The classic pathways of thyroid hormone metabolism
Abstract
Thyroid hormones (TH) are crucial for growth and development and play an important role in energy homeostasis. Although serum TH levels are relatively constant in the physiological state, TH bioavailability at the tissue and cellular level is dependent on local TH metabolism. Circulating TH produced by the thyroid can be metabolized by a number of different pathways resulting in 1) activation of TH 2) deactivation of TH or 3) excretion of TH and subsequent metabolites. These pathways play an essential role in determining local TH levels and action. The major classical pathways of TH metabolism are deiodination, sulfation, glucuronidation, and ether-link cleavage. This review provides an overview of these pathways, their relative contributions to TH levels in the serum and in various organs and the changes in these pathways elicited by fasting and illness.
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TH homeostasis is maintained globally and locally through multiple mechanisms that coordinately regulate the production, secretion, distribution, and metabolism of THs.
“TH homeostasis is maintained both globally and locally through multiple mechanisms that coordinately regulate the production, secretion, distribution, and metabolism of THs.”
From Intrathyroidal feedforward and feedback network regulating thyroid hormone synthesis and secretion (2022) · cites this paper as [8]
Lean body mass is a key predictor of LT4 requirements because of its role in T4 metabolic processes.
“Lean body mass is a key predictor of LT4 requirements due to its role in T4 metabolic processes.97,98”
From Refractory hypothyroidism: unraveling the complexities of diagnosis and management (2023) · cites this paper as [98]
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- Authors
- van der Spek, A. H., Fliers, E., & Boelen, A.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Boelen, Anita
- Venue
- Molecular and Cellular Endocrinology
- Publisher
- Elsevier BV
- Published
- 2017-12
- Volume
- 458
- Pages
- 29-38
- ISSN
- 0303-7207 (ISSN-L)
- OpenAlex
- W2578897403
- Cited by
- 194
- References
- 121
- Citations by year
- 2026: 15 · 2025: 23 · 2024: 28 · 2023: 29 · 2022: 26 · 2021: 20 · 2020: 23 · 2019: 15 · 2018: 11 · 2017: 4
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular and Cellular Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Funders
- AMC Graduate School PhD Scholarship
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Keywords
- thyroid hormone metabolism, deiodination, sulfation, glucuronidation, fasting, illness
- MeSH terms
- Animals, Fasting, Homeostasis, Humans, Thyroid Hormones, Tissue Distribution, Signal Transduction, Gene Regulatory Networks
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