L4 (T1): Thyroid Hormone Physiology

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Questions and Answers

Which of the following is responsible for actively transporting thyroid hormones across the cell membrane?

  • G protein coupled receptor
  • Receptor tyrosine kinases
  • Transmembrane transporter (correct)
  • None of the above

What is the main function of hormone-receptor complexes formed by thyroid hormones and intracellular Thyroid Receptors (TRα/TRβ)?

  • Inhibit gene expression
  • Promote gene expression (correct)
  • Activate G protein signaling
  • Block transcription factors

Which of the following is a symptom of hyperthyroidism?

  • Tiredness
  • Protruding eyes (correct)
  • Decreased body temperature
  • Weight gain

Which of the following can lead to hypo- and hyper-thyroidism?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a long-term effect associated with hypothyroidism?

<p>Cardiovascular disease (D)</p> Signup and view all the answers

Which hormone is Levothyroxine, a treatment for hypothyroidism, a synthetic analogue of?

<p>T4 (A)</p> Signup and view all the answers

Which gland secretes hormones that impact the health and disease of the thyroid?

<p>Pituitary gland (B)</p> Signup and view all the answers

What is the main function of the thyroid gland?

<p>Producing thyroid hormones (A)</p> Signup and view all the answers

Which part of the body is responsible for the synthesis of thyroid hormones T3 and T4?

<p>Thyroid gland (B)</p> Signup and view all the answers

What is the role of the hypothalamic-pituitary-thyroid feedback loops in thyroid hormone physiology?

<p>Maintaining hormone balance (D)</p> Signup and view all the answers

What is the purpose of the lecture on thyroid hormone physiology?

<p>To study the impact of thyroid hormones on health and disease (A)</p> Signup and view all the answers

What is the function of the thyroid hormone circulation?

<p>Transporting thyroid hormones in the body (A)</p> Signup and view all the answers

Which artery does the inferior thyroid artery branch from?

<p>Subclavian (C)</p> Signup and view all the answers

Which vein does the superior thyroid vein drain to?

<p>Internal jugular vein (D)</p> Signup and view all the answers

Which nerve innervates the larynx?

<p>Recurrent laryngeal nerve (C)</p> Signup and view all the answers

Where does the initial lymphatic drainage of the thyroid go?

<p>Prelaryngeal, pretracheal and paratracheal nodes (C)</p> Signup and view all the answers

Which cells are responsible for the uptake of iodide and secretion of thyroid hormones?

<p>Follicular cells (D)</p> Signup and view all the answers

Which step in thyroid hormone synthesis involves iodotyrosil coupling?

<p>Iodination (C)</p> Signup and view all the answers

Which chapter provides a more in-depth coverage of the material discussed in the lecture?

<p>Chapter 7 (B)</p> Signup and view all the answers

Which edition of the book is mentioned in the text?

<p>Tenth Edition (B)</p> Signup and view all the answers

Which publisher published the book mentioned in the text?

<p>McGraw-Hill Medical (C)</p> Signup and view all the answers

What is the ISBN of the book mentioned in the text?

<p>978-0071622431 (C)</p> Signup and view all the answers

Where can you find a feedback questionnaire for this lecture?

<p>Follow the link below (A)</p> Signup and view all the answers

How long does it take to complete the feedback questionnaire?

<p>2 minutes (D)</p> Signup and view all the answers

Which step of thyroid hormone synthesis involves the production of thyroglobulin?

<p>Iodination (B)</p> Signup and view all the answers

Which step of thyroid hormone synthesis involves the coupling of iodotyrosil residues to form monoiodotyrosil (MIT) or di-iodotyrosil (DIT)?

<p>Iodotyrosil Coupling to form T3 &amp; T4 (D)</p> Signup and view all the answers

Which step of thyroid hormone synthesis involves the breakdown of thyroglobulin, releasing T3 and T4?

<p>Colloidal Storage (C)</p> Signup and view all the answers

Which enzyme is responsible for the coupling of iodotyrosil residues during thyroid hormone synthesis?

<p>Thyroid peroxidase (TPO) (B)</p> Signup and view all the answers

Which form of thyroid hormone is considered metabolically inactive?

<p>T4 (D)</p> Signup and view all the answers

Which step of thyroid hormone synthesis does thyroid peroxidase (TPO) NOT participate in?

<p>Breakdown of TG, releasing T3 &amp; T4 (B)</p> Signup and view all the answers

What is the primary focus of this section on thyroid hormones?

<p>To understand the normal physiology of the thyroid axis (D)</p> Signup and view all the answers

What distinguishes thyroid hormones from other hormones?

<p>They are synthesized differently from other hormones (C)</p> Signup and view all the answers

What will be covered in this section on thyroid hormones?

<p>Thyroid physiology and hormone synthesis (D)</p> Signup and view all the answers

What is the learning outcome of this section on thyroid hormones?

<p>To understand the normal physiology of the thyroid axis (C)</p> Signup and view all the answers

Which artery supplies blood to the superior part of the thyroid gland?

<p>External carotid artery (B)</p> Signup and view all the answers

What is the main venous drainage pathway for the inferior thyroid gland?

<p>Brachiocephalic vein (A)</p> Signup and view all the answers

Which nerve is responsible for innervating the thyroid gland?

<p>Vagus nerve (D)</p> Signup and view all the answers

What is the function of the recurrent laryngeal nerve?

<p>Controlling the larynx during speech (D)</p> Signup and view all the answers

Which nerve is potentially damaged during thyroid surgery?

<p>Recurrent laryngeal nerve (B)</p> Signup and view all the answers

Why is it important to check the lymph nodes if thyroid cancer is suspected?

<p>Thyroid cancer can metastasize to the lymph nodes (A)</p> Signup and view all the answers

Where does the lymphatic drainage from the thyroid primarily occur?

<p>Pre laryngeal, pre tracheal, and para tracheal nodes (B)</p> Signup and view all the answers

What is the main function of the follicular cells in the thyroid?

<p>Synthesis and secretion of thyroid hormones (D)</p> Signup and view all the answers

Which enzyme is responsible for the breakdown of thyroglobulin and the release of T3 and T4?

<p>Thyroid peroxidase (TPO) (A)</p> Signup and view all the answers

What is the predominant form of thyroid hormone released into the blood?

<p>T4 (D)</p> Signup and view all the answers

Which enzyme is responsible for the conversion of T4 to T3?

<p>13-diodinase (C)</p> Signup and view all the answers

What is the main reason for the conversion of T4 to T3 in the tissues?

<p>To increase metabolic rate (C)</p> Signup and view all the answers

Which proteins act as carrier proteins for thyroid hormones?

<p>Globulin, pre-albumin, and albumin (A)</p> Signup and view all the answers

How do bound thyroid hormones differ from free thyroid hormones?

<p>Bound thyroid hormones are inactive, while free thyroid hormones are biologically active (B)</p> Signup and view all the answers

How do thyroid hormones move through the body?

<p>They are actively transported across the cell membrane (C)</p> Signup and view all the answers

How are thyroid hormones different from steroid hormones in terms of membrane passage?

<p>Steroid hormones pass freely through the membrane, while thyroid hormones require a carrier protein (D)</p> Signup and view all the answers

Which major artery does the inferior thyroid artery branch from?

<p>Subclavian artery (A)</p> Signup and view all the answers

What is the name of the protein produced by the Golgi and pushed out into the colloid?

<p>Thyroid globulin (C)</p> Signup and view all the answers

What is the function of thyroid peroxidase (TPO) in the synthesis of thyroid hormones?

<p>Converts iodide into iodine and sticks iodine residues onto thyroid globulin (C)</p> Signup and view all the answers

What is the product of coupling of iodotyrosil residues by TPO during thyroid hormone synthesis?

<p>Monoiodotyrosil (MIT) and di-iodotyrosil (DIT) (A)</p> Signup and view all the answers

Which of the following is true about thyroid hormones and steroid hormones?

<p>Thyroid hormones cannot pass through the membrane on their own, while steroid hormones can. (D)</p> Signup and view all the answers

What is the role of a transmembrane transporter in the passage of thyroid hormones across the membrane?

<p>It helps thyroid hormones get across the membrane. (A)</p> Signup and view all the answers

What happens to thyroid hormones once they are across the membrane?

<p>They act like steroid hormones. (A)</p> Signup and view all the answers

Why can't thyroid hormones pass through the membrane on their own?

<p>They have a negative charge. (C)</p> Signup and view all the answers

What is the difference between thyroid hormones and thyroid globulin in terms of membrane passage?

<p>Thyroid hormones can pass through the membrane on their own, while thyroid globulin cannot. (C)</p> Signup and view all the answers

What is the main reason why thyroid hormones require a transmembrane transporter for membrane passage?

<p>They have a negative charge. (C)</p> Signup and view all the answers

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Study Notes

Thyroid Hormone Transport and Function

  • Transmembrane transporters are crucial for actively transporting thyroid hormones across the cell membrane.
  • Hormone-receptor complexes formed by thyroid hormones and intracellular thyroid receptors (TRα/TRβ) regulate gene expression, influencing metabolism and development.
  • Hyperthyroidism symptoms include weight loss, increased heart rate, and anxiety.
  • Causes of hypo- and hyperthyroidism include autoimmune diseases, iodine deficiency, and medication side effects.
  • Long-term effects associated with hypothyroidism can lead to developmental delays and cognitive impairments in children.

Hormone Treatments and Glands

  • Levothyroxine, a synthetic analogue of thyroxine (T4), is used to treat hypothyroidism.
  • The pituitary gland regulates thyroid function by secreting Thyroid Stimulating Hormone (TSH).

Thyroid Gland Functions and Physiology

  • The main function of the thyroid gland is to synthesize and release thyroid hormones T3 (triiodothyronine) and T4 (thyroxine).
  • Synthesis of thyroid hormones occurs primarily in the follicular cells of the thyroid gland.

Regulation and Feedback Mechanisms

  • Hypothalamic-pituitary-thyroid feedback loops regulate thyroid hormone levels, maintaining homeostasis.
  • Circirculation of thyroid hormones ensures their distribution and action throughout the body.

Blood Supply and Innervation

  • The inferior thyroid artery typically branches from the thyrocervical trunk, supplying the thyroid gland.
  • The superior thyroid vein drains into the internal jugular vein.
  • The recurrent laryngeal nerve innervates the larynx, controlling vocal cord function; it is at risk during thyroid surgery.

Lymphatic Drainage and Cancer Considerations

  • Initial lymphatic drainage from the thyroid goes to the deep cervical lymph nodes.
  • Checking lymph nodes is crucial when thyroid cancer is suspected to assess the spread of malignancy.

Hormone Synthesis and Iodine Uptake

  • Follicular cells uptake iodide and are responsible for secreting thyroid hormones.
  • Thyroid hormone synthesis involves iodotyrosil coupling, where iodotyrosil residues couple to form MIT or DIT.
  • Breakdown of thyroglobulin releases T3 and T4, catalyzed by specific enzymes, primarily thyroid peroxidase (TPO).

Metabolism and Conversion of Thyroid Hormones

  • T4 is the predominant form of thyroid hormone in the bloodstream but is metabolically inactive; it is converted to the active T3 form in tissues.
  • Conversion of T4 to T3 allows for proper metabolic functioning and regulation in target cells.

Transport Proteins and Membrane Passage

  • Carrier proteins, such as thyroxine-binding globulin (TBG), transport thyroid hormones in the bloodstream.
  • Bound thyroid hormones remain inactive, while free hormones can actively exert biological effects.

Differences in Hormone Transport

  • Thyroid hormones require transmembrane transporters due to their inability to pass through the lipid bilayer independently, differing from steroid hormones that can freely diffuse.
  • Thyroid hormones are generated and secreted in inactive forms, necessitating conversion and transport via specialized proteins for functionality.

Feedback and Learning Outcomes

  • This section of study focuses on understanding thyroid hormone physiology, their synthesis, function, and the regulatory mechanisms involved.
  • Students are expected to grasp the significance of maintaining thyroid hormone levels within normal physiological ranges for overall health.

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