Endocrine System - Lecture Twenty Seven : Thyroid, Parathyroid and Adrenal Glands

9 important questions on Endocrine System - Lecture Twenty Seven : Thyroid, Parathyroid and Adrenal Glands

What are thyroid hormones ?

Thyroid hormones are lipid-soluble. They travel bound to a carrier protein and bind to intracellular receptors in the nucleus.
  • They are different to other lipid-soluble hormones (steroid hormones) in the fact that they are made in advance and stored until required
  • The hormone-receptor complex binds to DNA and acts as a transcription factor – leading to a specific protein being synthesised.
  • The effects are slow to develop (hours-days)
  • There are two thyroid hormones:
- T3 is the active form
- T4 is the inactive form, but is produced in higher quantities
  • T4 is converted to T3 when required

Explain How target cells are activated by thyroid hormones ?

  1. Thyroid follicles contain a protein called thyroglobulin (TGB). Iodine (from our diet) reacts with TGB molecules in the follicles.
  2. Iodised TGB moves to the follicular cells where thyroid hormones (T3 and T4) detach from TGB.
  3. Thyroid hormones are stored* in follicular cells until required
  4. When stimulated by thyroid stimulating hormone (TSH), T3 and T4 are secreted into the blood to target cells
  5. Iodine deficiency: as iodine is necessary for thyroid hormone production, a deficiency of iodine in our diet results in low levels of thyroid hormone in the body

What are the main effects of thyroid hormones?

Required for normal:
  • Growth
  • Alertness
  • Metabolism
Effects on metabolism :
  • Increases body heat production (increases oxygen consumption and ATP hydrolysis)
  • Stimulates fatty acid oxidation (usage of stored fat) in many tissues.
  • Increases proteolysis, predominantly from muscle.
  • Stimulates carbohydrate metabolism (usage of stored glucose), enhances insulin-dependent entry of glucose into cells, increases gluconeogenesis and glycogenolysis
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What are examples of thyroid hormone disorders ?

Cretinism (children)/Myxoedema (adults):
  • Caused by hyposecretion of thyroid hormone
  • Symptoms include low metabolic rate, weight gain, cold intolerance, lethargy, slow heart rate, growth retardation (cretinism only), hindered brain development (cretinism only)
Graves’ Disease :
  • Caused by hypersecretion of thyroid hormone
  • Symptoms include high metabolic rate, weight loss, heat intolerance, nervousness, increased heart rate, tissue swelling

Thyroid hormone negative feedback loop

  • Stimulus: CNS input
  • Hypothalamus: secrets thyroid releasing hormone (TRH)
  • Anterior pituitary: secretes thyroid stimulating hormone (TSH)
  • Thyroid gland: secrets thyroid hormones (T3 and T4)
  • Effects:
- Increases the basal metabolic rate by increasing the synthesis and activity of Na+/K+ ATPase.
- Increases body heat production (increased oxygen consumption and ATP hydrolysis)
- Adipose: increases fatty acid mobilisation
- Muscle: increases glycogenolysis and proteolysis
- Liver: increases glycogenolysis and gluconeogenesis
  • Other effects: stimulates growth (foetus and early childhood), maintains normal alertness and reflexes in the nervous system
  • Negative feedback : T3 and T4 negatively feedback on the anterior pituitary (decrease TSH), and the hypothalamus (decrease TRH)

What is the function and location of the parathyroid glands?

  • Location : Posterior aspect of the thyroid gland
  • Function: Secretes parathyroid hormone which is essential for life. It acts to increase blood calcium

Parathyroid hormone negative feedback loop

  • Stimulus : low blood calcium concentration
  • Parathyroid gland : secrets PTH
  • Effects:
- Kidneys increases calcium reabsorption which results in the decreased urinary excretion of calcium
- Activate vitamin D --> increased calcium absorption from food
- Bone: increase bone breakdown (OC > OB) which increase the release of calcium into blood
  • Overall response : increases blood calcium back towards the set point
  • Negative feedback : normal blood calcium negatively feeds back to the parathyroid gland to reduce secretion of PTH

What is the structure, function and location of adrenal glands?

  • Location : superior to each kidney
  • Structure : Made up of two separate glands. Has an adrenal cortex (outer region has 3 layers) which secretes steroid hormones
  • Functions :
- Outer layer : secretes aldosterone
- Middle layer : secretes cortisol
- Inner layer : secretes androgens

What is the structure and location of a thyroid gland? What hormones are made and released?

  • Location : Below the larynx, on the anterior and lateral surfaces of the trachea
  • Structure :
Composed of small spherical sacs called follicles. Each follicle is surrounded by follicular cells and is the site of thyroid hormone synthesis. In between the follicles are clear cells (aka C cells) which make calcitonin
  • Hormones made and released : Thyroid hormones which is essential for metabolic activity. Calcitonin hormone which is involved in calcium homeostasis

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