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BLD 402 THYROID EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++

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BLD 402 THYROID EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ Folicular cells Synthesize T3 and T4 Colloid thyroglobulin (with T3, T4) storage Regulation of thyroid hormone synthesis Hypothalamus-(TRH)-Pituitary-(TSH)-Thyroid-(T3,T4)- Target cells thyroglobulin tyrosine rich protein Thyroid hormone synthesis - Many steps induced by TSH Step 1. there is enough dietary iodine in blood flow Step 2. Follicular cells take I- in, and move it into colloids Step 3. Follicular cells take amino acids into cells to make thyroglobulin rich protein, Thyroglobulin is moved out to colloid by exocytosis Step 4. Thyroperoxidases catalyzes production of H2O2, which will be sent to colloid Step 5. Thyroidperoxidases oxidases iodide to iodine. The iodine reacts with tyrosine of thyroglobulin (organification) Step 6. Now there are mixture of monoiodotyrosine and diiodotyrosine within thyroglobulin Step 7. One phenol group of MIT or DIT is added to another phenol group of DIT within thyroglobulin Step 8. T3 and T4 within thyroglobulin (with unused MIT, DIT) stored in colloid Step 9. T3 and T4 within thyroglobulin (w/ unused MIT, DIT) will come back in follicular cell by endocytosis when thyroid hormone is needed Step 10. Lysosomal proteases hydrolyze thyroglobulin into T3, T4 iodide and other AAs Step 11. Iodide and other amino acids will be recycled Step 12. T3 and T4 are secreted from follicular cells T3 and T4 Ratio: the biosynthesis process produces much more T4 than T3 Protein binding: most of both are bound to protein while circulating in blood. Binding to protein will prevent them from reacting with other enzymes or renal excretion - Thyroxine binding globulin: about 80% is bound to this - Free T3 and T4: both are inactive while binding to proteins. those unbound free ones have effect Potentness: T3 is 10x more potent than T4 so free T3 is the most potent Conversion of T4 to T3: In target tissues (liver, kidney, brain, muscle), T4 is converted to T3 or rT3 by deiodinase. Some T3 will be used right away: some T3 will be used right away: some T3 will go to blood flow. The reverse T3 (rT3) inactive. Nongenomic action receptor is on cell membrane Genomic action

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BLD 402 THYROID EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS GRADED A++


Folicular cells

Synthesize T3 and T4

Colloid

thyroglobulin (with T3, T4) storage

Regulation of thyroid hormone synthesis

Hypothalamus-(TRH)-Pituitary-(TSH)-Thyroid-(T3,T4)- Target cells

thyroglobulin

tyrosine rich protein

Thyroid hormone synthesis

- Many steps induced by TSH

Step 1. there is enough dietary iodine in blood flow

Step 2. Follicular cells take I- in, and move it into colloids

Step 3. Follicular cells take amino acids into cells to make thyroglobulin rich protein,

Thyroglobulin is moved out to colloid by exocytosis

Step 4. Thyroperoxidases catalyzes production of H2O2, which will be sent to colloid

Step 5. Thyroidperoxidases oxidases iodide to iodine. The iodine reacts with tyrosine of

thyroglobulin (organification)

Step 6. Now there are mixture of monoiodotyrosine and diiodotyrosine within

thyroglobulin

, Step 7. One phenol group of MIT or DIT is added to another phenol group of DIT within

thyroglobulin

Step 8. T3 and T4 within thyroglobulin (with unused MIT, DIT) stored in colloid

Step 9. T3 and T4 within thyroglobulin (w/ unused MIT, DIT) will come back in follicular

cell by endocytosis when thyroid hormone is needed

Step 10. Lysosomal proteases hydrolyze thyroglobulin into T3, T4 iodide and other AAs

Step 11. Iodide and other amino acids will be recycled

Step 12. T3 and T4 are secreted from follicular cells

T3 and T4

Ratio: the biosynthesis process produces much more T4 than T3

Protein binding: most of both are bound to protein while circulating in blood. Binding to

protein will prevent them from reacting with other enzymes or renal excretion

- Thyroxine binding globulin: about 80% is bound to this

- Free T3 and T4: both are inactive while binding to proteins. those unbound free ones

have effect

Potentness: T3 is 10x more potent than T4 so free T3 is the most potent

Conversion of T4 to T3: In target tissues (liver, kidney, brain, muscle), T4 is converted

to T3 or rT3 by deiodinase. Some T3 will be used right away: some T3 will be used right

away: some T3 will go to blood flow. The reverse T3 (rT3) inactive.

Nongenomic action

receptor is on cell membrane

Genomic action

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