Thyroid peroxidase, also calledthyroperoxidase (TPO),thyroid specific peroxidase oriodide peroxidase, is anenzyme expressed mainly in thethyroid where it is secreted into colloid. Thyroid peroxidase oxidizesiodide ions to formiodine atoms for addition ontotyrosine residues onthyroglobulin for the production ofthyroxine (T4) ortriiodothyronine (T3), thethyroid hormones.[1] In humans, thyroperoxidase is encoded by theTPOgene.[2]
Thyroid hormone synthesis, with thyroid peroxidase performing theoxidation andconjugation steps seen at center-left in the image.[3]
Inorganic iodine enters the body primarily as iodide, I−. After entering thethyroid 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 viapendrin after which thyroid peroxidaseoxidizes iodide to atomic iodine (I) or iodinium (I+). The chemical reactions catalyzed by thyroid peroxidase occur on the outer apical membrane surface and are mediated by hydrogen peroxide.
The "organification of iodine", the incorporation of iodine intothyroglobulin 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. Ascidians (tunicates or sea squirts) and amphioxus, which are close invertebrate relatives of vertebrates, have a primitive homolog of the thyroid known as theendostyle. They do not have a thyroglobulin gene that produce a protein intended specifically for making thyroxine, but do produce thyroxine. Presumably they simply rely on the nonspecific action.[4]
Coupling to produce T4, 2 [thyroglobulin]-3,5-diiodo-L-tyrosine + H2O2 = [thyroglobulin]-L-thyroxine + [thyroglobulin]-dehydroalanine + 2 H2O
Coupling to produce T3, [thyroglobulin]-3-iodo-L-tyrosine + [thyroglobulin]-3,5-diiodo-L-tyrosine + H2O2 = [thyroglobulin]-3,3',5-triiodo-L-thyronine + [thyroglobulin]-dehydroalanine + 2 H2O
However, in light of the non-specific organification by TPO, it would be useful to distinguish which actions are the "true" functions of TPO. Under the model of Kessleret al. (2008), the real functions of TPO are:[4]
Conversion of iodide to diiodine, as in reaction (1) above. The I2 produced would go on to react with OH− to formHOI, which reacts with the tyrosyl residue on proteins such as thyroglobulin, explaining the reactions (2) and (3) above.
Generation of free radicals from tyrosyl, 3-iodotyrosyl (MIT), and 3,5-diiodotyrosyl (DIT) residues or their free forms. These free radicals couple with iodized proteins (such as [thyroglobulin]-3,5-diiodo-L-tyrosine) to perform reactions (4) and (5).
Both actions are mediated by the oxidized form of TPO, TPO-O, produced by reaction of TPO with hydrogen peroxide.[4]
T3 is produced when a MIT free radical couples to a DIT residue on a protein. Coupling of DIT to MIT in the opposite order yields a substance,r-T3, which is biologically inactive.[5][6]T2 andT1 are also known to occur naturally.[7]
^Walter F., PhD. Boron (2003).Medical Physiology: A Cellular And Molecular Approaoch. Elsevier/Saunders. p. 1300.ISBN1-4160-2328-3.
^abcKessler J, Obinger C, Eales G (Jul 2008). "Factors influencing the study of peroxidase-generated iodine species and implications for thyroglobulin synthesis".Thyroid.18 (7):769–74.doi:10.1089/thy.2007.0310.PMID18631006.
^Nagasaka A, Hidaka H (Jul 1976). "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.doi:10.1210/jcem-43-1-152.PMID947933.
^McLachlan SM, Rapoport B (2000). "Autoimmune response to the thyroid in humans: thyroid peroxidase--the common autoantigenic denominator".International Reviews of Immunology.19 (6):587–618.doi:10.3109/08830180009088514.PMID11129117.S2CID11431166.
^Marmelstein AM, Lobba MJ, Mogilevsky CS, Maza JC, Brauer DD, Francis MB (18 March 2020). "Tyrosinase-Mediated Oxidative Coupling of Tyrosine Tags on Peptides and Proteins".Journal of the American Chemical Society.142 (11):5078–5086.doi:10.1021/jacs.9b12002.