<?xml version="1.0" encoding="UTF-8"?>
<data xmlns="http://www.aopkb.org/aop-xml">
  <chemical id="5d1e2229-252c-4b17-af1a-799378709b34">
    <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="24c9291a-55d7-45f5-abbb-d849527f022a">
    <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="3f661e5c-e9c3-4656-9dbc-ce3121bad133">
    <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="04a7051a-f89c-4ac0-b946-fec218ab0567">
    <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="e069d882-948b-4717-8819-1f70006790e4">
    <source-id>PR:000006727</source-id>
    <source>PR</source>
    <name>dual oxidase 1</name>
  </biological-object>
  <biological-object id="afec0b99-cec9-4ed2-94ce-58abfec2f27d">
    <source-id>CHEBI:60311</source-id>
    <source>CHEBI</source>
    <name>thyroid hormone</name>
  </biological-object>
  <biological-object id="1470d8ae-ffa5-4b43-9065-018e7593e87e">
    <source-id>CHEBI:30660</source-id>
    <source>CHEBI</source>
    <name>thyroxine</name>
  </biological-object>
  <biological-process id="ae986fad-cda7-42f5-998d-9e308f959103">
    <source-id>GO:0003824</source-id>
    <source>GO</source>
    <name>catalytic activity</name>
  </biological-process>
  <biological-process id="5a8b808c-ebd8-4c55-9292-c8701343c8c2">
    <source-id>GO:0006590</source-id>
    <source>GO</source>
    <name>thyroid hormone generation</name>
  </biological-process>
  <biological-process id="d1432e3b-dd88-442e-a74a-c8998f9aeec8">
    <source-id>GO:0007552</source-id>
    <source>GO</source>
    <name>metamorphosis</name>
  </biological-process>
  <biological-process id="d4de6571-5f75-4eb7-84f6-f15cfb4a703a">
    <source-id>MP:0005475</source-id>
    <source>MP</source>
    <name>abnormal circulating thyroxine level</name>
  </biological-process>
  <biological-action id="0768ea93-0fee-4d69-a5ff-85ad6b4d29a5">
    <source-id>2</source-id>
    <source>WIKI</source>
    <name>decreased</name>
  </biological-action>
  <biological-action id="70319a27-02d4-46ff-a5c7-bce8331595cf">
    <source-id>5</source-id>
    <source>WIKI</source>
    <name>delayed</name>
  </biological-action>
  <biological-action id="af6ababb-d962-4d77-a771-e82b5840dd94">
    <source-id>1</source-id>
    <source>WIKI</source>
    <name>increased</name>
  </biological-action>
  <stressor id="de5bd6b4-26a1-4b28-b624-f828cb1cc1c6">
    <name>Propylthiouracil</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="5d1e2229-252c-4b17-af1a-799378709b34" 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="9298a78c-cd2c-4e39-84dd-837ec2c37b1e">
    <name>Methimazole</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="24c9291a-55d7-45f5-abbb-d849527f022a" 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="b937e83a-e4ae-4b42-b726-8561199ed7be">
    <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="3cc5238c-e49e-43e0-a04a-b89be0219085">
    <name>Mercaptobenzothiazole</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="3f661e5c-e9c3-4656-9dbc-ce3121bad133" 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="761ec6a5-574e-4dd3-9975-aa666cb9b591">
    <name>Perchlorate</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="04a7051a-f89c-4ac0-b946-fec218ab0567" 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="5d04a865-5dbe-4440-936a-0c6d244a6660">
    <source-id>WCS_8355</source-id>
    <source>common ecological species</source>
    <name>African clawed frog</name>
  </taxonomy>
  <taxonomy id="1461caeb-a981-4049-a19d-8de2a1be557d">
    <source-id>10116</source-id>
    <source>NCBI</source>
    <name>rat</name>
  </taxonomy>
  <taxonomy id="a5985988-703d-4734-8977-199c0fd306f3">
    <source-id>WCS_9606</source-id>
    <source>common toxicological species</source>
    <name>human</name>
  </taxonomy>
  <taxonomy id="27c11204-1ecb-4588-be2c-63a62e51db9b">
    <source-id>WCS_8355</source-id>
    <source>common ecological species</source>
    <name>Xenopus laevis</name>
  </taxonomy>
  <taxonomy id="3800ea73-06cc-458c-a14f-0ad0294e39ef">
    <source-id>WCS_7955</source-id>
    <source>common ecological species</source>
    <name>zebrafish</name>
  </taxonomy>
  <taxonomy id="152d7ede-1d1a-4bb7-b8c3-9bfc96f38466">
    <source-id>WCS_90988</source-id>
    <source>common ecological species</source>
    <name>fathead minnow</name>
  </taxonomy>
  <taxonomy id="50f44e90-4511-494c-bcaf-28a5e14c0cef">
    <source-id>9823</source-id>
    <source>NCBI</source>
    <name>Sus scrofa</name>
  </taxonomy>
  <taxonomy id="2c5be7eb-5acb-4f19-8d01-004cdf0ec950">
    <source-id>10090</source-id>
    <source>NCBI</source>
    <name>mouse</name>
  </taxonomy>
  <taxonomy id="0d486634-7685-4276-9484-f96e7eb0c7ca">
    <source-id>WCS_9031</source-id>
    <source>common ecological species</source>
    <name>chicken</name>
  </taxonomy>
  <key-event id="1bd954f7-eb3e-4e35-a893-a5008be14c84">
    <title>Inhibition, Dual oxidase</title>
    <short-name>Inhibition, Dual oxidase</short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
      <taxonomy taxonomy-id="5d04a865-5dbe-4440-936a-0c6d244a6660">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="e069d882-948b-4717-8819-1f70006790e4" process-id="ae986fad-cda7-42f5-998d-9e308f959103" action-id="0768ea93-0fee-4d69-a5ff-85ad6b4d29a5"/>
    </biological-events>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:30</creation-timestamp>
    <last-modification-timestamp>2016-12-03T16:37:53</last-modification-timestamp>
  </key-event>
  <key-event id="00d65301-1eaa-442c-aa0f-1bea7ea31f12">
    <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="1461caeb-a981-4049-a19d-8de2a1be557d">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="a5985988-703d-4734-8977-199c0fd306f3">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="27c11204-1ecb-4588-be2c-63a62e51db9b">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="3800ea73-06cc-458c-a14f-0ad0294e39ef">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="152d7ede-1d1a-4bb7-b8c3-9bfc96f38466">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="50f44e90-4511-494c-bcaf-28a5e14c0cef">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="afec0b99-cec9-4ed2-94ce-58abfec2f27d" process-id="5a8b808c-ebd8-4c55-9292-c8701343c8c2" action-id="0768ea93-0fee-4d69-a5ff-85ad6b4d29a5"/>
    </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;

&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;Campinho MA, Saraiva J, Florindo C, Power DM. 2014. Maternal thyroid hormones are essential for neural development in zebrafish. Molecular Endocrinology. 28(7):1136-1149.&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;Chang J, Wang M, Gui W, Zhao Y, Yu L, Zhu G. 2012. Changes in thyroid hormone levels during zebrafish development. Zoological Science. 29(3):181-184.&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;Crane HM, Pickford DB, Hutchinson TH, Brown JA. 2004. Developmental changes of thyroid hormones in the fathead minnow, pimephales promelas. General and Comparative Endocrinology. 139(1):55-60.&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;Deal CK, Volkoff H. 2020. The role of the thyroid axis in fish. &lt;/span&gt;&lt;span style="color:black"&gt;Frontiers in Endocrinology. 11.&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;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="07fab066-6ab0-404b-931b-bd9d8ce97cc7">
    <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="5d04a865-5dbe-4440-936a-0c6d244a6660">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="d1432e3b-dd88-442e-a74a-c8998f9aeec8" action-id="70319a27-02d4-46ff-a5c7-bce8331595cf"/>
      <biological-event process-id="d1432e3b-dd88-442e-a74a-c8998f9aeec8" action-id="af6ababb-d962-4d77-a771-e82b5840dd94"/>
    </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="3cec6061-e3a5-4fda-9bfc-89b0fc9b3c7e">
    <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="a5985988-703d-4734-8977-199c0fd306f3">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="1461caeb-a981-4049-a19d-8de2a1be557d">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="2c5be7eb-5acb-4f19-8d01-004cdf0ec950">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="0d486634-7685-4276-9484-f96e7eb0c7ca">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="27c11204-1ecb-4588-be2c-63a62e51db9b">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="3800ea73-06cc-458c-a14f-0ad0294e39ef">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="152d7ede-1d1a-4bb7-b8c3-9bfc96f38466">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="50f44e90-4511-494c-bcaf-28a5e14c0cef">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="1470d8ae-ffa5-4b43-9065-018e7593e87e" process-id="d4de6571-5f75-4eb7-84f6-f15cfb4a703a" action-id="0768ea93-0fee-4d69-a5ff-85ad6b4d29a5"/>
    </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;

&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;Baret A. and Fert V.&amp;nbsp; T4 and ultrasensitive TSH immunoassays using luminescent enhanced xanthine oxidase assay. J Biolumin Chemilumin. 1989. 4(1):149-153&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;Bartalena L, Robbins J. Thyroid hormone transport proteins. Clin Lab Med. 1993 Sep;13(3):583-98. Bassett JH, Harvey CB, Williams GR. (2003). Mechanisms of thyroid hormone receptor-specific nuclear and extra nuclear actions. Mol Cell Endocrinol. 213:1-11.&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;Capen CC. Mechanistic data and risk assessment of selected toxic end points of the thyroid gland. Toxicol Pathol. 1997 25(1):39-48.&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;Carr JA, Patino R. 2011. The hypothalamus-pituitary-thyroid axis in teleosts and amphibians: Endocrine disruption and its consequences to natural populations. General and Comparative Endocrinology. 170(2):299-312.&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;Chang J, Wang M, Gui W, Zhao Y, Yu L, Zhu G. 2012. Changes in thyroid hormone levels during zebrafish development. Zoological Science. 29(3):181-184.&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;Cope RB, Kacew S, Dourson M. A reproductive, developmental and neurobehavioral study following oral exposure of tetrabromobisphenol A on Sprague-Dawley rats. Toxicology. 2015 329:49-59.&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;Corcoran JM, Eastman CJ, Carter JN, Lazarus L. (1977). Circulating thyroid hormone levels in children. Arch Dis Child. 52: 716-720.&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;Crane HM, Pickford DB, Hutchinson TH, Brown JA. 2006. The effects of methimazole on development of the fathead minnow, pimephales promelas, from embryo to adult. Toxicological Sciences. 93(2):278-285.&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;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;

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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;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>
    <last-modification-timestamp>2022-10-10T08:52:30</last-modification-timestamp>
  </key-event>
  <key-event-relationship id="84907981-8a79-46b8-b4ba-b611c1443f8d">
    <title>
      <upstream-id>1bd954f7-eb3e-4e35-a893-a5008be14c84</upstream-id>
      <downstream-id>00d65301-1eaa-442c-aa0f-1bea7ea31f12</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="5d04a865-5dbe-4440-936a-0c6d244a6660">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references>#&lt;Reference::ActiveRecord_Associations_CollectionProxy:0x00007b4304646320&gt;</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:37</creation-timestamp>
    <last-modification-timestamp>2016-12-03T16:38:05</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="c1614d49-cb67-4358-a6d5-d988c99175c0">
    <title>
      <upstream-id>3cec6061-e3a5-4fda-9bfc-89b0fc9b3c7e</upstream-id>
      <downstream-id>07fab066-6ab0-404b-931b-bd9d8ce97cc7</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="5d04a865-5dbe-4440-936a-0c6d244a6660">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references>#&lt;Reference::ActiveRecord_Associations_CollectionProxy:0x00007b43046ff0a0&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>
  <key-event-relationship id="799209a2-39c0-4333-ad78-00dd717747d6">
    <title>
      <upstream-id>00d65301-1eaa-442c-aa0f-1bea7ea31f12</upstream-id>
      <downstream-id>3cec6061-e3a5-4fda-9bfc-89b0fc9b3c7e</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="a5985988-703d-4734-8977-199c0fd306f3">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="1461caeb-a981-4049-a19d-8de2a1be557d">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="2c5be7eb-5acb-4f19-8d01-004cdf0ec950">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="27c11204-1ecb-4588-be2c-63a62e51db9b">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="3800ea73-06cc-458c-a14f-0ad0294e39ef">
        <evidence>Low</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="152d7ede-1d1a-4bb7-b8c3-9bfc96f38466">
        <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;
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    <title>Dual oxidase (DUOX) inhibition leading to altered amphibian metamorphosis</title>
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    <point-of-contact>Brendan Ferreri-Hanberry</point-of-contact>
    <authors>&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;
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      <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;
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