ABSTRACT. We investigated the effect of the transient neonatal hyperthyroid state on thermogenesis at birth by measuring rectal temperature, plasma free fatty acids, plasma catecholamines, and in vitro brown adipose tissue respiration in thyroidectomized (n = 6) and sham operated (n = 5) fetal sheep. Surgery was performed at an average of 133 days of gestation followed by cesarean delivery at 146 days. Fetuses were delivered into a constant room temperature of 25" C. Serial measurements were made in utero before delivery and at timed intervals after birth. Serum 3,3',5 triiodothyronine and thyroxine concentrations in the neonatal period were normal in sham operated and nondetectable in thyroidectomized fetuses. Rectal temperatures and serum free fatty acid levels were reduced in thyroidectomized newborns. Plasma epinephrine concentrations were increased and the hypothyroid neonates were acidotic when compared to control animals. In vitro basal and norepinephrine stimulated brown adipose tissue respiration were reduced in thyroidectomized compared to control animals. These results indicate that thyroid hormone deficiency impairs nonshivering thermogenesis in brown adipose tissue and leads to hypothermia despite augmented plasma epinephrine values. (Pediatr Res 21: 453-457,1987) Abbreviations a, , 3,3',5 triiodothyronine T4, thyroxine BAT, brown adipose tissue FFA, free fatty acid aGP, a glycerol phosphate aGPD, CY glycerol phosphate dehydrogenase (BU)~ CAMP, dibutyryl cyclic adenosine monophosphate NE, norepinephrine GA, gestational age RIA, radioimmunoassay ANOVA, analysis of variance During the transition from fetal to neonatal life there are profound changes in thyroid function resulting in markedly elevated plasma T3 levels in the human newborn. Similar events occur in the fetal-neonatal lamb providing a model to study thyroid metabolism in the perinatal period (1). Previously, we hypothesized that these elevated T j concentrations play an im- Received September 8, 1986; December 8, 1986. Address reprints requests to Daniel H. Polk, Department of Pediatrics, KingDrew Medical Center, 12021 Wilmington Avenue, Los Angeles, CA 90059.Supported by NIH grants HD13084 and HD04270.portant role in temperature regulation by the newborn adapting to the extrauterine environment (2). In support, we reported that thyroid hormone augments BAT thermogenesis in the newborn rabbit (3).The neonatal "surge" in plasma T3 levels is associated with parturition-induced elevations of plasma catecholamine levels which may be important in stimulating neonatal thermogenesis (4). In newborn rabbits, cold exposure to exogenously administered catecholamines increases metabolic rate, increases surface skin temperature over sites of BAT, and increases circulating FFA concentrations (5). Surgical removal of BAT leads to a reduction of these responses (6).The present studies were conducted to determine whether thyroid hormone influences body temperature regulation directly or indirectly via catecholamine levels in the early neonatal period....