Thyroxine, chemically known as L-3,5,3′,5′-tetraiodothyronine or T4, is the primary hormone secreted by the thyroid gland, representing approximately 80% of its total hormonal output. This essential prohormone is crucial for regulating the body’s basal metabolic rate, profoundly influencing heart rate, digestive function, muscle contraction, and brain development. T4 levels are routinely measured in clinical practice to assess the overall function of the thyroid axis.
Origin
The term is derived from ‘thyroid’, the gland that produces it, and ‘iodine’, a key component of its molecular structure. The designation ‘T4’ refers to the four iodine atoms attached to the thyronine backbone. It is a foundational molecule in endocrinology, first isolated and identified in the early 20th century.
Mechanism
Thyroxine is largely inactive and functions primarily as a circulating reservoir; it must be converted to the more potent active hormone, triiodothyronine (T3), mainly in peripheral tissues like the liver and kidneys, through the action of deiodinase enzymes. T3 then enters the cell nucleus, binds to the thyroid hormone receptor, and modulates the transcription of genes. This modulation controls cellular metabolism and energy expenditure, thereby exerting its systemic physiological effects.
Dietary patterns provide the essential micronutrients and energy signals that directly govern the body's conversion of inactive thyroid hormone to its active form.
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