Biochem: Thyroid Flashcards

1
Q

Name the two tyrosine derived precursors to the thyroid hormones.

A

3-Monoiodotyrosine (MIT)

3,5-Diiodotyrosine (DIT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does iodide trapping in the thyroid follicular cells work?

A

A Na+/K+ ATPase on the basal side provides a sodium ion concentration gradient favoring transport into the follicular cells. A Na+/I- symporter (NIS) brings both ions into the follicular cell down the sodium ion gradient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the thyroid colloid?

A

Colloid is located in the thyroid follicles. It is composed mainly of the glycoprotein thyroglobulin. Thyroglobulin is synthesized in the ER of the follicular cells in the thyroid and then secreted into the follicle. Each follicle is surrounded by follicular cells and is considered extracellular space even though it is completely contained within the thyroid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Name the apical transporter that moves the iodide ion from the cytoplasm of the follicular cell, into the follicle.

A

Pendrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the purpose of transporting iodide ions into the thyroid follicles?

A

Iodide ions are needed to bind to the thyroglobulin proteins to make polymers of Thyroid Hormone (TH).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How is iodine added to the Thyroglobulin?

A

Use of the Enzyme Thyroid Peroxidase (TPO)
1. Converts iodide ions to iodine
2. Adds iodine to the thyroglobulin side chains forming MIT and DIT
3. Randomly conjugates the MIT and DIT side chains to form Thyroxine (T4) and Triiodothyronine (T3).
(keep in mind the T3 and T4 hormones are still part of the thyroglobulin glycoprotein)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name the drug class that can inhibit TPO.

A

Thiocarbamides (ex. Propylthiouracil)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How are the newly formed T3 and T4 hormones transported from the follicle into the follicular cell?

A

TSH binds to TSH-R on follicular cells. This acts thru a Gs mechanism with a rise in cAMP levels. The rise in cAMP levels induces a change in the actin of the follicular cells. The actin forms pseudopod projections into the colloid and endocytosis the Thyroglobulin proteins that is made up of the formed T4 and T3 hormones.

(TSH also increases expression of NIS, TPO, and thyroglobulin production. Also stimulates glucose production to run the Na/K pump.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How are T3 and T4 released into circulation from the thyroid follicular cell?

A

After being endocytosed, the vesicle containing the thyroglobulin immediately fuses with lysosomes. Proteases in the endolysosome remove the T3 and T4 units from the rest of the glycoprotein and are exocytosed into the circulation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What happens to the thyroglobulin components that are not released into circulation?

A

Not all the iodinated tyrosine residues are released into circulation. The remaining glycoproteins and iodinated tyrosines come into contact with deiodinase enzymes in the follicular cell cytoplasm and the free iodine and glycoprotein units are recycled.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name the 3 proteins that aid in TH transport thru the circulation.

A
  1. Thyroxine-binding globulin (TBG)
  2. Transthyretin (TBPA)
  3. Albumin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the function and location of the Type 1 Deiodinase Enzyme.

A

Binds T4 and turns it into T3. This is because T3 is much more biologically active. Maintains levels of T3 in the circulation

Located in the liver, kidney, skeletal muscle, thyroid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the function and location of the Type 2 Deiodinase Enzyme.

A

Binds T4 and turns it into T3. Maintains T3 levels in brain and pituitary cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the function and location of the Type 3 Deiodinase Enzyme.

A

Inactivates T4 and T3 in the placenta and glial cells of the CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Main two functions of Thyrotropin Releasing Hormone (TRH).

A

Binds thyrotropes and lactotropes in the anterior pituitary and signals TSH and PRL production and release.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the pathology of Graves Disease

A

Body makes autoAbs that bind TSH-R. This stimulation causes excessive release of TH.