Thyroid Gland Flashcards

1
Q

What is the location of the thyroid gland

A
  • Lies across the trachea at the base of the larynx

- Between the C5 and T1 vertabrae

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2
Q

What are the two active thyroid hormones

A
  • T3 (Triiodothyroinine)

- T4 (Thyroxine)

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3
Q

Describe the 2 thyroid cell types

A
  • C (Clear) cells which secrete calcatonin

- Follicular cells which support thyroid hormone synthesis and surround hallow follicles

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4
Q

Describe thyroid follicles

A
  • Thyroid follicles are spherical structures made of follicular cells
  • Centre of follicule is made of colloid, which is a stickyglycoprotein matrix contain TH
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5
Q

What are the functions of thyroid follicules

A
  1. Manufacture enzymes that make thyroid hormones (Thyroid peroxidase)
  2. Manufacture thyroglobulin, large protein rich in tyrosine
  3. Activley concentrate iodide from the plasma and transport it into the colloid

The enzymes are thyroglobulin are packaged into vesicles and transported into the colloid

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6
Q

Describe the transportation of iodine into the colloid

A
  1. Enters the follicular cell through the Na/I symporter (this coupling allows iodine to enter against concentration gradiant
  2. Iodine then enters the colloid via the pendrin transporter on the basolateral surface of the cell
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7
Q

What is the function of thyroid peroxidase and where does it come from

A
  • Thyroid peroxidase is the enzyme that catalyses the addition of iodine to tyrosine
  • It comes from the follicular cells
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8
Q

The addition of one iodine to tyrosine creates what

A

Iodine + tyrosine = Monoiodotyrosine

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9
Q

The addition of two iodine + tyrosine creates what

A

2 iodine + tyrosine = Diiodotyrosine

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10
Q

The creation of triiodothyronine is the addition of which two compound

A

MIT (moniodotyrosine) + Diiodotyrosine =

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11
Q

The creation of thyroxine is made by what?

A

DIT + DIT = Thyroxine

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12
Q

What is the effect of TSH?

A
  • TSH triggers endocytosis of portions of colloid back into the follicular cells
  • Within the cells they form vesicles containing proteolytic enzymes that cut the thyroglobulin to release thyroid hormones into circulation
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13
Q

Describe the hormone characteristics of thyroid hormones and the binding

A
  • Lipid soluble amine hormones which easily diffuse across the membrane
  • Bind to thyroxine binding globulin to circulate in plasma
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14
Q

Describe the binding and half lives of T3 and T4

A
  • T3 and T4 are both bound to thyroxine binding globulin
  • Thyroxine binding globulin has a higher affinty for T4 than T3
  • 50x more T4 bound to protein than there is T3
  • Because of the higher affinity T4 has a far higher half life than T3
  • T4 half life 6 days, T3 half life 1 day
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15
Q

Describe the physiological activity of T3 and T4

A

Despite being far more T4, T3 is far more active
- 90% of TH binding is done by T3
- T3 is 3-5x more physiologically active than T4
- T4 is deiodinated to T3 by deiodinase enzymes
-

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16
Q

Name the stimuli that increase TRH release

A
  • Cold
  • Exercise
  • Pregnancy
17
Q

Name inhibitory stimuli of TH release

A
  • Glucocorticoids - Inhibits T4 conversion to T3

- Somatostatin are inhibitory TSH

18
Q

What are the functions of the thyroid hormones

A
  • Raise metabolic rate/thermogensis
  • Hepatic gluconeogensis
  • Proteolysis
  • Lipolysis
  • Permissive of GH
  • Required for foetal brain development
19
Q

What are the symptoms of hyperthyroidism

A
  • Weight loss
  • Heat intolerance
  • Diarrhoea
  • Muscle weakness
  • Tachycardia
  • Hypertension
  • Irratibility
  • Hyperexcitable reflexes
  • Excessive sweating
20
Q

Describe the pathophysiology of graves disease

A
  • Antibodies produced mimic that of TSH
  • This causes major release of T3/T4 while decreasing TSH due to neagtive feedback
  • Contiuous activation of thyroid gland causes goitre
21
Q

What are the causes of hypothyroidism

A
  • Low iodine in diet

- Hashimotos thyroditis

22
Q

What are the symptoms of hypothyroidism

A
  • Weight gain
  • Cold intolerance
  • Brittle nails
  • Thin skin
  • Slow reflexes
  • Fatigue
  • Bradycardia
  • Hypotension
23
Q

Describe the causes of goitre

A
  • Primary Hypothyroidism, Iodine/hashimotos
    Causes increased TSH production and atrophy
  • Hyperthyrodism, Graves