Thyroid Hormone Flashcards

1
Q

What is the anatomy of the thyroid gland divided into?

A

clusters of follicles via connective tissues

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2
Q

What does a thyroid gland follicle consist of?

A

Thin layer of epithelial cells and colloid

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3
Q

What is the function of the epithelial cells?

A

they are responsible for the synthesis of thyroid hormones

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4
Q

What are four different ways that thyroid hormones can be transported?

A

99.5% binds to plasma proteins
TBG is a glycoprotein with a high affinity
TBPA is a protein with a low affinity
ALB/ albumin is a protein that also has a low affinity

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5
Q

How is thyroid hormone production regulated?

A

Hypothalamus produces TRH which then acts on the anterior pituitary to release TSH which is neccesary for the release of TH

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6
Q

What is the function of TH relating to metabolism?

A

It increases the overall basal metabolic rate, regulates the rate of O2 consumption and energy expenditure

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7
Q

What is the function of TH relating to neural function?

A

important during foetal life and early brain development/ myelination so it increases axonal speed conduction

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8
Q

What is the function of TH relating to the cardiovascular system?

A

It increases blood flow and cardiac output

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9
Q

How does TH effect thermogenesis

A

It increases heat production and oxygen consumption

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10
Q

How does TH effect carbohydrate metabolism?

A

Stimulates glycogenolysis in the liver

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11
Q

What effect does TH have on lipid metabolism?

A

It stimulates release of free fatty acids by increasing the activity of hormone sensitive lipase in adipocytes

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12
Q

What effect does TH have on protein metabolism?

A

It stimulates the synthesis of proteins mainly involved in oxidative reactions

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13
Q

What is hypothyroidism?

A

sub-optimal levels of TH

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14
Q

What is primary hypothyroidism?

A

relates to the thyroid gland itself, the plasma TH is still high

atrophy of the thyroid gland

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15
Q

What is secondary hypothyroidism?

A

It is related to the pituitary gland, the plasma TSH is low

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16
Q

What are some clinical signs of hypothyroidism?

A

mental retardation, slow metabolism, feeling cold, weight gain, sluggishness, skin issues
skin thickening/ myexdema

17
Q

What is hyperthyroidism?

A

Excessive production of T3/T4, associated with a high metabolic rate

most common in cats

18
Q

What kind of tumour is hyperthyroidism most commonly associated with?

A

a benign thyroid tumour

19
Q

What are some clinical signs of hyperthyroidism

A

Increased body temperature, weight loss
Increased heart rate and work load
loss of skeletal mass

20
Q

What is Exophthalmos?

A

complex water retaining carbs are maintained behind the eyes which pushes the eyes out

21
Q

What is Goitre?

A

an enlarged thyroid gland

22
Q

What causes goitre?

A

iodine deficiency, iodine toxicity, ingestion of certain plants

23
Q

What is thyroglobulin?

A

Source of thyroid hormone

24
Q

What effect will T3/T4 have on the production of TRH?

A

Long loop negative feedback

25
What kind of temperatures promote TH release?
Low temperatures
26
What are the primary functions of TH?
Normal development of of body tissue growth, physical/mental wellbeing Stimulates growth hormone secretion (IGF-1) Activates nuclear transcription of large numbers of genes
27
What is the more biologically active version of Thyroid hormone?
T3, it can be derived from iodination of T4 in peripheral tissues
28
What are the biochemical actions of thyroid hormone?
Thermiogenesis: increased heat production Effect on carbohydrate metabolism: Increased breakdown of glycogen to glucose Effect on lipid metabolism: Stimulates release of free fatty acids, increased oxidation of fatty acids Effect on protein metabolism: increased production and catabolism of proteins
29
What causes primary hypothyroidism?
Lymphocytic thyroiditis and idiopathic atrophy of thyroid gland
30
What are some common causes of Goitre?
Iodine deficiency/ iodine toxicity/ ingestion of goitrogenic plants