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The thyroid gland weighs about 15 to 20g in adults and has a soft texture. The normal thyroid gland is located in the neck, in front of the trachea, between the cricoid cartilage and the suprasternal notch, with the left and right lateral lobes connected through a thin isthmus. The thickness of the isthmus is about 0.5cm, and the width and height are about 2cm each; the normal lateral leaves are pear-shaped, with the longest thickness and width being about 2.5cm, and the length is about 4cm. Under the microscope, it can be seen that the thyroid gland is composed of dense follicles of varying sizes, interspersed with a rich capillary network. Follicles are ring-shaped structures composed of a single layer of thyroid epithelial cells. The follicles are filled with a clear protein fluid called "colloid" and contain a large amount of thyroglobulin. Under the electron microscope, many microvilli protrude from the surface of follicular cells into the colloid of the follicle cavity. They participate in iodination and exocytosis. The primary stage of hormone secretion, that is, the reabsorption process of colloid occurs here. The thyroid gland also contains parafollicular cells, also known as C cells, which are the source of calcitonin in the body.
Figure 1. The structure of thyroxine.
The thyroid gland can be understood as a follicular cavity made of thyroid epithelial cells. Thyroglobulin is stored in the cavity. Under the action of production workers (thyroid peroxidase, hydrogen peroxide), it reacts with the ingested iodine to form the raw materials monoiodotyrosine and diiodotyrosine are further generated into thyroxine (T4) and triiodothyronine (T3). After the product is generated, it is moved out of the factory by delivery workers (thyroid follicular cells) under the instructions of the superior leader (thyroid stimulating hormone), and is then transported out of the factory by the courier (thyroxine-binding globulin, thyroxine-binding prealbumin, and albumin). It is transported to various places to produce effects. The intake of iodine is an important first step; through food, water enters the gastrointestinal tract and is converted into iodide. The ingested iodide is bound to serum proteins, especially albumin, and unbound iodine is excreted in the urine. This requires the thyroid gland to transport sufficient iodide from the blood circulation against the concentration gradient through the sodium-iodine cotransporter (NIS) on the basolateral membrane of follicular cells. Therefore, the thyroid gland has the function of concentrating iodine, which can make the iodine concentration in the thyroid gland 30 to 40 times higher than the bleeding concentration. Iodide enters the thyroid gland, reaches the follicular cell-colloid interface, and is rapidly oxidized to active iodine under the action of hydrogen peroxide and thyroid peroxidase (TPO), and then reacts with tyrosine residues in thyroglobulin. The bases are combined to form iodotyrosine - monoiodotyrosine (MIT) and diiodotyrosine (DIT). DIT and DIT are coupled to form thyroxine (T4), MIT and DIT are coupled to form triiodothyronine (T3). This process is also catalyzed by TPO. Thiourea drugs, such as propylthiouracil and methimazole, are powerful inhibitors of TPO and can block the synthesis of thyroxine, so they can be used clinically to treat hyperthyroidism. Thyroid hormone is stored in the follicular cavity in colloid form. The thyroid gland is a unique endocrine gland in the body that has a large storage capacity of hormones but a very low conversion rate. The hormone conversion rate is only 1%/d. Under normal circumstances, T4 storage can maintain normal thyroid function in the human body for at least 50 days. Under the stimulation of thyroid stimulating hormone (TSH), thyroid follicular cells engulf colloid through pinocytosis at the cell-colloid interface. The formed phagocytic vesicles fuse with intracellular lysosomes, and Tg (thyroglobulin) is Hydrolyze to release T4, T3, MIT, DIT, peptides and amino acids. T4 and T3 enter the blood circulation, and after MIT and DIT are deiodinated, the iodide produced is stored in the thyroid gland and can be recycled.
Thyroxine is transported by binding to carrier proteins in the serum. The three main transport proteins in the body are thyroxine-binding globulin (TBG) and transthyretin (TTR, also known as thyroxine-binding prealbumin—TBPA) and albumin. Plasma-binding proteins can increase the storage of thyroid hormone in circulating blood and delay the clearance of the hormone. Although the blood concentration of TBG is low (1~2mg/dl), it has a high affinity for thyroid hormones, and about 80% of the bound thyroid hormones are transported by TBG; the blood concentration of albumin is high, but its affinity for thyroid hormones is low. It can combine 5% to 10% of T4 and 30% of T3; TTR combines 10% to 15% of T4. Only about 0.02% of T4 and 0.03% of T3 exist in free form, and free thyroid hormone is truly biologically active. Only free thyroid hormone can determine the metabolic state of the body, participate in negative feedback regulation, and undergo the degradation process.
L-Thyroxine
3,5,3',5'-Tetraiodothyronine
Levothyroxine
T4 hormone
Thyronorm
References
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Comparison of thyroid hormone withdrawal and recombinant human thyroid-stimulating hormone administration for adjuvant therapy in patients with intermediate- to high-risk differentiated thyroid cancer
ANNALS OF NUCLEAR MEDICINE
Authors: Iizuka, Yusuke; Katagiri, Tomohiro; Ogura, Kengo; Inoue, Minoru; Nakamura, Kiyonao; Mizowaki, Takashi
PM Q-probe: A fluorescent binding protein that converts many antibodies to a fluorescent biosensor
BIOSENSORS & BIOELECTRONICS
Authors: Dong, Jinhua; Miyake, Chihiro; Yasuda, Takanobu; Oyama, Hiroyuki; Morita, Izumi; Tsukahara, Tomoya; Takahashi, Masaki; Jeong, Hee-Jin; Kitaguchi, Tetsuya; Kobayashi, Norihiro; Ueda, Hiroshi
The many faces of thyroxine
AIMS Neurosci.
Authors: Dratman MB, Martin JV.
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