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Thyroid disorders in mental patients

Bunevicius, Robertas

Current Opinion in Psychiatry: July 2009 - Volume 22 - Issue 4 - p 391–395
doi: 10.1097/YCO.0b013e328329e1ae
Services research and outcomes: Edited by Mariano Bassi and Giovanni de Girolamo

Purpose of review: Thyroid hormones play important roles in brain development and function. Recent findings concerning thyroid hormones secretion, transport, and metabolism in the brain have provided a better understanding of the role of thyroid hormones in mental disorders.

Recent findings: The intracellular actions of thyroid hormones in brain are determined by a complex of factors, including circulating concentrations of thyroid hormones, availability of free hormone, activity of thyroid hormone transporters and deiodinase enzymes, and activity of thyroid hormone receptors. Individual genetic variations and mutations of thyroid-axis-related proteins influence thyroid hormone activity in the brain and contribute to the presentation of mental disorders, as well as to response to psychiatric treatments.

Summary: Consideration of molecular mechanism related to genetic alterations in thyroid hormone transport into the neuron, intracellular thyroid hormone metabolism in the brain, as well as polymorphism in thyroid hormone receptors, opens new venues for better understanding of thyroid hormone effects in the brain as well as for finding genetic markers and new targets for the treatment of mental disorders.

Institute of Psychophysiology and Rehabilitation, Kaunas University of Medicine, Palanga, Lithuania

Correspondence to Robertas Bunevicius, Institute of Psychophysiology and Rehabilitation, Kaunas University of Medicine, Vyduno 4, LT-00135 Palanga, Lithuania Tel: +370 460 30012; fax: +370 460 30014; e-mail: rob@ktl.mii.lt

© 2009 Lippincott Williams & Wilkins, Inc.