Cited by 332Thyroid Disorders and TreatmentsThyroid Cancer Diagnosis and TreatmentGrowth Hormone and Insulin-like Growth Factors

Deiodinases and their intricate role in thyroid hormone homeostasis

Luongo, Cristina, Dentice, Monica, Salvatore, Domenico·2019·Nature Reviews Endocrinology

Abstract

The deiodinase family of enzymes mediates the activation and inactivation of thyroid hormone. The role of these enzymes in the regulation of the systemic concentrations of thyroid hormone is well established and underpins the treatment of common thyroid diseases. Interest in this field has increased in the past 10 years as the deiodinases became implicated in tissue development and homeostasis, as well as in the pathogenesis of a wide range of human diseases. Three deiodinases have been identified, namely, types 1, 2 and 3 iodothyronine deiodinases, which differ in their catalytic properties and tissue distribution. Notably, the expression of these enzymes changes during the lifetime of an individual in relation to the different needs of each organ and to ageing. The systemic homeostatic role of deiodinases clearly emerges during changes in serum concentrations of thyroid hormone, as seen in patients with thyroid dysfunction. By contrast, the role of deiodinases at the tissue level allows thyroid hormone signalling to be finely tuned within a given cell in a precise time-space window without perturbing serum concentrations of thyroid hormone. This Review maps the overall functional role of the deiodinases and explores challenges and novel opportunities arising from the expanding knowledge of these 'master' components of the thyroid homeostatic system.

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Crossref · 10.1038/s41574-019-0218-2

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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.”

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Authors
Luongo, C., Dentice, M., & Salvatore, D.
Affiliations
University of Naples Federico II (IT)
Corresponding author
Salvatore, Domenico
Venue
Nature Reviews Endocrinology
Published
2019-06-03
Volume
15
Issue
8
Pages
479-488
ISSN
  • 1759-5029 (ISSN-L)
  • 1759-5037
OpenAlex
W2947985436
Cited by
332
References
30
Citations by year
2026: 38 · 2025: 76 · 2024: 59 · 2023: 41 · 2022: 46 · 2021: 40 · 2020: 24 · 2019: 7 · 2013: 1
FWCI
4.66
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Reviews Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
Funders
European Commission
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
Keywords
deiodinases, thyroid hormone homeostasis, thyroid hormone activation, thyroid hormone inactivation, thyroid dysfunction, aging, histogenesis
MeSH terms
Animals, Homeostasis, Humans, Iodide Peroxidase, Thyroid Diseases, Thyroid Hormones, Signal Transduction

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