Hormones continued Flashcards

1
Q

Where is the thyroid gland and what does it secrete?

A

Just below the larynx
• On the anterior and lateral surfaces of the trachea
Hormones made and secreted:
Thyroid hormones - essential for optimal metabolic activity

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2
Q

What is the compisiton of the thyroid gland?

A

Composed of small spherical sacs called follicles
Each follicle is surrounded by follicular cells (simple cuboidal epithelial cells) and is the site of thyroid hormone synthesis (cross sections show rings of cells)
Clear cells or C cells lie in clusters between the follicles and make the hormone calcitonin

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3
Q

How is thyroid hormone synthesised?

A

Iodine (in diet - very necessary) travels through blood after absorption from gut where it will move to the thyroid

  • Iodine enters follicle cell from blood and travels into follicle cavity
  • Follicle cells release protein, thyroglobulin (TGB), into follicle.
  • Iodine reacts with tyrosine in the TGB molecules. Iodised TGB moves into the follicular cells (lipid soluble hormone that is stored until its needed - store it as part of the thyroglobulin molecule and cut it off as needed)
  • Thyroid hormones detach from TGB as needed
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4
Q

What is the difference + similarites between T3 and T4?

A

T3 = the active form
T4 = the more plentiful form
- They leave the thyroid through the bloodstream
- They travel bound to a carrier proteins (TBG) to target cell
- Made in advance and stored

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5
Q

How does the thyroid hormone activate the cell?

A
  • Travels bound to a carrier protein
  • Detaches from the carrier protein and enters the target cell
  • T3 binds to the T3 receptor in the nucleus (receptor is already bound to a specific DNA site)
  • Specific genes are activated to transcribe messenger RNA (mRNA)
  • mRNA translation occurs in the cytoplasm and specific proteins are synthesised
    e. g. sodium-potassium pump (ATPase - maintains ion balance inside/ outside of cell)

Response time: 45 mins - days

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6
Q

What is the thyroid hormone secretion pathway?

A

Stimulus: external and internal stimuli leads to CNS input to hypothalamus → leads to the hypothalamus secreting thyrotropin releasing hormone (TRH) into the blood

–> Anterior pituitary them secretes thyroid stimulating hormone (TSH) into the blood

→ Gets to the thyroid gland where it will force the cleavage of T4 and T3 off of the TGB molecules and into the bloodstream

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7
Q

What are the effects of thyroid hormone?

A

main - increasing basal metabolic rate by increase synthesis and activity of the Na+ K+ pump

Other:

  • Stimulates growth
  • Nerous system: normal alertness and reflexes
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8
Q

What happens in negative feedback with the thyroid hormone?

A

thyroid hormones feedback and inhibit the release of both hormones.

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9
Q

What is a basal metabolic rate?

A

BMR is the body’s rate of energy expenditure under basal conditions:

  • Person is awake, at physical and mental rest, lying down, no muscle movement, at a comfortable temp and is fasted (12-18h)
  • Increase the amount of energy the body expends by doing activities
  • Changes throughout lifetime
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10
Q

What are appropriate levels of thyroid hormone needed for?

A
  • Growth
  • Alertness
  • Metabolism
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11
Q

What are the thyroid hormones effects of metablosim?

A
  • Increases body heat productions (increase oxygen consumption and ATP hydrolysis)
  • Stimulates fatty acid oxidation (usage of stored fats) in many tissues
  • Increase muscle breakdown
  • Stimulates carb metabolism (usage of stored glucose), enhances insulin-dependant entry of glucose into cells, increases gluconeogenesis and glycogenolysis

–> Does not cause a increase in blood glucose (relative balance - being secreted and used)

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12
Q

What is Infantile hypothyroidism?

A

Low metabolic rate
Cold intolerant (unable to generate enough body heat)
Growth is retarded - brain and general growth
Brain development is inhibited

Caused by
Lack of iodine in mother’s diet (Iodine supplementation is recommended)
Mother needs enough iodine for themselves and for fetus developing

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13
Q

What is grave’s disease?

A

Hypersecretion of thyroid hormone

High metabolic rate (leads to weight loss)
Heat intolerant
Increased heart rate
Nervousness
Hair loss
Exophthalmos (protruding eyes)
Thyroid swelling (in base of neck)

Cause
Autoimmune disorder

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14
Q

How is calcium concentration regulated?

A

Dietary requirement - around 1000 mg/day
Goes to
→ Digestive tract
Calcium gets absorbed through digestive tract into the plama (need to maintain Ca+ concentration in plasma of around 8.5 - 11 mg/dL)
→ goes from blood to kidneys (filtered by this)
→ Reabsorption into plasma from the kidneys
→ urinary loss = 650mg/day

→ Some of it doesn’t get absorbed, and is faecal loss (350mg/day)
Absorption occurs through digestive tract

→ Can also get Ca into blood by resorption by osteoclasts from bone
→ If levels are to high can have deposition of Ca+ into bone done by osteoblasts

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15
Q

What is calcium essential for?

A

Calcium is essential for many physiological functions e.g contraction of muscles and release of neurotransmitters (opening of voltage gated calcium channels which allows Ca to enter the axon terminal and signals vesicle fusion to release a neurotransmitter)

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16
Q

What are the three hormones involved in calcium regulation?

A

Parathyroid hormone (PTH) - key one
Calcitriol
Calcitonin

17
Q

What are the parathyroid glands?

A

4 glands sit on the posterior surface of the thyroid

  • Secretes parathyroid hormone (PTH)
  • Detect changes in Ca conc and then release PTH
  • Essential for life
18
Q

What is the low blood calcium pathway?

A

Stimulus: decrease in blood calcium conc

→ causes the parathyroid gland to secrete PTH

→ two target (bones and kidneys)

→ Causes increase in bone breakdown that releases calcium into the blood and increases blood calcium

→ Also causes the increase in the reabsorption (bring more into body, lose less to urine), increasing blood calcium

→ Also in kidney converts vitamin D to calcitriol (increases about of Ca absorbed from food intake)

Therefore, restoration of blood Ca towards normal

19
Q

What is the negative feedback of the low blood calcium pathway?

A

once Ca is brought back up to normal, reduce signal for PTH release

20
Q

What is the calitonin secretion pathway?

A

Stimulus = very large increase of calcium concentration

→ thyroid gland will secrete calcitonin
→ Will decrease bone breakdown (more pulled out of the blood and put into the bones)
→ Thus release of Ca into blood is decreased
→ Levels of blood calcium will decrease
Therefore, restoration of Ca towards normal

Negative feedback in response to blood calcium going back to normal

21
Q

What does calcitriol do?

A

Calcitriol plays a role in increase bone breakdown and kidney reabsorption (aids the action of the PTH)

  • Because of this need to not have too much of it
  • Negative feedback system to itself –> Calcitriol inhibits more conversion of Vitamin D
22
Q

What is a set point?

A

Everyone has an individual set point for any variable the body is trying to maintain
If the temperature goes up, the body will try and bring that down vise versa.
Even though there’s one set point, everyone fluctuates around a normal range.

23
Q

How does the popualtion variate from set point?

A

The population has a reference range based on the breadth of individual normal ranges within the population - determined by measuring a vast number of healthy individuals
The population reference range tends to be wider than normal fluctuations within an individual’s:
For example, there is evidence that those medicated for thyroid disorders may have hormone levels within the reference range for the population, but they still may exhibit symptoms of thyroid disorder (either hyper or hypo thyroidism)

24
Q

variation on the normal range?

A
  • Each individual’s “normal range” is more narrow than the population range.
  • Moving outside the individual’s “normal range” may lead to symptoms of a disorder, even when hormone levels are within the population reference range

E.g. only moving outside of your normal range is bad.. Not necessarily outside the population range. Most people will have a set point range within the population range.. But not all.

25
Q

What are some variables maintained homeostatically through hormones?

A

Blood sugar concentration
Growth and repair
Basal metabolic rate
Blood calcium concentration

Other:

  • Blood pressure
  • Circadian rhytum
  • Hunger
26
Q

What are two ways of negative feedback?

A

Reduce change until the stimulus is removed (parathyroid hormone, pancreatic hormones)

Directly inhibit further release (anterior pituitary, 3rd hormone feedback and inhibits the anterior pituitary and hypothalamus)

27
Q

How does normal sympathetic nervous system stimulate adrenaline release?

A

→ ap travel down preganglionic sympathetic nerve fibres, they synapse onto neurons that have cells bodies in the sympathetic chain ganglions and cause AP down the post ganglionic fibres.
As target tissue we get release of normally noradrenaline

28
Q

How does the adrenal gland stimulate the release of adrenaline?

A

Sympathetic preganglionic fibre → postganglionic fibre → bloodstream → target tissue

Potentially act on same target sell causing and amplification/ elongation of the response from the sympathetic nervous system

29
Q

What are some short term responses to stress?

A

Increase in heart rate → increase in sympathetic nervous system stimulation to heart
Increase in reflex response rates
Changes in blood vessels diameter (get blood to where it needs to go fast)
Changes in pupil diameter → With increase in sympathetic nervous system stimulation (want to make sure view is not narrowed)

30
Q

What are some medium term responses to stress?

A

Imbalance of the stress response → leads to more long term negative effects from the exposure to stress
Hair loss
Ulcers in the mouth
Tremors in muscles

31
Q

What are long term responses to stress?

A

Higher risk of heart attack

→ even in younger patients stress e.g. famine increase risk

32
Q

What is Goitre?

A

Iodine deficiency disorder: hyposecretion

  • Thyroid gland is unable to make enough thyroid hormone (TH)
  • When stored TH is depleted, TRH and TSH secretion increase to stimulate the thyroid gland to make more TH
  • Without iodine, TH cannot be made

Loss of negative feedback control and overstimulation of the thyroid gland
Excess TSH stimulates growth of the thyroid gland
Leads to neck bulge