molecular basis of graves Flashcards
1
Q
2 parts of TSH structure and function
A
a subunit -
B subunit - give the specific function
2
Q
what is TSH receptor
A
GCPR
3
Q
what are 2 main parts of TSHR
A
a unit - outer part
B unit - membrane bound aspect
4
Q
what are 3 parts of a unit on TSHR
A
- LRD region where TSH binds
2. C region of 50 AA that can be cleaved off by enzymes
5
Q
what is 2 state model for TSHR
A
- closed conformation - inactive and can’t be bound
2. Open conformation - satbilized by TSH binding
6
Q
what happens if have mutations at or near stabilizing reagions of TSHR
A
loss of closed conformation meaning it becomes always active
7
Q
what happens in graves disease
A
- TSRH attacked by protease and C peptide is lost
- reduction of disulfide bridges realsease a subunit
- freed a units stim. antibodies
- antibodies then mimic TSH and get hyper thyroidism
8
Q
what are the 2 stimulatory pathways influenced by TSH
A
- GsA - GCPR
2. GqA - PLC and IP3
9
Q
what is GsA pathway
A
- binding activated adenayn cyclase
- ATP to cAMP
- cAMP binds to PKA
- PKA activates specific protein
10
Q
what is GqA pathway
A
- TSHR activation activates phospholipae C via GTP
- PLC conversion of PIP2 to DAG and IP3
- IP3 promotes Ca release from ER
- Ca and DAG activate PKC
- PKC phosphorylates other proteins