Thyroid Gland - Anatomy & Physiology

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Introduction

The thyroid gland lies in the neck, in front of the upper part of the trachea. Two types of hormones are produced, which are the iodine containing hormones; tri-iodothyronine(T3) and thyroxine (T4). Thyroid hormones regulate the basal metabolic rate and are important in the regulation of growth of tissues, particularly nervous tissue. Release stimulated by TSH from the pituitary. The second type of hormone produced from the thyroid gland is calcitonin, which regulates blood calcium levels along with parathyroid hormone and acts to reduce blood calcium by inhibiting its removal from bone.

Embryological Origin

The thyroid gland is a downgrowth from the pharyngeal endoderm of the developing tongue. The calcitonin producing cells are different and are derived from the fourth branchial pouch.

Anatomy

The thyroid gland consists of two lobes (dog, horse), one on each lateral side of the cranial trachea. In the pig the lobes are connected by an isthmus with a small, central pyramidal lobe as part of that structure. Cattle have a particularly wide isthmus.

Location

The thyroid gland is located adjacent to the cranial trachea. Close to the recurrent laryngeal nerve, carotid sheath and sternohyoid and sternothyroid muscles. The Parathyroid Glands are located dorsally to, or within the thyroid gland itself.

Supply

The thyroid gland is supplied by the cranial thyroid artery which is a branch of the common carotid artery. A subsidiary supply is provided by the caudal thyroid artery. The cranial and caudal thyroid arteries are united by substantial anastamoses along their caudal edge. Venous drainage is provided by the internal jugular vein and lymph drains into the cranial deep cervical nodes.

Ultrastructure and Histology

The gland consists of varying sized follicles, which are bounded by a single layer of cuboidal epithelial cells (follicular cells} and a basement membrane, surrounding a central lumen filled with a homogenous protein rich colloid (thyrogloblin). The apical surface of the cell membranes is covered with numerous micovilli to increase surface area. The follicular cells are connected by tight junctions, and have a dense capillary network. The colloid is a store of thyroid hormones prior to secretion. The thyroid gland is the only endocrine gland to store its hormone in large quantities. In the active gland colloid is diminished and epithelial cells are tall and columnar.

Within the connective tissue close to the follicles are C-cells alternatively known as parafollicular cells. They are found in clusters in the interfollicular space and are also known as clear cells as their cytoplasm doesn't stain with H and E. They secrete calcitonin, a hormone which acts to lower plasma Ca2+ levels.


Thyroid Hormone Physiology

Follicular cells synthesize thyroglobulin in their golgi apparatus. This is a glycoprotein consisting of 70 linked tyrosine molecules, 10% of which are iodinated, and is stored in the colloid.

The thyroglobulin is then split to form the two amino acid derivative hormones produced in the thyroid gland which are triiodothyronine (T3) and thyroxine (T4). Thyroxine contains 4 iodine atoms, triiodothyronine contains 3. Creation of these two hormones is the only role of iodine in the body.

The majority (90%) of hormone produced by the follicular cells is T4. T4 can only be made in the thyroid gland. It can then be converted by other tissues into T3.

Iodine Uptake

Iodine circulates within the blood as iodide (I-). It is actively transported into the follicular cells by an Na+/I- symport in the basal membrane. This pump concentrates iodine in the colloid at a level up to 250x greater than the plasma level. This process is known as iodide trapping. The pump is activated by thyroid stimulating hormone (TSH) a hormone from the pituitary gland.

Any excess iodide is excreted via the kidneys.

Secretion of Thyroid Hormones

Colloid uptake into the follicular cells takes place by endocytosis. The intracellular vesicles containing the colloid then fuse with lysosomes, where enzymes split the thyroglobulin into T3 and T4. The hormones diffuse across the basal plasma membrane into the interstitium (they are lipid soluble hormones).

Transport

Thyroid hormones are lipid soluble, thus need a transporting protein in order to travel in the blood. Half-life in the blood is 1 day for T3, 6 days for T4. 99% of thyroid hormones in circulation are bound.

The primary transport protein for thyroid hormones is thyroid binding globulin (TBG). Synthesized in the liver, this protein binds 70-80% of the circulating thyroid hormones.

The remainder are carried by thyroxine-binding prealbumin or albumin.

Degradation

Only free T3 and free T4 can enter cells to exert their actions. T4 is deiodinated to T3 in many cells of the body, particularly the liver and kidneys.

The thyroid secretes 90% T4, with 50% of this being deiodinated to T3. The remainder is converted to reverse T3 (rT3). This is an inactive form of T3, and so creation of it is a regulatory mechanism. More rT3 is created when the body needs to reduce the action of T3 and T4.

The hormones are further deiodinated to diiodothyronine and monoiodothyronine in the liver and kidneys. Iodine is recycled or excreted in the urine.

Regulation

Schematic Diagram of the Hypothalamic - Pituitary - Thyroid Axis

The hypothalamus releases thyrotropin releasing hormone (TRH) which stimulates the adenohypophysis (anterior pituitary gland) to release thyroid stimulating hormone (TSH). This water soluble hormone travels in the blood to activate the thyroid gland by 5 actions:

  1. Increased endocytosis and proteolysis of thyroglobulin from colloid
  2. Increased activity of the Na+/I- symport
  3. Increased iodination of tyrosine
  4. Increased size and secretory activity of thyroid follicular cells
  5. Increased number of follicular cells

Thyroid Hormone Actions

T3 and T4 have effects on all body systems and at all stages of life. These include: :Development where thyroid hormones are vital during the fetal period and the first few months after birth. T3 and T4 are the hormones for metamorphosis in frogs.

Thyroid hormones also promote growth as they enhance amino acid uptake by tissues and enzymatic systems involved in protein synthesis thus promoting bone growth.
They also help with metabolic actions such as carbohydrate metabolism, as thyroid hormones stimulate glucose uptake, glycogenolysis, gluconeogenesis.
In fat metabolism they mobilise lipids from adipose stores and accelerate oxidation of lipids to produce energy (occurs within mitochondria), as well as increasing the size and number of mitochondria.
Thyroid hormones also increase basal metabolic rate (BMR) in all tissues except brain, spleen and gonads. The results in increased heat production, increased oxygen consumption. This increased metabolic rate also results in increased utilisation of energy substrates causing weight loss.
Some of thyroid hormones cardiovascular actions are to increase cardiac output, heart rate and contractility. They affect the respiratory system indirectly through increased BMR causing increased demand for oxygen and increased excretion of carbon dioxide.
In the nervous system thyroid hormones are required for myelination of neurons during the development. They also enhance the sympathetic nervous system (by increasing epinephrine receptors).
Reproductive system is affected by reduced levels of thyroid hormone causing irregular cycling and decreased libido.
Finally, in the alimentary system, thyroid hormone increases appetite and feed intake, increases secretion of pancreatic enzymes and increases motility.

Influence of External Factors

Euthyroid sick syndrome: concurrent disease such as starvation, sepsis, trauma or stress can cause a depression in basal thyroid levels as a normal response, to minimise the catabolic effects of thyroid hormones.

This occurs in many species and may lead to false diagnoses of hypothyroidism or a missed diagnosis of hyperthyroidism.

In horses, many factors influence the level of T3 and T4:

In foals: thyroid hormone concentrations are up to 14 times higher than in horses over the age of 2.

During normal feeding, T3 and T4 levels increase within two hours of feeding. Undernutrition results in an increase in T4 but T3 levels are unchanged. Excess protein and energy result in a decreased T4 and an increased T3.

In adult horses: undernutrition results in a decrease in both T3 and T4. Phenylbutazone is also known to decrease T4 levels.

Thyroid hormone levels increase with age, and are higher during pregnancy and times of low temperature.

Problems associated with the Thyroid Gland

Problems with the thyroid gland include enlargement, or Goitre and also the effects of increased level of hormones in Hyperthyroidism or decreased levels of hormones in Hypothyroidism.


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