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37 Cards in this Set

  • Front
  • Back

What are the extreme importance of the thyroid gland?

- regulates metabolism body-wide


- crucial determinant of normal growth and development


- optimizes sensitivity of particular tissues to other hormones

Why is fetal thyroid tissue particularly important?

- maternal thyroid hormones cannot cross the placenta


- fetal thyroid hormone necessary for MANY systems (CNS, bone, respiratory...)

What are the 5 systemic effects of thyroid hormones?

1. increase basal metabolic rate


2. promote growth and maturation


3. central nervous system effects


4. autonomic nervous system


5. temperature regulation

How does the TH increase basal metabolic rate?

- increases cardiac output


- blood oxygenation


- glucose uptake


- glycogen formation


- lipid mobilization


- protein synthesis

How does TH promote growth and maturation?

- required for normal skeletal growth


- promotes bone growth


- stimulates both GH secretion and somatomedin production

How does TH effect the CNS?

- necessary for perinatal maturation


- promotes neural branching and myelinization of nerves

How does TH effect the autonomic nervous system?

- increases sympathetic activity

How does TH effect temperature regulation?

- increases thermogenesis

Is the thyroid well or poorly perfused?

- second best perfused gland in the body

What are the function components of the thyroid gland?

- follicular cells: collection of cells surrounding a cavity that stores material secreted by these cells


- colliod: the material inside the follicular lumen


- parafollicular cells: single or small groups fo cells tucked among the bases of the follicular cells; participate in Ca regulation


- capillaries: abundant; rich supply to follicular cells

What amino acid is thyroid hormone derived form?

- tyrosine is the foundation of thyroid hormone molecules

What are the two active and one inactive forms of thyroid hormone?

- T4= thyroxine: main secretory product, but less potent


- T3: mostly formed from T4 in tissues- most biologically potent


- reverst T3- an accident! essentially ZERO potency

When the term thyroid hormone is used what does it refer to?

- T3


- T4

What is another important substance required for thyroid hormones?

- iodine

Is iodine strictly regulated?

- iodine is so important that its reverses are strictly regulated


- very little eliminated


- several systems for reabsorption and recycling

What is the source of iodine?

- DIET!


- absorbed into the blood from small intestine

What does the formation of thyroid hormone depend on?

adequate dietary supply of iodine

What is the iodide pump?

- follicular cells have iodide pump that takes iodide from blood and pumps it into follicular cells

Does the thyroid adapt to the iodine supply?

- yes


- animals living in areas with iodine-poor soils up-regulate the iodine active transport systems


- iodine trapping thus facilitated


- this upregulation takes time, though: sudden deprivation increases risk of hypothyriodism or even death

Is thyroglobulin a thyroid hormone?

No

What is thyrogobulin?

- essential for thyroid hormone production


- large protein molecules synthesized by thyroid follicular cells that contains thyrsines in its amino acid sequences


- made inside the follicular cells and then transported into the follicular lumen where it is stored pending iodide arrival

Describe the acquisition and processing of iodine.

- enterocytes pick up iodine


- iodide transported through systemic blood to thyroid follicular cells


- thyroid follicular cells actively pump iodide from plasma into their cytosol


- iodide is oxidized intracellulary and then transported into follicular lumen


- the oxidized iodine is highly reactive and quickly binds to a tyrosyl residue on thyroglobulin in the lumen

What is MIT? DIT?

MIT: results when one carbon on tyrosine ring is iodinated



DIT: results when tow carbons on tyrosine ring are iodinated

Where does the combining of MIT/DIT occur?

- must take place on thyroglobulin molecules, in follicular lumen

MIT + DIT=?

T3- triiododthyronine

DIT + DIT=?

- T4- tetraiododthyronine

How is thyrogobulin stored?

- iodonated thyrogobuline molecule is endocytoses from the follicular lumen and back into the follicular cell


- thyroglobulin has a multiple substances on it, including MIT, DIT, T3, T4

How is thyroid hormone released into the blood?

- upon "cue" thyroglobulin molecules is endocytosed from the follicular lumen and back into the follicular cell


- proteolysis of thyroglobulin causes release various things: MIT and DIT (deiodonated both the iodines and tyrosines are re-used) AND T3 and T4 (thyronines)


- the lipid-soluble thyronines freely diffuse through basal cell membrane, into interstitium, and into the systemic blood


- thyronines picked up by binding proteins and transported throughout body

Where does T3 formation take place?

- some takes place in follicular lumen, but..


- MOST T3 formed outside the thyroid gland


- tissues tha makes lots because has lots of enzyme: LIVER and KIDNEY


- tissues that does lots by virtue of mass: SKELETAL MUSCLE

What is reverse T3?

- another triple-idodnated tyrosine, but 4th iodine was removed at wrong site


- mistake with little if any biological activity

Are thyroid hormones water or lipid soluble?

Lipid soluble so requires carrier proteins to move through plasma

Which one, T4 or T3, binds tighter to the carrier protein?

- T4 carriers bind very tightly


- T3 carries bind less tightly


- partly why T3 has much greater activity than T4 (remember only unbound hormone is active)

What is the hypothalamic-pituitary- thyroid axis?

- main feedback is the T3/T4 inhibition of TSH


- smaller effect on thyroid-releasing hormone

What is the typical day-to day stimulation of thyroid hormone synthesis?

- plasma levels of T3/T4 act directly on anterior pituitary to influence thyroid stimulating hormone release


- lower T3/T4 levels cause TSH release and vice-versa

What is the stimulation of thyroid hormone synthesis and release during short periods of stress or high metabolic demand?

- hypothalamus responds by secreting thyroid releasing hormone


- TRH travels to anterior pituitary gland


- TRH there supersedes the "day-to-day" control of T3/T4 and causes increased release of thyroid stimulating hormone


- thyroid gland responds by making/releasing more thyronines

How is thyroid hormone synthesis/release inhibited day-to-day? (Prolonged high stress? )

- day-to-day: adequate plasma T3/T4 levels feed back to the anterior pituitary and inhibit release of further TSH


(- prolonged high stress: extra-high levels of T3/T4 cause TRH shutdown )

What are the general disorders of thyroid function? What species are the typically found in?

hypothyroidism: dogs


Hyperthyroidism: cats