L6 (L7 by uni) - thyroid Flashcards

1
Q

what is thyroid gland

A

secretes thyroid hormones (THs) into the blood directly

-

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2
Q

2 main THs

A

T3 and T 4

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3
Q

what is hyperthryoidism

A

too much of TH s

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4
Q

what is hypothyoridism

A

-too little of THs

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5
Q

diseases relating to thyroid

A

hyper and hypothyroidism

, goiture,(swelling) and cancer

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6
Q

where is thryoid gland located

A

in the neck

-has 2 lobes

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7
Q

cell types present in the thyroid gland

A

C cells

follucular epithelial cells

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8
Q

what is c cells

A

involved in Ca homeostasis

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9
Q

how does C cell regulates Ca leve,s

A

secretes caicitonin in response to Ca levels

- inhibits osteoblasts from reabsorbing Ca

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10
Q

general structure of TH

A

has iodine atoms - essential for TH biosynthesis

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11
Q

how is iodine taken up in to the follicullar cells then into lumen

A
by NIS ( Na - I co transporter ) on basolateral membrane 
- then through pendrin on the apical membrane into the lumen
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12
Q

what is the most highly expressed proteins in the thyroid

A

thyroglobulin (Tg)

  • large glycoproteins
  • helps in the TH hormone synthesis and storage
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13
Q

what is thyroid peroxidase

A

TPO

- an enzyme involved in oxidation of iodine and conjugation of the iodotyrosines to form THs

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14
Q

where is iodinated Tg stored

A

in the follicular lumens as colloid

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15
Q

process of TH’s release

A

iodo Tg endocytosed from the lumen into the epithelial cell as vesicles

  • the Tg degraded to form T3 and T4
  • the T3 and T4 transported into the blood by MCT8 transporter on the basolateral membranr
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16
Q

what is the releasing factor for stimulating TSH from PG

A

TRH from hypothal

17
Q

how does the TSH activate the stimulation of production of TH s

A

binds to TSHReceptor on the thyroid cell-

  • causes the G protein GDP to convert into GTP
  • GTP activates the signalling cascade which ends in activated PKA
18
Q

what does the activated PKA do in the TH production

A

activates the CREB - which induces gene transcription

19
Q

types of carrier proteins bound to THs

A
  • thyroxine binding globulin (TBG)
  • transthyretin (TTR)b
  • albumin
20
Q

what type of inactive hormone is T4

A

prohormone - gets converted into T3 which is active hormone

21
Q

what can regulates the T3 levels

A

transporters - taking in T3
deiodinases - enzymes removing Iodine
- thyroid hormone receptors

22
Q

types of deiodinases and their function

A

D1 - can remove iodine from outer and inner rings

D2 - can remove iodine from outer - forms active T3

D3 - can remove iodine inner rings - forms inactive T3

23
Q

roles of TH

A

development, regulation of growth and control of basal metabolic rate (BMR)

24
Q

what happens when there is lack of THs

A
  • can become mentally deficient, ivversibely motor and cognitive impairment
25
Q

what is BMR

A

min energy required for basic function

26
Q

effect of TH on BMR

A

increases it through O2 consumption and heat production

27
Q

metabolic effects of Ths

A

increase glucose production

  • increase fat metab
  • decrease plama cholestral
28
Q

what receptors does TH like T3 bind to induce gene expression in a target cell

A

nuclear hormone receptors containing thyroid hormone response elements (TREs)