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Review Question - QID 100327

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QID 100327 (Type "100327" in App Search)
A patient suffering from Graves' disease is given thiocyanate by his physician. Thiocyanate helps in the treatment of Graves' disease by:

Inhibiting thyroid peroxidase

16%

27/170

Inhibiting 5'-deiodinase

15%

26/170

Inhibiting thyroid deiodinase

5%

9/170

Inhibiting beta-adrenergic receptors

4%

7/170

Inhibiting iodide follicular uptake

51%

87/170

Select Answer to see Preferred Response

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Thiocyanate and perchlorate both act to inhibit the Na-I symporter located on the basolateral membrane of thyroid epithelial cells. By decreasing iodide uptake, these drugs act to decrease the amount of thyroid hormone synthesized.

Following the uptake of iodide, iodide and thyroglobulin are secreted into the follicular lumen. In the lumen, thyroid peroxidase-mediated reactions lead to the formation of thyroid hormones attached to thyroglobulin. Following TSH stimulation, this complex is brought back into the cell, thyroid hormones are cleaved from thyroglobulin, and the hormones are secreted into circulation.

Illustration A depicts thyroid hormone synthesis. Note the Na-I sympoter on the basolateral surface; it is there where thiocyanate acts and inhibits the symporter.

Incorrect Answers:
Answer 1: PTU is a drug that inhibits thyroid peroxidase.

Answer 2: Thiocyanate does not act on 5'-deiodinase.

Answer 3: Thiocyanate does not act on thyroid deiodinase. The function of thyroid deiodinase is the release of T4/T3 from thyroglobulin.

Answer 4: Propanolol is a drug that inhibits beta-adrenergic receptors.

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