Thyrotropin-releasing hormone (TRH) is a hormone produced in the hypothalamus. It controls thyroid hormone production and also has several other important roles in the body. Read this post to learn more about the roles of TRH, as well as 15 factors that increase and decrease TRH levels.
- Introduction: Thyrotropin-Releasing Hormone (TRH)
- TRH: The Good
- Potential Side Effects of TRH
- Factors that Increase TRH
- Factors that Decrease TRH
Introduction: Thyrotropin-Releasing Hormone (TRH)
It is found widely in the brain and is considered a neurotransmitter (R).
TRH controls (R):
- energy balance (homeostasis)
- eating patterns
- thermogenesis (heat production)
- autonomic regulation (the unconscious control of vital bodily functions)
Hypothyroidism that is caused by low TRH is called hypothalamic hypothyroidism, or central hypothyroidism.
Reference Range of TRH
Normal Range of TRH is 5 – 25 U/ml.
TRH: The Good
1) TRH Reduces Anxiety
2) TRH Improves Learning and Memory
TRH is widely found in the brains of mammals and is considered a neurotransmitter (R)
Whether TRH has a positive or neutral effect on cognitive function is still debated.
However, many other studies have found TRH to enhance learning and reduce memory impairment (R).
In rabbits, chronically high levels of TRH delayed the process of forgetting and improved learning (R).
3) TRH is an Antidepressant
Generally, TRH is an antidepressant (R).
Depressed patients do not produce as much TSH in response to TRH; the response can be increased by an anti-depressant (R).
Depressed patients have decreased TRH gene expression in the hypothalamus of the brain (R).
In mice, TRH functions by activating two receptors – TRH-R1 and TRH-R2, the latter of which is not found in humans. Activation of these receptors initiates a number of effects in the brain. Mice lacking TRH receptor type 1 (TRH-R1) are more depressed and anxious. These mice exhibited hypothyroidism. (R).
4) TRH May Be Linked to Weight Loss
TRH suppresses appetite (R).
Hungry rats injected with TRH ate less food (R).
TRH injections reduce food and water intake in both fed and food-restricted animals (R).
5) TRH Increases Arousal
6) TRH May Help with High Blood Sugar and Diabetes
TRH is also made in the pancreas. It inhibits amylase secretion and increases glucagon secretion from the pancreas (R).
Genetically modified mice that lack TRH have elevated blood sugar (hyperglycemia) (R).
7) TRH Stimulates Healthy Stomach Secretions
8) TRH Stimulates Prolactin Secretion
Potential Side Effects of TRH
1) TRH Can Induce Stomach Ulcer
2) Administration of TRH May Cause Bleeding Tumors in the Pituitary
A rare side effect of TRH injection during pituitary function tests is apoplexy (loss of consciousness) because large doses of TRH injection can cause hemorrhagic pituitary adenoma (bleeding tumors in the pituitary). The adenoma can cause abnormal pituitary functions and vision changes (R). However, this only happens with TRH administration at very high doses under medical supervision.
Factors that Increase TRH
1) Low Thyroid Hormones Increase TRH
2) Estrogen (Estradiol) Increases TRH
3) Cold Exposure Increases TRH
4) Sauna Increases TRH
TSH is released by TRH, so when TSH is increased, it’s an indicator that TRH is also increased.
5) Exercise Increases TRH
TSH continued to rise in a dose dependent manner (R).
8) Lithium and Valproate Increase TRH Levels and TRH Receptors
Inhibiting Sirt1 Increases TRH
Ketamine Increases TRH Levels
Electroconvulsive Therapy Increases TRH Levels
Electroconvulsive therapy is a treatment for treatment-resistant depression. In rats, electroconvulsive therapy increases TRH levels, which correlates well with the reduction in depressive symptoms (R).
Factors that Decrease TRH
1) High Thyroid Hormones Decrease TRH
High Free T4 and Free T3 levels can signal the pituitary to adjust TSH and TRH levels (R).
2) Stress and High Cortisol Can Reduce TRH Levels
3) Inflammation Reduces TRH Levels
In rats, injection of LPS (a bacterial toxin) suppresses production of TRH, TSH, and T3 levels, while increasing CRH and cortisol levels. However, blocking the CRH and cortisol increase does not prevent the reduction in TRH and TSH levels due to LPS-induced inflammation (R).
High dose of LPS injection in rats reduced TRH levels within 2 hours (R).
4) Orexin Reduces TRH Levels
Injection of orexin-A in rats inhibits TRH release from the hypothalamus, leading to a reduction in TSH levels but no change in thyroid hormone levels (R).
5) Adipokine Signaling Suppresses TRH Production
Ghrelin may inhibit HPT axis activity by increasing Agouti or NPY.
6) Leptin Resistance Reduces TRH
High leptin levels in newborn rats can lead to persistently elevated leptin levels, leptin resistance, and hypothyroidism in their hypothalamus at 30 days of age and at adulthood. In these animals, acute cold at 30 days old restore normal leptin levels and leptin sensitivity in the hypothalamus. In addition, cold exposure further increased thyroid hormones (R).
This is because leptin (and cold exposure) stimulates TRH levels, so leptin resistance reduces TRH levels, and restoring leptin sensitivity increases thyroid hormones.
7) Fasting and Starvation Reduce TRH
Fasting reduces leptin and therefore reduces HPT activity by reducing TRH, TSH production, T3, T4, and liver enzymes that convert T4 to T3 (R).
However, leptin administration does not reverse changes in thyroid hormone levels in acute fasting (R).
8) Chemotherapy May Reduce TRH
- Tissues that control the TRH release or HPT axis, Source: https://www.ncbi.nlm.nih.gov/pubmed/26527565
- TRH is created by the paraventricular nucleus, a nerve cell cluster in the hypothalamus (R).
- Thyrotropin-releasing hormone (TRH) is a 3-amino acid peptide synthesized in the hypothalamus. TRH binds to the receptors in the pituitary cells, causing them to release the thyroid stimulating hormone (TSH), which then stimulates T4 production (R).
- The hormone is released into the blood surrounding the pituitary gland (R).
- TRH lasts for only two minutes and travels less than one inch before it’s broken down (R).
- Pyroglutamyl peptidase II is the enzyme that deactivates TRH in the tanycytes of the hypothalamus. In the serum, this enzyme is called thyroliberinase (R).
- In rats, administration of TRH in the pancreas induced various types of gene expressions, such as G-protein coupled receptors (GPCR) and signal transduction related genes (GPCR kinase 4, transducin beta subunit 5, arrestin beta1, MAPK3, MAPK5, c-Src kinase, PKCs, PI3 kinase), growth factors (PDGF-B, IGF-2, IL-18, IGF-1, IL-2, IL-6, endothelin-1) and apoptotic factors (Bcl2, BAD, Bax).
- Thyroid hormone receptor regulates transcription of Trh mRHA (R).
- Factors that activate TRH expression include Leptin (through the Ob-Rb receptor and phosphorylation of Stat3), a-MSH, noradrenaline, PKA, BDNF, ERK phosphorylation of CREB (R).
- pCREB and cortisol binding to Trh promoter inhibits TRH transcription (R).