Hansen PS, Brix TH, Iachine I, Sørensen TI, Kyvik KO, Hegedüs L. Genetic and environmental interrelations between measurements of thyroid function in a healthy Danish twin population. Am J Physiol Endocrinol Metab 292: E765-E770, 2007. First published November 7, 2006 doi:10.1152/ajpendo.00321.2006, free thyroxine (T4), and free triiodothyronine (T3) levels illustrate the thyroid function set point, but the interrelations between these have never been characterized in detail. The aim of this study was to examine the associations between TSH and thyroid hormone levels in healthy euthyroid twins and to determine the extent to which the same genes influence more than one of these biochemical traits; 1,380 healthy euthyroid Danish twins (284 monozygotic, 286 dizygotic, 120 opposite-sex twin pairs) were recruited. Genetic and environmental associations between thyroid function measurements were examined using quantitative genetic modeling. In bivariate genetic models, the phenotypic relation between two measurements was divided into genetic and environmental correlations. Free T4 and free T3 levels were positively correlated (r ϭ 0.32, P Ͻ 0.0001). The genetic correlation between serum free T4 and free T3 levels was rg ϭ 0.25 (95% CI 0.14 -0.35), suggesting that a set of common genes affect both phenotypes (pleiotropy). The correlation between the environmental effects was re ϭ 0.41 (0.32-0.50). From this we calculated that the proportion of the correlation between free T 4 and free T 3 levels mediated by common genetic factors was 48%. Only 7% of the genetic component of serum free T 3 levels is shared with serum free T 4. Serum TSH and thyroid hormone levels did not share any genetic influences. In conclusion, thyroid hormone levels are partly genetically correlated genes that affect free T 4 levels and exert pleiotropic effects on free T 3 levels, although most of the genetic variance for these measurements is trait specific.thyroid-stimulating hormone; thyroid hormones; twin study; bivariate analyses THE SERUM THYROTROPIN (TSH), free thyroxine (T 4 ), and free triiodothyronine (T 3 ) levels represent measurements of the thyroid function set point, reflected from different angles. Twin and family studies have shown that genetic factors exert considerable influence on the levels of each of these biochemical measurements (6,12,14,20). We (6) have previously demonstrated that ϳ0.65 of the variation in serum TSH level was explained by genetic influences. Almost identical heritability estimates were found for serum free T 4 (0.65) and free T 3 (0.64) levels (6). In other studies, the heritability estimates range from 0.32 to 0.67, lowest for serum TSH levels and highest for serum T 3 (12,14,20). Many genes are involved in the regulation of these measurements, and several polymorphisms located in thyroid hormone pathway genes, such as the TSH receptor gene as well as the deiodinase genes, have been shown to be associated with TSH levels as well as thyroid hormone levels (18,19).It seems plausible that serum TSH, free T ...