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    Production, Regulation, and Action of

    Thyroid Hormones

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    The Thyroid Gland

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    Thyroid Hormones There are two biologically active thyroid

    hormones: - tetraiodothyronine(T! usually calledthyro"ine#

    - triiodothyronine (T$#

    %erived from modi&cation of tyrosine'

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    hy is )odine )m*ortant in ThyroidHormone Production+

    Thyroid hormones are uniue biologicalmolecules in that they incor*orate iodine intheir structure'

    Thus, adeuate iodine intae (diet, water# is

    reuired for normal thyroid hormone*roduction' .a/or sources of iodine:

    - iodi0ed salt - iodated bread

    - dairy *roducts- shell&sh

    .inimum reuirement: 12 micrograms3day 45 intae: 677 - 277 micrograms3day

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    )odine .etabolism

    %ietary iodine is absorbed in the G) tract,then taen u* by the thyroid gland (orremoved from the body by the idneys#'

    The trans*ort of iodide into follicular cells isde*endent u*on a 8a93)-cotrans*ort system'

    )odide taen u* by the thyroid gland iso"idi0edby *ero"ide in the lumen of thefollicle:

    peroxidas

    eI- I+

    Oxidied iodine can then be used in production of

    thyroid hormones.

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    The 8e"t 5te*: Production ofThyroglobulin

    Pituitary *roduces T5H, which binds tofollicle cell rece*tors'

    The follicle cells of the thyroid *roduce

    thyroglobulin' Thyroglobulin is a very large glyco*rotein'

    Thyroglobulin is released into the colloids*ace, where its tyrosine residues are

    iodinated by )9' This results in tyrosine residues which have

    one or two iodines attached(monoiodotyrosine or diiodotyrosine#'

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    The Thyroid Gland ; HistologyGland is com*osed of hollow s*heres, called colloid

    follicles'!"uamous epithelial cells, cuboidal cells #follicle cells$

    %ollicle cells produce thyroglobulin ----T&I

    'olloid fills the follicle ca(ities

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    Thyroid

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    Thyroid

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    =ne .a/or Advantage of this5ystem

    The thyroid gland is ca*able of storingmany wees worth of thyroid

    hormone(cou*led to thyroglobulin#'

    )f no iodine is available for this *eriod,thyroid hormone secretion will bemaintained'

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    Regulation of Thyroid Hormone>evels

    Thyroid hormone synthesis andsecretion is regulated by two main

    mechanisms:- an ?autoregulation@ mechanism,which reects the available levels ofiodine

    - regulation by the hy*othalamus andanterior *ituitary

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    Autoregulation of Thyroid Hormone

    Production

    The rate of iodine u*tae andincor*oration into thyroglobulin is

    inuenced by the amount of iodideavailable:

    - low iodide levels increase iodinetrans*ort into follicular cells

    - high iodide levels decrease iodinetrans*ort into follicular cells

    Thus, there is negative feedbac regulationof iodide trans*ort by iodide'

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    Action of T5H on the Thyroid

    T5H acts on follicular cells of the thyroid'

    - increases iodide trans*ort into follicular cells - increases *roduction and iodination of

    thyroglobulin- increases endocytosis of colloid from lumen

    into follicular cells )a+

    I-thyroglobulinfolliclecell

    gene

    I-

    endocytosis

    thyroglobulin

    T* T

    colloid droplet

    I-

    I+

    iodination

    thyroglobulin

    )a+ +

    AT

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    .echanism of Action of T5H

    T5H binds to a *lasma membrane-bound,G *rotein-cou*led rece*tor on thyroidfollicle cells'

    5*eci&cally, it activates a Gs-cou*led

    rece*tor, resulting in increased cA.P*roduction and PBAactivation'

    T!&

    sa

    Adenylyl

    'yclase

    AT cyclic A/

    rotein 0inase

    A

    Follicle cell

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    Regulation of T5H Release fromthe Anterior Pituitary

    T5H release is inuenced by hy*othalamicTRH, and by thyroid hormones themselves'

    Thyroid hormones e"ert negative feedbacon T5H release at the level of the anterior*ituitary'

    - inhibition ofT5H synthesis

    - decrease in *ituitary rece*tors for TRHhypothalamus

    T1&

    T1& receptor

    T!& synthesispituitary T*2T

    +

    -

    -

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    )nuence of TRH on T5H Release

    Thyrotro*in-releasing hormone (TRH# is a

    hy*othalamic releasing factor which travelsthrough the *ituitary *ortal system to act onanterior *ituitary thyrotro*h cells'

    TRH acts through G *rotein-cou*led rece*tors,activating the )P$ (Ca69# and %AG (PBC#

    *athways to cause increased *roduction andrelease of T5H'

    T1& phospholipase '

    protein-coupled

    receptor

    I* calcium

    3A '

    calmodulin

    Thyroid hormones also inhibit T1& synthesis.

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    8egative

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    =ther evels

    %iet: a high carbohydrate diet increasesT$levels, resulting in increased metabolicrate (diet-induced thermogenesis#'

    >ow carbohydrate diets decreaseT$ levels,resulting in decreased metabolic rate'

    Cold 5tress: increases T$ levels in otheranimals, but not in humans'

    =ther stresses: increased or decreased+

    Any condition that increases body energyreuirements (e.g., *regnancy, *rolongedcold# stimulates hy*othalamus TRH T5H (Pit#

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    Actions of Thyroid Hormones

    Thyroid hormones are essential for normalgrowth of tissues, including the nervoussystem'

    >ac of thyroid hormone during develo*mentresults in short stature and mental de&cits(cretinism#'

    Thyroid hormone stimulates basal metabolic

    rate'

    hat are the s*eci&c actions of thyroidhormone on body systems+

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    Actions of Thyroid Hormone Reuired for GH and *rolactin

    *roduction and secretion

    Reuired for GH action

    )ncreases intestinal glucosereabsor*tion (glucose trans*orter#

    )ncreases mitochondrial o"idative*hos*horylation (ATP *roduction#

    )ncreases activity of adrenal medulla(sym*athetic! glucose *roduction#

    )nduces en0yme synthesis Result: stimulation of growth of tissues

    and increased metabolic rate' )ncreasedheat *roduction (calorigenic eDect#

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    EDects of Thyroid Hormone on8utrient 5ources

    EDects on *rotein synthesis anddegradation:-increased *rotein synthesis at low thyroidhormone levels (low metabolic rate! growth#-increased *rotein degradation at high

    thyroid hormone levels (high metabolic rate!energy#

    EDects on carbohydrates:-low doses of thyroid hormone increase

    glycogen synthesis (low metabolic rate!storage of energy#

    - high doses increase glycogen breadown(high metabolic rate! glucose *roduction#

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    =ne .a/or Target Gene of T$: The8a93B9ATPase Pum*

    Pum*s sodium and *otassium across cellmembranes to maintain resting membrane*otential

    Activity of the 8a93B9*um* uses u* energy, in

    the form of ATP About F3$rd of all ATP in the body is used by

    the 8a93B9ATPase

    T$ increases the synthesis of 8a93B9*um*s,

    maredly increasing ATP consum*tion' T$ also acts on mitochondria to increase ATP

    synthesis

    The resulting increased metabolic rateincreases thermogenesis (heat *roduction#'

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    Thyroid hormones:Bey Points

    Held in storage ound to mitochondria, thereby

    increasing ATP *roduction

    ound to rece*tors activating genesthat control energy utili0ation

    E"ert a calorigenic eDect

    yro ormone ct ons

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    yro ormone ct onswhich )ncrease ="ygen

    Consum*tion )ncrease mitochondrial si0e, numberand ey en0ymes

    )ncrease *lasma membrane 8a-BATPase activity

    )ncrease futile thermogenic energycycles

    %ecrease su*ero"ide dismutaseactivity

    ects o yro ormones

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    ects o yro ormoneson the Cardiovascular

    5ystem )ncrease heart rate )ncrease force of cardiac contractions

    )ncrease stroe volume )ncrease Cardiac out*ut

    4*-regulate catecholamine rece*tors

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    EDects of Thyroid Hormoneson the Res*iratory 5ystem

    )ncrease resting res*iratory rate

    )ncrease minute ventilation

    )ncrease ventilatory res*onse tohy*erca*nia and hy*o"ia

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    EDects of Thyroid Hormoneson the Renal 5ystem

    )ncrease blood ow

    )ncrease glomerular &ltration rate

    ects o yro ormones

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    ects o yro ormoneson ="ygen-Carrying

    Ca*acity

    )ncrease RC mass )ncrease o"ygen dissociation from

    hemoglobin

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    EDects of Thyroid Hormoneson )ntermediary .etabolism

    )ncrease glucose absor*tion from

    the G) tract )ncrease carbohydrate, li*id and

    *rotein turnover

    %own-regulate insulin rece*tors

    )ncrease substrate availability

    ects yro ormones n

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    ects yro ormones nGrowth and Tissue

    %evelo*ment

    )ncrease growth and maturation of bone

    )ncrease tooth develo*ment and eru*tion )ncrease growth and maturation of

    e*idermis,hair follicles and nails

    )ncrease rate and force of seletal muscle

    contraction

    )nhibits synthesis and increasesdegradation of muco*olysaccharides insubcutaneous tissue

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    EDects of Thyroid Hormoneson the 8ervous 5ystem

    Critical for normal C85 neuronal

    develo*ment Enhances waefulness and alertness

    Enhances memory and learning

    ca*acity Reuired for normal emotional tone

    )ncrease s*eed and am*litude of*eri*heral nerve ree"es

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    EDects of Thyroid Hormoneson the Re*roductive 5ystem

    Reuired for normal follicular

    develo*ment and ovulation in thefemale

    Reuired for the normal

    maintenance of *regnancy Reuired for normal

    s*ermatogenesis in the male

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