Thyroid Flashcards

1
Q

from where is the thyroid innervated?

A

the middle/inferior of cervical ganglia or SNS

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2
Q

which artery vascularizes the thyroid?

A

the thyroid artery

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3
Q

what is the functional unit of the thyroid?

A

thryoid follicle

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4
Q

colloid

A

a thich fluid that fills follicular cells and stores TH. it contains iodinated thryoglobulin TG

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5
Q

role of follicular cells

A

synthesize hormones

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6
Q

thyroglobulin

A

large glycoprotein scaffold with tyrosines

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7
Q

TH is made up of ____ and ____

A

iodide and tryosine

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8
Q

what are the two TH’s

A

T3 and T4

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9
Q

how is iodide moved around the body?

A

absorbed in GI tract
taken up by thryroid
removed by kidneys
transported by Na+/I- symporters

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10
Q

how is TH made?

A
  1. tyrosines are iodinated with thyroglobulin via thyroperoxidase(ox rxn).
  2. Then these are coupled via thryoperoxidase to form T2 or T4
  3. Epithelial cells endocytose colloid
  4. endosomes fuse with lysosomes
  5. lysosomes digest TG to release T3/T4
  6. this free TH (T3 or T4) diffuses into the blood
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11
Q

what is the main type of TH secreted?

A

T4

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12
Q

which TH is active and why?

A

T3 is active, T4 is inactive due to its very high affinity for the TH receptor over T3

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13
Q

circulating TH is bound to _____, or _____ or _____

A
  1. thyroid binding globulin
  2. transthyretin
  3. albumin
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14
Q

T4 is converted to T3 via ______

A

deiodinases

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15
Q

rT3

A

reverse T3, this is inactive and is made by removing iodides from an inner ring

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16
Q

which deiodinase is responsible for removing an iodide from an inner ring?

A

D3

17
Q

where is the TRH receptor?

A

cell membrane, gpcr

18
Q

what are 2 factors that regulate TH?

A
  1. diet (high carbs)

2. conditions that increase body energy requirements

19
Q

how does TBG regulate TH?

A

They are directly correlated, as TBG increases, so does TH

20
Q

wolff-chaikoff effect

A

the autoregulatory inhibition of the organification of iodine as there is an increase in circulating iodine. helps regulate T3/T4 production

21
Q

factors that contribute to TH synthesis

A

nutrients such as

iron, iodine, tyrosine, zince, and vitamins

22
Q

factors that inhibit TH synthesis

A

stress, infection, trauma, fluroide, toxins, diseases

23
Q

how is transcription initiated by TH?

A

TH passes through the transporters and enters the nucleus where it binds to factors on TRE sequence of DNA.

24
Q

what are the effects of TH?

A
  1. increase metabolism
  2. burn calories
  3. heat production
  4. metabolize substrates