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Effect of TRH on TSH Glycosylation and
Biological Action
BRUCE D. WEINTRAUB, NEIL GESUNDHEIT,
TERRY TAYLOR, AND PETER W. GYVES
Molecular, Cellular and Nutritional Endocrinology Branch
National Institute of Diabetes and Digestive
and Kidney Diseases
National Institutes of Health
Bethesda, Maryland 20892
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Thyroid-stimulating hormone (TSH) is a glycoprotein comprised of two noncovalently linked subunits, or and p. The structure of TSH from a variety of species
has been elucidated, including the amino acid sequence and carbohydrate composition.'Y2 Bovine TSH has been particularly well characterized and its a subunit
has a molecular weight of 14,000, of which 11,000 is composed of a protein core of
96 amino acids and 3,000 represents two oligosaccharide units linked to asparagine residues. Bovine TSHP has a molecular weight of 15,000 of which 13,000 is
comprised of a protein core of 113 amino acids and 2,000 represents one asparagine-linked oligosaccharide unit. TSH is structurally related to the pituitary gonadotropins, luteinizing hormone (LH) and follicle-stimulating hormone (FSH),
as well to the placental hormone chorionic gonadotropin (CG). Within a single
species the a subunits from each of these glycoprotein hormones are virtually
identical, whereas the p subunits are unique and confer immunologic, receptorbinding, and biologic specificity. Attainment of the conformation necessary for
hormonal activity is dependent on proper assembly and carbohydrate processing
of the TSH subunits, whereas the free subunits are essentially devoid of receptor
binding and biologic activity.2
TSH BIOSYNTHESIS AND PROCESSING
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The a and /3 subunits of TSH are synthesized from separate messenger RNAs
encoded by DNA from genes located on separate chromosomes that may differ
between
The separate chromosomal location of two TSH subunit genes
raises interesting questions about how their synthesis is coordinated in various
physiological states. Preliminary studies suggest that there are 5' regulatory elements upstream of the DNA coding regions for both of these genes, and these
common regulatory elements may ultimately prove to be responsible for coordinate r e g ~ l a t i o n . The
~ , ~ nucleotide sequence for TSHa and TSHP has confirmed
for each subunit the presence of an amino-terminal signal peptide, a sequence of
24 (for or) or 20 (for p) amino acids that is important for the binding of ribosomes
containing incomplete polypeptide chains to the rough endoplasmic reticulum.
Moreover, the hydrophobic nature of the signal peptide permits insertion of the
chains through the lipid bilayer of the membrane and into the lumen of the endoplasmic reticulum. Each signal peptide is cleaved from the growing polypeptide
before completion of messenger RNA translation, and these signal peptides are
not found in subunits in intact
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Initial glycosylation of TSH subunits occurs in the endoplasmic reticulum by
cotranslational transfer en bloc of a precursor oligosaccharide unit, attached to a
dolichol-phosphate carrier, within the rough endoplasmic reticulum.13J4The precursor carbohydrate chains contain nine mannose residues and are therefore
termed “high-mannose.” Subsequent processing of these carbohydrate chains
leads to elimination of all but three mannose residues and addition of other sugars
such as N-acetylglucosamine, N-acetylgalactosamine, galactose, fucose, and N acetylneuraminic acid (sialic acid). In addition, certain TSH carbohydrate chains
may terminate in an unusual sulfate moiety, which is found in pituitary glycoprotein hormones, but not the placental glycoprotein hormone hCG.ISBecause of the
variety of carbohydrate moieties found in the final chains, these are termed “complex’’ oligosaccharide units. The most common complex oligosaccharides contain
two branches and are called biantennary, but structures with three branches
(triantennary) or four antennas (tetraantennary) as well as those with one complex
and one high-mannose antenna (hybrid) can also occur. During glycoprotein processing, therefore, molecules originating from a common precursor obtain a spectrum of heterogeneous structures with many potential differences in their conformations and possibly in their biologic activities. Finally, there appear to be at least
two intracellular routes that secretory glycoproteins follow: one that is nonregulated and uses transport or secretory vesicles, and one that is regulated, secretogogue-dependent, and uses secretory granules. l6
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ROLES OF TSH CARBOHYDRATE IN BIOSYNTHESIS, SECRETION,
AND ACTION
The carbohydrate of TSH apparently plays multiple roles in hormone assembly, secretion, and action. These conclusions have been reached by observing the
effects of inhibition of subunit glycosylation or carbohydrate processing during
biosynthesis, the effects of chemical deglycosylation of TSH on bioactivity and
metabolic clearance, as well as the bioactivity and clearance of naturally occurring TSH forms differing in carbohydrate content.
The precursor high-mannose carbohydrate unit of TSH permits a-P subunit
combination and protects against intracellular proteolysis and aggregation. These
conclusions were reached by experiments with the antibiotic tunicamycin, an
inhibitor of asparagine-linked glycosylation.11,17 Recently we have also employed
another antibiotic, deoxynojirimycin, that inhibits the processing of the precursor
high-mannose sugar chains to the final complex chains at a very early step.ls This
agent did not inhibit a-P subunit combination, but did inhibit TSH secretion,
implying that maturation of sugar chains is related to intracellular TSH transport.
The final complex structure of secreted TSH carbohydrate apparently is important in determining the intrinsic biologic activity and the metabolic clearance
rate of the secreted, circulating hormone. Various forms of TSH from different
intrapituitary or secreted sources were fractionated by gel chromatography and
found to have components with widely different biological to immunological (B/1)
ratios.I9 These forms were found to bind differently to various lectin columns,
suggesting that differences in B/I ratios were primarily related to changes in
carbohydrate composition. These data suggest that the complex carbohydrate
moieties of TSH modulate its bioactivity. Recently wem and others21,22
demonstrated that after deglycosylation with anhydrous hydrogen fluoride, TSH demonstrates markedly reduced bioactivity despite normal or increased receptor binding
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WEINTRAUB et al.: TRH AND TSH GLYCOSYLATION
207
properties and also acts as a competitive antagonist to normally glycosylated
TSH. When such deglycosylation was performed with newly available endoglycosidases, such as endoglycosidase F, the effects on in uitro activity were not as
marked as were those previously noted with the use of hydrogen fluoride.23However, it is not yet clear whether enzymatic removal of sugars is as complete as that
achieved with chemical methods. Nonetheless, even with such possible incomplete enzymatic methods, a reduction in bioactivity of up to 6040% was observed. Moreover, after intravenous injection into normal rats the deglycosylated
hormone had a more rapid metabolic clearance rate than did the native hornone.^^ Various naturally occumng forms of intrapituitary and secreted TSH
derived from different physiological states also showed differences in their metabolic clearance rate, presumably on the basis of differences in carbohydrate structure.24
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PRETRANSLATIONALREGULATION OF TSH BY THYROID
HORMONE AND TRH
There are many potential points for regulation of TSH synthesis and glycosylation. The effects of alterations in thyroid hormone levels in uiuo have been
elucidated in great detail, and these studies primarily show effects at a pretranslational
It was recently demonstrated that the effects of thyroid hormone
deficiency on TSH biosynthesis are mediated by increased levels of a and fl
subunit messenger RNA. After administration of thyroid hormone to hypothyroid
animals, TSH subunit messenger RNA levels decreased within hours, with the
effects on /3 being more rapid and greater than those on a. Direct inhibition of a!
and /? subunit gene transcription by thyroid hormone administration also was
recently demonstrated. It should be stressed that these in uiuo studies are probably causing major changes in endogenous TRH secretion, which may play a
significant role in synergizingwith thyroid hormone to achieve the final changes in
gene transcription. For example, it is now established that primary hypothyroidism is associated with increased hypothalamic TRH biosynthesisB and that administration of thyroid hormone reduces endogenous TRH synthesis. Therefore,
future studies with in uiuo models in which hypothyroidism has been achieved in
the setting of TRH deficiency, or in uifro models of dispersed pituitary cells in
which TRH is absent will be necessary to separate thyroid hormone from TRH
effects.
The direct effects of TRH on TSH protein biosynthesis have been studied in
both in uiuo and in uitro models. TRH administered in uiuo does not appear to
have a major effect on TSH biosynthesis. Neither we30nor others6have observed
significant changes in pituitary a! or p messenger RNA levels after in uiuo TRH
administration to normal or hypothyroid animals or in animals in which the pituitary was transplanted to the renal capsule, producing a state of hypothalamic
hormone deficiency. However, under certain conditions, it has been possible to
demonstrate that TRH administered in uitro to pituitary cells from normal or
hypothyroid rats31,32
or from dispersed thyrotropic tumor ~ e l l scauses
~~.~
small
~
but consistent increases in TSH biosynthesis. Similarly, it was shown recently
that TSH gene transcription and messenger RNA levels can be increased significantly by TRH administration to dispersed pituitary cells from hypothyroid rats34
and to a lesser extent to cells derived from normal rats.35Thus, although TRH
apparently modulates TSH biosynthesis, this effect may require concomitant thyroid hormone deficiency.
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POSTTRANSLATIONAL REGULATION OF TSH BY TRH
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The best documented and most significant effects of TRH apparently are those
involving TSH secretion and carbohydrate processing. Early biosynthetic studies
suggested that TRH, in addition to promoting secretion of TSH, increased the
relative incorporation of [3H]glucosamineinto TSH from whole36and dispersed3’
rat pituitaries. Using subunit-specific analytical methods and electrophoresis of
TSH on SDS-polyacrylamide gels, we showed that normal rat pituitaries stimulated with TRH for 24 hours in uitro demonstrated a threefold stimulation of
labeled glucosamine incorporated into secreted TSH.31The increase in relative
glucosamine incorporation in the presence of TRH was observed equally in the cy
and p subunits, suggesting parallel alterations in their glycosylation.
In uiuo administration of TRH into newly thyroidectomized rats resulted in a
specific increase in certain high-mannose species of oligosaccharides, particularly
in the /3 subunit of TSH.38This species contained one residue of glucose and nine
residues of mannose. Thus, TRH apparently causes changes in the kinetics of
early carbohydrate processing and may actually stimulate the addition of glucose
residucs to the oligosaccharide chain posttranslationally during high-mannose
processing.
To explore the structural basis for the apparent increase in TSH incorporation
of labeled sugar precursors in the presence of TRH, hypothyroid mouse pituitaries were incubated with r3H]mannose with or without TRH for 18 hours.39Secreted TSH was precipitated, and TSH glycopeptides were prepared for analysis
by concanavalin A (conA)-agarose affinity chromatography. Glycopeptides eluted
in three general classes on con A, depending on the specific sugar structures:
unbound glycopeptides consisting of multiantennary complex structures; weakly
bound glycopeptides corresponding to biantennary complex structures; and
strongly bound glycopeptides corresponding to high-mannose or hybrid carbohydrate structures.
Analysis of both intracellular and secreted TSH glycopeptides revealed a 2.5fold increase by TRH in one specific class: secreted glycopeptides that were
weakly bound to con A. No change was noted in any intracellular glycopeptide
class or in the other two secreted glycopeptide classes. These data suggest that
TRH affects the final structure of secreted TSH carbohydrate; however, it is not
known if this is due to activation or inhibition of specific carbohydrate processing
enzymes or to stimulation of specific routes of secretion that result in altered
glycosylation. For example, it is possible that TRH specifically stimulates the
regulated route of secretion via classic secretory granules and that these forms of
TSH may have different structures from those of the type of TSH that is secreted
in the basal state by other subcellular transport routes.
To determine if the TRH-induced changes in TSH carbohydrate structure are
specific effects of this secretogogue, we compared TRH to other agents known to
stimulate TSH secretion.40 Mouse thyrotropic tumors were enzymatically dispersed and incubated with [3H]mannosefor 36 hours, washed, and then incubated
for 24 hours in serum-free media containing additional [3H]mannose,as well as a
variety of secretogogues including TRH, TPA (a phorbol ester that stimulates
protein kinase C), or 60 mM KCI which causes membrane depolarization. Although KCI was an even more potent stimulus than TRH for TSH secretion, it did
not affect the con A binding profile. By contrast, the phorbol ester caused a
change in carbohydrate composition intermediate between KCl and the specific
secretogogue TRH. These results suggest that the TRH-stimulated changes in
oligosaccharide structure are specific and are not solely mediated by membrane
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WEINTRAUB el al.: TRH AND TSH GLYCOSYLATION
209
depolarization or stimulation of protein kinase C. It is possible that a combination
of multiple second messenger analogues, such as a phorbol ester and a calcium
ionophore, might produce changes in TSH carbohydrate structure approaching
those induced by TRH.
IN VIVO MODELS OF TRH DEFICIENCY
The effect of endogenous TRH as well as other hypothalamic factors was also
examined by causing anterior hypothalamic deafferentation in rats.41As compared to sham cuts, hypothalamic deafferentationcaused decreased incorporation
of both labeled amino acid and carbohydrate into TSH. After exogenous administration of TRH, both of these deficiencies were corrected. Recently, we have
made more specific lesions in the paraventricular nuclei of the rat hypothalamus,
creating central hypothyroidi~m.~~
These lesions caused a major change in the
carbohydrate structure of secreted TSH as assessed by con A affinity chromatography of labeled TSH glycopeptides. Compared to sham controls, rats with
paraventricular nuclear lesions demonstrated increased secretion of labeled glycopeptides that bound to con A. This effect was not solely due to the change in
thyroid hormone produced by lesions, because rats with primary hypothyroidism
caused by thyroidectomy with equally low thyroid hormone levels had an opposite pattern of glycopeptide binding to con A. Again, the effects of these paraventricular lesions were completely reversed by exogenous administration of TRH,43
suggesting that this peptide, rather than other hypothalamicfactors, was responsible for the change in carbohydrate structure. Interestingly, the effects of in uiuo
administration of TRH to rats were different from those previously observed in
uitro with mouse pituitary ex plant^.^^ This finding suggests that multiple endocrine factors, the duration of hormonal manipulation, as well as the particular
animal species may be important in determining the specific posttranslational
response to endocrine factors.
In another model of in uiuo TRH deficiency, the perinatal rat, we also examined the effects of TRH on TSH carbohydrate s t r u ~ t u r e . It
~ .was
~ ~ previously
demonstrated that hypothalamic TRH secretion in the rat does not occur until
after 5 days of age.& Compared to adult rats, late fetal or perinatal rats showed a
glycopeptide distribution with increased binding to con A, similar to that previously observed in animals with paraventricular nuclear lesions. Interestingly,
administration of TRH in uitro to perinatal rats did not cause restoration of TSH
glycopeptides to the distribution observed for mature rats, in contrast to the
observations noted in adult animals with hypothalamic lesions when given TRH in
uiuo. These data suggest that the pathways for TRH alteration of TSH carbohydrate may not be fully developed in the perinatal animal or that the mode of TRH
administration may be important in the modulation of carbohydrate structure.
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EFFECTS OF TRH ON TSH BIOLOGICAL ACTION
We previously reported that in uifro TRH administration to normal or hypothyroid rat pituitary explants caused a selective increase in the relative bioactivity
of secreted TSH as measured by adenylate cyclase-stimulatingactivity in thyroid
membranes.47Moreover, early studies suggested that certain cases of idiopathic
central hypothyroidism in man might result from secretion of a biologically inac-
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ANNALS NEW YORK ACADEMY OF SCIENCES
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tive TSH.48To investigate this possibility and to define the mechanism of defective hormone action, we measured the adenylate cyclase-stimulating bioactivity
(B) and receptor-binding(R) activity of immunoactive (I) TSH, which was aflinity
purified from the serum of seven selected patients with central hyp~thyroidism.~~
These patients (five idiopathic, two with tumor) displayed normal or increased
levels of immunoactive TSH that was highly responsive to TRH. We found a
strikingly decreased R/I ratio (<0.15) in patients compared to controls (0.6-2.7)
and a similarly decreased B/I ratio (<0.2 vs. 2.8-5.6). After acute TRH injection,
the R/I ratio increased in two of three patients, whereas the B/I ratio normalized
in only one patient. After chronic TRH administration (40&day orally for 20
days), both ratios normalized in all but one patient who showed apparent desensitization. The increased bioactivity of the secreted TSH after chronic TRH therapy
resulted in increased secretion of serum thyroid hormones in all patients studied,
with restoration of clinical euthyroidism.
We conclude that in certain cases of central hypothyroidism the secreted TSH
lacks biological activity because of impaired binding to its receptor; TRH treatment can correct both of these defects. These data imply that TRH regulates not
only TSH secretion, but also its specific molecular and conformational features
required for hormone action. In view of the results just presented showing that
TRH causes selective changes in TSH glycosylation, it seems likely that these
conformational changes result from alterations in carbohydrate structure. However, other alterations in apoprotein structure or other unknown posttranslational
modifications cannot be excluded. It will be interesting in future studies to examine TSH purified from patients with various other states of TRH deficiency or
hypersecretion. It is to be hoped that characterization of the carbohydrate structure as well as the receptor binding and biologic properties of these hormones will
provide new insights into the role of TRH in the posttranslational regulation of
TSH.
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