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Module 2 NSG 533: Thyroid Gland Function and Hormone Synthesis

Jun 1, 2024

Thyroid Gland and Hormone Production

Location and Structure of Thyroid Gland

  • Location: Inferior and anterior to the larynx (throat area).
  • Shape: Bow tie-like, with two lobes connected by an isthmus.
  • Microscopic Structure: Composed of segments called follicles.
    • Follicles: The site of thyroid hormone production.

Hormones Produced

  • Triiodothyronine (T3)
  • Tetraiodothyronine (T4) / Thyroxine
  • Proportion: 90% T4, 10% T3
  • Potency: T3 is about 4 times more potent than T4.

Thyroid Follicles

  • Filled with colloid (protein-rich material)
  • Follicular Cells:
    • Secrete proteins into colloid.
    • Associated with capillaries for iodide delivery and hormone release.
    • Have polarized membranes:
      • Apical membrane faces the colloid.
      • Basolateral membrane faces the capillaries.

Hormone Synthesis Process

Iodide Trapping

  • Source: Iodide from the diet.
  • Transport: Sodium iodide symporter at the basolateral membrane (secondary active transport).

Iodide Oxidation

  • Enzyme: Thyroid peroxidase
  • Process: Oxidizes iodide anion to iodine.

Thyroglobulin Synthesis

  • Synthesized in follicular cells.
  • Travels from ER → Golgi body → secretory vesicles.
  • Released into colloid where it becomes iodinated at tyrosine residues.

Hormone Formation

  • T1 (one iodine) + T2 (two iodines) -> T3 (Triiodothyronine)
  • Two T2 molecules -> T4 (Thyroxine)

Storage and Release

  • Stored in colloid attached to thyroglobulin.
  • Released via endocytosis and fusion with lysosome to form endolysosome.
  • Enzymes in lysosome: Break down thyroglobulin, releasing T3 and T4.
  • Entry into bloodstream: Diffuse across basolateral membrane.

Transport in Bloodstream

  • Require transporter proteins (e.g., thyroxine-binding globulins).
  • Over 99% bound to transport proteins in blood.

Peripheral Conversion and Cellular Action

  • Conversion: T4 converted to T3 in peripheral tissues by monodeiodinase.
  • Action: T3 binds to a thyroid hormone receptor in the nucleus and initiates transcription and translation, e.g., for sodium-potassium pump production.