Lec 8 - Thyroid hormones Flashcards

1
Q

what are thyroid hormones derived from

A

tyrosine

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

3 types of thyroid hormones

A

Thyroxine = T4
Triiodothyronine = T3
Reverse T3 = inactive

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

why does T4 need binding proteins to transoprt it in serum

A

is insoluble

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

why can liver disease lead to loss of effective t4 transport

A

this is where binding proteins are synthesised

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

3 types of T4 binding proteins

A
  • albumin
  • transthyretin (ttr)
  • Thyroxine binding protein (TBG)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

most abundant t4 binding portein

A

thyroxine binding globulin
70-75%

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

how much T4 does albumin hold in plasma

A

5-10%

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

how much t4 does TTR bind (and where does it deliver to)

A

20%
delivers to CNS

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

where is T4 converted

A

in peripheral tissues

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

which binding protein has highest affinity for t4

A

TBG

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

which bindning protein has highest capacity for t4

A

albumin
but since has lowest affinity = holds the least

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

which of the binding proteins ONLY binds t4 and not t3

A

TTR

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

what hormone increases TBG

A

oestrogen
which is why in nearly doubles in conc during pregnancy

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

what lowers concs of TBG

A

corticosteroids
illness
stress
cirrhosis
nephrotic disorders

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

which transporters move free t4 and t3 into cells

A

MCT8
MCT10
OATP1c1

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

which enzymes convert T4 to T3

A

iodothyronine deiodinases (DIO)
(1, 2 and 3)

17
Q

which DIO makes the most circulating T3

18
Q

where is DIO1 predominately found

A

liver
kidney
muscle

19
Q

where is DIO2 found

A

areas of CNS
and
pituitary thyrotropes

20
Q

what kind of T3 does DIO2 make

A

intracellular T3

21
Q

DIO3 function

A

produces reverse T3
- prevents thyroid hormone accessing specific tissues

22
Q

what is the 2 thyroid hormone receptors and where are they

A

TRalpha and TRbeta
- found in nucleus

23
Q

what do TR form a dimer with

A

retinoid X receptor (RXR)

24
Q

where does TR and RXR bind

A

to thyroid resposive element
on DNA
(hard to explain, see onenote)

25
how does T3 affect growth hormone
the gene encoding growth hormone is responsive to T3 = increases gene expression
26
in what situation would T3 binding actually lead to gene inhibition
in gene coding for expression of alpha and beta subunits of TSH (mechanism of negative feedback)
27
5 biological actions of thyroid hormone
- control basal metabolic rate - growth regulating role - foetal development - cardiovascular effects - musculoskeletal effects
28
3 things thyroid hormone does to affect basal metabolic rate
- increases proteins for tissue growth and maturation - increases expression of Na+/K+ ATPase - increases mitochondria (stimulating mt replication) and respiratory enzymes
29
what are the effects on cardiac when increased thyroid hormone
more O2 needed to supply increase in metabolism so cardiac output and ventilation increases
30
what does loss of t4 in foetus lead to
irreversible intellectual disability and dwarfism
31
effect of iodine deficiency in foetus
- miscarriage/stillbirth - congenital abnormality
32
effect of iodine deficiency in foetus
neonatal goiter neonatal hypothyroidism intellectual disability
33
iodine decifiency in child/adolecsent
subclinical goiter hypothyroidism impaired mentla funciton delayed phsyical development
34
what does T3 increase in terms of cardiovascular effects
- cardiac contraction and output - heart rate - increased O2 supply to tissues - inc CO2 removal from tissues
35
3 direct effects of T3 in CV system
- inc myocardial Ca2+ uptake - inc expression of alpha-myosin heavy chain and decreased beta - increased expression of RYR in SR
36
indirect effects of T3 on CV system
- increased metabolism = inc thermogenesis = vasodilation - inc sensitivity to catecholamines
37
how does t3 have musculoskeletory effectsq
38