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. 1973 Jan;52(1):205–209. doi: 10.1172/JCI107166

Modulation of Pituitary Responsiveness to Throtropin-Releasing Hormone by Triiodothyronine

Louis Shenkman 1, Terunori Mitsuma 1, Charles S Hollander 1
PMCID: PMC302244  PMID: 4629908

Abstract

The relative roles of triiodothyronine (T3) and thyroxine (T4) in modulating pituitary responsiveness to thyrotropin-releasing hormone (TRH) have been assessed. (a) 10 hyperthyroid patients with elevated serum T2 and T4 levels showed no pituitary response to TRH. After 2 wk of propylthiouracil therapy T4 levels had fallen to normal in only five patients while T2 levels were normal in all. Pituitary responsiveness to TRH returned in all patients with normal or high T4 concentrations. (b) Patients with isolated elevations of serum T3 (T3 toxicosis) failed to respond to TRH. TRH responsiveness was restored when T3 levels fell to normal after propylthiouracil therapy. (c) When pituitary responsiveness to TRH was tested 60 min after a single oral dose of 50 μg of T3, which increased serum T3 levels to slightly above the normal range, no rise in thyrotropin (TSH) was seen in six subjects. These findings indicate that T3 elevations alone can rapidly inhibit pituitary responsiveness to TRH.

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Selected References

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  1. Anderson M. S., Bowers C. Y., Kastin A. J., Schalch D. S., Schally A. V., Snyder P. J., Utiger R. D., Wilber J. F., Wise A. J. Synthetic thyrotropin-releasing hormone. A potent stimulator of thyrotropin secretion in man. N Engl J Med. 1971 Dec 2;285(23):1279–1283. doi: 10.1056/NEJM197112022852302. [DOI] [PubMed] [Google Scholar]
  2. Bowers C. Y., Schally A. V., Reynolds G. A., Hawley W. D. Interactions of L-thyroxine or L-triiodothyronine and thyrotropin-releasing factor on the release and synthesis of thyrotropin from the anterior pituitary gland of mice. Endocrinology. 1967 Oct;81(4):741–747. doi: 10.1210/endo-81-4-741. [DOI] [PubMed] [Google Scholar]
  3. Bowers C. Y., Schally A. V., Schalch D. S., Gual C., Kastin A. J., Folkers K. Activity and specificity of synthetic thyrotropin-releasing hormone in man. Biochem Biophys Res Commun. 1970 May 11;39(3):352–355. doi: 10.1016/0006-291x(70)90583-8. [DOI] [PubMed] [Google Scholar]
  4. Braverman L. E., Ingbar S. H., Sterling K. Conversion of thyroxine (T4) to triiodothyronine (T3) in athyreotic human subjects. J Clin Invest. 1970 May;49(5):855–864. doi: 10.1172/JCI106304. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. ESCOBAR DEL REY F., MORREALE DE ESCOBAR G. The effect of propylthiouracil, methylthiouracil and thiouracil on the peripheral metabolism of 1-thyroxine in thyroidectomized, 1-thyroxine maintained rats. Endocrinology. 1961 Sep;69:456–465. doi: 10.1210/endo-69-3-456. [DOI] [PubMed] [Google Scholar]
  6. GUILLEMIN R., YAMAZAKI E., GARD D. A., JUTISZ M., SAKIZ E. IN VITRO SECRETION OF THYROTROPIN (TSH): STIMULATION BY A HYPOTHALAMIC PEPTIDE (TRF). Endocrinology. 1963 Nov;73:564–572. doi: 10.1210/endo-73-5-564. [DOI] [PubMed] [Google Scholar]
  7. Hershman J. M., Pittman J. A., Jr Response to synthetic thyrotropin-releasing hormone in man. J Clin Endocrinol Metab. 1970 Oct;31(4):457–460. doi: 10.1210/jcem-31-4-457. [DOI] [PubMed] [Google Scholar]
  8. Hollander C. S., Mitsuma T., Nihei N., Shenkman L., Burday S. Z., Blum M. Clinical and laboratory observations in cases of triiodothyronine toxicosis confirmed by radioimmunoassay. Lancet. 1972 Mar 18;1(7751):609–611. doi: 10.1016/s0140-6736(72)90408-4. [DOI] [PubMed] [Google Scholar]
  9. Hollander C. S., Shenkman L. The physiological role of triiodothyronine. Am J Med Sci. 1972 Jul;264(1):4–7. doi: 10.1097/00000441-197207000-00001. [DOI] [PubMed] [Google Scholar]
  10. Mitsuma T., Nihei N., Gershengorn M. C., Hollander C. S. Serum triiodothyronine: measurements in human serum by radioimmunoassay with corroboration by gas-liquid chromatography. J Clin Invest. 1971 Dec;50(12):2679–2688. doi: 10.1172/JCI106769. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Mittler J. C., Redding T. W., Schally A. V. Stimulation of thyrotropin (TSH) secretion by TSH-releasing factor (TRF) in organ cultures of anterior pituitary. Proc Soc Exp Biol Med. 1969 Feb;130(2):406–409. doi: 10.3181/00379727-130-33566. [DOI] [PubMed] [Google Scholar]
  12. Ormston B. J., Cryer R. J., Garry R., Besser G. M., Hall R. Thyrotrophin-releasing hormone as a thyroid-function test. Lancet. 1971 Jul 3;2(7714):10–14. doi: 10.1016/s0140-6736(71)90005-5. [DOI] [PubMed] [Google Scholar]
  13. Pittman C. S., Chambers J. B., Jr, Read V. H. The extrathyroidal conversion rate of thyroxine to triiodothyronine in normal man. J Clin Invest. 1971 Jun;50(6):1187–1196. doi: 10.1172/JCI106596. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Reichlin S., Volpert E. M., Werner S. C. Hypothalamic influence of thyroxine monodeiodination by rat anterior pituitary gland. Endocrinology. 1966 Feb;78(2):302–306. doi: 10.1210/endo-78-2-302. [DOI] [PubMed] [Google Scholar]
  15. Schwartz H. L., Surks M. I., Oppenheimer J. H. Quantitation of extrathyroidal conversion of L-thyroxine to 3,5,3'-triiodo-L-thyronine in the rat. J Clin Invest. 1971 May;50(5):1124–1130. doi: 10.1172/JCI106584. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Shenkman L., Mitsuma T., Suphavai A., Hollander C. S. Response to thyrotropin releasing hormone in man: feedback inhibition by thyroid hormone. Am J Med Sci. 1972 Jun;263(6):426–431. doi: 10.1097/00000441-197206000-00001. [DOI] [PubMed] [Google Scholar]
  17. Shenkman L., Mitsuma T., Suphavai A., Hollander C. S. Triiodothyronine and thyroid-stimulating hormone response to thyrotrophin-releasing hormone. A new test of thyroidal and pituitary reserve. Lancet. 1972 Jan 15;1(7742):111–112. doi: 10.1016/s0140-6736(72)90677-0. [DOI] [PubMed] [Google Scholar]
  18. Snyder P. J., Utiger R. D. Inhibition of thyrotropin response to thyrotropin-releasing hormone by small quantities of thyroid hormones. J Clin Invest. 1972 Aug;51(8):2077–2084. doi: 10.1172/JCI107014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. UTIGER R. D. RADIOIMMUNOASSAY OF HUMAN PLASMA THYROTROPIN. J Clin Invest. 1965 Aug;44:1277–1286. doi: 10.1172/JCI105234. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. VON EULER C., HOLMGREN B. The thyroxine receptor of the thyroid-pituitary system. J Physiol. 1956 Jan 27;131(1):125–136. doi: 10.1113/jphysiol.1956.sp005449. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. YAMADA T., GREER M. A. Studies on the mechanism of hypothalamic control of thyrotropin secretion: effect of thyroxine injection into the hypothalamus or the pituitary on thyroid hormone release. Endocrinology. 1959 Apr;64(4):559–566. doi: 10.1210/endo-64-4-559. [DOI] [PubMed] [Google Scholar]

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