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Systems Test 4
Thyroid Gland
11
Medical
Graduate
04/26/2009

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Term
What is colloid?
Definition
Made up of thryoglobulin. Fills the lumen of thyroid gland follicules.
Term
What is the avg dietary intake of iodide?
Definition
400 ug per day
Term
What is the Wolff Chaikoff Effect?
Definition
It occurs when iodide intake exceeds 2mg/day. Excess iodide in the thyroid inhibits the iodide trap and hormone synthesis
Term
How does the thyroid gland retain iodide?
Definition
By conjugating it to tyrosines on thyroglobulin.
Term
What are the average contents of one thyroglobulin molecule?
Definition
7 MIT, 6 DIT, 2 T4 and 0.2 T3
Term
T3 and T4
Definition
In the cell, most T4 is converted to T3. T3 is more potennt. TR binds T3 with a 10 fold higher affinity than T4.
Term
What does the TRE Thyroid Regulatory Element do?
Definition
It binds the Thyroid Receptor TR to repress gene expression down stream. When bound to ligand, it dissociates.
Term
What happens when TSH receptor is stimulated?
Definition
1. Thyroglobulin and peroxidase synthesis
2. iodide trapping
3. T3, T4 synthesis
4. Colloid endocytosis
5. Thyroglobulin proteolysis
6. T3, T4 release
7. Thyroid gland development and vascularization
Term
How are the thyrotropes in the ant. pituitary regulated?
Definition
Via TRH Thyrotropin Releasing Hormone. TRH binds to GCPR and activates PLC. The activated thyrotropes synthesize and secrete TSH
Term
What is goiter?
Definition
It is an enlargement of the thyroid gland in response to TSH.
Term
What are the 3 ways in which goiter can come about, and how?
Definition
1. Hypothyroid - iodine deficiency causes a decrease in thyroid hormone. The pituitary senses a drop in T4 and increases TSH synthesis. The TSH promotes thyroid gland growth.

2. Euthyroid - Through increased iodine trapping, the thyroid gland will re-esatblish normal T4 levels when iodine is only slightly deficient.

Hyperthyroid - Graves disease - autoimmune stimulation of TSH receptors on the thyroid follicular cells. Leads to thyroid gland hypertrophy
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