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Endo 4
Thyroid Hormones
25
Veterinary Medicine
Not Applicable
02/07/2017

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Cards

Term
Which is more potent, T4 or T3?
Definition
T3
Term
What type of receptor does TSH use?
Definition
cAMP G-protein (Gs)
IP3 G-protein (Gq)
Term
What type of receptor does TRH used?
Definition
IP3 G-protein (Gq)
Term
How is secretion of thyroid hormones controlled?
Definition
T4 has negative feedback effects on TSH-producing cells in the ant pit, and paraventricular nucleus of the hypothalamus.
Term
What stimulates TRH production & release?
Definition
alpha-1 adrenergic nerves stimulate production of prePRO hormone, pulsatile release of TRH from the median eminance
Term
What do parafollicular cells do?
Definition
produce calcitonin
Term
How are thyroid hormones produced?
Definition
1. Na/I symporter brings iodide into thyrocytes (follicular cells)
2. Thyroglobulin is produced and exits into the lumen of follicles
3. Tg organification (iodination) via thyroid peroxidase
4.MIT & DIT residues condense to form T3 & T4.
5.Thyroglobulin moves from lumen into thyrocyte via endocytosis
6. Lysozomes cleave T3/T4 and are released.
Term
What enzyme carries out thyroglobulin organification?
Definition
thyroid peroxidase
Term
What is reverse T3?
Definition
When cleavage results in iodine binding in 5' instead of 3'. Results in impotent version of T3
Term
Which is produced in greater quantities, T3 or T4?
Definition
T4
Term
What is the Wolff-Chaikoff effect?
Definition
dietary excess of iodide will prevent iodide trapping (active uptake of iodide) by follicular cells
Term
How are thyroid hormones transported?
Definition
bound to thyroxin-binding globulin (inactive)

a small percentage are free, and these ones are biologically active!
Term
Thyroxin is (T3/T4)
Definition
T4
Term
Triiodothyronine is (T3/T4)
Definition
T3
Term
How is T3 delivered to its target cell?
Definition
1. Transport protein/T3 complex reach cell, T3 enters cell and travels into nucleus.
2. T3 binds to R1 receptor, which is attached to HRE
3. HRE activates gene expression.

ALTERNATE STEP 2
-isoforms of R1 receptor dimerize
-RxR receptor binding activates gene expression
Term
What is HRE, and what is it's importance?
Definition
Hormone Response Elemant

-R1 and RxR receptors are attached to HRE in the nucleus
-when T3 binds to R1, it 'turns on' gene expression
Term
Which has a longer half-life, T3 or T4?
Definition
T4
Term
What is thyroid hormone conjugation? Where does it occur?
Definition
breakdown of T3/T4 in LIVER, products then excreted via bile & kidneys
Term
True or False

Thyroid hormones are essential for growth in brain mass, dendrite formation & synapsis formation
Definition
True
Term
Primary thyroid disease indicates an issue with...
Definition
the thyroid gland
Term
Secondary thyroid disease indicates an isssue with...
Definition
the anterior pituitary
Term
What causes goiter associated with hypothyroidism?
Definition
low iodide intake/uptake, means the body can't produce as much T3/T4. Hypothalamus will increase TRH production, ant pit will increase TSH production, but no response from the thyroid. Gland will enlarge to try and compensate
Term
What causes goiter associated with hyperthyroidism?
Definition
Graves disease

-body produces antibodies which target the thyroid, causing it to swell and produce lots of hormone
-TRH will be low & TSH will be low bc body says "whoa too much!"
Term
What is euthyroid sick syndrome?
Definition
Reverse T3 is produced, low amounts of T3/T4 produced. Also, T4 is converted to rT3.
Term
True or False

Euthyroid sick syndrome can be treated with T4
Definition
false

T4 gets converted to rT3, won't be beneficial
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