THEMATIC REVIEW Deiodinases: the Balance of Thyroid Hormone Local
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261 THEMATIC REVIEW Deiodinases: the balance of thyroid hormone Local control of thyroid hormone action: role of type 2 deiodinase Graham R Williams and J H Duncan Bassett Molecular Endocrinology Group, Department of Medicine and Medical Research Council Clinical Sciences Centre, Imperial College London, Hammersmith Hospital, Commonwealth Building 7th Floor, Du Cane Road, London W12 0NN, UK (Correspondence should be addressed to G R Williams; Email: [email protected]) Abstract The thyroid gland predominantly secretes the pro-hormone have revealed new and important roles for the enzyme thyroxine (T4) that is converted to the active hormone during development and in adulthood in diverse tissues 0 3,5,3 -L-triiodothyronine (T3) in target cells. Conversion of including the cochlea, skeleton, brown fat, pituitary, and T4 to T3 is catalyzed by the type 2 iodothyronine deiodinase hypothalamus. In this review, we discuss the molecular enzyme (DIO2), and T3 action in target tissues is determined mechanisms by which DIO2 controls intracellular T3 by DIO2-regulated local availability of T3 to its nuclear availability and action. receptors, TRa and TRb. Studies of Dio2 knockout mice Journal of Endocrinology (2011) 209, 261–272 Introduction Thyroid physiology Thyroid hormones are important homeostatic regulators that The hypothalamic–pituitary–thyroid axis act via nuclear thyroid hormone receptors (TRs) in virtually all Circulating thyroid hormone concentrations are maintained tissues during development and throughout postnatal life. 3,5,30, 0 in the euthyroid range by a classical negative feedback loop 5 -L-tetraiodothyronine (thyroxine, T ) is a pro-hormone that 4 (Fig. 1). Thyrotropin-releasing hormone (TRH) is syn- circulates at a high concentration in peripheral blood relative to 0 thesized in the hypothalamic para-ventricular nucleus (PVN) the active hormone 3,5,3 -L-triiodothyronine (T ). Concentra- 3 and stimulates synthesis and release of TSH from thyrotroph tions of T and T in target tissues are controlled by metabolism; 4 3 cells in the anterior pituitary gland. TSH in turn acts via the local conversion of T to T is catalyzed by the type 2 iodo- 4 3 TSH receptor (TSHR) in thyroid follicular cells to stimulate thyronine deiodinase enzyme (DIO2), while the type 3 enzyme cellular growth and the synthesis and release of T4 and T3 into (DIO3) prevents activation of T4 and inactivates T3.Thispre- the circulation (Kopp 2001). Thyroid hormone action is receptor control of ligand availability to TRs in target cells is a mediated in target tissues by TRs, but thyroid hormones also crucial mechanism that regulates the timing of cellular responses to inhibit TRH and TSH synthesis and secretion in the thyroid hormones in a tissue-specific manner. The physiological hypothalamus and pituitary to complete a negative feedback importance of this coordinated process has been demonstrated in loop (Forrest et al. 1996b, Nikrodhanond et al. 2006). This several organ systems by a series of elegant in vivo studies, and in this negative feedback loop maintains circulating thyroid hor- study, we review recent developments with particular emphasis mones and TSH in a physiological inverse relationship that on the importance of hormone activation mediated by DIO2. defines the hypothalamic–pituitary–thyroid (HPT) axis set- point (Bassett & Williams 2008). Circulating thyroid hormones and uptake into target cells This paper is one of 3 papers that form part of a Thematic review section on deiodinases: the balance of thyroid hormone. The Guest Editor for this The thyroid gland predominantly secretes the inactive pro- section was Domenico Salvatore, University of Naples, Italy. hormone T4, as well as small amounts of the physiologically Journal of Endocrinology (2011) 209, 261–272 DOI: 10.1530/JOE-10-0448 0022–0795/11/0209–261 q 2011 Society for Endocrinology Printed in Great Britain Online version via http://www.endocrinology-journals.org Downloaded from Bioscientifica.com at 09/28/2021 07:01:47PM via free access 262 G R WILLIAMS and J H D BASSETT . Local control of T3 action by Dio2 active thyroid hormone T3. Both T4 and T3 are lipophilic Thyroid hormone metabolism and poorly soluble in water, and over 95% of thyroid hormones are protein bound in the circulation. Thyroxine- Deiodinase enzymes binding globulin (TBG), transthyretin, albumin, and several The iodothyronine deiodinases are selenocysteine-containing lipoproteins function as the transport proteins for T and T 4 3 enzymes that metabolize thyroid hormones to active or in plasma. Free thyroid hormone levels are thus dependent inactive products (Bianco et al. 2002). The type 1 deiodinase upon the concentrations and saturations of these proteins. enzyme (DIO1) is rather inefficient with an apparent The unbound free T fraction represents 0.3% of the total K K 3 Michaelis constant (K )of10 6–10 7 M and catalyzes T concentration in plasma, but because of its higher m 3 removal of inner or outer ring iodine atoms in equimolar binding affinity for TBG, the free T fraction represents just 4 proportions to generate T , reverse T (rT ), or 3,30- 0.02% of the total plasma T concentration. Thus, despite 3 3 3 4 diiodothyronine (T ) depending on the substrate. Most of the total T concentration being 50-fold greater than total 2 4 the circulating T is derived from conversion of T to T by T , the circulating free T concentration is only fourfold 3 4 3 3 4 the actions of DIO1, which is localized to the plasma higher. T is exclusively synthesized and secreted by thyroid 4 membrane and expressed in liver and kidney. Nevertheless, follicular cells, whereas the majority of circulating T is 3 activity of the DIO2 enzyme in skeletal muscle may also generated in peripheral tissues by enzymatic removal of a contribute to circulating levels of T , although its role is 50-iodine from T . Due to their lipophilic nature, thyroid 3 4 controversial and may differ between species (Bianco et al. hormones had been likely to enter target cells by a passive 2002, Maia et al. 2005, Bianco & Kim 2006, Heemstra et al. process of diffusion (Friesema et al. 2005). In fact, the free 2009b, Larsen 2009). The DIO2 enzyme is considerably more hormones enter target cells via an energy-dependent, ATP- efficient than DIO1, catalyzing only the removal of an outer requiring, stereospecific, and saturable transport mechanism ring iodine atom from the pro-hormone T4 with a Km of that is mediated by the monocarboxylate transporter 8 K9 10 M to generate the physiologically active product T . (MCT8; Friesema et al. 2003, 2006, Dumitrescu et al. 3 The major role of DIO2 is to control the intracellular T 2006), MCT10, and other transporter proteins including 3 C concentration, its availability to the nucleus, and the OATP1c1, a member of the Na -independent organic saturation of the nuclear T3 receptor in target tissues. anion transporter protein (OATP) family ( Jansen et al. Moreover, DIO2 is likely to protect tissues from the 2005, Heuer 2007, van der Deure et al. 2010; Fig. 2). detrimental effects of hypothyroidism because its low Km Transport via MCT8, for example, increases uptake of T4 continues to permit the efficient local conversion of T4 to T3. and T3 by tenfold (Friesema et al. 2003). T4 treatment of cells, in which MCT8 and DIO2 are co-expressed, results in increased T3 target gene expression (Friesema et al. 2006), indicating that thyroid hormone uptake and metabolism coordinately regulate T3 action. By contrast, the DIO3 enzyme irreversibly inactivates T3,or β – PVN T4 DIO2? T3 TR 2 prevents T4 being activated, by catalyzing removal of an inner K9 Hypothalamus ring iodine atom with a Km of 10 M to generate T2 or rT3 respectively. Thus, inactivating DIO3 prevents thyroid hormone access to specific tissues at critical times and reduces TRH TR saturation (Bianco et al. 2002, Bianco & Kim 2006). + Pituitary Control of intracellular T availability β 3 T4 DIO2 T3 TR 2 – The relative activities of DIO2 and DIO3, which have the TSH same Km values for substrate, consequently regulate intra- + cellular concentrations of T3 and its availability to the nuclear TR (Bianco et al. 2002, Bianco & Kim 2006, St Germain et al. Thyroid 2009). In conjunction with serum-derived T3, DIO2 and DIO3 are important local modulators of thyroid hormone T4 + T3 responsiveness in vivo. Expression of both enzymes is regulated Figure 1 Negative feedback regulation of the hypothalamic– in a temporo-spatial and tissue-specific manner, resulting in pituitary–thyroid axis. The role of DIO2 in negative feedback varying levels of T3 action in individual tissues at distinct times control of the HPT axis occurs predominantly in thyrotrophs of the during development (Bates et al. 1999, St Germain et al. 2009). anterior pituitary gland. PVN, para-ventricular nucleus; TRH, Acting together, DIO2 and DIO3 thus control cellular T thyrotropin-releasing hormone; DIO2, type 2 deiodinase enzyme; 3 0 availability by a mechanism that is largely independent of TRb2, thyroid hormone receptor b2; T4, thyroxine; T3, 3,5,3 -L- triiodothyronine. serum thyroid hormone concentrations (Bianco & Kim 2006). Journal of Endocrinology (2011) 209, 261–272 www.endocrinology-journals.org Downloaded from Bioscientifica.com at 09/28/2021 07:01:47PM via free access Local control of T3 action by Dio2 . G R WILLIAMS and J H D BASSETT 263 MCT8 MCT10 OATP1C1 T 4 T4 T3 DIO2 T3 T3 DIO3 T3 rT3 RXR TR T2 TRE Figure 2 Regulation of intracellular supplies of T3 to the nucleus of T3 target cells. MCT8 and MCT10, monocarboxylate transporters 8 and 10; OATP1C1, organic acid transporter protein-1C1; DIO2 and DIO3, type 2 and 3 deiodinase enzymes; TR, thyroid hormone 0 receptor, RXR, retinoid X receptor; T4, thyroxine; T3, 3,5,3 -L-triiodothyronine; rT3, 0 0 0 3,3 ,5 -triiodothyronine; T2, 3,3 -diiodothyronine.