thyroid hormones Flashcards

1
Q

what are 2 main thryroid hormones

A

T3 and T4

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2
Q

what are substrates and enzymes to make T3 and T4

A

thyroglobulin > peroxidase

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3
Q

how to tell if thyroid is active

A

active- small follicles - cuboidal cells

inactive - large follicles - abundant colloid

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4
Q

what are steps to make T3/4

A
  1. transport I into colloid
  2. attach I to thyroglobulin
  3. phagocytose T3/4
  4. back into blood
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5
Q

what is iodine requirment

A

150ug/day

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6
Q

how does T3/4 circulate

A

protein bound (TBG, albumin, transthyretin)

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7
Q

what up-regs thyroid binding proteins

A
  1. estrogen and preg.
  2. methadone/heroin
  3. tranquiizers
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8
Q

what down regs. thyroid binding proteins

A
  1. glucocorticoids
  2. androgens
  3. anti-cancer drugs
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9
Q

which thyroid hormone is more active and which is more common

A

T3 more potent, but T4 more volume

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10
Q

where does T3 come from

A

13% thyoid

87% is deiodinated T4

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11
Q

what removes iodine

A

deiodinase enzyme

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12
Q

how does T3/4 work

A

hydrophobic and passes through cell membrane to bind to receptor, which then bind to DNA

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13
Q

what are thyroid hormone receptors

A

a and B genes: TRa1, TRa2, TRB1 (everywhere)

TRB2 (brain)

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14
Q

effects of THs

A
  1. Na/K ATP ase - Na out/ K in
  2. increased O2
  3. heat gen, sweating
  4. weight loss
  5. incr. resp
  6. increased CV
  7. increased metabolism
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15
Q

TH CNS effects

A
  1. increased dev.
  2. increased B-andrenergic receptors
  3. faster reflexes
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16
Q

TH growth effects

A
  1. pubertal growth spurt

2. allows GH function

17
Q

what is TH feedback

A

-ve to pit and and hypo - TRH and TSH

18
Q

what inhibs TRH

A
  1. stress

2. TH

19
Q

what inhibs TSH

A
  1. dopamine,
  2. somatostatin
  3. glucocorticoids
  4. TH
20
Q

what happens in low iodine

A

can’t make T3/4 so get high TRH and TSH and goiter

21
Q

what are Sx of hypothyroidism

A
  1. lethargy
  2. fatigue
  3. cold-intolerance
  4. weakness
  5. hairloss
22
Q

what happens in graves disease

A

antibody produced that binds to TSH receptor and massive TH results