id: MODULE:tsh_signaling
title: Thyroid-stimulating hormone signaling pathway module
description: >-
  Secreted heterodimeric thyroid-stimulating hormone (thyrotropin, TSH), assembled in anterior
  pituitary thyrotrophs from the receptor-specificity-determining beta subunit TSHB
  (PANTHER:PTHR11515:SF5) and the common glycoprotein hormone alpha subunit CGA
  (PANTHER:PTHR11509:SF0), binds the extracellular leucine-rich-repeat domain of the
  thyroid-stimulating hormone receptor (TSHR, PANTHER:PTHR24372:SF0) at the basolateral plasma
  membrane of thyroid follicular cells. Hormone binding induces a conformational push-pull shift
  in the TSHR extracellular domain that activates the seven-transmembrane bundle to couple
  primarily to heterotrimeric Gs (GNAS, PANTHER:PTHR10218:SF357)—stimulating adenylyl cyclase and
  cAMP-dependent thyroid hormone synthesis and secretion—and at higher hormone occupancy to Gq/11
  (GNAQ, PANTHER:PTHR10218:SF329) to activate phospholipase C-beta and dual oxidase-dependent
  iodide organification, executing the thyroid-stimulating hormone signaling pathway (GO:0038194).
status: DRAFT
evidence:
  - source_id: GO:0038194
    title: thyroid-stimulating hormone signaling pathway
    statement: >-
      The module is grounded in the GO biological process term for thyroid-stimulating hormone
      signaling pathway (GO:0038194: the series of molecular signals initiated by thyroid-stimulating
      hormone binding to its receptor on the surface of a target cell).
  - source_id: PMID:36001021
    title: Novel TSHB variant (c.217A>C) causing severe central hypothyroidism and pituitary hyperplasia.
    supporting_text: >-
      TSH is a member of the glycoprotein hormone family, which includes luteinising hormone,
      follicle-stimulating hormone, and human chorionic gonadotropin. All are heterodimers of a
      common α subunit and subtype-specific β subunit, which determines the biologic specificity.
    statement: >-
      Establishes that TSH is a heterodimer of the common alpha subunit (CGA) and the
      TSH-specific beta subunit (TSHB) required for thyroid hormone synthesis.
  - source_id: Reactome:R-HSA-378952
    title: Thyrotropin is a heterodimer
    supporting_text: >-
      Like other glycoprotein hormones, TSH consists of a common alpha subunit and a beta subunit
      unique to TSH which determines its specificty. TSH binds to TSH receptor to stimulate the
      release of the hormones thyroxine (T4) and triiodothyronine (T3) (Chin and Habener 1981).
    statement: >-
      Establishes non-covalent heterodimeric assembly of CGA and TSHB into active TSH that binds
      TSHR.
  - source_id: Reactome:R-HSA-391375
    title: TSHR binds TSH/Thyrostimulin
    supporting_text: >-
      Thyroid-stimulating hormone (TSH, thyrotropin) binds thyrotropin receptor (TSHR) on the
      basolateral membrane of thyroid cells (Nagayama Y et al., 1989).
    statement: >-
      Establishes heterodimeric TSH binding to TSHR on thyroid follicular cells and activation of
      Gs signaling.
  - source_id: PANTHER:PTN000162063
    title: PAINT node PTN000162063 for glycoprotein hormone beta subunits (TSHB)
    statement: >-
      Local PAINT IBD node in PTHR11515 with propagated terms C:GO:0005576, F:GO:0005179,
      P:GO:0007186; PAINT date 20260828.
  - source_id: PANTHER:PTN002608947
    title: PAINT node PTN002608947 for glycoprotein hormone alpha chain (CGA)
    statement: >-
      Local PAINT IBD node in PTHR11509 with propagated terms C:GO:0016914, P:GO:0007186; PAINT
      date 20250320.
notes: >-
  Curated signaling-pathway module for the thyroid-stimulating hormone signaling pathway
  (GO:0038194) built with PANTHER FAMILY/subfamily selectors, explicit molecular functions,
  biological processes, and cellular locations across both obligate subunits of heterodimeric
  thyrotropin—TSHB (PANTHER:PTHR11515:SF5) and CGA (PANTHER:PTHR11509:SF0)—the thyrotropin
  receptor TSHR (PANTHER:PTHR24372:SF0), and downstream heterotrimeric Gs (GNAS,
  PANTHER:PTHR10218:SF357) and Gq (GNAQ, PANTHER:PTHR10218:SF329) alpha subunits.
module:
  id: tsh_signaling
  label: Thyroid-stimulating hormone signaling pathway
  module_type: SIGNALING_PATHWAY
  concepts:
    - preferred_term: thyroid-stimulating hormone signaling pathway
      term:
        id: GO:0038194
        label: thyroid-stimulating hormone signaling pathway
      description: >-
        The series of molecular signals initiated by heterodimeric thyroid-stimulating hormone
        (TSH, composed of CGA and TSHB) binding to the thyroid-stimulating hormone receptor (TSHR)
        on the surface of a target cell, and ending with the regulation of downstream cellular
        processes including thyroid hormone generation and secretion.
  context:
    taxa:
      - preferred_term: Euteleostomi
        term:
          id: NCBITaxon:117571
          label: Euteleostomi
    cellular_components:
      - preferred_term: extracellular region
        term:
          id: GO:0005576
          label: extracellular region
      - preferred_term: plasma membrane
        term:
          id: GO:0005886
          label: plasma membrane
      - preferred_term: cytosol
        term:
          id: GO:0005829
          label: cytosol
  parts:
    - order: 1
      role: heterodimeric TSH ligand-receptor engagement
      node:
        id: tsh_receptor_engagement
        label: Heterodimeric TSH (TSHB:CGA) engagement of TSHR
        module_type: REGULATORY_STEP
        description: >-
          Secreted heterodimeric thyroid-stimulating hormone (composed of non-covalently associated
          TSHB and CGA subunits) binds the concave surface of the extracellular leucine-rich-repeat
          domain of TSHR at the plasma membrane of thyroid follicular cells, inducing rotation of
          the extracellular domain that transitions the 7TM bundle into its active conformation.
        annotons:
          - id: tshb_thyrotropin_beta_subunit
            label: TSHB thyrotropin beta subunit ligand
            participant:
              selector_type: FAMILY
              family:
                preferred_term: Thyrotropin subunit beta subfamily
                term:
                  id: PANTHER:PTHR11515:SF5
                  label: THYROTROPIN SUBUNIT BETA
                representative_members:
                  - preferred_term: TSHB
                    term:
                      id: UniProtKB:P01222
                      label: >-
                        Thyrotropin subunit beta (Thyroid-stimulating hormone subunit beta) (TSH-B)
                        (TSH-beta) (Thyrotropin beta chain) [Cleaved into: Thyrotropin subunit beta,
                        N-terminally processed]
                ancestral_nodes:
                  - preferred_term: PAINT node PTN000162063 for glycoprotein hormone beta subunits
                    term:
                      id: PANTHER:PTN000162063
                      label: PTN000162063
                    description: >-
                      Local PAINT IBD node in PTHR11515 with propagated terms C:GO:0005576,
                      F:GO:0005179, P:GO:0007186; PAINT date 20260828.
                    evidence:
                      - source_id: GO_REF:0000033
                        statement: IBD propagation from PAINT node PTN000162063 in PTHR11515.
                evidence:
                  - source_id: file:interpro/panther/PTHR11515/PTHR11515-review.yaml
                    title: PTHR11515 PANTHER family review
                    statement: >-
                      PTHR11515 review confirms family-wide GO:0005179 (hormone activity) at
                      PTN000162063 and scopes GO:0038194 (thyroid-stimulating hormone signaling
                      pathway) to PANTHER:PTHR11515:SF5 (THYROTROPIN SUBUNIT BETA) and SF2 (GPHB5).
            function:
              preferred_term: hormone activity
              term:
                id: GO:0005179
                label: hormone activity
            processes:
              - preferred_term: thyroid-stimulating hormone signaling pathway
                term:
                  id: GO:0038194
                  label: thyroid-stimulating hormone signaling pathway
            locations:
              - preferred_term: extracellular region
                term:
                  id: GO:0005576
                  label: extracellular region
            role_description: >-
              Hormone-specific beta subunit of thyroid-stimulating hormone (TSH) that heterodimerizes
              with CGA and confers selective recognition and activation of TSHR on thyrocytes.
            evidence:
              - source_id: PMID:36001021
                title: Novel TSHB variant (c.217A>C) causing severe central hypothyroidism and pituitary hyperplasia.
                supporting_text: >-
                  TSH is a member of the glycoprotein hormone family, which includes luteinising
                  hormone, follicle-stimulating hormone, and human chorionic gonadotropin. All are
                  heterodimers of a common α subunit and subtype-specific β subunit, which determines
                  the biologic specificity.
                statement: >-
                  Establishes that TSHB is the subtype-specific beta subunit of heterodimeric TSH.
              - source_id: Reactome:R-HSA-378952
                title: Thyrotropin is a heterodimer
                supporting_text: >-
                  Like other glycoprotein hormones, TSH consists of a common alpha subunit and a beta
                  subunit unique to TSH which determines its specificty. TSH binds to TSH receptor to
                  stimulate the release of the hormones thyroxine (T4) and triiodothyronine (T3) (Chin
                  and Habener 1981).
                statement: >-
                  Establishes TSHB as the hormone-specific beta chain of heterodimeric TSH.
          - id: cga_glycoprotein_hormone_alpha_subunit
            label: CGA glycoprotein hormone alpha subunit ligand
            participant:
              selector_type: FAMILY
              family:
                preferred_term: Glycoprotein hormones alpha chain subfamily
                term:
                  id: PANTHER:PTHR11509:SF0
                  label: GLYCOPROTEIN HORMONES ALPHA CHAIN
                representative_members:
                  - preferred_term: CGA
                    term:
                      id: UniProtKB:P01215
                      label: Glycoprotein hormones alpha chain (Anterior pituitary glycoprotein
                        hormones common subunit alpha) (Choriogonadotropin alpha chain) (Chorionic
                        gonadotrophin subunit alpha) (CG-alpha) (Follitropin alpha chain)
                        (Follicle-stimulating hormone alpha chain) (FSH-alpha) (Lutropin alpha
                        chain) (Luteinizing hormone alpha chain) (LSH-alpha) (Thyrotropin alpha
                        chain) (Thyroid-stimulating hormone alpha chain) (TSH-alpha)
                ancestral_nodes:
                  - preferred_term: PAINT node PTN002608947 for glycoprotein hormone alpha chain
                    term:
                      id: PANTHER:PTN002608947
                      label: PTN002608947
                    description: >-
                      Local PAINT IBD node in PTHR11509 with propagated terms C:GO:0016914,
                      P:GO:0007186; PAINT date 20250320.
                    evidence:
                      - source_id: GO_REF:0000033
                        statement: IBD propagation from PAINT node PTN002608947 in PTHR11509.
                evidence:
                  - source_id: file:interpro/panther/PTHR11509/PTHR11509-review.yaml
                    title: PTHR11509 PANTHER family review
                    statement: >-
                      PTHR11509 review documents CGA (PANTHER:PTHR11509:SF0) as the shared obligate
                      alpha subunit enabling hormone activity (GO:0005179) in the TSH (GO:0038194),
                      FSH (GO:0042699), and LH (GO:0042700) signaling pathways.
            function:
              preferred_term: hormone activity
              term:
                id: GO:0005179
                label: hormone activity
            processes:
              - preferred_term: thyroid-stimulating hormone signaling pathway
                term:
                  id: GO:0038194
                  label: thyroid-stimulating hormone signaling pathway
            locations:
              - preferred_term: extracellular region
                term:
                  id: GO:0005576
                  label: extracellular region
            role_description: >-
              Common glycoprotein hormone alpha subunit that heterodimerizes with TSHB and directly
              contacts the TSHR leucine-rich-repeat and hinge domains to drive receptor activation.
            evidence:
              - source_id: PMID:36001021
                title: Novel TSHB variant (c.217A>C) causing severe central hypothyroidism and pituitary hyperplasia.
                supporting_text: >-
                  TSH is a member of the glycoprotein hormone family, which includes luteinising
                  hormone, follicle-stimulating hormone, and human chorionic gonadotropin. All are
                  heterodimers of a common α subunit and subtype-specific β subunit, which determines
                  the biologic specificity.
                statement: >-
                  Establishes CGA as the common alpha subunit of heterodimeric TSH.
              - source_id: Reactome:R-HSA-378952
                title: Thyrotropin is a heterodimer
                supporting_text: >-
                  Like other glycoprotein hormones, TSH consists of a common alpha subunit and a beta
                  subunit unique to TSH which determines its specificty. TSH binds to TSH receptor to
                  stimulate the release of the hormones thyroxine (T4) and triiodothyronine (T3) (Chin
                  and Habener 1981).
                statement: >-
                  Establishes CGA as the obligate alpha subunit of heterodimeric TSH.
          - id: tshr_thyrotropin_receptor
            label: TSHR thyrotropin receptor
            participant:
              selector_type: FAMILY
              family:
                preferred_term: Thyrotropin receptor subfamily
                term:
                  id: PANTHER:PTHR24372:SF0
                  label: THYROTROPIN RECEPTOR
                representative_members:
                  - preferred_term: TSHR
                    term:
                      id: UniProtKB:P16473
                      label: Thyrotropin receptor (LGR3) (Thyroid-stimulating hormone receptor)
                        (TSH-R)
                evidence:
                  - source_id: Reactome:R-HSA-391375
                    title: TSHR binds TSH/Thyrostimulin
                    supporting_text: >-
                      Thyroid-stimulating hormone (TSH, thyrotropin) binds thyrotropin receptor
                      (TSHR) on the basolateral membrane of thyroid cells (Nagayama Y et al., 1989).
                    statement: >-
                      Establishes TSHR as the cell-surface GPCR activated by TSH on thyrocytes.
            function:
              preferred_term: thyroid-stimulating hormone receptor activity
              term:
                id: GO:0004996
                label: thyroid-stimulating hormone receptor activity
            processes:
              - preferred_term: thyroid-stimulating hormone signaling pathway
                term:
                  id: GO:0038194
                  label: thyroid-stimulating hormone signaling pathway
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              Leucine-rich-repeat G protein-coupled receptor on thyroid follicular cells that binds
              extracellular heterodimeric TSH (and thyrostimulin) and transduces the signal across
              the plasma membrane via Gs and Gq/11.
            evidence:
              - source_id: Reactome:R-HSA-391375
                title: TSHR binds TSH/Thyrostimulin
                supporting_text: >-
                  Thyroid-stimulating hormone (TSH, thyrotropin) binds thyrotropin receptor (TSHR)
                  on the basolateral membrane of thyroid cells (Nagayama Y et al., 1989).
                statement: >-
                  Establishes TSHR binding to TSH at the basolateral membrane of thyroid follicular
                  cells.
    - order: 2
      role: heterotrimeric Gs and Gq protein coupling
      node:
        id: tshr_gs_gq_coupling
        label: TSHR coupling to heterotrimeric Gs and Gq proteins
        module_type: REGULATORY_STEP
        description: >-
          TSH-activated TSHR acts as a guanine nucleotide exchange factor (GEF) primarily for
          stimulatory Gs alpha (GNAS) to activate adenylyl cyclase and cAMP-PKA signaling, and for
          Gq/11 alpha (GNAQ) to stimulate phospholipase C-beta and intracellular calcium/IP3
          signaling in thyrocytes.
        annotons:
          - id: gnas_gs_alpha_subunit
            label: GNAS Gs alpha subunit
            participant:
              selector_type: FAMILY
              family:
                preferred_term: Guanine nucleotide-binding protein G(s) subunit alpha subfamily
                term:
                  id: PANTHER:PTHR10218:SF357
                  label: GUANINE NUCLEOTIDE-BINDING PROTEIN G(S) SUBUNIT ALPHA
                representative_members:
                  - preferred_term: GNAS
                    term:
                      id: UniProtKB:P63092
                      label: Guanine nucleotide-binding protein G(s) subunit alpha isoforms short
                        (Adenylate cyclase-stimulating G alpha protein)
                evidence:
                  - source_id: Reactome:R-HSA-391375
                    title: TSHR binds TSH/Thyrostimulin
                    supporting_text: >-
                      Activation of TSHR leads to dissociation of G proteins into the G protein
                      alpha-s (Gαs) and Gbetagamma (Gβγ) subunits, which in turn trigger several
                      canonical signal transduction cascades. Gαs activates adenylate cyclase and
                      increases intracellular cAMP levels
                    statement: >-
                      Establishes Gs activation downstream of TSH-bound TSHR.
            function:
              preferred_term: G protein activity
              term:
                id: GO:0003925
                label: G protein activity
            processes:
              - preferred_term: thyroid-stimulating hormone signaling pathway
                term:
                  id: GO:0038194
                  label: thyroid-stimulating hormone signaling pathway
              - preferred_term: adenylate cyclase-activating G protein-coupled receptor signaling pathway
                term:
                  id: GO:0007189
                  label: adenylate cyclase-activating G protein-coupled receptor signaling pathway
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              Stimulatory heterotrimeric G protein alpha subunit (Galpha_s) activated by TSH-bound
              TSHR to stimulate adenylyl cyclase and cAMP synthesis in thyroid follicular cells.
            evidence:
              - source_id: Reactome:R-HSA-391375
                title: TSHR binds TSH/Thyrostimulin
                supporting_text: >-
                  Activation of TSHR leads to dissociation of G proteins into the G protein alpha-s
                  (Gαs) and Gbetagamma (Gβγ) subunits, which in turn trigger several canonical signal
                  transduction cascades. Gαs activates adenylate cyclase and increases intracellular
                  cAMP levels
                statement: >-
                  Demonstrates Gs coupling and adenylyl cyclase activation downstream of TSHR.
          - id: gnaq_gq_alpha_subunit
            label: GNAQ Gq alpha subunit
            participant:
              selector_type: FAMILY
              family:
                preferred_term: Guanine nucleotide-binding protein G(q) subunit alpha subfamily
                term:
                  id: PANTHER:PTHR10218:SF329
                  label: GUANINE NUCLEOTIDE-BINDING PROTEIN G(Q) SUBUNIT ALPHA
                representative_members:
                  - preferred_term: GNAQ
                    term:
                      id: UniProtKB:P50148
                      label: Guanine nucleotide-binding protein G(q) subunit alpha (Guanine
                        nucleotide-binding protein alpha-q)
                evidence:
                  - source_id: Reactome:R-HSA-391375
                    title: TSHR binds TSH/Thyrostimulin
                    supporting_text: >-
                      Activation of TSHR leads to dissociation of G proteins into the G protein
                      alpha-s (Gαs) and Gbetagamma (Gβγ) subunits, which in turn trigger several
                      canonical signal transduction cascades.
                    statement: >-
                      Establishes heterotrimeric G protein activation downstream of TSH-bound TSHR.
            function:
              preferred_term: G protein activity
              term:
                id: GO:0003925
                label: G protein activity
            processes:
              - preferred_term: thyroid-stimulating hormone signaling pathway
                term:
                  id: GO:0038194
                  label: thyroid-stimulating hormone signaling pathway
              - preferred_term: phospholipase C-activating G protein-coupled receptor signaling pathway
                term:
                  id: GO:0007200
                  label: phospholipase C-activating G protein-coupled receptor signaling pathway
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              Heterotrimeric Gq alpha subunit activated by TSH-bound TSHR to stimulate
              phospholipase C-beta and IP3/Ca2+-dependent H2O2 generation for thyroid hormone
              biosynthesis.
            evidence:
              - source_id: Reactome:R-HSA-391375
                title: TSHR binds TSH/Thyrostimulin
                supporting_text: >-
                  Activation of TSHR leads to dissociation of G proteins into the G protein alpha-s
                  (Gαs) and Gbetagamma (Gβγ) subunits, which in turn trigger several canonical signal
                  transduction cascades.
                statement: >-
                  Demonstrates G protein coupling and canonical signal transduction cascades by TSHR.
  connections:
    - source: tsh_receptor_engagement
      target: tshr_gs_gq_coupling
      connection_type: CAUSES
      description: >-
        Binding of heterodimeric TSH (TSHB:CGA) to the TSHR leucine-rich-repeat domain triggers an
        extracellular-to-transmembrane conformational transition that catalyzes GDP-to-GTP exchange
        on Gs and Gq heterotrimeric G proteins.
