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Thyroid Hormone Synthesis

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Thyroxine-binding globulin (TBG)

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TBG is the primary plasma protein that binds to T4 and T3 in the bloodstream, facilitating their transport and maintaining a reservoir of hormone.

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Pendrin

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Pendrin is a transporter protein that facilitates the efflux of iodide into the lumen of the thyroid follicle where it becomes available for hormone synthesis.

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Thyroglobulin

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Thyroglobulin serves as a precursor and storage form of thyroid hormones within the thyroid gland.

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Thyroid Peroxidase (TPO)

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Thyroid peroxidase catalyzes the iodination of tyrosine residues on thyroglobulin and couples iodotyrosines to form T3 and T4.

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Iodine

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Iodine is an essential component for the synthesis of thyroid hormones, as it is incorporated into the amino acid tyrosine to form the hormones T3 and T4.

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Deiodinases

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Deiodinases are enzymes that activate or deactivate thyroid hormones by removing iodine atoms, primarily converting T4 into the more active form T3.

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Tyrosine

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Tyrosine, an amino acid present in thyroglobulin, is iodinated to form monoiodotyrosine (MIT) and diiodotyrosine (DIT), which are later coupled to produce T3 and T4.

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T3 and T4

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T3 (triiodothyronine) and T4 (thyroxine) are the active thyroid hormones. T4 serves as a prohormone for T3, the more potent and biologically active form.

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Thyrotropin (TSH)

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TSH, secreted by the pituitary gland, stimulates the activity of thyroid follicular cells, leading to increased thyroid hormone production and release.

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Sodium-Iodide Symporter (NIS)

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The sodium-iodide symporter actively transports iodide ions into the thyroid gland cells, which is crucial for thyroid hormone production.

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