Thyroid hormone action refers to the diverse and pervasive biological effects mediated by the thyroid hormones, primarily triiodothyronine (T3) and thyroxine (T4), across nearly every cell type in the human body. These hormones are fundamental regulators of basal metabolic rate, oxygen consumption, thermogenesis, and the development and function of the central nervous system, heart, and skeletal muscle. The overall effect is to modulate cellular energy expenditure and protein synthesis, making their action central to systemic homeostasis and vitality.
Origin
The concept is a cornerstone of endocrinology, dating back to the recognition of the thyroid gland’s critical role in metabolism and development in the late 19th and early 20th centuries. The term highlights the active role of these hormones, which are essential for life. The understanding of T4 conversion to the more potent T3 refined the clinical view of thyroid hormone action.
Mechanism
Thyroid hormone action is mechanistically mediated by T3 binding to the intracellular thyroid hormone receptor (TR), which is primarily located in the cell nucleus. The T3-TR complex then binds to specific DNA sequences, known as thyroid hormone response elements (TREs), to directly modulate the transcription of target genes. This genomic mechanism alters the synthesis of numerous proteins, including metabolic enzymes and structural components, thereby translating the hormonal signal into widespread physiological changes.
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