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Overview of the HPT Axis and Thyroid

Apr 3, 2025

Endocrine System and the HPT Axis

Key Concepts

  • The endocrine system uses negative feedback loops to regulate hormones.
  • Focus on the Hypothalamus-Pituitary-Thyroid (HPT) axis.
  • Discuss conditions: Hyperthyroidism and Hypothyroidism.

HPT Axis Overview

  • Organs Involved:
    • Hypothalamus
    • Pituitary gland
    • Thyroid gland

Function of the HPT Axis

  • Hypothalamus:

    • Acts as a controller, always "on" unless inhibited.
    • Releases Thyrotropin Releasing Hormone (TRH).
  • Pituitary Gland:

    • Receives TRH, which stimulates it to release Thyroid Stimulating Hormone (TSH).
    • TSH targets the thyroid gland.
  • Thyroid Gland:

    • Stimulated by TSH to release T3 (Triiodothyronine) and T4 (Thyroxine).
    • Regulates metabolism by converting food into energy.

Hormones and Their Functions

  • TRH (Thyrotropin Releasing Hormone):

    • Excitatory effect on the pituitary gland.
  • TSH (Thyroid Stimulating Hormone):

    • Stimulates the thyroid to produce its hormones.
  • T3 and T4:

    • Increase metabolic rate by enhancing breakdown of food into energy.
    • Inhibit the hypothalamus and pituitary to regulate hormone levels.

Conditions

  • Hyperthyroidism:

    • Caused by excess T3 and T4.
    • Symptoms: Fast heart rate, jitteriness, overactive mind.
  • Hypothyroidism:

    • Caused by insufficient T3 and T4.
    • Symptoms: Weight gain, low energy, lethargy.

Regulatory Mechanism

  • Negative Feedback Loop:
    • T3/T4 inhibit TRH and TSH production when levels are high.
    • Low T3/T4 levels cause hypothalamus to produce more TRH, restarting the cycle.

Summary

  • The HPT axis involves a dynamic equilibrium of hormone levels.
  • Negative feedback ensures hormone levels remain within a normal range.

Additional Considerations

  • Possible causes of thyroid disorders include tumors and autoimmune diseases affecting the pituitary or thyroid glands.

Next Steps

  • Watch further videos on tumors and autoimmune diseases affecting the HPT axis for deeper understanding.