Is there a reference you can point me towards to look at how the NIS only transport iodide, please? Also, which enzymes and what are their components? I ask because occasionally, it is possible to reactivate "broken" enzymes by supplementing their base component, e.g., as with selenium for 5'-deiodinase. What have you seen that states NIS don't/can't use iodine?
That is the nature of the transporter - it transports one iodide ion and two sodium ions into the cell. It is coupled to the sodium-potassium ATPase (ie energy is required to drive the process). Here is the wikipedia entry. Here is a recent review.
There is another transporter pendrin which is also specific for iodide. These are the only known iodine transporters.
The enzyme thyroid peroxidase (TPO) catalyses the oxidation of iodide to iodine which immediately reacts with tyrosine residues in thyroglobulin forming protein bound thyroid hormones which are later released.
The oxidising agent is hydrogen peroxide which is generated by members of the NADPH oxidase family, the dual oxidase enzymes DUOX1 and DUOX 2. Another family member NOX4 seems to play some role also.
Hydrogen peroxide is not the sort of thing you want hanging around in the cell so this reaction is tightly controlled and the two enzymes tightly coupled.
Iodine doesn't hang around either - it is used as it is generated.
Here is a review.
In the breast, substitute lactoperoxidase for TPO.
Edit to add.
TPO and LPO use calcium and haem b as cofactors.
DUOX uses calcium and NADPH (hence niacin) and is a flavoprotein (B2 requirement).
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