Thyroid Hormones and Pituitary Gland Functions
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Questions and Answers

What is the correct way thyroid hormones exert their physiological effects?

  • By binding to plasma proteins and altering their structure
  • By promoting the synthesis of thyroglobulin in the thyroid gland
  • By acting on target tissues in their free form (correct)
  • By directly stimulating insulin secretion
  • Which plasma protein has the largest capacity to bind T4?

  • Albumin
  • Cortisol-binding globulin
  • Thyroxine-binding globulin (TBG) (correct)
  • Transthyretin
  • What is the primary form of thyroid hormone found in plasma?

  • T4 bound to TBG (correct)
  • T3 bound to albumin
  • Free T4
  • T3
  • What percentage of circulating T4 is converted to T3 in adult humans?

    <p>Not specified in the text</p> Signup and view all the answers

    What is the effect of prolonged TSH stimulation on the thyroid gland?

    <p>It leads to thyroid enlargement, known as a goiter</p> Signup and view all the answers

    What is the primary site of deiodination of T4?

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

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

    <p>Maintenance of optimal metabolism in tissues</p> Signup and view all the answers

    Which hormone stimulates the secretion of thyroid-stimulating hormone (TSH) from the anterior pituitary?

    <p>Thyrotropin-releasing hormone (TRH)</p> Signup and view all the answers

    How are thyroid hormones synthesized in the thyroid gland?

    <p>Thyroglobulin is synthesized in the thyroid cells and secreted into the colloid, where it undergoes iodination</p> Signup and view all the answers

    What is the function of thyroid peroxidase in thyroid hormone synthesis?

    <p>Oxidation and iodination of tyrosine residues on thyroglobulin</p> Signup and view all the answers

    What is the role of thyroglobulin in thyroid hormone synthesis?

    <p>Synthesis and secretion into the colloid for iodination</p> Signup and view all the answers

    What is the source of iodine for thyroid hormone synthesis?

    <p>Iodine absorbed from the diet</p> Signup and view all the answers

    What is the outcome of inadequate thyroid hormone synthesis in the thyroid gland?

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

    Which of the following is NOT a step in thyroid hormone synthesis?

    <p>Deiodination of thyroglobulin in the thyroid gland</p> Signup and view all the answers

    What is the role of thyrotropin-releasing hormone (TRH) in thyroid hormone synthesis?

    <p>Stimulation of thyroid-stimulating hormone (TSH) secretion from the anterior pituitary</p> Signup and view all the answers

    What is the primary source of iodine for thyroid hormone synthesis?

    <p>Dietary iodine</p> Signup and view all the answers

    How does thyroid peroxidase contribute to thyroid hormone synthesis?

    <p>By oxidizing and iodinating tyrosine residues on thyroglobulin</p> Signup and view all the answers

    What is the effect of thyrotropin-releasing hormone (TRH) on the thyroid gland?

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

    What is the effect of removing the pituitary gland on thyroid function?

    <p>It leads to thyroid function suppression.</p> Signup and view all the answers

    What is the primary regulator of circulating levels of pituitary TSH?

    <p>Thyroid hormones</p> Signup and view all the answers

    Which of the following is true about transthyretin?

    <p>It has a shorter half-life compared to thyroxine-binding globulin (TBG).</p> Signup and view all the answers

    What is the primary site of deiodination of T4?

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

    What is the result of prolonged stimulation of the thyroid gland by TSH?

    <p>Thyroid gland enlargement (goiter).</p> Signup and view all the answers

    What percentage of circulating T4 is bound to albumin?

    <p>None of the above</p> Signup and view all the answers

    What is the primary regulator of circulating levels of pituitary TSH?

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

    Where does deiodination of T4 primarily occur?

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

    What is the outcome of removing the pituitary gland on thyroid function?

    <p>Thyroid function inhibition</p> Signup and view all the answers

    What is the effect of prolonged TSH stimulation on the thyroid gland?

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

    What is the primary form of thyroid hormone bound to albumin in plasma?

    <p>T4</p> Signup and view all the answers

    What percentage of circulating T4 is converted to T3 in adult humans?

    <p>Unknown percentage</p> Signup and view all the answers

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

    <p>Maintenance of optimal metabolism in tissues</p> Signup and view all the answers

    Which hormone stimulates the secretion of thyroid-stimulating hormone (TSH) from the anterior pituitary?

    <p>Thyrotropin-releasing hormone (TRH)</p> Signup and view all the answers

    How are thyroid hormones synthesized in the thyroid gland?

    <p>Thyroglobulin is synthesized in the thyroid cells and secreted into the colloid, where it undergoes iodination</p> Signup and view all the answers

    What is the function of thyroid peroxidase in thyroid hormone synthesis?

    <p>Oxidation and iodination of tyrosine residues on thyroglobulin</p> Signup and view all the answers

    What is the role of thyroglobulin in thyroid hormone synthesis?

    <p>Iodination of tyrosine residues on thyroglobulin</p> Signup and view all the answers

    What is the primary source of iodine for thyroid hormone synthesis?

    <p>Dietary iodine</p> Signup and view all the answers

    What is the primary function of oxytocin in mammals?

    <p>Helping with contractions of the uterus and milk ejection during breastfeeding</p> Signup and view all the answers

    What is the role of vasopressin in the body?

    <p>Regulation of water balance</p> Signup and view all the answers

    What is the intermediate lobe of the pituitary responsible for?

    <p>Regulation of skin pigmentation</p> Signup and view all the answers

    What percentage of circulating growth hormone activity is in the bound form?

    <p>50%</p> Signup and view all the answers

    What type of cell in the anterior pituitary secretes prolactin?

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

    What is the function of corticotropes in the anterior pituitary?

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

    What is the typical basal plasma growth hormone level in adult humans?

    <p>Less than 3 ng/mL</p> Signup and view all the answers

    Which hormone is secreted by the gonadotropes in the anterior pituitary?

    <p>Follicle-stimulating hormone (FSH) and luteinizing hormone (LH)</p> Signup and view all the answers

    Where is growth hormone primarily metabolized?

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

    What is the approximate half-life of circulating growth hormone in humans?

    <p>6-20 minutes</p> Signup and view all the answers

    What is the function of the plasma protein bound to growth hormone?

    <p>To provide a reservoir of growth hormone</p> Signup and view all the answers

    What is the effect of growth hormone on the pancreas?

    <p>It increases the ability of the pancreas to respond to insulinogenic stimuli</p> Signup and view all the answers

    What is the name of the growth factor that stimulated the incorporation of sulfate into cartilage?

    <p>Sulfation factor</p> Signup and view all the answers

    How does growth hormone bind to its receptor?

    <p>Through two binding sites, producing a homodimer</p> Signup and view all the answers

    What is the primary circulating somatomedin in humans?

    <p>Insulin-like growth factor I</p> Signup and view all the answers

    What is the effect of insulin on protein metabolism?

    <p>It has an anabolic effect</p> Signup and view all the answers

    How many related relaxin isoforms are found in humans?

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

    What is the extension of the A chain in insulin-like growth factors?

    <p>D domain</p> Signup and view all the answers

    What is necessary for receptor activation?

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

    What signaling pathway does growth hormone activate?

    <p>JAK2–STAT pathway</p> Signup and view all the answers

    What type of kinases does JAK2 belong to?

    <p>Cytoplasmic tyrosine kinases</p> Signup and view all the answers

    What happens to the epiphysial plates in young animals treated with growth hormone?

    <p>They widen</p> Signup and view all the answers

    What is the result of prolonged treatment with growth hormone in young animals?

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

    What is the result of an overabundance of growth hormone in adults?

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

    Where are the mRNAs for IGF-I and IGF-II found?

    <p>In the liver</p> Signup and view all the answers

    What stimulates the secretion of IGF-I after birth?

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

    What is the role of IGF-II in the fetus?

    <p>It is involved in growth and development</p> Signup and view all the answers

    What happens to organs in fetuses that overexpress IGF-II?

    <p>They develop out of proportion to the rest of the body</p> Signup and view all the answers

    Where is the gene for IGF-II expressed in adults?

    <p>In the choroid plexus and meninges</p> Signup and view all the answers

    What is the primary function of oxytocin in mammals?

    <p>Helping with contractions of the uterus and milk ejection during breastfeeding</p> Signup and view all the answers

    What type of cells in the anterior pituitary secrete ACTH?

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

    What is the role of vasopressin in the body?

    <p>Acting as a water regulator</p> Signup and view all the answers

    What is the function of gonadotropes in the anterior pituitary?

    <p>Secreting FSH and LH</p> Signup and view all the answers

    What is the intermediate lobe of the pituitary responsible for?

    <p>Secreting hormonally active molecules of POMC</p> Signup and view all the answers

    What type of cell in the anterior pituitary secretes growth hormone?

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

    What is the primary source of hGH-V and hCS?

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

    What percentage of circulating growth hormone activity is bound to a plasma protein?

    <p>50-60%</p> Signup and view all the answers

    How is the growth hormone receptor structured?

    <p>Large extracellular domain, transmembrane domain, and cytoplasmic portion</p> Signup and view all the answers

    What is the half-life of circulating growth hormone in humans?

    <p>6-20 min</p> Signup and view all the answers

    What is the function of the plasma protein bound to growth hormone?

    <p>Provides a reservoir of growth hormone</p> Signup and view all the answers

    How does growth hormone bind to its receptor?

    <p>Two binding sites, producing a homodimer</p> Signup and view all the answers

    What is the location of the growth hormone-hCS cluster on human chromosomes?

    <p>The long arm of human chromosome 17</p> Signup and view all the answers

    What is the function of the glycosylation of growth hormone?

    <p>Posttranslational modification of the hormone</p> Signup and view all the answers

    How many genes are present in the growth hormone-hCS cluster on human chromosome 17?

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

    What is the name of the variant form of growth hormone encoded by the hGH-V gene?

    <p>Variant growth hormone</p> Signup and view all the answers

    What is the pituitary hormone that is composed of α and β subunits?

    <p>Human chorionic gonadotropin (hCG)</p> Signup and view all the answers

    What is the result of the complex mixture of growth hormone peptides in the circulation?

    <p>Difficulty in assaying for each species separately</p> Signup and view all the answers

    What is the primary pathway activated by growth hormone?

    <p>JAK2–STAT pathway</p> Signup and view all the answers

    What is the effect of growth hormone on young animals?

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

    What is the result of prolonged treatment with growth hormone in animals?

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

    What happens to the epiphysial plates in response to growth hormone?

    <p>They widen</p> Signup and view all the answers

    What is the result of an overabundance of growth hormone in humans?

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

    What is the effect of hypophysectomy on growth in young animals?

    <p>Inhibits growth</p> Signup and view all the answers

    What is the indirect effect of growth hormone on the pancreas?

    <p>It increases the ability of the pancreas to respond to insulinogenic stimuli</p> Signup and view all the answers

    What is the name of the somatomedin initially isolated because it stimulated the incorporation of sulfate into cartilage?

    <p>Sulfation factor</p> Signup and view all the answers

    What is the relation between IGF-I and insulin?

    <p>IGF-I has a similar structure to insulin but lacks a C chain separation</p> Signup and view all the answers

    What is the function of somatomedins in relation to growth hormone?

    <p>Somatomedins are stimulated by growth hormone and promote growth</p> Signup and view all the answers

    What is unique about the structure of IGF-I and IGF-II compared to insulin?

    <p>Their C chains are not separated</p> Signup and view all the answers

    What is the effect of growth hormone on protein metabolism?

    <p>It has a protein anabolic effect</p> Signup and view all the answers

    What is the main function of the pituitary gland?

    <p>To coordinate control of many downstream endocrine glands</p> Signup and view all the answers

    Which hormone secreted by the anterior pituitary acts on the breast?

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

    What is the source of almost all of the blood supply to the anterior pituitary?

    <p>Portal hypophysial vessels</p> Signup and view all the answers

    What is the role of the tropic hormones secreted by the anterior pituitary?

    <p>To stimulate secretion of hormonally active substances by other endocrine glands</p> Signup and view all the answers

    How many separate endocrine organs does the pituitary gland contain in some species?

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

    What is the location of the pituitary gland?

    <p>In a pocket of the sphenoid bone</p> Signup and view all the answers

    Which hormone helps with contractions of the uterus and milk ejection during breastfeeding?

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

    What type of cells in the anterior pituitary secrete ACTH?

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

    What is the function of vasopressin in the body?

    <p>Regulation of water balance</p> Signup and view all the answers

    Which type of cells in the anterior pituitary secrete growth hormone?

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

    Which structure is rudimentary in humans?

    <p>Intermediate lobe of the pituitary</p> Signup and view all the answers

    What is the function of melanocyte-stimulating hormones (MSHs) in the intermediate lobe of the pituitary?

    <p>Regulation of skin pigmentation</p> Signup and view all the answers

    What percentage of circulating growth hormone activity is in the bound form?

    <p>50%</p> Signup and view all the answers

    What is the primary site of growth hormone metabolism?

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

    What is the half-life of circulating growth hormone in humans?

    <p>6-20 min</p> Signup and view all the answers

    What is the function of the plasma protein bound to growth hormone?

    <p>To provide a reservoir of growth hormone</p> Signup and view all the answers

    How does growth hormone bind to its receptor?

    <p>Through two binding sites, producing a homodimer</p> Signup and view all the answers

    What is the daily growth hormone output in adults?

    <p>0.2-1.0 mg/d</p> Signup and view all the answers

    What is the primary function of JAK2 in the JAK2–STAT pathway?

    <p>To phosphorylate STATs</p> Signup and view all the answers

    What is the effect of hypophysectomy on growth in young animals?

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

    What is the result of prolonged treatment of animals with growth hormone?

    <p>It leads to gigantism</p> Signup and view all the answers

    What is the effect of an overabundance of growth hormone in humans with closed epiphyses?

    <p>It leads to acromegaly</p> Signup and view all the answers

    What is the effect of growth hormone on the sizes of most viscera?

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

    What is the primary role of STATs in the JAK2–STAT pathway?

    <p>To activate various genes in the nucleus</p> Signup and view all the answers

    What is the effect of growth hormone on β cells of the pancreas?

    <p>It increases their ability to respond to insulinogenic stimuli</p> Signup and view all the answers

    What is the primary function of somatomedins in the body?

    <p>They have a protein anabolic effect</p> Signup and view all the answers

    What is the relationship between insulin and somatomedins?

    <p>They have similar structures, but somatomedins have an additional domain</p> Signup and view all the answers

    What is the name of the growth factor that stimulated the incorporation of sulfate into cartilage?

    <p>Sulfation factor</p> Signup and view all the answers

    How many circulating somatomedins are there in humans?

    <p>Multiple, but only two are principal</p> Signup and view all the answers

    What is the effect of growth hormone on cartilage?

    <p>It stimulates cartilage formation</p> Signup and view all the answers

    Study Notes

    Thyroid Hormones

    • Primary function of thyroid hormones: Maintenance of optimal metabolism in tissues
    • Synthesis of thyroid hormones: Thyroglobulin is synthesized in the thyroid cells and secreted into the colloid, where it undergoes iodination
    • Function of thyroid peroxidase: Oxidation and iodination of tyrosine residues on thyroglobulin
    • Physiological effects of thyroid hormones: Acting on target tissues in their free form
    • Primary form of thyroid hormone found in plasma: T4 bound to thyroxine-binding globulin (TBG)
    • Plasma protein with the largest capacity to bind T4: Thyroxine-binding globulin (TBG)
    • Percentage of circulating T4 converted to T3 in adult humans: Not specified
    • Deiodination of T4: Primarily occurs in the liver
    • Prolonged TSH stimulation: Can lead to thyroid enlargement, known as a goiter

    Growth Hormone

    • Primary function of growth hormone: Regulation of growth and development
    • Secretion of growth hormone: Stimulated by thyrotropin-releasing hormone (TRH)
    • Effects of growth hormone:
      • Increases the ability of the pancreas to respond to insulinogenic stimuli
      • Promotes growth by stimulating the incorporation of sulfate into cartilage and collagen formation
      • Stimulates the production of somatomedins (insulin-like growth factor I (IGF-I) and IGF-II)
    • Somatomedins: Polypeptide growth factors secreted by the liver and other tissues
    • Effects of somatomedins:
      • Stimulate the growth of cartilage and bone
      • Increase the size of viscera
      • Play a role in the growth of the fetus before birth
    • Receptors: Growth hormone receptor is a 620-amino-acid protein with a large extracellular portion, a transmembrane domain, and a large cytoplasmic portion
    • Binding and metabolism:
      • Approximately 50% of the circulating pool of growth hormone activity is in the bound form
      • Basal plasma growth hormone level: Normally less than 3 ng/mL
      • Half-life of circulating growth hormone: 6–20 min
      • Daily growth hormone output: 0.2–1.0 mg/d in adults

    Pituitary Gland

    • Cell types in the anterior pituitary:

      • Somatotropes: Secrete growth hormone
      • Lactotropes: Secrete prolactin
      • Corticotropes: Secrete ACTH
      • Thyrotropes: Secrete TSH
      • Gonadotropes: Secrete FSH and LH
    • Posterior pituitary:

      • Stores oxytocin and vasopressin in the termini of neurons
      • Releases oxytocin and vasopressin into the bloodstream
      • Oxytocin: Helps with contractions of the uterus and milk ejection during breastfeeding
      • Vasopressin: Regulates water balance in the body### Dimerization and Receptor Activation
    • Dimerization is essential for receptor activation

    • Growth hormone has two domains that can bind to its receptor, and when it binds to one receptor, the second binding site attracts another, producing a homodimer

    • Dimerization is necessary for receptor activation

    Growth Hormone Effects

    • Growth hormone has widespread effects in the body
    • Activates many different intracellular signaling cascades
    • Activates the JAK2–STAT pathway
    • JAK2 is a member of the Janus family of cytoplasmic tyrosine kinases
    • STATs (signal transducers and activators of transcription) are a family of cytoplasmic transcription factors

    Effects on Growth

    • In young animals, growth is inhibited by hypophysectomy and stimulated by growth hormone
    • Chondrogenesis is accelerated, and as the cartilaginous epiphysial plates widen, they lay down more bone matrix at the ends of long bones
    • Stature is increased
    • Prolonged treatment of animals with growth hormone leads to gigantism
    • When the epiphyses are closed, linear growth is no longer possible
    • An overabundance of growth hormone produces the pattern of bone and soft tissue deformities known in humans as acromegaly
    • Sizes of most of the viscera are increased

    Somatomedins

    • Somatomedins are polypeptide growth factors secreted by the liver and other tissues
    • First isolated as sulfation factor, which stimulated the incorporation of sulfate into cartilage
    • Also stimulated collagen formation, and its name was changed to somatomedin
    • There are a variety of different somatomedins, and they are members of an increasingly large family of growth factors
    • Principal circulating somatomedins are insulin-like growth factor I (IGF-I, somatomedin C) and IGF-II
    • These factors are closely related to insulin, except that their C chains are not separated and they have an extension of the A chain called the D domain

    The Pituitary Gland

    • The pituitary gland, or hypophysis, lies in a pocket of the sphenoid bone at the base of the brain
    • A coordinating center for control of many downstream endocrine glands
    • Anterior pituitary secretes:
      • Thyroid-stimulating hormone (TSH, thyrotropin)
      • Adrenocorticotropic hormone (ACTH)
      • Luteinizing hormone (LH)
      • Follicle-stimulating hormone (FSH)
      • Prolactin
      • Growth hormone
    • Posterior pituitary consists predominantly of nerves that have their cell bodies in the hypothalamus
    • Stores oxytocin and vasopressin in the termini of these neurons, to be released into the bloodstream

    Cell Types in the Anterior Pituitary

    • Five types of secretory cells have been identified in the anterior pituitary by immunocytochemistry and electron microscopy:
      • Somatotropes, which secrete growth hormone
      • Lactotropes (also called mammotropes), which secrete prolactin
      • Corticotropes, which secrete ACTH
      • Thyrotropes, which secrete TSH
      • Gonadotropes, which secrete FSH and LH

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