Figure 2.
Regulation of thyroid hormone secretion and synthesis by the hypothalamus, pituitary, and thyroid gland axis (HPT axis). The hypothalamus produces and secretes thyrotropin-releasing hormone (TRH), which induces the release thyroid-stimulating hormone (TSH) by the pituitary gland. TSH stimulates the synthesis and production of T3 and T4 in the bloodstream. An increase of T3 and T4 serum levels activates a negative feedback loop over the hypothalamus and pituitary gland decreasing the production of TRH and TSH, thereby reducing the plasmatic levels of thyroid hormones (THs) (40, 42).