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Thyroid Gland
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
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+)
Fig 19-7
Structures and Functions of Endocrine
System
Copyright © 2011, 2007 by Mosby, Inc., an
affiliate of Elsevier Inc.
5
Fig. 48-10. Thyroid and parathyroid glands. Note the surrounding structures.
Thyroid Gland: Hormones and Iodine
Metabolism
Synthesis of Thyroid Hormone
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.
I-
Na+
I- I2 I2
Thyroid Peroxidase
TG
TG
MIT
+
DIT
-T3
-T4
-MIT
-DIT
-T3
-T4
-MIT
-DIT
TG
TG
+
T3
+
T4
Follicle Epithelium Colloid
Blood
Pump
Tyrosine
MIT+DIT
T3
DIT+DIT
T4
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
– Produce monoiodotyrosine residues MITnd
diiodotyrosine residues DIT
1. Inhibited by large intake of
iodide >150mcgday
2. Thioamides(refer to
hyperthyroidism therapy)
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
• Thyroid gland synthesize
90%
• 0.04%free
• Not active
• Long T12
T3
• Thyroid gland synthesize 9%
• 0.4% fr
• active
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
 Calcitonin  lowers
blood Ca2+ levels
 Thyroid pathologies:
Hyper- and
Hypothyroidism
Goiter
Exophthalmus
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Goiter Formation
• Lack of iodine
• Interferes with
negative feedback
control of TSH
• Results in abnormal
enlargement of the
thyroid gland
Hyperthyroidism
Hypothyroidism
Slowing of mind
and body
Disease of thyroid gland
Hypothyroidism
• Hashimoto thyroiditis
(autoimmune disorder)
• Iodine deficiency
• Drugs (amiodarone)
• Radiation exposure
• Pituitary tumors
• Myxedema (life threatening
condition of
hypothyroidism)
Hyperthyroidism
• Graves disease
(autoimmune disease)
• Toxic multinodular goiter
• Drugs (amiodarone)
• Thyroid storm(life
threatening condition of
hyperthyroidism)
6. Clinic connection
Hyperthyroidism
Hypothyroidism
Cretinism
34-37
Apply Your Knowledge
True or False:
__ Thyroid hormones stimulate protein synthesis.
__ The thyroid gland does not store hormones.
__ PTH activates osteoblasts.
__ Calcitonin increases cellular energy production.
__ The four parathyroid glands are located on the thyroid gland.
__ Calcitonin lowers blood calcium levels.
F
F
F
T
T
T
ANSWER:
PTH activates osteoclasts.
Thyroid hormone
increases cellular
energy production.
Thyroid follicles store
some hormones.

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thyroidgland-120420032852-phpapp01 copy.pptx

  • 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. 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+) Fig 19-7
  • 5. Structures and Functions of Endocrine System Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 5 Fig. 48-10. Thyroid and parathyroid glands. Note the surrounding structures.
  • 6. Thyroid Gland: Hormones and Iodine Metabolism
  • 7.
  • 8. Synthesis of Thyroid Hormone 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. I- Na+ I- I2 I2 Thyroid Peroxidase TG TG MIT + DIT -T3 -T4 -MIT -DIT -T3 -T4 -MIT -DIT TG TG + T3 + T4 Follicle Epithelium Colloid Blood Pump Tyrosine MIT+DIT T3 DIT+DIT T4
  • 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 – Produce monoiodotyrosine residues MITnd diiodotyrosine residues DIT 1. Inhibited by large intake of iodide >150mcgday 2. Thioamides(refer to hyperthyroidism therapy)
  • 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 • Thyroid gland synthesize 90% • 0.04%free • Not active • Long T12 T3 • Thyroid gland synthesize 9% • 0.4% fr • active
  • 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  Calcitonin  lowers blood Ca2+ levels  Thyroid pathologies: Hyper- and Hypothyroidism Goiter Exophthalmus
  • 32. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Goiter Formation • Lack of iodine • Interferes with negative feedback control of TSH • Results in abnormal enlargement of the thyroid gland
  • 34. Disease of thyroid gland Hypothyroidism • Hashimoto thyroiditis (autoimmune disorder) • Iodine deficiency • Drugs (amiodarone) • Radiation exposure • Pituitary tumors • Myxedema (life threatening condition of hypothyroidism) Hyperthyroidism • Graves disease (autoimmune disease) • Toxic multinodular goiter • Drugs (amiodarone) • Thyroid storm(life threatening condition of hyperthyroidism)
  • 37. 34-37 Apply Your Knowledge True or False: __ Thyroid hormones stimulate protein synthesis. __ The thyroid gland does not store hormones. __ PTH activates osteoblasts. __ Calcitonin increases cellular energy production. __ The four parathyroid glands are located on the thyroid gland. __ Calcitonin lowers blood calcium levels. F F F T T T ANSWER: PTH activates osteoclasts. Thyroid hormone increases cellular energy production. Thyroid follicles store some hormones.