Week 1 physiology Lecture PP
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Questions and Answers

What is the primary function of the deiodinase enzyme in the thyroid hormone synthesis process?

  • To iodinate tyrosine residues
  • To synthesize thyroglobulin
  • To convert T4 to T3 (correct)
  • To secrete thyroid hormones
  • What is the significance of iodine in the synthesis of thyroid hormones?

  • It is incorporated into the structure of thyroid hormones (correct)
  • It is necessary for the conversion of T4 to T3
  • It is necessary for the storage of thyroid hormones
  • It is necessary for the synthesis of thyroglobulin
  • Where is thyroglobulin synthesized in the thyroid follicular cells?

  • Smooth endoplasmic reticulum and lysosomes
  • Cytosol and peroxisomes
  • Nucleus and mitochondria
  • Rough endoplasmic reticulum and Golgi apparatus (correct)
  • What is the ratio of T4 to T3 produced by the thyroid gland?

    <p>9:1</p> Signup and view all the answers

    What is the purpose of storing thyroid hormones in the follicular lumen?

    <p>To store thyroid hormones until they are needed</p> Signup and view all the answers

    What is the primary mechanism by which thyroid hormones regulate protein synthesis in target cells?

    <p>By increasing the transcription of specific genes</p> Signup and view all the answers

    What is the approximate daily requirement of iodine in the form of iodides to form normal quantities of thyroxine?

    <p>1 milligram per week</p> Signup and view all the answers

    What is the primary source of dietary iodide?

    <p>Fish, seafood, and seaweed</p> Signup and view all the answers

    What is the ionic state of iodine?

    <p>Iodide</p> Signup and view all the answers

    What is the net result of thyroid hormone action on target cells?

    <p>A generalized increase in functional activity</p> Signup and view all the answers

    What is the primary factor that influences the rate of iodide trapping by the thyroid gland?

    <p>Concentration of TSH</p> Signup and view all the answers

    Under conditions of severe dietary iodide deficiency, what is the ultimate effect on thyroid hormone synthesis?

    <p>Decreased synthesis of T3 and T4</p> Signup and view all the answers

    What is the role of deiodinase enzymes in thyroid hormone synthesis?

    <p>To convert T4 into T3</p> Signup and view all the answers

    Which of the following statements about propylthiouracil (PTU) is true?

    <p>PTU inhibits the activity of deiodinase enzymes</p> Signup and view all the answers

    What is the normal concentration ratio of iodide in the thyroid gland compared to the blood?

    <p>30 times</p> Signup and view all the answers

    What is the primary constituent of colloid in the thyroid gland?

    <p>Thyroglobulin</p> Signup and view all the answers

    Which cells in the thyroid gland are responsible for synthesizing and secreting thyroid hormones?

    <p>Epithelial cells</p> Signup and view all the answers

    What is the effect of thyroid hormones on the body?

    <p>They affect virtually every organ system in the body</p> Signup and view all the answers

    What is the function of C cells in the thyroid gland?

    <p>To regulate plasma calcium ion concentration</p> Signup and view all the answers

    What is the structure of the thyroid gland composed of?

    <p>A large number of follicles</p> Signup and view all the answers

    What is the primary regulator of thyroid hormone secretion?

    <p>Thyroid stimulating hormone (TSH)</p> Signup and view all the answers

    What is the effect of TSH on the thyroid gland?

    <p>Increased activity of the iodide pump</p> Signup and view all the answers

    What is the effect of triiodothyronine (T3) on the hypothalamic-pituitary negative feedback control system?

    <p>Inhibits TSH secretion</p> Signup and view all the answers

    What is the characteristic of thyroid hormones in terms of their structure and action?

    <p>Peptide hormones with steroid-like actions</p> Signup and view all the answers

    What is the primary function of thyrotropin-releasing hormone (TRH)?

    <p>Stimulates TSH secretion from the pituitary gland</p> Signup and view all the answers

    What is the effect of elevated TSH levels on thyroid follicular cells?

    <p>Hypertrophy and hyperplasia</p> Signup and view all the answers

    What is the primary manifestation of hypothyroidism?

    <p>Lethargy and fatigue</p> Signup and view all the answers

    What is the effect of propylthiouracil (PTU) on thyroid hormone synthesis?

    <p>Inhibits the interaction between iodine and peroxidase with thyroglobulin</p> Signup and view all the answers

    What is the primary function of thyroid hormone in the body?

    <p>Regulation of body metabolism</p> Signup and view all the answers

    What is the effect of hypothyroidism on the body?

    <p>Slowing of mental and physical performance</p> Signup and view all the answers

    What is the effect of thyroid hormones on basal metabolic rate?

    <p>Increase</p> Signup and view all the answers

    What is the effect of thyroid hormones on bone formation?

    <p>Stimulate bone formation</p> Signup and view all the answers

    How do thyroid hormones affect carbohydrate metabolism?

    <p>Stimulate glucose uptake</p> Signup and view all the answers

    What is the effect of thyroid hormones on fat metabolism?

    <p>Stimulate lipid mobilization</p> Signup and view all the answers

    What is the effect of thyroid hormones on plasma cholesterol levels?

    <p>Decrease</p> Signup and view all the answers

    What happens to plasma cholesterol levels in hypothyroidism?

    <p>Increase</p> Signup and view all the answers

    What is the effect of thyroid hormones on oxygen consumption?

    <p>Increase</p> Signup and view all the answers

    How do thyroid hormones affect cardiovascular and respiratory systems?

    <p>Increase blood flow and oxygen delivery</p> Signup and view all the answers

    What is the effect of thyroid hormones on liver fats?

    <p>Increase</p> Signup and view all the answers

    What is the effect of thyroid hormones on nutrient metabolism?

    <p>Increase metabolism</p> Signup and view all the answers

    What is the primary effect of thyroid hormones on bone formation?

    <p>They act synergistically with growth hormone and somatomedins to promote bone formation</p> Signup and view all the answers

    What is the effect of thyroid hormones on the cardiovascular system?

    <p>They increase blood flow and oxygen delivery to the tissues</p> Signup and view all the answers

    What is the primary effect of thyroid hormones on cellular metabolic activity?

    <p>They increase glucose uptake and glycolysis in cells</p> Signup and view all the answers

    What is the effect of thyroid hormones on metabolic rate and energy production?

    <p>They increase basal metabolic rate (BMR) and energy production</p> Signup and view all the answers

    What happens to the concentration of free fatty acids in the plasma in response to thyroid hormones?

    <p>It increases significantly</p> Signup and view all the answers

    What is the effect of thyroid hormones on oxygen consumption in the tissues?

    <p>They increase oxygen consumption</p> Signup and view all the answers

    What is the primary effect of thyroid hormones on skeletal muscle?

    <p>Reacts with vigor</p> Signup and view all the answers

    What is the primary regulator of thyroid hormone secretion in the hypothalamic-pituitary negative feedback control system?

    <p>Thyroid Releasing Hormone (TRH)</p> Signup and view all the answers

    What is the primary effect of thyroid hormones on the metabolic rate?

    <p>Greatly accelerated rate of utilization of foods for energy</p> Signup and view all the answers

    What is the effect of thyroid hormones on heart rate and cardiac output?

    <p>Increases heart rate and cardiac output</p> Signup and view all the answers

    What is the effect of thyroid hormones on mitochondria?

    <p>Increased number and activity</p> Signup and view all the answers

    What is the primary mechanism by which thyroid hormones stimulate cellular metabolic activity?

    <p>Stimulating energy metabolism</p> Signup and view all the answers

    How do thyroid hormones affect the transport of ions through cell membranes?

    <p>Increase the transport of sodium and potassium ions</p> Signup and view all the answers

    What is the effect of thyroid hormones on basal metabolic rate?

    <p>Increases basal metabolic rate</p> Signup and view all the answers

    What is the effect of thyroid hormones on protein synthesis and catabolism?

    <p>Increased protein synthesis and catabolism</p> Signup and view all the answers

    What is the primary effect of thyroid hormones on growth and development prior to adulthood?

    <p>Stimulates bone growth and development</p> Signup and view all the answers

    What is the duration of action of thyroid hormones after injection of a large quantity of thyroxine?

    <p>Delayed onset, maximum effect in 10-12 days</p> Signup and view all the answers

    What is the half-life of thyroid hormones?

    <p>About 15 days</p> Signup and view all the answers

    What is the location where hormones synthesized by hypothalamus are released into?

    <p>Hypothalamo-hypophyseal portal system</p> Signup and view all the answers

    What is the function of the paraventricular nuclei (PVN) in the hypothalamus?

    <p>Produces oxytocin</p> Signup and view all the answers

    What is the characteristic of anterior pituitary hormones?

    <p>Are peptides or polypeptides</p> Signup and view all the answers

    What is the result of the negative feedback control in the hypothalamic-pituitary axis?

    <p>Decreases the production of anterior pituitary hormones</p> Signup and view all the answers

    Which hormone is produced by the somatotrophs in the anterior pituitary?

    <p>Growth hormone (GH)</p> Signup and view all the answers

    What is the proportion of the pituitary gland composed of nervous tissue?

    <p>¼</p> Signup and view all the answers

    What is the function of the hypothalamo-hypophyseal portal system?

    <p>Transport hormones from hypothalamus to anterior pituitary</p> Signup and view all the answers

    What is the primary function of oxytocin in the context of lactation?

    <p>Stimulation of smooth muscle contraction in the breast to cause ejection of milk</p> Signup and view all the answers

    What is the effect of antidiuretic hormone (ADH) on the kidneys?

    <p>Decreased urine output</p> Signup and view all the answers

    What is the role of the hypothalamic-hypophyseal portal system?

    <p>To deliver hypothalamic hormones to the anterior pituitary</p> Signup and view all the answers

    What is the effect of growth hormone-releasing hormone (GHRH) on the anterior pituitary?

    <p>Stimulation of growth hormone secretion</p> Signup and view all the answers

    What is the function of prolactin-inhibiting hormone (PIH) on the anterior pituitary?

    <p>Inhibition of prolactin secretion</p> Signup and view all the answers

    What is the role of corticotropin-releasing hormone (CRH) in the hypothalamic-pituitary axis?

    <p>Stimulation of adrenocorticotropic hormone (ACTH) secretion</p> Signup and view all the answers

    What is the effect of thyrotropin-releasing hormone (TRH) on the anterior pituitary?

    <p>Stimulation of thyroid-stimulating hormone secretion</p> Signup and view all the answers

    What is the primary function of the hypothalamus in terms of maintaining homeostasis?

    <p>Maintaining chemical constancy and temperature of the internal environment</p> Signup and view all the answers

    What is the term for the extracellular fluid environment that surrounds the cells and tissues?

    <p>Internal Mileau</p> Signup and view all the answers

    Which of the following is a function of the posterior pituitary?

    <p>Producing antidiuretic hormone (ADH) and oxytocin</p> Signup and view all the answers

    What is the term for the connection between the hypothalamus and the posterior pituitary?

    <p>Hypothalamohypophyseal tract</p> Signup and view all the answers

    Which of the following nuclei produces antidiuretic hormone (ADH)?

    <p>Supraoptic nuclei (SON)</p> Signup and view all the answers

    What is the primary function of the hypothalamus in terms of emotional and instinctual behavior?

    <p>Regulating emotional responses</p> Signup and view all the answers

    What is the term for the regulation of body temperature by the hypothalamus?

    <p>Temperature regulation</p> Signup and view all the answers

    Which of the following is a function of the anterior pituitary?

    <p>Regulating growth and development</p> Signup and view all the answers

    What is the term for the physiological process of maintaining protective stability for the tissues and organs?

    <p>Homeostasis</p> Signup and view all the answers

    What is the primary function of the hypothalamus-pituitary complex?

    <p>To regulate the synthesis and secretion of hormones from other glands</p> Signup and view all the answers

    How does the hypothalamus control the pituitary gland?

    <p>Through both neural and hormonal mechanisms</p> Signup and view all the answers

    What is the significance of the connections between the hypothalamus and pituitary gland?

    <p>They regulate the synthesis and secretion of hormones from other glands</p> Signup and view all the answers

    What is the role of the hypothalamus in the endocrine system?

    <p>To regulate the synthesis and secretion of hormones from other glands</p> Signup and view all the answers

    How do hypothalamic neuropeptides reach the posterior pituitary?

    <p>Through the hypothalamic-hypophyseal portal system</p> Signup and view all the answers

    What is the primary function of the hypothalamus-pituitary complex in the endocrine system?

    <p>To regulate the synthesis and secretion of hormones from other glands</p> Signup and view all the answers

    What is the significance of the hypothalamus receiving neural inputs from many areas of the brain?

    <p>It allows for the integration of various neural signals to regulate hormone synthesis and secretion</p> Signup and view all the answers

    What is the primary function of the hypothalamus-pituitary complex in the endocrine system?

    <p>To regulate the synthesis and secretion of hormones of other glands</p> Signup and view all the answers

    What is the mechanism by which the hypothalamus controls the pituitary gland?

    <p>Through both neural and hormonal mechanisms</p> Signup and view all the answers

    What is the role of releasing hormones in the hypothalamus-pituitary complex?

    <p>To stimulate the synthesis of hormones in other glands</p> Signup and view all the answers

    What is the significance of the anatomic connections between the hypothalamus and the pituitary gland?

    <p>They enable the hypothalamus to control the pituitary gland</p> Signup and view all the answers

    What is the primary route of transport of hypothalamic neuropeptides to the posterior pituitary?

    <p>Through the neural connections between the hypothalamus and pituitary gland</p> Signup and view all the answers

    What is the role of the hypothalamus in the regulation of the endocrine system?

    <p>It regulates the synthesis and secretion of hormones of other glands</p> Signup and view all the answers

    What is the mechanism by which the hypothalamus receives information from other parts of the brain?

    <p>Through the neural connections between the hypothalamus and other parts of the brain</p> Signup and view all the answers

    What is the primary function of the hypothalamus in maintaining homeostasis?

    <p>Maintaining the chemical constancy and temperature of the internal environment</p> Signup and view all the answers

    What is the primary function of the hypothalamic-pituitary complex in the regulation of the endocrine system?

    <p>To regulate the synthesis and secretion of hormones of other glands</p> Signup and view all the answers

    What is the term for the extra-cellular fluid environment, interstitial fluid, and its physiological capacity to ensure protective stability for the tissues and organs of multicellular organisms?

    <p>Internal Mileau</p> Signup and view all the answers

    Which nuclei in the hypothalamus produce oxytocin?

    <p>Paraventricular nuclei</p> Signup and view all the answers

    What is the function of the hypothalamohypophyseal tract?

    <p>Releasing antidiuretic hormone and oxytocin into the bloodstream</p> Signup and view all the answers

    What is the function of the posterior pituitary?

    <p>Storing and releasing hormones produced by the hypothalamus</p> Signup and view all the answers

    What is the function of the anterior pituitary?

    <p>Producing hormones that regulate growth and development</p> Signup and view all the answers

    What is the role of the hypothalamus in regulating body rhythms?

    <p>Regulating sleep and wake patterns</p> Signup and view all the answers

    What is the term for the collection of nerve axons whose cell bodies are located in the hypothalamus?

    <p>Neurohypophysis</p> Signup and view all the answers

    What is the primary function of the hypothalamus in regulating emotional and instinctual behavior?

    <p>Regulating emotional and instinctual behavior through the limbic system</p> Signup and view all the answers

    What is the unique characteristic of cells in the anterior pituitary gland that receive high concentrations of hypothalamic hormones?

    <p>They are directly connected to the hypothalamus through the hypophyseal portal system</p> Signup and view all the answers

    What is the function of the paraventricular nuclei (PVN) in the hypothalamus?

    <p>To synthesize and release oxytocin</p> Signup and view all the answers

    Which hormone is synthesized by the somatotrophs in the anterior pituitary gland?

    <p>Growth hormone (GH)</p> Signup and view all the answers

    What is the primary mechanism of control for the anterior pituitary hormones?

    <p>Negative feedback control</p> Signup and view all the answers

    What is the characteristic of the hormones synthesized by the anterior pituitary gland?

    <p>They are all peptides or polypeptides</p> Signup and view all the answers

    What is the role of the hypothalamo-hypophyseal portal system?

    <p>To transport hypothalamic hormones to the anterior pituitary gland</p> Signup and view all the answers

    What is the function of the corticotrophs in the anterior pituitary gland?

    <p>To synthesize and release adrenocorticotropic hormone (ACTH)</p> Signup and view all the answers

    What is the primary function of the thyrotrophs in the anterior pituitary gland?

    <p>To synthesize and release thyroid-stimulating hormone (TSH)</p> Signup and view all the answers

    What is the primary function of the gonadotrophs in the anterior pituitary gland?

    <p>To synthesize and release follicle-stimulating hormone (FSH) and luteinizing hormone (LH)</p> Signup and view all the answers

    What is the primary function of oxytocin in the uterus during delivery?

    <p>To stimulate uterine contractions</p> Signup and view all the answers

    What is the effect of antidiuretic hormone (ADH) on the kidneys?

    <p>It decreases urine output and increases fluid intake</p> Signup and view all the answers

    What is the primary function of hypophysiotropic hormones?

    <p>To regulate the secretion of anterior pituitary hormones</p> Signup and view all the answers

    What is the primary mechanism of the hypothalamic-hypophyseal portal system?

    <p>It transports hormones from the hypothalamus to the anterior pituitary</p> Signup and view all the answers

    What is the significance of the hypothalamic-hypophyseal portal system?

    <p>It allows the hypothalamic hormones to be delivered to the anterior pituitary directly and in high concentration</p> Signup and view all the answers

    What is the effect of antidiuretic hormone (ADH) on blood vessels?

    <p>It causes vasoconstriction</p> Signup and view all the answers

    What is the function of growth hormone–releasing hormone (GHRH)?

    <p>It regulates the release of growth hormone</p> Signup and view all the answers

    What is the function of somatostatin?

    <p>It inhibits the release of growth hormone</p> Signup and view all the answers

    What is the primary function of prolactin-releasing hormone (PRH)?

    <p>It regulates the release of prolactin</p> Signup and view all the answers

    Study Notes

    Thyroid Disorders and Treatments

    • Propylthiouracil (PTU): Inhibits iodine and peroxidase from forming thyroid hormones T4 and T3; used in hyperthyroidism management.
    • Treatment options for exophthalmos: Include surgery, radiation therapy, beta-blockers, and the use of PTU.

    Hypothyroidism

    • Defined as the insufficient production of thyroid hormone, resulting in a slow metabolism.
    • Common symptoms include:
      • Lethargy and fatigue
      • Cold intolerance
      • Weight gain and increased BMI
      • Decreased appetite
      • Mental and physical performance decline
      • Depression and muscle cramps
      • Constipation, brittle nails, thinning hair, and goiter (enlarged thyroid)

    Thyroid Gland and Hormones

    • Thyroid Stimulating Hormone (TSH): Stimulates thyroid hormone synthesis, secretion, and increases blood flow; promotes hypertrophy and hyperplasia of thyroid cells.
    • Thyroglobulin (TG): A glycoprotein synthesized in thyroid cells, storing iodine and precursors for T4 and T3 production.

    Thyroid Hormones

    • Types: Triiodothyronine (T3) and tetraiodothyronine (T4) with T4 being the predominant form (93%).
    • T3 is four times more potent than T4; it is the active form converted from T4 via the enzyme deiodinase.
    • Action: Thyroid hormones increase transcription in target cells, boosting metabolism, protein synthesis, and mitochondrial activity.

    Iodine and Hormone Synthesis

    • Iodine Requirement: Approximately 50 mg/year is necessary for normal thyroid function; typically sourced from seafood and iodized salt.
    • Iodide Trapping: Collects iodide in thyroid cells; regulatory influenced by TSH and compensates during dietary deficiency.

    Deiodinase Enzymes

    • Types: D1 and D2 convert T4 to T3; D3 inactivates T4 and T3.
    • PTU: Inhibits deiodinase, thus affecting T3 production.

    Thyroid Hormone Regulation

    • Regulated primarily by TSH from the anterior pituitary, which is stimulated by thyrotropin-releasing hormone (TRH) from the hypothalamus.
    • Negative feedback is exerted by elevated levels of T4 and T3.

    Physiological Effects of Thyroid Hormones

    • Increases basal metabolic rate (BMR) and oxygen consumption.
    • Enhances cardiovascular and respiratory functions, stimulating energy metabolism (carb and fat).
    • Influences growth, sleep, sexual function, and CNS activity.

    Long-Term Actions of Thyroid Hormones

    • Latency and Duration: Significant metabolic effects may take days to weeks after thyroid hormone administration; half-life is approximately 15 days.
    • Influences on Nutrient Metabolism: Stimulates carbohydrate and fat metabolism; affects plasma lipid concentrations by decreasing cholesterol and triglyceride levels.

    Hypothalamus and Pituitary Connections

    • Hypothalamus Functions: Controls temperature, osmolarity, appetite, and body rhythms.
    • Pituitary Gland Structure: Composed of anterior (endocrine tissue) and posterior (neural tissue) components; regulated through both vascular and neural connections.
    • Posterior Pituitary Hormones: Includes oxytocin and antidiuretic hormone (ADH), affecting childbirth, lactation, and water balance.

    Feedback Regulation

    • Hormones from the hypothalamus regulate anterior pituitary activity through releasing and inhibiting factors.
    • Hypothalamic hormones are delivered directly to the anterior pituitary, ensuring concentrated effects without systemic circulation involvement.

    Summary of Key Actions

    • Thyroid hormones play a crucial role in regulating metabolism and physiological activities throughout the body.
    • The hypothalamus-pituitary axis is vital for coordinating hormonal responses and maintaining homeostasis.### Hypothalamus & Pituitary Gland Overview
    • The hypothalamus-pituitary complex is a critical “command center” for the endocrine system.
    • It secretes hormones that directly affect target tissues and regulate hormones of other glands.
    • Connections between the hypothalamus and pituitary are neural and hormonal, facilitating control and communication.

    Hypothalamus Functionality

    • Integrates neural inputs from various brain regions to assess the body's internal conditions.
    • Maintains "internal milieu"—the extracellular fluid environment essential for tissue stability.
    • Regulates several physiological processes, including temperature, osmolarity, appetitive behaviors (hunger, thirst, sex), autonomic nervous system responses (fear, rage), and circadian rhythms (sleep/wake patterns).

    Hypothalamus Anatomy

    • Receives diverse neural inputs and processes this information to influence endocrine activity.

    Pituitary Gland Structure

    • Anterior Pituitary (Adenohypophysis)
      • Composed of endocrine tissue.
      • Connected to the hypothalamus via a vascular link.
    • Posterior Pituitary (Neurohypophysis)
      • Composed of neural tissue.
      • Developed from hypothalamic downgrowth, containing nerve axons from the hypothalamus.

    Hormonal Production in the Pituitary

    • Posterior Pituitary
      • Antidiuretic hormone (ADH) produced by supraoptic nuclei (SON).
      • Oxytocin produced by paraventricular nuclei (PVN).
    • Anterior Pituitary Hormones:
      • Growth Hormone (GH) - Somatotrophs
      • Prolactin (PRL) - Lactotrophs
      • Follicle-stimulating hormone (FSH) - Gonadotrophs
      • Luteinizing hormone (LH) - Gonadotrophs
      • Adrenocorticotropic hormone (ACTH) - Corticotrophs
      • Thyroid-stimulating hormone (TSH) - Thyrotrophs

    Hormonal Regulation Mechanism

    • The anterior pituitary hormones respond to hypothalamic hypophysiotropic (regulatory) hormones through various releasing hormones (RH) and inhibitory hormones (IH).

    Posterior Pituitary Hormone Actions

    • Oxytocin:
      • Stimulates uterine contractions during childbirth.
      • Facilitates milk ejection from the breast.
      • Promotes emotional bonding between individuals.
    • Antidiuretic Hormone (ADH):
      • Enhances water reabsorption in kidneys, reducing urine output.
      • Stimulates thirst to increase fluid intake.
      • Causes vasoconstriction at high doses.

    Hypothalamic-Pituitary Portal System

    • Hypothalamic hormones are transported to the anterior pituitary via the hypothalamic-hypophyseal portal system, ensuring high concentration delivery.
    • Hypothalamic hormones do not enter systemic circulation, allowing localized control of anterior pituitary hormone release.

    Negative Feedback Control

    • Hormonal changes in target glands exert negative feedback on hypothalamic and pituitary hormone production, ensuring endocrine balance.

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