Mathematical modeling of the pituitary–thyroid feedback loop: role of a TSH-T3-shunt and sensitivity analysis
Open accessAbstract
Despite significant progress in assay technology, diagnosis of functional thyroid disorders may still be a challenge, as illustrated by the vague upper limit of the reference range for serum thyrotropin (TSH). Diagnostical problems also apply to subjects affected by syndrome T, i.e. those 10% of hypothyroid patients who continue to suffer from poor quality of life despite normal $TSH$ concentrations under substitution therapy with levothyroxine (L-T_4). In this paper, we extend a mathematical model of the pituitary-thyroid feedback loop in order to improve the understanding of thyroid hormone homeostasis. In particular, we incorporate a TSH-T_3-shunt inside the thyroid, whose existence has recently been demonstrated in several clinical studies. The resulting extended model shows good accordance with various clinical observations, such as a circadian rhythm in free peripheral triiodothyronine (FT_3). Furthermore, we perform a sensitivity analysis of the derived model, revealing the dependence of TSH and hormone concentrations on different system parameters. The results have implications for clinical interpretation of thyroid tests, e.g. in the differential diagnosis of subclinical hypothyroidism.
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Upregulation of DIO1 and DIO2 by TSH is important in establishing the intrathyroidal TSH-T3 shunt pathway to preferentially stimulate T3 production.
“The upregulation of DIO1 and DIO2 by TSH is important in establishing the intrathyroidal TSH-T3 shunt pathway (180) to preferentially stimulate T3 production (181).”
From Intrathyroidal feedforward and feedback network regulating thyroid hormone synthesis and secretion (2022) · cites this paper as [180]
The Introduction and Presentation of the Extended Model describe a TSH-stimulated intrathyroidal TSH–T3 pathway that includes conversion by type 1 and type 2 deiodinases. They do not establish that TSH upregulates both enzymes to create the pathway. The Dynamic Simulation also finds that type 2 deiodinase contributes negligibly to thyroidal T3 production in the modeled parameter set, so the claimed importance of both enzymes is overstated. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe intrathyroidal T4-to-T3 conversion driven by TSH-stimulated DIO2 induction was explored for its role in circadian secretion of T3.
“The intrathyroidal T4-to-T3 conversion driven by TSH-stimulated DIO2 induction was explored for its role in circadian secretion of T3 (180).”
From Intrathyroidal feedforward and feedback network regulating thyroid hormone synthesis and secretion (2022) · cites this paper as [180]
The model description says it explores TSH-stimulated intrathyroidal T4-to-T3 conversion, and the Conclusion and Outlook links intrathyroidal T3 secretion to a circadian FT3 pattern. But the Dynamic Simulation section does not identify TSH-induced DIO2 as the driver: type 2 deiodination contributes only 0.002% of modeled thyroidal T3 secretion and is described as negligible. Page numbers are not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA comprehensive mathematical model of the HPT axis involving both T3-TSH interaction and deiodinase activities has been established, though the submodel is composed of five differential equations.
“A comprehensive mathematical model of the HPT axis involving both T3-TSH interaction and deiodinase activities has been established, though the submodel per se is composed of five differential equations (79).”
From The progression of secondary diabetes: A review of modeling studies (2022) · cites this paper as [79]
Many models focus on various aspects of the HPT axis, but models that specifically simulate the molecular regulations in thyroid follicles are still uncommon.
“While there are many models focusing on various aspects of the HPT axis (180, 273–275), models that specifically simulate the molecular regulations in thyroid follicles are still uncommon.”
From Intrathyroidal feedforward and feedback network regulating thyroid hormone synthesis and secretion (2022) · cites this paper as [180]
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Cites
Jonklaas, J., Bianco, A. C., Bauer, A. J., Burman, K. D., Cappola, A. R., Celi, F. S., Cooper, D. S., Kim, B. W., Peeters, R. P., Rosenthal, M. S., et al. (2014) · Thyroid® · doi:10.1089/thy.2014.0028 · Cited by 1,928 · see citing works
Bianco, A. C., Salvatore, D., Gereben, B., Berry, M. J., & Larsen, P. R. (2002) · Endocrine Reviews · doi:10.1210/edrv.23.1.0455 · Cited by 1,853 · see citing works
Minireview: Thyroid Hormone Transporters: The Knowns and the Unknowns
Visser, W. E., Friesema, E. C. H., & Visser, T. J. (2011) · Molecular Endocrinology · doi:10.1210/me.2010-0095 · Cited by 390 · see citing works
Russell, W., Harrison, R. F., Smith, N., Darzy, K., Shalet, S., Weetman, A. P., & Ross, R. J. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2007-2674 · Cited by 219 · see citing works
Pilo, A., Iervasi, G., Vitek, F., Ferdeghini, M., Cazzuola, F., & Bianchi, R. (1990) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1990.258.4.e715 · Cited by 185 · see citing works
Chatzitomaris, A., Hoermann, R., Midgley, J. E. M., Hering, S., Urban, A., Dietrich, B., Abood, A., Klein, H. H., & Dietrich, J. W. (2017) · Frontiers in Endocrinology · doi:10.3389/fendo.2017.00163 · Cited by 176 · see citing works
Self-citationThyroid Hormone Signaling Pathways: Time for a More Precise Nomenclature
Flamant, F., Cheng, S.-Y., Hollenberg, A. N., Moeller, L. C., Samarut, J., Wondisford, F. E., Yen, P. M., & Refetoff, S. (2017) · Endocrinology · doi:10.1210/en.2017-00250 · Cited by 165 · see citing works
Dietrich, J. W., Landgrafe-Mende, G., Wiora, E., Chatzitomaris, A., Klein, H. H., Midgley, J. E. M., & Hoermann, R. (2016) · Frontiers in Endocrinology · doi:10.3389/fendo.2016.00057 · Cited by 164 · see citing works
Self-citationTSH and thyrotropic agonists: key actors in thyroid homeostasis
Dietrich, J. W., Landgrafe, G., & Fotiadou, E. H. (2012) · Journal of Thyroid Research · doi:10.1155/2012/351864 · Cited by 146 · see citing works
Self-citationHomeostatic control of the thyroid-pituitary axis: perspectives for diagnosis and treatment
Hoermann, R., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2015) · Frontiers in Endocrinology · doi:10.3389/fendo.2015.00177 · Cited by 143 · see citing works
Self-citationVariation in thyroid function tests in patients with stable untreated subclinical hypothyroidism
Karmisholt, J., Andersen, S., & Laurberg, P. (2008) · Thyroid · doi:10.1089/thy.2007.0241 · Cited by 97 · see citing works
The TSH upper reference limit: where are we at?
Laurberg, P., Andersen, S., Carlé, A., Karmisholt, J., Knudsen, N., & Pedersen, I. B. (2011) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2011.13 · Cited by 86 · see citing works
Hoermann, R., Midgley, J. E. M., Giacobino, A., Eckl, W. A., Wahl, H. G., Dietrich, J. W., & Larisch, R. (2014) · Clinical Endocrinology · doi:10.1111/cen.12527 · Cited by 82 · see citing works
Self-citationInduction of Outer and Inner Ring Monodeiodinases in Human Thyroid Gland by Thyrotropin
Ishii, H., Inada, M., Tanaka, K., Mashio, Y., Naito, K., Nishikawa, M., Matsuzuka, F., Kuma, K., & Imura, H. (1983) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-57-3-500 · Cited by 67 · see citing works
Eisenberg, M., Samuels, M., & DiStefano, J. J. (2008) · Thyroid · doi:10.1089/thy.2007.0388 · Cited by 65 · see citing works
Expression of Type 2 Iodothyronine Deiodinase in Human Osteoblast Is Stimulated by Thyrotropin
Morimura, T., Tsunekawa, K., Kasahara, T., Seki, K., Ogiwara, T., Mori, M., & Murakami, M. (2005) · Endocrinology · doi:10.1210/en.2004-1432 · Cited by 60 · see citing works
Hoermann, R., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2013) · European Journal of Endocrinology · doi:10.1530/eje-12-0819 · Cited by 59 · cited 1× · see citing works
“Furthermore, the sum activity of step-up deiodinases (GD) is positively correlated with the TSH concentration (11) and with the thyroidal volume (12) and significantly decreases after thyroidectomy.”
BackgroundSelf-citationExpression of Thyroid Hormone Transporters in the Human Hypothalamus
Alkemade, A., Friesema, E. C. H., Kalsbeek, A., Swaab, D. F., Visser, T. J., & Fliers, E. (2011) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2010-2750 · Cited by 56 · see citing works
Leow, M. K.-S., & Goede, S. L. (2014) · Theoretical Biology and Medical Modelling · doi:10.1186/1742-4682-11-35 · Cited by 51 · see citing works
Hoermann, R., Midgley, J., Larisch, R., & Dietrich, J. (2015) · Hormone and Metabolic Research · doi:10.1055/s-0034-1398616 · Cited by 50 · see citing works
Self-citationRelational Stability in the Expression of Normality, Variation, and Control of Thyroid Function
Hoermann, R., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2016) · Frontiers in Endocrinology · doi:10.3389/fendo.2016.00142 · Cited by 48 · see citing works
Self-citationDIETRICH, J. W., TESCHE, A., PICKARDT, C. R., & MITZDORF, U. (2004) · Cybernetics and Systems · doi:10.1080/01969720490443354 · Cited by 44 · see citing works
Self-citationFamilial longevity is associated with higher tsh secretion and strong TSH-fT3 relationship
Jansen, S. W., Roelfsema, F., van der Spoel, E., Akintola, A. A., Postmus, I., Ballieux, B. E., Slagboom, P. E., Cobbaert, C. M., van der Grond, J., Westendorp, R. G., et al. (2015) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2015-2624 · Cited by 41 · see citing works
Hoermann, R., Larisch, R., Dietrich, J. W., & Midgley, J. E. M. (2016) · European Journal of Endocrinology · doi:10.1530/eje-16-0031 · Cited by 37 · see citing works
Self-citationTSH Regulation Dynamics in Central and Extreme Primary Hypothyroidism
Eisenberg, M. C., Santini, F., Marsili, A., Pinchera, A., & DiStefano, J. J. (2010) · Thyroid · doi:10.1089/thy.2009.0349 · Cited by 36 · see citing works
Beech, S. G., Walker, S. W., Arthur, J. R., Lee, D., & Beckett, G. J. (1995) · Journal of Molecular Endocrinology · doi:10.1677/jme.0.0140171 · Cited by 28 · see citing works
Hoermann, R., Midgley, J. E. M., Dietrich, J. W., & Larisch, R. (2017) · Therapeutic Advances in Endocrinology and Metabolism · doi:10.1177/2042018817716401 · Cited by 13 · see citing works
Self-citationFalaschi, P., Martocchia, A., Proietti, A., D’URSO, R., Gargano, S., Culasso, F., & Rocco, A. (2004) · PubMed · Cited by 10 · see citing works
Dietrich, J. W. (2001) · doi:10.13140/rg.2.1.4845.9368 · Cited by 5 · see citing works
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Flagged first, then by citations
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Endocrine Autoimmune Disease as a Fragility of Immune Surveillance against Hypersecreting Mutants
Kohanim, Y. K., Tendler, A., Mayo, A., Friedman, N., & Alon, U. S. (2019) · Immunity · doi:10.1016/j.immuni.2020.04.022 · Cited by 42 · see citing works
Individualised requirements for optimum treatment of hypothyroidism: complex needs, limited options
Hoermann, R., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2019) · Drugs in Context · doi:10.7573/dic.212597 · Cited by 41 · see citing works
Self-citationRomano, R. M., de Oliveira, J. M., de Oliveira, V. M., de Oliveira, I. M., Torres, Y. R., Bargi‐Souza, P., Martino‐Andrade, A. J., & Romano, M. A. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.627167 · Cited by 36 · see citing works
The role of functional thyroid capacity in pituitary thyroid feedback regulation
Hoermann, R., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2018) · European Journal of Clinical Investigation · doi:10.1111/eci.13003 · Cited by 33 · see citing works
Self-citationDynamics of thyroid diseases and thyroid‐axis gland masses
Kohanim, Y. K., Milo, T., Raz, M., Karin, O., Bar, A., Mayo, A., Cohen, N. M., Toledano, Y., & Alon, U. S. (2022) · Molecular Systems Biology · doi:10.15252/msb.202210919 · Cited by 29 · see citing works
Autoimmune thyroid diseases as a cost of physiological autoimmune surveillance
Milo, T., Kohanim, Y. K., Toledano, Y., & Alon, U. S. (2023) · Trends in Immunology · doi:10.1016/j.it.2023.03.007 · Cited by 29 · see citing works
Hoermann, R., Pekker, M. J., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.825107 · Cited by 25 · see citing works
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Tretter, F., Olaf Wolkenhauer, A., Meyer‐Hermann, M., Dietrich, J. W., Green, S., Marcum, J. A., & Weckwerth, W. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.640974 · Cited by 23 · see citing works
Self-citationHoermann, R., Pekker, M. J., Midgley, J. E. M., & Dietrich, J. W. (2023) · Therapeutic Advances in Endocrinology and Metabolism · doi:10.1177/20420188231158163 · Cited by 25 · see citing works
Self-citationFunctional and Symptomatic Individuality in the Response to Levothyroxine Treatment
Hoermann, R., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2019) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00664 · Cited by 22 · see citing works
Self-citationLeng, G., & MacGregor, D. J. (2018) · Mathematical Biosciences · doi:10.1016/j.mbs.2018.07.008 · Cited by 20 · see citing works
Hoermann, R., Midgley, J. E. M., Larisch, R., & Dietrich, J. W. (2018) · Journal of Thyroid Research · doi:10.1155/2018/3239197 · Cited by 20 · see citing works
Self-citationYang, B., Tang, X., Haller, M. J., Schatz, D. A., & Rong, L. (2021) · Journal of Theoretical Biology · doi:10.1016/j.jtbi.2021.110853 · Cited by 18 · see citing works
Bagga, A. D., Johnson, B. P., & Zhang, Q. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1168663 · Cited by 18 · see citing works
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Wolff, T. M., Dietrich, J. W., & Müller, M. A. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.884018 · Cited by 18 · see citing works
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Self-citationHanda, S., Hassan, I., Gilbert, M. E., & El-Masri, H. A. (2021) · Toxicological Sciences · doi:10.1093/toxsci/kfab074 · Cited by 13 · see citing works
Bazika-Gerasch, B., Kumowski, N., Enax‐Krumova, E., Kaisler, M., Eitner, L., Maier, C., & Dietrich, J. W. (2024) · Scientific Reports · doi:10.1038/s41598-024-63158-w · Cited by 10 · see citing works
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Pompa, M., Gaetano, A. D., Borri, A., Farsetti, A., Nanni, S., Pontecorvi, A., & Panunzi, S. (2024) · Journal of Computational Science · doi:10.1016/j.jocs.2024.102236 · Cited by 7 · see citing works
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Tillio, F. D., & Beltman, J. B. (2024) · Computational Toxicology · doi:10.1016/j.comtox.2024.100330 · Cited by 4 · see citing works
Steffens, B., Koch, G., Gaechter, P., Claude, F., Gotta, V., Bachmann, F., Schropp, J., Janner, M., l’Allemand, D., Konrad, D., et al. (2023) · Frontiers in Medicine · doi:10.3389/fmed.2023.1099470 · Cited by 4 · see citing works
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Yuan, Y., Sckaff, M., Simon, J., Nguyen, P., Pendleton, M., & Cauwenberghs, G. (2021) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc46164.2021.9630381 · Cited by 1 · see citing works
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Dietrich, J. W. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.09.20.461028
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Li, J., Moyd, S. A., & Zhang, Q. (2026) · Acta Physiologica · doi:10.1111/apha.70202
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- Authors
- Berberich, J., Dietrich, J. W., Hoermann, R., & Müller, M. A.
- Affiliations
- University of Stuttgart (DE)
- Witten/Herdecke University (DE)
- Corresponding author
- Müller, Matthias A.
- Venue
- Frontiers in Endocrinology
- Publisher
- Frontiers Media SA
- Published
- 2018-03-21
- Volume
- 9
- Pages
- 91-91
- ISSN
- 1664-2392 (ISSN-L)
- PMC
- PMC5871688
- OpenAlex
- W2790723135
- Cited by
- 55
- References
- 30
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 7 · 2023: 7 · 2022: 9 · 2021: 9 · 2020: 4 · 2019: 4 · 2018: 4
- FWCI
- 4.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Endocrinology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- OPUS Publication Server of the University of Stuttgart (University of Stuttgart) (submittedVersion, other-oa)
- Universitätsbibliothek Stuttgart
- Funders
- Baden-Württemberg Stiftung
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Keywords
- triiodothyronine, thyroid hormone homeostasis, subclinical hypothyroidism, sensitivity analysis, TSH reference range
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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