TH Mechanism of Action Flashcards

1
Q

What are thyroid hormones modified by?

A

Enzymes in target tissues

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2
Q

How do thyroid hormones interact with thyroid hormone receptors?

A

To modulate transcription of target genes

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3
Q

What are the major functions of thyroid hormones?

A

Metabolism, growth, and development

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4
Q

What major roles do thyroid hormones play in neurological development?

A

Neurological development and neurogenesis

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5
Q

Which thyroid hormone is produced more, T4 or T3?

A

T4

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6
Q

What is the principle carrier of thyroid hormones in the blood?

A

Thyroxine-binding globulin (TBG)

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7
Q

What is the function of deiodinases?

A

Convert circulating T4 to bioactive T3

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8
Q

What type of effects do thyroid hormones have at the nuclear thyroid hormone receptor?

A

Genomic and non-genomic effects

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9
Q

What are the two main categories of biological responses to thyroid hormones?

A
  • Effects on metabolic pathways
  • Effects on cellular differentiation and development
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10
Q

How do thyroid hormones affect metabolic activity?

A

They stimulate diverse metabolic activities leading to an increase in basal metabolic rate

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11
Q

What is the relationship between thyroid hormones and lipid metabolism?

A

Stimulate fat mobilization and enhance oxidation of fatty acids

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12
Q

What is a diagnostic indication of hypothyroidism?

A

Increased blood cholesterol concentration

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13
Q

How do thyroid hormones affect carbohydrate metabolism?

A

Enhance insulin-dependent entry of glucose into cells and increase gluconeogenesis and glycogenolysis

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14
Q

What is the role of thyroid hormones in growth?

A

Necessary for normal growth in children and promotes growth synergistically with GH and IGF-1

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15
Q

At what gestational week does the fetal Hyp-Pit-Thyroid axis function in mammals?

A

Week 11

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16
Q

What essential function do thyroid hormones serve in brain development?

A

Stimulate axonal growth and development

17
Q

What cardiovascular effects do thyroid hormones have?

A

Increase heart rate, cardiac contractility, and promote vasodilation

18
Q

How do thyroid hormone levels affect the central nervous system?

A

↓ leads to mental sluggishness; ↑ induces anxiety and nervousness

19
Q

What is the relationship between thyroid hormones and reproductive behavior?

A

Dependent on having essentially normal levels of thyroid hormones

20
Q

True or False: Hypothyroidism is commonly associated with infertility.

21
Q

Fill in the blank: Thyroid hormone receptors are encoded by two genes, designated _____ and _____.

A

[alpha] and [beta]

22
Q

What are the four different thyroid hormone receptors recognized?

A
  • alpha-1
  • alpha-2
  • beta-1
  • beta-2
23
Q

What is the effect of TR binding to DNA without T3?

A

Leads to repression of transcription

24
Q

What is the effect of the thyroid hormone-receptor complex binding to DNA?

A

Activates transcription

25
Q

How do TRs interact with DNA?

A

Bind to thyroid/T3 response elements (TREs)

26
Q

What is the composition of TREs?

A

Two AGGTCA ‘half sites’ separated by four nucleotides

27
Q

What is the highest affinity binding form of TR?

A

Heterodimer with the retinoid X receptor (RXR)