Review Article

Selenium and Thyroid Disease: From Pathophysiology to Treatment

Table 3

Main groups of selenoproteins found in the thyroid gland and their function [1, 2].

Glutathione peroxidaseGPXCatalyzes the reduction of H2O2 and protects against oxidative stress

Cytosolic GPx 1GPX1Antioxidative defense
Gastrointestinal GPx 2GPX2Antiapoptotic function in colon crypts; helps to maintain intestinal mucosal integrity
Extracellular GPx 3GPX3Antioxidant in extracellular fluid; thyroid protection from hydrogen peroxide in
thyrocytes and follicular lumen
Phospholipid GPx 4GPX4Reduces the phospholipids’ hydroperoxides; regulates apoptosis

Iodothyronine deiodinaseDIOProduction of active thyroid hormone T3, reverse T3 (rT3), and T2

Type I DIODIO1Conversion of T4 to T3
Type II DIODIO2Local production (intracellular) of T3 from T4
Type III DIODIO3Production of rT3 from T4 and T2 from T3

Thioredoxin reductaseTXNRDOxidoreductase activity having NADPH as a cofactor

TXNRD cytosolicTXNRD1Main antioxidant at the cellular level
TXNRD mitochondrialTXNRD2Regulates cell proliferation