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Thyroid Hormones

*Hormona thyroidea*

For medical students2 min readUpdated 2026-10-10

Thyroid hormones (iodothyronines) are biologically active substances produced by the thyroid gland. Their synthesis takes place within the specific protein thyroglobulin and involves the obligatory iodination of tyrosine residues, followed by the formation of thyroxine (T4) and triiodothyronine (T3).

Precursor proteinThyroglobulin, containing 115 tyrosine residues
Primary productThyroxine (T4)
Active formTriiodothyronine (T3) — 10 times more active than T4
TransportBound to thyroxine-binding globulin in the blood

Role of Thyroglobulin

The synthesis of thyroid hormones is inextricably linked to thyroglobulin (Tg). This is a glycoprotein whose structure contains 115 residues of the amino acid tyrosine.

The life cycle of thyroglobulin includes several stages:

  1. Synthesis of the protein chain on the ribosomes of the rough endoplasmic reticulum (ER) of the thyrocyte (in the basal part of the cell).
  2. Transport to the Golgi apparatus for further processing.
  3. Secretion via exocytosis into the extracellular space — the follicular colloid.

It is in the colloid that thyroglobulin is stored, and it is also where iodine is attached to its tyrosine residues.

Stages of Iodothyronine Biosynthesis

The process of hormone formation proceeds in a strictly sequential manner:

At this stage, the hormones are still bound to the thyroglobulin molecule in the colloid.

Secretion into the Blood

For active hormones to enter the bloodstream, the iodothyroglobulin complex must return to the thyrocyte. This occurs via endocytosis — the cell engulfs droplets of colloid.

Inside the cell, the resulting vesicles fuse with lysosomes (forming secondary lysosomes). Lysosomal enzymes trigger the proteolysis of thyroglobulin. Hydrolysis releases free T3 and T4 hormones, which are then transported into the blood.

Hormone Forms and Blood Transport

In the body, thyroid hormones exist in several forms that differ in structure and function:

Transport. Upon entering the blood, the vast majority of hormone molecules bind to thyroxine-binding globulin (TBG). This protein-hormone complex serves as a reservoir and depot for the hormones. The free (unbound) fraction is extremely small: for T4 it is only 0.03%, and for T3 it is 0.3%. However, it is this microscopic free fraction that provides all the biological activity of the hormones.

Frequently asked questions

Which hypothalamic and pituitary hormones regulate iodothyronine synthesis?

Iodothyronine synthesis is regulated by hypothalamic thyrotropin-releasing hormone (TRH) and pituitary thyroid-stimulating hormone (TSH). Regulation occurs via negative feedback within the hypothalamic-pituitary-thyroid axis.

  • Thyrotropin-releasing hormone (TRH) — released by the hypothalamus, stimulating the release of TSH by the anterior pituitary.
  • Thyroid-stimulating hormone (TSH) — produced by the adenohypophysis, stimulating thyroglobulin synthesis and iodothyronine secretion by the thyroid gland.

High blood concentrations of triiodothyronine and thyroxine suppress TRH secretion by the hypothalamus and TSH by the anterior pituitary via negative feedback.

What is the difference between T3 and T4?

T4 (thyroxine) is the main hormone form secreted by the thyroid gland into the blood. T3 (triiodothyronine) is synthesized in smaller quantities, but it is the main biologically active form because its affinity for cell receptors is 10 times higher than that of T4.

Where exactly does thyroglobulin iodination occur?

The process of attaching oxidized iodine to tyrosine residues within thyroglobulin occurs in the extracellular colloid of the thyroid follicles.

Which enzyme is responsible for iodination?

The interaction between oxidized iodine and tyrosine residues is catalyzed by the enzyme thyroperoxidase.

How is iodothyronine synthesis regulated?

The synthesis and secretion of thyroid hormones are controlled by the hypothalamic-pituitary axis.

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