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Welcome everyone to Chapter 9 of this short talk series on nuclear receptors as therapeutic targets. Now after the general part on the features and mechanisms of nuclear receptors, we will now look at the individual subfamilies and receptors of this family and at their functions and their ligands.
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We will go through the nuclear receptors systematically, family by family, and we start in this Chapter 9 with the thyroid hormone receptors which are the NR1A family. There are two thyroid hormone receptor isoforms, THR Alpha and THR Beta. As the name indicates, thyroid hormones are the natural ligands of the thyroid hormone receptors.
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They are produced in the colloid of the thyroid gland by iodination of tyrosine residues in the protein thyroglobulin, and after generation of mono- and diiodotyrosine residues in thyroglobulin, two such residues are fused to the thyroid hormones by the enzymatic activity of thyroid peroxidase. The processed thyroglobulin is then taken up into the thyrocytes and the proteolysis releases the free thyroid hormones; levothyroxine and triiodothyronine abbreviated as T4 and T3 according to the number of contained iodine atoms.
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The thyroid hormone system is regulated by the thyrotropin-releasing hormone, which is released from the hypothalamus and then stimulates the pituitary gland to release the thyroid-stimulating hormone, abbreviated as TSH, and also known as thyrotropin, which, in turn, then stimulates the thyroid gland to produce T4 and T3. T3 and T4, in turn, block TRH and TSH release in the hypothalamus and the pituitary gland and thus, regulate their own levels in a negative feedback mechanism. T4 and T3 are produced in the thyroid gland and released to the circulation approximately in a 14-1 ratio. However, T3 is more active as hormone and thyroid hormone receptor agonist, by 3-44. Therefore, T4 is deiodinated in the peripheral organs to T3 by deiodinases, and further deiodination then inactivates the hormone. Three activates the thyroid hormone receptors, which form heterodimers with RXR and RDNA bound also in the absence of their ligand. In absence of T3, the thyroid hormone receptor, RXR dimer, recruits an co-repressor complex and thus, suppresses gene expression, as shown here on the upper right. T3 binding induces the release of the co-repressor complex and the recruitment of a co-activator complex to activate expression of thyroid hormone receptor-regulated genes. By this mechanism, thyroid hormones regulate the metabolism of almost every tissue in the body.

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Thyroid hormone receptors (NR1A): biological role & drugs

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