The thyrotropin receptor and the regulation of thyrocyte function and growth.
The thyrotropin receptor and the regulation of thyrocyte function and growth.
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DOI:
10.1210/edrv-13-3-596
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发表时间:
1992-08
影响因子:
20.3
通讯作者:
G. Vassart;J. Parma;J. Sande;J. Dumont
中科院分区:
文献类型:
--
作者:
G. Vassart;J. Parma;J. Sande;J. Dumont
I. Introduction IN classical physiology, the main regulation of the thyroid gland involves a positive control by pituitary TSH. The pituitary thyrotrophs that synthesize and secrete TSH are submitted to tonic stimulation by the hypothalamic TRH and to negative feedback by T3, which is generated in these cells from plasma T4 (1, 2). The predominant role of TSH in thyroid regulation is exemplified by physiological experiments and pathological situations. Hypophysectomy, or treatment with thyroid hormones that reduces plasma TSH levels without interfering with other pituitary functions, almost abolishes thyroid function and greatly reduces the weight and cell mass of the gland. Conversely, chronic inhibition of the synthesis of thyroid hormones, and thus of their secretion, which greatly enhances TSH plasma levels, enhances thyroid growth and iodine metabolism upstream from the inhibited step. In pathology, hyperthyrotropinemia caused by pituitary adenomas induces hyperthyroidism and goiter. Hypopituitarism ...