAL GAPS (ME) Dog NO' 12/12 lg2o dat3/20 3/20 4/10 P* D* P D P D P D P D I. Thiouracil 2 5 3 5 5 1 6 1 6 PF* 6 3 5 3 2 6 l 6 .5 7 PF 6 u 6 5 l 6 .5 5 .5 A F* u 5 7 n 2 2 2 2 .5 u .5 3 II. Control 6 6 u .5 6 F 6 F 5 F 3.5 7 61+ .56 F7 F6 F s 71; 15 F1!- FM» Fl!- 9 6 6 l 6 F n F 3 F 2 III. Thyroidectomized lo 6 6 2 12 l 12 5 12 F ll 7 5 2 6 .5 6 .5 5 F 12' 77 57 27 57 F5 *PF Partial Fusion *F Ossification complete *P Proximal - unossified area *D Distal - unossified area 39 Dentition In all but one case eruption of secondary teeth started earlier in the control group than in the thyroidectomized and thiouracil-treated groups. The time at which secondary dentition was complete was essentially the same in all groups. It should.be mentioned that retained primary canine teeth were noted in two cases in the thiouracil group, but in none of the control or thyroidectomized pups. A tabulation of the eruption times of the secondary teeth is given in tables IX, X and XI of the appendix. #0 ngy_Temperatures After the first three temperature recordings were taken, in which cases the body temperatures averaged about the same in all three groups, the controls invariably had a higher mean body temperature than the other two groups, (Table B). These differences approached significance in several instances, but the F value exceeded significance on only three occasions. This was on 1/23, 2/27 and 3/6. In no instance was the difference highly significant. 41 TABLE B BODY TEMPERATURES - GROUP AVERAGES standard error Date Thiouracil Control Thyroidectomized 12/12 101.7i.2 101.si.2 101.si.2 12/19 101.9i.1 101.8i.l 102.1i.2 1/2 102.1:.2 101.9i.2 101.7t.2 1/9 102.11.2 102.3i.2 101.93.2 1/16 102.3i.2 102.3i.2 101.9i.2 1/23 102.1i.2 103.2i.2 102.01.} 1/30 102.ui.2 103.0i.2 102.2i.2 2/6 102.33.} 103.31.} 102.21.} 2/13 102.43.} 103.0i.3 101.9i.3 2/20 102.43.2 103.13.2 102.1:.3 2/27 102.n1.3 103.43.} 101.93.} 3/6 102.5i.2 103.1:.2 102.oi.2 3/13 102.9:.5 103.5:.5 102.53.6 3/20 102.53.2 102.si.2 101.9i.3 3/27 102.71.: 103.73.} 102.51.u u/3 102.8i.3 103.31.3 102.31.} u/lo 102.5i.3 103.31.} 102.2:.3 42 Pulse Rates The average pulse rates are presented in table XIV of the appendix. Complete data appear in table XIII. The results are inconsistent and in no case are the differences significant. It is of interest to note that the pulse rate of the control group was in most instances higher than the thiouracil-treated or thyroidectomized groups, much in the manner of the body temperature. Figure IV on the next page shows this relationship. Hf mwk A.a¢q:wpm .o.m.a .o.m.m macaw oaaa aoapmpcosaeom Haoo mmw¢mmb¢ abomw I ZOHE¢ZH24MQ nooqm o mqm¢a #8 ;}31 Uptake In considering the uptake of radioactive I131 as recorded by counting over the thyroid region, it was found that the thiouracil-treated animals took up the material very rapidly, but returned approximately to the level of the controls at #8 hours post-injection. The initial level exhibited by the thyroidectomized group, taken at 5 minutes post-injection was approximately the same as the controls, but the uptake by the thyroids of the controls increased steadily until the peak was reached at 72 hours. A considerably slower uptake occurred than in the case of the thiouracil-treated animals. The graphic representation is shown in figure VI. The amount of radioactivity as recorded over the medial aspect of the tibial region shows a reciprocal of the thyroid uptake on a lesser scale. The control group showed an initial higher level which gradually decreased until only a very small amount remained at 170 hours. The thiouracil-treated group showed.lower levels until 48 hours at which time it became essentially the same as the control group. The thyroidect- omized group showed constantly lower levels over the extremities until about 140 hours at which time it became the same as the control group. These results are shown in figure VII. Complete data and averages on thyroid and extremity counts are given in appendix tables XVII and XVIII. H5 .3 $28... 22:: §Q\k%uw\§\\ k “QR w¥§9£ SQ wk 62 3 . 3 e AH . + . l ENSQSE v I /A.. ad $3.in m S: n. d w «Shag... W x! . 33m 3am j 5.5 a: mhzaoo >2me53 \VQR uw\a§\ kMQQ mkhut Q9 00 d a .5 53 SEM k §%Q\§Qx§k\\ “SSE.” . g Vfi 3m . l... / .Q8. .71 ”Al/W 330’ 51400:? 51 Cell Plasma Ratios, 1131 Initial and 12 hour cell plasma ratios were quite variable, the thiouracil-treated group showing higher and the thyroidectomized group showing significantly lower levels than the controls. There were no significant differ- ences in the ratios exhibited by the groups at 24 or #8 hours post-injection, but at 72 hours there was a lower ratio exhibited by the control group than the other groups. This value was significantly lower than that of the thiouracil- treated group, and approached significance when compared to the thyroidectomized group. The results are shown in figure VIII on the following page and complete data in table XIX and XX in the appendix. 5...; 8:: <23: 50 §§\km%\.§\ .. K MQR M33}. Nb we ¢~ O; fl}. ~_ 0 d 0/1 72/ 53 DISCUSSION From the previous experiments by Danowski et a1 (19h6), Mayer (1947), and Glock (1949) one would assume that the administration of thiouracil to dogs does not produce effects similar to those of thyroidectomy as previously described by Dye and Maugham (1929), and Binswanger (1936). In this experiment similar effects were noted in thyroidectomized and thiouracil groups on the body weight, skeletal growth, dental eruption, blood picture, and cell plasma ratios of 1131. It seems desirable to discuss body weight and skeletal measurements together as they are closely associated in the growth of the animal. Dye and Maugham (1929) described distinct inhibition of weight gain and skeletal length in young dogs following thyroidectomy. Binswanger (1936) reported similar results. Thiouracil-treated dogs did not respond in this manner as was reported by Mayer (l9h7) and Glock (1949). No significant weight differences were noted among the groups in the present experiment, but, although the weight gains were fairly consistent in all groups, there was definite inhibition of tibial growth in the animals made hypothyroid by thiouracil administration or thyroidectomy. One must theorize to some extent to derive a reason for the differences between the results reported herein, and the results of previous work on the influence of thiouracil administration on growing dogs. There has been no published data on the amount of thiouracil and the frequency of administration necessary to maintain stasis of thyroXine production in the dog. Williams (1955) reported rapid absorp- tion after oral administration of thiouracil to man, maximal blood levels being reached thirty minutes to two hours after administration. Paschkis, et a1 (19u5) reported very rapid excretion in the urine, with excretion almost completed eight- een hours after the administration. Ely, et al (l9h8) reported that peak levels are not reached in the blood of ruminants until four to eight hours after a single dose of thiouracil, and that elimination is complete at twenty-four hours. They concluded that in order to gain maximal effects thiouracil should be given at least every twelve hours. It would seem that this dosage schedule might have to be lowered in the case of non-ruminants as indicated by the previous work in human beings. Mayer (1957) administered thiouracil to his dogs twice daily, at 8 a.m. and 3 p.m., on weekdays, once on Saturday and the animals received none at all on Sunday. In another group of dogs on a thiouracil trial, Clock (1949), admin- istered thiouracil every twelve hours for the first three weeks and thence only once daily for the remainder of the experiment. It would seem that these dosage schedules would have left adequate gaps in the thiouracil block which could have allowed the thyroid to resume function and to some extent satisfy the demands of the animal. With the deletion of dog number 5 in the thiouracil group which did not conform to his group mates in growth or weight gain, there is little or no difference between the thiouracil- treated and thyroidectomized groups in the experiment described here. Both groups show essentially the same relation to the control group having gained about as much in weight, but lagging significantly in skeletal growth. The tibial diaphysis width of the thiouracil-treated and thyroidectomized groups averaged only slightly less than in the controls. The tibial length differences were much greater. This confirms the data reported by Dye and.Maugham (1929) who found that length, but not width of bones was adversely affected by thyroidectomy. The slower fusion of the tibial tubercle in the thiouracil- treated and thyroidectomized groups resembles the radiographic findings reported in hypothyroidism of children by Schaefer and Purcell (1941). Dental eruption dates in these animals conform well with the findings in dogs by Binswanger (1936) who stated that in thyroidectomized individuals secondary dentition occurred from one to two weeks later than in controls. The thiouracil-treated and the thyroidectomized animals in this experiment followed a similar course. Liddell (1925) reported a like condition in thyroidectomized sheep. No effect on dentition was noted in young dogs following thyroidectomy by Dye and Maugham (1929). 56 The reason why dentition was complete in all groups of this experiment at the same time despite the retarded eruption in the hypothyroid groups is not understood. Although the body temperature was not significantly affected by thiouracil administration or thyroidectomy it was found that the control dogs almost invariably showed a higher mean body temperature. Only slight influence on body temperature following thyroidectomy in dogs has been reported in previous experiments by Binswanger (1936) and Borgman (1949). It may be possible in this experiment to attribute the slightly higher temperatures in the control animals to the fact that they were more easily excited and reacted with.much more vigor to handling than did the hypothyroid individuals. Binswanger (1936) observed a decrease in the pulse rate of thyroidectomized dogs. A 16% drop in pulse rate was reported by Borgman (1949) after thyroidectomy of adult dogs. Leblond and Hoff (1944) reported a reduction of pulse rate of about 30% in rats fed thiourea over a four'months period. The differences noted in this experiment were not as striking as those previously reported and were not statist- ically significant. However, the control animals almost invariably showed a higher rate than the hypothyroid animals. It is noteworthy that the thiouracil-treated group and the thyroidectomized group had very similar pulse rates during the course of the experiment. 57 The food consumption was not influenced in this case by thyroidectomy. Borgman (l9u9) noted a decrease in food intake following thyroidectomy in adult dogs. The food intake was distinctly lowered in the thiouracil- treated group. All dogs in the group showed this effect, some to a greater degree than others. Mayer (l9fl7) and Glock (1959) did not report lowered food intake as a result of thiouracil administration. This effect is quite well established in the meat-producing animals (Mixner et a1 19%6) Andrews et a1 1957). In these cases the lower food consumption was associated with increased weight gain, whereas weight gains were not signifi- cantly effected in the present experiment. Although the thiouracil-treated and thyroidectomized animals in this study showed distinct listlessness and lack of vigor, abnormalities of the skin and hair coat and edema of the neck and eternal regions as observed by Goldberg and Chaikoff (1952) in adult dogs was not seen. This might be explained by the fact that these animals were on experiment for a comparatively short period of time. Following thyroidectomy of dogs by the use of 1131, Goldberg and Chaikoff (1952) reported a 20 to 30% drop in the ‘red blood cell counts. Kunde, et al (1932) reported macro- cytic anemia and decreased hemoglobin and cell volume in thyroidectomized rabbits. A mild anemia was reported by Leathem (1945) in rats following thiouracil administration. 58 The dogs of both the thiouracil-treated and thyroid- ectomized groups showed a significant decrease in red.blood cell count as compared to the control group in this case. This is in contrast to the results reported by Mayer (1949) who found no changes from normal in the blood picture of thiouracil-treated dogs. I The hemoglobin and cell volume were significantly lower in the thiouracil-treated group than in the control group. The thyroidectomized animals showed lower values of hemo- globin and cell volume than the controls, but these results only approached significance. There were no apparent effects on the leucocytic elements of the blood due to thiouracil administration or thyroidectomy in this experiment. This is in contrast to reports by Kahn and Stock (1954), and Gargill and.Lesses (1945) of cases in human beings in which agranulocytosis was observed following thiouracil therapy of thyrotoxicosis. Williams, et'al (19th) in a compilation of cases treated with thiouracil stated that only 1.2% showed agranulocytosis. This figure is much less than the 20% reported by Fishberg and Vorzimer (1945). The sedimentation rate of the blood of the thiouracil- treated group was significantly increased in relation to the thyroidectomized and control groups. This.effect has not been previously reported. It was found by Franklin, et a1 (19kt) that the admin- istration of thiouracil did not prevent the uptake of iodine 59 by the thyroid gland. Stanley and Astwood (1947) showed that the thyroid of thiourea-treated patients took up radioiodine very rapidly but did not retain a plateau for over 36 hours, while the controls gained a plateau somewhat more slowly but retained it for a much longer period of time. The determination of the uptake of radioiodine was per- formed primarily to give some indication as to the complete- ness of thyroidectomy. The results were as eXpected and conform quite well with the previously cited work. The thyroidectomized animals took up very little of the injected dose. The thyroids of the thiouracil-treated group took up the radioiodine very rapidly and the level was apparently beginning to drop at the time the 5 minute counts were taken. The level became approximately the same as that of the thyroid- ectomized group between 24 and 48 hours after the injection. The control animals took up the radioiodine more slowly, the plateau being reached between 48 and 72 hours post-injection and showed only a slight depression of this level at 170 hours. The extremity levels were the approximate reciprocal of the thyroid levels. As the thyroid took up the radioiodine, the extremity levels decreased, and as release took place the extremity levels increased relatively. As stated by Scott et al (1951) the cell plasma ratio after an intravenous injection of 1131 may be used as an index of thyroid activity. They found that the initial cell plasma ratio was the same in hypothyroid,euthyroid and hyper- 6o thyroid patients, but that the ratio dropped as the inorganic 1131 was bound to protein by the thyroid. ‘The results in this part of the experiment showed much variability among the groups during the first 24 hours. At 24 hours post-injection the cell plasma ratio had become essentially the same in all groups. The reason for this initial variability is not clearly understood and has not been reported previously. There was a significant decrease in the cell plasma ratio of the control group between 48 and 72 hours after the injection of radioiodine. It may be worthy of note that this change did not occur until about the same time as the plateau was reached in the thyroid uptake of 1131. Boatman and.Moses (1951) noted only a slight decrease in the cell plasma ratio of rats 24 hours after an intra- peritoneal injection of I131. In view of these findings, one might assume that a longer waiting period might be advisable after the injection of radioiodine if the cell plasma ratio is to be used as an index of thyroid activity. SUMMARY The comparative effects of thiouracil administration and thyroidectomy were studied in young, growing dogs. Thyroidectomy or thiouracil administration did not significantly affect weight gain of the animals as compared to controls, but skeletal growth was significantly inhibited by both means of inducing hypothyroidism. The width of the tibial diaphysis was only slightly decreased in thyroidectomized and thiouracil treated animals. The fusion of the tibial tubercle occurred more than a month earlier in the controls than in the hypothyroid animals. Control animals were one to four weeks earlier in dental eruption time than thyroidectomized and thiouracil—treated animals of the same age, but dentition was complete in all groups at approximately the same time. Body temperature and pulse rate were not significantly affected by thyroidectomy or thiouracil administration. The control group averaged slightly higher in both cases, probably due to decreased reaction to handling on the part of the hypo- thyroid individuals. Thiouracil administration adversely affected food intake, while thyroidectomy did not. The erythropoietic system was affected adversely by both thyroidectomy and thiouracil administration. The thiouracil- treated group exhibited this effect to a greater degree. 62 Neither thyroidectomy nor thiouracil administration caused any alteration from normal of the white cell com- ponents of the blood. Thiouracil administration caused a significant increase in the sedimentation time of the blood. This effect was not seen in the thyroidectomized animals. In 1131 uptake trials the thyroids of the control animals took up the radioiodine over a period of about 48 hours, then maintained quite constant counts, with a very small loss up to 170 hours after the injection. The thyroids of thiouracil- treated animals picked up 1131 very rapidly, a plateau probably reached before the 5 minute counts were taken, but returning to the level of the thyroidectomized animals at I 48 hours. Initial and 12 hour cell plasma 1131 ratios were quite varied among the groups. These ratios were approximately the same at 24 to 48 hours. The cell plasma 1131 ratios of the control group fell significantly between 48 and 72 hours after the injection. The pronounced deviation from the normal of both the iodine turnover and the cell plasma 1131 ratio of both groups of experimental dogs is considered to be satisfactory evidence that a true condition of hypothyroidism had been established. 63 CONCLUSIONS The administration of 25 to 40 mg per kg of 2- thiour- acil twice daily to the growing dogs used in this experiment produced effects which were very similar to those of thyroid- ectomy. The like effects produced were: 1) No significant effect on body weight gain. 2) Significant inhibition in increase of tibial length while the diaphysis width was only slightly depressed. 3) Inhibition of the fusion of the tibial tubercle. 4) An average two—week delay in the eruption of secondary teeth. 5) No significant alterations of body temperature or pulse rate from normal controls. 6) Anemia of significant proportions. Thiouracil administration produced some effects which were more pronounced than those of thyroidectomy. l) The food intake was adversely affected by thiouracil administration, but not by thyroidectomy. 2) The anemia produced was more severe in the thiouracil- treated group. 3) Hemoglobin, cell volume and sedimentation time were significantly lowered by this level of thiouracil administra- tion, but were only slightly affected by thyroidectomy. 64 The degree of inhibition of the thyroid was as great in thiouracil-treated as in thyroidectomized animals as indicated by the thyroid uptake of 1131 and the cell plasma I131 ratios. The cell plasma I131 ratios were significantly lowered in the control group of animals, but not until at least 48 hours after the intravenous injection of I131. 65 LITERATURE CITED Albert, A., and Tenney, A. 1951. Effect of Iodide Thiouracil and Thyroxine on the Disappearance of Thyroidal I1 “3. Proc. Soc. Exper. Biol. Med. 77:202-203. Andrews, F. N., Beeson, W. 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Endocrinology. 34:317-318. 72 APPENDIX mm.~a o.ma mm.ma ms.ma m.ma m.HH m.oH mm.oa ma mm.om mm.ma o.-H m~.ma m~.sa mm.s- m-.-H m.aa . Ha mm.ma m.-H m.o- mm.sa mm.m- m.ma mm.ma mm.ma oa oonasocoooaonana. .HHH o.wH m.wa o.ma m.ma mm.HH mm.m o.m 0.8 m m~.ma mm.~a o.~H o.ma mm.ma mm.mH m.HH o.HH m m~.w- m-.~H m~.ma mm.ma hm.ea mm.ma m.mH m.oa N m~.ma m.- m.ma magsu o.ma m.-H o.HH m.m m Hosscoo .HH o.mH m-.HH m.ma o.mH nm.aa o.oH m.m o.w m mm.am m.mH mm.ma m~.ma m-.ma o.ma m.ma o.m- : mm.m- .o.mH m.mH m.:- m.aa m.oa o.ou m.m m m.ma o.mH m~.o- mN.w mm.o mm.m mm.~ o.~ m . . HaemaSonB .H omxa mm\- wa\a m\- m\a mmmm- maxm- ma\ma puma mumbom .mameMB Nmom H H.493. .oz moo TABLE IA BODY WEIGHTS, POUNDS 1312] 3/13 03/20 , O ./ Date 2120 2/27 __3 2/13 2/6 Dog No. Thiouracil I. 25 14.5 15.0 16.0 17.0 17.5 18.0 . 30.5 13.75 21.5 Q / [fl ‘LO Cd 27.5 l:\ \0 d1 {.0 CU (U l"\ (U U] C‘\ OJ \0 LU (D m LU .75 11.75 25.0 12.5 12.5 12.0 25 12. a J 12. Control II 29.5 28.0 23.5 22.25 [.0 N Lf‘\ L.(\ f’\ (U OJ OJ 20.5 \o m 27.0 23.75 24.25 23.0 21.75 20.25 1’20 \ 1 ‘(20 C ‘J 24.5 LG (‘J 20.0 yroidectomized Th 111. Cu P‘\ \Cf (U 23.5 21.5 10 2.25 '7) / CU P“: LC‘\ (\1 (\i \O C ‘J 2.25 (3 (_ 11 LP». .4 (\J (I) 01' 22.75 1.25 m d I 1 CU 7 - O\ 12 5/1 4/25 JDS s ‘ Date IB /17 1 I .J I '1 11 q 1T8, POU‘ TABL HEIG- 1 BODY 4/10 4/3 19.75 Thiouracil Dog Mo. I. 37.0 l.(\ 35.0 I“ 1.2". \f) N‘\ (\I 15.0 d J 14.7: 14 Control II. 37.0 rm 2: )5. P“ r*’\ \3 \O rm LC\ 7\_ LF\ P’\ 35 .75 —- ‘\ I L0 .2 31.25 Thyroidectomized O\ (U to 37.75 37.25 LO .2 \o F\ 34. 75 5 III. 7\- N\ 56. 35-5 li‘\ 34.0 33.5 10 41.0 41. 5 40.25 .a. .1 LC‘ I OJ 1 0‘\ OJ 28.25 r—l TABLE II BODY WEIGHTS - GROUP AVERAGES, POUNDS Group Thiouracil Control Thyroidectomized 12/12 9.11.7 10.0i.7 11.3i.8 12/19 9.71.8 11.0i.8 11.5i1 0 12/26 10. i.8 11.61.8 12.4: a 1/2 11.4i.7 12.91.7 13.? .9 1/9 13.011.1 14.6i1.1 ”14.6i1.. 1/16 14.8i1.2 15.6i1.2 18.311.4 1/23 15 2i1.4 17 3t1.4 17.211 6 1/30 16.3i1.5 13 6i1.5 18.9i1 7 2/6 17 8:1.7 20 3:1.7 21.0i2 0 2/13 18 8i2.o 21 9i2 o 2" 012 7 2/20 19 Li2.0 23.413.0 24.8i2 3 2/27 20.01:.1 24.4i2 1 :5 712.4 3/6 20 9:2.3 25.71: 3 27 oi2.7 3/13 21.3i:.6 27 1i: 5 28 513 0 3/20 "2 ‘i2.c 27.6“:C 6 :9.Li3.0 3/27 23.1i2 6 28 9:2 ’ 30.5i3 0 4/3 24.3i3.0 30.4i3.0 31 of L 4/10 25 4i3.0 31 9i3.0 32 9i3.5 4/17 27.113.4 34.2i3 4 34.5i3.9 4/25 27.6i3.6 35 8i3 o 35 3+4 1 5/1 27 9:3 5 36 Bil 5 33 “+4 2 5/8 2: 613.6 36 :i3.6 35 3i4.1 + - standard error TABLE III TIBIAL LENGTH, CENTIMETERS 4/20 2120 2 1/20 2 rs J b lg/l .' E No. D0 Thiouracil I. 0 OJ 9.1 C \J \C O \O \(D H r! P’\ .11" \C' If: H H OJ [\- 1'.- \ :1" H H LC\ 0 :J’ l“\ H H \O m Ix) C" l f*‘\ .21“ 11.3 10.7 10 10.2 [CW Control II. f. d. lfi N\ ‘CO 17.} C) C\ \O f‘\ ‘03 r‘. 17.4 ‘6.) If\ ‘60 ‘60 [\. .“ 10 4.- 1’4 "1), 17.4 \0 f“: F’\ O / 1:0 I“ \ ‘00 Thyroidectomized III. C‘\ k”, 0 / C) [.4 17.5 0 l l r“. to O\ H r"! Li". I l\. 15 .—. 10.2 (\I r-i aoano casuawpm H m.«m.hH m.nm.ma w.«m.ma N.um.sa -.Hm.m sonasopocoaonsna m.Hm.wH m.Hm.wH ~.HM.NH m.H~.mH m.Hm.m Homecoo w.Hw.:H w.HH.:H ~.Hm.ma m.H:.mH m.HH.m Haemasodms oaw: omwm om\m om\w .11: m-\ma nacho m szmq iHmHB magma->4 >H mama-B TABLE V WIDTH, DISTAL EPIPHXSIS, TIBIA, CENTIMETERS Dog No. Date 12/12 1120 2/20 3/20 4/10 I. Thiouracil 2 1.7 1.7 1.9 2.0 1.8 3 1.3 2.2 2.4 2.4 2.3 4 1. 2.0 2.2 2.2 2.2 5 1. 1.6 1.5 1.6 1.9 II. Control 6 1.4 2.4 2.2 2.2 2.3 7 1.5 2.4 2.2 2.1 2.2 8 1.5 2.0 2.2 2.0 2.0 9 1.6 2.2 2.3 2.3 2.0 III. Thyroidectomized 10 1.9 2.0 2.3 2.4 2.3 11 1.8 2.2 2.4 2.4 2.2 12 1.9 2.1 2.1 2.0 1.9 HOLE—”0 .0thde H. ma.ua.m ma.um.m ma.«m.m oH.HH.m mo.nm.a oosasopoooaonasa o-.aa.m ma.Hm.m ma.wm.m mo.um.m mo.um.a Hos-coo oH.Ha.m ma.aa.m ma.ao.m wo.nm.a wo.um.a ascensodse o-\: om\m, ONNM om\a mH\mH opca msoaw AmmmBHSHBzmov ¢HmHB b0 mHmwmmHmm udemHo .meoHa moemm>¢ H> mqmda TABLE VII WIDTH OF TIBIAL DIAPHYSIS, CENTIMETERS Dog No. Date 12/12 1120 2120 3/20 4/10 I. Thiouracil 2 0.8 0.9 0.9 1.0 1.0 3 0.7 1.1 g 1.2 1.2 1.2 4 1.0 1.2 1.2 1.2 1.4 5 0.8 0.8 0.8 0.8 0.8 II. Control 6 0.8 1.2 1.3 1.3 1.3 7 0.7 1.1 1.2 1.2 .3 8 0.7 1.2 1.2 1.2 . 9 0.8 1.2 1.2 1.2 1.4 III. Thyroidectomized 10 0.8 1.1 1.2 1.2 1.3 11 0.8 1.0 1.2 1.3 1.3 12 0.8 1.0 1.0 1.1 1.2 moans canoes-m u mo.uem.a wo.um.a mo.ua.a wo.no.a mo.Hom. oonasopooe-onane wo.umm.- mo.nm.- No.Hm.- mo.um.a so.nma. Honpeoo wo.ua.- .mo.na.a ~o.no.a mo.uo.a so.nmw. ascensoasa SN: omxm om\m on.) mim- 0 Ron 95.3 mmmemsHazmo .mHmwmmeao qumHa .meoHa modmmsd HHH> H.493. .pcoaaaomwo no codpwcaahop Pm ma non mocacoo opoaasoo whom-02H .H nosed .hoo ¢.H hogan .Aoo .H some: .ch .H aoeoq .ch e.H some: .pcoo .H aozoq .pcoo ope-mace mom-:00 .pom mos-:80 nosoq cpoaqsoo whom-ocH .H poem: .an t.H Meson .pmmo .H hoBoq .ucH *.H momma .pcoo .H aoaoq .pcoo ope-msoo mocacso ocacwo Momma .pom mom-nae aosoq opoamaoo whom-ocH .H some: .pCH .H momma .pcoo .H ameoq .ch ¢.H momma .pcmo .H aosoq .pcoo ¢.H amaoq .pnoo mpoamaoonH opoamaoo mocdcmo mos-cco aokoq opoamsoo whomdocH .H nosoq .ch t.H song: .pcoo .H nosed .9200 mm 11m mm mm Hm om m.- m.- N.- m- m- m : m 62 won m Abomw AHodeOHmB I ZOHBHBZMQ demzoomm : HEHB ZOHBmDmm NH mqmda execs :- omw opoamsoo mocacmo amen-coo amaoq .nomns opoamaoo mocanso emocdcso pogo; .nomdb opoadsoo maomaocH e.H momma .ch .H nosog .noo .H amzoq .ch t.H momma .pnoo $.H hogan .pcoo .H 9630A .9200 epoamaoo maomaocH .H aoaoq .aoo e.H some: .psH .H nosed .ch .H pong: .pcoo .H nmsoq .pcoo opoamsoo mozdcmo sums-can notoq emocacso some: opoadsoo whom-02H .H Roam: .ch .H nozoq .an .H momma .pcoo .H nozoq .pcoo opoamsoc mocdcco *EOGHGGU hoe-cg fiend: opoamaoo whomHOCH .H 9030A .anH .H some: .pcoo .H nosoq .pcoo poamsooaH * N mm Am m .02 won m mbomw Aomszoo I ZOHBHBZHQ Hmddzoomm I MHHB ZOHBmDmH N mqmx Hdmda m.o mm.o o.wm m.oa oom.m ooo.om:.m NH m.H m.o o.~m m.~H 0mm.aa ooo.oma.m Ha m.o mm.o m.m: m.~a oom.ma ooo.o~w.m oa ooNHEOpoouaouaga .HH” o.H mm.o o.m: m.~a 0mm.aa ooo.oom.o m o.H m.o m.m: m.NH oom.oa ooo.oom.m m m.o o 0.0m a.ma ooa.:a ooo.omm.~ N m.o mm. o.m: m.~a omm.oa ooo.o~m.m o Hoppnoo .HH ma H m.mm o.m oom.w ooo.omw.m m oa m o.~m m.HH 0mm.ma ooo.omN.: : HH : m.mm m.MH oom.mH ooo.om~.m m m H m.mm a.ma ooo.ma ooo.o:o.m - m Haownsodna .H .cdsoo qwdsom, masao> A.awv.nm .o.m.a .o.m.m macaw HHmo cede :oapwpcoaduom ZOH BSA dam @0015 E nudge m m 0 mm mm H: NH m . m 0 mm . mm mm HH 0 m m mm mm Hm 0H coNHa0poooHoamga .HHH o m m on Hm mm m o o m om m: mm m o o H wH mm mm H o o m in Nm Nm . m Honpcoo .HH H m m mm mm H: m m o 0 mm om mm H o m H w: mH mm m H H H mm m pm m HHownsoHaa .H omwm chom one: £9854 .Mmmlcoz qum madnmonpsoz macaw pcoonom I mpczoc Hprcmnmman Adodndpcoov H>N mqm4a NpHaoprm *pxm odghne .138 dcsonwxvmn mom Umpomnuoo muczoo ** mH mH om omN 00H om: OMH om: mmm om: own om: NH 0H 0: mo om: 00H mNm co: 0mm ,oom mNm omm ow: HH 0 0 mm mm mm ONM OON mNm om: 0mm one on: 0H umuaaopoocaonhsa .HHH mH omHH mH mNMN mN QHHN 0mm omHN ONN ONHH om: owm m 0N mmHH o OHNN o: OOHN om QMHN OHM ommH co: oom m o ommH 0H ONHN mm OHHN oNH mNmN OON oomH co: omm N o omHH o: ONNN om OONN mOH mmNN OON ommH 0mm on: o Hoppcoo .HH 0 o om omH om mmN omH om: mNN 0mm mmm omw m 0H 0H m: mmH ow 0mm omH OHHH omN omm owm ONON : ON ON on OHM oNH mN: omH omw om: ome mmm mmmH m 0H mm ow 0mm OHH mam 0H» OHNH owm momH OHN OHNH N HHoma=OHga .H MNMIINmH paw any pxm was pxm Hue pxm has tuna * a 4N2 Non .nn owH .un NN .9: w: .nn :N .nn NH .cHa m :*Amamsz mmm mazsoov NMHNND HMHH HH>K Hands min. fr 532:: 31:: '5’ mm 4?“ d f?" F? FEB 09L 3' El 5 tan—3 :1de Mg £125 33’ I?) :4 TABLE XVIII AVERAGE 1131 UPTAKE” * Corrected for background and decay. t Standard error Thiouracil Control Thyroidectomized 165n1169 noilég 447i195 315:42 the 513350 12201176 1818:178 68120 nooiéa 2u2i62 246i715 1080:68 2621168 680$78 zuaing 2 61kg 268-57 ulsiéu 26 $64 57ui74 107i1n fiézlu 105116 071102 2721102 3233118 367:11 3 21:11 65:13 1:104 2 803104 4:121 igilo 317i10 isill HN. on. NN. HN. OH. NH mH. ON. Nm. HN. mm. HH ON. ON. NO. NO. NO. OH douHEOpoocHonhnE .HHH Nmo. Nm. Hm. O». NH. O mHOO. mm. Hm. Om. OH.H w NH. HN. Om. HO.H NH. N ON. NN . mm. HO.H NO.H O Houpcoo .HH mH. mH. NH. mH.m mN.N m mH. mm. mH. mH.H mH.H H uuu mN. Hm. HO.H om.H m mH. mm. mm. mm. m~.H N HHOONOOHHN .H .NH NM. .9: NHOOHpooHeHhMmomN.maHe .nz NH .aHa m. .02 won KHK mqm4a OOHaHm HMHH HEOHHN HHmO nogno chwdcwpm I + mHo.Hmm. mmo.H~m. mmo.HHm. NH.Hmm. wH.Hw~. douaaopoooaonhza OMO.HmNOH. Nmo.HOm. Nmo.«mm. HH.H~m. mH.HHm. Hoppcoo OMO.HHH. NMO.Hmm. NMO.HNH. 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