The document summarizes the structure, location, and functions of the thyroid gland. It notes that the thyroid gland has a butterfly shape with two lobes connected by an isthmus. It regulates metabolism and other bodily functions through hormones like thyroxine and triiodothyronine. When overactive, it can cause hyperthyroidism and goiter; when underactive, it can cause hypothyroidism, cretinism, or myxedema. The parathyroid glands help regulate blood calcium levels through parathyroid hormone and calcitonin.
Introduction to the Thyroid Gland: Structure, size (10-20 gms), and location adjacent to larynx and trachea.
Detailed structure comprising thyroid follicles, colloid, and types of cells: principal and parafollicular.
Roles of thyroid hormones in enhancing metabolism, growth, and regulating various bodily functions.
Biosynthesis and types of thyroid hormones: T4, T3 and calcitonin, including functions and composition.
Detailed steps of thyroid hormone synthesis: iodine formation, thyroglobulin formation, iodination, coupling, and secretion.
Overview of thyroid disorders including hyperthyroidism and its effect on hormone production.
Definition and symptoms of goiter, along with various causative factors affecting thyroid health.
Impacts of hypothyroidism in children and adults, distinguishing between cretinism and myxedema.
Information on parathyroid glands, their size, function in calcium regulation, and role of calcitonin.Daily calcium intake recommendations and role of kidneys in calcium excretion.
SHAPE OF THYROID
GLAND
•Thyroid consist of two lobes connected by a
narrow isthmus.
• Each lobe is pyramidal in shape, with its apex
directed upward and its base directed
downward.
• A butterfly-shaped organ.
• A small pyramidal lobe projecting upward
from the isthumus is often present to the left of
the midline.
4.
SIZE OF THYROIDGLAND
• The thyroid gland weighs 10 to 20 gms in
normal adults.
• Thyroid volume measured by ultrasonography
(US) is slightly greater in men than women.
• It increases with age and body weight.
• It decreases with increasing iodine intake.
• The thyroid is one of the most vascular organs
in the body.
5.
LOCATION
• The normalthyroid gland is immediately
caudal to the larynx and the anterolateral
portion of the trachea.
• The thyroid is bordered by the trachea and
esophagus medially and the carotid sheath
laterally.
6.
ANATOMY OF THYROID
GLAND
•The tissue of the thyroid gland is composed
mostly of thyroid follicles.
• The follicles are made up of a central cavity
filled with a sticky fluid called colloid.
• Surrounded by a wall of epithelial follicle
cells.
• Follicle consist of 2 types of cells, namely
principle cells and parafollicullar cells or c-
cells.
9.
FUNCTIONS OF THYROID
•Increase pulmonary ventilationand thecellular uptake and
utilizationof oxygen.
• Regulatethe functioning ofnervous system.
• Promote theintestinalabsorption and also thesynthesis of
glucose.
• Maintainor improve milk production in lactating females.
10.
• The hormonereduces cholestrol level.
• Influence the rate at which food moves
through the digestive tract.
• Control the rate at which dying cells are
replaced.
• Promote
» Growth,
» Differentiation,
» Development.
11.
BIOSYNTHESIS OF TH
•Thyroid hormone produces three types of hormones
• They are
» Thyroxine (T4) ortetraiodothyroxine,
» Thyroxine (T3) or triiodothyroxine,
» Calcitonin.
12.
COMPARISION
T4
• Major hormonesecreted by
the thyroid follicles.
• 4 bound iodine atoms.
• Constructed from the
linkage of 2 tyrosine amino
acid.
T3
• Most is formed at the target
tissues by conversion of T4
to T3.
• 3 bound iodine atoms.
• Constructed from the
linkage of 2 tyrosine amino
acid.
13.
CALCITONIN
• Calcitonin secretedby thyroid gland.
Associated hormones Chemical class Chemical class
Thyroxine (T4),
triiodothyronine (T3)
Amine Stimulate basal
metabolic rate.
Calcitonin Peptide Reduces blood Ca2+
levels.
BIOSYNTHESIS
• Active uptakeof iodide into follicular cell.
• Iodide iodine - H2O 2 (catalysed by TPO).
• Active uptake of iodine at follicular/ colloid
interface.
• Incorporation of iodine onto tyrosine residues
of thyroglobulin.
• Coupling of iodinated tyrosine.
• Storage of T3 and T4.
1. Iodine formation
•Iodine- raw material
• Iodine actively transported into the follicle cells by the action of sodium- iodide
symporter.
• One iodide ion along with 2 Na ions across plasma membrane.
• Energy gets from Na- K pump.
• Process of concentrating iodide in the cell- iodide trapping.
• Iodide secreted into the colloid.
19.
2.Thyroglobulin formation
• Itis a glycoprotein – 2 sub units.
• Synthesized in thyroid cells.
• Following the entry of amino acids from extra
cellular fluid.
• Secreted into colloid – exocytosis.
• Granules contains thyroid peroxidase.
20.
3. Iodination
• Iodinebinds with thyroglobulin –
organification.
• Thyrosine iodized to monoiodothyrosin and
then to diiodothyrosine.
• Iodinase-enzyme.
• 1 Iodine + 1 Thyrosine = MIT
• 2 Iodine+ 1 Thyrosine = DIT
21.
4. Coupling ofiodotyrosyls
• 2 DIT = T4
• 1 MIT + 1 DIT = T3
• Drugs that inhibit oxidation also inhibits
coupling
• The thyroid hormones formed (T3/T4) remain
as integral parts of thyroglobulin
– Still attached to thyroglobulin, stored in lumen of
follicles until degraded later
22.
5. Secretion ofthyroid hormone
• Thyroxin bound to thyroglobulin into follicular
cells.
• TSH stimulates pinocytosis of thyroglobulin
into follicular cell.
• Lysozyme enzyme hydrolyze peptide bonds
• Release T4 from thyroglobulin.
• T3 & T4 discharge freely into capillaries.
HYPERTHYROIDISIM
• Hyperthyroidism isa condition in which an
overactive thyroid gland is producing an excessive
amount of thyroid hormones that circulate in the
blood.
• Thyroid hormones include thyroxine (T4) and
triiodothyronine (T3), representing 99.9% and
0.1% of thyroid hormones, respectively.
• T3 is actually the most active thyroid hormone.
• Much of the T4 is converted to T3 in the
bloodstream.
26.
GOITER
• A goiteris an enlarged thyroid gland that
causes the neck to swell.
• The degree of swelling and the severity of
symptoms produced by the goiter depends on
the individual.
• Some cases involve a small amount of
swelling, whereas others can involve
considerable swelling that actually constricts
the trachea and causes breathing problems.
27.
causes of goiter
•Nodules - benign lumps.
• Smoking - thiocyanate in tobacco smoke interferes
with iodine absorption.
• Hormonal changes - pregnancy, puberty, and
menopause can affect thyroid function.
• Thyroiditis - inflammation caused by infection.
• Lithium - a psychiatric drug that can interfere with
thyroid function.
• Overconsumption of iodine - too much iodine can
cause a goiter.
• Radiation therapy - particularly to the neck.
28.
SYMPTOMS
• A visibleswelling at the base of your neck that
may be particularly obvious when you shave
or put on makeup.
• A tight feeling in your throat.
• Coughing.
• Hoarseness.
• Difficulty swallowing .
• Difficulty breathing.
29.
HYPOTHYROIDISIM
• Hypothyroidism, orunderactive thyroid, develops
when the thyroid gland fails to produce or secrete as
much thyroxine (T4) as the body needs.
• Thyroid gland doesn't produce enough of certain
important hormones.
• Hypothyroidism upsets the normal balance of chemical
reactions in body.
• abnormally low activity of the thyroid gland, resulting
in retardation of growth and mental development in
children and adults.
30.
IN CHILD INADULT
HYPOTHYROIDISM
CRETINISM MYXODEMA
31.
CRETINISIM MYXOEDEMA
Definition Itis a condition arising from
a deficiency of thyroid
hormone, which is
characterized by dwarfism
and mental retardation.
It is a disease resulting from
the under-activity of the
thyroid gland, which is
characterized by puffy eyes,
face, hands and mental
sluggishness.
Cause It is caused due to low
levels of iodine in the body.
It is caused due to low
levels of thyroid hormone
in the blood.
Symptoms Fatigue
Lethargy
Mental impairment
Depression
Cold intolerance
Hoarseness
Dry skin
Weight gain
Swelling of skin
Hair loss
Mental impairment
Bone maturity delay
Slow thoughts and
reflexes.
Thickened skin
Protruding stomach
Treatment An increase in an iodine
filled diet helps preventing
cretinism.
It can be managed by
treating the underlying
cause of the disease.
Hypothyroidism Neonatal hypothyroidism. Adult hypothyroidism
PHARATHYROID GLAND
• Parathyroidglands are small endocrine glands.
• Humans usually have four parathyroid glands,
variably located on the back of the thyroid gland.
SIZE
• Normal parathyroid glands are approximately the
size of a grain of rice or a lentil.
• Normal glands are usually about 5 by 4 by 2 mm
in size and weight 35 to 50 milligrams.
35.
HISTOLOGY
Two unique typesof cells are present in the
parathyroid gland
• Chief cells, which synthesize and release
parathyroid hormone. These cells are small, and
appear dark when loaded with parathyroid
hormone, and clear when the hormone has been
secreted, or in their resting state.
• Oxyphil cells, which are lighter in appearance and
increase in number with age, have an unknown
function.
FUNCTIONS
• Increase bloodcalcium concentration when it
gets too low.
• Increase renal tubular reabsorption of
calcium.
• Mechanism of raising blood calcium
• Stimulate osteoglast to release more calcium from
bone.
• Decreases secretions of calcium by kidney.
• Activates vitamin-D, with stimulates the uptake of
calcium from the intestine.
38.
CALCITONIN
• Calcitonin isa hormone secreted by the thyroid
gland that reduces the concentration of blood
calcium level when it has risen to an above
normal level.
• This polypeptide hormone is made up of 32
amino acids and is produced mainly by the
parafollicular cells (also known as C cells) of the
thyroid gland.
• In fish, birds and other non-mammalian animals,
calcitonin is produced by cells of the
ultimobranchial body.