Module 1 Section 3 Flashcards

(42 cards)

1
Q

where is the thyroid gland located

A

located over the trachea just below the larynx

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2
Q

what does the thyroid gland consist of

A
  • it consists of two lobes connected by a thinner section of the gland, known as the isthmus
  • there is no difference between the lobes
  • the entire gland serves the same function, that is to produce and secrete thyroid hormones
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3
Q

explain the cellular structure of the thyroid gland

A
  • follicular cells are arranged to form hollow spheres throughout the gland
  • when looking at a microscopic section, the spheres/follicles appear as ring-like structures
  • within the thyroid gland are another cell type called C cells that secrete calcitonin
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4
Q

what is the colloid made up of

A

primarily made up of a large protein molecule called thyroglobulin, which is where the thyroid hormones are synthesized and stored

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5
Q

explain thyroid hormones

A
  • the thyroid gland produces 2 hormones from the aa tyrosine
  • both thyroid hormones contain iodine
  • both hormones are referred to as thyroid hormones as they exert the same physiological effects, only with differences in their speed and intensity of action
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6
Q

what are the 2 types of thyroid hormones

A
  1. T3: considered to be more active thyroid hormone
  2. T4: converted to T3 in target tissues
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7
Q

explain Tetraiodothyronine (T4)

A

this hormone contains 4 iodine molecules and represents about 90% of the thyroid hormones secreted

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8
Q

explain Triiodothyronine (T3)

A

this hormone contains 3 iodine molecules and represents the remaining 10% if secreted hormone

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9
Q

explain the importance of iodine

A
  • the follicular cells obtain the basic building blocks of tyrosine and iodine from the blood
  • the body requires about 1 mg of iodine a week to ensure sufficient levels of thyroid hormone
  • once ingested, iodine circulates as iodide (I.)
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10
Q

explain the thyroid gland with iodine

A
  • the thyroid gland is very efficient in extracting iodine from the blood such that essentially all iodine is taken up into the gland
  • the thyroid gland stores enough thyroid hormone to endure long periods when dietary iodine is not available
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11
Q

how do Canadians meet their dietary need of iodine

A

the consumption of table salt, which is supplemented with iodine

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12
Q

why are thyroid hormones an exception to lipophilic hormones

A
  • lipophilic hormones are not stored but are released upon their synthesis
  • fully formed thyroid hormones can be protected from secretion while they are stored bound to thyroglobulin in the colloid of the thyroid gland
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13
Q

what is the first step of the synthesis of thyroid hormones

A

tyrosine-containing thyroglobulin is produced within the follicular cells by the endoplasmic reticulum-Golgi complex and is transported to the colloid by exocytosis

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14
Q

what is the second step of the synthesis of thyroid hormones

A
  • iodide is taken up by follicular cells through a process called iodide trapping
  • iodide is driven against its concentration gradient by using a Na+ cotransporter that moves Na+ down its concentration gradient
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15
Q

what is the third step of the synthesis of thyroid hormones

A

iodide is then transferred into the colloid of the follicular lumen

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16
Q

what is the fourth step of the synthesis of thyroid hormones

A
  • almost simultaneous to the iodide moving into the colloid, the enzyme thyroperoxidase converts iodide into a highly reactive state, iodine (Io), which immediately attaches to a tyrosine residue on a thyroglobulin molecule
  • this process is called iodide organification
  • the attached of one iodine to a tyrosine produces monoiodotyrosine (MIT), while the attachement of a second iodine produced diiodotyrosine (DIT)
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17
Q

what is the sixth step of the synthesis of thyroid hormones

A
  • a coupling process occurs that combines MITs and DITs to form the thyroid hormones
  • the coupling of one MIT and one DIT forms triiodothyronine (T3) while the coupling of two DITs forms tetraiodothyronine (T4)
  • there is no coupling of two MITs
    ( both T3 and T4 remain bound to the thyroglobulin molecule after the chemical reactions)
18
Q

what is the first step of the release of thyroid hormones

A

the follicular cells engulf a portion of the thyroglobulin-containing colloid by phagocytosis and create hormone-filled vesicles

19
Q

what is the second step of the release of thyroid hormones

A

once inside the follicular cell, lysosomes fuse with the vesicles and digestive enzymes release all of the MIT, DIT, T3, and T4 from the thyroglobulin

20
Q

what is the third step of the release of thyroid hormones

A

because T3 and T4 are very lipophilic they immediately cross the plasma membrane to the blood where they bind to plasma proteins, mainly thyroid-binding globulin

21
Q

explain the actions of thyroid hormones

A
  • thyroid hormones have effects on most tissues of the body, either directly or indirectly
  • the actions of thyroid hormones are slow compared to other hormones
  • it can take hours before the effects are observed and the duration can last for days even after plasma concentrations of thyroid hormone have returned to normal
22
Q

explain the major effect of thyroid hormones - metabolic rate and heat production

A
  • thyroid hormone increases the overall basal metabolic rate by increasing oxygen consumption and energy expenditure
  • a consequence of increasing metabolic rate is an increased heat production
23
Q

explain the major effect of thyroid hormones - intermediary metabolism

A

thyroid hormone influences the enzymes involved in fuel metabolism, but the effects differ depending on the amount of thyroid hormone present

24
Q

what is an example of intermediary metabolism

A

at low concentrations of thyroid hormone, the conversion of glucose to glycogen and protein synthesis are favoured, whereas at higher concentrations, thyroid hormone causes the breakdown of glycogen to glucose and the degradation of proteins

25
explain the major effect of thyroid hormones - sympathomimetic
- thyroid hormone can increase a target cell's response to catecholamines - this is accomplished by increasing the number of catecholamine receptors
26
explain the major effect of thyroid hormones - cardiovascular system
- due to its sympathetic effect on the heart, thyroid hormone can increase both heart rate and strength of contraction to increase cardiac output - other cardiovascular effects of thyroid hormone include an increase in blood volume and flow
27
explain the major effect of thyroid hormones - growth
- thyroid hormone is essential for normal growth - it stimulates the release of both growth hormone and insulin-like growth factor, and also promotes their actions to stimulate the synthesis of new structural proteins and skeletal growth
28
explain the hypothalamic-pituitary-thyroid axis
- thyroid stimulating hormone (TSH) is the most important regulator of thyroid hormone secretion and it influences most of the stages of thyroid hormone synthesis and release - TSH also directly affects the thyroid gland, as in the absence of TSH, the thyroid gland shrinks in size - with excess TSH, thyroid gland follicles get larger and increase in number - the release of TSH and TRH are under negative feedback control
29
what is hypothyroidism
- also called low thyroid or under-active thyroid - a disorder of the endocrine system - occurs when the thyroid gland does not secrete enough thyroid hormone into the blood and has 3 main causes
30
what are the 3 main causes of hypothyroidism
1. primary failure of the thyroid gland 2. secondary failure of the thyroid gland 3. inadequate dietary supply of iodine
31
give an example of primary failure of the thyroid gland
- hashimoto's thyroiditis, is an autoimmune disorder in which antibodies target the thyroid gland and impair its ability to produce thyroid hormones - with primary failure, you typically see low levels of T3 and T4 but elevated levels of TSH - this is because there is no T3 and T4 being produced to provide negative feedback and decrease the production of TRH and TSH
32
explain secondary failure of the thyroid gland
- occurs when the hypothalamus and/or pituitary fail to secrete adequate TRH and/or TSH - hypothyroidism due to secondary failure is characterized by low levels of T3 or T4 (or both), as well as TRH and/or TSH, depending on the location of dysfunction
33
explain inadequate dietary supply of iodine causing hypothyroidism
- most common cause of hypothyroidism - characterized by low T3 and T4 and elevated TSH
34
what are symptoms of hypothyroidism
- cold intolerance - slower reflexes - reduced mental alertness - easy to fatigue - slow, weak heart rate - weight gain due to decreased basal metabolic rate
35
explain congenital hypothyroidism
- it is thyroid hormone deficiency acquired from birth - called cretinism - because thyroid hormone is requires for growth and development, cretinism is characterized by dwarfism and intellectual diasability
36
what is hyperthyroidism
characterized by increased levels of thyroid hormone
37
what are the primary causes of hyperthyroidism
1. secondary to excess hypothalamic or anterior pituitary secretions 2. thyroid tumour 3. Graves' disease
38
explain hyperthyroidism - secondary to excess hypothalamic or anterior pituitary secretions
- generally observed when there is a tumour in their the hypothalamus (that secretes excess TRH) or in the anterior pituitary (that secretes excess TSH) - such tumours generally ignore negative feedback, resulting in elevated T3 and T4, with elevated TRH and/or elevated TSH
39
explain hyperthyroidism - thyroid tumour
- a tumour in the thyroid gland itself results in an increased secretion of thyroid hormones - would expect to see elevated T3 and T4 and decreased TSH
40
explain hyperthyroidism - Graves' disease
- most common cause of hyperthyroidism - is an autoimmune disease in which the body produces long-acting thyroid stimulator (LATS), an antibody that targets and activates TSH receptors on follicular cells - LATS has the same effect as excessive TSH in that it causes the follicles to grow larger and increase in number - because LATS is not under negative feedback control, the hyperthyroid stimulus persists - levels of T3 and T4 are high while TSH levels are low
41
what are symptoms of hyperthyroidism
- increased heart rate - excessive heat production - muscle weakness due to skeletal muscle protein degradation - mood swings due to increased CNS mental alertness - elevated basal metabolic rate that causes weight loss even with increased caloric intake
42
explain a goiter
- a symptom that can arise from both hypothyroidism and hyperthyroidism - it is an enlarged thyroid gland that is usually quite visible - it results from any condition that leads to increased TSH - TSH stimulation of the thyroid gland, to increase the number and size of follicles