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Updated: Dec 1, 2025

An Ex vivo Culture System to Study Thyroid Development
Published on: June 6, 2014
The Keap1/Nrf2 Signaling Pathway in the Thyroid-2020 Update
Christina Thanas1, Panos G Ziros1, Dionysios V Chartoumpekis1,2
1Service of Endocrinology, Diabetology and Metabolism, Lausanne University Hospital and University of Lausanne, CH-1011 Lausanne, Switzerland.
Abstract:
The thyroid gland has a special relationship with oxidative stress. On the one hand, like all other tissues, it must defend itself against reactive oxygen species (ROS). On the other hand, unlike most other tissues, it must also produce reactive oxygen species in order to synthesize its hormones that contribute to the homeostasis of other tissues. The thyroid must therefore also rely on antioxidant defense systems to maintain its own homeostasis in the face of continuous self-exposure to ROS. One of the main endogenous antioxidant systems is the pathway centered on the transcription factor Nuclear factor erythroid 2-related factor 2 (Nrf2) and its cytoplasmic inhibitor Kelch-like ECH-associated protein 1 (Keap1). Over the last few years, multiple links have emerged between the Keap1/Nrf2 pathway and thyroid physiology, as well as various thyroid pathologies, including autoimmunity, goiter, hypothyroidism, hyperthyroidism, and cancer. In the present mini-review, we summarize recent studies shedding new light into the roles of Keap1/Nrf2 signaling in the thyroid.
Insights
The thyroid gland uniquely produces and defends against reactive oxygen species (ROS). The Keap1/Nrf2 pathway is crucial for thyroid homeostasis and is implicated in various thyroid diseases.
Area of Science:
- Endocrinology
- Molecular Biology
- Cellular Physiology
Background:
- The thyroid gland has a dual role concerning reactive oxygen species (ROS): it defends against them and produces them for hormone synthesis.
- Maintaining thyroid homeostasis requires robust antioxidant defense systems due to continuous self-exposure to ROS.
- The Nuclear factor erythroid 2-related factor 2 (Nrf2) pathway, inhibited by Kelch-like ECH-associated protein 1 (Keap1), is a key endogenous antioxidant system.
Purpose of the Study:
- To review recent findings on the role of the Keap1/Nrf2 signaling pathway in thyroid physiology.
- To explore the involvement of Keap1/Nrf2 signaling in various thyroid pathologies.
Main Methods:
- Literature review of recent studies.
- Analysis of research linking Keap1/Nrf2 signaling to thyroid function and disease.
Main Results:
- Emerging evidence highlights significant links between the Keap1/Nrf2 pathway and thyroid physiology.
- The Keap1/Nrf2 pathway is implicated in thyroid conditions such as autoimmunity, goiter, hypothyroidism, hyperthyroidism, and cancer.
Conclusions:
- The Keap1/Nrf2 pathway plays a critical role in regulating thyroid homeostasis.
- Dysregulation of Keap1/Nrf2 signaling is associated with the development and progression of thyroid diseases.
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