Cited by 61Thyroid Disorders and TreatmentsThyroid Cancer Diagnosis and TreatmentGene Regulatory Network Analysis

The DOI matches its Crossref record; 283 of the 283 references it cites were found in a registry or an index; 65 of the 149 sources its claims cite were checked for support.

Intrathyroidal feedforward and feedback network regulating thyroid hormone synthesis and secretion

Open access
Jing, Li, Zhang, Qiang·2022·Frontiers in Endocrinology

Abstract

Thyroid hormones (THs), including T4 and T3, are produced and released by the thyroid gland under the stimulation of thyroid-stimulating hormone (TSH). The homeostasis of THs is regulated via the coordination of the hypothalamic-pituitary-thyroid axis, plasma binding proteins, and local metabolism in tissues. TH synthesis and secretion in the thyrocytes-containing thyroid follicles are exquisitely regulated by an elaborate molecular network comprising enzymes, transporters, signal transduction machineries, and transcription factors. In this article, we synthesized the relevant literature, organized and dissected the complex intrathyroidal regulatory network into structures amenable to functional interpretation and systems-level modeling. Multiple intertwined feedforward and feedback motifs were identified and described, centering around the transcriptional and posttranslational regulations involved in TH synthesis and secretion, including those underpinning the Wolff-Chaikoff and Plummer effects and thyroglobulin-mediated feedback regulation. A more thorough characterization of the intrathyroidal network from a systems biology perspective, including its topology, constituent network motifs, and nonlinear quantitative properties, can help us to better understand and predict the thyroidal dynamics in response to physiological signals, therapeutic interventions, and environmental disruptions.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes the literature on the intrathyroidal molecular network controlling thyroid hormone (TH) synthesis and secretion, reorganizing it into interconnected feedforward and feedback motifs amenable to systems-level modeling. It argues that these motifs—centered on TSH signal transduction, thyroid transcription factors (TTFs), and thyroglobulin (TG)- and iodide-mediated regulation—explain phenomena such as the biphasic TSH response, the Wolff-Chaikoff and Plummer effects, and follicular heterogeneity.

Key findings

  • The intrathyroidal network is dominated by coherent and incoherent feedforward motifs: TSH activates Gαs/cAMP/PKA and Gαq/11/PKC pathways that diverge and converge on TTFs (TTF1, TTF2, PAX8, HHEX) and functional genes (NIS, TG, TPO, PDS, DUOX(A)1/2, DIO1/2, TSHR), with the Gαs/Gαi/o incoherent motif proposed to underlie the bell-shaped cAMP and gene-expression response to TSH (peak ~10 mU/mL).
  • High iodine produces two mechanistically distinct effects: the Wolff-Chaikoff effect (inhibition of iodide organification, requiring intracellular iodide ≥1 mM, transient for ~26–50 h in rats) and the Plummer effect (inhibition of TH secretion via reduced TG proteolysis and MCT8 downregulation); escape involves NIS downregulation (NIS protein half-life shortened from 4 days to 24 h), PDS upregulation, and decreased DEHAL/DIO1.
  • TG in the follicular lumen acts as a concentration-dependent negative feedback suppressor of TG, NIS, TPO, DUOX2, DUOXA2, TTF1, TTF2, PAX8, and TSHR, while upregulating PDS, cathepsin H, and MCT8; this feedback is proposed to act as an oscillator driving the thyroid follicular cycle and follicle heterogeneity.
  • Quantitative anchors cited: ~99.97% of T4 and 99.70% of T3 are protein-bound (TBG ~75%, TTR ~15%, albumin ~10% of plasma THs); human TG is a 660 kDa homodimer with 67 tyrosines (~30 iodinable; 4 acceptors, 5 donors) carrying on average 2.28 T4 and 0.29 T3; luminal TG reaches ~600 mg/ml and >95% of colloid protein; the human thyroid contains ~10–15 mg iodine; free TH is held within a 2–3 fold range.

Methods

Narrative literature review and synthesis; no primary data or new experiments. The authors organize published molecular findings (largely from rat thyroid cell lines such as FRTL-5 and PCCl3, primary human thyrocytes, and rodent in vivo studies) into network-motif structures (feedforward, feedback, autoregulation) and discuss them qualitatively. They also review prior mathematical models of the HPT axis and intrafollicular iodine turnover (e.g., Degon et al., Berberich et al., Cohen et al.) as a basis for future dynamical modeling.

Limitations

The authors explicitly state that many reviewed regulations derive from in vitro and in vivo studies across various species, particularly rat thyroid cell lines, so caution is needed when generalizing; they also note the review is not intended as a comprehensive enumeration of molecular details. The text makes evident additional caveats: the Plummer effect is more variable and less persistent in rodents than humans (with conflicting rat studies), the mechanisms transducing TG signals via ASGPR/flotillin are unclear, the mechanism of PLC/PKC suppression of cAMP/PKA "remains to be identified," and the functional significance of the biphasic TSH response is "not clear."

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Integrity signals

Registry

Crossref · 10.3389/fendo.2022.992883

Cites

283 of 283 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

65 of 149 cited sources checked · 26 supported · 0 flagged · accuracy not yet measured

Show all 56 claims

  • It may state two separate claims as one. 66
  • Probably not a substantial claim. 12
  • The quote only partly states this claim. 3
76 of 76
  • The paper relies on this without support.

    TSH stimulates the synthesis and secretion of T4 and T3 in the thyroid gland.

    “In turn, TSH stimulates the synthesis and secretion of T4 and T3 in the thyroid gland.”
  • The paper relies on this without support.

    The intrathyroidal molecular network described is sufficient to explain thyroid hormone homeostasis under physiological and pathological conditions.

    “Taken together, the three different mechanisms, including the Wolff-Chaikoff inhibition effect, the Plummer effect, and the adaptive escape, work together to fend off the potentially harmful consequence of excess iodine load and ensure thyroid homeostasis.”
  • The paper relies on this without support.

    The intrathyroidal network can be decomposed into network motifs and reassembled into an organized circuitry structure.

    “by decomposing the complex molecular network in thyroid follicles into more tractable network motifs, such as feedforward and feedback, and re-assembling them into an organized circuitry structure”
  • The paper relies on this without support.

    The nonlinear properties of feedforward and feedback regulations apply to the intrathyroidal network.

    “The nonlinear properties well-known for feedforward and feedback regulations suggest that the dynamic and stimulus-response behaviors of the intrathyroidal network are not trivial”
4 of 4

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

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Cited works that were retracted

Works this paper cites that were later retracted, from the retraction notices publishers deposit. Major when the notice came out before this paper was published.

  • Cites a retracted work: 10.1210/er.2015-1098

    Info

    The cited work was retracted; the date of the notice is not on record.

    Cited work 10.1210/er.2015-1098 · retraction date not known · this paper published 2022-09-15

1 of 1

Citations

Cites

1 retracted

Items 201–283 of 283

Flagged first, then by citations

Research works printed but not linked: 5

  1. Refetoff, 2000, Thyroid hormone serum transport proteins
  2. Peeters, 2000, Metabolism of thyroid hormone
  3. Masmoudi, 1997, Comparative quantification of two hepatic UDP-glucuronosyltransferase bilirubin isoforms mRNAs in various thyroid states in rat, Biochem Pharmacol, 53, 10.1016/s0006-2952(96)00886-6 · DOI
  4. Rousset, 2000, Thyroid hormone synthesis and secretion
  5. Plummer, 1923, Results of administering iodin to patients having exophthalmic goiter, J Am Med Assoc, 80

Cited by

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Metadata

Authors
Jing, L., & Zhang, Q.
Affiliations
Emory University (US)
Corresponding author
Zhang, Qiang
Venue
Frontiers in Endocrinology
Published
2022-09-15
Volume
13
Pages
992883-992883
ISSN
1664-2392 (ISSN-L)
OpenAlex
W4296099008
Cited by
61
References
282
Citations by year
2026: 20 · 2025: 11 · 2024: 18 · 2023: 11 · 2022: 1
FWCI
1.45
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Endocrinology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Institute of Environmental Health Sciences (P42ES04911, P30ES019776)
  • China Scholarship Council (201908110055)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gene Regulatory Network Analysis
Keywords
thyroid hormone synthesis, thyroid hormone secretion, thyroid follicular cells, hypothalamic-pituitary-thyroid axis, thyroglobulin, Wolff-Chaikoff effect, transcriptional regulation, post-translational regulation, network motifs, systems biology modeling, thyroid follicles
MeSH terms
Feedback, Thyroglobulin, Thyroid Gland, Thyroid Hormones, Thyrotropin, Transcription Factors

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