The thyroid hormones, triiodothyronine (T3) and its prohormone, thyroxine (T4), are tyrosine-based hormones produced by the thyroid gland that are primarily responsible for regulation of metabolism. T3 and T4 are partially composed of iodine (see molecular model). T4 is converted to the active T3 (three to four times more potent than T4) within cells by deiodinases (5′-iodinase). Thyroxine (3,5,3′,5′-tetraiodothyronine) is produced by follicular cells of the thyroid gland. It is produced as the precursor thyroglobulin (this is not the same as TBG), which is cleaved by enzymes to produce active T4.

The thyronines act on nearly every cell in the body. They act to increase the basal metabolic rate, affect protein synthesis, help regulate long bone growth (synergy with growth hormone) and neural maturation, and increase the body’s sensitivity to catecholamines (such as adrenaline) by permissiveness. Both T3 and T4 are used to treat thyroid hormone deficiency (hypothyroidism).

References
  • Analytes: T4
  • Matrices: Plasma, Serum
  • Platforms: COBAS e411
  • Regulatory Standards: CLIA