hormone acts on a wide range of tissues. In the cardiovascular system, thyroid hormone is an important regulator of cardiac function and cardiovascular hemodynamics. Although some early reports in the literature suggested an unknown extrathyroidal source of thyroid hormone, it is currently thought to be produced exclusively in the thyroid gland, a highly specialized organ with the sole function of generating, storing, and secreting thyroid hormone. Whereas most of the proteins necessary for thyroid hormone synthesis are thought to be expressed exclusively in the thyroid gland, we now have found evidence that all of these proteins, i.e., thyroglobulin, DUOX1, DUOX2, the sodium-iodide symporter, pendrin, thyroid peroxidase, and thyroid-stimulating hormone receptor, are also expressed in cardiomyocytes. Furthermore, we found thyroglobulin to be transiently upregulated in an in vitro model of ischemia. When performing these experiments in the presence of 125 I, we found that 125 I was integrated into thyroglobulin and that under ischemia-like conditions the radioactive signal in thyroglobulin was reduced. Concomitantly we observed an increase of intracellularly produced, 125 I-labeled thyroid hormone. In conclusion, our findings demonstrate for the first time that cardiomyocytes produce thyroid hormone in a manner adapted to the cell's environment. DUOX; cardiomyocyte; ischemia; heart failure THYROID HORMONE influences the basal metabolic rate of a wide range of tissues and is in the cardiovascular system an important regulator of cardiac function and cardiovascular hemodynamics (7). Thyroxine (T 4 ) is the main product of thyroid secretion and is deiodinated in peripheral tissues to triiodothyronine (T 3 ), the biologically active thyroid hormone (3). T 3 either regulates gene expression by binding to high-affinity nuclear receptors that, in turn, recognize specific responseelement sequences in the promoters of T 3 -target genes (11) or exerts different nonnuclear effects by as yet less well characterized mechanisms.In the heart T 3 acts directly on the cardiomyocytes where it stimulates heart rate and contractile performance, the later mediated, to a large extent, by increased expression of the calcium adenosine triphosphatase of the sarcoplasmic reticulum and a decreased expression of phospholamban.Pathophysiologically, T 3 has been shown to be important for the induction of different forms of cardiac hypertrophy (19) and for the response of the heart to ischemic stress (17). The exact mechanisms are still under investigation.Traditionally, the thyroid gland has been considered the sole source of thyroid hormone. However, several studies by the group of Taurog (9, 22) and others (16) suggested the possibility of a low-level generation of thyroid hormone in organs/ tissues other than the thyroid gland. Taurog et al. (9) demonstrated in thyroidectomized rats that in all indexes of T 4 action examined, namely growth, metabolic rate, heart rate, and pituitary, adrenal and reproductive function, the restorative or mai...