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Questions and Answers
Thyroid hormones are derived from the amino acid phenylalanine.
Thyroid hormones are derived from the amino acid phenylalanine.
False (B)
The main function of the thyroid gland is the synthesis and storage of thyroid hormone.
The main function of the thyroid gland is the synthesis and storage of thyroid hormone.
True (A)
Thyroid stimulating hormone (TSH) is produced by the thyroid gland itself.
Thyroid stimulating hormone (TSH) is produced by the thyroid gland itself.
False (B)
Colloid makes up approximately 30% of the mass of the thyroid gland and contains thyroglobulin.
Colloid makes up approximately 30% of the mass of the thyroid gland and contains thyroglobulin.
The apical surface of the follicular cell is responsible for hormone release into the bloodstream.
The apical surface of the follicular cell is responsible for hormone release into the bloodstream.
Iodine, required for thyroid hormone synthesis, is obtained from the circulation.
Iodine, required for thyroid hormone synthesis, is obtained from the circulation.
Parafollicular or C cells in the thyroid gland produce thyroid hormones.
Parafollicular or C cells in the thyroid gland produce thyroid hormones.
Thyroid hormones play a role exclusively in energy storage.
Thyroid hormones play a role exclusively in energy storage.
The secretion of thyroid hormones is regulated by thyrotropin-releasing hormone (TRH).
The secretion of thyroid hormones is regulated by thyrotropin-releasing hormone (TRH).
Lymphocytes are the only type of cells found in the thyroid gland.
Lymphocytes are the only type of cells found in the thyroid gland.
The human chorionic gonadotropin (hCG) does not bind to the TSH receptor and has no effect on thyroid function.
The human chorionic gonadotropin (hCG) does not bind to the TSH receptor and has no effect on thyroid function.
Thyroid hormones T3 and T4 are synthesized from diiodotyrosine and triiodotyrosine through a series of coupling reactions.
Thyroid hormones T3 and T4 are synthesized from diiodotyrosine and triiodotyrosine through a series of coupling reactions.
The primary action of TSH is to regulate the uptake of nutrients and promote cell apoptosis in thyroid cells.
The primary action of TSH is to regulate the uptake of nutrients and promote cell apoptosis in thyroid cells.
The process of iodide oxidation is primarily facilitated by the enzyme iodine oxidase.
The process of iodide oxidation is primarily facilitated by the enzyme iodine oxidase.
About 3/4 of the iodinated tyrosine in thyroglobulin is converted to thyroid hormones.
About 3/4 of the iodinated tyrosine in thyroglobulin is converted to thyroid hormones.
Iodide is transported into the follicular cell via a sodium/iodide symporter that moves two Na+ ions for each iodide molecule.
Iodide is transported into the follicular cell via a sodium/iodide symporter that moves two Na+ ions for each iodide molecule.
The thyroid gland can store sufficient thyroid hormones to meet physiological demands for approximately 6 months.
The thyroid gland can store sufficient thyroid hormones to meet physiological demands for approximately 6 months.
Thyroid hormone receptors are located exclusively in the nucleus of the cell.
Thyroid hormone receptors are located exclusively in the nucleus of the cell.
Reverse T3 (RT3) is synthesized from the coupling of diiodotyrosine and monoiodotyrosine, which is believed to be functionally significant in humans.
Reverse T3 (RT3) is synthesized from the coupling of diiodotyrosine and monoiodotyrosine, which is believed to be functionally significant in humans.
The Wolff-Chaikoff effect refers to increased organification of iodine when plasma iodide levels are elevated.
The Wolff-Chaikoff effect refers to increased organification of iodine when plasma iodide levels are elevated.
Thyroxine and triiodothyronine bind poorly with intracellular proteins compared to thyroxine-binding globulin.
Thyroxine and triiodothyronine bind poorly with intracellular proteins compared to thyroxine-binding globulin.
TSH is primarily stimulated by T3 in a feedback regulation.
TSH is primarily stimulated by T3 in a feedback regulation.
Thyroglobulin molecules can contain up to 30 thyroxine molecules and a few triiodothyronine molecules.
Thyroglobulin molecules can contain up to 30 thyroxine molecules and a few triiodothyronine molecules.
Thyroid hormones have no significant effect on cholesterol synthesis.
Thyroid hormones have no significant effect on cholesterol synthesis.
The conversion of iodide ions to an oxidized form of iodine is an early effect of TSH binding to its receptor.
The conversion of iodide ions to an oxidized form of iodine is an early effect of TSH binding to its receptor.
Hypothyroidism can result from reduced responsiveness of tissues to thyroid hormones, a condition known as thyroid hormone resistance.
Hypothyroidism can result from reduced responsiveness of tissues to thyroid hormones, a condition known as thyroid hormone resistance.
Epinephrine-induced glycogenolysis and insulin-induced glycogen synthesis are facilitated by thyroid hormones.
Epinephrine-induced glycogenolysis and insulin-induced glycogen synthesis are facilitated by thyroid hormones.
In adults, excess thyroid hormone levels can decrease the risk of osteoporosis.
In adults, excess thyroid hormone levels can decrease the risk of osteoporosis.
The main proteins that thyroxine binds to in the blood are synthesized by the spleen.
The main proteins that thyroxine binds to in the blood are synthesized by the spleen.
Thyroid hormone is essential for bone development and affects osteoclast and osteoblast activity.
Thyroid hormone is essential for bone development and affects osteoclast and osteoblast activity.
Hyperthyroidism is characterized by decreased basal metabolism and an underactive autonomic nervous system.
Hyperthyroidism is characterized by decreased basal metabolism and an underactive autonomic nervous system.
Graves disease is an autoimmune condition that results from TSH receptor stimulation by immunoglobulin G.
Graves disease is an autoimmune condition that results from TSH receptor stimulation by immunoglobulin G.
The thyroid-resistant state is marked by low levels of TSH despite high circulating free thyroid hormone levels.
The thyroid-resistant state is marked by low levels of TSH despite high circulating free thyroid hormone levels.
Exophthalmos occurs in approximately 40%–50% of patients with hyperthyroidism but is not related to Graves disease.
Exophthalmos occurs in approximately 40%–50% of patients with hyperthyroidism but is not related to Graves disease.
Toxic adenoma is one of the common causes of hyperthyroidism, along with Graves disease.
Toxic adenoma is one of the common causes of hyperthyroidism, along with Graves disease.
The incidence of Graves disease peaks in the aged population and is statistically equal among men and women.
The incidence of Graves disease peaks in the aged population and is statistically equal among men and women.
TSH producing tumors of the pituitary can result in hyperthyroidism.
TSH producing tumors of the pituitary can result in hyperthyroidism.
Hyaluronate accumulation in extraocular tissues is linked to the pathogenesis of exophthalmos.
Hyaluronate accumulation in extraocular tissues is linked to the pathogenesis of exophthalmos.
Individuals with thyroid ophthalmopathy often do not have any form of hyperthyroidism.
Individuals with thyroid ophthalmopathy often do not have any form of hyperthyroidism.
Excess iodine intake is a rare cause of hyperthyroidism.
Excess iodine intake is a rare cause of hyperthyroidism.
Flashcards
Thyroid gland
Thyroid gland
The thyroid gland is a butterfly-shaped endocrine gland located in the neck. It produces and secretes thyroid hormones, which are essential for regulating metabolism, growth, and development.
Thyroid hormones
Thyroid hormones
Thyroid hormones are essential for maintaining energy balance and regulating energy expenditure.
TSH (Thyroid-Stimulating Hormone)
TSH (Thyroid-Stimulating Hormone)
Thyroid hormones are produced by the thyroid gland in response to stimulation by thyroid-stimulating hormone (TSH).
TRH (Thyrotropin-Releasing Hormone)
TRH (Thyrotropin-Releasing Hormone)
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Iodine
Iodine
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Thyroid follicle
Thyroid follicle
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Colloid
Colloid
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Thyroglobulin (Tg)
Thyroglobulin (Tg)
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Apical surface of follicular cells
Apical surface of follicular cells
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Basolateral surface of follicular cells
Basolateral surface of follicular cells
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Megalin-Thyroglobulin Complex
Megalin-Thyroglobulin Complex
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Transcytosis
Transcytosis
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Thyroglobulin Digestion
Thyroglobulin Digestion
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Deiodinase
Deiodinase
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Wolff-Chaikoff Effect
Wolff-Chaikoff Effect
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Thyroid Hormone-Binding Proteins
Thyroid Hormone-Binding Proteins
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Triiodothyronine (T3)
Triiodothyronine (T3)
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Thyroid Hormone Receptor
Thyroid Hormone Receptor
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Hypothyroidism
Hypothyroidism
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Thyroid Hormone Resistance
Thyroid Hormone Resistance
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Thyroid-resistant state
Thyroid-resistant state
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Graves disease
Graves disease
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Goiter
Goiter
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Exophthalmos
Exophthalmos
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Compensatory mechanism
Compensatory mechanism
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Toxic nodular goiter
Toxic nodular goiter
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Thyroiditis
Thyroiditis
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TSH-producing tumor
TSH-producing tumor
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TSH-like antibodies
TSH-like antibodies
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Hypothalamic-pituitary-thyroid (HPT) axis
Hypothalamic-pituitary-thyroid (HPT) axis
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Thyrotropin-releasing hormone (TRH)
Thyrotropin-releasing hormone (TRH)
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Thyroid-stimulating hormone (TSH)
Thyroid-stimulating hormone (TSH)
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TSH Receptor
TSH Receptor
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Iodide Uptake
Iodide Uptake
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Na+/I- Symporter
Na+/I- Symporter
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Thyroid Peroxidase (TPO)
Thyroid Peroxidase (TPO)
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Organification of Thyroglobulin
Organification of Thyroglobulin
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Thyroid Hormone Release
Thyroid Hormone Release
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Study Notes
Thyroid Gland: Structure, Function, and Disorders
- Thyroid hormones (T3, T4) regulate energy homeostasis and cell metabolism, crucial for development and maturation. Deficiencies cause severe mental retardation in infants.
- Thyroid hormones are derived from tyrosine and produced by the thyroid gland. Production is stimulated by TSH from the anterior pituitary, which is itself regulated by TRH.
- Dietary iodine is also essential for thyroid hormone production.
- The thyroid gland's functional unit is the thyroid follicle, composed of follicular cells surrounding a colloid-filled cavity. Colloid contains thyroglobulin (Tg).
- Follicular cells are polarized: the apical side faces the colloid, where thyroglobulin iodination occurs, and the basolateral side faces the circulation for hormone release.
- TSH regulates nutrient uptake and intracellular transport of proteins involved in thyroid hormone synthesis and release. This includes proteins like Na+/I- symporter, Tg, TPO (thyroid peroxidase), and thyroid hormones themselves.
- TSH also stimulates gene transcription of these proteins.
- Iodide is actively transported into follicular cells by the Na+/I− symporter. This process requires energy and is crucial for thyroid hormone production.
- Iodide is subsequently oxidized and incorporated into tyrosine residues within thyroglobulin.
Thyroid Hormone Synthesis
- Thyroid hormones are synthesized by the organification of thyroglobulin. Iodine is incorporated by thyroid peroxidase.
- Iodinated tyrosine molecules (monoiodotyrosine, diiodotyrosine) couple to form T4 (thyroxine) and smaller amounts of T3 (triiodothyronine).
- Tg containing hormones are stored in the colloid. The thyroid gland stores sufficient hormones for several months.
- Thyroid hormone release is triggered by endocytosis of colloid into the follicular cell. Lysosomal digestion frees T3 and T4.
Thyroid Hormone Transport and Action
- More than 99% of T4 and T3 bind to plasma proteins (primarily thyroxine-binding globulin). This slow, controlled release of hormones to tissues is important.
- T4 is converted to the more active T3 intracellularly.
- Thyroid hormone receptors are found within virtually all tissues. T3 binds to these receptors, activating nuclear transcription of many genes, including those for metabolic enzymes. This results in increased oxygen consumption, fatty acid oxidation, and protein synthesis.
- Thyroid hormones also regulate various organ-specific functions.
Effects on Various Organs
- Bone: Essential for bone growth and development.
- Cardiovascular: Increases cardiac output and blood volume, decreases systemic resistance.
- Adipose tissue: Regulates lipolysis (breaking down fats).
- Liver: Regulates triglyceride and cholesterol metabolism.
- Pituitary: Regulates pituitary hormone synthesis.
- Brain: Crucial roles in myelination, cell differentiation, migration, and signaling.
- Reproductive function: Essential for folliculogenesis, granulosa cell survival, spermatogenesis, fertilization, placental function, and gestation.
Thyroid Disorders
- Hypothyroidism: Insufficient thyroid hormone action, may result from primary or secondary causes. Severe cases in infancy can cause cretinism.
- Hyperthyroidism: Excessive thyroid hormone production. Causes include Graves' disease (autoimmune), toxic nodular goiter, and toxic adenoma.
- Wolff-Chaikoff effect: High plasma iodide levels inhibit the organic binding of iodine within the thyroid.
- Graves' disease: An autoimmune condition causing excess thyroid hormone production due to antibodies mimicking TSH. Often characterized by exophthalmos (protruding eyes).
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