We keep seeing that thyroid hormone is required by every cell of the body. We can see some specific effects - hair loss, myxoedema (mucinous deposits), etc. - but all too often we have no detail whatsoever. Just a general observation that we are more healthy with sufficient thyroid hormone than insufficient.
This paper looks very much at the impact of thyroid hormone on brown fat cells. It is in them that we can produce heat to keep us warm - without shivering or other muscle activation. If that is not working well, our body temperature will likely drop, and we will have limited ability to warm ourselves up once we get cold.
Thyroid hormones in the regulation of brown adipose tissue thermogenesis
DOI: doi.org/10.1530/EC-20-0562
Volume/Issue: Volume 10: Issue 2
Page Range: R106–R115
Article Type: Review Article
Online Publication Date: Feb 2021
Abstract
A normal thyroid status is crucial for body temperature homeostasis, as thyroid hormone regulates both heat loss and conservation as well as heat production in the thermogenic tissues. Brown adipose tissue (BAT) is the major site of non-shivering thermogenesis and an important target of thyroid hormone action. Thyroid hormone not only regulates the tissue’s sensitivity to sympathetic stimulation by norepinephrine but also the expression of uncoupling protein 1, the key driver of BAT thermogenesis. Vice versa, sympathetic stimulation of BAT triggers the expression of deiodinase type II, an enzyme that enhances local thyroid hormone availability and signaling. This review summarizes the current knowledge on how thyroid hormone controls BAT thermogenesis, aiming to dissect the direct actions of the hormone in BAT and its indirect actions via the CNS, browning of white adipose tissue or heat loss over body surfaces. Of particular relevance is the apparent dose dependency of the observed effects, as we find that minor or moderate changes in thyroid hormone levels often have different effects as compared to high pharmacological doses. Moreover, we conclude that the more recent findings require a reevaluation of older studies, as key aspects such as heat loss or central BAT activation may not have received the necessary attention during the interpretation of these early findings. Finally, we provide a list of what we believe are the most relevant questions in the field that to date are still enigmatic and require further studies.
Keywords: thermogenesis; BAT; thyroid hormone receptor; uncoupling protein 1; heat loss; adrenergic sensitivity