Thyroid Stimulating Hormone Receptor (TSHR) Structure and Function

Introduction

Figure 1: TSHR binds TSH in the HPT signaling axis pathway, which regulates metabolism and growth.

In humans, the hypothalamic-pituitary-thyroid (HPT) signaling axis regulates functions including metabolism, growth, organ development, and neural differentiation ^[1]. In this pathway, the thyroid stimulating hormone receptor (TSHR) activates transcription of thyroid hormones in response to ligand binding by thyroid stimulating hormone (TSH). After a brief introduction to the biological significance of TSHR, this page explores the structure of TSHR and its significance to TSH binding and receptor activation.

Biological Significance of TSHR

The HPT signaling axis involves the brain, thyroid gland, and bloodstream circulation. In the first step of the pathway, thyrotropin releasing hormone (TRH) is secreted by the hypothalamus, which in turn stimulates the anterior pituitary gland to produce TSH ^[1]. TSH binds to TSHR on the surface of thyroid cells and triggers the production of thyroid hormones thyroxine (T3) and triiodothyronine (T4) through G-protein coupled receptor (GPCR) signaling ^[2]. T3 and T4 circulate in the bloodstream and enter cells via thyroid hormone transporters to regulate metabolic functions. Additionally, T3 and T4 act in a negative feedback loop to inhibit further TSH production ^[1].

Dysregulation of TSHR can lead to disease. In Grave's disease, antibody analogs of TSH cause overactivation of TSHR, leading to clinical symptoms of hyperthyroidism ^[2]. In contrast, congenital mutations which inactivate TSHR can lead to hypothyroidism, which results in growth retardation and neurologic impairment if left untreated ^[1].

Structural Overview of TSHR

Describe the domains here.

TSHR Activation

Hinge Motion

Central to the biological function of TSHR is its hinge motion which allows for transition between active and inactive states. Deformation of the hinge region accommodates up-and-down rotation of the extracellular domain as a rigid body about an imaginary 55 degree axis. When the extracellular domain is upright, the receptor actively signals for thyroid hormone production. When the extracellular domain is hinged down, the receptor is inactive and no signaling activation occurs. Notably, transition between the two states occurs spontaneously; favoring of the active or inactive conformation is influenced by hinge interactions and ligand binding.

At the following link is an animation of TSHR transition between the two states: Image:TSHR MorphBetterAngle.mp4. The following trends can be observed in the video or viewed through an overlay in the molecule viewer:

1. Slinky-like deformation of the hinge region shifts the N-terminus of the p10 region 5 Angstroms over the course of the movement.
2. Stretching of the hinge pulls on the linked helices in the transmembrane domain, shifting helix 7 about 4 Angstroms inward.

Stabilizing Interactions in the Hinge

Describe important structural features of the hinge here. This shows the TSHR hinge movement. This shows the TSHR hinge movement. .

Ligand Binding

Ligand-induced Conformation Change

Describe how TSH binds in the upright conformation here.

Ligand Recognition

Describe seatbelt and hinge important to ligand recognition here.

References

1. ↑ ^{1.0 1.1 1.2 1.3} Brent GA. Mechanisms of thyroid hormone action. J Clin Invest. 2012;122(9):3035-3043. DOI: 10.1172/JCI60047
2. ↑ ^{2.0 2.1} Chu YD, Yeh CT. The Molecular Function and Clinical Role of Thyroid Stimulating Hormone Receptor in Cancer Cells. Cells. 2020;9(7):1730. DOI:10.3390/cells9071730