thyroid hormones Flashcards

1
Q

General info about thyroid hormoens

A
  • hydrophobic signaling molecules that influence gene transcritpion

–> regulators of basal metabolic rate

–> important in development

  • Iodine deficiency is the leading cause of preventable brain damage
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2
Q

Organization of the thyroid gland

A
  • folicles are the functional unit of the thyroid gland

–> formed from follicular cells arranged around a central cavity (lumen)–> lumen contains colloid, protein rich fluid

–> parafollicular cells surround the follicles

  • produce calcitonin and other molecules
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3
Q

structure and synthesis of thyroid hormones

A
  • iodinated tyrosine residues are contained with thyroglobulin

–> large homodimeric glycoprotein

–> made in follicular cells and dsecreted through the apical membrane

–> forms major component of colloid

  • Source of iodine is the diet and concentrated by thyroid follicular cells
  • Very high thyroglobulin content of colloid means that the thyroid gland has significant storage capacity (2-3 months supply)
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4
Q

Goiter

A
  • low dietary iodine intake leads to devleopment of goiter

–> enlargement of thyroid gland

–> attempt to better scavenge low levels of iodine causes persistently elevated TSH drives growth

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5
Q

Describe the organification of iodine

A
  • incorporation of iodine into thyroglobulin is referred to as the organification of iodine
  • catalyzed by THYROID PEROXIDASE, an integral protein of the apical membrane of follicular cells

–> uses iodide ions to reduce H2O2 to water

–> I- is oxidized to I (atomic iodine) or I+ (iodinium)

–> react with tyrosine in thyroglobulin to form monoiodothyronine (MIT)

–> MIT can react with another I or I+ forming diiodothyronine (DIT)

  • THYROID PEROXIDASE couples DIT with MIT or DIT with DIT forming protein bound T3 or T4 respectively (more T4 is formed than T3)
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6
Q

describe the release of T3 and T4 from thyroglobulin

A
  • release of T3 and T4 requires PROTEOLYSIS OF THYROGLOBULIN

–> thyroglobulin taken back up into the follicular cells by endocytic processes

–> endocytic vesciles traffic to the lysosome where proteolysis releaes T3, T4 traffic out of the cell

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7
Q

describe why thryoglobulin in serum is important

A
  • small amounts of iodinated thyrobolin enters the serum via transcytosis

–> easy to measure in clincial laboratory

–> levels increase greatly with graves disease, thyroiditis

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8
Q

describe the control of thyroid hormone release

A
  • Paravicellular neurons release thyrotorpin releasing hormones (TRH)
  • TRH delivered to anterior pituitary by the portal hypophysal system
  • TRH binds G-protein coupled receptor
  • phospholipase C is avitivated
  • subsequent release of Ca tiggers exocytosis of vesciels containing thyrotropin (better known as thyroid stimulating hormone; TSH)

**TSH MASTER REGULATOR OF THYROID REGULATION**

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9
Q

Tyrotropin (TSH)

A
  • its is a glycoprotein hormone (alpha subunit common to FSH and LH; unique beta subunit)
  • TSH receptor is G-protein coupled receptor

–> triggers signaling cascades (both adenylate cyclase and phospholipase C pathways

–> stimulates ALL ASPECTS of thyroid hormone syntheiss and secretion

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10
Q

describe feedback control of thyroid hromone production

A
  • TRH gene expression is negatively regulated by thyroid hormone (T3) (TRH receptor synthesis is also down-regulated)
  • T3 levels within thyrotrophs regulates transcription of mRNA for TSH

–> tarnslation of TSH mRNA and release of TSH from thyrotrophs is also regulation

  • SOMATOSTATIN AND DOPAMINE BOTH INHIBIT TSH SECRETION

**AS T3, T4 GO UP, THE ABILITY TO PRODUCE THEM GOES DOWN**

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11
Q

describe transport of thyroid hormones to peripheral tissue

A
  • Majority of T3 and T4 is bound to CARRIOER PROTEINS

–> thryoid-binding globin

–> transthyretin

–> albumin

  • increase HALF-LIFE of hormone because T3 and T4 are cleared by kidney

–> T4 binds protein more tightly than T3 (given T4 a longer half-life)

  • Biologically active form of T3 and T4 is the FREE FORM!!!!!!!!!!
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12
Q

describe metaboism in peripheral tissues

A
  • Deiodination reactions can activate or inactive thyroid hormones

–> T3 is more biologically active than T4

- T3 binds serum protein LESS tightly than T4 (more free form)

- T3 binds thryoid hormone receptors MORE TIGHTLY than T4 (pretty much JUST T3!!!)

–> Deiodination converts T4 to T3 –> ACTIVATION

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13
Q

describe modification of thyrid hromone activity

A
  • Deiodination reactions are major means of modifying thyroid hormone activity
  • deiodination of T3 produces T2
  • Deidoination of T4 can produce reverse T3 (rT3)

–> neight T2 nor rT3 interact with classical nuclear thyroid hormone receptors

–> EFFECTS OUTSIDE OF THE NUCLEUS

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14
Q

Type I deiodination

A

- Major source of circulatin T3

  • production of T2 in peripheral tissue
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15
Q

Type II deiodination

A

- Important in the control of thyroid hormone release

  • converts T4 to T3
  • important in tissue that generate T3 locally from T4, rather than acquring T3 from circualtion

(pituitary/hypothalmic cells)

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16
Q

Type II deiodinases

A

- considered to be MAJOR physiological terminator of thyroid hormone action in peripheral tissue

  • Converts T4 to rT3 and T3 to T2
  • DOES NOT CONVERT T4 TO T3
  • INACTIVATION OF T4 and T3
17
Q

describe the role of glucuronidation

A
  • occurs in liver
  • glucuronic acid added to phenolic hydroxyl group to thryoid hromones
  • INCREASES WATER SOLUBILITY OF THYROID HROMONES

- FACILITATES ELIMIANTION IN BILE!

18
Q

why are thyroid hormones important in development

A
  • regulators of transcription

–> lack of thyroid hormone during devleopment leads to mental retardation, growth, and developmental delay

–> Broad nose, puffy eyes, large, protruding tongue; sparse hair and dry skin

–> growth failures, feeding problems, constipation, delayed development

–> child could not sit unsupported and failed to crawl

19
Q

describe the physiologic effect of thyroid hormones

A
  • REceptors present in virtually all tissues
  • Increase basal metabolic rate

–> increase transcription of Na+/K+-ATPase

–> stimualted transcription of mitochondrial uncoupling protein

  • INcrease cardiac output = increase HR, decrease peripheral vascular resistance
  • Regulate carbohydrate and lipid metabolism

–> enhance carbohydrate absorption and oxidation

–> stimulate glycogen breadkwon and gluconeogenesis

–> stimulate lipolysis and cholesterol synthesis/degradation

  • bone turnover = increase bone resorption and formation
  • hematopoeitc effects = increase erythropoietin production
  • increase gut motility
20
Q

HYPERthyroid symptoms

A
  • Excessive heat production
  • nervousenss
  • insomnia
  • increase heart rate
  • weight loss, increased appetitie

**GRAVES DISEASE = autoimmune disease; antibodies bind TSH receptor**

21
Q

Describe hypothyroid symptoms

A
  • increased sensitivity to cold
  • decreased basal metaboic rate
  • lethargy
  • weight gain without increase caloric intake
22
Q

Hashimoto thyroiditis

A
  • autoimmune disease
  • antibodies to thyroid peroxidase, thyroglobulin, TSH receptor-blocking antibodies, other components

–> DECREASE HORMONE PRODUCTION/SECRETION

23
Q

Mechanism of thyroid hromone

A
  • often bind DNA as heterodimers
  • binding of thyroid hormoen triggers conformation change in thyroid hormone receptor
  • HDAC is released and a histone acetylase (HAT) binds in its place
  • leads to relaxation of chromatin and enhancement of transcritpion
24
Q

extranuclear effects (new stuff)

A
  • some effects of thyroid hormone occur within a few minutes
  • mechanism of action appears independent of transcription and translation (effects are insenstive to inhibitors
  • Extranuclear effects include

–> regulation of ion channels

  • Ca-translocating ATPase
  • Na/K-ATPase

–> mitochondrial bioenergetics (T2)

–> alterations in actin cytoskeleton (T4, rT3, but NOT T3)