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Thyroid stimulating hormone subunit beta (TSHB) is a 118-amino acid glycoprotein subunit encoded by the TSHB gene on chromosome 1. TSHB combines with a common alpha subunit to form functional thyroid stimulating hormone (TSH), the principal pituitary hormone controlling thyroid gland development, growth, and hormone secretion. The beta subunit provides receptor specificity, ensuring that TSH activates the TSH receptor exclusively on thyroid cells. Mutations in TSHB can cause congenital central hypothyroidism due to impaired TSH secretion or activity, resulting in reduced thyroid hormone production and metabolic dysfunction. TSHB is tightly regulated by the hypothalamic-pituitary-thyroid axis and is frequently measured as part of routine screening and diagnosis of thyroid disorders
Recombinant TSHB as part of full TSH: Activates TSH receptor, stimulating the thyroid gland to produce thyroid hormones Thyroid hormone replacement: Compensates the downstream effect of insufficient TSH action, does not directly target TSHB or its receptor
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