T hyroid hormone is a key regulator of metabolism and energetics in the body and is well-known to both chemists and biologists for its unique iodine-containing structure and for the deleterious physiological effects seen when thyroid hormone concentrations are either excessive or deficient. The potential physiological roles for thyroid increased greatly with the discovery that thyronamines, decarboxylated and partially deiodinated metabolites of thyroid hormone, cause a 50% decrease in heart rate and an 8°C drop in body temperature in mice 30 min after dosing (1). Finding molecular mechanisms to explain these physiological effects is key to understanding and potentially exploiting this signaling pathway. On page 390 of this journal, Scanlan and coworkers present evidence that thyronamines inhibit dopamine and norepinephrine transporters, preventing neuronal reuptake of these neurotransmitters, and also inhibit the action of vesicular monoamine transporter 2 (VMAT2), the intracellular transporter responsible for loading secretory vesicles with intracellular monoamines for exocytotic release (2). These neuromodulatory effects could help explain the physiological effects of thyronamines and give more evidence on how thyroid hormone acts as a switch for maintaining metabolic homeostasis.Thyroid hormone is biosynthesized from tyrosine and is originally produced in a tetraiodinated form (T 4 ) that is then deiodinated to the more potent triiodothyronine (T 3 ). It binds to the thyroid hormone receptor, a nuclear receptor that regulates transcription of genes containing thyroid response elements in their promoter region (3,4). Through this pathway, T 3 is known to increase heart rate, basal metabolism, and body temperature (5, 6). Because of their common biosynthetic precursor, tyrosine, T 3 is also structurally similar to biogenic amines such as dopamine and norepinephrine, if T 3 were decarboxylated to the thyronamine. Although the concept of a thyroid metabolite as a neuromodulator has been mentioned previously (7), identifying the nature of the metabolite and its physiological relevance was not achieved. In previous work, a panel of thyronamines was synthesized with different degrees of iodination and screened against various biogenic amine receptors (1). A number of compounds were found to bind to an isoform of the trace amine-associated receptor (TAAR1), an orphan G-protein-coupled receptor that had not previously been linked with an endogenous ligand. One of these thyronamines, 3-iodothyronamine (T 1 AM), was found to activate the receptor at concentrations that were found to be present in rodent brain. This thyronamine was then shown to cause rapid decrease in heart rate and body temperature in mice that were reversible over time without negative longterm effects on the mice. The effects of T 1 AM on heart rate and body temperature were generally the opposite of those of T 3 , an indication that T 3 and its iodothyronamine metabolite act to maintain a balance in homeostasis, with T 1 AM acting as a quick brake ...