LECTURE 14 - thyroid gland Flashcards
1
Q
What is the thyroid gland?
A
- endocrine gland
- secretes hormones directly into bloodstream
- 2 main thyroid hormones
1. T3 = triiodothyronine
2. T4 = thyroxine - -> essential for development, regulation of growth and control of basic metabolic rate
2
Q
Describe the thyroid gland anatomy
A
- located in neck
- butterfly shaped gland
- 2 lobes united by a narrow isthmus
- brownish-red, highly vascular
- thin fibrous capsule containing follicles and connective tissue
3
Q
What are the thyroid follicular epithelial cells?
A
- majority of thyroid cells
- line the spherical follicles and surround the follicular lumen filled with colloid (thyroid hormone store)
- controlled by thyroid-stimulating hormone (TSH)
- responsible for production of T3 and T4
4
Q
What are parafollicular cells (C cells)?
A
- minority of thyroid cells (<10%)
- involved in control of serum calcium homeostasis
- found outside of follicles
- secrete calcitonin
- this inhibits osteoclasts from resorbing/ breaking down bone resulting in decrease in calcium in the blood
- other tissues also produce calcitonin so replacement is not required in the absence of thyroid gland
5
Q
Describe thyroid hormone structure
A
- thyroid-based hormone that contain iodine
- T3 contains 3 iodine atoms
- T4 contains 4 iodine atoms
- iodine essential for thyroid hormone biosynthesis (iodine comes from diet e.g. seafood, crops and dairy)
6
Q
How is iodide transported into the thyroid?
A
- must be transported into the cell from bloodstream
- this is the first, rate-limiting step in biosynthesis
- occurs against concentration gradient (high level of intracellular iodide)
- iodide uptake mediated by sodium/iodide symporter (NIS), located on basolateral cell membrane
7
Q
How does the sodium iodide symporter work?
A
- iodide transported against conc. gradient by cotransporting iodide with 2 Na+ ions, Na+ goes down conc. gradient and brings I- with it
- dependent on Na/K ATPase
- transports 3 Na out and 2 K in, this sets up Na gradient
8
Q
How is iodide transported into the follicular lumen?
A
- iodide then moves across and out of cell by passive transport into lumen (site of hormone biosynthesis)
- mediated in part by pendrin, an anion transporter located on the apical/ luminal cell membrane
9
Q
What is thyroglobulin (Tg)?
A
- thyroid-specific protein
- most highly expressed protein in thyroid gland
- large glycoprotein dimer (660kDa) that is secreted into follicular lumen
- serves as a scaffold for hormone synthesis and storage
- 132 tyrosine residues - up to 1/3 can becomes iodinated (store for iodine) while <10 becomes thyroid hormones
10
Q
What is thyroid peroxidase (TPO)?
A
- thyroid specific protein
- located on apical/ luminal membrane
- enzyme that catalyses
- oxidation of iodide to facilitate the iodination of Tg tyrosine residues
- coupling of the iodotyrosines to form thyroid hormone
11
Q
Explain the iodination of thyroglobulin by TPO
A
- iodide ions oxidised to iodine utilising H2O2 to do this
(I- + H2O2 –> I) - TPO catalyses iodination of tyrosine residues with iodine
- becomes monoiodotyrosine (MIT) if attaches to 1 iodine or diiodotyrosine (DIT) if 2 attach
12
Q
How does TPO couple iodotyrosyl residues?
A
- MIT + DIT = T3
- DIT + DIT = T4
TPO uses hydrogen peroxide here too
13
Q
What are the final steps of thyroid hormone synthesis?
A
- iodinated Tg is stored in the follicular lumen as colloid
- when thyroid hormone is required, the colloid is endocytosed from lumen into vesicles
- through fusion of these vesicles with lysosomes, Tg is digested by proteolytic enzymes to release T3 and T4
- T3 and T4 are secreted into the bloodstream via thyroid hormone transporters such as MCT8
14
Q
How is hormone synthesis controlled?
A
- TSH (from pituitary gland) stimulates thyroid to produce and release thyroid hormone
- pituitary releases TSH in response to TRH (thyrotropin releasing hormone) from hypothalamus
HPT axis =
Hypothal. –> Pituitary –> thyroid
TRH TSH
The thyroid hormones then can generate the -ve feedback loop
15
Q
How does the TSH receptor (TSHR) work?
A
- TSHR is a G-protein coupled receptor
- located in the basolateral membrane of thyroid cells
- TSH binding causes a conformational change in the TSHR
- TSHR then replaces the GDP on the G protein with a GTP thereby activating it
- activated alpha subunit can then activate adenylyl cyclase which releases cyclic AMP which then bind to PKA to releases active catalytic subunit of PKA
- activated PKA can have effects on gene transcription to form new proteins e.g. Tg and NIS
- almost all effects of TSH on thyroid hormone biosynthesis are mediated by adenylyl cyclase/ cAMO