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THYROID AND ANTI-THYROID DRUGS

Thyroid Hormones and the Thyroid Gland: 

  • The thyroid gland, a butterfly-shaped organ located in the front of the neck, plays a crucial role in the body's endocrine system.

  • It produces thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3), which are essential in regulating the body's metabolism, growth, and function.

Synthesis of Thyroid Hormones: 

The synthesis of thyroid hormones involves several steps:

  1. Iodide Trapping: Thyroid follicular cells absorb iodide from the bloodstream.

  2. Transport to the Colloid: Iodide is transported to the lumen (colloid) of the thyroid follicle.

  3. Oxidation and Iodination: The iodide is oxidized to iodine, which then attaches to tyrosine residues in the protein thyroglobulin, forming monoiodotyrosine (MIT) and diiodotyrosine (DIT).

  4. Hormone Formation: Coupling of these iodinated tyrosines leads to the formation of T3 (one MIT plus one DIT) and T4 (two DIT molecules).

  5. Release into Bloodstream: Thyroglobulin is taken back into the follicular cell, where T3 and T4 are released from the protein and then secreted into the bloodstream.

  6. Conversion of T4 to T3: In peripheral tissues, T4 is often converted to the more active T3 through deiodination.

Synthesis of Thyroid Hormones
Synthesis of Thyroid Hormones

Here is a flowchart diagram illustrating the Synthesis of Thyroid Hormones:

Functions of Thyroid Hormones: 

Thyroid hormones have several critical functions:

  • They regulate the body's metabolic rate and energy levels.

  • They are vital for brain development and functioning.

  • They contribute to protein synthesis.

  • They play a role in the growth and differentiation of cells.

  • They influence the metabolism of fats, proteins, and carbohydrates.

  • They are important for bone health and muscle control.

Thyroid Disorders:

1. Hypothyroidism:

  • This condition arises when the thyroid gland does not produce enough thyroid hormones.

  • Symptoms can include fatigue, weight gain, constipation, and depression.

2. Hyperthyroidism:

  • This is the overproduction of thyroid hormones by the thyroid gland, leading to symptoms like weight loss, anxiety, rapid heartbeat, and tremors.

  • These disorders highlight the importance of the thyroid gland in maintaining various bodily functions, and the need for proper diagnosis and management of thyroid-related conditions.

Thyroid Drugs

  • Thyroid drugs are primarily used to treat disorders of the thyroid gland, such as hypothyroidism and hyperthyroidism.

  • Their mechanisms of action vary depending on whether they are used to supplement thyroid hormones or suppress their overproduction.


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