7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
Thyroid gland
1. M . P R A S A D N A I D U
M S C M E D I C A L B I O C H E M I S T R Y , P H . D , .
THYROID GLAND
2. Thyroid gland
Thyroid tissue is present in all vertebrates
TG consists of 2 lobes, one on each side of trachea
H- shape
25 gms
Season, climate, geographical location, food
3. Thyroid gland
Thyroglobulin : glyco protein – storage form of
thyroid glands
TGb on hydrolysis – MIT & DIT
TGb on hydrolysis also yields non-iodinated
compounds which ↓serum Ca2+
4. Biosynthesis & secretion
Entry of iodide ions from the blood
Against the conc. Gradient (Active tpt)
↑TSH
↓Thiocyanate, perchlorate
Oxidation of I- to I+/ HIO- (iodide peroxidase)
Iodination first at 3rd & 5th
MIT
DIT
Synthesis of T2,T3 and T4
5. Functions
T3 is the most reactive
5-10 time more active than T4
↑ Protein synthesis
↑ blood sugar ( Hyperglycemia)
↑ utilization of glucose
↑ glycolysis, TCA cycle, HMP shunt
↑ lipolysis & lipogenesis
↑ degradation of cholesterol – bile acids
↑ rate of energy exchange & O2 consumption (calorigenic effect)
↑ requirement of certain B complex vitamins
↑normal growth & skeletal maturation
↑ heart beat rate (T4)
Partly effects calcium levels
6. Regulation
TSH
Growth of TG, iodide
uptake, oxidation, iodination, coupling & release of
thyroid hormones
7. Clinical importance
T3 & T4 are synthesized only when sufficient iodine
is supplied in the diet
Goiter – Iodine deficiency
hypothyroidism:
Myxedema in adults
Cretinism in children
Hyper thyroidism: Graves disease
8. Parathyroid gland
In humans , usually 4
2 are superior poles & 2 are in inferior poles of
thyroid gland
4 glands weigh about 0.3gm
2 hormones namely
Parathormone (PTH)
Calcitonin
9. PTH
Linear PP
84 aa
8500
N- Ala & C- glutamine
Chief cells of parathyroid glands
10. functions
↑ Ca conc in serum by
i) ↑ absorption of Ca from the intestine
ii) ↑ rate of mobilization of Ca from bones
iii) ↑ renal tubular reabsorption
Thus PTH produces Hypercalcimia
↓ P conc in serum
↑ elimination of Ca & P in urine
↑ citrate content of blood, kidney & bones
↑ alkaline phospatase & acidphosphatase in blood plasma
Depolymerization of skeletal mucopolysaccharides
Acts on kidney through ↑ cAMP
11. Regulation
PTH is not stored in the gland
Synthesized & secreted continuously
PTH requires Vit D for its functioning
When Ca conc is low , PTH secretion is ↑
12. Calcitonin
Thyroid and parathyroids
Synthesized from C-cells or parafollicular cells
Single PP
32 aa
3600
N- Cys & C- prolinamide
13. Functions
Causes rapid & brief ↓ Ca level in blood
Influences the tpt of ions in the kidney
Regulation:
Blood Ca levels
↑ in serum Ca ↑ calcitonin - hypocalcimia