The crucial biochemical process by which the body converts the relatively inactive thyroid hormone, thyroxine (T4), into its highly potent and metabolically active form, triiodothyronine (T3). This conversion is predominantly accomplished by deiodinase enzymes in peripheral tissues like the liver, kidney, and muscle, rather than solely in the thyroid gland itself. The efficiency of this peripheral conversion is a critical determinant of systemic metabolic rate and energy production.
Origin
This term is central to clinical endocrinology, distinguishing the primary thyroid secretory product (T4) from the metabolically active hormone (T3). The discovery and characterization of the deiodinase enzymes (D1, D2, D3) established the critical role of peripheral tissues in thyroid hormone action. Clinically, impaired T3 conversion is a common finding in conditions like chronic stress and non-thyroidal illness syndrome.
Mechanism
The conversion is catalyzed by two main deiodinase enzymes: Type 1 (D1) and Type 2 (D2). D1 and D2 remove an iodine atom from the outer ring of T4 to produce T3, the active form that binds to nuclear receptors to regulate gene transcription. Type 3 deiodinase (D3) is responsible for converting T4 into the inactive Reverse T3 (rT3) and deactivating T3, serving as a brake on metabolism. The balance of these enzyme activities dictates the final systemic T3 availability.
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