Podcast
Questions and Answers
What is the general location of the thyroid gland in the human body?
What is the general location of the thyroid gland in the human body?
- In front of the cricoid cartilage
- Adjacent to the trachea
- Above the hyoid bone
- Below the thyroid cartilage (correct)
Which of the following best describes the structure of the thyroid gland?
Which of the following best describes the structure of the thyroid gland?
- Divided into four distinct sections
- Comprises two lobes joined by an isthmus (correct)
- A spherical structure without lobes
- A single lobe with no isthmus
What additional structure may be present in about 50% of adults related to the thyroid gland?
What additional structure may be present in about 50% of adults related to the thyroid gland?
- Lateral lobe
- Submandibular gland
- Parathyroid glands
- Pyramidal lobe (correct)
Which cartilage is located directly above the thyroid gland?
Which cartilage is located directly above the thyroid gland?
What anatomical feature is immediately below the thyroid gland?
What anatomical feature is immediately below the thyroid gland?
What is the primary role of the sodium-iodide symporter in iodide trapping?
What is the primary role of the sodium-iodide symporter in iodide trapping?
Which enzyme is responsible for the conversion of iodide (I-) to iodine (I2)?
Which enzyme is responsible for the conversion of iodide (I-) to iodine (I2)?
What is a potential effect of the inhibitory anion perchlorate (ClO4-) on iodide uptake?
What is a potential effect of the inhibitory anion perchlorate (ClO4-) on iodide uptake?
What types of iodination can occur with tyrosines in the synthesis of thyroid hormones?
What types of iodination can occur with tyrosines in the synthesis of thyroid hormones?
What is the clinical significance of Pendred syndrome regarding thyroid function?
What is the clinical significance of Pendred syndrome regarding thyroid function?
What is the role of the thyroid hormone receptor (TR) in gene expression?
What is the role of the thyroid hormone receptor (TR) in gene expression?
Which of the following is NOT a metabolic effect of thyroid hormone?
Which of the following is NOT a metabolic effect of thyroid hormone?
What happens to fat metabolism when thyroid hormones are elevated?
What happens to fat metabolism when thyroid hormones are elevated?
How does thyroid hormone affect oxygen consumption in the body?
How does thyroid hormone affect oxygen consumption in the body?
What is one systemic effect of thyroid hormones on the cardiovascular system?
What is one systemic effect of thyroid hormones on the cardiovascular system?
What effect does increased gluconeogenesis have at high levels?
What effect does increased gluconeogenesis have at high levels?
Which of the following is NOT considered a benefit of adequate hormone levels for the central nervous system?
Which of the following is NOT considered a benefit of adequate hormone levels for the central nervous system?
Which action is specifically related to the development of the skeletal system?
Which action is specifically related to the development of the skeletal system?
How does effective hormone action impact intermediary metabolism?
How does effective hormone action impact intermediary metabolism?
Which effect does growth hormone have on muscle contraction?
Which effect does growth hormone have on muscle contraction?
What happens if the thyroglossal duct does not obliterate during embryonic development?
What happens if the thyroglossal duct does not obliterate during embryonic development?
At what gestational week does the thyroid gland typically take its mature shape?
At what gestational week does the thyroid gland typically take its mature shape?
Which thyroid hormone is considered biologically inactive?
Which thyroid hormone is considered biologically inactive?
Where are cystic masses commonly found in cases of thyroglossal duct cyst?
Where are cystic masses commonly found in cases of thyroglossal duct cyst?
Which element is essential for the synthesis of thyroid hormones?
Which element is essential for the synthesis of thyroid hormones?
In which condition would one expect to see elevated Thyrotropin (TSH) levels?
In which condition would one expect to see elevated Thyrotropin (TSH) levels?
What is the likely consequence of ectopic thyroid tissue during development?
What is the likely consequence of ectopic thyroid tissue during development?
What is the role of thyroglobulin in thyroid hormone synthesis?
What is the role of thyroglobulin in thyroid hormone synthesis?
What is the main product of T4 conversion in peripheral tissues?
What is the main product of T4 conversion in peripheral tissues?
How is most of the circulating T3 produced?
How is most of the circulating T3 produced?
What role does T4 serve in relation to T3?
What role does T4 serve in relation to T3?
Which enzyme converts T4 to inactive rT3?
Which enzyme converts T4 to inactive rT3?
What physiological effect does increased thyroid hormones have on TSH release?
What physiological effect does increased thyroid hormones have on TSH release?
What triggers a decrease in TSH levels?
What triggers a decrease in TSH levels?
What is the outcome of excessive TSH levels?
What is the outcome of excessive TSH levels?
What happens to T4 when the cell has sufficient T3?
What happens to T4 when the cell has sufficient T3?
Which gland is primarily responsible for TSH synthesis?
Which gland is primarily responsible for TSH synthesis?
What effect does TRH have on the anterior pituitary gland?
What effect does TRH have on the anterior pituitary gland?
What is one significant role of growth hormone in the central nervous system?
What is one significant role of growth hormone in the central nervous system?
Which of the following actions is enhanced by growth hormone in relation to skeletal muscle?
Which of the following actions is enhanced by growth hormone in relation to skeletal muscle?
How does growth hormone impact intermediary metabolism?
How does growth hormone impact intermediary metabolism?
What role does growth hormone play in the development of the skeletal system?
What role does growth hormone play in the development of the skeletal system?
What specific effect does growth hormone have on general body growth during childhood?
What specific effect does growth hormone have on general body growth during childhood?
What is the primary reason thyroid hormones require carrier proteins in the bloodstream?
What is the primary reason thyroid hormones require carrier proteins in the bloodstream?
Which serum protein has the highest affinity for binding thyroid hormones?
Which serum protein has the highest affinity for binding thyroid hormones?
What percentage of circulating T4 is typically found in a protein-free form?
What percentage of circulating T4 is typically found in a protein-free form?
Which of the following statements regarding T3 and T4 is true?
Which of the following statements regarding T3 and T4 is true?
What is the typical half-life of T3 in circulation?
What is the typical half-life of T3 in circulation?
What is the primary role of the sodium-iodide symporter in the thyroid follicular endothelial cells?
What is the primary role of the sodium-iodide symporter in the thyroid follicular endothelial cells?
Which of the following describes the effect of TSH on iodide transport?
Which of the following describes the effect of TSH on iodide transport?
Which condition is linked to Pendred syndrome?
Which condition is linked to Pendred syndrome?
What is the chemical process occurring with iodide in presence of H2O2 during thyroid hormone synthesis?
What is the chemical process occurring with iodide in presence of H2O2 during thyroid hormone synthesis?
How are tyrosine residues of thyroglobulin modified during iodination?
How are tyrosine residues of thyroglobulin modified during iodination?
What occurs if the thyroglossal duct does not fully obliterate during the development of the thyroid gland?
What occurs if the thyroglossal duct does not fully obliterate during the development of the thyroid gland?
What does the presence of ectopic thyroid tissue along the thyroglossal duct commonly indicate?
What does the presence of ectopic thyroid tissue along the thyroglossal duct commonly indicate?
In a clinical assessment, what is the likely consequence for a child with hypothyroidism indicated by high Thyrotropin (TSH) levels?
In a clinical assessment, what is the likely consequence for a child with hypothyroidism indicated by high Thyrotropin (TSH) levels?
What role does thyroglobulin play in thyroid hormone synthesis?
What role does thyroglobulin play in thyroid hormone synthesis?
What is the primary element necessary for the synthesis of thyroid hormones?
What is the primary element necessary for the synthesis of thyroid hormones?
What typically occurs when there is an excess of TSH in serum?
What typically occurs when there is an excess of TSH in serum?
Which structure is primarily responsible for the production of calcitonin in the thyroid gland?
Which structure is primarily responsible for the production of calcitonin in the thyroid gland?
What is the significance of the thyroglossal duct during the development of the thyroid gland?
What is the significance of the thyroglossal duct during the development of the thyroid gland?
Which artery provides the primary blood supply to the thyroid gland?
Which artery provides the primary blood supply to the thyroid gland?
Which physiological impact could result from damage to the recurrent laryngeal nerve during thyroid surgery?
Which physiological impact could result from damage to the recurrent laryngeal nerve during thyroid surgery?
What is the embryological origin of the thyroid gland?
What is the embryological origin of the thyroid gland?
What role do capillaries play in the function of the thyroid gland?
What role do capillaries play in the function of the thyroid gland?
Which type of thyroid hormonal secretion is influenced by sympathetic innervation?
Which type of thyroid hormonal secretion is influenced by sympathetic innervation?
In which direction does the thyroid gland descend during embryonic development?
In which direction does the thyroid gland descend during embryonic development?
What is the primary role of T4 in the body?
What is the primary role of T4 in the body?
What happens to T3 levels when there is sufficient T3 in the cell?
What happens to T3 levels when there is sufficient T3 in the cell?
What effect does excessive TSH levels have on the thyroid gland?
What effect does excessive TSH levels have on the thyroid gland?
What enzyme is responsible for converting T4 to inactive rT3?
What enzyme is responsible for converting T4 to inactive rT3?
How does increased thyroid hormone levels impact TSH release from the pituitary gland?
How does increased thyroid hormone levels impact TSH release from the pituitary gland?
What is the predominant source of circulating T3 in the body?
What is the predominant source of circulating T3 in the body?
How does TRH affect the anterior pituitary gland?
How does TRH affect the anterior pituitary gland?
What is the overall impact of iodine deficiency on thyroid hormone levels?
What is the overall impact of iodine deficiency on thyroid hormone levels?
What triggers the secretion of TSH from the anterior pituitary gland?
What triggers the secretion of TSH from the anterior pituitary gland?
How does increased cAMP and Ca2+ affect the thyroid gland?
How does increased cAMP and Ca2+ affect the thyroid gland?
Flashcards
Where is the thyroid gland located?
Where is the thyroid gland located?
The thyroid gland is located in the neck, below the thyroid cartilage, behind the strap muscles.
What is the structure of the thyroid gland?
What is the structure of the thyroid gland?
The thyroid gland has two lobes, joined by an isthmus (a connecting bridge), and sits below the cricoid cartilage.
What are the main components of the thyroid gland?
What are the main components of the thyroid gland?
The thyroid gland is composed of two lobes, each consisting of follicles, which are spherical structures surrounded by a single layer of follicular cells that produce thyroid hormone.
What is the thyroid cartilage and where is it located?
What is the thyroid cartilage and where is it located?
Signup and view all the flashcards
What is the cricoid cartilage and where is it located?
What is the cricoid cartilage and where is it located?
Signup and view all the flashcards
What does the Thyroid Hormone-Receptor Complex bind to?
What does the Thyroid Hormone-Receptor Complex bind to?
Signup and view all the flashcards
How does the Thyroid Hormone-Receptor Complex affect transcription?
How does the Thyroid Hormone-Receptor Complex affect transcription?
Signup and view all the flashcards
How does Thyroid Hormone affect fat metabolism?
How does Thyroid Hormone affect fat metabolism?
Signup and view all the flashcards
How does Thyroid Hormone affect carbohydrate metabolism?
How does Thyroid Hormone affect carbohydrate metabolism?
Signup and view all the flashcards
What are the other metabolic effects of Thyroid Hormone?
What are the other metabolic effects of Thyroid Hormone?
Signup and view all the flashcards
What is iodide trapping?
What is iodide trapping?
Signup and view all the flashcards
What is the sodium-iodide symporter (NIS)?
What is the sodium-iodide symporter (NIS)?
Signup and view all the flashcards
What is the role of Pendrin in thyroid hormone synthesis?
What is the role of Pendrin in thyroid hormone synthesis?
Signup and view all the flashcards
What is the role of thyroid peroxidase (TPO) in thyroid hormone synthesis?
What is the role of thyroid peroxidase (TPO) in thyroid hormone synthesis?
Signup and view all the flashcards
What is Pendred syndrome?
What is Pendred syndrome?
Signup and view all the flashcards
What is the thyroglossal duct?
What is the thyroglossal duct?
Signup and view all the flashcards
Where does the thyroid gland develop in the embryo?
Where does the thyroid gland develop in the embryo?
Signup and view all the flashcards
What is a thyroglossal duct cyst?
What is a thyroglossal duct cyst?
Signup and view all the flashcards
What is the fate of the thyroglossal duct?
What is the fate of the thyroglossal duct?
Signup and view all the flashcards
What is ectopic thyroid tissue?
What is ectopic thyroid tissue?
Signup and view all the flashcards
What is a lingual thyroid?
What is a lingual thyroid?
Signup and view all the flashcards
What are the main thyroid hormones?
What are the main thyroid hormones?
Signup and view all the flashcards
What is reverse T3 (rT3)?
What is reverse T3 (rT3)?
Signup and view all the flashcards
How is T4 converted to T3?
How is T4 converted to T3?
Signup and view all the flashcards
Is T4 or T3 the primary active thyroid hormone?
Is T4 or T3 the primary active thyroid hormone?
Signup and view all the flashcards
What enzymes are involved in converting T4?
What enzymes are involved in converting T4?
Signup and view all the flashcards
How does T3 circulate?
How does T3 circulate?
Signup and view all the flashcards
How is T3 production regulated in cells?
How is T3 production regulated in cells?
Signup and view all the flashcards
How is thyroid hormone production regulated?
How is thyroid hormone production regulated?
Signup and view all the flashcards
What is the role of TRH and TSH in thyroid hormone production?
What is the role of TRH and TSH in thyroid hormone production?
Signup and view all the flashcards
How does the negative feedback loop regulate thyroid hormone levels?
How does the negative feedback loop regulate thyroid hormone levels?
Signup and view all the flashcards
What is the effect of thyroid hormone levels on TSH release?
What is the effect of thyroid hormone levels on TSH release?
Signup and view all the flashcards
Define TSH and its role.
Define TSH and its role.
Signup and view all the flashcards
Increased gluconeogenesis due to high hormone levels
Increased gluconeogenesis due to high hormone levels
Signup and view all the flashcards
Increased respiration
Increased respiration
Signup and view all the flashcards
Thyroid hormone's role in CNS development
Thyroid hormone's role in CNS development
Signup and view all the flashcards
Thyroid hormone's effect on cognition
Thyroid hormone's effect on cognition
Signup and view all the flashcards
Thyroid hormone's impact on emotional well-being
Thyroid hormone's impact on emotional well-being
Signup and view all the flashcards
What is Pendrin?
What is Pendrin?
Signup and view all the flashcards
What is thyroid peroxidase (TPO)?
What is thyroid peroxidase (TPO)?
Signup and view all the flashcards
Which thyroid hormone is more active?
Which thyroid hormone is more active?
Signup and view all the flashcards
Which thyroid hormone has a longer Half-life?
Which thyroid hormone has a longer Half-life?
Signup and view all the flashcards
How do thyroid hormones travel in the bloodstream?
How do thyroid hormones travel in the bloodstream?
Signup and view all the flashcards
What is the relationship between T4 and T3?
What is the relationship between T4 and T3?
Signup and view all the flashcards
What is the active form of thyroid hormones?
What is the active form of thyroid hormones?
Signup and view all the flashcards
What is a thyroid follicle?
What is a thyroid follicle?
Signup and view all the flashcards
What are follicular cells?
What are follicular cells?
Signup and view all the flashcards
What is colloid?
What is colloid?
Signup and view all the flashcards
What are the capillaries that surround the thyroid follicle?
What are the capillaries that surround the thyroid follicle?
Signup and view all the flashcards
What role does sympathetic innervation play in the thyroid follicle?
What role does sympathetic innervation play in the thyroid follicle?
Signup and view all the flashcards
What are C-cells (Parafollicular Cells)?
What are C-cells (Parafollicular Cells)?
Signup and view all the flashcards
How does the thyroid gland develop?
How does the thyroid gland develop?
Signup and view all the flashcards
Thyroid Gland Development
Thyroid Gland Development
Signup and view all the flashcards
Thyroglossal Duct
Thyroglossal Duct
Signup and view all the flashcards
Thyroglossal Duct Cyst
Thyroglossal Duct Cyst
Signup and view all the flashcards
Ectopic Thyroid Tissue
Ectopic Thyroid Tissue
Signup and view all the flashcards
Lingual Thyroid
Lingual Thyroid
Signup and view all the flashcards
Thyroid Hormones
Thyroid Hormones
Signup and view all the flashcards
Reverse T3 (rT3)
Reverse T3 (rT3)
Signup and view all the flashcards
Iodide Trapping
Iodide Trapping
Signup and view all the flashcards
Thyroid hormone and CNS development
Thyroid hormone and CNS development
Signup and view all the flashcards
Thyroid hormone and cognitive function
Thyroid hormone and cognitive function
Signup and view all the flashcards
Thyroid hormone and emotional well-being
Thyroid hormone and emotional well-being
Signup and view all the flashcards
Thyroid hormone and nerve function
Thyroid hormone and nerve function
Signup and view all the flashcards
Thyroid hormone and body temperature
Thyroid hormone and body temperature
Signup and view all the flashcards
What is deiodination?
What is deiodination?
Signup and view all the flashcards
What is extrathyroidal deiodination?
What is extrathyroidal deiodination?
Signup and view all the flashcards
How does T4 act like a prohormone?
How does T4 act like a prohormone?
Signup and view all the flashcards
Describe the regulation of thyroid hormone production.
Describe the regulation of thyroid hormone production.
Signup and view all the flashcards
How does the negative feedback loop function in thyroid hormone production?
How does the negative feedback loop function in thyroid hormone production?
Signup and view all the flashcards
What is TSH and what is its role?
What is TSH and what is its role?
Signup and view all the flashcards
How does thyroid hormone exert its effects?
How does thyroid hormone exert its effects?
Signup and view all the flashcards
What is increased respiration in the context of thyroid hormone?
What is increased respiration in the context of thyroid hormone?
Signup and view all the flashcards
What is increased gluconeogenesis?
What is increased gluconeogenesis?
Signup and view all the flashcards
Study Notes
Thyroid Hormone Synthesis, Transport and Cellular Mechanism
- The thyroid gland is located below the thyroid cartilage, behind the strap muscles.
- It is a bilobed structure connected by an isthmus, situated below the cricoid cartilage.
- Approximately 50% of adults have a pyramidal lobe; this is non-palpable and enlarges with disease.
- Iodide trapping is a critical step in the process stimulated by TSH.
Learning Outcomes
- Describe the structure and location of the thyroid.
- Describe the origin of the thyroid gland and its functional relationships.
- Explain the mechanisms and control of thyroid hormone synthesis.
- Outline the biochemical and clinical functions of thyroid hormones.
Thyroid Follicles
- The functional unit of the thyroid gland is the thyroid follicle (or acinus).
- Follicles are composed of follicular (epithelial) cells and a lumen filled with colloid.
- Capillaries deliver nutrients and transport hormones.
- Sympathetic innervation influences hormone synthesis and secretion.
- Lymphatics drain excess fluid.
- C-cells (para-follicular cells) produce calcitonin.
Blood Supply and Innervation
- Arterial supply: superior thyroid artery (from external carotid), inferior thyroid artery (from thyrocervical trunk).
- Venous drainage: superior and middle thyroid veins, inferior thyroid vein (draining to internal jugular vein), brachiocephalic vein.
- Innervation: recurrent laryngeal nerve (branch of vagus).
- Damage to recurrent laryngeal nerve may cause vocal cord paralysis.
- Emergency airway: cricothyrotomy through the cricothyroid membrane.
Thyroid Gland Origin (Embryology)
- The thyroid is the first endocrine gland to develop, approximately on day 24 of gestation/3rd week of gestation.
- The thyroid gland arises from the first pharyngeal arch.
- Thyroid precursor develops from a thyroglossal duct diverticulum in the floor of the pharynx.
- The duct descends in the neck as an initially hollow structure solidifying to become bilobed and connected by an isthmus.
- Initial descent is anterior to the pharynx.
- Initially, still connected to the tongue by the thyroglossal duct, then bifurcates into two lobes.
- Thyroglossal duct atrophies in the 7-10 week of gestation, with remnants sometimes persisting.
- Ectopic thyroid tissue can arise along this path.
- The thyroid gland origin diagram illustrates the embryological development of the thyroid.
Thyroid Hormone Synthesis – Building Blocks
- Iodine: A critical micronutrient in food (seafood, dairy, grains and vegetables). Recommended daily intake varies by age and pregnancy status (Kids 90-130 mcg, Adults 150 mcg, Pregnant 220 mcg, Lactating 290 mcg). Iodized salt is a significant source.
- Thyroglobulin: Large glycoprotein produced by the rough ER of thyroid follicular epithelial cells. Stored in vesicles and exocytosed into the colloid. Composed of two subunits. Contains tyrosine residues sterically oriented for hormone production.
- Tyrosine: An amino acid component.
Thyroid Hormone Synthesis – Steps
- Iodide trapping (stimulated by TSH): iodide is actively transported from the bloodstream to thyroid follicular cells against its concentration gradient using iodide symporter (Na+/K+ ATPase).
- Oxidation/Organification: iodide (I-) is converted to iodine (I2) by thyroid peroxidase (TPO) in the presence of hydrogen peroxide (H₂O₂).
- Coupling: formed products are monoiodotyrosine (MIT) and diiodotyrosine (DIT). Iodine (I₂), combines with tyrosine residues of thyroglobulin (catalyzed by TPO).
- Endocytosis: stored colloid is pinocytosed into follicular cells.
- Proteolysis: lysosomal proteases digest thyroglobulin and release T3 and T4. MIT and DIT are degraded.
- Transport: T4 and T3 diffuse across the basolateral membrane into capillaries and enter the circulation.
Thyroid Hormone Synthesis - Overview
- Thyroid hormones (T3 and T4) are synthesized from iodide and tyrosine residues of thyroglobulin.
- Reverse T3 (rT3): a biologically inactive form, found in significant amounts.
Transport
- Thyroid hormones are hydrophobic and need carrier proteins to travel in the bloodstream.
- T4 is bound more tightly than T3 to serum binding proteins.
- Affinity of these serum proteins is highest for thyroxine-binding globulin (TBG) followed by thyroxine-binding prealbumin (TBPA), and then albumin. Only a small fraction of T3 and T4 (~0.015% and 0.33% respectively) are unbound in the blood.
Conversion of Iodothyronines
- The peripheral tissues (liver and kidneys) convert T4 to T3 by deiodinase enzyme.
- T3 is 2-10 times more active than T4.
- Total serum T3 is about 2% of T4.
- T4 acts as a prohormone for the active T3 after deiodination.
Thyroid Hormone Regulation
- Thyroid is under hypothalamic-pituitary control.
- Negative feedback loop: TRH, TSH, T3, and T4 through the hypothalamic-pituitary-thyroid axis. Hypothalamus releases TRH. Anterior pituitary releases TSH. Thyroid gland releases T3 & T4. Factors controlling thyroid hormone synthesis include the availability of iodine, integrity of the gland, and the conversion of T4 to T3.
Thyroid Stimulating Hormone (TSH)
- A glycoprotein synthesized in the anterior pituitary.
- Secretion occurs in pulses with slightly higher levels at night.
- TSH stimulates thyroid hormone synthesis and increases the size and vascularity of the thyroid gland.
- Increased thyroid hormone levels have a negative feedback effect on TSH release from the pituitary.
- Decreased thyroid hormone levels lead to an increase in TSH release.
Thyroid Response to TSH
- Increase in cAMP, Ca²⁺, calmodulin activity, and increase in protein kinase activity.
- Increase in colloid uptake, Increased liberation of T3 and T4, Increased production of Thyroglobulin, Increased iodine uptake, Increased iodination of thyroglobulin
- Increased size and activity of thyroid cells, Increased number of thyroid cells (growth).
Inhibitors of Thyroid Hormone Synthesis
- Drugs and goitrogens inhibit thyroid hormone synthesis.
- Iodine and various drugs block iodide trapping and other steps.
Thyroid Function Tests
- Key tests are used to measure thyroid function: TSH, free T4, free T3, total T4, and total T3. Normal ranges for these tests are included in a separate section.
Thyroid Disorders
- Primary hypothyroidism: Low TSH, low free T4, and free T3.
- Graves' Disease: High TSH, low free T4 and free T3.
- TSH deficiency: high TRH, high TSH but low free T4 and free T3.
Summary of Actions
- Thyroid hormones have various effects on growth and development, body systems, and intermediary metabolism. Summary of actions also included.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the thyroid gland's anatomy and physiology with this quiz. It covers the thyroid's location, structure, hormonal function, and related syndromes. Perfect for students studying human anatomy or endocrinology.