Thyroid hormone responsive genes can be both positively and negatively
regulated by thyroid hormone. TSH is down-regulated by thyroid hormon
e and rises during thyroid hormone deprivation. Because both thyroid h
ormone receptor (TR) alpha and beta genes are expressed in the pituita
ry gland, it is unclear what the relative roles of TR alpha and TR bet
a are in TSH regulation. Experiments using over expression of artifici
al genes have yielded conflicting results. The TR beta knock-out mouse
that lacks both TR beta 1 and TR beta 2 isoforms provides a model to
examine the role of these receptors in TSH regulation. TR beta deficie
nt (TR beta-/-) and wild-type (TR beta+/+) mice of the same strain wer
e deprived of thyroid hormone by feeding them a low iodine diet contai
ning propylthiouracil and were then treated with different doses of L-
T-3 and L-T-4. Thyroid hormone deprivation rapidly increased the serum
TSH level in both TR beta+/+ and TR beta-/- mice, reaching a similar
level in the absence of thyroid hormone. In contrast, the decline of s
erum TSH by treatment with both L-T-3 and L-T-4 was severely blunted i
n TR beta-/- mice, and full suppression was not achieved with the maxi
mal L-T-3 dose of 25 mu g/day.mouse. These data indicate that TR beta
is not required for the up-regulation of TSH in thyroid hormone defici
ency. However, although TR alpha alone can mediate thyroid hormone ind
uced TSH suppression, TR beta enhances the sensitivity of TSH down-reg
ulation and may be essential for the complete suppression of TSH.