Thyroid hormone synthesis and action Flashcards

1
Q

What is the secretion of parafollicular/C-cells?

A

Calcitonin - lowers blood Ca levels

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2
Q

Describe the structure of the thyroid gland

A

Thyroid follicles
Single layer of epithelial cells (follicular cells)
Lumen filled with protein rich colloid
Microvilli on surface
C-cells/parafollicular cells

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3
Q

What hormones are produced by follicular cells of the thyroid gland?

A

Derived from tyrosine:
- Triiodothyronine (T3) - 10%
- Thyroxine (T4) - 90%
T3 is more biologically active - T4 converted to T3 in tissues

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4
Q

Describe the synthesis of thyroid hormones

A

Iodine transported into follicular cells via secondary active transport
Follicular cells produce thyroglobulin - rich in tyrosine AA
Iodine gets stuck on tyrosine in thyroglobulin in the colloid => T3 and T4 stored in colloid bound to thyroglobulin

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5
Q

Describe iodine uptake in thyroid hormone synthesis

A

I- circulates in blood
Transported into follicular cells by secondary active transport:
- Na/I- symport in basal membrane stimulated by TSH

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6
Q

Describe iodination in thyroid hormone synthesis

A

Iodide ions are oxidised to iodine - catalysed by thyroperoxidase
Iodine is added to tyrosine in thyroglobulin - catalysed by iodinase enzyme

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7
Q

Describe the secretion of thyroid hormones

A

Thyroglobulin re-enters follicular cell from colloid via endocytosis
Intracellular vesicles fuse with lysosomes
Lysosomal enzymes split thyroid hormones from thyroglobulin
Hormones diffuse across basal plasma membrane into interstitium then into blood

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8
Q

Describe how thyroid hormone is transported in the blood

A

Lipid-soluble
Bound to thyroid-binding globulin

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9
Q

describe the metabolism of thyroid hormones

A

90% Thyroxine (T4) deiodinated to free triiodothyronine (T3) in liver and kidneys and within cells
Remaining T4 is deiodinated to reverse T3 (rT3)

Free T3 is biologically active
rT3 is inactive - slows metabolism

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10
Q

How does the body adapt to starvation via thyroid hormones?

A

Thyroid hormones increase BMR (basal metabolic rate) so during starvation or illness:
- lower TSH from pit gland => less T3 and T4 production
- alters deiodination => more rT3

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11
Q

How are thyroid hormones catabolised?

A

Deiodinated into diiodotyrosine and monoiodotyrosine in liver and kidneys
Iodine is recycles or excreted via urine

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12
Q

Define euthyroid, hyperthyroidism and hypothyroidism

A

Euthyroid = normal thyroid function
Hyperthyroidism = increased function
Hypothyroidism = decreased function

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13
Q

Describe the regulation of thyroid hormones

A

TRH (thyrotropin releasing hormone) from hypothalamus stimulates anterior pit gland to secrete TSH/thyrotropin (thyroid-stimulating hormone) => acts on thyroid gland

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14
Q

what are the actions of TSH (thyroid stimulating hormone)?

A

Increased endocytosis and proteolysis of thyroglobulin from colloid
Increased activity of Na+/I- symport
Increased iodination of tyrosine (increased activity of iodinase and thyroid peroxidase enzymes)
Increased size and secretory activity of thyroid follicular cells
Increased number of follicular cells

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15
Q

What is goitre?

A

enlargement of thyroid gland due to TSH overstimulation
Cats with hyperthyroidism

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