Thyroid peroxidase explained

iodide peroxidase
Ec Number:1.11.1.8
Cas Number:9031-28-1
Go Code:0004447
Width:270
thyroid peroxidase
Hgncid:12015
Symbol:TPO
Entrezgene:7173
Omim:606765
Refseq:NM_175722
Uniprot:P07202
Ecnumber:1.11.1.8
Chromosome:2
Locussupplementarydata:pter-p24

Thyroid peroxidase, also called thyroperoxidase (TPO), thyroid specific peroxidase or iodide peroxidase, is an enzyme expressed mainly in the thyroid where it is secreted into colloid. Thyroid peroxidase oxidizes iodide ions to form iodine atoms for addition onto tyrosine residues on thyroglobulin for the production of thyroxine (T4) or triiodothyronine (T3), the thyroid hormones.[1] In humans, thyroperoxidase is encoded by the TPO gene.[2]

Catalyzed reaction

+ I + H+ + H2O2 ⇒ + 2 H2O

Iodide is oxidized to iodine radical which immediately reacts with tyrosine.

+ I + H+ + H2O2 ⇒ + 2 H2O

The second iodine atom is added in similar manner to the reaction intermediate 3-iodotyrosine.

Function

Inorganic iodine enters the body primarily as iodide, I. After entering the thyroid follicle (or thyroid follicular cell) via a Na+/I symporter (NIS) on the basolateral side, iodide is shuttled across the apical membrane into the colloid via pendrin, after which thyroid peroxidase oxidizes iodide to atomic iodine (I) or iodinium (I+). The "organification of iodine," the incorporation of iodine into thyroglobulin for the production of thyroid hormone, is nonspecific; that is, there is no TPO-bound intermediate, but iodination occurs via reactive iodine species released from TPO.[3] The chemical reactions catalyzed by thyroid peroxidase occur on the outer apical membrane surface and are mediated by hydrogen peroxide.

Stimulation and inhibition

TPO is stimulated by TSH, which upregulates gene expression.

TPO is inhibited by the thioamide drugs, such as propylthiouracil and methimazole.[4] In laboratory rats with insufficient iodine intake, genistein has demonstrated inhibition of TPO.[5]

Clinical significance

Thyroid peroxidase is a frequent epitope of autoantibodies in autoimmune thyroid disease, with such antibodies being called anti-thyroid peroxidase antibodies (anti-TPO antibodies). This is most commonly associated with Hashimoto's thyroiditis. Thus, an antibody titer can be used to assess disease activity in patients that have developed such antibodies.[6] [7]

Diagnostic use

In diagnostic immunohistochemistry, the expression of thyroid peroxidase (TPO) is lost in papillary thyroid carcinoma.[8]

Notes and References

  1. Ruf J, Carayon P . Structural and functional aspects of thyroid peroxidase . Archives of Biochemistry and Biophysics . 445 . 2 . 269–77 . Jan 2006 . 16098474 . 10.1016/j.abb.2005.06.023 . free .
  2. Kimura S, Kotani T, McBride OW, Umeki K, Hirai K, Nakayama T, Ohtaki S . Human thyroid peroxidase: complete cDNA and protein sequence, chromosome mapping, and identification of two alternately spliced mRNAs . Proceedings of the National Academy of Sciences of the United States of America . 84 . 16 . 5555–9 . Aug 1987 . 3475693 . 298901 . 10.1073/pnas.84.16.5555 . 1987PNAS...84.5555K . free .
  3. Kessler J, Obinger C, Eales G . Factors influencing the study of peroxidase-generated iodine species and implications for thyroglobulin synthesis . Thyroid . 18 . 7 . 769–74 . Jul 2008 . 18631006 . 10.1089/thy.2007.0310 .
  4. Nagasaka A, Hidaka H . Effect of antithyroid agents 6-propyl-2-thiouracil and 1-methyl-2-mercaptoimidazole on human thyroid iodine peroxidase . The Journal of Clinical Endocrinology and Metabolism . 43 . 1 . 152–8 . Jul 1976 . 947933 . 10.1210/jcem-43-1-152 .
  5. Doerge DR, Sheehan DM . Goitrogenic and estrogenic activity of soy isoflavones . Environmental Health Perspectives . 110 . 349–53 . Jun 2002 . Suppl 3 . 12060828 . 1241182 . 10.1289/ehp.02110s3349 .
  6. McLachlan SM, Rapoport B . Autoimmune response to the thyroid in humans: thyroid peroxidase--the common autoantigenic denominator . International Reviews of Immunology . 19 . 6 . 587–618 . 2000 . 11129117 . 10.3109/08830180009088514 . 11431166 .
  7. Chardès T, Chapal N, Bresson D, Bès C, Giudicelli V, Lefranc MP, Péraldi-Roux S . The human anti-thyroid peroxidase autoantibody repertoire in Graves' and Hashimoto's autoimmune thyroid diseases . Immunogenetics . 54 . 3 . 141–57 . Jun 2002 . 12073143 . 10.1007/s00251-002-0453-9 . 2701974 .
  8. Tanaka T, Umeki K, Yamamoto I, Sugiyama S, Noguchi S, Ohtaki S . Immunohistochemical loss of thyroid peroxidase in papillary thyroid carcinoma: strong suppression of peroxidase gene expression . The Journal of Pathology . 179 . 1 . 89–94 . May 1996 . 8691351 . 10.1002/(SICI)1096-9896(199605)179:1<89::AID-PATH546>3.0.CO;2-R . 26045198 .