Endocrine -- Thyroid, Parathyroid, and Adrenal Flashcards
Developmental origin of the thyroid
Cephalic portion of the alimentary canal endoderm
The three parts of a thyroid are…
right lobe, left lobe, and isthmus
Thyroid lobes are made of ________ lined with _____ epithelium.
Follicles. Simple Cuboidal.
The __________ epithelium of the thyroid is comprised of this cell type.
Simple Cuboidal. Principal Cells.
What do principal cells of the thyroid secrete?
T3 & T4
If a thyroid gland is inactive, the epithelium may appear ________.
Squamous
Principle cells may contain ________. (sorry - didn’t know a good way to ask this one)
Vesicles (colloidal reabsorption droplets)
How do thyroid follicles tend to stain? What structure causes this stain?
Acidophilic. Colloid.
What is Colloid?
Glycoprotein thyroglobulin (an inactive storage form of thyroid hormones)
True or False. The thyroid receives a minimal number of vessels.
False. The thyroid has an extensive blood and lymphatic capillary network.
Thyroid endothelial capillary cells are…
fenestrated
What are parafollicular/C cells?
Cells of the follicular epithelium or in isolated clusters between follicles that are responsible for calcitonin secretion.
What does calcitonin do?
Suppresses bone resorption by inhibiting osteoclasts. This will help tone calcium in the blood down.
What triggers calcitonin release? Suppresses it?
Stimulated by increased calcium in the blood
Suppressed when blood calcium concentration is low.
Who is a more major regulator of blood calcium, Calcitonin or PTH?
PTH
Describe the appearance of C cells
Larger than follicular cells, numerous granules, stain poorly (become cloudy/white)
Where is thyroglobulin synthesized and glycosylated?
Synth – rER
Glycosylated – rER and Golgi
What must happen to iodide before it can be used in thyroid hormone synthesis?
Active transport into the cell, oxidation in the cytoplasm, and entry into the colloid to iodinate tyrosine resides of thyroglobulin
TSH receptors can be found on what cells of the thyroid?
Follicular cells
TSH binding causes follicular cells to….
endocytose colloid, which combines with lysosomes.
Thyroglobulin residues are cleaved into ____ and _____
T3 (triiodothyronine) and T4 (Thyroxine)
Just so you have to say it all together at least once…the whole thyroid hormone synthesis/release method. Make it happen.
- Thyroglobulin is synthesized and released into the lumen of follicles
- Iodide is taken into the cell, is oxidized, and enters the colloid to iodinate thyroglobulin.
- TSH causes follicular cells to endocytose iodinated thyroglobulin (in the colloid) and combine it with lysosomes
- Cleavage of the thyroglobulin forms T3 and T4, which are released into the cytosol and then from the cell
What do thyroid hormones (T3/4) cause?
Increased cellular metabolism, carb metabolism, andn fatty acid synth.
Decreases of cholesterol, phospholipid, and triglyceride synthesis.
Symptoms of excessive production of thyroid hormones?
Weight loss, Increases of heart rate, metabolism, respiration, and appetite.
Also – tremors, tiredness, and a heavy menstrual flow.
Insufficient iodine uptake will lead to…
Heightened TSH, causing follicular hyperplasia (goiter)
What is Grave’s Disease?
Thyroid hyperfunction due to a circulating immunoglobulin that acts similarly to TSH