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Protein / target

Thyroid peroxidase

Encoded byTPOP07202Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
3
Approved medicines
Open Targets target-level
View by indication →
1
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Iodide peroxidase

Strongest disease association

Hypothyroidism

Via encoding gene TPO · Genetic evidence · score 0.91

Therapeutic position

Established drug target

Small molecules

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function overview

Iodination and coupling of the hormonogenic tyrosines in thyroglobulin to yield the thyroid hormones T(3) and T(4)

Subcellular location

MembraneCell surface
Domains and Gene Ontology detail (14)

Domains & features

SushiEGF-like; calcium-binding

Gene Ontology

  • Ccell surface
  • Cextracellular space
  • Cplasma membrane
  • Fcalcium ion binding
  • Fheme binding
  • Fiodide peroxidase activity
  • Fperoxidase activity
  • Pembryonic hemopoiesis
  • Phormone biosynthetic process
  • Phydrogen peroxide catabolic process
  • Presponse to oxidative stress
  • Pthyroid hormone generation

933 aa · 103 kDa · 8 isoforms

Approved medicines with mapped indications

1 medicine · 1 area

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Thyroid Diseases1 medicine

3 medicines meet Open Targets' target-level approved-medicine definition; the 1 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

1

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

carbimazole
Narrow target profileApprovedInhibitor

Thyroid peroxidase inhibitor

Indicated for Thyroid Diseases

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type, target identity and approved indications. Open Targets clinical status.

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene TPO

Gene-level evidence surfaced through the gene TPO that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Hypothyroidism
0.92Well supported

Genetic evidence dominant · Open Targets 0.58

Congenital Hypothyroidism
0.89Well supported

Genetic evidence dominant · Open Targets 0.54

Thyroid Diseases
0.86Well supported

Genetic evidence dominant · Open Targets 0.54

Hashimoto's Disease
0.85Well supported

Genetic evidence dominant · Open Targets 0.53

Autoimmune Diseases
0.74Moderately supported

Genetic evidence dominant · Open Targets 0.43

View evidence synthesis (5)
HypothyroidismWell supported
0.92
agreement 0.821.00
Genetic87%Literature12%Clinical0%

Open Targets aggregate 0.58 · 3 independent evidence families

Congenital HypothyroidismWell supported
0.89
agreement 0.771.00
Genetic82%Animal model15%Literature4%

Open Targets aggregate 0.54 · 3 independent evidence families

Thyroid DiseasesWell supported
0.86
agreement 0.750.97
Genetic87%Literature12%Clinical1%

Open Targets aggregate 0.54 · 3 independent evidence families

Hashimoto's DiseaseWell supported
0.85
agreement 0.740.96
Genetic62%Clinical34%Literature4%

Open Targets aggregate 0.53 · 3 independent evidence families

Autoimmune DiseasesModerately supported
0.74
agreement 0.630.86
Genetic77%Animal model17%Literature6%

Open Targets aggregate 0.43 · 3 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the per-type scores above show the calculation.

Show all associations
Hyperthyroidism0.59
Hypothyroidism0.58
Congenital Hypothyroidism0.54
Thyroid Diseases0.54
Hashimoto's Disease0.53
Autoimmune Diseases0.43
Thyroiditis, Autoimmune0.43

Drug development

3 compounds recorded · 3 approved

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 1 drug that targets this protein in Forefront's canonical graph (1 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (3)
METHIMAZOLEApproval
PROPYLTHIOURACILApproval
CARBIMAZOLEApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and High-Quality Ligand support this modality.

AntibodiesEmerging

Feasibility evidence (go cc high conf and uniprot loc med conf) — no clinical-stage drug of this modality recorded.

Protein degradersEmerging

Feasibility evidence (database ubiquitination and small molecule binder) — no clinical-stage drug of this modality recorded.

View underlying tractability evidence (8)
SM · Approved DrugSM · High-Quality LigandSM · Druggable FamilyAB · GO CC high confAB · UniProt loc med confAB · UniProt SigP or TMHMMPR · Database UbiquitinationPR · Small Molecule Binder

Raw Open Targets tractability assessment buckets, by modality.

Safety-related annotations

Increased MortalityAOP-WikiDecrease, Population growth rateAOP-WikiCognitive Function, DecreasedAOP-WikiAltered, Amphibian metamorphosisAOP-WikiIncreased MortalityAOP-WikiDecrease, Population growth rateAOP-WikiIncrease, Adenomas/carcinomas (follicular cell)AOP-Wiki

Terms indexed against this target in Open Targets' safety data, with their datasource. These are annotations, not causal claims: the direction of effect (whether activation or inhibition is implicated), species and evidence strength are not captured here, so an entry does not mean that modulating this target is known to cause that condition.

Clinical trials

1

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

ClinicalTrials.gov via the drug-target graph.

What's happening now

2

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for a drug that targets this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. Safety communication2019-02-20

    Drug Safety Update: Carbimazole: increased risk of congenital malformations; strengthened advice on contraception

    mhra · safety · mhra · via carbimazole

  2. Safety communication2019-02-20

    Drug Safety Update: Carbimazole: risk of acute pancreatitis

    mhra · safety · mhra · via carbimazole

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.