Biosynthesis of Thyroid hormones - Histology

Introduction

The thyroid gland is a crucial endocrine organ responsible for the production of thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3). These hormones play a vital role in regulating metabolism, growth, and development.

Cellular Composition of the Thyroid Gland

The thyroid gland is composed of numerous spherical structures known as thyroid follicles. Each follicle is lined with a single layer of follicular cells and contains a central lumen filled with a colloid material rich in thyroglobulin.

Steps in Thyroid Hormone Biosynthesis

The biosynthesis of thyroid hormones involves several key steps:
Iodide Uptake
The first step is the active transport of iodide ions from the bloodstream into the follicular cells. This is mediated by the sodium/iodide symporter (NIS) located on the basal membrane of the follicular cells.
Oxidation and Organification
Once inside the follicular cells, iodide is transported to the apical membrane, where it is oxidized to iodine by the enzyme thyroid peroxidase (TPO). The iodine is then attached to the tyrosine residues in thyroglobulin to form monoiodotyrosine (MIT) and diiodotyrosine (DIT) in a process known as organification.
Coupling of Iodotyrosines
The next step involves the coupling of MIT and DIT residues to form T3 and T4. Two DIT molecules combine to form T4, while one MIT and one DIT combine to form T3, again catalyzed by TPO.
Storage and Release
The iodinated thyroglobulin is stored in the colloid within the follicular lumen. Upon stimulation by thyroid-stimulating hormone (TSH) from the pituitary gland, the thyroglobulin is endocytosed back into the follicular cells, where it is proteolytically cleaved to release T3 and T4 into the bloodstream.

Histological Features

Under the microscope, thyroid follicles are visible as spherical structures lined with a simple cuboidal epithelium of follicular cells. The colloid appears as a homogeneous, eosinophilic material within the follicular lumen. Parafollicular cells, or C cells, are scattered among the follicles and secrete calcitonin, which is involved in calcium homeostasis.

Regulation of Thyroid Hormone Synthesis

The synthesis and release of thyroid hormones are tightly regulated by the hypothalamus-pituitary-thyroid axis. The hypothalamus secretes thyrotropin-releasing hormone (TRH), which stimulates the pituitary gland to secrete TSH. TSH then stimulates the thyroid gland to produce and release T3 and T4. Negative feedback by circulating thyroid hormones regulates the secretion of TRH and TSH to maintain homeostasis.

Conclusion

The biosynthesis of thyroid hormones is a complex, multi-step process involving iodide uptake, oxidation, organification, and coupling. Histologically, the thyroid gland is characterized by its follicular structure and the presence of colloid. The regulation of thyroid hormone synthesis is crucial for maintaining metabolic balance and overall health.



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