Thyroid Hormone - Histology

Introduction

The thyroid hormone plays a crucial role in regulating metabolism, growth, and development. Understanding its histology provides insights into its function and the disorders associated with its dysregulation.

What is Thyroid Hormone?

The thyroid hormone primarily includes Thyroxine (T4) and Triiodothyronine (T3). These hormones are produced by the thyroid gland, which is located in the neck. T4 is converted into the more active T3 in peripheral tissues.

Structure of the Thyroid Gland

The thyroid gland consists of spherical units called thyroid follicles. Each follicle is lined by a single layer of epithelial cells and filled with a protein-rich substance called thyroglobulin. This structure is crucial for the synthesis, storage, and secretion of thyroid hormones.

Histological Features

Under the microscope, the thyroid gland shows follicles of varying sizes. The follicular cells are cuboidal or columnar depending on their activity level. The colloid within the follicles stains pink with hematoxylin and eosin staining. Surrounding the follicles are parafollicular cells (C cells), which secrete calcitonin.

How is Thyroid Hormone Synthesized?

Thyroid hormone synthesis involves several steps:
Uptake of iodide from the blood.
Oxidation of iodide to iodine by thyroid peroxidase (TPO).
Iodination of tyrosine residues in thyroglobulin to form monoiodotyrosine (MIT) and diiodotyrosine (DIT).
Coupling of MIT and DIT to form T3 and T4.
Following synthesis, the hormones are stored in the colloid and released into the bloodstream upon stimulation by thyroid-stimulating hormone (TSH).

Function and Regulation

Thyroid hormones regulate various physiological processes, including metabolism, protein synthesis, and sensitivity to other hormones. Their secretion is regulated by the hypothalamic-pituitary-thyroid axis. TSH from the pituitary gland stimulates the thyroid gland to produce and release T3 and T4. Negative feedback from circulating T3 and T4 levels regulates TSH secretion.

Histological Changes in Thyroid Disorders

Several thyroid disorders can be identified histologically:
Hyperthyroidism: Increased activity results in smaller follicles, less colloid, and more columnar follicular cells.
Hypothyroidism: Reduced activity leads to larger follicles, more colloid, and flatter follicular cells.
Thyroiditis: Inflammation of the thyroid gland shows infiltration of lymphocytes.
Thyroid cancer: Malignant cells can be identified by their abnormal size, shape, and mitotic activity.

Conclusion

Histology provides critical insights into the normal and pathological states of the thyroid gland. Understanding the detailed structure and function of thyroid hormones at the cellular level aids in diagnosing and treating various thyroid disorders.



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