<?xml version="1.0" encoding="UTF-8"?>
<data xmlns="http://www.aopkb.org/aop-xml">
  <chemical id="90fafb2f-d607-4fbf-a08a-c605060019b4">
    <casrn>51-52-5</casrn>
    <jchem-inchi-key>KNAHARQHSZJURB-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>KNAHARQHSZJURB-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>6-Propyl-2-thiouracil</preferred-name>
    <synonyms>
      <synonym>6-Propyl-2 thiouracil (PTU)</synonym>
      <synonym>4(1H)-Pyrimidinone, 2,3-dihydro-6-propyl-2-thioxo-</synonym>
      <synonym>2,3-Dihydro-6-propyl-2-thioxo-4(1H)-pyrimidinone</synonym>
      <synonym>2-Mercapto-4-hydroxy-6-n-propylpyrimidine</synonym>
      <synonym>2-Mercapto-4-hydroxy-6-propylpyrimidine</synonym>
      <synonym>2-Mercapto-6-propylpyrimidin-4-ol</synonym>
      <synonym>2-Thio-4-oxo-6-propyl-1,3-pyrimidine</synonym>
      <synonym>2-Thio-6-propyl-1,3-pyrimidin-4-one</synonym>
      <synonym>6-n-Propyl-2-thiouracil</synonym>
      <synonym>6-n-Propylthiouracil</synonym>
      <synonym>6-Propyl-2-thio-2,4(1H,3H)pyrimidinedione</synonym>
      <synonym>6-Propylthiouracil</synonym>
      <synonym>NSC 6498</synonym>
      <synonym>NSC 70461</synonym>
      <synonym>Procasil</synonym>
      <synonym>Propacil</synonym>
      <synonym>propiltiouracilo</synonym>
      <synonym>Propycil</synonym>
      <synonym>Propyl-Thiorist</synonym>
      <synonym>Propylthiorit</synonym>
      <synonym>propylthiouracil</synonym>
      <synonym>Propylthiouracile</synonym>
      <synonym>Propyl-Thyracil</synonym>
      <synonym>Prothiucil</synonym>
      <synonym>Prothiurone</synonym>
      <synonym>Prothycil</synonym>
      <synonym>Prothyran</synonym>
      <synonym>Protiural</synonym>
      <synonym>Thiuragyl</synonym>
      <synonym>Thyreostat II</synonym>
      <synonym>URACIL, 4-PROPYL-2-THIO-</synonym>
      <synonym>Uracil, 6-propyl-2-thio-</synonym>
    </synonyms>
    <dsstox-id>DTXSID5021209</dsstox-id>
  </chemical>
  <chemical id="95ffc9c5-7219-441f-b1db-91eb55bece6d">
    <casrn>60-56-0</casrn>
    <jchem-inchi-key>PMRYVIKBURPHAH-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>PMRYVIKBURPHAH-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Methimazole</preferred-name>
    <synonyms>
      <synonym>2H-Imidazole-2-thione, 1,3-dihydro-1-methyl-</synonym>
      <synonym>1,3-Dihydro-1-methyl-2H-imidazole-2-thione</synonym>
      <synonym>1-Methyl-1,3-dihydroimidazole-2-thione</synonym>
      <synonym>1-Methyl-1H-imidazole-2-thiol</synonym>
      <synonym>1-Methyl-2-mercapto-1H-imidazole</synonym>
      <synonym>1-Methyl-2-mercaptoimidazole</synonym>
      <synonym>1-Methyl-4-imidazoline-2-thione</synonym>
      <synonym>1-Methylimidazole-2(3H)-thione</synonym>
      <synonym>1-Methylimidazole-2-thiol</synonym>
      <synonym>1-Methylimidazole-2-thione</synonym>
      <synonym>2-Mercapto-1-methyl-1H-imidazole</synonym>
      <synonym>2-Mercapto-1-methylimidazole</synonym>
      <synonym>2-Mercapto-N-methylimidazole</synonym>
      <synonym>4-Imidazoline-2-thione, 1-methyl-</synonym>
      <synonym>Basolan</synonym>
      <synonym>Danantizol</synonym>
      <synonym>Favistan</synonym>
      <synonym>Frentirox</synonym>
      <synonym>Imidazole-2-thiol, 1-methyl-</synonym>
      <synonym>Mercaptazole</synonym>
      <synonym>Mercazole</synonym>
      <synonym>Mercazolyl</synonym>
      <synonym>Metazolo</synonym>
      <synonym>Methimazol</synonym>
      <synonym>Methylmercaptoimidazole</synonym>
      <synonym>Metothyrin</synonym>
      <synonym>Metothyrine</synonym>
      <synonym>Metotirin</synonym>
      <synonym>N-Methyl-2-mercaptoimidazole</synonym>
      <synonym>N-Methylimidazolethiol</synonym>
      <synonym>NSC 38608</synonym>
      <synonym>Strumazol</synonym>
      <synonym>Tapazole</synonym>
      <synonym>Thacapzol</synonym>
      <synonym>Thiamazol</synonym>
      <synonym>thiamazole</synonym>
      <synonym>Thycapzol</synonym>
      <synonym>Thymidazol</synonym>
      <synonym>Thymidazole</synonym>
      <synonym>tiamazol</synonym>
    </synonyms>
    <dsstox-id>DTXSID4020820</dsstox-id>
  </chemical>
  <chemical id="a4659ee9-eead-497b-b1aa-5c101c1faf8c">
    <casrn>149-30-4</casrn>
    <jchem-inchi-key>YXIWHUQXZSMYRE-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>YXIWHUQXZSMYRE-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>2-Mercaptobenzothiazole</preferred-name>
    <synonyms>
      <synonym>(2(3H)-Benzothiazolethione)</synonym>
      <synonym>2(3H)-Benzothiazolethione</synonym>
      <synonym>1,3-Benzothiazole-2-thiol</synonym>
      <synonym>1,3-Benzothiazole-2-thione</synonym>
      <synonym>2,3-Dihydrobenzothiazole-2-thione</synonym>
      <synonym>2-Benzothiazolethiol</synonym>
      <synonym>2-Benzothiazolinethione</synonym>
      <synonym>2-BENZOTHIAZOLTHIOL</synonym>
      <synonym>2-Benzothiazolyl mercaptan</synonym>
      <synonym>2-Mercapthobenzothiazole Technical</synonym>
      <synonym>2-Mercapto-1H-benzothiazole</synonym>
      <synonym>2-Mercaptobenzthiazole</synonym>
      <synonym>2-Sulfanylbenzothiazole</synonym>
      <synonym>Accel M</synonym>
      <synonym>Accelerator M</synonym>
      <synonym>Aero Promoter 412</synonym>
      <synonym>Benz-1,3-thiazolidine-2-thione</synonym>
      <synonym>Benzo[d]thiazole-2-thiol</synonym>
      <synonym>Benzothiazol-2-thiol</synonym>
      <synonym>BENZOTHIAZOLE, 2-MERCAPTO-</synonym>
      <synonym>Benzothiazole-2-thiol</synonym>
      <synonym>Benzothiazole-2-thione</synonym>
      <synonym>Benzothiazolethiol</synonym>
      <synonym>benzotiazol-2-tiol</synonym>
      <synonym>Dermacid</synonym>
      <synonym>Ekagom G</synonym>
      <synonym>Kaptaks</synonym>
      <synonym>Mebetizol</synonym>
      <synonym>Mebetizole</synonym>
      <synonym>Mebithizol</synonym>
      <synonym>MERCAPTOBENZOTHIAZOLE</synonym>
      <synonym>Mercaptobenzthiazole</synonym>
      <synonym>Nocceler M</synonym>
      <synonym>Nocceler M-P</synonym>
      <synonym>Nonflex NB</synonym>
      <synonym>NSC 2041</synonym>
      <synonym>Perkacit MBT</synonym>
      <synonym>Pneumax MBT</synonym>
      <synonym>Royal MBT</synonym>
      <synonym>Sanceler M</synonym>
      <synonym>Sanceler M-G</synonym>
      <synonym>Soxinol M</synonym>
      <synonym>Thiotax</synonym>
      <synonym>Vulkacit M</synonym>
      <synonym>Vulkacit Mercapto</synonym>
      <synonym>Vulkacit Mercapto MG/C</synonym>
      <synonym>Vulkacit Mercapto/C</synonym>
      <synonym>Vulkacit Mercapto/MG</synonym>
      <synonym>Vulkafil ZN 94TT01</synonym>
      <synonym>Wobezit M</synonym>
    </synonyms>
    <dsstox-id>DTXSID1020807</dsstox-id>
  </chemical>
  <chemical id="418339ef-4cc7-4aea-84ca-12d64be61954">
    <casrn>14797-73-0</casrn>
    <jchem-inchi-key>VLTRZXGMWDSKGL-UHFFFAOYSA-M</jchem-inchi-key>
    <indigo-inchi-key>VLTRZXGMWDSKGL-UHFFFAOYSA-M</indigo-inchi-key>
    <preferred-name>Perchlorate</preferred-name>
    <synonyms>
      <synonym>Perchlorate ion</synonym>
      <synonym>Perchlorate ion (ClO41-)</synonym>
      <synonym>Perchlorate ion(1-)</synonym>
      <synonym>Perchlorate(1-)</synonym>
      <synonym>Perchloric acid, ion(1-)</synonym>
    </synonyms>
    <dsstox-id>DTXSID6024252</dsstox-id>
  </chemical>
  <biological-object id="46af518e-7e30-40dd-97e6-7fbd3372d86a">
    <source-id>PR:Q6PHW0</source-id>
    <source>PR</source>
    <name>iodotyrosine deiodinase 1 (human)</name>
  </biological-object>
  <biological-object id="435ad1c0-db17-4f55-96a9-4bfc6226f9f6">
    <source-id>CHEBI:16382</source-id>
    <source>CHEBI</source>
    <name>iodide</name>
  </biological-object>
  <biological-object id="16c94d46-0f34-4722-92a3-01578d151050">
    <source-id>CHEBI:60311</source-id>
    <source>CHEBI</source>
    <name>thyroid hormone</name>
  </biological-object>
  <biological-object id="0a6f3030-41c6-4d1d-8f24-50d74561adf0">
    <source-id>CHEBI:30660</source-id>
    <source>CHEBI</source>
    <name>thyroxine</name>
  </biological-object>
  <biological-process id="298713e3-49f7-4717-a75a-6c5329e0effa">
    <source-id>GO:0003824</source-id>
    <source>GO</source>
    <name>catalytic activity</name>
  </biological-process>
  <biological-process id="7925a8d3-4bce-485e-9487-4eb20f7ee408">
    <source-id>GO:0015705</source-id>
    <source>GO</source>
    <name>iodide transport</name>
  </biological-process>
  <biological-process id="89f7707e-0af7-4268-892c-1cc8ac9c574d">
    <source-id>GO:0006590</source-id>
    <source>GO</source>
    <name>thyroid hormone generation</name>
  </biological-process>
  <biological-process id="a0494fd4-f5ef-4756-9a7a-e4fcf3f406d8">
    <source-id>GO:0007552</source-id>
    <source>GO</source>
    <name>metamorphosis</name>
  </biological-process>
  <biological-process id="60831a5d-7776-43bb-82ab-03b325fbb51f">
    <source-id>MP:0005475</source-id>
    <source>MP</source>
    <name>abnormal circulating thyroxine level</name>
  </biological-process>
  <biological-action id="5cc5a768-946d-4ee8-be1d-065b3d61a6bb">
    <source-id>2</source-id>
    <source>WIKI</source>
    <name>decreased</name>
  </biological-action>
  <biological-action id="6ff6703e-aae6-49ef-aaf0-9fc683353026">
    <source-id>5</source-id>
    <source>WIKI</source>
    <name>delayed</name>
  </biological-action>
  <biological-action id="45ad860a-d3e5-4d52-a731-44796f34a92c">
    <source-id>1</source-id>
    <source>WIKI</source>
    <name>increased</name>
  </biological-action>
  <stressor id="2a414cf2-aaac-4d2c-8eea-77ccfc1902e0">
    <name>Propylthiouracil</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="90fafb2f-d607-4fbf-a08a-c605060019b4" user-term="Propylthiouracil"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:22</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:22</last-modification-timestamp>
  </stressor>
  <stressor id="5a09a710-1570-449c-8bd7-98619dfad897">
    <name>Methimazole</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="95ffc9c5-7219-441f-b1db-91eb55bece6d" user-term="Methimazole"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:19</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:19</last-modification-timestamp>
  </stressor>
  <stressor id="56376be6-9740-4731-972a-b9e47af1a7e7">
    <name>Stressor:48 Propylthiouracil</name>
    <description></description>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2020-08-28T17:00:54</creation-timestamp>
    <last-modification-timestamp>2020-08-28T17:00:54</last-modification-timestamp>
  </stressor>
  <stressor id="aa9ab5e8-3f3e-4556-a7c8-3fff6fd38e3b">
    <name>Mercaptobenzothiazole</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="a4659ee9-eead-497b-b1aa-5c101c1faf8c" user-term="149-30-4 "/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:17</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:17</last-modification-timestamp>
  </stressor>
  <stressor id="12c4019a-98e2-46b1-867f-c2e964d45bb4">
    <name>Perchlorate</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="418339ef-4cc7-4aea-84ca-12d64be61954" user-term="Perchlorate"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:26</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:26</last-modification-timestamp>
  </stressor>
  <taxonomy id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
    <source-id>WCS_8355</source-id>
    <source>common ecological species</source>
    <name>African clawed frog</name>
  </taxonomy>
  <taxonomy id="ab8ca540-4cec-4f7c-9296-145dd17f0bc9">
    <source-id>10116</source-id>
    <source>NCBI</source>
    <name>rat</name>
  </taxonomy>
  <taxonomy id="9854461a-6642-4d6e-8b76-1413699b8a4d">
    <source-id>10090</source-id>
    <source>NCBI</source>
    <name>mouse</name>
  </taxonomy>
  <taxonomy id="e682c6ba-1fdc-4608-9205-3044c0769a48">
    <source-id>WikiUser_24</source-id>
    <source>Wikiuser:Migration</source>
    <name>Pig</name>
  </taxonomy>
  <taxonomy id="743d299f-12bd-427f-91f9-598f151b82a7">
    <source-id>WCS_9606</source-id>
    <source>common toxicological species</source>
    <name>human</name>
  </taxonomy>
  <taxonomy id="28ba3168-3c7e-4ece-bad1-f3918227b083">
    <source-id>7955</source-id>
    <source>NCBI</source>
    <name>zebra fish</name>
  </taxonomy>
  <taxonomy id="a46e5a88-5dda-403f-970a-759535da355b">
    <source-id>451443</source-id>
    <source>NCBI</source>
    <name>Xenopus (Silurana) n. sp. tetraploid-1</name>
  </taxonomy>
  <taxonomy id="7847b2e0-dd35-4295-b8b8-633b2669db6e">
    <source-id>WCS_8355</source-id>
    <source>common ecological species</source>
    <name>Xenopus laevis</name>
  </taxonomy>
  <taxonomy id="c176400b-72ad-4b53-ba40-cc35f1d29924">
    <source-id>WCS_7955</source-id>
    <source>common ecological species</source>
    <name>zebrafish</name>
  </taxonomy>
  <taxonomy id="550621f8-e4d9-400d-b821-99c2ec7ebef0">
    <source-id>WCS_90988</source-id>
    <source>common ecological species</source>
    <name>fathead minnow</name>
  </taxonomy>
  <taxonomy id="da340b04-dc2d-4438-8d71-ade0526dca82">
    <source-id>9823</source-id>
    <source>NCBI</source>
    <name>Sus scrofa</name>
  </taxonomy>
  <taxonomy id="1446f59e-d533-4c7d-bf19-46c44639d7e0">
    <source-id>WCS_9031</source-id>
    <source>common ecological species</source>
    <name>chicken</name>
  </taxonomy>
  <key-event id="18e11bda-cc65-4538-9ac1-299ae5e0edae">
    <title>Inhibition, Iodotyrosine deiodinase (IYD)</title>
    <short-name>Inhibition, Iodotyrosine deiodinase (IYD)</short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <cell-term>
      <source-id>CL:0000255</source-id>
      <source>CL</source>
      <name>eukaryotic cell</name>
    </cell-term>
    <applicability>
      <taxonomy taxonomy-id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="46af518e-7e30-40dd-97e6-7fbd3372d86a" process-id="298713e3-49f7-4717-a75a-6c5329e0effa" action-id="5cc5a768-946d-4ee8-be1d-065b3d61a6bb"/>
    </biological-events>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:30</creation-timestamp>
    <last-modification-timestamp>2017-09-16T10:17:27</last-modification-timestamp>
  </key-event>
  <key-event id="b8368190-482d-4993-ae2c-26ce6a6094fd">
    <title>Decrease of Thyroidal iodide</title>
    <short-name>Thyroidal Iodide, Decreased</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;&lt;strong&gt;Biological state:&lt;/strong&gt; Iodine (I2) is a non-metallic chemical element which is required for the normal cellular metabolism. It is one of the essential components of the TH, comprising 65% and 58% of T4&amp;#39;s and T3&amp;#39;s weight, respectively and therefore it is crucial for the normal thyroid function. It is a trace element and a healthy human body contains 15-20 mg of iodine, most of which is concentrated in the thyroid gland (Dunn, 1998). Iodide (I-) that enters the thyroid gland remains in the free state only briefly and subsequently it bounds to the tyrosine residues of thyroglobulin to form the precursors of the thyroid hormones mono-iodinated tyrosine (MIT) or di-iodinated tyrosine (DIT) (Berson and Yalow, 1955). The bounding rate of iodide is 50-100% of the intra-thyroidal iodide pool, meaning that only a very small proportion of this element is free in the thyroid and this comes mainly by the deiodination of MIT and DIT.&lt;/p&gt;

&lt;p&gt;The body is not able to produce or make iodine, thus the diet is the only source of this element. Iodine is found in nature in various forms, such as inorganic sodium and potassium salts (iodides and iodates), inorganic diatomic iodine and organic monoatomic iodine (Patrick, 2008). Thus, it is widely distributed in the environment but in many regions of the world the soil&amp;#39;s iodine has been depleted due to different environmental phenomena. In these regions, the incidence of iodine deficiency is greatly increased (Ahad and Ganie, 2010).&lt;/p&gt;

&lt;p&gt;The daily iodine intake of adult humans varies greatly due to the different dietary habits between the different regions on earth (Dunn, 1993). In any case, the ingested iodine is absorbed through the intestine and transported into the plasma to reach the thyroid gland. However, thyroid is not the only organ of the body that concentrates iodide. It has been shown that other tissues have also the ability of iodide concentration, such as the salivary glands, the gastric mucosa, the mammary glands and the choroid plexus, all of which express NIS, the iodine transporter protein (Jhiang et al., 1998; Cho et al., 2000).&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Biological compartments:&lt;/strong&gt; A sodium-iodide (Na/I) symporter pumps iodide (IO) actively into the cell, which previously has crossed the endothelium by largely unknown mechanisms. This iodide enters the follicular lumen from the cytoplasm by the transporter pendrin, in a purportedly passive manner. In the colloid, iodide (I&amp;minus;) is oxidized to iodine (I0) by an enzyme called thyroid peroxidase (TPO). IO is very reactive and iodinates the thyroglobulin at tyrosyl residues in its protein chain. In conjugation, adjacent tyrosyl residues are paired together. Thyroglobulin binds the megalin receptor for endocytosis back into the follicular cell. Proteolysis by various proteases liberates thyroxine (T4) and triiodothyronine molecules (T3), which enter the bloodstream where they are bound to thyroid hormone binding proteins, mainly thyroxin binding globulin (TBG) which accounts for about 75% of the bound hormone. The adult thyroid absorbs 60-80 &amp;mu;g of iodide per day to maintain the thyroid homeostasis (Degroot, 1966). Inadequate amount of iodide results to deficient production of thyroid hormones, which consequently leads to an increase of TSH secretion and goiter, as compensating effect (Delange, 2000). On the other hand, excess iodide could also inhibit TH synthesis (Wolff and Chaikoff, 1948). The proposed mechanism for this latter effect is the possible formation of 2-iodohexadecanal that inhibits the generation of H2O2 and the subsequent oxidation of iodide in the thyroid follicular cells. The lack of oxidized free radicals of iodide affects the reaction with the tyrosine residues of Thyroglobulin (Tg) (Panneels et al., 1994). During pregnancy, the organism of the mother is also supporting the needs of the foetus and therefore the iodide requirements are greatly increased (Glinoer, 1997). Additionally, small iodine concentrations have been found to have significant antioxidant effects that resembles to ascorbic acid (Smyth, 2003).&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;General role in biology:&lt;/strong&gt; The most important role of iodine is the formation of the thyroid hormones (T4 and T3). The thyroid actively concentrates the circulating iodide through the basolateral membrane of the thyrocytes by the sodium/iodide symporter protein (NIS). The concentrated thyroid-iodine is oxidized in the follicular cells of the gland and consequently binds to tyrosines to form mono- or di-iodotyrosines (MIT and DIT respectively), being incorporated into thyroglobulin. This newly formed iodothyroglobulin forms one of the most important constituents of the colloid material, present in the follicle of the thyroid unit. If two di-iodotyrosine molecules couple together, the result is the formation of thyroxin (T4). If a di-iodotyrosine and a mono-iodotyrosine are coupled together, the result is the formation of tri-iodothyronine (T3). From the perspective of the formation of thyroid hormone, the major coupling reaction is the di-iodotyrosine coupling to produce T4.&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;The radioactive iodine uptake test, or RAIU test, is a type of scan used in the diagnosis of thyroid gland dysfunction (&lt;a href="http://www.thyca.org/pap-fol/rai/"&gt;http://www.thyca.org/pap-fol/rai/&lt;/a&gt;; Kwee, et al., 2007). The patient swallows radioactive iodine in the form of capsule or fluid, and its absorption by the thyroid is studied after 4&amp;ndash;6 hours and after 24 hours with the aid of a gamma scintillation counter. The percentage of RAIU 24 hours after the administration of radioiodide is the most useful, since this is the time when the thyroid gland has reached the plateau of isotope accumulation, and because it has been shown that at this time, the best separation between high, normal, and low uptake is obtained. The test does not measure hormone production and release but merely the avidity of the thyroid gland for iodide and its rate of clearance relative to the kidney.&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;Various species express functional NIS &amp;nbsp;encoded by the following genes: Human SLC5A5 (6528), Mouse Slc5a5 (114479), Rat Slc5a5 (114613), Zebrafish slc5a5 (561445), chicken SLC5A5 (431544), domestic cat SLC5A5 (101092587), dog SLC5A5 (484830), domestic guinea pig Slc5a5 (100714457), naked mole-rat Slc5a5 (101701995), cow SLC5A5 (505310), sheep SLC5A5 (101112315). The encoded protein is responsible for the uptake of iodine in tissues such as the thyroid and lactating breast tissue. The iodine taken up by the thyroid is incorporated into the metabolic regulators triiodothyronine (T3) and tetraiodothyronine (T4). Mutations in this gene are associated with thyroid dyshormonogenesis that significantly influences phenotypic expressions such as severity of hypothyroidism, goiter rates, and familial clustering demonstrating essentiality of NIS function to maintain TH status (Bakker et al., 2000; Spitzweg and Morris, 2010; Ramesh et al., 2016) . Animal studies have also proven that iodine normalizes elevated adrenal corticosteroid hormone secretion and has the ability to reverse the effects of hypothyroidism in the ovaries, testicles and thymus in thyroidectomized rats (Nolan et al., 2000).&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0002046</source-id>
      <source>UBERON</source>
      <name>thyroid gland</name>
    </organ-term>
    <cell-term>
      <source-id>CL:0002258</source-id>
      <source>CL</source>
      <name>thyroid follicular cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>Moderate</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>Moderate</evidence>
        <life-stage>Birth to &lt; 1 month</life-stage>
      </life-stage>
      <life-stage>
        <evidence>Moderate</evidence>
        <life-stage>Pregnancy</life-stage>
      </life-stage>
      <life-stage>
        <evidence>Moderate</evidence>
        <life-stage>During brain development</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="ab8ca540-4cec-4f7c-9296-145dd17f0bc9">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="9854461a-6642-4d6e-8b76-1413699b8a4d">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="e682c6ba-1fdc-4608-9205-3044c0769a48">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="743d299f-12bd-427f-91f9-598f151b82a7">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="28ba3168-3c7e-4ece-bad1-f3918227b083">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="a46e5a88-5dda-403f-970a-759535da355b">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="435ad1c0-db17-4f55-96a9-4bfc6226f9f6" process-id="7925a8d3-4bce-485e-9487-4eb20f7ee408" action-id="5cc5a768-946d-4ee8-be1d-065b3d61a6bb"/>
    </biological-events>
    <references>&lt;p&gt;Ahad F, Ganie SA. (2010). Iodine, iodine metabolism and iodine deficiency disorders revisited. Indian J Endocrinol Metab. 14: 13-17.&lt;/p&gt;

&lt;p&gt;Bakker B, Bikker H, Vulsma T, de Randamie JS, Wiedijk BM, De Vijlder JJ. 2000. Two decades of screening for congenital hypothyroidism in The Netherlands: TPO gene mutations in total iodide organification defects (an update). The Journal of clinical endocrinology and metabolism. Oct;85:3708-3712.&lt;/p&gt;

&lt;p&gt;Berson SA, Yalow RS. (1955). The iodide trapping and binding functions of the thyroid. J Clin Invest. 34: 186-204.&lt;/p&gt;

&lt;p&gt;Cho JY, Leveille R, Kao R, Rousset B, Parlow AF, Burak WE Jr, Mazzaferri EL, Jhiang SM.(2000). Hormonal regulation of radioiodide uptake activity and Na+/I- symporter expression in mammary glands. J Clin Endocrinol Metab. 85:2936-2943.&lt;/p&gt;

&lt;p&gt;Degroot LJ.(1966). Kinetic analysis of iodine metabolism. J Clin Endocrinol Metab. 26: 149-173.&lt;/p&gt;

&lt;p&gt;Delange F. (2000). Iodine deficiency. In: Braverman L, Utiger R, editors. Werner and Ingbar&amp;#39;s the thyroid: a fundamental and clinical text. Philadelphia: JD Lippincott. pp 295-316.&lt;/p&gt;

&lt;p&gt;Dunn JT. (1993). Sources of dietary iodine in industrialized countries. In: Delange F, Dunn JT, Glinoer D, editors. Iodine deficiency in Europe. A continuing concern. New York: Plenum press. pp 17-21.&lt;/p&gt;

&lt;p&gt;Dunn JT. (1998). What&amp;#39;s happening to our iodine? J Clin Endocrinol Metab. 83: 3398-3400. Glinoer D. (1997). The regulation of thyroid function in pregnancy: pathways of endocrine adaptation from physiology to pathology. Endocr Rev. 18: 404-433.&lt;/p&gt;

&lt;p&gt;&lt;a href="http://www.thyca.org/pap-fol/rai/"&gt;http://www.thyca.org/pap-fol/rai/&lt;/a&gt;: Thyroid Cancer Survivors&amp;#39; Association, Inc.,Radioactive Iodine (RAI)&lt;/p&gt;

&lt;p&gt;Jhiang SM, Cho JY, Ryu KY, DeYoung BR, Smanik PA, McGaughy VR, Fischer AH, Mazzaferri EL.(1998). An immunohistochemical study of Na+/I- symporter in human thyroid tissues and salivary gland tissues. Endocrinology. 139:4416-4419.&lt;/p&gt;

&lt;p&gt;Kwee, Sandi A.; Coel, Marc N.; Fitz-Patrick, David (2007). Eary, Janet F.; Brenner, Winfried, eds. &amp;quot;Iodine-131 Radiotherapy for Benign Thyroid Disease&amp;quot;. Nuclear Medicine Therapy. CRC Press: 172. &lt;a href="https://en.wikipedia.org/wiki/International_Standard_Book_Number" title="International Standard Book Number"&gt;ISBN&lt;/a&gt;&amp;nbsp;&lt;a href="https://en.wikipedia.org/wiki/Special:BookSources/978-0-8247-2876-2" title="Special:BookSources/978-0-8247-2876-2"&gt;978-0-8247-2876-2&lt;/a&gt;.&lt;/p&gt;

&lt;p&gt;Nolan LA, Windle RJ, Wood SA, Kershaw YM, Lunness HR, Lightman SL, Ingram CD, Levy A. (2000). Chronic iodine deprivation attenuates stress-induced and diurnal variation in corticosterone secretion in female Wistar rats. J Neuroendocrinol. 12:1149-1159.&lt;/p&gt;

&lt;p&gt;Panneels V, Van den Bergen H, Jacoby C, Braekman JC, Van Sande J, Dumont JE, Boeynaems JM. (1994). Inhibition of H2O2 production by iodoaldehydes in cultured dog thyroid cells. Mol Cell Endocrinol. 102:167-176.&lt;/p&gt;

&lt;p&gt;Patrick L. (2008).Iodine:Deficiency and therapeutic considerations. Altern MedRev. 13:166-127.&lt;/p&gt;

&lt;p&gt;Ramesh BG, Bhargav PR, Rajesh BG, Devi NV, Vijayaraghavan R, Varma BA.(2016). Genotype‑phenotype correlations of dyshormonogenetic goiter in children and adolescents from South India . I J Endocrinol and Metab. 20: 816-824.&lt;/p&gt;

&lt;p&gt;Smyth PA. (2003). Role of iodine in antioxidant defense in thyroid and breast disease. Biofactors. 19:121-130.&lt;/p&gt;

&lt;p&gt;Spitzweg C, Morris JC. 2010. Genetics and phenomics of hypothyroidism and goiter due to NIS mutations. Molecular and cellular endocrinology. Jun 30;322:56-63.&lt;/p&gt;

&lt;p&gt;Wolff J, Chaikoff IL. (1948). Plasma inorganic iodide as a homeostatic regulator of thyroid function. J Biol Chem. 174: 555-564.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:24</creation-timestamp>
    <last-modification-timestamp>2019-04-04T09:00:11</last-modification-timestamp>
  </key-event>
  <key-event id="7b3bcf7f-188d-4a4b-8046-38afa65388ff">
    <title>Thyroid hormone synthesis, Decreased</title>
    <short-name>TH synthesis, Decreased</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The thyroid hormones (TH), triiodothyronine (T3) and thyroxine (T4) are thyrosine&lt;/span&gt;&lt;span style="color:black"&gt;-&lt;/span&gt;&lt;span style="color:black"&gt;based hormones. Synthesis of TH&lt;/span&gt;&lt;span style="color:black"&gt;s is regulated by thyroid-stimulating hormone (TSH) binding to its receptor and thyroidal availability of iodine via the sodium iodide symporter (NIS). Other proteins contributing to TH production in the thyroid gland, including thyroperoxidase (TPO), dual oxidase enzymes (DUOX), and the transport protein pendrin are also necessary for iodothyronine production (Zoeller et al., 2007).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The production of THs in the thyroid gland and resulting serum concentrations are controlled by a negatively regulated feedback mechanism.&amp;nbsp;Decreased T4 and T3 serum concentrations activates the hypothalamus-pituitary-thyroid (HPT) axis which upregulates thyroid-stimulating hormone (TSH) that acts to increase production of additional THs (Zoeller and Tan, 2007). This regulatory system includes: 1) the hypothalamic secretion of the thyrotropin-releasing hormone (TRH); 2) the thyroid-stimulating hormone (TSH) secretion from the anterior pituitary; 3) hormonal transport by the plasma binding proteins; 4) cellular uptake mechanisms at the tissue level; 5) intracellular control of TH concentration&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt; by deiodinating mechanisms; 6) transcriptional function of the nuclear TH receptor; and 7) in the fetus, the transplacental passage of T4 and T3 (Zoeller et al., 2007).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;TRH and the TSH primarily regulate the production of T4, often considered a &amp;ldquo;pro-hormone,&amp;rdquo; and to a lesser extent of T3, the transcriptionally active TH. Most of the hormone released from the thyroid gland into circulation is in the form of T4, while peripheral deiodination of T4 is responsible for the majority of circulating T3. Outer ring deiodination of T4 to T3 is catalyzed by the deiodinases 1 and 2 (DIO1 and DIO2), with DIO1 expressed mainly in liver and kidney, and DIO2 expressed in several tissues including the brain (Bianco et al., 2006). Conversion of T4 to T3 takes place mainly in &lt;/span&gt;&lt;span style="color:black"&gt;the &lt;/span&gt;&lt;span style="color:black"&gt;liver and kidney, but also in other target organs such as in the brain, the anterior pituitary, brown adipose tissue, thyroid and skeletal muscle (Gereben et al., 2008; Larsen, 2009).&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;In &lt;strong&gt;mammals&lt;/strong&gt;, most evidence for the ontogeny of TH synthesis comes from measurements of serum hormone concentrations. And, importantly, the impact of xenobiotics on fetal hormones must include the influence of the maternal compartment since a majority of fetal THs are derived from maternal blood early in fetal life, with a transition during mid-late gestation to fetal production of THs that is still supplemented by maternal THs. In humans, THs can be found in the fetus as early as gestational weeks 10-12, and concentations rise continuously until birth. At term, fetal T4 is similar to maternal levels, but T3 remains 2-3 fold lower than maternal levels. In rats, THs can be detected in the fetus as early as the second gestational week, but fetal synthesis does not start until gestational day 17 with birth at gestational day 22-23. Maternal THs continue to supplement fetal production until parturition. (see Howdeshell, 2002; Santisteban and Bernal, 2005 for review). Due to the maternal factor, the life stage specific impact of TPO inhibition after exposure to environmental chemicals is complex (Ramhoj et al., 2022).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Decreased TH synthesis in the thyroid gland may result from several possible molecular-initiating events (MIEs) including: 1) Disruption of key catalytic enzymes or cofactors needed for TH synthesis, including TPO, NIS, or dietary iodine insufficiency. Theoretically, decreased synthesis of Tg could also affect TH production (Kessler et al., 2008; Yi et al., 1997). Mutations in genes that encode requisite proteins in the thyroid may also lead to impaired TH synthesis, including mutations in pendrin associated with Pendred Syndrome (Dossena et al., 2011), mutations in TPO and Tg (Huang and Jap 2015), and mutations in NIS (Spitzweg and Morris, 2010). 2) Decreased TH synthesis in cases of clinical hypothyroidism may be due to Hashimoto&amp;#39;s thyroiditis or other forms of thyroiditis, or physical destruction of the thyroid gland as in radioablation or surgical treatment of thyroid lymphoma. 3) It is possible that TH synthesis may also be reduced subsequent to disruption of the negative feedback mechanism governing TH homeostasis, e.g. pituitary gland dysfunction may result in a decreased TSH signal with concomitant T3 and T4 decreases. 4) More rarely, hypothalamic dysfunction can result in decreased TH synthesis.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Increased fetal &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels are also possible.&amp;nbsp;Maternal Graves disease, which results in fetal thyrotoxicosis (hyperthyroidism and increased serum T4 levels), has been successfully treated by maternal administration of TPO inhibitors (c.f., Sato et al., 2014). &amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;It should be noted that different species and different life&lt;/span&gt; &lt;span style="color:black"&gt;stages store different amounts of TH precursor&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt; and iodine within the thyroid gland. Thus, decreased TH synthesis via transient iodine insufficiency or inhibition of TPO may not affect TH release from the thyroid gland until depletion of stored iodinated Tg. Adult humans may store sufficient Tg-DIT residues to serve for several months to a year of TH demand (Greer et al., 2002; Zoeller, 2004). Neonates and infants have a much more limited supply of less than a week.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;While the &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;system is highly conserved across vertebrates, there are some taxon-specific considerations.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zebrafish and fathead minnows are oviparous&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;&amp;nbsp;species in which maternal &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;are transferred to the eggs and regulate early embryonic developmental processes during external (versus intra-uterine in mammals) development (Power et al., 2001; Campinho et al., 2014; Ruuskanen and Hsu, 2018) until embryonic &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;synthesis is initiated. Maternal transfer of &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;to the eggs has been demonstrated in zebrafish (Walpita et al., 2007; Chang et al., 2012) and fathead minnows (Crane et al., 2004; Nelson et al., 2016).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Decreases in TH synthesis can only occur after initiation of embryonic TH synthesis. The components of the TH system responsible for TH synthesis are highly conserved across vertebrates and therefore interference with the same molecular targets compared to mammals can lead to decreased TH synthesis (TPO, NIS, etc.) in fish. Endogenous transcription profiles of thyroid-related genes in zebrafish and fathead minnow showed that mRNA coding for these genes is also maternally transferred and increasing expression of most transcripts during hatching and embryo-larval transition indicates a fully functional HPT axis in larvae (Vergauwen et al., 2018). Although the HPT axis is highly conserved, there are some differences between fish and mammals (Blanton and Specker, 2007; Deal and Volkoff, 2020). For example, in fish, corticotropin releasing hormone (CRH) often plays a more important role in regulating thyrotropin (TSH) secretion by the pituitary and thus &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis compared to TSH-releasing hormone (TRH). Also, in most fish species thyroid follicles are more diffusely located in the pharyngeal region rather than encapsulated in a gland.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Decreased TH synthesis is often implied by measurement of TPO and NIS inhibition measured clinically and in laboratory models as these enzymes are essential for TH synthesis. Rarely is decreased TH synthesis measured directly, but rather the impact of chemicals on the quantity of T4 produced in the thyroid gland, or the amount of T4 present in serum is used as a marker of decreased T4 release from the thyroid gland (e.g., Romaldini et al., 1988). Methods used to assess TH synthesis include, incorporation of &lt;/span&gt;&lt;span style="color:black"&gt;radiolabeled&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;tracer compounds, radioimmunoassay, ELISA, and analytical detection. &amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Recently, amphibian thyroid explant cultures have been used to demonstrate direct effects of chemicals on TH synthesis, as this model contains all necessary synthesis enzymes including TPO and NIS (Hornung et al., 2010). For this work THs was measured by HPLC/ICP-mass spectometry. Decreased TH synthesis and release, using T4 release as the endpoint, has been shown for thiouracil antihyperthyroidism drugs including MMI, PTU, and the NIS inhibitor perchlorate (Hornung et al., 2010).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Techniques for &lt;/span&gt;&lt;em&gt;&lt;span style="color:black"&gt;in vivo&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt; analysis of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;system disruption among other drug-related effects in fish were reviewed by Raldua and Pi&amp;ntilde;a (2014). TIQDT (Thyroxine-immunofluorescence quantitative disruption test) is a method that provides an immunofluorescent based estimate of thyroxine in the gland of zebrafish (Raldua and Babin, 2009; Thienpont et al., 2011; Jomaa et al., 2014; Rehberger et al., 2018). &amp;nbsp;Thienpont used this method with ~25 xenobiotics (e.g., amitrole, perchlorate, methimazole, PTU, DDT, PCBs). The method detected changes for all chemicals known to directly impact TH synthesis in the thyroid gland (e.g., NIS and TPO &lt;/span&gt;&lt;span style="color:black"&gt;inhibitors&lt;/span&gt;&lt;span style="color:black"&gt;), but not those that upregulate hepatic catabolism of T4. Rehberger et al. (2018) updated the method to enable simultaneous semi-quantitative visualization of intrafollicular T3 and T4 levels. Most often, whole body &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;&amp;nbsp;level measurements in fish early life stages are used as indirect evidence of decreased &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis (Nelson et al., 2016; Stinckens et al., 2016; Stinckens et al., 2020). Analytical determination of &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;levels by LC-MS is becoming increasingly available (Hornung et al., 2015).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;More recently, transgenic zebrafish with fluorescent thyroid follicles are being used to visualize the compensatory proliferation of the thyroid follicles following inhibition of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis&lt;/span&gt;&lt;span style="color:black"&gt; among others&lt;/span&gt;&lt;span style="color:black"&gt; (Opitz et al., 2012).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Taxonomic&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: This KE is plausibly applicable across vertebrates. Decreased TH synthesis resulting from TPO or NIS inhibition is conserved across vertebrate taxa, with&amp;nbsp;&lt;em&gt;in vivo&lt;/em&gt;&amp;nbsp;evidence from humans, rats, amphibians, some fish speci&lt;/span&gt;&lt;span style="color:black"&gt;es, and birds, and&amp;nbsp;&lt;em&gt;in vitro&lt;/em&gt;&amp;nbsp;evidence from rat and porcine microsomes. Indeed, TPO and NIS mutations result in congenital hypothyroidism in humans (Bakker et al., 2000; Spitzweg and Morris, 2010), demonstrating the essentiality of TPO and NIS function toward maintaining euthyroid status. Though decreased serum T4 is used as a surrogate measure to indicate chemical-mediated decreases in TH synthesis, clinical and veterinary management of hyperthyroidism and Graves&amp;rsquo; disease using propylthiouracil and methimazole, known to decrease TH synthesis, indicates strong evidence for chemical inhibition of TPO (Zoeller and Crofton, 2005).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Life stage&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: Applicability to certain life stages may depend on the species and their dependence on maternally transferred &lt;/span&gt;&lt;span style="color:black"&gt;THs&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;during the earliest phases of development. The earliest life stages of teleost fish (e.g., fathead minnow, zebrafish) rely on maternally transferred THs to regulate certain developmental processes until embryonic TH synthesis is active (Power et al., 2001). In externally developing fish species, decreases in TH synthesis can only occur after initiation of embryonic TH synthesis. In zebrafish, Opitz et al. (2011) showed the formation of a first thyroid follicle at 55 hours post fertilization (hpf), Chang et al. (2012) showed a first significant TH increase at 120 hpf and Walter et al. (2019) showed clear TH production already at 72 hpf but did not analyse time points between 24 and 72 hpf. TPO inhibition in a homozygous knockout line abolished the T4 production in thyroid follicles of mutant zebrafish with phenotypic abnormalities occurring from 20 dpf onwards but not before 10 dpf (Fang et al., 2022). Therefore, it is still uncertain when exactly embryonic TH synthesis is activated and thus when exactly this process becomes sensitive to disruption. In fathead minnows, a significant increase of whole body TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels was already observed between 1 and 2 dpf, which corresponds to the appearance of the thyroid anlage at 35 hpf prior to the first observation of thyroid follicles at 58 hpf (Wabuke-Bunoti and Firling, 1983). It currently remains unclear when exactly embryonic &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;production is initiated in zebrafish.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Sex&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;:&amp;nbsp;The KE is plausibly applicable to both sexes. &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;are essential in both sexes and the components of the HPT-axis are identical in both sexes. There can however be sex-dependent differences in the sensitivity to the disruption of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;&amp;nbsp;levels and the magnitude of the response. In humans, females appear more susceptible to hypothyroidism compared to males when exposed to certain halogenated chemicals (Hernandez‐Mariano et al., 2017; Webster et al., 2014). In adult zebrafish, Liu et al. (2019) showed sex-dependent changes in &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels and mRNA expression of regulatory genes including corticotropin releasing hormone (crh), thyroid stimulating hormone (tsh) and deiodinase 2 after exposure to organophosphate flame retardants. The underlying mechanism of any sex-related differences remains unclear.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0002046</source-id>
      <source>UBERON</source>
      <name>thyroid gland</name>
    </organ-term>
    <cell-term>
      <source-id>CL:0002258</source-id>
      <source>CL</source>
      <name>thyroid follicular cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="ab8ca540-4cec-4f7c-9296-145dd17f0bc9">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="743d299f-12bd-427f-91f9-598f151b82a7">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7847b2e0-dd35-4295-b8b8-633b2669db6e">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="c176400b-72ad-4b53-ba40-cc35f1d29924">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="550621f8-e4d9-400d-b821-99c2ec7ebef0">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="da340b04-dc2d-4438-8d71-ade0526dca82">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="16c94d46-0f34-4722-92a3-01578d151050" process-id="89f7707e-0af7-4268-892c-1cc8ac9c574d" action-id="5cc5a768-946d-4ee8-be1d-065b3d61a6bb"/>
    </biological-events>
    <references>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Bakker B, Bikker H, Vulsma T, de Randamie JS, Wiedijk BM, De Vijlder JJ. 2000. &lt;/span&gt;&lt;span style="color:black"&gt;Two decades of screening for congenital hypothyroidism in The Netherlands: TPO gene mutations in total iodide organification defects (an update). The Journal of clinical endocrinology and metabolism.&amp;nbsp; 85:3708-3712.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Bianco AC, Kim BW. (2006). Deiodinases: implications of the local control of thyroid hormone action. J Clin Invest. 116: 2571&amp;ndash;2579.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Blanton ML, Specker JL. 2007. The hypothalamic-pituitary-thyroid (hpt) axis in fish and its role in fish development and reproduction. Crit Rev Toxicol. 37(1-2):97-115.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Dossena S,&amp;nbsp;Nofziger C,&amp;nbsp;Brownstein Z,&amp;nbsp;Kanaan M,&amp;nbsp;Avraham KB,&amp;nbsp;Paulmichl M. (2011). &lt;/span&gt;&lt;span style="color:black"&gt;Functional characterization of&amp;nbsp;pendrin&amp;nbsp;mutations found in the Israeli and Palestinian populations. Cell Physiol Biochem. 28: 477-484.Gereben B, Zavacki AM, Ribich S, Kim BW, Huang SA, Simonides WS, Ze&amp;ouml;ld A, Bianco AC. (2008). Cellular and molecular basis of deiodinase-regulated thyroid hormone signalling. Endocr Rev. 29:898&amp;ndash;938.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Fang, Y., Wan, J. P., Zhang, R. J., Sun, F., Yang, L., Zhao, S. X., Dong, M., &amp;amp; Song, H. D. (2022). Tpo knockout in zebrafish partially recapitulates clinical manifestations of congenital hypothyroidism and reveals the involvement of TH in proper development of glucose homeostasis. General and Comparative Endocrinology, 323&amp;ndash;324. https://doi.org/10.1016/j.ygcen.2022.114033&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Gereben B, Ze&amp;ouml;ld A, Dentice M, Salvatore D, Bianco AC.&amp;nbsp; Activation and inactivation of thyroid hormone by deiodinases: local action with general consequences.&amp;nbsp; Cell Mol Life Sci. 2008 Feb;65(4):570-90&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Greer MA, Goodman G, Pleus RC, Greer SE. Health effects assessment for environmental perchlorate contamination: the dose response for inhibition of thyroidal radioiodine uptake in humans. Environ Health Perspect. 2002. 110:927-937.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hernandez-Mariano JA, Torres-Sanchez L, Bassol-Mayagoitia S, Escamilla-Nunez M, Cebrian ME, Villeda-Gutierrez EA, Lopez-Rodriguez G, Felix-Arellano EE, Blanco-Munoz J. 2017. Effect of exposure to p,p &amp;#39;-dde during the first half of pregnancy in the maternal thyroid profile of female residents in a mexican floriculture area. Environmental Research. 156:597-604.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hornung MW, Degitz SJ, Korte LM, Olson JM, Kosian PA, Linnum AL, Tietge JE. 2010. Inhibition of thyroid hormone release from cultured amphibian thyroid glands by methimazole, 6-propylthiouracil, and perchlorate. Toxicol Sci 118:42-51.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hornung MW, Kosian PA, Haselman JT, Korte JJ, Challis K, Macherla C, Nevalainen E, Degitz SJ. 2015. In vitro, ex vivo, and in vivo determination of thyroid hormone modulating activity of benzothiazoles. Toxicological Sciences. 146(2):254-264.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Howdeshell KL. 2002. A model of the development of the brain as a construct of the thyroid system. Environ Health Perspect. 110 Suppl 3:337-48.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Huang CJ and Jap TS. 2015. A systematic review of genetic studies of thyroid disorders in Taiwan. J Chin Med Assoc. 78: 145-153.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Jomaa B, Hermsen SAB, Kessels MY, van den Berg JHJ, Peijnenburg AACM, Aarts JMMJG, Piersma AH, Rietjens IMCM. 2014. Developmental toxicity of thyroid-active compounds in a zebrafish embryotoxicity test. Altex-Alternatives to Animal Experimentation. 31(3):303-317.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Kessler J, Obinger C, Eales G. Factors influencing the study of peroxidase-generated iodine species and implications for thyroglobulin synthesis. Thyroid. 2008 Jul;18(7):769-74. doi: 10.1089/thy.2007.0310&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Larsen PR. (2009). Type 2 iodothyronine deiodinase in human skeletal muscle: new insights into its physiological role and regulation. J Clin Endocrinol Metab. 94:1893-1895.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu XS, Cai Y, Wang Y, Xu SH, Ji K, Choi K. 2019. Effects of tris(1,3-dichloro-2-propyl) phosphate (tdcpp) and triphenyl phosphate (tpp) on sex-dependent alterations of thyroid hormones in adult zebrafish. Ecotoxicology and Environmental Safety. 170:25-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Nelson K, Schroeder A, Ankley G, Blackwell B, Blanksma C, Degitz S, Flynn K, Jensen K, Johnson R, Kahl M et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part i: Fathead minnow. Aquatic Toxicology. 173:192-203.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Opitz R, Maquet E, Huisken J, Antonica F, Trubiroha A, Pottier G, Janssens V, Costagliola S. 2012. Transgenic zebrafish illuminate the dynamics of thyroid morphogenesis and its relationship to cardiovascular development. Developmental Biology. 372(2):203-216.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Opitz R, Maquet E, Zoenen M, Dadhich R, Costagliola S. 2011. Tsh receptor function is required for normal thyroid differentiation in zebrafish. Molecular Endocrinology. 25(9):1579-1599.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Power DM, Llewellyn L, Faustino M, Nowell MA, Bjornsson BT, Einarsdottir IE, Canario AV, Sweeney GE. 2001. Thyroid hormones in growth and development of fish. Comp Biochem Physiol C Toxicol Pharmacol. 130(4):447-459.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Raldua D, Babin PJ. 2009. Simple, rapid zebrafish larva bioassay for assessing the potential of chemical pollutants and drugs to disrupt thyroid gland function. Environmental Science &amp;amp; Technology. 43(17):6844-6850.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Raldua D, Pina B. 2014. In vivo zebrafish assays for analyzing drug toxicity. Expert Opinion on Drug Metabolism &amp;amp; Toxicology. 10(5):685-697.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Ramhoj, L., Svingen, T., Fradrich, C., Rijntjes, E., Wirth, E.K., Pedersen, K., Kohrle, J., Axelstad, M., 2022. Perinatal exposure to the thyroperoxidase inhibitors methimazole and amitrole perturbs thyroid hormone system signaling and alters motor activity in rat offspring. Toxicology Letters 354, 44-55.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Rehberger K, Baumann L, Hecker M, Braunbeck T. 2018. Intrafollicular thyroid hormone staining in whole-mount zebrafish (danio rerio) embryos for the detection of thyroid hormone synthesis disruption. Fish Physiology and Biochemistry. 44(3):997-1010.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Romaldini JH, Farah CS, Werner RS, Dall&amp;#39;Antonia J&amp;uacute;nior RP, Camargo RS. 1988.&amp;nbsp; &amp;quot;In vitro&amp;quot; study on release of cyclic AMP and thyroid hormone in autonomously functioning thyroid nodules.&amp;nbsp; Horm Metab Res.20:510-2.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Ruuskanen S, Hsu BY. 2018. Maternal thyroid hormones: An unexplored mechanism underlying maternal effects in an ecological framework. Physiological and Biochemical Zoology. 91(3):904-916.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Santisteban P, Bernal J. Thyroid development and effect on the nervous system. Rev Endocr Metab Disord. 2005 Aug;6(3):217-28.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Spitzweg C, Morris JC. 2010. Genetics and phenomics of hypothyroidism and goiter due to NIS mutations. Molecular and cellular endocrinology. 322:56-63.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Blackwell BR, Anldey GT, Villeneuve DL, Knapen D. 2020. Effect of thyroperoxidase and deiodinase inhibition on anterior swim bladder inflation in the zebrafish. Environmental Science &amp;amp; Technology. 54(10):6213-6223.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Schroeder A, Maho W, Blackwell B, Witters H, Blust R, Ankley G, Covaci A, Villeneuve D et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part ii: Zebrafish. Aquatic Toxicology. 173:204-217.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Thienpont B, Tingaud-Sequeira A, Prats E, Barata C, Babin PJ, Rald&amp;uacute;a D.&amp;nbsp; Zebrafish eleutheroembryos provide a suitable vertebrate model for screening chemicals that impair thyroid hormone synthesis.&amp;nbsp; Environ Sci Technol. 2011. 45(17):7525-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Vergauwen L, Cavallin JE, Ankley GT, Bars C, Gabriels IJ, Michiels EDG, Fitzpatrick KR, Periz-Stanacev J, Randolph EC, Robinson SL et al. 2018. Gene transcription ontogeny of hypothalamic-pituitary-thyroid axis development in early-life stage fathead minnow and zebrafish. General and Comparative Endocrinology. 266:87-100.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Wabukebunoti MAN, Firling CE. 1983. The prehatching development of the thyroid-gland of the fathead minnow, pimephales-promelas (rafinesque). General and Comparative Endocrinology. 49(2):320-331.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Walpita CN, Van der Geyten S, Rurangwa E, Darras VM. 2007. The effect of 3,5,3&amp;#39;-triiodothyronine supplementation on zebrafish (danio rerio) embryonic development and expression of iodothyronine deiodinases and thyroid hormone receptors. &lt;/span&gt;&lt;span style="color:black"&gt;Gen Comp Endocrinol. 152(2-3):206-214.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Walter KM, Miller GW, Chen XP, Yaghoobi B, Puschner B, Lein PJ. 2019. &lt;/span&gt;&lt;span style="color:black"&gt;Effects of thyroid hormone disruption on the ontogenetic expression of thyroid hormone signaling genes in developing zebrafish (danio rerio). General and Comparative Endocrinology. 272:20-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Webster GM, Venners SA, Mattman A, Martin JW. 2014. Associations between perfluoroalkyl acids (pfass) and maternal thyroid hormones in early pregnancy: A population-based cohort study. Environmental Research. 133:338-347.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yi X, Yamamoto K, Shu L, Katoh R, Kawaoi A. Effects of Propyithiouracil (PTU) Administration on the Synthesis and Secretion of Thyroglobulin in the Rat Thyroid Gland: A Quantitative Immuno-electron Microscopic Study Using Immunogold Technique. Endocr Pathol. 1997 Winter;8(4):315-325.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT, Crofton KM. 2005.&amp;nbsp; Mode of action: developmental thyroid hormone insufficiency--neurological abnormalities resulting from exposure to propylthiouracil. Crit Rev Toxicol. 35:771-81&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT, Tan SW, Tyl RW. 2007. General background on the hypothalamic-pituitary-thyroid (HPT) axis. Critical reviews in toxicology. &amp;nbsp;37:11-53.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT.&amp;nbsp; Interspecies differences in susceptibility to perturbation of thyroid hormone homeostasis requires a definition of &amp;quot;sensitivity&amp;quot; that is informative for risk analysis. Regul Toxicol Pharmacol. 2004 Dec;40(3):380.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&amp;nbsp;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:23</creation-timestamp>
    <last-modification-timestamp>2022-11-04T09:25:39</last-modification-timestamp>
  </key-event>
  <key-event id="69bec4bf-b707-4e22-8b3c-ad67c7610e3b">
    <title>Altered, Amphibian metamorphosis</title>
    <short-name>Altered, Amphibian metamorphosis</short-name>
    <biological-organization-level>Organ</biological-organization-level>
    <description>&lt;p&gt;Vertebrate metamorphosis is a biological transformation process that transitions an organism from one life stage to another; it is defined by growth of new tissues, programmed death of other tissues and physiological transformation of yet other tissues (Laudet, 2011; Brown and Cai, 2007). In the case of most amphibians, metamorphosis mediates the transition from aquatic to terrestrial life, while in bony and jawless fish, metamorphosis mediates transitions between life stages that offer various advantages for survival and reproduction. In vertebrates, metamorphosis is orchestrated by the hypothalamus-pituitary-thyroid (HPT) axis involving complex timing of gene expression/repression within various tissues, whereas in some cases across taxonomic classes, metamorphosis has been shown to be controlled very differently by the HPT axis.&lt;/p&gt;

&lt;p&gt;Thyroid hormone-mediated amphibian metamorphosis can be characterized by three phases during larval development: (1) pre-metamorphosis, (2) pro-metamorphosis and (3) metamorphic climax. All three of these phases coincide with activity states of the HPT axis. Pre-metamorphosis is characterized by a fully aquatic organism with low-level function of the thyroid gland and very low circulating levels of thyroid hormone. Pro-metamorphosis is characterized by the onset of full thyroid axis function and the initiation of rising levels of thyroid hormone in the plasma, with consequential changes in anatomy and physiology defining the transition from aquatic to terrestrial life. Metamorphic climax occurs when circulating thyroid hormone levels peak, which subsequently decrease to levels maintained homeostatically as adults. This climax period also represents the time at which all anatomical and physiological changes induced by thyroid hormone have either been initiated or are already completed. Detailed descriptions of these processes are reviewed by Brown and Cai (2007).&lt;/p&gt;

&lt;p&gt;Altered metamorphosis occurs when these thyroid hormone-mediated processes are perturbed, primarily during pro-metamorphosis and metamorphic climax. These perturbations can lead to either, delayed/arrested development, accelerated development or asynchronous development depending on the xenobiotic mode of action or MIE. Genetic defects or xenobiotic exposure that reduce thyroid hormone synthesis can delay metamorphosis, and in extreme cases, can completely arrest development. The most profound impacts on TH-mediated metamorphosis have be demonstrated through inhibition of key proteins in the TH synthesis pathway including the sodium-iodide symporter (Tietge et al., 2005, 2010; Hornung et al., 2010) and thyroperoxidase (Degitz et al., 2005; Tietge et al., 2010, 2013; Hornung et al., 2010, 2015). Alternatively, agonism of the thyroid axis through inhibition of negative feedback at the level of the hypothalamus-pituitary, or premature activation of thyroid receptor-mediated transcription can accelerate metamorphosis (Degitz et al., 2005), which can lead to asynchronous development due to errors in gene expression timing across the various metamorphic tissues. Asynchronous development can also occur due to inhibition of deiodinase (DIO) enzymes in peripheral tissues. DIO enzymes are responsible for activation and catabolism of TH; when &lt;em&gt;dio&lt;/em&gt; gene expression profiles are altered, or the enzymes themselves undergo chemical inhibition, the imbalance of prohormone (T4), active hormone (T3) and inactive hormone (rT3, T2) can cause aberrant tissue development.&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;Rates of metamorphosis in model amphibian species, &lt;em&gt;Xenopus laevis&lt;/em&gt;, are measured multiple ways, both of which rely on&amp;nbsp;a developmental staging atlas developed by Nieuwkoop and Faber (NF)(1994). The method utilized within the 21 d Amphibian Metamorphosis Assay regulatory test guideline&amp;nbsp;(OECD, 2009; US EPA 2009) relate&amp;nbsp;the distribution&amp;nbsp;of&amp;nbsp;developmental stage of control larvae&amp;nbsp;to the distributions of&amp;nbsp;developmental stages of treated/exposed larvae. These data are typically analyzed for differences from control using non-parametric statistical approaches such as the Kruskal-Wallis test followed by Dunn&amp;#39;s test for pairwise comparisons. The method utilized within the Larval Amphibian Growth and Development Assay regulatory test guideline&amp;nbsp;(OECD, 2015; US EPA 2015) relate the number of days to reach metamorphic climax (NF stage 62) in control larvae&amp;nbsp;to the number of days to NF stage 62 in treated/exposed larvae. These data are typically analyzed for differences from control using a Cox mixed-effects proportional hazard model.&lt;/p&gt;

&lt;p&gt;Asynchronous development is identified as&amp;nbsp;disruption of the relative timing of morphogenic milestones and/or somatic development&amp;nbsp;within a single larvae undergoing metamorphosis. The inability to identify an organism&amp;#39;s developmental stage based on&amp;nbsp;accepted criteria, such as outlined in Nieuwkoop and Faber (1994) for &lt;em&gt;Xenopus sp.&lt;/em&gt; or Gosner (1960) for anurans, constitutes evidence of asynchronous development and would be counted as an incidence. Evaluations of severity are&amp;nbsp;possible but the accuracy and resolution of the results would depend on the experience of the observer. One possible statistical approach for&amp;nbsp;analyzing these data collected from a regulatory test guideline (OECD, 2009, 2015)&amp;nbsp;would be a Rao-Scott-Cochran-Armitage by slices test (Green et al., 2014), as is often used for analysis of histopathology incidence and severity data.&amp;nbsp;&amp;nbsp;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;Anurans&lt;/p&gt;

&lt;p&gt;&lt;em&gt;Xenopus laevis&lt;/em&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Development</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="a0494fd4-f5ef-4756-9a7a-e4fcf3f406d8" action-id="6ff6703e-aae6-49ef-aaf0-9fc683353026"/>
      <biological-event process-id="a0494fd4-f5ef-4756-9a7a-e4fcf3f406d8" action-id="45ad860a-d3e5-4d52-a731-44796f34a92c"/>
    </biological-events>
    <references>&lt;p&gt;&lt;br /&gt;
Brown, D.D. and Cai, L., 2007. Amphibian metamorphosis. Developmental biology, 306(1), pp.20-33.&lt;/p&gt;

&lt;p&gt;Degitz, S.J., Holcombe, G.W., Flynn, K.M., Kosian, P.A., Korte, J.J. and Tietge, J.E., 2005. Progress towards development of an amphibian-based thyroid screening assay using Xenopus laevis. Organismal and thyroidal responses to the model compounds 6-propylthiouracil, methimazole, and thyroxine. Toxicological sciences, 87(2), pp.353-364.&lt;/p&gt;

&lt;p&gt;Gosner, K.L., 1960. A simplified table for staging anuran embryos and larvae with notes on identification.&amp;nbsp;&lt;em&gt;Herpetologica&lt;/em&gt;,&amp;nbsp;&lt;em&gt;16&lt;/em&gt;(3), pp.183-190.&lt;/p&gt;

&lt;p&gt;Green, J.W., Springer, T.A., Saulnier, A.N. and Swintek, J., 2014. Statistical analysis of histopathological endpoints.&amp;nbsp;&lt;em&gt;Environmental toxicology and chemistry&lt;/em&gt;,&amp;nbsp;&lt;em&gt;33&lt;/em&gt;(5), pp.1108-1116.&lt;/p&gt;

&lt;p&gt;Hornung, M.W., Degitz, S.J., Korte, L.M., Olson, J.M., Kosian, P.A., Linnum, A.L. and Tietge, J.E., 2010. Inhibition of thyroid hormone release from cultured amphibian thyroid glands by methimazole, 6-propylthiouracil, and perchlorate. Toxicological Sciences, 118(1), pp.42-51.&lt;/p&gt;

&lt;p&gt;Laudet, V., 2011. The origins and evolution of vertebrate metamorphosis. Current Biology, 21(18), pp.R726-R737.&lt;/p&gt;

&lt;p&gt;Nieuwkoop, P.D. and Faber, J., 1994. Normal Table of Xenopus laevis (Daudin) Garland Publishing.&amp;nbsp;&lt;em&gt;New York&lt;/em&gt;,&amp;nbsp;&lt;em&gt;252&lt;/em&gt;.&lt;/p&gt;

&lt;p&gt;OECD. (2009). Test No. 231: Amphibian Metamorphosis Assay, OECD Guidelines for the Testing of Chemicals, Section 2. OECD Publishing, Paris.&lt;/p&gt;

&lt;p&gt;OECD. (2015). Test No. 241: The Larval Amphibian Growth and Development Assay (LAGDA), OECD Guidelines for the Testing of Chemicals, Section 2. OECD Publishing, Paris.&lt;/p&gt;

&lt;p&gt;Tietge, J.E., Butterworth, B.C., Haselman, J.T., Holcombe, G.W., Hornung, M.W., Korte, J.J., Kosian, P.A., Wolfe, M. and Degitz, S.J., 2010. Early temporal effects of three thyroid hormone synthesis inhibitors in Xenopus laevis. Aquatic Toxicology, 98(1), pp.44-50.&lt;/p&gt;

&lt;p&gt;Tietge, J.E., Holcombe, G.W., Flynn, K.M., Kosian, P.A., Korte, J.J., Anderson, L.E., Wolf, D.C. and Degitz, S.J., 2005. Metamorphic inhibition of Xenopus laevis by sodium perchlorate: effects on development and thyroid histology. Environmental Toxicology and Chemistry, 24(4), pp.926-933.&lt;/p&gt;

&lt;p&gt;Tietge, J.E., Degitz, S.J., Haselman, J.T., Butterworth, B.C., Korte, J.J., Kosian, P.A., Lindberg-Livingston, A.J., Burgess, E.M., Blackshear, P.E. and Hornung, M.W., 2013. Inhibition of the thyroid hormone pathway in Xenopus laevis by 2-mercaptobenzothiazole. Aquatic toxicology, 126, pp.128-136.&lt;/p&gt;

&lt;p&gt;U.S. EPA. (2009). OCSPP 890.1100: Amphibian Metamorphosis Assay (AMA), Endocrine Disruptor Screening Program Test Guidelines, 890 Series. Available at: www.regulations.gov, ID: EPA-HQ-OPPT-2009-0576-0002. Accessed March 20, 2020.&lt;/p&gt;

&lt;p&gt;U.S. EPA. (2015). OCSPP 890.2300: Larval Amphibian Growth and Development Assay (LAGDA), Endocrine Disruptor Screening Program Test Guidelines, 890 Series. Available at: www.regulations.gov, ID: EPA-HQ-OPPT-2014-0766-0020. Accessed March 20, 2020.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:29</creation-timestamp>
    <last-modification-timestamp>2020-09-02T11:19:05</last-modification-timestamp>
  </key-event>
  <key-event id="1c5febc9-6737-4944-bea5-6cabd7e90199">
    <title> Thyroxine (T4) in serum, Decreased</title>
    <short-name>T4 in serum, Decreased</short-name>
    <biological-organization-level>Tissue</biological-organization-level>
    <description>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;All iodothyronines are derived from the modification of tyrosine molecules (Taurog, 2000). There are two biologically active thyroid hormones (THs) in serum, triiodothyronine (T3) and T4, and a few less active iodothyronines, reverse T3 (rT3), &amp;nbsp;and 3,3&amp;#39;-Diiodothyronine (3,5-T2). T4 is the predominant TH in circulation, comprising approximately 80% of the TH excreted from the thyroid gland in mammals and is the pool from which the majority of T3 in serum is generated (Zoeller et al., 2007). As such, serum T4 changes usually precede changes in other serum THs. Decreased thyroxine (T4) in serum results from one or more MIEs upstream and is considered a key biomarker of altered TH homeostasis (DeVito et al., 1999).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Serum T4 is used as a biomarker of TH status because the circulatory system serves as the major transport and delivery system for TH delivery to tissues. The majority of THs in the blood are bound to transport proteins (Bartalena and Robbins, 1993). In serum, it is the unbound, or &amp;lsquo;free&amp;rsquo; form of the hormone that is thought to be available for transport into tissues. Free hormones are approximately 0.03 and 0.3 percent for T4 and T3, respectively. There are major species differences in the predominant binding proteins and their affinities for THs (see below). However, there is broad agreement that changes in serum concentrations of THs is diagnostic of thyroid disease or chemical-induced disruption of thyroid homeostasis across vertebrates (DeVito et al., 1999; Miller et al., 2009; Zoeller et al., 2007; Carr and Pati&amp;ntilde;o, 2011).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Normal serum T4 reference ranges can be species and lifestage specific. In&amp;nbsp;&lt;strong&gt;rodents&lt;/strong&gt;, serum THs are low in the fetal circulation, increasing as the fetal thyroid gland becomes functional on gestational day 17, just a few days prior to birth. After birth serum hormones increase steadily, peaking at two weeks, and falling slightly to adult levels by postnatal day 21 (Walker et al., 1980; Harris et al., 1978; Goldey et al., 1995; Lau et al., 2003). Similarly, in&amp;nbsp;&lt;strong&gt;humans&lt;/strong&gt;, adult reference ranges for THs do not reflect the normal ranges for children at different developmental stages, with TH concentrations highest in infants, still increased in childhood, prior to a decline to adult levels coincident with pubertal development (Corcoran et al. 1977; Kapelari et al., 2008).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In some&amp;nbsp;&lt;strong&gt;frog&amp;nbsp;&lt;/strong&gt;species, there is an analogous peak in &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;in tadpoles that starts around embryonic NF stage 56, peaks at &lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt;tage 62 and the declines to lower levels by &lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt;tage 56 (Sternberg et al., 2011; Leloup and Buscaglia, 1977).&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Additionally, ample evidence is available from studies investigating responses to inhibitors of &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;synthesis in&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;. For example, Stinckens et al. (2020) showed reduced whole body T4 concentrations in zebrafish larvae exposed to&amp;nbsp;50 or 100 mg/L methimazole, a potent TPO inhibitor,&amp;nbsp;from immediately after fertilization until 21 or 32 days of age. Exposure to 37 or 111 mg/L propylthiouracil also reduced T4 levels after exposure up to 14, 21 and 32 days in the same study. Walter et al. (2019) showed that propylthiouracil had no effect on T4 levels in 24h old zebrafish, but decreased T4 levels of 72h old zebrafish. This difference is probably due to the onset of embryonic TH production between the age of 24 and 72 hours (Opitz et al., 2011). Stinckens et al. (2016) showed that exposure to 2-mercaptobenzothiazole (MBT), an environmentally relevant TPO inhibitor, decreased whole body T4 levels in continuously exposed 5 and 32 day old zebrafish larvae. A high concentration of MBT also decreased whole body T4 levels in 6 day old fathead minnows, but recovery was observed at the age of 21 days although the fish were kept in the exposure medium (Nelson et al., 2016). Crane et al. (2006) showed decreased T4 levels in 28 day old fathead minnows continuously exposed to 32 or 100 &amp;micro;g/L methimazole.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Serum T3 and T4 can be measured as free (unbound) or total (bound + unbound). Free hormone concentrations are clinically considered more direct indicators of T4 and T3 activities in the body, but in animal studies, total T3 and T4 are typically measured. Historically, the most widely used method in toxicology is the radioimmunoassay (RIA). The method is routinely used in rodent endocrine and toxicity studies. The ELISA method is commonly used as a human clinical test method. Analytical determination of iodothyronines (T3, T4, rT3, T2) and their conjugates, through methods employing HPLC, liquid chromatography, immuno luminescence, and mass spectrometry are less common, but are becoming increasingly available (Hornung et al., 2015; DeVito et al., 1999; Baret and Fert, 1989; Spencer, 2013; Samanidou V.F et al., 2000; Rathmann D. et al., 2015 ). In fish early life stages most evidence for the ontogeny of thyroid hormone synthesis comes from measurements of whole body thyroid hormone levels using LC-MS techniques (Hornung et al., 2015) which are increasingly used to accurately quantify whole body thyroid hormone levels as a proxy for serum thyroid hormone levels (Nelson et al., 2016; Stinckens et al., 2016; Stinckens et al., 2020). It is important to note that thyroid hormones concentrations can be influenced by a number of intrinsic and extrinsic factors (e.g., circadian rhythms, stress, food intake, housing, noise) (see for example, D&amp;ouml;hler et al., 1979).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Any of these measurements should be evaluated for the relationship to the actual endpoint of interest, repeatability, reproducibility, and lower limits of quantification using a fit-for-purpose approach. This is of particular significance when assessing the very low levels of TH present in fetal serum. Detection limits of the assay must be compatible with the levels in the biological sample. All three of the methods summarized above would be fit-for-purpose, depending on the number of samples to be evaluated and the associated costs of each method. Both RIA and ELISA measure THs by an indirect methodology, whereas analytical determination is the most direct measurement available. All these methods, particularly RIA, are repeatable and reproducible.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Taxonomic&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: This KE is plausibly applicable across vertebrates and the overall evidence supporting taxonomic applicability is strong. THs are evolutionarily conserved molecules present in all vertebrate species (Hulbert, 2000; Yen, 2001). Moreover, their crucial role in zebrafish development, embryo-to-larval transition and larval-to-juvenile transition (Thienpont et al., 2011; Liu and Chan, 2002), and amphibian and lamprey metamorphoses is well established (Manzon and Youson, 1997; Yaoita and Brown, 1990; Furlow and Neff, 2006). &lt;/span&gt;&lt;span style="color:black"&gt;T&lt;/span&gt;&lt;span style="color:black"&gt;heir role as environmental messenger via exogenous routes in echinoderms confirms the hypothesis that these molecules are widely distributed among the living organisms (Heyland and Hodin, 2004). However, the role of TH&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt; in the different species depends on the expression and function of specific proteins (e.g receptors or enzymes) under TH control and may vary across species and tissues. As such&lt;/span&gt;&lt;span style="color:black"&gt;,&lt;/span&gt;&lt;span style="color:black"&gt; extrapolation regarding TH action across species and developmental stages should be done with caution.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;With few exceptions, vertebrate species have circulating T4 (and T3) that are bound to transport proteins in blood. Clear species differences exist in serum transport proteins (Dohler et al., 1979; Yamauchi and Isihara, 2009). There are three major transport proteins in mammals; thyroid binding globulin (TBG), transthyretin (TTR), and albumin. In adult humans, the percent bound to these proteins is about 75, 15 and 10 percent, respectively (Schussler 2000).&amp;nbsp; In contrast, in adult rats the majority of THs are bound to TTR. Thyroid&lt;/span&gt;&lt;span style="color:black"&gt;-&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;binding proteins are developmentally regulated in rats. TBG is expressed in rats until approximately postnatal day (PND) 60, with peak expression occurring during weaning (Savu et al., 1989). However, low levels of TBG persist into adult ages in rats and can be experimentally induced by hypothyroidism, malnutrition, or caloric restriction (Rouaze-Romet et al., 1992). While these species differences impact TH half-life (Capen, 1997) and possibly regulatory feedback mechanisms, there is little information on quantitative dose-response relationships of binding proteins and serum hormones during development across different species. Serum THs are still regarded as the most robust measurable key event causally linked to downstream adverse outcomes.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Life stage&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: The earliest life stages of teleost fish rely on maternally transferred THs to regulate certain developmental processes until embryonic TH synthesis is active (Power et al., 2001). As a result, T4 levels are not expected to decrease in response to exposure to inhibitors of TH synthesis during these earliest stages of development. In zebrafish, Opitz et al. (2011) showed the formation of a first thyroid follicle at 55 hours post fertilization (hpf), Chang et al. (2012) showed a first significant TH increase at 120 hpf and Walter et al. (2019) showed clear TH production already at 72 hpf but did not analyse time points between 24 and 72 hpf. In fathead minnows, a significant increase of whole body &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;levels was already observed between 1 and 2 dpf, which corresponds to the appearance of the thyroid anlage at 35 hpf prior to the first observation of thyroid follicles at 58 hpf (Wabuke-Bunoti and Firling, 1983). It is still uncertain when exactly embryonic TH synthesis is activated and how this determines sensitivity to TH &lt;/span&gt;&lt;span style="color:black"&gt;system &lt;/span&gt;&lt;span style="color:black"&gt;disruptors.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Sex&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;:&amp;nbsp;The KE is plausibly applicable to both sexes. &lt;/span&gt;&lt;span style="color:black"&gt;THs&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;are essential in both sexes and the components of the HPT-axis are identical in both sexes. There can however be sex-dependent differences in the sensitivity to the disruption of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels and the magnitude of the response. In humans, females appear more susceptible to hypothyroidism compared to males when exposed to certain halogenated chemicals (Hernandez‐Mariano et al., 2017; Webster et al., 2014). In adult zebrafish, Liu et al. (2019) showed sex-dependent changes in &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels and mRNA expression of regulatory genes including corticotropin releasing hormone (crh), thyroid stimulating hormone (tsh) and deiodinase 2 after exposure to organophosphate flame retardants. The underlying mechanism of any sex-related differences remains unclear.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0001977</source-id>
      <source>UBERON</source>
      <name>serum</name>
    </organ-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="743d299f-12bd-427f-91f9-598f151b82a7">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="ab8ca540-4cec-4f7c-9296-145dd17f0bc9">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="9854461a-6642-4d6e-8b76-1413699b8a4d">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="1446f59e-d533-4c7d-bf19-46c44639d7e0">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7847b2e0-dd35-4295-b8b8-633b2669db6e">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="c176400b-72ad-4b53-ba40-cc35f1d29924">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="550621f8-e4d9-400d-b821-99c2ec7ebef0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="da340b04-dc2d-4438-8d71-ade0526dca82">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="0a6f3030-41c6-4d1d-8f24-50d74561adf0" process-id="60831a5d-7776-43bb-82ab-03b325fbb51f" action-id="5cc5a768-946d-4ee8-be1d-065b3d61a6bb"/>
    </biological-events>
    <references>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Axelrad DA, Baetcke K, Dockins C, Griffiths CW, Hill RN, Murphy PA, Owens N, Simon NB, Teuschler LK. Risk assessment for benefits analysis: framework for analysis of a thyroid-disrupting chemical. J Toxicol Environ Health A. 2005 68(11-12):837-55.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Crofton KM. Developmental disruption of thyroid hormone: correlations with hearing dysfunction in rats. Risk Anal. 2004 Dec;24(6):1665-71.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;DeVito M, Biegel L, Brouwer A, Brown S, Brucker-Davis F, Cheek AO, Christensen R, Colborn T, Cooke P, Crissman J, Crofton K, Doerge D, Gray E, Hauser P, Hurley P, Kohn M, Lazar J, McMaster S, McClain M, McConnell E, Meier C, Miller R, Tietge J, Tyl R. (1999). Screening methods for thyroid hormone disruptors. Environ Health Perspect. 107:407-415.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;D&amp;ouml;hler KD, Wong CC, von zur M&amp;uuml;hlen A (1979).&amp;nbsp;&amp;nbsp; The rat as model for the study of drug effects on thyroid function: consideration of methodological problems.&amp;nbsp; Pharmacol Ther B. 5:305-18.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Eales JG. (1997). Iodine metabolism and thyroid related functions in organisms lacking thyroid follicles: Are thyroid hormones also vitaminsProc Soc Exp Biol Med. 214:302-317.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Furlow JD, Neff ES. (2006). A developmental switch induced by thyroid hormone: Xenopus laevis metamorphosis. Trends Endocrinol Metab. 17:40&amp;ndash;47.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Goldey ES, Crofton KM. Thyroxine replacement attenuates hypothyroxinemia, hearing loss, and motor deficits following developmental exposure to Aroclor 1254 in rats. &lt;/span&gt;&lt;span style="color:black"&gt;Toxicol Sci. 1998 45(1):94-10&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Goldey ES, Kehn LS, Lau C, Rehnberg GL, Crofton KM.&amp;nbsp; &lt;/span&gt;&lt;span style="color:black"&gt;Developmental exposure to polychlorinated biphenyls (Aroclor 1254) reduces circulating thyroid hormone concentrations and causes hearing deficits in rats. Tox Appl Pharmacol. 1995 135(1):77-88.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Harris AR, Fang SL, Prosky J, Braverman LE, Vagenakis AG.&amp;nbsp; Decreased outer ring monodeiodination of thyroxine and reverse triiodothyronine in the fetal and neonatal rat.&amp;nbsp; Endocrinology. 1978 Dec;103(6):2216-22&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hernandez-Mariano JA, Torres-Sanchez L, Bassol-Mayagoitia S, Escamilla-Nunez M, Cebrian ME, Villeda-Gutierrez EA, Lopez-Rodriguez G, Felix-Arellano EE, Blanco-Munoz J. 2017. Effect of exposure to p,p &amp;#39;-dde during the first half of pregnancy in the maternal thyroid profile of female residents in a mexican floriculture area. Environmental Research. 156:597-604.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Heyland A, Hodin J. (2004). Heterochronic developmental shift caused by thyroid hormone in larval sand dollars and its implications for phenotypic plasticity and the evolution of non-feeding development. Evolution. 58: 524-538.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Heyland A, Moroz LL. (2005). Cross-kingdom hormonal signaling: an insight from thyroid hormone functions in marine larvae. J Exp Biol. 208:4355-4361.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hill RN, Crisp TM, Hurley PM, Rosenthal SL, Singh DV. Risk assessment of thyroid follicular cell tumors.&amp;nbsp; Environ Health Perspect. 1998 Aug;106(8):447-57.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hornung MW, Kosian P, Haselman J, Korte J, Challis K, Macherla C, Nevalainen E, Degitz S (2015) In vitro, ex vivo and in vivo determination of thyroid hormone modulating activity of benzothiazoles. Toxicol Sci 146:254-264.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hulbert AJ. Thyroid hormones and their effects: a new perspective. Biol Rev Camb Philos Soc. 2000 Nov;75(4):519-631. Review.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Leloup, J., and M. Buscaglia. La triiodothyronine: hormone de la m&amp;eacute;tamorphose des amphibiens. CR Acad Sci 284 (1977): 2261-2263.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu J, Liu Y, Barter RA, Klaassen CD.: Alteration of thyroid homeostasis by UDP-glucuronosyltransferase inducers in rats: a dose-response study. J Pharmacol Exp Ther 273, 977-85, 1994&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu YW, Chan WK. 2002. Thyroid hormones are important for embryonic to larval transitory phase in zebrafish. Differentiation. 70(1):36-45.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Manzon RG, Youson JH. (1997). The effects of exogenous thyroxine (T4) or triiodothyronine (T3), in the presence and absence of potassium perchlorate, on the incidence of metamorphosis and on serum T4 and T3 concentrations in larval sea lampreys (Petromyzon marinus L.). Gen Comp Endocrinol. 106:211-220.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;McClain RM. Mechanistic considerations for the relevance of animal data on thyroid neoplasia to human risk assessment. Mutat Res. 1995 Dec;333(1-2):131-42&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Miller MD, Crofton KM, Rice DC, Zoeller RT.&amp;nbsp; Thyroid-disrupting chemicals: interpreting upstream biomarkers of adverse outcomes. Environ Health Perspect. 2009 117(7):1033-41&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Morse DC, Wehler EK, Wesseling W, Koeman JH, Brouwer A. Alterations in rat brain thyroid hormone status following pre- and postnatal exposure to polychlorinated biphenyls (Aroclor 1254). Toxicol Appl Pharmacol. 1996 Feb;136(2):269-79.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Nelson K, Schroeder A, Ankley G, Blackwell B, Blanksma C, Degitz S, Flynn K, Jensen K, Johnson R, Kahl M et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part i: Fathead minnow. Aquatic Toxicology. 173:192-203.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;NTP National Toxicology Program.: NTP toxicology and carcinogenesis studies of 3,3&amp;#39;-dimethylbenzidine dihydrochloride (CAS no. 612-82-8) in F344/N rats (drinking water studies). Natl Toxicol Program Tech Rep Ser 390, 1-238, 1991.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;O&amp;#39;Connor, J. C., J. C. Cook, et al. (1998). &amp;quot;An ongoing validation of a Tier I screening battery for detecting endocrine-active compounds (EACs).&amp;quot; Toxicol Sci 46(1): 45-60.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;O&amp;#39;Connor, J. C., L. G. Davis, et al. (2000). &amp;quot;Detection of dopaminergic modulators in a tier I screening battery for identifying endocrine-active compounds (EACs).&amp;quot; Reprod Toxicol 14(3): 193-205.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Opitz R, Maquet E, Zoenen M, Dadhich R, Costagliola S. 2011. Tsh receptor function is required for normal thyroid differentiation in zebrafish. Molecular Endocrinology. 25(9):1579-1599.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Power DM, Llewellyn L, Faustino M, Nowell MA, Bjornsson BT, Einarsdottir IE, Canario AV, Sweeney GE. 2001. Thyroid hormones in growth and development of fish. Comp Biochem Physiol C Toxicol Pharmacol. 130(4):447-459.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Rathmann D, Rijntjes E, Lietzow J, K&amp;ouml;hrle J. (2015) Quantitative Analysis of Thyroid Hormone Metabolites in Cell Culture Samples Using LC-MS/MS. Eur Thyroid J. Sep;4(Suppl 1):51-8.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Rouaze-Romet M, Savu L, Vranckx R, Bleiberg-Daniel F, Le Moullac B, Gouache P, Nunez EA. 1992. Reexpression of thyroxine-binding globulin in postweaning rats during protein or energy malnutrition. Acta Endocrinol (Copenh).127:441-448.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Samanidou VF, Kourti PV. (2009) Rapid HPLC method for the simultaneous monitoring of duloxetine, venlaflaxine, fluoxetine and paroxetine in biofluids. Bioanalysis. 2009 Aug;1(5):905-17.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Savu L, Vranckx R, Maya M, Gripois D, Blouquit MF, Nunez EA. 1989. Thyroxine-binding globulin and thyroxinebinding prealbumin in hypothyroid and hyperthyroid developing rats. &lt;/span&gt;&lt;span style="color:black"&gt;BiochimBiophys Acta. 992:379-384.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Schneider S, Kaufmann W, Strauss V, van Ravenzwaay B.&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/span&gt;&lt;span style="color:black"&gt;Vinclozolin: a feasibility and sensitivity study of the ILSI-HESI F1-extended one-generation rat reproduction protocol. Regul Toxicol Pharmacol. 2011 Feb;59(1):91-100.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Schussler, G.C. (2000). The thyroxine-binding proteins. Thyroid 10:141&amp;ndash;149.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Spencer, CA. (2013). Assay of thyroid hormone and related substances. In De Groot, LJ et al. (Eds). Endotext. South Dartmouth, MA&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Sternberg RM, Thoemke KR, Korte JJ, Moen SM, Olson JM, Korte L, Tietge JE, Degitz SJ Jr. &lt;/span&gt;&lt;span style="color:black"&gt;Control of pituitary thyroid-stimulating hormone synthesis and secretion by thyroid hormones during Xenopus metamorphosis. Gen Comp Endocrinol. 2011. 173(3):428-37&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Blackwell BR, Anldey GT, Villeneuve DL, Knapen D. 2020. &lt;/span&gt;&lt;span style="color:black"&gt;Effect of thyroperoxidase and deiodinase inhibition on anterior swim bladder inflation in the zebrafish. Environmental Science &amp;amp; Technology. 54(10):6213-6223.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Schroeder A, Maho W, Blackwell B, Witters H, Blust R, Ankley G, Covaci A, Villeneuve D et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part ii: Zebrafish. Aquatic Toxicology. 173:204-217.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Taurog A. 2005. Hormone synthesis. In: Werner and Ingbar&amp;rsquo;s The Thyroid: A Fundamental and Clinical Text (Braverman LE, Utiger RD, eds). Philadelphia:Lippincott, Williams and Wilkins, 47&amp;ndash;81Walker P, Dubois JD, Dussault JH.&amp;nbsp; Free thyroid hormone concentrations during postnatal development in the rat.&amp;nbsp; Pediatr Res. 1980 Mar;14(3):247-9.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Thienpont B, Tingaud-Sequeira A, Prats E, Barata C, Babin PJ, Rald&amp;uacute;a D. Zebrafish eleutheroembryos provide a suitable vertebrate model for screening chemicals that impair thyroid hormone synthesis. Environ Sci Technol. 2011 Sep 1;45(17):7525-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Wabukebunoti MAN, Firling CE. 1983. The prehatching development of the thyroid-gland of the fathead minnow, pimephales-promelas (rafinesque). General and Comparative Endocrinology. 49(2):320-331.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Walter KM, Miller GW, Chen XP, Yaghoobi B, Puschner B, Lein PJ. 2019. Effects of thyroid hormone disruption on the ontogenetic expression of thyroid hormone signaling genes in developing zebrafish (danio rerio). General and Comparative Endocrinology. 272:20-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Webster GM, Venners SA, Mattman A, Martin JW. 2014. Associations between perfluoroalkyl acids (pfass) and maternal thyroid hormones in early pregnancy: A population-based cohort study. Environmental Research. 133:338-347.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yamauchi K1, Ishihara A. Evolutionary changes to transthyretin: developmentally regulated and tissue-specific gene expression. FEBS J. 2009. 276(19):5357-66.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yaoita Y, Brown DD. (1990). A correlation of thyroid hormone receptor gene expression with amphibian metamorphosis. Genes Dev. 4:1917-1924.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yen PM. (2001). Physiological and molecular basis of thyroid hormone action. Physiol Rev. 81:1097-1142.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT, Tan SW, Tyl RW. General background on the hypothalamic-pituitary-thyroid (HPT) axis. Crit Rev Toxicol. 2007 Jan-Feb;37(1-2):11-53&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller, R. T., R. Bansal, et al. (2005). &amp;quot;Bisphenol-A, an environmental contaminant that acts as a thyroid hormone receptor antagonist in vitro, increases serum thyroxine, and alters RC3/neurogranin expression in the developing rat brain.&amp;quot; Endocrinology 146(2): 607-612.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:23</creation-timestamp>
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      <emperical-support-linkage></emperical-support-linkage>
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    </weight-of-evidence>
    <known-modulating-factors/>
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      <description></description>
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        <evidence>Not Specified</evidence>
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    <description>&lt;p&gt;Thyroid hormones (THs), thyroxine (T4) and triiodothyronine (T3) are synthesized in the thyroid gland in the presence of functional NIS and thyroid peroxidase (TPO) as iodinated thyroglobulin (Tg), and stored in the colloid of thyroid follicles. NIS is a membrane bound glycoprotein whose main physiological function is to transport one iodide ion along with two sodium ions across the basolateral membrane of thyroid follicular cells. Extensive studies on NIS protein have identified 14 different mutations and each one of them is related to Iodine Transport Deficiencies (ITD) (Spitzweg and Morris, 2010). Once inside the follicular cells, the iodide diffuses to the apical membrane, where it is metabolically oxidized through the action of TPO to iodinium (I+), which in turn iodinates tyrosine residues of the Tg proteins in the follicle colloid. Therefore, NIS is essential for the synthesis of thyroid hormones (T3 and T4). TPO is a heme-containing apical membrane protein within the follicular lumen of thyrocytes that acts as the enzymatic catalyst for TH synthesis (Taurog, 2005). Propylthiouracil (PTU) and methimazole (MMI), are thioureylene drugs that are known to inhibit the ability of TPO to: a) activate iodine and transfer it to thyroglobulin (Tg) (Davidson et al., 1978) and, b) couple thyroglobulin (Tg)-bound iodotyrosyls to produce Tg-bound T3 and T4 (Taurog, 2005). PTU and MMI have been found to decrease also the expression of NIS mRNA and consequently iodide accumulation, as shown in FRTL-5 cells (Spitzweg et al. 1999).&lt;/p&gt;

&lt;p&gt;Other compounds, such as triclosan, triclocarban, 2,2&amp;#39;,4,4&amp;#39;-tetrabromodiphenyl ether (BDE-47), and bisphenol A (BPA) have been reported to decrease thyroid hormone (TH) levels by inducing an inhibition of NIS-mediated iodide uptake and altering the expression of genes involved in TH synthesis in rat thyroid follicular FRTL-5 cells, and on the activity of thyroid peroxidase (TPO), using rat thyroid microsomes (Wu Y et al. 2016).&lt;/p&gt;

&lt;p&gt;Perchlorate, thiocyanate, nitrate, and iodide, which are competitive inhibitors of iodide uptake, have been shown to inhibit radioactive iodide uptake by NIS (Tonacchera et al. 2004), consequentially resulting in inhibition of TH synthesis. In particular, perchlorate blocks iodide uptake into the thyroid through NIS inhibition and decreases the production of TH (Steinmaus, 2016a). More recent evidence also suggests that young children, pregnant women, foetuses, and people co-exposed to similarly acting agents may be especially susceptible to perchlorate-induced toxicity (Steinmaus et al., 2016b).&lt;/p&gt;

&lt;p&gt;Concern about environmental perchlorate exposure is focused on its inhibition of iodide uptake into the thyroid (MIE). Decreased iodine intake may decrease thyroid hormone production. Perchlorate exposure, therefore, might be particularly detrimental in iodine-deficient individuals. Median urinary iodine levels are used instead and reflect dietary iodine sufficiency across populations (International Council for the Control of Iodine Deficiency Disorders (ICCIDD); available from: &lt;a href="http://www.iccidd.org"&gt;www.iccidd.org&lt;/a&gt;). According to ICCIDD report Iodine deficiency continues to be an important global public health issue, with an estimated 2.2 million people (38% of the world&amp;#39;s population) living in iodine-deficient areas. In 1990, the United Nations World Summit for Children set forth the goal of eliminating iodine deficiency worldwide (UNICEF World Summit for Children. Available from: &lt;a href="http://www.unicef.org/wsc/declare.htm"&gt;http://www.unicef.org/wsc/declare.htm&lt;/a&gt;; 1990). &amp;nbsp;Considerable progress has been achieved by programmes of universal salt iodisation (USI) in various countries, in line with the recommendations of the World Health Organization (WHO) (WHO, UNICEF, ICCIDD. A guide for programme managers. World Health Organization; Geneva: 2007. Assessment of the iodine deficiency disorders and monitoring their elimination.WHO/NHD/01.1). However, many countries remain iodine deficient (de Benoist et al., 2013; Lazarus and Delange, 2004). In the U.S., data from large population studies have shown that median urinary iodine levels decreased by approximately 50% between the early 1970s and the early 1990s, although the population overall remained iodine sufficient (Hollowell et al., 1998). Subsequent studies have shown that this decrease has stabilised (Caldwell et al., 2005). The WHO still considers iodine deficiency, which leads to hypothyroidism, the single most important preventable cause of brain damage worldwide (WHO/UNICEF/ICCIDD, 2007). The most vulnerable groups are pregnant and lactating women and their developing fetuses and neonates, given the crucial importance of iodine to ensure adequate levels of thyroid hormones for brain maturation. Iodine deficiency in pregnancy is a prevailing problem not only in developing countries, but also in western industrialized nations and other countries classified as free of iodine deficiency, and solution may be found in dietary changes (Moog et al., 2017).&lt;/p&gt;
</description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility>&lt;p&gt;The association between these two KEs is strong, and supported by in vitro, in vivo and epidemiological studies. Blocking iodide uptake into the thyroid follicular cells as a consequence of NIS inhibition or functional impairment, leads to reduced TH synthesis. Compounds that have been shown to inhibit NIS function (e.g., perchlorate, thiocyanate, nitrate, and iodide), has also been proven to decrease TH synthesis by inducing a downregulation of TPO gene expression and/or increase of TSH level, which are both indicative of a reduce TH biosynthesis. TSH receptor controls transcription and posttranslational modification of NIS (Dai et al., 1996). Stimulation of TSH receptor increases T3 and T4 production and secretion (Szkudlinski et al., 2002). NIS gene expression is suppressed by growth factors such as IGF-1 and TGF-&amp;beta; (the latter is induced by the BRAF-V600E oncogene), which prevent NIS to localize in the basolateral membrane (Riesco-Eizaguirre et al., 2009). The BRAF-V600E oncogene is also associated with downregulation TSH receptor (Kleiman et al. 2013). Altogether these studies support the association between NIS inhibition-induced decreased iodide uptake (KE up) and reduced TH synthesis (KE down).&lt;/p&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;p&gt;Several in vitro and epidemiological studies have shown that iodide uptake blockade occurring as a consequence of NIS (and TPO) inhibition leads to reduced TH synthesis:&lt;/p&gt;

&lt;p&gt;- &lt;strong&gt;Spitzweg et al., 1999: &lt;/strong&gt;In this in vitro study, a 48 hr treatment of FRTL-5 cells with MMI (100 &amp;micro;M), PTU (100 &amp;micro;M), and potassium iodide (40 &amp;micro;M) induced ~ 50% decrease of NIS mRNA steady-state levels. Incubation with MMI and PTU resulted in a 20% and 25% decrease of iodide accumulation, respectively, whereas potassium iodide suppressed iodide accumulation by approximately 50%.&lt;/p&gt;

&lt;p&gt;- &lt;strong&gt;Wu Y et al., 2016:&lt;/strong&gt; This in vitro study showed that triclosan, triclocarban, 2,2&amp;#39;,4,4&amp;#39;-tetrabromodiphenyl ether (BDE-47), and bisphenol A (BPA) induced a concentration-dependent inhibition of NIS-mediated iodide uptake. Moreover,&amp;nbsp; triclosan or triclocarban did not affect the expression of genes involved in TH synthesis (Slc5a5, TPO, and Tgo) or thyroid transcription factors (Pax8, Foxe1, and Nkx2-1), BDE-47 decreased the level of TPO, while BPA altered the expression of all six genes, as shown in rat thyroid follicular FRTL-5 cells. At the same time, triclosan and triclocarban also inhibited the activity of TPO at 166 and &amp;gt;300 &amp;mu;M, respectively.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;- &lt;strong&gt;Steinmaus et al., 2016b: &lt;/strong&gt;In 1,880 pregnant women from San Diego County, California, during 2000&amp;ndash;2003, it has been found that the presence of high level of perchlorate, thiocyanate, nitrate, and iodide in water supply induced a decrease of total thyroxine (T4) [regression coefficient (&amp;beta;) = &amp;ndash;0.70; 95% CI: &amp;ndash;1.06, &amp;ndash;0.34], a decrease of free thyroxine (fT4) (&amp;beta; = &amp;ndash;0.053; 95% CI: &amp;ndash;0.092, &amp;ndash;0.013), and an increase of thyroid-stimulating hormone (TSH), all indicators of reduced TH synthesis.&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;- Horton et al., 2015:&lt;/strong&gt; in this study TSH levels measured in blood samples of 284 pregnant women at 12 (&amp;plusmn; 2.8) weeks gestation were found to positively correlate with the levels of urinary concentrations of perchlorate, nitrate and thiocyanate (NIS inhibitors), but perchlorate had the largest weight in the index, indicating the largest contribution to the weighted quantile sum regression. This indicates a perchlorate-dependent alteration of maternal thyroid function, through NIS inhibition.&lt;/p&gt;

&lt;p&gt;- &lt;strong&gt;Brechner et al., 2000:&lt;/strong&gt; Median newborn TSH levels in a city where drinking water supply was perchlorate-contaminated (from the Colorado River below Lake Mead) were significantly higher than those in a city totally supplied with non-perchlorate-contaminated drinking water, even after adjusting for factors known or suspected to elevate newborn TSH levels.&lt;/p&gt;

&lt;p&gt;- &lt;strong&gt;Charatcharoenwitthaya et al. 2014&lt;/strong&gt;: this cross-sectional epidemiological study conducted in 200 pregnant Thai women with a gestational age of 14 weeks or less, showed that low-level exposure to perchlorate (i.e., 1.9 &amp;mu;g/L of urinary perchlorate) was positively associated with TSH and negatively associated with free T4 using multivariate analyses in first-trimester pregnant women. Low thiocyanate urinary levels (510.5 &amp;mu;g/L) were also positively associated with TSH in a subgroup of pregnant women with low iodine excretion (less than 100 &amp;mu;g/L).&lt;/p&gt;

&lt;p&gt;Several other studies have proven that NIS inhibitors lead to a decrease of thyroidal iodide uptake (Jones et al., 1996; Tonacchera et al., 2004; De Groef et al., 2006; Waltz et al., 2010), leading to a reduction of TH synthesis.&lt;/p&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies>&lt;p&gt;Some studies have highlighted contradictory results in relation to response to chemicals. For instance, PTU and MMI have been shown to inhibit the activity of TPO in rats (Davidson et al., 1978), while inducing an increase of cellular TPO activity and TPO mRNA in cultured porcine thyroid follicles (Sugawara et al., 1999). PTU was also found to increase NIS gene expression, and the accumulation of &lt;sup&gt;125&lt;/sup&gt;I, as shown in in rat thyroid FRTL-5 cells, while MMI had no effect (Sue et al., 2012).&lt;/p&gt;

&lt;p&gt;Moreover, despite the well described effects of perchlorate, thiocyanate, nitrate, and iodide on iodide uptake into the thyroid, occupational and clinical dosing studies have not identified clear adverse effects, particularly in the case of perchlorate (Tarone et al. 2010). For instance, a longitudinal epidemiologic Chilean study found that there were no increases of thyroglobulin (Tg) or thyrotropin (TSH) levels, and no decreases of free T4 levels among either women during early pregnancy, late pregnancy, or the neonates at birth related to perchlorate in drinking water, suggesting that perchlorate in drinking water at 114 microg/L did not cause changes in neonatal thyroid function or fetal growth retardation (T&amp;eacute;llez T&amp;eacute;llez et al., 2005). Similarly, no associations between urine perchlorate concentrations and serum TSH or free T4 were found in individual euthyroid or hypothyroid/hypothyroxinemic cohorts of 261 hypothyroid/hypothyroxinemic and 526 euthyroid women from Turin and 374 hypothyroid/hypothyroxinemic and 480 euthyroid women from Cardiff (Pearce et al., 2010), suggesting that log perchlorate may not be a predictor of serum free T4 or TSH. However, it should be considered that these studies may be limited by short study durations, and the inclusion of mostly healthy adults (Steinmaus, 2016b).&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12px"&gt;&lt;span style="font-family:arial,helvetica,sans-serif"&gt;Charnley&amp;#39;s (2008) review examines several studies pointing out a number of inconsistent conclusions regarding link between TH serum levels, urinary iodine concentrations, and environmental perchlorate exposure (Charnley et al. 2008). For instance, no correlations were found between TH serum levels and urinary iodine concentrations among women exposed to perchlorate participating in the 2000-2001 National Health and Nutrition Examination Survey (NHANES). Available evidence does not support a causal relationship between changes in TH levels and current environmental levels of perchlorate exposure, but does support the conclusion that the US EPA&amp;#39;s reference dose (RfD) for perchlorate is conservatively health-protective. However, potential perchlorate risks are unlikely to be distinguishable from the ubiquitous background of naturally occurring substances present at much higher exposures that can affect the thyroid via the same biological mode of action as perchlorate, such as nitrate and thiocyanate. Therefore, risk management approaches that account for both aggregate and cumulative exposures and that consider the larger public health context in which exposures are occurring are desirable.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;In a cross-sectional analysis, McMullen et al. (2017) evaluated the exposure to perchlorate, thiocyanate, and nitrate in 3151 participants aged 12 to 80, to assess whether sensitivity &amp;nbsp;to perchlorate, thiocyanate, and nitrate (NIS inhibitors) could be a factor of age and sex. These results indicate that adolescent boys and girls represent the most vulnerable subpopulations to NIS symporter inhibitors. Therefore, discrepancies in results described in epidemiological studies may be due to difference in age of study participants.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Apart from age, relative source contribution of perchlorate exposure plays an important role in determining a significant reduction of serum TH levels. For instance, Lumen and George (2017) showed that there was no significant difference in geometric mean estimates of free T4 when perchlorate exposure from food only was compared to no perchlorate exposure in pregnant women. The reduction in maternal free T4 levels reached statistical significance when an added contribution from drinking water was assumed in addition to the 90th percentile of food intake for pregnant women. In particular, a daily intake of 0.45- 0.50&amp;mu;g/kg/day of perchlorate was necessary to produce results that were significantly different than those obtained from no perchlorate exposure. The authors comment that &lt;em&gt;&amp;#39;these modelling results can explain why findings from observational studies present inconsistent outcomes regarding the relationship between perchlorate exposure and thyroid hormone levels&lt;/em&gt;&amp;#39;.&amp;quot;&lt;/p&gt;
</uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors></known-modulating-factors>
    <quantitative-understanding>
      <description>&lt;p&gt;In vitro and in vivo studies have specifically reported data supporting quantitative understanding of this KER.&lt;/p&gt;

&lt;p&gt;- &lt;strong&gt;Gilbert et al., 2011&lt;/strong&gt;: This in vivo study examined the relationship between graded levels of iodine (ID) in rats and serum thyroid hormones levels, thyroid iodine content, and urinary iodide excretion. The study provided parametric and dose-response information for development of a quantitative model of the thyroid axis. Female Long Evans rats were fed casein-based diets containing varying iodine (I) concentrations for 8 weeks. Diets were created by adding 975, 200, 125, 25, or 0 &amp;mu;g/kg I to the base diet (~25 &amp;mu;g I/kg chow) to produce 5 nominal I levels, ranging from excess (basal+added I, Treatment 1: 1000 &amp;mu;g I/kg chow) to deficient (Treatment 5: 25 &amp;mu;g I/kg chow). Food intake and body weight were monitored throughout and on 2 consecutive days each week over the 8-week exposure period, animals were placed in metabolism cages to capture urine. Food, water intake, and body weight gain did not differ among treatment groups. Serum T4 was dose-dependently reduced relative to Treatment 1 with significant declines (19 and 48%) at the two lowest I groups, and no significant changes in serum T3 or TSH were detected. Increases in thyroid weight and decreases in thyroidal and urinary iodide content were observed as a function of decreasing ID in the diet. Data were compared with predictions from a published biologically based dose-response (BBDR) model for ID. These results challenged existing models and provide essential information for development of quantitative BBDR models for ID during pregnancy and lactation.&lt;/p&gt;

&lt;p&gt;- &lt;strong&gt;Spitzweg et al., 1999: &lt;/strong&gt;&amp;nbsp;this in vitro study showed that inhibition of TH synthesis (induced by TPO specific inhibitors) decreases the expression of NIS. A 48 hr treatment of FRTL-5 cells with the TPO specific inhibitors MMI (100 &amp;micro;M), PTU (100 &amp;micro;M), and potassium iodide (40 &amp;micro;M), induced a ~ 50% decrease of NIS RNA steady-state levels. Incubation with MMI and PTU resulted in a 20% and 25% decrease of iodide accumulation, respectively, whereas potassium iodide suppressed iodide accumulation by approximately 50%.&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;- Wu F et al., 2012:&lt;/strong&gt; An in vivo study found that high dose of NIS inhibitor perchlorate (520 mg/kg b.wt.) in Sprague-Dawley rats (28-day old) caused a decrease of Tg (~ 50% lower than control), and TPO (~ 45% lower than control) gene expression, indicative of reduced TH biosynthesis, together with a decrease of free T3 (~ 50% lower than control) and free T4 levels (~ 50% lower than control), and a remarkable increase of TSH levels (125% higher than control) (Wu F et al. 2012).&lt;/p&gt;

&lt;p&gt;Additional studies with quantitative data for this KER are also described in &lt;em&gt;Empirical Support for Linkage&lt;/em&gt;. However, further studies are needed in order to drive global conclusions about the magnitude of iodide uptake inhibition required to impact TH synthesis.&lt;/p&gt;
</description>
      <response-response-relationship></response-response-relationship>
      <time-scale></time-scale>
      <feedforward-feedback-loops></feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>During brain development</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="743d299f-12bd-427f-91f9-598f151b82a7">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="ab8ca540-4cec-4f7c-9296-145dd17f0bc9">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;Empirical evidence comes from in vivo studies in rats (Wu F et al., 2012; Davidson et al., 1978), in vitro studies using thyroid follicular rat cells (Spitzweg et al., 1999; Sue et al., 2012) and porcine thyroid follicles (Sugawara et al., 1999), and human epidemiological studies (Steinmaus et al., 2016b; Horton et al., 2015; Brechner et al., 2000)&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <references>#&lt;Reference::ActiveRecord_Associations_CollectionProxy:0x00007b43007f83c0&gt;</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:35</creation-timestamp>
    <last-modification-timestamp>2018-06-04T06:11:03</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="86a49342-5150-4153-9555-d9db27bbb92b">
    <title>
      <upstream-id>18e11bda-cc65-4538-9ac1-299ae5e0edae</upstream-id>
      <downstream-id>1c5febc9-6737-4944-bea5-6cabd7e90199</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
      <taxonomy taxonomy-id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references>#&lt;Reference::ActiveRecord_Associations_CollectionProxy:0x00007b4310b5bac0&gt;</references>
    <source>AOPWiki</source>
    <creation-timestamp>2021-09-09T05:27:10</creation-timestamp>
    <last-modification-timestamp>2021-09-09T05:27:10</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="3aa84016-8791-4d38-a716-a9d8fb1e6d48">
    <title>
      <upstream-id>7b3bcf7f-188d-4a4b-8046-38afa65388ff</upstream-id>
      <downstream-id>1c5febc9-6737-4944-bea5-6cabd7e90199</downstream-id>
    </title>
    <description>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Thyroid hormones (THs), thyroxine (T4) and triiodothyronine (T3) are synthesized by NIS and TPO in the thyroid gland as iodinated thyroglobulin (Tg) and stored in the colloid of thyroid follicles across vertebrates. Secretion from the follicle into serum is a multi-step process. The first involves thyroid stimulating hormone (TSH) stimulation of the separation of the peptide linkage between Tg and TH. The next steps involve endocytosis of colloid, fusion of the endosome with the basolateral membrane of the thyrocyte, and finally release of TH into blood. More detailed descriptions of this process can be found in reviews by Braverman and Utiger (2012) and Zoeller et al. (2007).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <evidence-collection-strategy></evidence-collection-strategy>
    <weight-of-evidence>
      <value>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The weight of evidence linking these two KEs of decreased TH synthesis and decreased T4 in serum is strong. It is commonly accepted dogma that decreased synthesis in the thyroid gland will result in decreased circulating TH (serum T4).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</value>
      <biological-plausibility>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The biological relationship between two KEs in this KER is well understood and documented fact within the scientific community.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;It is widely accepted that TPO inhibition leads to declines in serum T4 levels in adult&amp;nbsp;&lt;strong&gt;mammals&lt;/strong&gt;. This is due to the fact that the sole source for circulating T4 derives from hormone synthesis in the thyroid gland. Indeed, it has been known for decades that insufficient dietary iodine will lead to decreased serum TH concentrations due to inadequate synthesis. Strong qualitative and quantitative relationships exist between reduced TH synthesis and reduced serum T4 (Ekerot et al., 2013; Degon et al., 2008; Cooper et al., 1982; 1983; Leonard et al., 2016; Zoeller and Tan, 2007).&amp;nbsp; There is more limited evidence supporting the relationship between decreased TH synthesis and lowered circulating hormone levels during development.&amp;nbsp; Lu and Anderson (1994) followed the time course of TH synthesis, measured as thyroxine secretion rate, in non-treated pregnant rats and correlated it with serum T4 levels. Modeling of TH in the rat fetus demonstrates the quantitative relationship between TH synthesis and serum T4 concentrations (Hassan et al., 2017, 2020; Handa et al., 2021). Furthermore, a wide variety of drugs and chemicals that inhibit TPO are known to result in decreased release of TH from the thyroid gland, as well as decreased circulating TH concentrations. This is evidenced by a very large number of studies that employed a wide variety of techniques, including thyroid gland explant cultures, tracing organification of 131-I and &lt;/span&gt;&lt;em&gt;&lt;span style="color:black"&gt;in vivo&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt; treatment of a variety of animal species with known TPO inhibitors (King and May,1984; Atterwill et al., 1990; Brown et al., 1986; Brucker-Davis, 1998; Haselman et al., 2020; Hornung et al., 2010; Hurley et al., 1998; Kohrle, 2008; Tietge et al., 2010).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Additionally, evidence is available from studies investigating responses to TPO inhibitors in&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;. For example, Stinckens et al. (2020) showed reduced whole body T4 concentrations in zebrafish larvae exposed to&amp;nbsp;50 or 100 mg/L methimazole, a potent TPO inhibitor,&amp;nbsp;from immediately after fertilization until 21 or 32 days of age. Exposure to 37 or 111 mg/L propylthiouracil also reduced T4 levels after exposure up to 14, 21 and 32 days in the same study. Walter et al. (2019) showed that propylthiouracil had no effect on T4 levels in 24h old zebrafish, but decreased T4 levels of 72h old zebrafish. This difference is probably due to the onset of embryonic TH production between the age of 24 and 72 hours (Opitz et al., 2011). Stinckens et al. (2016) showed that exposure to 2-mercaptobenzothiazole (MBT), an environmentally relevant TPO inhibitor, decreased whole body T4 levels in continuously exposed 5 and 32 day old zebrafish larvae. Several other studies have also shown that chemically induced Inhibition of TPO results in reduced TH synthesis in zebrafish (Van der Ven et al., 2006; Raldua and Babin, 2009; Liu et al., 2011; Thienpont et al., 2011; Rehberger et al., 2018). A high concentration of MBT also decreased whole body T4 levels in 6 day old fathead minnows, but recovery was observed at the age of 21 days although the fish were kept in the exposure medium (Nelson et al., 2016). Crane et al. (2006) showed decreased T4 levels in 28 day old fathead minnows continuously exposed to 32 or 100 &amp;micro;g/L methimazole.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;em&gt;&lt;span style="color:black"&gt;Temporal Evidence:&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt;&amp;nbsp;In&amp;nbsp;&lt;strong&gt;mammals&lt;/strong&gt;, the temporal nature of this KER is applicable to all life stages, including development (Seed et al., 2005).&amp;nbsp; There are currently no studies that measured both TPO synthesis and TH production during development. However, the impact of decreased TH synthesis on serum hormones is similar across all ages in mammals. Good evidence for the temporal relationship comes from thyroid system modeling of the impacts of iodine deficiency and NIS inhibition (e.g., Degon et al., 2008; Fisher et al., 2013). In addition, recovery experiments have demonstrated that serum thyroid hormones recovered in athyroid mice following grafting of in-vitro derived follicles (Antonica et al., 2012).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;strong&gt;&lt;em&gt;Xenopus&lt;/em&gt;&lt;/strong&gt;, it has been shown that depression of TH synthesis in the thyroid gland precedes depression of circulating TH within 7 days of exposure during pro-metamorphosis (Haselman et al., 2020).&amp;nbsp; &amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In oviparous&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;&amp;nbsp;such as zebrafish and fathead minnow, the nature of this KER depends on the life stage since the earliest stages of embryonic development rely on maternal &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;s transferred to the eggs. Embryonic &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis is activated later during embryo-larval development. (See Domain of applicability)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;em&gt;&lt;span style="color:black"&gt;Dose-response Evidence&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt;: Dose-response data is lacking from studies that include concurrent measures of both TH synthesis and serum TH&amp;nbsp;concentrations. However, data is available demonstrating correlations between thyroidal TH and serum TH concentrations during gestation and lactation during development (Gilbert et al., 2013).&amp;nbsp;This data was used to develop a rat quantitative biologically-based dose-response model for iodine deficiency (Fisher et al., 2013). In&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;, dose-responses were demonstrated in both thyroidal&amp;nbsp;T4 and circulating T4 following exposure to three TPO inhibitors (Haselman et al., 2020).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;There are no inconsistencies in this KER, but there are some uncertainties. The first uncertainty stems from the paucity of data for quantitative modeling of the relationship between the degree of synthesis decrease and resulting changes in circulating T4 concentrations. In addition, most of the data supporting this KER comes from inhibition of TPO, and there are a number of other processes (e.g., endocytosis, lysosomal fusion, basolateral fusion and release) that are not as well studied.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;For example, Kim et al. (2015) investigated the adverse effects of Triphenyl phosphate (TPP), a substance that disrupts the thyroid&amp;nbsp;system. Therefore,&lt;strong&gt;&amp;nbsp;Rat pituitary&lt;/strong&gt;&amp;nbsp;(GH3) and&amp;nbsp;&lt;strong&gt;thyroid follicular cell lines&lt;/strong&gt;&amp;nbsp;(FRTL-5) were studied. In the GH3 cells, TPP led to an upregulation of the&amp;nbsp;expression of important thyroid genes (tsh&lt;/span&gt;&lt;span style="color:black"&gt;, tr&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;alpha&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;and tr&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;beta&lt;/span&gt;&lt;span style="color:black"&gt;) while T3, a positive control, downregulated the expression of these genes. In FRTL-5 cells, the expression of nis and tpo genes was significantly upregulated, suggesting that TPP stimulates &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis in the thyroid gland.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;strong&gt;zebrafish larvae&amp;nbsp;&lt;/strong&gt;at the age of 7&amp;nbsp;days post-fertilisation (dpf), TPP exposure resulted in a significant&amp;nbsp;&lt;strong&gt;increase in T3 and T4&lt;/strong&gt;&amp;nbsp;concentrations&amp;nbsp;and the expression of genes involved in thyroid hormone synthesis. Exposure to TPP also significantly regulated the&amp;nbsp;expression of genes involved in the metabolism (dio1), transport (ttr) and excretion (ugt1ab) of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;s. The down-regulation of the crh and tsh&amp;nbsp;genes in the zebrafish larvae suggests the activation of a central regulatory feedback mechanism that is triggered by the increased T3 levels in vivo. Taken together, these observations indicate that TPP increases &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;concentrations in early life stages of zebrafish by disrupting central regulatory and hormone synthesis pathways.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;During&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;&amp;nbsp;metamorphosis, circulating T4 steadily increases to peak levels at metamorphic climax. Therefore, during&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;&amp;nbsp;metamorphosis, this KER is operable at an increased rate as compared to a system that is maintaining steady circulating T4 levels through homeostatic control. In this case, developmental status is a modulating factor for the rates and trajectories of these KEs.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</known-modulating-factors>
    <quantitative-understanding>
      <description>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In rats, Hassan et al. (2020) demonstrated&lt;/span&gt;&lt;em&gt;&lt;span style="color:black"&gt; in vitro: ex vivo&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt; correlations of TPO inhibition using PTU and MMI and constructed a quantitative model relating level of TPO inhibition with changes in circulating T4 levels. They determined that 30% inhibition of TPO was sufficient to decrease circulating T4 levels by 20%. This is further supported by studies of Hassan et al. (2017) and Handa et al. (2021)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;, Haselman et al. (2020) collected temporal and dose-response data for both thyroidal and&amp;nbsp;circulating T4 which showed strong qualitative concordance of the response-response relationship. A&amp;nbsp;quantitative relationship exists there in, but is yet to be demonstrated mathematically in this species.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
      <response-response-relationship>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Fisher et al. (2013) published a quantitative biologically-based dose-response model for iodine deficiency in the rat. This model provides quantitative relationships for thyroidal T4 synthesis (iodine organification) and predictions of serum T4 concentrations in developing rats. There are other computational models that include thyroid hormone synthesis. Ekerot et al. (2012) modeled TPO, T3, T4 and TSH in dogs and humans based on exposure to myeloperoxidase inhibitors that also inhibit TPO.&amp;nbsp; This model was recently adapted for rat&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt;(Leonard et al., 2016) and Hassan et al (2017) have extended it to include the pregnant rat dam in response to TPO inhibition induced by PTU. While the original model predicted serum TH and TSH levels as a function of oral dose, it was not used to explicitly predict the relationship between serum hormones and TPO inhibition, or &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis. Leonard et al. (2016) recently incorporated TPO inhibition into the model. Degon et al (2008) developed a human thyroid model that includes TPO, but does not make quantitative prediction of organification changes due to inhibition of the TPO enzyme. Further empirical support for the response-response relationship has been demonstrated in the amphibian model,&amp;nbsp;&lt;em&gt;Xenopus laevis&lt;/em&gt;, exposed to TPO inhibitors during pro-metamorphosis (Haselman et al., 2020) wherein temporal profiles were measured for both thyroidal and circulating T4.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</response-response-relationship>
      <time-scale>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Given that the thyroid gland contains follicular lumen space filled with stored thyroglobulin/T4, complete inhibition of&amp;nbsp;thyroid hormone synthesis at a given point in time will not result in an instantaneous decrease in circulating T4. The system will be capable of maintaining sufficient circulating T4 levels until the gland stores are depleted. The time it takes to deplete stored hormone will greatly depend on&amp;nbsp;species, developmental status and numerous other factors.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;, Haselman et al. (2020) demonstrated an approximately 5 day difference between a significant decrease in thyroidal T4 preceding a significant decrease in circulating T4 while exposed to a potent TPO inhibitor (MMI) continuously&amp;nbsp;during pro-metamorphosis.&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</time-scale>
      <feedforward-feedback-loops>&lt;p&gt;This KER is entirely influenced by the feedback loop between circulating T4 originating from the thyroid gland and circulating TSH originating from the pituitary. Intermediate biochemical processes exist within the hypothalamus to affirm feedback and coordinately release TSH from the pituitary. However, quantitative representations of these feedback processes are limited to models discussed previously.&lt;/p&gt;

&lt;p&gt;In &lt;em&gt;Xenopus&lt;/em&gt;, circulating levels of T4 increase through pro-metamorphosis indicating a &amp;quot;release&amp;quot; of feedback to allow circulating levels of T4 to increase and drive metamorphic changes (Sternberg et al., 2011). This provides evidence that homeostatic control of feedback can be developmentally dependent, and likely species dependent.&amp;nbsp;&amp;nbsp;&lt;/p&gt;
</feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="743d299f-12bd-427f-91f9-598f151b82a7">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="ab8ca540-4cec-4f7c-9296-145dd17f0bc9">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="9854461a-6642-4d6e-8b76-1413699b8a4d">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7847b2e0-dd35-4295-b8b8-633b2669db6e">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="c176400b-72ad-4b53-ba40-cc35f1d29924">
        <evidence>Low</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="550621f8-e4d9-400d-b821-99c2ec7ebef0">
        <evidence>Low</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Taxonomic&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: This KER is plausibly applicable across vertebrates. While a majority of the empirical evidence comes from work with laboratory rodents, there is a large amount of supporting data from humans (with anti-hyperthyroidism drugs including propylthiouracil and methimazole), some amphibian species (e.g., frog), fish species (e.g., zebrafish and fathead minnow), and some avian species (e.g, chicken).&amp;nbsp; The following are samples from a large literature that supports this concept: Cooper et al. &lt;/span&gt;&lt;span style="color:black"&gt;(1982; 1983); Hornung et al. (2010); Van Herck et al. (2013); Paul et al. (2013); Nelson et al. (2016); Alexander et al. (2017); Stinckens et al. &lt;/span&gt;&lt;span style="color:black"&gt;(2020).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Life stage&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: Applicability to certain life stages may depend on the species and their dependence on maternally transferred thyroid hormones &lt;/span&gt;&lt;span style="color:black"&gt;(TH) &lt;/span&gt;&lt;span style="color:black"&gt;during the earliest phases of development. The earliest life stages of teleost fish rely on maternally transferred THs to regulate certain developmental processes until embryonic TH synthesis is active (Power et al., 2001). As a result, TPO inhibition is not expected to decrease TH synthesis during these earliest stages of development. In zebrafish, Opitz et al. (2011) showed the formation of a first thyroid follicle at 55 hours post fertilization (hpf), Chang et al. (2012) showed a first significant TH increase at 120 hpf and Walter et al. (2019) showed clear TH production already at 72 hpf but did not analyse time points between 24 and 72 hpf. In fathead minnows, a significant increase of whole body &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span style="color:black"&gt;&amp;nbsp;levels was already observed between 1 and 2 dpf, which corresponds to the appearance of the thyroid anlage at 35 hpf prior to the first observation of thyroid follicles at 58 hpf (Wabuke-Bunoti and Firling, 1983). It is still uncertain when exactly embryonic TH synthesis is activated and how this determines sensitivity to TH &lt;/span&gt;&lt;span style="color:black"&gt;system &lt;/span&gt;&lt;span style="color:black"&gt;disruptors.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Sex&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;:&amp;nbsp;The KE is plausibly applicable to both sexes. Thyroid hormones are essential in both sexes and the components of the HPT-axis are identical in both sexes. There can however be sex-dependent differences in the sensitivity to the disruption of thyroid hormone levels and the magnitude of the response. In humans, females appear more susceptible to hypothyroidism compared to males when exposed to certain halogenated chemicals (Hernandez‐Mariano et al., 2017; Webster et al., 2014). In adult zebrafish, Liu et al. (2019) showed sex-dependent changes in thyroid hormone levels and mRNA expression of regulatory genes including corticotropin releasing hormone (crh), thyroid stimulating hormone (tsh) and deiodinase 2 after exposure to organophosphate flame retardants. The underlying mechanism of any sex-related differences remains unclear.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <references>#&lt;Reference::ActiveRecord_Associations_CollectionProxy:0x00007b4304703560&gt;</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:33</creation-timestamp>
    <last-modification-timestamp>2022-10-10T08:56:38</last-modification-timestamp>
  </key-event-relationship>
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    <title>
      <upstream-id>1c5febc9-6737-4944-bea5-6cabd7e90199</upstream-id>
      <downstream-id>69bec4bf-b707-4e22-8b3c-ad67c7610e3b</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
      <taxonomy taxonomy-id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references>#&lt;Reference::ActiveRecord_Associations_CollectionProxy:0x00007b4304722208&gt;</references>
    <source>AOPWiki</source>
    <creation-timestamp>2020-08-25T16:43:49</creation-timestamp>
    <last-modification-timestamp>2020-08-25T16:43:49</last-modification-timestamp>
  </key-event-relationship>
  <aop id="1bd57d82-132e-4131-af9d-0bd9e0ec3c79">
    <title>Iodotyrosine deiodinase (IYD) inhibition leading to altered amphibian metamorphosis</title>
    <short-name>IYD inhib alters metamorphosis</short-name>
    <point-of-contact>Arthur Author</point-of-contact>
    <authors>&lt;p&gt;Jennifer H. Olker, Center for Computational Toxicology and Exposure, US EPA, Duluth, MN, USA &amp;lt;olker.jennifer@epa.gov&amp;gt;&lt;/p&gt;

&lt;p&gt;Jonathan T. Haselman, Center for Computational Toxicology and Exposure, US EPA, Duluth, MN, USA &amp;lt;haselman.jon@epa.gov&amp;gt;&lt;/p&gt;

&lt;p&gt;Sigmund J. Degitz, Center for Computational Toxicology and Exposure, US EPA, Duluth, MN, USA &amp;lt;degitz.sigmund@epa.gov&amp;gt;&lt;/p&gt;

&lt;p&gt;Michael W. Hornung, Center for Computational Toxicology and Exposure, US EPA, Duluth, MN, USA &amp;lt;hornung.michael@epa.gov&amp;gt;&lt;/p&gt;
</authors>
    <coaches>
    </coaches>
    <external_links>
    </external_links>
    <status>
      <wiki-license>BY-SA</wiki-license>
    </status>
    <oecd-project>1.29</oecd-project>
    <handbook-version>1.0</handbook-version>
    <abstract>&lt;p&gt;This putative adverse outcome pathway describes the linkage between inhibition of iodotyrosine deiodinase (dehalogenase, IYD) and altered amphibian metamorphosis. Initial development of this AOP is based largely on IYD literature of clinical evidence in humans, rat model experiments, and biochemical and genetic analyses. The enzyme IYD catalyzes the recycling of iodide from the byproducts of thyroid hormone (TH) synthesis [monoiodotyrosine (MIT) and diiodotyrosine (DIT)] within the thyroid gland as well as other organs, including liver and kidney. IYD protects against excretion of critical iodide and promotes accumulation of iodide in thyroid follicular cells for TH synthesis, which is especially critical for low iodine diets and low iodine environments (including most freshwater ecosystems). Therefore, failure or chemical inhibition of IYD could reduce TH synthesis, resulting in TH insufficiency in tissues and subsequent altered development. Failure of this enzyme in humans, due to mutations in the IYD gene (DEHAL1), has been shown to have negative developmental consequences, including hypothyroidism, goiter, and mental retardation. In rat exposures with suspected IYD inhibitors, serum T4 and T3 were reduced, thyroid gland size and TSH increased, and weight gain was reduced. Additionally, IYD has been shown to be a potential chemical target for thyroid axis disruption through in vitro inhibition assays with polychlorinated biphenyls, polybrominated diphenyl ethers, agrichemicals, antiparasitics, pharmaceuticals, and food colorants. This molecular initiating event, inhibition of IYD, may have broad taxonomic applicability; IYD genes are highly conserved across a wide range of multicellular organisms with evidence that iodide salvage is important for many species.&lt;/p&gt;
</abstract>
    <molecular-initiating-event key-event-id="18e11bda-cc65-4538-9ac1-299ae5e0edae">
      <evidence-supporting-chemical-initiation></evidence-supporting-chemical-initiation>
    </molecular-initiating-event>
    <key-events>
      <key-event key-event-id="b8368190-482d-4993-ae2c-26ce6a6094fd"/>
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      <key-event key-event-id="1c5febc9-6737-4944-bea5-6cabd7e90199"/>
    </key-events>
    <adverse-outcome key-event-id="69bec4bf-b707-4e22-8b3c-ad67c7610e3b">
      <examples>&lt;p&gt;Altered metamorphosis is a critical&amp;nbsp;apical endpoint evaluated as part of&amp;nbsp;regulatory test guideline studies (OECD, 2009, 2015; US EPA 2009, 2015). Measurable effects on metamorphic rates can be&amp;nbsp;an indication of endocrine disruption, and more specifically&amp;nbsp;thyroid disruption, due to the requirement of thyroid hormone for amphibians to undergo metamorphosis. Although this outcome is evaluated at the level of the individual organism, delayed or arrested metamorphosis can have implications toward population-level effects; however, significant effects on metamorphic rates are typically considered in a weight-of-evidence evaluation to determine a chemical&amp;#39;s potential to cause thyroid disruption.&amp;nbsp;&lt;/p&gt;
</examples>
    </adverse-outcome>
    <key-event-relationships>
      <relationship id="def5d979-5eb3-4952-9c20-7c243b39a50d">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>Low</evidence>
      </relationship>
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        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Moderate</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
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        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>High</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="86a49342-5150-4153-9555-d9db27bbb92b">
        <adjacency>non-adjacent</adjacency>
        <quantitative-understanding-value>Moderate</quantitative-understanding-value>
        <evidence>Moderate</evidence>
      </relationship>
      <relationship id="e81dd735-25b3-4eef-8da7-7831463d6bec">
        <adjacency>non-adjacent</adjacency>
        <quantitative-understanding-value>High</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
    </key-event-relationships>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Development</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="cd1f1d4c-cae1-4dbe-be6a-068d667fbe14">
        <evidence>Low</evidence>
      </taxonomy>
    </applicability>
    <overall-assessment>
      <description></description>
      <applicability></applicability>
      <key-event-essentiality-summary></key-event-essentiality-summary>
      <weight-of-evidence-summary></weight-of-evidence-summary>
      <known-modulating-factors/>
      <quantitative-considerations></quantitative-considerations>
    </overall-assessment>
    <potential-applications></potential-applications>
    <references>&lt;p&gt;&lt;br /&gt;
Afink, G.; Kulik, W.; Overmars, H.; de Randamie, J.; Veenboer, T.; van Cruchten, A.; Craen, M.; Ris-Stalpers, C. (2008). Molecular characterization of iodotyrosine dehalogenase deficiency in patients with hypothyroidism. Journal of Clinical Endocrinology and Metabolism, 93, 4894-4901.&lt;/p&gt;

&lt;p&gt;Fujimoto, K.; Matsuura, K.; Das, B.; Fu, L.; Shi, Y-B. (2012). Direct activation of Xenopus iodotyrosine deiodinase by thyroid hormone receptor in the remodeling intestine during amphibian metamorphosis. Endocrinology, 153, 5082-5089.&lt;/p&gt;

&lt;p&gt;Gaupale, T.; Mathi, A.; Ravikuma, A.; Bhargave, S. (2009). Localization and enzyme activity Iodotyrosine dehalogenase 1 during metamorphosis of frog Microhyla ornata. Trends in Comparative Endocrinology and Neurobiology, 1163, 402-406.&lt;/p&gt;

&lt;p&gt;Green, W.L. (1971). Effects of 3-nitro-L-tyrosine on thyroid function in the rat: an experimental model for the dehalogenase defect. The Journal of Clinical Investigation, 50, 2474-2484.&lt;/p&gt;

&lt;p&gt;Moreno, J.; Klootwijk, W.; van Toor, H.; Pinto, G.; D&amp;rsquo;Alessandro, M.; Leger, A.; Goudie, D.; Polak, M.; Gruters, A.; Visser, T. (2008). Mutations in the iodotyrosine deiodinase gene and hypothyroidism. The New England Journal of Medicine, 358, 1811-1818&lt;/p&gt;

&lt;p&gt;Meinhold, H.; Buchholz, R. (1983). Effects of iodotyrosine deiodinase inhibition on serum concentrations and turnover of diiodotyrosine (DIT) and thyrosine (T4) in the rat. Acta endocrinologica, 103, 521-527.&lt;/p&gt;

&lt;p&gt;Phatarphekar, A.; Buss, J.; Rokita, S. (2014). Iodotyrosine deiosinase: a unique flavoprotein present in organisms of diverse phyla. Molecular Biosystems, 10, 86-92.&lt;/p&gt;

&lt;p&gt;Shimizu, R.; Yamaguchi, M.; Uramaru, N.; Kuroki, H.; Ohta, S.; Kitamura, S.; Sugihara, K. (2013). Structure-activity relationships of 44 halogenated compounds for iodotyrosine deiodinase-inhibitory activity. Toxicology, 314, 22-29.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:17</creation-timestamp>
    <last-modification-timestamp>2023-09-25T16:26:54</last-modification-timestamp>
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