Page 302 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
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C.  Synthesis, storage and mobilization of the thyroid hormones
                                                      I
               Exocytosis
                                 OH                   OH
          Thyro-             Tyrosyl residue
          globulin                                 Monoiodotyrosyl
                                                   residue (MIT)
            I –         I 0      Iodination
                        Thyroid peroxidase
                                                      I
                                                      OH
            TSH                                       I
                                     Stored form
                                                   Diiodotyrosyl
                                      I    I       residue (DIT)       Thyroid Hormones II
                                      3  O  3’ OH
                Endocytosis           5    5’
                                      I
                            T 3
        See B.3  T 3               Triiodothyronyl residue  Coupling
              T 4
                            T 4
                                      I    I
                                       O    OH                         Plate 11.12
                                      I    I
              Follicular cell  Colloid  Tetraiodothyronyl residue
         D.  Iodine balance
                                      Blood           Extracellular
                                                      fluid (ECF)
         Iodine intake
         150µg/day                  2–10µg/L  I –   T 4
         (varies greatly)                              T 4  stores
                                     1–2µg/L  T 3      500µg
           I –
                                   35–80µg/L  T 4
                                                  Thyroid gland
                                    T 3
                       I –
                                    T 4
                10–15µg/day
          T 4  glucuronide,  I –                   I – Total iodine content
          T 3  sulfates                               5000–7000µg
                                       I –
          Liver                                       I  loss increases
                                                      –
                                       I –            when breast-feeding
                                                      (milk contains iodine)
                       I –
                       I –             I –           Kidney
                                                     Urinary excretion
         Fecal excretion  I –                   I –  (increases with
         (increases with diarrhea)                   proteinuria)
            10µg/day                                   150µg/day      289

       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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