Thyrostimulin, a putative glycoprotein hormone, comprises the subunits GPA2 and GPB5 and activates the TSH receptor (TSHR). The observation that proinflammatory cytokines stimulate GPB5 transcription suggested a role for thyrostimulin in the pathogenesis of nonthyroidal illness syndrome (NTIS). In the present study, we induced acute inflammation by LPS administration to GPB5Ϫ/Ϫ and WT mice to evaluate the role of thyrostimulin in peripheral thyroid hormone metabolism during NTIS. In addition to serum thyroid hormone concentrations, we studied mRNA expression and activity of deiodinase types I, II, and III (D1, D2, and D3) in peripheral T 3 target tissues, including liver, muscle, and white and brown adipose tissue (WAT and BAT), of which the latter three express the TSHR. LPS decreased serum free (f)T 4 and fT3 indexes to a similar extent in GPB5 Ϫ/Ϫ and WT mice. Serum reverse (r)T 3 did not change following LPS administration. LPS also induced significant alterations in tissue D1, D2, and D3 mRNA and activity levels, but only the LPS-induced increase in WAT D2 mRNA expression differed between GPB5 Ϫ/Ϫ and WT mice. In conclusion, lacking GPB5 during acute illness does not affect the LPS-induced decrease of serum thyroid hormones while resulting in subtle changes in tissue D2 expression that are unlikely to be mediated via the TSHR. thyrostimulin; type II deiodinase; inflammation; thyroid hormone THE PUTATIVE GLYCOPROTEIN HORMONE thyrostimulin, comprising ␣2-(GPA2) and 5-(GPB5) subunits, has been reported to activate the thyroid-stimulating hormone (TSH) receptor (TSHR). Thyrostimulin does not play a major role in the classical feedback regulation of the hypothalamo-pituitarythyroid (HPT) axis, as GPB5 knockout (GPB5 Ϫ/Ϫ ) mice do not have an abnormal thyroid phenotype and transcription of GPB5 is not regulated by thyroid hormone or thyrotropin-releasing hormone (TRH) (14,20). Furthermore, we recently showed that deletion of Gpb5 in mice does not result in abnormal regulation of the HPT axis during hypothyroidism and thyrotoxicosis (24).The nonthyroidal illness syndrome (NTIS) is a state of altered thyroid hormone metabolism occurring during illness, characterized by decreased serum triiodothyronine (T 3 ) and thyroxine (T 4 ) levels without an increase in pituitary TSH or hypothalamic TRH expression (3). The recent finding that proinflammatory cytokines upregulate the transcription of GPB5 in vitro suggests that thyrostimulin may have a role in the pathogenesis of NTIS (21). Accordingly, we demonstrated a marked increase in GPB5 mRNA expression in the pituitary and, to a lesser extent, in the hypothalamus of mice after administration of lipopolysaccharide (LPS) (25), which is a well-established mouse model of NTIS.In addition to central alterations of the HPT axis, NTIS results in altered peripheral thyroid hormone metabolism and plasma thyroid hormone binding capacity (26). As the TSHR is expressed in several peripheral extrathyroidal tissues (10), and activation of the TSHR is known to regulate the expression...