Sandbox Reserved 1650: Difference between revisions

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== Composition and 3D structure <ref>DOI 32025030</ref> ==
== Composition and 3D structure <ref>DOI 32025030</ref> ==
=== Global structure ===  
=== Global structure ===  
Human thyroglobulin is a dimeric glycoprotein consisting of 2749 amino acid residues with a molecular weight of 600 kDa. The average size of the dimer is 120x235 Å.  
Human thyroglobulin is a dimeric glycoprotein consisting of 2749 amino acid residues with a molecular weight of 660 kDa. The average size of the dimer is 120x235 Å.  
   
   
Each of its monomers comprises 5 distinct regions on which approximately 66 <scene name='86/868183/Tyr/2'>tyrosines</scene> (chain A in blue, chain B in green, chain C in dark red, chain D in light red) are distributed. These are the regions :  
Each of its monomers comprises 5 distinct regions on which approximately 66 <scene name='86/868183/Tyr/2'>tyrosines</scene> (chain A in blue, chain B in green, chain C in dark red, chain D in light red) are distributed. These are the regions :  
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The complex and particularly stable structure of <scene name='86/868183/Full_tg/2'>TG</scene> gives it iodide reservoir properties. Indeed, all iodinated but non-hormonoid tyrosines are useful for iodine storage in the thyroid gland.  
The complex and particularly stable structure of <scene name='86/868183/Full_tg/2'>TG</scene> gives it iodide reservoir properties. Indeed, all iodinated but non-hormonoid tyrosines are useful for iodine storage in the thyroid gland.  


== Interest in the medical field<ref>DOI 17614775</ref><ref>DOI 12721190</ref><ref>DOI 24147207</ref><ref>DOI 11788684</ref><ref>DOI 17201802</ref><ref>DOI 10.1677/ERC-10-0292</ref><ref>DOI 5773064</ref><ref>DOI 3681445</ref><ref>DOI 12089177</ref><ref>DOI 21134539</ref><ref>DOI 6814409</ref><ref>DOI 29984794</ref><ref>DOI 21649472</ref><ref>DOI 28593684</ref><ref>DOI 29246752</ref><ref>PMID: 762873</ref><ref>DOI 26595189</ref> ==
== Interest in the medical field<ref>DOI 17614775</ref><ref>DOI 10.1677/ERC-10-0292</ref><ref>DOI 5773064</ref><ref>DOI 3681445</ref><ref>DOI 12089177</ref><ref>DOI 21134539</ref><ref>DOI 6814409</ref><ref>DOI 29984794</ref><ref>DOI 26595189</ref> ==
=== Modification of the TG quantity related to the desease ===
=== Modification of the TG quantity related to the desease ===
A healthy subject has between 5 and 25 µg of TG per liter of blood. In case of thyroid dysfunction, this level may increase or decrease. For example, it decreases in the case of congenital athyreosis (insufficiency of the thyroid gland) or prior to a miscarriage due to the presence of anti-TG antibodies, but increases in the case of cancer, thyroiditis, inflammation of the thyroid or autoimmune thyroid diseases AITD (Grave's disease, Hashimoto's thyroiditis).
A healthy subject has between 5 and 25 µg of TG per liter of blood. In case of thyroid dysfunction, this level may increase or decrease. For example, it decreases in the case of congenital athyreosis (insufficiency of the thyroid gland) or prior to a miscarriage due to the presence of anti-TG antibodies, but increases in the case of cancer, thyroiditis, inflammation of the thyroid or autoimmune thyroid diseases AITD <ref>DOI 24147207</ref>(Grave's disease, Hashimoto's thyroiditis).<ref>DOI 11788684</ref>
   
   
In addition, a decrease in the size or capacity of the thyroid causes a decrease in the synthesis of TH by the <scene name='86/868183/Full_tg/2'>TG</scene>, and thus a drop in the blood level of T4 and T3, which in turn causes heart disease, brain disease and abnormalities in the development of the fetus.  
In addition, a decrease in the size or capacity of the thyroid causes a decrease in the synthesis of TH by the <scene name='86/868183/Full_tg/2'>TG</scene>, and thus a drop in the blood level of T4 and T3, which in turn causes heart disease, brain disease and abnormalities in the development of the fetus. <ref>DOI 29246752</ref><ref>DOI 28593684</ref><ref>DOI 12721190</ref>
   
   
The variation of the quantity of TG can thus be as much a cause as a consequence of disease.
The variation of the quantity of TG can thus be as much a cause as a consequence of disease.<ref>DOI 17201802</ref>


=== Use of TG to treat deseases ===
=== Use of TG to treat deseases ===
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Since serum <scene name='86/868183/Full_tg/2'>TG</scene> levels are correlated with the volume of thyroid tissue, we can also estimate the mass of thyroid tissue to detect hyperthyroidism, a disease related to an enlarged thyroid or, conversely, hypothyroidism.
Since serum <scene name='86/868183/Full_tg/2'>TG</scene> levels are correlated with the volume of thyroid tissue, we can also estimate the mass of thyroid tissue to detect hyperthyroidism, a disease related to an enlarged thyroid or, conversely, hypothyroidism.
   
   
For example, thyroidectomy and a iodine-131 therapy can be performed to cure thyroid cancer with an 80% chance. Following removal and iodine-131 therapy, thyroglobulin is this time produced by malignant thyrocytes. As a result, its blood level is indistinguishable from that of a healthy person.  
For example, thyroidectomy and a iodine-131 therapy can be performed to cure thyroid cancer with an 80% chance. Following removal and iodine-131 therapy, thyroglobulin is this time produced by malignant thyrocytes. As a result, its blood level is indistinguishable from that of a healthy person. <ref>PMID: 762873</ref><ref>DOI 21649472</ref>
But in case of recurrence and persistence of cancer, its level can increase again. Thyroglobulin therefore always serves as a tumor marker allowing us to estimate the risk of recurrence (>2ng/ml) or persistence (>1ng/ml) or remission.
But in case of recurrence and persistence of cancer, its level can increase again. Thyroglobulin therefore always serves as a tumor marker allowing us to estimate the risk of recurrence (>2ng/ml) or persistence (>1ng/ml) or remission.



Revision as of 15:11, 9 January 2022

This Sandbox is Reserved from 26/11/2020, through 26/11/2021 for use in the course "Structural Biology" taught by Bruno Kieffer at the University of Strasbourg, ESBS. This reservation includes Sandbox Reserved 1643 through Sandbox Reserved 1664.
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Human thyroglobulin (TG)

Human thyroglobulin

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References