Where is thyroid gland located and its function?
Thyroid is a butterfly shaped organ
located in front of the neck, just
below the voice box. It consists of
two lobes, one on each side of the
windpipe and is one of the largest
endocrine glands in our body. In a
normal adult, the thyroid gland
weighs 15 to 25 grams. Just like every
other organ in our body, thyroid
gland has a specific function and role
to play; infact, it is known to function
even before birth. Thyroid gland
functions to regulate the metabolism of our body by producing
hormone that facilitate energy
production.
The Facts behind the Gland
The thyroid gland is a component of the endocrine system that is, it produces hormones
that are released into circulation. These hormones then travel to different cells and tissues
in the body, where they play a wide variety of roles, primarily associated with cellular metabolism.
Though first christened in 1656 by Thomas Wharton, the disorders of the thyroid especially
its enlargement causing neck swelling, have been known long before then. It is surprising then,
to know that the first successful isolation of a thyroid hormone and its identification was only
done in 1914 by Kendall and Osterberg. They named it "Thyroxine", which today, is also colloquially called as T4 (thyroxine). Since
then, we have developed our understanding of thyroid hormones, their functions in the body
as well as disease conditions associated with thyroid gland and its hormones. The thyroid gland
is located on the front part of the neck below the thyroid cartilage (Adam's apple) and releases
two hormones triiodothyronine (triiodothyronine (T3)) and thyroxine (T4). These are iodine-containing hormones,
among which T4 is the main hormone. At the site of action, i.e., inside the cells, one iodine is
removed, leading to the formation of T3.
Thyroid hormones are important for regulating metabolic processes. These are processes that
are responsible for energy production in the cell, as well as the formation and breakdown of
proteins, LDL-bad cholesterol, carbohydrates and nucleic acids. These hormones are synthesized by thyroid
follicular cells from thyroglobulin and stored in the thyroid follicle. The synthesis and release
of thyroid hormones is stimulated by another hormone produced by the pituitary, called thyroid
stimulating hormone (Thyroid Stimulating Hormone (TSH)), which acts like a regulating switch, turning on thyroid function when
required and turning it off when not.
Mastermind behind many Functions
Thyroid hormones carry out a large number of functions in the body. Some of these include:
Metabolism
Normal growth and development requires Metabolic processes that generate
energy for the cells to utilize. These metabolic processes also provide the biomolecules that
are required by the cells. Basal metabolic rate (BMR) is a unique rate at which the body expends
energy at rest. Thyroid hormones play a role in stimulating BMR by increasing the breakdown
of ATP molecules which results in the generation of energy. It also stimulates the pathways
that involve breakdown and synthesis of carbohydrates, fats and liver.
Maintaining body temperature
Maintaining body temperature requires generation of heat
continuously, with more heat produced on exposure to cold, after eating or after energy
expenditure. Thyroid hormones are required for the maintenance of core body temperature.
Regulation of body weight
As thyroid hormones are required for regulation of fat metabolism, cholesterol synthesis
and transport as well as breakdown into bile, thyroid hormones indirectly do impact body
weight. These hormones stimulate breakdown of lipids directly, reducing triglycerides and
LDL-bad cholesterol (including LDL) levels.
Production and action of insulin
The development and function of pancreatic cells is stimulated by thyroid hormones. As these
cells are responsible for the production of insulin, thyroid hormones are important for maintaining
normal blood glucose levels.
The thyroid gland has other functions such as calcium homeostasis
and bone remodeling. It also produces the hormone calcitonin which decreases the amount of
calcium released from the bone. Thyroid hormones are also responsible for maintaining heart
rate, as well as blood flow.
What hormones are secreted by the thyroid gland and their functions?
The T Hormones
Thyroid secretes two metabolically important hormones,
called Triiodothyronine (T3) and
Thyroxine (T4). These two horm-
ones, control various metabolic
activities essential for energy,
growth and development of the
body. These two hormones are
required every minute by every
cell, tissue and organ. Their
secretion is highly regulated and
any fluctuation in the levels can
result in health complications.
Check your Thyroid at home
How does iodine affect the thyroid?
lodine: The key entity
Thyroid hormones are made
using iodine by the thyroid gland
and hence plays a crucial role in
thyroid functioning. lodine defi-
ciency affects thyroid hormone
production, causing decrease in
their levels. lodine is obtained
from dietary intake, which in
turn, depends on its content in
the soil and water in a particular
locality. Studies of a locality may
indicate the need for suppl-
ementation of iodine in salt and
bread. In India, 30 - 40% of the
area is known to be iodine
deficient.
How is TSH produced?
TSH - Thyroid's remote control
The pituitary gland also known as the 'Master gland' secretes a hormone
called Thyroid Stimulating Hormone (TSH), which acts on the thyroid
specifically and directly. TSH stimulates and controls various steps involved
in synthesis and secretion of the thyroid hormones. TSH senses the existing
thyroid hormone levels and works as required, to maintain the desired levels,
by stimulating or leaving without stimulation. The secretion of TSH is yet
again controlled by another hormone namely TSH - releasing hormone
(TRH) which is secreted by the hypothalamus .
What are the different thyroid disorders?
There are basically 2 types of Thyroid Disorders
1. Anatomical Goiter is a disorder characterised by an
abnormal size and structure of the thyroid gland. Goiter may
be with nodules and may or may not have any associated disorder.
2. Functional Thyroid dysfunction, which is under or over
functioning of the thyroid gland. This may happen even
without a goiter.
What are the main causes of goiter?
An enlarged thyroid gland, with or
without nodules, is called a Goiter. A
nodule is the enlargement of a part of
the gland. Goiter develops over a
period of time and can be as big as 2 to 10
times the size of a normal thyroid
gland. Any abnormal enlargement or
swelling in the region of the thyroid
should be medically evaluated to rule
out the possibility of cancer.
What is the most common thyroid disorder?
Considering the wide variety of functions that are carried out by the thyroid hormones, it is
evident that any imbalance in its levels causes effects ranging wide. The most common disorders
related to the thyroid gland are
Hypothyroidism
Hypothyroidism is a condition in which the thyroid gland is unable to produce sufficient
amounts of thyroid hormones. It is of two types- primary and secondary. Primary hypothyroidism
occurs due to failure of thyroid gland function. Secondary hypothyroidism results from
insufficient stimulation of thyroid gland by thyroid stimulating hormone, or reduced stimulation
of the pituitary gland to produce TSH. Almost 50% of primary hypothyroidism cases arise due
to autoimmune reaction against the thyroid gland, and is more frequent in women than men.
Another common cause of hypothyroidism is iodine deficiency. As iodine is required for
synthesis of thyroid hormones, its paucity can cause hypothyroidism.
Symptoms of hypothyroidism
- Delayed development
- Lethargy
- Hair loss
- Unexplained weight gain
- Constipation
- Impaired memory
Hyperthyroidism
This condition is characterized by increased synthesis and release of thyroid hormones.
Some of the causes of hyperthyroidism are Graves' disease, goiter, and some tumors.
Graves disease is one of the most common causes of hyperthyroidism. It is also an
autoimmune condition where the thyroid gland is activated into producing thyroid
hormones when antithyroid antibodies bind to receptors that are meant for TSH. This
activates the signaling pathway of TSH, resulting in increased production of thyroid
hormones. A type of goiter, called as toxic multinodular goiter is characterized by the formation of multiple nodules on the thyroid gland. If a single nodule is formed, it is
called as toxic adenoma.
Symptoms of Hyperthyroidism
- Hyperactivity, restlessness, irritability
- Insomnia
- Unplanned weight loss
- Hair fall
- Muscle weakness
- Intolerance to heat
Trouble to Thyroid Hormone is a Trouble to You
Thyroid gland plays a major role in a woman's reproductive health. Different types of
thyroid disorders affect either its structure or function signifying various effects on
the woman's body.
EFFECTS OF THYROID DISORDERS IN FEMALE
Thyroid disorder can cause abnormally delayed or early puberty and menstruation.
Elevated levels of thyroid hormones are responsible for low or heavy menstruation,
for irregular menstrual periods or its absence (condition called amenorrhea).
Reproduction
Ovulation can be affected due to overactive or underactive thyroid. Thyroid disorder
inhibits the occurring of ovulation and may also increase the risk of developing cysts
in the ovaries if a woman has hypothyroidism. Milk production in the breast in nonpregnant
women is seen in case of severe hypothyroidism.
Pregnancy & postpartum
Pregnant woman with underactive thyroid can suffer from miscarriage, preterm
delivery, stillbirth, etc. Women with overactive thyroid are at risk of having more
severe morning sickness. Thyroid disorders during pregnancy can also lead to conditions
such as postpartum thyroiditis (thyroid problems in the mother after birth).
Menopause
Thyroid disorders may cause early onset of menopause before the age of 40 or at
early 40s. There are chances of mistaking symptoms of hyperthyroidism as early
menopause, which include lack of menstruation, hot flashes, inability to sleep
(insomnia) and mood swings.
Patients having autoimmune disorders may have more than one organaffected. With chronic thyroiditis,
there is a higher incidence of other
autoimmune diseases such as:
Vitiligo
Rheumatoid Arthritis
Addison's Disease
blood sugar Mellitus
Pernicious Anemia
10% of patients with type 1 - diabetes
develop chronic thyroiditis, which
may change insulin requirements. It is
therefore essential for Diabetes
patients to be checked for goiter and
have their TSH levels monitored
regularly. Some patients suffering
from depression have primary
hypothyroidism. Lithium may induce
goiter and hypothyroidism.
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Complications related to
thyroid disorders
Hypothyroidism can cause complications in many like delayed or
scanty menstrual periods and
unexplained Infertility or mis-
carriages, particularly early in
Pregnancy. Therefore, Thyroid Function Test are often a routine in
evaluating a patient who may
have problems with pregnancy. In
men, untreated hypothyroidism is
known to cause disturbances in
sex and fertility. In women,
adjustment of thyroid hormone
levels are known to improve
menstrual pattern and increase
the probability of fertilisation.