Difference between revisions of "Thyroid Gland - Anatomy & Physiology"
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Revision as of 14:35, 21 February 2011
Embryological Origin
The thyroid gland is a downgrowth from the pharyngeal endoderm of the developing tongue.
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.
Lymph drains into the cranial Deep Cervical nodes.
Ultrastructure and Histology
The gland consists of varying sized follicles.
These are a single layer of cuboidal epithelial cells: Follicular Cells surrounding a central lumen filled with a 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.
Within the connective tissue close to the follicles are C-Cells alternatively known as Parafollicular Cells. These secrete Calcitonin, a hormone which acts to lower plasma Ca2+ levels.
Histology
Thyroid Gland Low Power 1
©RVC 2008
Thyroid Gland Low Power 2
©RVC 2008
Thyroid Gland Medium Power
©RVC 2008
Thyroid Gland High Power
©RVC 2008
Normal Thyroid
Courtesy of A. Jefferies
Thyroid Gland High Power with C-Cells labelled
©RVC 2008
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:
- Triiodothyronine (T3)
- 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
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:
- Increased endocytosis and proteolysis of thyroglobulin from colloid
- Increased activity of the Na+/I- Symport
- Increased iodination of tyrosine
- Increased size and secretory activity of thyroid follicular cells
- Increased number of follicular cells
Thyroid Hormone Actions
T3 and T4 have effects on all body systems and at all stages of life:
- Development - 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.
- Growth - enhances amino acid uptake by tissues and enzymatic systems involved in protein syntheis, promotes bone growth
- Metabolic Actions
- Carbohydrate metabolism - stimulates glucose uptake, glycogenolysis, gluconeogenesis
- Fat metabolism - Mobilises lipids from adipose stores. Accelerates oxidation of lipids to produce energy (occurs within mitochondria). Increases size and number of mitochondria.
- Increase Basal Metabolic Rate (BMR) - in all tissues except brain, spleen, gonads. Results in increased heat production, increased oxygen consumption.
- Decrease body weight - Increased BMR results in increased utilisation of energy substrates
- Cardiovascular actions - increases Cardiac output, heart rate and contractility.
- Respiratory system - indirectly affected through increased BMR causing increased demand for oxygen and increased excretion of carbon dioxide.
- Nervous system - thyroid hormones are required for myelination of neurons during the development of this system. They also enhance the sympathetic nervous system (by increasing epinephrine receptors).
- Reproductive System - reduced levels of thyroid hormone causes irregular cycling, decreased libido.
- Alimentary System - Thyroid hormone increases appetite and feed intake, increases secretion of pancreatic enzymes and increases motility.
Problems associated with the Thyroid Gland
Functional Anatomy (summary)
The thyroid gland lies in the neck, in front of the upper part of the trachea. Two types of hormones are produced:
- 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.
- Calcitonin: Regulates blood calcium levels along with parathyroid hormone. Acts to reduce blood calcium by inhibiting its removal from bone.
The majority of the gland is derived from a downgrowth of the foetal tongue. The calcitonin producing cells are different and are derived from the fourth branchial pouch.
The throid gland is divided into follicles which are bounded by a single layer of cuboidal epithelial cells and a basement membrane. Follicles contain a homogenous colloid material called thyroglobulin. This 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.
- Epithelial cells are tall and columnar.
Parafollicular cells are found in clusters in the interfollicular space. Also known as clear cells as their cytoplasm doesn't stain with H and E. These cells synthesise and secrete calcitonin in response to raised plasma calcium.