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Pendrin: the thyrocyte apical membrane iodide transporter?
Laure Twyffels1, Claude Massart, Philippe E Golstein
1Molecular Biology of the Gene Laboratory and Center of Microscopy and Molecular Imaging, University of Brussels, IBMM, Campus Gosselies, Brussels, Belgium.
Insights
Pendrin
Area of Science:
- Endocrinology
- Molecular Biology
- Cell Biology
Background:
- Thyroid iodide uptake involves basal and apical transport.
- The Na(+)/I(-) symporter (NIS) mediates basal uptake.
- Pendrin is traditionally assumed to mediate apical iodide efflux.
Purpose of the Study:
- To critically evaluate the role of pendrin in thyroid iodide transport.
- To investigate alternative functions of pendrin in thyroid physiology.
Main Methods:
- Review of biochemical, clinical, and histological data.
- Analysis of pendrin knockout mouse models.
- In vivo and in vitro experiments on polarized and unpolarized cells.
- Ectopic expression of pendrin in non-thyroid cells.
Main Results:
- Pendred syndrome patient data and pendrin knockout mice do not support an essential role for pendrin in iodide transport.
- Experiments demonstrate pendrin's capacity for iodide efflux.
- Pendrin may contribute to apical iodide transport but is not the sole transporter.
Conclusions:
- Pendrin's role in thyroid iodide transport is not unique.
- Pendrin may be involved in Cl(-)/HCO(3)(-) exchange.
- Pendrin might play a role in controlling luminal pH in the thyroid.
Abstract:
In the thyroid, the transport of iodide from the extracellular space to the follicular lumen requires two steps: the transport in the cell at the basal side and in the lumen at the apical side. The first step is mediated by the Na(+)/I(-) symporter (NIS). In most reviews and textbooks, the second step is presented as mediated by pendrin. In this review, we analyze this assumption. There are several arguments supporting the concept that indeed pendrin plays an important role in thyroid physiology. However, biochemical, clinical and histological data on the thyroid of a patient with Pendred syndrome do not suggest an essential role in iodide transport, which is corroborated by the lack of a thyroid phenotype in pendrin knockout mice. Experiments in vivo and in vitro on polarized and unpolarized cells show that iodide is transported transport of iodide at the apex of the thyroid cell. Moreover, ectopic expression of pendrin in transfected non-thyroid cells is capable of mediating iodide efflux. It is concluded that pendrin may participate in the iodide efflux into thyroid lumen but not as the unique transporter. Moreover, another role of pendrin in mediating Cl(-)/HCO(3)(-) exchange and controlling luminal pH is suggested.
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