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Functions of Thyroid Hormones

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The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
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Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
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The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
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Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
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Adrenal Gland Disorders01:27

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Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
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Major Hormones and Their Functions01:27

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Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
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Related Experiment Video

Updated: Jan 2, 2026

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
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Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model

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Update on congenital hypothyroidism.

Christine E Cherella1, Ari J Wassner

  • 1Thyroid Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Current Opinion in Endocrinology, Diabetes, and Obesity
|December 3, 2019
PubMed
Summary
This summary is machine-generated.

Congenital hypothyroidism diagnosis and management have advanced, improving detection in infants with delayed TSH rise and central forms. Current treatments yield normal neurocognitive outcomes, even in severe cases.

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Area of Science:

  • Pediatrics
  • Endocrinology
  • Genetics

Background:

  • Newborn screening identifies severe primary congenital hypothyroidism.
  • Delayed TSH rise and central congenital hypothyroidism are increasingly recognized.
  • New genetic causes of central congenital hypothyroidism are being discovered.

Purpose of the Study:

  • Summarize recent advances in congenital hypothyroidism diagnosis and management.
  • Highlight improved detection strategies for specific infant subgroups.
  • Discuss current treatment recommendations and outcomes.

Main Methods:

  • Review of recent literature on congenital hypothyroidism.
  • Analysis of diagnostic challenges and genetic discoveries.
  • Evaluation of treatment efficacy and neurocognitive outcomes.

Main Results:

  • Delayed TSH rise is more common and severe than previously thought.
  • Central congenital hypothyroidism, though rare, can be moderate to severe.
  • New genetic causes (IGSF1, TBL1X, IRS4) expand understanding of thyroid axis regulation.
  • Current treatments lead to normal neurocognitive outcomes, suggesting overtreatment may be less harmful than feared.

Conclusions:

  • Prompt diagnosis and treatment are crucial for optimal outcomes in congenital hypothyroidism.
  • Improved detection methods are vital for infants with delayed TSH rise and central hypothyroidism.
  • Further research is needed for optimal dosing of liquid levothyroxine.