The thyroid gland is prone to several distinct problems, some of which are extremely common. These problems can be broken down into those concerning the production of hormone (too much, or too little), those due to increased growth of the thyroid, causing compression of important neck structures or simply appearing as a mass in the neck[1]. Subclinical hypothyroidism is diagnosed when person has: No symptoms or mild symptoms of hypothyroidism, a mildly high thyroid-stimulating hormone (TSH) level, and a normal thyroxine (T4) level[2]. Subclinical hyperthyroidism is defined by low or undetectable serum thyroid-stimulating hormone levels, with normal free thyroxine and total or free triiodothyronine (T3) levels[3]. People with subclinical hyperthyroidism may …show more content…
White fat cells secrete many proteins acting as adipokines(cytokines secreted by adipose tissue) such as resistin, adiponectin, leptin and Apelin[5]. Adiponectin is a 244-amino-acid-long protein. There are four distinct regions of adiponectin. The first is a short signal sequence that targets the hormone for secretion outside the cell; next is a short region that varies between species; the third is a 65-amino acid region with similarity to collagenous proteins; the last is a globular domain[6]. Adiponectin has divers metabolic effect such as: glucose regulation (decreased gluconeogenesis increased glucose uptake), fatty acid oxidation(β-oxidation, triglyceride clearance)[7, 8], insulin sensitivity, weight loss and control of energy metabolism[9]. Interleukin 6 (IL-6) is an interleukin that acts as both a pro-inflammatory cytokine and an anti-inflammatory myokine[10]. IL-6 is secreted by T cells and macrophages to stimulate immune response[11], in muscle and fatty tissue, IL-6 stimulates energy mobilization that leads to increased body
On a molecular level, fat tissue is normally the largest organ in humans and is involved in mechanisms and pathways that deal with longevity. Fat tissue is not only involved in energy storage but is also important in immune and endocrine function, thermoregulation, mechanical protection, and tissue regeneration (Tchkonia et al., 2010). Adipose tissue is able to protect against infection and trauma. It is also able to produce and activate hormones, including IL-6, IGF-1, and glucocorticoids, as well as prevent heat loss (Tchkonia et al., 2010). Throughout life, changes in fat distribution and function is constantly occurring and in older individuals, these changes correspond to a number of health disorders like hypertension, cancers, cognitive dysfunction, and diseases like diabetes, heart attacks, and strokes, as previously noted (Tchkonia et al., 2010). As people age, their body composition increases in fat mass and decreases in muscle mass, regardless of their body weight or BMI (Dorner and Rieder, 2011).
Hypothyroidism and hyperthyroidism are easily confused because the words are so similar-looking. But knowing a bit of ancient Greek and using common sense can help your remember the difference.
“ 1. Adipokines are hormones produced by adipose tissue. /…/ Adipokines have effects not only on tissues but [also] on the hypothalamic and pancreatic function. /…/ 2. Elevated serum free fatty acids and high intracellular deposits of triglycerides and cholesterol. These lead to metabolic overload with interfere of insulin signaling and a decrease in tissue response to insulin. 3. Obesity causes release of inflammatory cytokines. /…/ These play an important role in the genesis of a fatty liver [which impairs the function]. 4.
The health care provider ordered blood work that included thyroid-stimulating hormone, triiodothyronine, thyroxine, and radioactive iodine uptake to confirm the diagnosis of hyperthyroidism. The labs returned with an elevated level of triiodothyronine and thyroxine, while the thyroid-stimulating hormone was decreased. There was also an
Hypothyroidism is caused by the thyroid’s gland inability to produce thyroid hormone as required by the body. The diagnosis of hypothyroidism requires the laboratory testing of the thyroid stimulating hormone known as TSH. When the TSH is found to be elevated, a clinician should repeat the test along with a free thyroxine (T4) measurement. If the TSH is found to be elevated, while the T4 is normal, the patient is said to suffer from subclinical hypothyroidism. However, if the TSH is elevated and the T4 is low, the diagnosis is primary hypothyroidism (Gaitonde et al., 2012).
Commonly, problems with the thyroid involve an abnormal production level of these hormones. It is called hyperthyroidism if there the thyroid hormones are overproduced, and this can cause things like Graves’ disease, Toxic adenomas, and subacute thyroiditis (7). Hypothyroidism is the underproduction of the hormones which can be caused by an inflamed thyroid, iodine deficiency, a non-functioning thyroid gland and more. Hypothyroidism is especially dangerous in infants and newborns as the lack of these thyroid hormones can lead to mental retardation and dwarfism (7). However, in humans hypothyroidism can be caused by things such as a pituitary disorder, a defective thyroid or a lack of the gland completely. (7)
This is usually caused by a positive energy balance, and more relevantly a sedentary lifestyle. Increased amounts of visceral fat can be detrimental to the anti-inflammatory phenotype of adipose tissue, which is normally characterised by small adipocytes and the presence of anti-inflammatory immune cells, or adipokines, such as M2-macrophages and CD4-regulatory T-cells (Bishop et al., 2011). These cells release the anti-inflammatory cytokine adiponectin. The presence of visceral fat causes these adipocytes to expand, and then infiltrated by pro-inflammatory adipokines, such as M1-macrophages. This causes the secretion of pro-inflammatory cytokines, such as CRP and TNF (Bishop et al., 2011). These cause a state of low-grade systemic inflammation, which can cause vascular damage and disrupt regular metabolism (Canino et al., 2011)
The patient’s diagnosis is primary overt hypothyroidism. The patient presents with certain features such as weight gain, weakness, excessively dry flaking skin, dry hair, sluggish movements, constipation, bradycardia, diminished deep tendon reflexes, and bilateral edematous hands, which is classical signs and symptoms for primary hypothyroidism. The patient laboratory test reveals she has an elevation in serum thyroid stimulating hormone level along with low serum free thyroxin and triiodthyronine levels, which indicates it is a dysfunction or abnormality in the thyroid gland as opposed to the pituitary gland or hypothalamus (Gaitonde; Lohano; Porth, 2015, p. 780; Ross, 2014).
Starting during prenatal development and continuing throughout life, thyroid hormones pay an important role in the cardiovascular system, the relationship in which has been seen to change in the case of thyroid dysfunction. The relationship between the heart and the thyroid has been demonstrated through a series of experimental and clinical studies and the results determined that in the case of hypothyroidism parameters such as blood volume and heart rate have been seen to decrease from 100% and 72-84bpm to 84.5 % and 60-80bpm respectively. The regular measurements of both the patients cardiac output and systemic vascular resistance have also been seen to change, shifting from 4.0-6.0 L/min and 1500-1700 dyn·sec/cm-5 to <4.5 L/min and 2100-2700
Very few cases of Metabolic Syndrome can be fully attributed to hereditary causes. Rather, over-time, an individual’s lack of proper lifestyle habits, including diet, physical activity, environmental health, stress, and interrupted sleep patterns, can lead to the formation of insulin resistance and the five conditions, eventually leading to Metabolic Syndrome. This is brought about by the invasion of white adipose tissue. Mononuclear cells release cytokines, which then create insulin resistance in various tissues including muscle and the liver. In fact, the American Heart Association states, “skeletal muscle is the primary tissue that accounts for glucose disposal.” (AHA) As a result of insulin resistance, glucose uptake and fat mass increase substantially. The reason for the uptake in glucose is due to the suppression of gluconeogenesis and glycogenolysis, which results in a decrease in glucose output from the liver. When these areas are lacking or have been neglected, the body physiologically responds by producing inflammation, which is the first line of immune defense of the innate immune
Congenital hypothyroidism is caused due to the lack of adequate thyroid hormone at birth and can lead to multiple flaws in bodily development including cochlear morphology. Synthesis of thyroid hormone is mediated by many biological processes and as such there are many points of failure. Proper development of the Cochlear function and morphology is dependant on the normal secretion and reception of thyroid hormone through G-protein coupled receptors (Park and Chatterjee, 2005) which are bound extracellularly and produce a second messenger to elicit gene activation (Lluka, 2015). Richter, C. et al. and Johnson, K.R. et al. experiment with the synthesis and activation of thyroid hormone in animal models to accurately
In the paper “Activation of mTORC1 is essential for β-adrenergic stimulation of adipose browning” by Dianxin Liu et al, the authors sought to learn about the relationships between the opposing hormone regulating systems of adipocytes, Insulin and catecholamines, and their effects on the protein mTOR and its regulatory protein RAPTOR. These interactions may lead to discoveries that can ultimately help us enhance energy expenditure and combat metabolic disease. Adipose tissue depots perform a wide range of functions in the human body and consists mainly of two varieties, white adipose tissue (WAT) and brown adipose tissue (BAT). WAT stores extra caloric energy in the form of triglycerides, while BAT in direct contrast, rapidly converts oxidative energy into heat for survival in the cold. In addition, adipose depots also secrete proteins and other factors that are a part of energy metabolism and glucose homeostasis.
Type II Diabetes is a chronic metabolic disease linked to obesity (Singla et al. 2010). Adipocytes produce several hormones and cytokines, including those that regulate metabolism and inflammatory responses in the body (Singla et al. 2010). Obese individuals characteristically have excess adipose tissue, which results in the overproduction of these signalling molecules, disturbing communication pathways. (Singla et al. 2010). For example, non-essential fatty acids (NEFAs) and the hormone resistin, both secreted by adipose tissue, are overproduced by obese individuals; excess NEFAs and resistin results in suppression of insulin activity in metabolic pathways, decreasing glucose tolerance (Singla et al. 2010) (Kahn et al. 2006). Pro-inflammatory cytokines produced by adipocytes, including tumour necrosis factor-α (TNF-α)
the pathogensis of insulin resistance greatly linked to adipose tissue. intra-abdominal fat cells release free fatty acids and other adipocytokines which produce an inflammatory response and could have
how are you, and How was your day? I hope it wasn’t too hard on you, I know how difficult your life can be sometimes. I want to share something with you, but first let me Thank you for being my biggest supporter. Now, have you heard about hypothyroidism? Probably, you have likely heard things here and there; for instance, that it causes weight gain. I was diagnosed with hypothyroidism, and I am going to try to briefly give an idea of what I am going through because There's so much more to thyroid disease that I can't cover it all in this letter. The thyroid is a butterfly shaped gland that is located in front of the neck that is control most of our body functions as metabolism and energy. In reality,