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Describe the basic structure of the thyroid glands?
The thyroid gland consists of two lobes that are located on either side of the trachea just below the larynx.
The thyroid are richly supplied with blood from a branch of what artery?
Common Carotid Artery
What are the three parts of the thyroid gland?
Thyroid follicles
Thyroid Cells
C-Cells
What does the thyroid follicle consist of?
consists of the colloid
What is the function of the thyroid cells?
Production of thyroxine (T4) and tri-iodotyrosine (T3)
What is the function of C-cells?
Production of calcitonin
All hormones produced by thyroid the are what type of hormone?
Amine hormones
What are thyroid hormones made up of?
Tyrosine and iodine
Thyroid hormone is the exception to what rule?
The are an amine hormone that acts like a lipid soluble hormone.
How is iodine obtained since it is not produced in the body?
From the diet and is absorbed in the duodenum then into the blood circulation
What is the active process in which iodine is taken up by the thyroid follicular cells?
iodine trapping
The thyroid is the only organ that actively concentrates what from the bloodstream?
Iodine
How is iodine transported into the thyroid cells?
Sodium-iodine symporter (NIS)
What are the two components that are essential for the synthesis of thyroid hormones?
Iodine and tyrosine
Describe the steps of thyroid hormone synthesis?
NIS takes iodide from circulation into thyroid cell
TGB being synthesized and secreted into the colloid
Iodine is oxidized by peroxidases into iodine then pushed it into the colloid
TGB binds to the iodine in different degrees (T4 or T3 but in a big line)
Iodinated thyroglobulin is broken down in thyroid cells by lysosomal enzymes from which T3 and T4 are the products.
What is the function of TSH to the thyroid gland?
Stimulates iodine uptake
Stimulates iodination of tyrosine
Growth of thyroid cells
When is TSH stimulated?
Prolonged exposure to cold
Describe the negative feedback loop of when an animal is cold?
lower body temp causes hypothalamus to secrele TRH
TRH stimulates the anterior pituitary to release TSH
TSH stimulates follicular cells of the thyroid to produce TH.
TH stimulates target cells to increase metabolic activities such as increase body temp.
When body temp increases, TH will them block the TRH receptors on the AP.
What hormone is more common T4 or T3?
T4
What proteins do thyroid hormones bind to?
Thyroxine Binding globulin (TBG) and Albumine (ALB)
How does the binding to a protein effect the half life of thyroid hormones?
Longer half life than unbound thyroid hormones.
Why is having a longer half-life important for thyroid hormones?
Longer storage availability circulating in the blood
Where are thyroid hormones stored?
In circulation and in follicles
What happens once T4 reach the target cell?
T4 enters the cell and is broken down to T3 by deiodinase creating T3 and rT3 an inactive form.
Why does T4 need to be broken down into T3 in the target cell?
T3 is 7x more potent than T4
What explains the long half life of thyroid hormones?
Binding to plasma proteins
What happens to T3 in the nucleus?
T3 binds to a nuclear receptor and to DNA to activate gene transcription. Creating new intracellular proteins form.
How does T3 increase cell viability?
T3 will make Mitocondria bigger and replicate through the non-genomic pathway, this causes more ATP production.
What are the two main systems that are effected by the new proteins synthesized by T3?
Cardiovascular and Metabolism
How does the newly synthesized proteins effect the cardiovascular system?
Increase CO, HR, HS, and respiration
What are the main effects of thyroid hormones on the general metabolism?
Increase size and # of mitochondria
Increase BMR
Generates heat through oxidation
Increases Na/Kase pump activity
Increases metabolic heat produced
What is the main effect of thyroid hormones in the carb metabolism?
Increased glucose absorption and utilization
What is the main effect of thyroid hormones in the lipid metabolism?
Stimulates lipolysis
increases bile secretion and fat absorption
lowers blood cholesterol
What is the main effect of thyroid hormones on protein metabolism?
Growth depends on thyroid hormones
Increase in protein synthesis/cell division
in excess it destroys proteins
What is the main effect of thyroid hormones on the nervous system?
Essential for the development of CNS in fetuses/newborns
Excitatory effect of CNS
Enhances the responsiveness of the sympathetic target tissues
What is the main effect of thyroid hormones on the GI tract?
Increases appetite
Increases motility and secretion
Lack of thyroid hormones can cause constipation
What is the main effect of thyroid hormones on the skin and hair follicle?
Prolongs the duration of anagen
Inhibits the synethesis of hyaluronic acid, fibronectin, and collagen
Describe the Hair growth cycle.
Kenogen= no hair in follicule
Early anagen= start of hair growth
Late anagen= hair growth reaches its peak
Catagen= hair growth slows down
Telogen= hair stops growing
Exogen= hair falls out of follicle
How do thyroid hormone affect the respiratory system?
Thyroid hormones increases oxygen utilization and CO2 production leading to an increase respiration rate and depth
What are the two main dysfunction of thyroid levels?
Hyperthyroidism
Hypothyroidism
What is hyperthyroidism?
Occurs when the thyroid gland overproduces thyroid hormones
What is hypothyroidism?
Occurs when the thyroid gland produces insufficient amounts of thyroid hormones.
How does the abnormal level of thyroid hormones affect the normal physiology of metabolism in the body?
Hypothyroidism decreases metabolic rate, leading to weight gain and cold intolerance
Hyperthyroidism increases metabolic rate, leading to weight loss and heat intolerance
What are some effects of functional tumors on the thyroid causing hyperthyroidism?
Hyperactivity
Mated hair or alopecia
Weight loss due to increased proteolysis/lipolysis
Polyphagia
Vomiting and Diarrhea
Tachycardia
Panting/coughing
What are the effects/clinical signs of hypothyroidism?
insufficient thyroid hormones/TSH secretion
Obesity and Lethargy
Bradycardia/ arrhythmias
Dry, dull hair, alopecia
seborrhea
myxedema
hyperpigmentation
How does hypothyroidism effect the cardiovascular system?
reduces cardiac function by decreasing beta-adrenergic receptors and rate of Ca+ uptake
What is seborrhea?
Abnormal sebum production and or a defect in keratinization
What is Myxedema?
Excessive hyaluronic acid accumulates (sad face)
What is the main drug that is used to treat hyperthyroidism?
Methinmazole
What is the main drug that is used to treat hypothyroidism?
Levothyroxine
What is the mode of action for Methinmazole?
Blocks production of substrate for Thyroxine peroxidase leading to a decrease incorporation of iodine into tyrosine molecules.
What is the mode of action for Levothyroxine?
Synthetic hormone (T4) that restores normal levels and reverses clinical signs.
What happens to the release of TSH when T4 levels are excessively high?
TSH decreases.