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Thyroid Hormone Receptor Antagonists: From Environmental Pollution to Novel Small Molecules
1School of Life and Medical Sciences, Hertfordshire University, Hatfield, United Kingdom.
Abstract:
Thyroid hormone receptors (TRs) are nuclear receptors which control transcription, and thereby have effects in all cells within the body. TRs are an important regulator in many basic physiological processes including development, growth, metabolism, and cardiac function. The hyperthyroid condition results from an over production of thyroid hormones resulting in a continual stimulation of thyroid receptors which is detrimental for the patient. Therapies for hyperthyroidism are available, but there is a need for new small molecules that act as TR antagonists to treat hyperthyroidism. Many compounds exhibit TR antagonism and are considered detrimental to health. Some drugs in the clinic (most importantly, amiodarone) and environmental pollution exhibit TR antagonist properties and thus have the potential to induce hypothyroidism in some people. This chapter provides an overview of novel small molecules that have been specifically designed or screened for their TR antagonist activity as novel treatments for hyperthyroidism. While novel compounds have been identified, to date none have been developed sufficiently to enter clinical trials. Furthermore, a discussion on other sources of TR antagonists is discussed in terms of side effects of current drugs in the clinic as well as environmental pollution.
Insights
New small molecules targeting thyroid hormone receptors (TRs) show potential for treating hyperthyroidism. Research is ongoing to develop TR antagonists for therapeutic use, addressing unmet needs in hyperthyroid treatment.
Area of Science:
- Endocrinology
- Molecular Biology
- Pharmacology
Background:
- Thyroid hormone receptors (TRs) are crucial nuclear receptors regulating vital physiological processes like metabolism and growth.
- Hyperthyroidism, caused by excessive thyroid hormone production, leads to detrimental TR stimulation.
- Current hyperthyroidism therapies exist, but novel small molecule TR antagonists are needed.
Purpose of the Study:
- To provide an overview of novel small molecules designed or screened as TR antagonists.
- To explore potential new treatments for hyperthyroidism using TR antagonist activity.
- To discuss existing sources of TR antagonists, including drug side effects and environmental pollutants.
Main Methods:
- Review and analysis of novel small molecules with TR antagonist activity.
- Screening of compounds for TR antagonist properties.
- Discussion of existing drugs and environmental factors with TR antagonist effects.
Main Results:
- Identification of novel small molecules with TR antagonist activity.
- None of the identified compounds have progressed to clinical trials yet.
- Existing drugs and environmental pollutants can act as TR antagonists, potentially causing hypothyroidism.
Conclusions:
- Novel small molecules targeting TRs offer potential for hyperthyroidism treatment.
- Further development is required for these compounds to enter clinical trials.
- Awareness of TR antagonist properties in current drugs and environmental factors is crucial for patient health.
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