Mice infected with Toxoplasma gondii manifest a
rapid decline in serum thyroxine (T4) levels. To locate the
locus of the
hypothyroxinaemia, the integrity of the pituitary–thyroid
axis of infected mice was assessed by a thyrotropin-releasing
hormone (TRH) assay. A rise in serum T4 after inoculation
of TRH implies the release of thyrotropin (thyroid-stimulating
hormone) from a functionally intact pituitary. Administration of a
single, large-dose (1 μg) bolus of TRH to infected mice
induced a positive, although subnormal, T4 response. In
contrast, when infected mice were pre-treated with a series of
low-dose (5 ng) pulses of TRH prior to the bolus challenge, the
T4 response was markedly enhanced. We suggest that the
multiple inoculations of low-dose pulses of TRH ‘primed’
the pituitary (and secondarily the thyroid) and led to
replenishment of their readily available hormone reserves and the
heightened response to stimulation. These observations
indicate that the locus of thyroid dysfunction is in the hypothalamus,
not the pituitary or thyroid, and apparently involves
impairment of the pulsatile release of TRH.