Chemical Properties
White or yellowish-white powder, hygroscopic.
Description
The first hypothalamic hypophysiotropic neurohormone
identified, TRH consists of the tripeptide pGlu-His-ProNH2. It stimulates the secretion ofthyroid-stimulating hormone
(TSH), prolactin (PRL), and growth hormone (GH), and also
functions as a neurotransmitter and neuromodulator.
Definition
ChEBI: Protirelin is a tripeptide composed of L-pyroglutamyl, L-histidyl and L-prolinamide residues joined in sequence. It has a role as a human metabolite. It is a peptide hormone and a tripeptide.
Indications
Thyrotropin-releasing hormone, or protirelin, consists
of three amino acids. TRH (Relefact TRH) is used for
tests to distinguish primary from secondary hypothyroidism.
General Description
Thyrotropin releasing hormone (TRH) is a tripeptide hypothalamic regulatory hormone, encoded by the gene mapped to human chromosome 3q13.3-q21. TRH is expressed in a variety of organs including central nervous system (CNS) and gastrointestinal tract.
Biochem/physiol Actions
Thyrotropin releasing hormone (TRH) stimulates production and secretion of thyrotropin (TSH) and prolactin from the anterior pituitary. It also plays a vital role as a neurotransmitter and neuromodulator.
Clinical Use
TRH (200–500μg) administered intravenously to normal subjects causes a rise in TSH levels within
15–30min, resulting in an increase in T3 levels within
90–150min. In primary hypothyroidism, TSH hyperresponse to TRH occurs, with a typical elevation in the
basal TSH levels. In secondary (pituitary) hypothyroidism, an impaired TSH response to TRH occurs, whereas
in tertiary (hypothalamic) hypothyroidism normal or
increased TSH response to TRH occurs. Protirelin is used
to test the response of the anterior pituitary to TRH in
people who may have medical conditions of thyroid
function, including hyperthyroidism, Graves’ disease,
and hypothyroidism. In addition, TRH has been used
to assess the ability of the prolactin secretion in the
pituitary.
Side effects
The peak TSH response to intravenous TRH occurs at 20 minutes. The mild and transient side effects, which occur only after intravenous TRH, include nausea, a flushing sensation, a desire to micturate, a peculiar taste, and tightness in the chest[1].