Thyroid Gland Flashcards

1
Q

Which Deiodinase converts T4 to active T3?

A

Types 1 and 2

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2
Q

Which Deiodinase converts T4 to inactive T3?

A

Type 3

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3
Q

What factors will increase the conversion of T4 to T3?

A

Obesity

Cold exposure

Hyperthyroid

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4
Q

What factors will decrease the conversion of T4 to T3?

A

1) pregnancy
2) Fasting
3) Beta-blockers
4) hepatic and renal failure
5) aging
6) hypothyroid

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5
Q

What blocks the Na/I- symporter (NIS)

A

Perchlorate

Thiocynate

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6
Q

What is the name of the transporter that brings I- from the follicular epithelial cell into the follicular lumen?

A

Pendrin

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7
Q

What does Pendrin dependent on?

A

Chloride

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8
Q

What enzyme in the follicular lumen puts and MIT and DIT on to TG and ultimately T4 and T3?

A

Peroxidase

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9
Q

2 DIT molecules make what?

A

T4

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10
Q

A DIT and an MIT molecule makes what?

A

T3

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11
Q

Once pinocytosis occurs of the TG-thyroid hormone complex, what cleaves the thyroid hormones from the TG?

A

Proteases in the lysosomes

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12
Q

Explain the Wolff-Chaikoff effect

A

High levels of I- inhibit organification cation and synthesis of thyroid hormones

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13
Q

When TSH binds to a thyroid cell what is the secondary messenger system?

A

CAMP

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14
Q

What are the 2 effects of TSH on a thyroid follicular cell?

A

1) increase synthesis and secretion of thyroid hormone

2) trophic effect on thyroid gland

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15
Q

In most tissues, thyroid hormones stimulate synthesis of what?

A

Na/K ATPase

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16
Q

In cardiac muscle cells, thyroid hormones stimulates the synthesis of what?

A

1) myosin
2) B1 adrenergic receptors
3) Ca+ ATPase

17
Q

what enzyme converts T4 to T3?

A

Deiodinase