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The Journal of Clinical Endocrinology & Metabolism Vol. 88, No. 3 1384-1388
Copyright © 2003 by The Endocrine Society

Type 3 Iodothyronine Deiodinase Is Highly Expressed in the Human Uteroplacental Unit and in Fetal Epithelium

Stephen A. Huang, David M. Dorfman, David R. Genest, Domenico Salvatore and P. Reed Larsen

Division of Endocrinology, Diabetes, and Hypertension (S.A.H., P.R.L.) and Department of Pathology (D.M.D., D.R.G.), Brigham and Women’s Hospital, Boston, Massachusetts 02115; Division of Endocrinology (S.A.H.), Children’s Hospital Boston, Boston, Massachusetts 02115; and Dipartimento di Endocrinologia ed Oncologia Molecolare e Clinica, Universita’degli Studi di Napoli "Federico II" (D.S.), 80138 Naples, Italy

Address all correspondence and requests for reprints to: Stephen A. Huang, M.D., Room 560, Harvard Institutes of Medicine, 77 Avenue Louis Pasteur, Boston, Massachusetts 02115. E-mail: stephen.huang{at}tch.harvard.edu.

Type 3 iodothyronine deiodinase (D3) is the major physiologic inactivator of thyroid hormone. This selenoenzyme, previously identified in human placenta and brain, catalyzes the inner-ring deiodination of T4 to reverse T3 and T3 to 3, 3'-diiodothyronine, both of which are biologically inactive. We analyzed D3 expression in several human adult and fetal tissues by immunohistochemistry and correlated the results with D3 activity assays where possible. High D3 expression was present in the placental syncytiotrophoblasts and cytotrophoblasts, endothelium of fetal vessels, and maternal decidua. D3 was also present at other sites of maternal-fetal interface, including the umbilical arteries and vein and the fetal respiratory, digestive, and urinary tract epithelium. Surprisingly, D3 was also present in the endometrial glands of nonpregnant human uteri, and endometrial activity approximated that of term placenta. The presence of D3 at maternal-fetal interfaces is consistent with its role in modulating the thyroid status of the human fetus and its expression in endometrium suggests that local regulation of thyroid status is important in implantation.

This work was supported by NIH Grants DK60494 and DK44128, the Lawson Wilkins Abbott Clinical Scholar Award from the Lawson Wilkins Pediatric Endocrine Society, the Charles A. King Trust Postdoctoral Research Fellowship Award from the Medical Foundation (Boston, MA), the Charles A. Janeway Child Health Research Center Award from the Child Health Research Center of Children’s Hospital Boston, and the Doris Duke Clinical Scientist Development Award from the Doris Duke Charitable Foundation.

Abbreviations: D3, Type 3 iodothyronine deiodinase; HEK, human embryonic kidney; Km, Michaelis constant; PTU, propylthiouracil; Vmax, maximal velocity.




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