Evidence map›Paper›PMID 14657389›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2003

Preferential megalin-mediated transcytosis of low-hormonogenic thyroglobulin: a control mechanism for thyroid hormone release.

Simonetta Lisi, Aldo Pinchera, Robert T McCluskey, Thomas E Willnow, Samuel Refetoff, Claudio Marcocci, Paolo Vitti, Francesca Menconi, Lucia Grasso, Fabiana Luchetti and 2 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Substrate for Thyroid Hormone Synthesis: Biochemistry, Evolution, and Physiology.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  5. Protein handling in kidney tubules.Nature reviews. Nephrology · 2025
    Review
  6. Article
  7. Normal and Sjogren's syndrome models of the murine lacrimal gland studied at single-cell resolution.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  8. Review
  9. Review
  10. Cryo-EM: A new dawn in thyroid biology.Molecular and cellular endocrinology · 2021
    Review
  11. Article
  12. The role of thyroglobulin in thyroid hormonogenesis.Nature reviews. Endocrinology · 2019
    Review
  13. Review
  14. Vitamin D Binding Protein: A Historic Overview.Frontiers in endocrinology · 2019
    Review
  15. Article
  16. Article
  17. Review
  18. The Vps10p-domain receptor family.Cellular and molecular life sciences : CMLS · 2009
    Review
  19. The role of the placenta in thyroid hormone delivery to the fetus.Nature clinical practice. Endocrinology & metabolism · 2009
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Simonetta LisiDepartment of Endocrinology, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.
Aldo Pinchera
Robert T McCluskey
Thomas E Willnow
Samuel Refetoff
Claudio Marcocci
Paolo Vitti
Francesca Menconi
Lucia Grasso
Fabiana Luchetti
A Bernard Collins
Michele Marino
Harvard University · USMassachusetts General Hospital · USUniversity of Chicago · USUniversity of Pisa · IT

Funding

THYROID PHYSIOLOGY STUDIES OF INHERITED DISORDERSR01DK015070 · NIDDK · UNIVERSITY OF CHICAGO · PI ANTONIO C BIANCO, Alexandra Mihaela Dumitrescu · 1986 to 2026
$8.1M
THYROID PHYSIOLOGY STUDIES OF INHERITED DISORDERSR37DK015070 · NIDDK · UNIVERSITY OF CHICAGO · PI REFETOFF, SAMUEL · 1989 to 2015
$5.6M
NIDDK NIH HHS DK15070NIDDK NIH HHS R01 DK015070NIDDK NIH HHS R37 DK015070
6 · The paper itself

Abstract

Hormone secretion by thyrocytes occurs by fluid phase uptake and lysosomal degradation of the prohormone thyroglobulin (Tg). However, some Tg internalized by megalin bypasses lysosomes and is transcytosed across cells and released into the bloodstream. Because the hormone content of Tg is variable, we investigated whether this affects transcytosis. We found that rat Tg with a low hormone content [low-hormonogenic rat Tg (low-horm-rTg)] is transcytosed by megalin across thyroid FRTL-5 cells to a greater extent than rat Tg with a high hormone content [hormonogenic rat Tg (horm-rTg)]. In immunoprecipitation experiments, the Tg sequence Arg-2489-Lys-2503 (required for binding to megalin and heparan sulfate proteoglycans) was found to be more exposed in low-horm-rTg, which accounted for its preferential transcytosis. Thus, removal of surface heparan sulfate proteoglycans from FRTL-5 cells or blocking of 2489-2503 reduced transcytosis of low-horm-rTg to a greater extent than that of horm-rTg. Preferential transcytosis of low-horm-rTg affected hormone release. Thus, the increase in hormone release from horm-rTg in FRTL-5 cells determined by megalin blocking (due to reduced transcytosis and enhanced Tg degradation) was rescued by low-horm-rTg, suggesting that megalin is required for effective hormone release. This finding was confirmed in a small number of megalin-deficient mice, which had serological features resembling mild hypothyroidism. Reduced hormone formation within Tg in vivo, due to treatment of rats with aminotriazole or of patients with Graves' disease with methimazole, resulted in increased Tg transcytosis via megalin, in confirmation of results with FRTL-5 cells. Our study points to a major role of megalin in thyroid homeostasis with possible implications in thyroid diseases.

Indexed as

AdultAmitroleAnimalsDose-Response Relationship, DrugEndocytosisEnzyme-Linked Immunosorbent AssayFemaleGraves DiseaseHeparan SulfateHomozygoteHormonesHumansHypothyroidismLow Density Lipoprotein Receptor-Related Protein-2MaleMethimazoleAmitroleHeparan SulfateHormonesLow Density Lipoprotein Receptor-Related Protein-2MethimazoleThyroglobulinThyroid Hormones

Identifiers

PMID14657389
PMCPMC299828
OpenAlexW2007637673

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.