Thyrotropic
Feedback Control
Mathematical
models of the pituitary-thyroid axis:
In 1940, eleven years after the discovery of the thyrotropic hormone TSH by Aron in the year 1929, W. T. Salter postulated the existence of a control loop linking the pituitary and thyroid gland. This idea was inspired by the recent description of the two gonadotropic feedback control loops. Only a few years later, Astwood and Hoskins could reveal both the existence and the pathophysological relevance of this thyrotropic feedback control system. In 1968, Panda and Turner succeeded in a quantitative description ot the interdependence of thyroxine and TSH levels, but the first mathematical models of the feedback loop had already been developed up to 12 years earlier.
Over the years, these models were increasingly improved. As a consequence of this continued evolution, some of the newest models [Dietrich 2001, Dietrich et al. 2004 and Eisenberg et al. 2010] are also suitable for medical decision making.
Today, modelling of thyrotropic feedback control is faced with the challenge of newly discovered complexities in the information processing structure, e. g. Ultrashort feedback control of TSH secretion (Kakita-Laborde-Odell loop and Brokken-Wiersinga-Prummel loop) and long-feedback of iodothyronines on hypothalamic TRH release (Fekete-Lechan loop).
For a more comprehensive review of mathematical models of thyroid homeostasis see Dietrich et al. 2012.
A
selection of historic and modern models:
Model
|
Year
|
Transfer
characteristics
|
Information
processing structure
|
Danziger and Elmergreen
|
1956
|
linear
|
phenomenological
|
Roston
|
1959
|
linear
with basal secretion
|
phenomenological
|
Norwich and Reiter
|
1965
|
linear
|
phenomenological
|
DiStefano
and Stear
|
1968
|
linear
with basal secretion
|
phenomenological,
partly parametrically isomorphic
|
DiStefano
|
1969
|
linear
with basal secretion
|
phenomenological,
partly parametrically isomorphic
|
DiStefano
et al.
|
1975
|
N/A
|
parametrically
isomorphic
|
Saratchandran
et al.
|
1976
|
logarithmic
/ linear
|
phenomenological,
partly parametrically isomorphic
|
Seif |
1977 |
logarithmic / linear |
phenomenological, partly parametrically isomorphic |
Wilkin
|
1977
|
limit
elements
|
phenomenological,
partly parametrically isomorphic
|
Cohen
|
1990
|
exponential
|
phenomenological
|
Li
et al.
|
1995
|
complex
polynoms
|
phenomenological,
partly parametrically isomorphic
|
Dietrich
et al.
|
1997
|
Michealis-Menten
kinetics and linear elements
|
partly
parametrically isomorphic (Model 2 -
see
below)
|
Dietrich
et al.
|
1997
|
MiMe-NoCoDi
model
|
parametrically
isomorphic (Model 7.1 - see
below )
|
Dietrich
et al.
|
1998
|
MiMe-NoCoDi
model
|
parametrically
isomorphic (Model 9 - see
below )
|
Dietrich
et al.
|
2001
|
MiMe-NoCoDi
model
|
parametrically
isomorphic (Model 10 - see
below )
|
Degon
et al.
|
2005
|
based on compartment and flux analysis
|
parametrically
isomorphic, but intrathyroidal kinetics
only
|
Leow |
2007 |
Second order Bernoulli differential equations with hysteresis,
inverse exponental power law of TSH response |
partly parametrically isomorphic |
Eisenberg et al.
|
2010
|
Based on DiStefanos models from 1968, 1969 and 1975
|
parametrically
isomorphic
|
Versions
of nonlinear models based on or related to the
MiMe-NoCoDI
model:
Version
|
Comment
|
1
|
Michaelis-Menten
kinetics in pituitary and thyroid gland
(II-1997)
|
2
|
Introduction
of time constants, plasma protein binding also
for T3 (II-1997, presented at ETA
'97)
|
3
|
Michaelis-Menten
kinetics for 5'-Dejodinase
|
4
|
Type
I and Type II 5'-Dejodinase
differentiated
|
5
|
Feedback
term changed (abandoned again,
VIII-1997)
|
6
|
Feedback
term corrected (VIII-1997)
|
7
|
Non
competitive quotient inhibition in form of
v-type allostery, plasma protein binding for T3
addressed in a more differentiated manner
(VIII-1997)
|
7.1
|
Changed
name conventions (XI-1997, presented in the
colloqium of endocrine methods, university of
Munich)
|
8
|
Ultra-short
feedback in anterior pituitary introduced
(IV-1998)
|
9
|
Ultra-short
feedback now covering Michaelis-Menten kinetics
(V-1998, presented at Symposium Gentianum
1999)
|
9.1
|
Changed
name conventions, disturbances better addressed
in simulation (IV-1999)
|
10
|
Intracellular
binding substrate introduced (presented at
EMCSR
2002,
published with Logos-Verlag
and in CBS)
|
11
|
Introduction
of Long-feedback at TRH site
(planned)
|