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P. Reed Larsen
Brigham and Women's Hospital and Harvard Medical School,
Boston, MA, USA
It is over 40 years since the first demonstration that
thyroxine (T4), the principal secretory product of the thyroid,
is deiodinated to 3,5,3'-triiodothyronine (T3) in humans(1,2).
Subsequently it was shown in rats that the antithyroid drug
propylthiouracil (PTU) blocked the metabolic effects of
administered T4 in proportion to its inhibition of T4 to T3
conversion indicating that deiodination was critical for T4
activation(3). Type 1 iodothyronine deiodinase (D1) activity was
later identified in mammalian liver, kidney, and thyroid and was
shown to be sensitive to inhibition by PTU thus explaining the
earlier results(4). This enzyme catalyzes both outer- and
inner-ring deiodination of T4, although its preferred substrates
are 3,3',5'-triiodothyronine (reverse T3) for outer-ring (5')
deiodination and the sulfate ester of T3 for inner-ring (5)
deiodination(5). Subsequently, a second, PTU-insensitive enzyme
catalyzing only T4 to T3 5' deiodination of T4 (to T3) and rT3
(to 3,3' T2) conversion was identified (type 2 deiodinase or D2)
which had a 1000-fold lower Km for T4 than D1(6, 7). Experiments
in rats showed that the T3 produced by this enzyme was critically
important as a source of nuclear receptor (TR) bound T3 in the
pituitary, brain, and brown adipose tissue(8). A third deiodinase
(D3) was also identified which inactivated T3 or T4 by removal of
an iodine from the inner-ring producing either reverse T3 or
3,3'- diiodothyronine(9). This enzyme was found in placenta and
the central nervous system. Both D1 and D3 activities are
increased by thyroid hormone whereas D2 activity is negatively
regulated. These results pointed to a family of enzymes the
activities of which are carefully regulated to maintain T3
homeostasis both extra- and intracellularly. Despite the 60-fold
higher levels of total T4 than T3 in human plasma, the T4 to T3
ratio of the free (metabolically available) hormones is only
about 3 to 1. Nonetheless, since the binding affinity of the
thyroid hormone receptor for T3 is 10 to 15-fold higher than that
for T4, T3 is the active thyroid hormone. Physiological studies
have shown that essentially all of the metabolic effects of T4
are derived from that fraction of this prohormone, about 35-40%
in humans, which is monodeiodinated to T3. Thus, conversion of T4
to T3 is the first step in thyroid hormone action. In turn, the
level of T3 in the circulation and its half-life is determined by
inner-ring deiodination catalyzed by D3, and to a lesser extent,
D1.
The fact that all three of these enzymes are integral membrane
proteins frustrated attempts to purify them to obtain protein
sequence. The approach which eventually proved to be successful
in obtaining a cDNA was a technique termed expression cloning
which did not require obtaining protein sequence. This allowed
the identification of a 2.1 kbp cDNA from rat liver which encoded
D1. The deduced sequence provided several surprises (10). A novel
feature of D1 enzyme was the presence of a rare amino acid,
selenocysteine, in its active center (Figure 1). Later work has
shown that the other deiodinases, D2 and D3, also contain
selenocysteine in this position(11). Selenocysteine, the selenium
analogue of cysteine, is encoded by UGA which presents a
difficult problem for the cell since for virtually all eukaryotic
mRNAs, UGA is a translation termination or "stop"
codon. Further studies showed that recognition of the UGA codon
as a selenocysteine codon, as opposed to a "stop"
signal, is conferred by a specific feature of the 3' untranslated
region of the mRNAs encoding this selenoprotein(12). This signal,
a hairpin-shaped structure in the mRNA, is termed a
"selenocysteine insertion sequence", abbreviated
"SECIS". This element has been indentified in 3'ut of
all eukaryotic selenoproteins for which complete cDNA sequences
have been isolated. These include D1 and D3, the glutathione
peroxidases and the D2 from Rana catesbeiana (13). The SECIS
element has not yet been identified in the mammalian D2 mRNAs for
which only partial cDNA sequences are currently available.
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