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Thyroid Gland
                     By:
                Khuram Aziz
           M.Phill Biochemistry
       Scientist by IBC Life sciences
Member of Pakistan Young Scientist Association
Outline
•   Location
•   Structure
•   Synthesis
•   Mode of action
•   Effects
•   Regulation
•   Disorders
Thyroid gland
• Largest gland in the body
• Location : in the neck inferior the larynx and
  spanning over the ventral surface of trachea
• Function:
  – Secretion of thyroxin and triiodothyronine
  – Secretion of calcitonin
Fig 19-7

 Thyroid Gland
 Anterior surface of trachea just
  inferior of thyroid cartilage (or
  Adam’s apple)

 Two lobes connected by isthmus

 Microscopic thyroid follicles
  produce thyroid hormone

 C Cells - produce calcitonin
  ( Ca2+)
Structures and Functions of Endocrine
               System




    Fig. 48-10. Thyroid and parathyroid glands. Note the surrounding structures.

                                                                                   5
                          Copyright © 2011, 2007 by Mosby, Inc., an
                                    affiliate of Elsevier Inc.
Thyroid Gland: Hormones and Iodine
            Metabolism
Synthesis of Thyroid Hormone
     Blood                 Follicle Epithelium                           Colloid          MIT+DIT

                                  Thyroid Peroxidase
               I-            I-                              I2               I2              T3
                    Pump
                                                                              +
         Na+
                                                            TG              TG            DIT+DIT
                                     MIT
                                     +           Tyrosine
                                     DIT
                                                                  -T3
                                                                  -T4              -T3
                                                                                             T4
          T3                                                      -MIT             -T4
          +
          T4                                                TG    -DIT      TG     -MIT
                                                                                   -DIT




Thyroid hormone synthesis and secretion involves processes that occur within follicular
epithelial cells and in colloid.
I-: iodide ions; I2: iodine; TG: thyroglobulin; MIT: monoiodotyrosine; DIT: diiodotyrosine.
Releases of Thyroid Hormone
Synthesis of thyroid hormones
1. Iodide trapping
  – By sodium iodide symporter
  – Blocked by:
     •    Thiocyanate SCN-
     •    Perchlorate ClO4-
     •    Pertechnetate TcO4-
2. Oxidation of iodide
  – By thyroid peroxidase
  – Inhibited by:
     1.   large intake of iodide >150mcgday
     2.   Thioamides(refer to hyperthyroidism therapy)
Synthesis of thyroid hormones
3. Organification
     – Tyrosine residues of thyroglobulin is iodinated
1.    Inhibited by large intake of
      iodide >150mcgday
2.    Thioamides(refer to
      hyperthyroidism therapy)


     – Produce monoiodotyrosine residues MITnd
       diiodotyrosine residues DIT
Thyroxine and its precursors: Structure &
                Synthesis




          Figure 1-1: Thyroid hormones are made from tyrosine and iodine
Synthesis of thyroid hormones
4. Coupling
  – DIT+MIT=T3
  – DIT+MIT=T4
5. Storage :
  – Along with thyroglobulin
6. Exocytosis and proteolysis
  – Release of T4 & T3
7. Conversion of T4 to T3 in peripheral tissue
Drugs that inhibit 5’deiodenase
•   Steroids
•   Amiodarone
•   Beta blockers
•   Thioamides
T4 vs T3
T4                           T3
• Thyroid gland synthesize   • Thyroid gland synthesize 9%
   90%                       • 0.4% fr
• 0.04%free                  • active
• Not active
• Long T12
Mechanism of action of thyroid
        hormones
Thyroid Gland
 Thyroid hormones target almost every body cell
 Can enter cells & bind to intracellular receptors on
mitochondria & in nucleus
 Effects include:
    increased ATP production
    increased cellular metabolism, energy utilization &
   oxygen consumption
    increased body temperature
    growth & development of skeletal, muscular &
   nervous system in fetus & children
Effects Of Thyroid Hormones On The
            Cardiovascular System
•   Increase heart rate
•   Increase force of cardiac contractions
•   Increase stroke volume
•   Increase Cardiac output
•   Up-regulate catecholamine receptors
Effects Of Thyroid Hormones On The
          Respiratory System
• Increase resting respiratory rate
• Increase minute ventilation
• Increase ventilatory response to hypercapnia
  and hypoxia
Effects Of The Thyroid Hormones On
           The Renal System
• Increase blood flow
• Increase glomerular filtration rate
Effects Of The Thyroid Hormones On
      Oxygen Carrying Capacity


• Increase RBC mass
• Increase oxygen dissociation from
  hemoglobin
Thyroid Hormone Actions Which
    Increase Oxygen Consumption
• Increase mitochondrial Size,Number and Key
  Enzymes
• Increase Plasma membrane Na-K ATPase
  Activity
• Increase Futile Thermogenic Energy Cycles
• Decrease Superoxide Dimutase Activity
Effects Of The Thyroid Hormones On
      Intermediary Metabolism


• Increase glucose absorption from the GI
  tract
• Increase carbohydrate,lipid and protein
  turnover
• Down-regulate insulin receptors
• Increase substrate availability
Effects Of The Thyroid Hormones In
  Growth And Tissue Development

• Increase growth and maturation of bone
• Increase tooth development and eruption
• Increase growth and maturation of epidermis,hair
  follicles and nails
• Increase rate and force of skeletal muscle
  contraction
• Inhibits synthesis and increases degradation of
  mucopolysaccharides in subcutaneous tissue
Effects Of The Thyroid Hormones On
         The Nervous System

• Critical for normal CNS neuronal
  development
• Enhances wakefulness and alertness
• Enhances memory and learning capacity
• Required for normal emotional tone
• Increase speed and amplitude of peripheral
  nerve reflexes
Effects Of The Thyroid Hormones On
      The Reproductive System


• Required for normal follicular development
  and ovulation in the female
• Required for the normal maintenance of
  pregnancy
• Required for normal spermatogenesis in
  the male
Regulation of Thyroid Hormones
Thyroid Gland Function

          Thyroxin (T4) and
           triiodothyronine (T3)
           speed up metabolic rate
Goiter
          Calcitonin lowers
           blood Ca2+ levels

          Thyroid pathologies:      Exophthalmus

           Hyper- and
           Hypothyroidism
Goiter Formation
                        Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.



• Lack of iodine
• Interferes with
  negative feedback
  control of TSH
• Results in abnormal
  enlargement of the
  thyroid gland
Hypothyroidism
Hyperthyroidism
                  Slowing of mind
                  and body
Disease of thyroid gland
Hypothyroidism                 Hyperthyroidism
• Hashimoto thyroiditis        • Graves disease
  (autoimmune disorder)          (autoimmune disease)
• Iodine deficiency            • Toxic multinodular goiter
• Drugs (amiodarone)           • Drugs (amiodarone)
• Radiation exposure           • Thyroid storm(life
• Pituitary tumors               threatening condition of
• Myxedema (life threatening     hyperthyroidism)
  condition of
  hypothyroidism)
6. Clinic connection
    Hyperthyroidism
Hypothyroidism




Cretinism
Apply Your Knowledge

True or False:         ANSWER:

T Thyroid hormones stimulate protein synthesis.
__
                                             Thyroid follicles store
F The thyroid gland does not store hormones. some hormones.
__
                                PTH activates osteoclasts.
__ PTH activates osteoblasts.
F
                                                        Thyroid hormone
F Calcitonin increases cellular energy production.
__                                                      increases cellular
                                                        energy production.
T The four parathyroid glands are located on the thyroid gland.
__

T Calcitonin lowers blood calcium levels.
__

                                      34-37

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Thyroid gland

  • 1. Thyroid Gland By: Khuram Aziz M.Phill Biochemistry Scientist by IBC Life sciences Member of Pakistan Young Scientist Association
  • 2. Outline • Location • Structure • Synthesis • Mode of action • Effects • Regulation • Disorders
  • 3. Thyroid gland • Largest gland in the body • Location : in the neck inferior the larynx and spanning over the ventral surface of trachea • Function: – Secretion of thyroxin and triiodothyronine – Secretion of calcitonin
  • 4. Fig 19-7 Thyroid Gland  Anterior surface of trachea just inferior of thyroid cartilage (or Adam’s apple)  Two lobes connected by isthmus  Microscopic thyroid follicles produce thyroid hormone  C Cells - produce calcitonin ( Ca2+)
  • 5. Structures and Functions of Endocrine System Fig. 48-10. Thyroid and parathyroid glands. Note the surrounding structures. 5 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
  • 6. Thyroid Gland: Hormones and Iodine Metabolism
  • 7.
  • 8. Synthesis of Thyroid Hormone Blood Follicle Epithelium Colloid MIT+DIT Thyroid Peroxidase I- I- I2 I2 T3 Pump + Na+ TG TG DIT+DIT MIT + Tyrosine DIT -T3 -T4 -T3 T4 T3 -MIT -T4 + T4 TG -DIT TG -MIT -DIT Thyroid hormone synthesis and secretion involves processes that occur within follicular epithelial cells and in colloid. I-: iodide ions; I2: iodine; TG: thyroglobulin; MIT: monoiodotyrosine; DIT: diiodotyrosine.
  • 10. Synthesis of thyroid hormones 1. Iodide trapping – By sodium iodide symporter – Blocked by: • Thiocyanate SCN- • Perchlorate ClO4- • Pertechnetate TcO4- 2. Oxidation of iodide – By thyroid peroxidase – Inhibited by: 1. large intake of iodide >150mcgday 2. Thioamides(refer to hyperthyroidism therapy)
  • 11. Synthesis of thyroid hormones 3. Organification – Tyrosine residues of thyroglobulin is iodinated 1. Inhibited by large intake of iodide >150mcgday 2. Thioamides(refer to hyperthyroidism therapy) – Produce monoiodotyrosine residues MITnd diiodotyrosine residues DIT
  • 12. Thyroxine and its precursors: Structure & Synthesis Figure 1-1: Thyroid hormones are made from tyrosine and iodine
  • 13.
  • 14. Synthesis of thyroid hormones 4. Coupling – DIT+MIT=T3 – DIT+MIT=T4 5. Storage : – Along with thyroglobulin 6. Exocytosis and proteolysis – Release of T4 & T3 7. Conversion of T4 to T3 in peripheral tissue
  • 15.
  • 16. Drugs that inhibit 5’deiodenase • Steroids • Amiodarone • Beta blockers • Thioamides
  • 17. T4 vs T3 T4 T3 • Thyroid gland synthesize • Thyroid gland synthesize 9% 90% • 0.4% fr • 0.04%free • active • Not active • Long T12
  • 18. Mechanism of action of thyroid hormones
  • 19.
  • 20. Thyroid Gland  Thyroid hormones target almost every body cell  Can enter cells & bind to intracellular receptors on mitochondria & in nucleus  Effects include:  increased ATP production  increased cellular metabolism, energy utilization & oxygen consumption  increased body temperature  growth & development of skeletal, muscular & nervous system in fetus & children
  • 21. Effects Of Thyroid Hormones On The Cardiovascular System • Increase heart rate • Increase force of cardiac contractions • Increase stroke volume • Increase Cardiac output • Up-regulate catecholamine receptors
  • 22. Effects Of Thyroid Hormones On The Respiratory System • Increase resting respiratory rate • Increase minute ventilation • Increase ventilatory response to hypercapnia and hypoxia
  • 23. Effects Of The Thyroid Hormones On The Renal System • Increase blood flow • Increase glomerular filtration rate
  • 24. Effects Of The Thyroid Hormones On Oxygen Carrying Capacity • Increase RBC mass • Increase oxygen dissociation from hemoglobin
  • 25. Thyroid Hormone Actions Which Increase Oxygen Consumption • Increase mitochondrial Size,Number and Key Enzymes • Increase Plasma membrane Na-K ATPase Activity • Increase Futile Thermogenic Energy Cycles • Decrease Superoxide Dimutase Activity
  • 26. Effects Of The Thyroid Hormones On Intermediary Metabolism • Increase glucose absorption from the GI tract • Increase carbohydrate,lipid and protein turnover • Down-regulate insulin receptors • Increase substrate availability
  • 27. Effects Of The Thyroid Hormones In Growth And Tissue Development • Increase growth and maturation of bone • Increase tooth development and eruption • Increase growth and maturation of epidermis,hair follicles and nails • Increase rate and force of skeletal muscle contraction • Inhibits synthesis and increases degradation of mucopolysaccharides in subcutaneous tissue
  • 28. Effects Of The Thyroid Hormones On The Nervous System • Critical for normal CNS neuronal development • Enhances wakefulness and alertness • Enhances memory and learning capacity • Required for normal emotional tone • Increase speed and amplitude of peripheral nerve reflexes
  • 29. Effects Of The Thyroid Hormones On The Reproductive System • Required for normal follicular development and ovulation in the female • Required for the normal maintenance of pregnancy • Required for normal spermatogenesis in the male
  • 31. Thyroid Gland Function  Thyroxin (T4) and triiodothyronine (T3) speed up metabolic rate Goiter  Calcitonin lowers blood Ca2+ levels  Thyroid pathologies: Exophthalmus Hyper- and Hypothyroidism
  • 32. Goiter Formation Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. • Lack of iodine • Interferes with negative feedback control of TSH • Results in abnormal enlargement of the thyroid gland
  • 33. Hypothyroidism Hyperthyroidism Slowing of mind and body
  • 34. Disease of thyroid gland Hypothyroidism Hyperthyroidism • Hashimoto thyroiditis • Graves disease (autoimmune disorder) (autoimmune disease) • Iodine deficiency • Toxic multinodular goiter • Drugs (amiodarone) • Drugs (amiodarone) • Radiation exposure • Thyroid storm(life • Pituitary tumors threatening condition of • Myxedema (life threatening hyperthyroidism) condition of hypothyroidism)
  • 35. 6. Clinic connection Hyperthyroidism
  • 37. Apply Your Knowledge True or False: ANSWER: T Thyroid hormones stimulate protein synthesis. __ Thyroid follicles store F The thyroid gland does not store hormones. some hormones. __ PTH activates osteoclasts. __ PTH activates osteoblasts. F Thyroid hormone F Calcitonin increases cellular energy production. __ increases cellular energy production. T The four parathyroid glands are located on the thyroid gland. __ T Calcitonin lowers blood calcium levels. __ 34-37