Thyroid Hormone (Indra) Flashcards

1
Q

What are the main thyroid hormones that contain iodine?

A

T4: thyroxine
T3: triiodothyronine

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2
Q

The thyroid hormone T3 inhibits ________ in the anterior pituitary and inhibits ___________ in the hypothalamus.
On the contrary, what factors stimulate ____________ in the hypothalamus?

A

thyrotropes, multiple hypothalamic nuclei
multiple hypothalamic nuclei. cold, anxiety, and stress

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3
Q

what are the 4 Glycoprotein hormones?
what type of receptor do they bind to?

A

luteinizing hormone (LH)
follicle-stimulating hormone (FSH)
thyroid stimulating hormone (TSH)
human chorionic gonadotropin (hCG)
GPCRs

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4
Q

which cell in the thyroid secretes calcitonin?
which secretes T4?

A

parafollicular cell
follicle cell

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5
Q

The thyroid hormones are synthesized and stored as amino acid residues of _______, a complex glycoprotein made up of two identical subunits, which is discharged into the ______

A

thyroglobulin, lumen

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6
Q

_______ are actively taken into the thyroid cell, and oxidized to _______, and then released into the lumen.
Iodine attaches to tyrosine, mediated by peroxidase enzymes, forming ____ and _____.
Iodinated tyrosines link together to form ___ and ___

A

Iodide’s, Iodine
T1 (monoiodotyrosine, or MIT), T2 (diiodotyrosine, or DIT)
T3, T4

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7
Q

Transport and regulation of TH:
T4 and T3 bind to ______________ produced by the liver.
Peripheral tissues convert T4 to T3.
Regulated via negative feedback which can be overcome by ______________

A

thyroxine-binding globulins (TBGs)
hypothalamic thyrotropin-releasing hormone (TRH)

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8
Q

what is the role of 5’ deiodinase in peripheral tissues?

A

it converts inactive T4 to active T3

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9
Q

What are important actions of T3:
increased expression of _______ and contractile protein expression in heart.
decreased _______ levels, while increasing _________.
increased _______ and _______ metabolism.

A

B1-AR
LDL-C, LDLR
lipid, carb

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10
Q

_________ is required for T4/T3 production.
Iodine deficiency causes _______.
iodine deficiency is the most common cause of ______________.

A

Iodine
hypothyroidism
preventable mental retardation

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11
Q

Uptake of iodide:
Iodine ingested in diet reaches circulation in the form of ______.
Thyroid actively transports it via _____________.
Iodide transport is inhibited by ions such as _______ and _______.
TSH stimulates _____ gene expression and promotes insertion of ____ protein into the membrane.

A

iodide ion
sodium-iodide symporter (NIS)
thiocyanate, perchlorate
NIS, NIS

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12
Q

overview of hormonal signaling:
T3 binds to _______. T3 induces a conformational change in _____ that promotes its interaction with _______________.
HMEs are recruited to the DNA template to modify histones and:
disrupt histone-DNA interactions and provide a spot for proteins of the pre-initiation complex.
This creates an environment that is permissive for transcription of genes known as ____________.

A

T3R, T3R, histone-modifying enzymes
T3 target genes

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13
Q

Thyroid hormone has a calorigenic effect, meaning?

A

they increase metabolism and regulate temperature

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14
Q

Thyroid hormone:
Cardiovascular effects:
increases _____ and contractile protein expression in heart.
______ antags used for hyperthyroidism.
Metabolic effects:
T3 tends to decrease serum ______ levels, hypothyroid pts tend to have elevated _____ levels.
T3 stimulates ____ metabolism and ______ oxidation.
T3 increases _______ levels.
T3 stimulates all forms of ________ metabolism.
Negative feedback:
T3 decreases ____ release.

A

B1AR
B1AR
cholesterol, lipid
fat, glucose
triglyceride
carb
TSH

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15
Q

what are negative effects of thyroid hormone excess?
positive effects?
Thyroid hormone mimetics are more selective for which THR subtype?

A

rapid HR, arrhythmia, heart failure, muscle wasting, and bone loss.
reduced LDL-C and fat loss
THR-beta

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