Thyroid Hormones Flashcards

(39 cards)

1
Q

Within the thyroid gland, thyroid hormone is produced by _ cells, and stored bound to _

A

Follicle cells

Thyroglobulin

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2
Q

Parafollicular cells produce _

A

Calcitonin

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3
Q

Within the thyroid, DIT and MIT are used to make _ (3)

A

T3, T4 and reverse T3

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4
Q

Iodine trapping within the thyroid require wha transport protein?

A

Na/I symporter

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5
Q

Iodide ions are converted to iodine by _

A

Thyroid peroxidase

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6
Q

What is the organification step of thyroid synthesis?

A

Oxidized iodine binds tyrosine AA residues on thyroglobulin to make DIT or MIT

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7
Q

What is stored as colloid in the follicle lumen?

A

Iodinated thyroglobulin, NOT T3 or T4

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8
Q

Free MIT and DIT are deiodinated by _, freeing iodine for reuse

A

Deiodinase enzyme

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9
Q

T3 and T4 are transported in the blood stream bound to _. How are they delived to the CNS? Majority of thyroid hormone released is _? Why?

A

Thyroxine binding globulin
Transthyretin
T4 - longer plasma half life

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10
Q

Where are thyroid receptors located?

A

Nuclear receptor

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11
Q

The major regulator of thyroid release is _. What are the effects of somatostatin and dopamine?

A

TSH

Both inhibit TSH release

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12
Q

increased thyroglobulin proteolysis, increased Iodide pump activity, increased organisfication, increase size, activity and number of thyroid cells are mediated by _

A

TSH

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13
Q

If a patient has low TSH, what would you expect upon inspection of the thyroid cells?

A

Low TSH - High amounts of colloid (b/c not released), flat follicular cells

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14
Q

An iodine deficiency can lead to _.

A

Goiter. Thyroid cell proliferation

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15
Q

The first effect of TSH on the thyroid cells is _

A

Binding surface GPCR

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16
Q

Increased cold and increased caloric intake lead to _

A

Increased TSH release

17
Q

A diet high in iodide lead to _

A

High blood iodide levels, reduced trapping of iodide by thyroid, decreased size and decreased blood supply

18
Q

The active form of the thyroid hormone is _. How does it bind DNA?

A

T3

As a T3-RXR heterodimer (vs. steroid hormones homodimerize)

19
Q

Know that T3 is able to bind ribosomes, mitochon, plasma mem. to mediate non-genomic responses

20
Q

T4 is converted to T3 by _

A

Mono-deiodinase

21
Q

In the absence of T3 binding, what is the action of the T3 receptor?

A

It is able to bind DNA and repres gene transcription, unlike the steroid hormone sequestered by HSP90

22
Q

The major effect of thyroid hormone is _

A

Increase in metabolic rate

23
Q

How does thyroid hormone affect proteins?

A

Increases protein catabolism, too much can lead to muscle breakdown / weakness

24
Q

Regarding linear growth, fetal brain development and tooth/hair development, what is the role of thyroid hormone?

A

Required for all.
Reduced fetal thyroid = poor outcome for fetus
Low thyroid post birth = dry brittle hair

25
What are the effects of thyroid hormone on carbohydrates and fat?
Increase carb metabolism | Increase lipid mobilization (GH like) and secretion
26
What are the effect if thyroid hormone on cardiac function?
Increases heart rate, blood flow, CO, tachycardia
27
How does thyroid hormone affect CNS function?
Hyper-secretion can lead to anxiety and nervousness
28
In males, too little thyroid hormone leads to_, while too much leads to _
Reduced libido | Impotence
29
In females, too little thyroid hormone leads to_ (3), while too much leads to _
Menorrhagia, polymenorrhea, reduced libido | Oligomenorrhea
30
2 causes of hyperthyroidism mentioned are _
Graves disease | Thyroid adenoma
31
Graves disease is caused by _
Thyroid stimulating antibodies
32
heat intolerance, diarrhea, muscle weakness, tremor, osteoporosis (long term) are all symptoms of _
Graves disease
33
Graves disease can be treated by _ (2)
Surgery to remove most of gland | Radioactive iodine
34
Thiouracil drugs treat hyperthyroidism by O
Inhibiting thyroid peroxidase activity
35
Thyroid storm is _
Life threatening result of hyperthyroidism
36
Myxedema is _. Major symptom is _
Hypothyroidism in adults | Bagginess under eyes
37
Myxedema coma is _
Rare, in elderly adult who fail to take thyroid medications
38
Cretinism is _
Hypothyroidism in infants. Mental retardation, stunted skeletons, soft tissue enlargement
39
The most common time of endocrine cancers are _. They are treated by _ (2)
Thyroid cancers | Thyroidectomy or radioactive iodine