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Thyroid Physiology
10/24/11 Third Lecture
15
Medical
Graduate
10/24/2011

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Term
Where are thyroid hormone receptors located?
Definition
In the nucleus
Term
Where are thyroid hormone receptors located?
Definition
In the nucleus
Term
What are the overall effects on the body of thyroid hormones?
Definition
1. Promote bone growth
2. Promote brain development
3. Stimulate metabolism
4. Enhance autonomic reflexes
Term
What are the effects of thyroid hormones on metabolism?
Definition
1. Increased protein synthesis and degradation (leads to increased O2 consumption)

2. Increase Na/K ATPase (increases basal metabolic rate)

3. Increases Uncoupling protein (generates heat)
Term
What three tissues do not increase O2 consumption in response to thyroid hormone?
Definition
Brain, spleen, and testis
Term
How do thyroid hormones increase the basal metabolic rate?
Definition
1. Increase body temperature

2. Increase Na/K ATPase
Term
What 2 methods does thyroid hormone have for feedback inhibition?
Definition
1. Thyroid hormones inhibit synthesis of thyroid stimulating hormone

2. Thyroid hormones decrease thyroid releasing hormone receptor density
Term
Hormones that signal the thyroid gland originate in what part of the pituitary gland?
Definition
The anterior pituitary
Term
What ion is necessary for the synthesis of Thyroid hormones?
Definition
Iodide (can also be taken up as Iodate)

Note: Deficiency of iodine is the leading preventable cause of mental retardation
Term
What 2 enzymes are involved in the synthesis of T3 and T4 and what do they do?
Definition
1. Thyroid oxidase - makes H2O2 from O2

2. Thyroperoxidase - uses H2O2 to activate iodide to allow iodination reactions to occur
Term
When thyroid stimulating hormone triggers the release of T3 and T4, how much of each is released relative to each other?
Definition
About 10x more T4 is released then T3
Term
What enzymes activity triggers the release of thyroid stimulating hormone from the pituitary in response to the presence of thyroid releasing hormone?
Definition
Phospholipase activity (its activity causes increased Ca levels in the cytoplasm, promoting vesicle fusion with the membrane)
Term
What is the main source of iodide in thyroid hormone production?
Definition
Dehalogenase enzyme that breaks down left over MIT and DIT during T3 and T4 release.

This supplies about twice as much as the Na-I exchanger
Term
What are the 3 thyroid hormone carriers in the blood? Which one has the highest affinity for the thyroid hormones?
Definition
1. Thyroid binding globulin
2. Transthyretin
3. Albumin
Term
Of the 2 thyroid hormones, which one has the longer half life in blood??
Definition
T4 (about 8 days) is longer then T3 which is about 1 day
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