TRH has a well-recognised role in the pituitary to stimulate the production of TSH [14], but it has also been detected outside the hypothalamus and pituitary, with proposed roles in tissues such as the pancreas, brain, testis, prostate, ovary and duodenum [15, 16]. Here we show that TRH and its receptor, the TRH-R2 isoform, are expressed in rat follicular cells, strengthening the idea that the thyroid is a source of TRH [5, 6]. The observation that FRTL-5 cells express Pgpep1 suggests that follicular cells are the source of the TRH-like dipeptides found in the thyroid. His-Pro amide spontaneously cyclises to DKP and this is accelerated in the presence of thyroid homogenate. Whilst this does not prove the existence of a specific enzyme in the homogenate, and could be due to the ionic conditions present in the extract, it is reasonable to predict that a glutaminyl cyclase-like enzyme is expressed there and it would be of interest to isolate it.
The results from TRH and His-Pro DKP treatment of FRTL-5 are consistent with a view that the ‘secondary’ biological activities exhibited by hormone amides result from their C-terminal dipeptides. Indeed, His-Pro DKP has been shown to act as an inhibitor of prolactin release from pituitary cells in vitro [3] while its parent peptide TRH fulfils a key role in the regulation of thyroid hormones [14]. The action of TRH within the HPT axis, however, may not be limited to the well-known pathway in which TRH regulates the release of TSH from the pituitary. We observed that TRH inhibited thyroglobulin release in cultured thyroid cells, which is in harmony with previous reports that TRH reduced the levels of cyclic AMP in thyroid slices [17, 18]. Taken together, the evidence supports a view that the TRH that is endogenous in the thyroid, or its DKP, may participate in the control of thyroid activity. His-Pro DKP was found to be as potent as TRH in inhibiting the release of thyroglobulin. Thus, the ability to inhibit thyroglobulin release appears to be an intrinsic property not only of TRH but also its C-terminal dipeptide.
This observation is not unique to TRH; many peptide hormones and all hormone-releasing peptides terminate their peptide chain in an alpha-CONH2 group which is essential for their biological activity. Fragments from the C-terminus of these peptides retain the CONH2 group and it is notable that some have been reported to exhibit an activity distinct from the activity of the parent peptide. For example, the C-terminal fragments of oxytocin possess neuroactivity in the brain distinct from the uterotonic activity of the parent hormone [19] and C-terminal fragments of alpha-melanotropin (alpha-MSH) inhibit the release of alpha-MSH and modify the immune response [20–22]. Similarly, it has been shown that the C-terminal dipeptide of beta-endorphin can inhibit the firing of neurones in the brain stem [23]. Evidence is thus accumulating to indicate that the activity induced by peptide hormones is maintained within physiological limits by opposing mechanisms involving synchronisation of 'activation' and 'inhibition'. It is notable that this dual mechanism concept is in line with the well known bidirectional transmission of signals in the CNS where onward transmission takes place at post synaptic receptors but is balanced by inhibition at the presynaptic receptor, thereby consistent with a common evolutionary origin for the central and peripheral processes.
In cell culture, it was apparent that an inverse relationship existed between the degree of inhibition of thyroglobulin release and the concentration of TSH in the cell supernatant, that is, maximum inhibition of thyroglobulin release was observed in the absence of TSH. Furthermore, Pgpep1 expression was inhibited by TSH, and consequently it could be hypothesised that the inhibitory activity of TRH and its C-terminal dipeptide would be effective during the hyperthyroid state when TSH levels are at a minimum. On the other hand, in the presence of TSH the inhibitory activity of His-Pro DKP was diminished and, it is predicted, so too would be its production, and consequently the inhibition it produces may not have an adverse effect on the hypothyroid state. Overall, the antagonist activity of TRH and its dipeptide in the thyroid appears to be synchronised with the agonist activity of TSH and may serve to limit thyroid production in an acute manner with faster kinetics than are achieved by the long range negative feedback of the thyroid axis achieved by elevated thyroid levels inhibiting TRH production at the hypothalamus. In support of this is the observation that the concentrations of TRH-related peptides present in the thyroid are much greater in hyperthyroid, when TSH expression would be suppressed, compared with hypothyroid tissues [24].
The mode of action of TRH and His-Pro DKP in the thyroid are unknown, with TRH acting potentially in an autocrine or paracrine manner, given its expression by follicular as well as parafollicular cells. The expression of its receptor in follicular cells indicates the potential for direct action, but there is no known receptor for His-Pro DKP, despite the identification of binding sites in the liver [25], and it could be acting in an intracrine manner (Fig. 5). A number of tripeptides structurally related to TRH occur in endocrine tissues and in some cases the 'TRH-like' peptides are accompanied by TRH [5, 26–29]. Given that TRH is known to lose its N-terminal pyroglutamyl residue in the presence of Pgpep1, it was anticipated that peptides with structures related to TRH would also be susceptible to loss of their N-terminal residue and give rise to the corresponding dipeptide amide. pGlu-Glu-Pro amide and pGlu-Phe-Pro amide have been detected in the prostate and the testis, respectively, and the dipeptide amides are also predicted to cyclise to the corresponding DKP [30, 31]. It will be interesting to identify a function for Glu-Pro DKP and Phe-Pro DKP in their respective tissues.
In summary, we show that a cyclic dipeptide formed from TRH exhibits a potent activity in inhibiting the release of thyroglobulin from follicular thyroid cells, suggesting that these TRH-derived compounds may play a significant role in the inhibitory regulation of the thyroid axis. This inhibitory process taking place directly at the target site of TRH in the thyroid would be rapid and, in this respect, complements the known central mechanism for regulation of thyroid activity by providing an acute, rapid mechanism for fine tuning hormone production compared to the slow response of the negative feedback loop in the axis. These data, together with previous observations that a series of tripeptides with structures related to TRH occur in endocrine tissues and can give rise to DKPs, suggest that the dynamic control of the principal activity of a peptide by the opposing activity of its C-terminal peptide is a widespread and underappreciated aspect of peptide hormone biology.