thyroid hormone Flashcards

1
Q

What are the main structural components of the thyroid gland?

A

follicles lined with follicular cells and filled with colloid

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2
Q

What are the primary hormones produced by the thyroid gland?

A

T3 T4

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3
Q

What additional hormone does the thyroid gland produce and its function?

A

calcitonin, which helps regulate calcium levels

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4
Q

10 steps of thyroid hormone synthesis

A
  1. TRH release from hypothalamus
  2. Ani Pit release TSH
  3. TSH simulates follicular cells to synthesise thyroglobulin
  4. iodide trapping
  5. oxidation of iodide
    6.iodination of tyrosine amino acids
    7.couple DIT and MIT
    8.endocytosis of thyroglobulin with T3 and T4
  6. lysosomal enzymes cleave T3 and T4 out of thyroglobulin
  7. exocytosis of T3 and T4 into blood plasma
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5
Q

T4 converted to T3 by ?

A

deiodoniase enzyme

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6
Q

what is the iodine trap

A

uptake of iodide through iodide-sodium symporter across basolateral membrane

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7
Q

What is the role of T3 in transcriptional regulation?

A

T3 binds to thyroid receptor to regulate transcription

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8
Q

What is the significance of dimerization in thyroid hormone action?

A

TR often forms a heterodimer with retinoid X receptor (RXR) to enhance binding to thyroid hormone response elements (TREs).

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9
Q

What are TREs and their function?

A

specific DNA sequences in target gene promoters that TR binds to regulate transcription.

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10
Q

name a corepressor

A

HDAC

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11
Q

name a coactivator

A

HAT

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12
Q

physiological effects of thyroid hormones

A

accelerated metabolism
development and growth

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13
Q

thyroid hormones effects on autonomic nervous system

A

increases b-adrenergic receptors and intracellular second messengers

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14
Q

what is hyperthyroidism

A

excessive production of thyroid hormone

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15
Q

what autoimmune disease can cause hyperthyroidism

A

graves disease

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16
Q

What are typical symptoms of hyperthyroidism?

A

Increased heart rate, weight loss, anxiety, heat intolerance, sweating, and tremors

17
Q

what is hypothyroidism

A

insufficient production of thyroid hormone

18
Q

what can cause hypothyroidism

A

Hashimoto disease
dietary iodine deficiency
defective pituitary function

19
Q

What are typical symptoms of hypothyroidism?

A

Fatigue, weight gain, cold intolerance, dry skin, hair loss, and depression

20
Q

what is goitre

A

enlarged thyroid gland

21
Q

effect of thioureylenes

A

inhibit thyroid hormone synthesis

22
Q

what is the major method for treating hyperthyroidism

A

radioiodine

23
Q

What is the Wolff-Chaikoff effect?

A

A temporary reduction in thyroid hormone production

24
Q

name a b-adrenoceptor antagonist

A

propananolol

25
Q

what is propranolol used for

A

block noradrenaline overstimulation of cardiac B1-adrenoceptors

26
Q

treatment of hypothyroidism

A

synthetic hormones

27
Q

What is the importance of MCT8 in the brain?

A

transports T3 into neuron

28
Q

which chromosome is MCT8 located on

A

X

29
Q

allan-herdon-dudley syndrome is a mutation in

A

MCT8