Thyroid Physiology 1

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Questions and Answers

Which of the following best describes the primary function of the thyroid gland in vertebrates?

  • Regulation of metabolic rate (correct)
  • Regulation of calcium homeostasis
  • Regulation of reproductive hormones
  • Regulation of blood glucose levels

Where are the parathyroid glands typically located in relation to the thyroid gland?

  • Cranial to both thyroid lobes
  • Within the thyroid tissue itself (correct)
  • Caudal to both thyroid lobes
  • Dorsal to the left thyroid lobe, ventral to the right thyroid lobe

What is the role of thyroglobulin (TG) in thyroid hormone synthesis?

  • To provide tyrosine for thyroid hormone synthesis (correct)
  • To transport iodide into the follicular cells
  • To convert T4 into T3
  • To stimulate TSH production

Which of the following is the primary messenger system utilized by TSH on thyroid follicular cells?

<p>Cyclic adenosine monophosphate (cAMP) (C)</p> Signup and view all the answers

What is the role of the enzyme thyroid peroxidase during synthesis of thyroid hormone?

<p>Iodinates tyrosine residues within thyroglobulin (C)</p> Signup and view all the answers

Which of the following best describes the location of the thyroid gland?

<p>In the upper neck, on either side of the trachea (D)</p> Signup and view all the answers

What is the primary component of colloid within the thyroid follicle?

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

How does cold ambient temperature affect the secretion of TRH?

<p>Increases the secretion of TRH (C)</p> Signup and view all the answers

What are the immediate precursors to T3 and T4 inside the colloid?

<p>Monoiodotyrosine (MIT) and Diiodotyrosine (DIT) (B)</p> Signup and view all the answers

Which of the following is the major secretory product of the thyroid gland?

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

Which of the following is the primary function of the sodium-iodide symporter (NIS)?

<p>To facilitate the transport of iodide into the follicular cell. (A)</p> Signup and view all the answers

What is the role of thyroid peroxidase (TPO) in thyroid hormone synthesis?

<p>To convert iodide to iodine, and add it to thyroglobulin. (C)</p> Signup and view all the answers

Which of the following best describes the location where thyroglobulin (TG) is synthesized and stored?

<p>Synthesized in the follicular cells and stored in the colloid. (A)</p> Signup and view all the answers

What are the products of the coupling reaction catalyzed by Thyroid Peroxidase (TPO)?

<p>Triiodothyronine (T3) and thyroxine (T4). (D)</p> Signup and view all the answers

Methimazole is a medication for treating hyperthyroidism. What is its primary mechanism of action?

<p>It blocks the action of TPO. (D)</p> Signup and view all the answers

Which step of thyroid hormone synthesis directly involves the protein pendrin?

<p>Oxidation of iodide and transport into the colloid. (A)</p> Signup and view all the answers

What is the immediate precursor to T3?

<p>One molecule of MIT and one of DIT. (A)</p> Signup and view all the answers

What ion is transported into the cell by NIS along with iodide?

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

In which location does the iodination of tyrosine on thyroglobulin occur?

<p>In the colloid. (C)</p> Signup and view all the answers

What is the role of H2O2 in thyroid hormone synthesis?

<p>It serves as a cofactor for the enzyme TPO. (D)</p> Signup and view all the answers

Flashcards

Follicular Cells

A single layer of cuboidal epithelial cells that line the thyroid follicles and are responsible for the synthesis and secretion of thyroid hormones.

Thyroglobulin

The protein that serves as the backbone for thyroid hormone synthesis, containing several tyrosine residues where iodine can attach.

Colloid

The fluid that fills the thyroid follicle, where thyroglobulin is stored and thyroid hormone synthesis takes place.

Iodine

A crucial mineral that gets converted to iodide and used in the synthesis of thyroid hormones.

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NIS (Sodium Iodide Symporter)

A transporter protein responsible for taking iodide from the bloodstream into thyroid follicular cells.

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Thyroid Peroxidase

An enzyme that plays a vital role in thyroid hormone synthesis, catalyzing the attachment of iodine to tyrosine residues in thyroglobulin.

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Thyrotropin-Releasing Hormone (TRH)

A hormone secreted by the hypothalamus that triggers the release of thyroid stimulating hormone (TSH) from the anterior pituitary gland.

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Thyroid Stimulating Hormone (TSH)

A hormone secreted by the anterior pituitary gland that stimulates the thyroid gland to produce and release thyroid hormones (T3 and T4).

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Thyroid Axis Negative Feedback Loop

A negative feedback loop where thyroid hormones (T3 and T4) inhibit the release of TSH and TRH, preventing excessive hormone production.

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Thyroid Hormone Synthesis

The process by which the thyroid gland synthesizes T3 and T4, involving the conjugation of tyrosine and iodine within thyroglobulin.

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Iodide Trapping

The thyroid gland actively takes up iodide from the bloodstream using a transporter protein called the sodium-iodide symporter (NIS).

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Iodide oxidation

Thyroid peroxidase (TPO) oxidizes iodide ions (I-) into iodine (I2), which is then transported into the colloid of the thyroid follicle.

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Organification

The oxidized iodine (I2) is added to tyrosine residues within thyroglobulin, creating mono-iodotyrosine (MIT) and di-iodotyrosine (DIT).

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Coupling Reaction

Two iodinated tyrosine residues (MIT or DIT) are coupled together by TPO to form the thyroid hormones tri-iodothyronine (T3) and thyroxine (T4).

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Thyroglobulin (TG)

Thyroglobulin (TG), a large protein, is made in the follicular cells and secreted into the colloid of the thyroid follicle. It serves as a storage and transport molecule for thyroid hormones.

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Pendrin

Pendrin is a transporter protein that actively transports chloride ions (Cl-) into the colloid. It is important for maintaining the electrochemical balance of the thyroid follicle.

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TSH in Thyroid Hormone Synthesis

Thyroid stimulating hormone (TSH) is a hormone produced by the pituitary gland. It regulates all steps of thyroid hormone synthesis and secretion.

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NIS Activity Regulation

The activity of the Na-Iodide Symporter (NIS) is regulated by TSH. Higher TSH levels increase NIS activity, leading to greater iodide uptake by the thyroid.

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Role of Thyroid Peroxidase (TPO)

TPO is a crucial enzyme responsible for both iodide oxidation and coupling of iodinated tyrosine residues. It plays a central role in thyroid hormone synthesis.

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Release of T3 and T4

T3 and T4 are released into the blood when TG containing the thyroid hormones is taken back into the follicular cells and broken down. They then circulate throughout the body, controlling important bodily functions.

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Study Notes

Thyroid Physiology Overview

  • All vertebrates possess a thyroid gland, a crucial endocrine gland regulating metabolism and affecting various body systems
  • Thyroid gland disorders are commonly managed by general practitioners

Thyroid Gland Anatomy

  • Two lobes (left and right) positioned in the upper neck, on either side of the trachea
  • Parathyroid glands are embedded within the thyroid tissue

Anatomy Detail

  • External parathyroid glands are located craniodorsolateral to the thyroid
  • Internal parathyroid glands are located near the caudal pole of the thyroid, embedded within the gland

Learning Objectives

  • Describe the thyroid follicle's composition
  • Explain the thyroid axis and negative feedback loop
  • List the four steps of hormone synthesis
  • Explain the roles of iodine/iodide, NIS, thyroglobulin, thyroid peroxidase, MIT, DIT, TSH, and colloid in T4/T3 synthesis

Thyroid Axis

  • Hypothalamus releases thyrotropin-releasing hormone (TRH)
  • TRH stimulates the anterior pituitary gland
  • Anterior pituitary releases thyroid-stimulating hormone (TSH)
  • Thyroid gland produces thyroid hormones (T3 and T4)
  • Increased thyroid hormones lead to higher metabolic rates in cells

Negative Feedback Loop

  • Increased T3 and T4 levels inhibit TRH and TSH release
  • This maintains a stable level of thyroid hormones

Thyroid Hormone Synthesis

  • Two major components in the process: Tyrosine, and Iodide
  • Tyrosine is a component of thyroglobulin, stored in the colloid
  • Iodide is derived from dietary iodide

Thyroid Hormone Synthesis Steps

  • Step 1: Iodide trapping -Iodine from the diet is converted to iodide.
    -Iodide travels though bloodstream to the thyroid gland, and is taken up by the Na-Iodine Symporter (NIS)
  • Step 2: Oxidation -lodine is oxidized then transported into the colloid.
  • Step 3: Organification -TPO adds iodine to tyrosines within the thyroglobulin and forms MIT and DIT
  • Step 4: Coupling
    • MIT and DIT couple together to form T3 and T4

Thyroid Follicle

  • Follicular cells: a single layer of cuboidal epithelium
  • Colloid: stores thyroglobulin (TG)
  • Parafollicular cells (C cells): are also present

Thyroid Hormone Release

  • TSH stimulates the release of T3 and T4 from thyroglobulin
  • T3 and T4 enter the bloodstream

Thyroid Peroxidase (TPO)

  • Catalyzes essential reactions in thyroid hormone synthesis e.g. oxidation of iodide, coupling of MIT/DIT etc
  • A target of drug therapy (e.g., methimazole) for hyperthyroidism

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