gland Geeta Mohan • The thyroid gland is a butterfly-shaped organ and is composed of two cone-like lobes or wings, right lobe and left lobe, connected by the isthmus. Each lobe is about 5 cm long, 3 cm wide and 2 cm thick. The gland is situated on the anterior side of the neck, lying against and around the larynx and trachea producing thyroxine (T4) and tri - iodothyronine (T3). • The thyroid also produces the hormone calcitonin, which plays a role in calcium homeostasis.
• The parathyroid glands are small endocrine glands usually
four in number located at the back of the thyroid gland and produces parathyroid hormone Thyroid gland - Function
• Thyroid hormone increase basal metabolic rate (BMR) by
stimulating cellular oxygen used to produce ATP. • A major effect of thyroid hormone is to stimulate synthesis of the enzyme that runs the Na+/ K+ ATPase pump. • As cells use more oxygen to produce ATP more heat is given off and body temperature rises thus they play an important role in thermoregulation • Thyroid hormone helps in the regulation of metabolism – stimulate protein synthesis, increase lipolysis, enhance cholesterol excretion in bile and increase the use of glucose for ATP production. • Together with growth hormone and insulin thyroid hormone accelerate body growth particularly nervous tissue. They also enhance some actions of neurotransmitters ex. catecholamine Homeostasis
• Thyroid hormone secretion is controlled by
negative feedback mechanism involving both hypothalamus and anterior pituitary with the secretion of thyro trophin realizing hormone (TRH) and thyroid stimulating hormone (TSH) • Calcitonin (CT) produced by para follicular cells together with calcitriol produced by parathyroid gland maintain homeostasis of calcium and phosphate in the blood. It lowers the amount of blood calcium and phosphates in the blood by inhibiting bone breakdown and accelerating uptake of calcium and phosphate salts by the bones. The blood calcium levels directly controls the secretion of CT , controlled by negative feedback mechanism that does not involve pituitary gland Homeostasis of thyroid hormone Homeostasis
• The secretion of thyroid hormone (T3 and T4) and size of
the gland are controlled in two ways – 1) By the level of iodine in the thyroid gland 2) By negative feedback mechanism involving both the hypothalamus and anterior pituitary. • Although needed for synthesis of thyroid hormone , an abnormally high concentration of thyroid iodine suppresses release of thyroid hormone. Negative feedback system govern synthesis and release of thyroid hormone. • Low levels of T3 &T4 stimulate the hypothalamus to secrete Thyrotropin releasing hormone (TRH) and anterior pituitary to secrete Thyroid stimulating hormone (TSH) .TSH stimulates all aspects of thyroid gland activity .The thyroid gland releases T3 &T4 until the metabolic rate returns to normal. • Conditions that increase ATP demand – a cold environment, hypoglycemia, high altitude, pregnancy also trigger an increased secretion of thyroid hormone. Homeostasis
PARATHYROD GLAND – are found attached to the posterior
surfaces of the thyroid gland. There is one superior and one inferior gland attached to each lateral thyroid lobes. Parathyroid glands have two types of cells – 1) Principal or Chief cells – that produce parathyroid hormone (PTH) 2) Oxyphil cells – function not known. PTH increases the number of activity of osteoclasts (bone destroying cells) which results in enhanced breakdown of bone matrix which releases calcium and phosphates into the blood. PTH also produces two changes in the kidneys 1) It increases the rate at which kidneys remove calcium and magnesium from urine that is being formed and returns them to the blood 2) It inhibits transport of phosphates from urine to blood so that more of it is excreted in urine.
Over all PTH decreases blood phosphate level and increases
blood calcium and magnesium levels . ROLE OF THYROID AND PARATHYROID IN CALCIUM HOMEOSTASIS
• Calcium balance refers to the state of the body’s stores
of calcium at equilibrium over some extended time period (usually days, weeks or months). It results from the net effects of intestinal absorption and renal, intestinal and sweat gland excretion of bone calcium. • Normal range of calcium is 9-11mg/100 ml blood. Bone balance changes throughout the normal life span, depending on relative rates of bone formation and resorption. • A negative feedback system involving two antagonistic hormones - calcitonin and parathyroid hormone (PTH) and maintenance of the concentration of calcium in blood at normal range. • 1 to 2 KG of calcium is present in human body, 98% of this is present in the skeleton. Homeostasis
High level of calcium in the blood will induce thyroid
gland(para follicular/ C cells)to release more calcitonin. It lowers the amount of blood calcium and phosphates by inhibiting bone break down and accelerating uptake of calcium and phosphate salts by bones. The blood calcium levels directly control the secretion of calcitonin through a negative feedback mechanism that does not involve pituitary gland. Homeostasis
• Low levels of calcium in blood will activate the
principal or chief cells of parathyroid gland to release more parathyroid hormone (PTH). PTH increase the number and activity of osteoclasts (bone destroying cells) which results in enhanced breakdown of bone matrix which releases calcium and phosphates into blood Homeostasis
• PTH also effects kidney to promote formation of
hormone calcitriol, which is active form of vitamin D which increases the rate of calcium , phosphate and magnesium absorption from gastro intestinal tract into blood. When calcium level falls more PTH and less calcitonin is released , conversely when the blood calcium level rises less PTH and more calcitonin is released through negative feedback mechanism. Normal daily intake of calcium in adults is 1gm - 1.5gm (1000mg-1500mg) . Calcium balance is regulated if intake exceeds 1.5grams. Calcium homeostasis Calcium homeostasis Homeostasis
• Wikipedia • Principles of Anatomy and Physiology by Gerard J Tortora and Sandra Reynolds Grabowski 7th edition