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11 Eye-Opening Facts About the Thyroid

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The human body is an amazing thing. For each one of us, it’s the most intimate object we know. And yet most of us don’t know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

The thyroid is a small, butterfly-shaped gland that lives just below your larynx. Its two halves, or lobes, which rest against the trachea, weigh less than an ounce. The thyroid is under the control a peanut-shaped gland in the brain called the pituitary gland, which in turn takes its commands from the hypothalamus, a region of the brain that works as the communications center for the pituitary—sending messages in the form of hormones to control the release of thyroid hormones from the pituitary.

Once stimulated, the thyroid gland takes up iodide from the foods we eat and converts it into iodine to make the thyroid hormones thyroxine (T4) and triiodothyronine (T3). These hormones are then released into the bloodstream, where they help your body regulate so many processes it would take several pages to describe them all. Generally, these hormones dictate your metabolism, digestion, fertility, weight loss, aging, and more.

Mental Floss spoke to a few experts to better understand this small but powerful gland. Here are 11 things we learned.

1. YOUR THYROID INFLUENCES EVERY CELL IN YOUR BODY.

Thyroid hormones regulate the metabolic functions of literally every cell in the body by stimulating nearly all tissues in the body to produce proteins and by increasing oxygen available to cells.

2. IT'S ALSO YOUR BODY'S FURNACE.

You can think of your thyroid gland as your body’s furnace, and your pituitary gland as its thermostat, says Michelle Corey, a functional medical practitioner and author of The Thyroid Cure: The Functional Mind-Body Approach to Reversing Your Autoimmune Condition and Reclaiming Your Health! When the furnace (thyroid) gets too cold, the thermostat (pituitary) senses it and produces TSH to stimulate thyroid hormone production, which warms you up. When the levels of thyroid hormones rise and the furnace gets too hot, the pituitary gland then slows the production of TSH, cooling you down.

3. YOUR THYROID AND YOUR LIVER HAVE A TIGHT PARTNERSHIP.

The liver is the major location where T4 is converted into the active T3. If your liver is taxed for any reason, it can’t do the job of converting these hormones, and you won’t have enough of the active thyroid hormone circulating in your body. As a result, you’ll feel sick and tired, even if you’re taking T4 hormone replacement. “If you have been diagnosed with an autoimmune thyroid condition, such as Hashimoto’s disease, supporting your liver is critical to recovery,” Corey says.

4. THYROID DISORDERS CAN BE DIFFICULT TO DIAGNOSE.

Often, symptoms of thyroid disorder may go unnoticed “since they are gradual and non-specific,” says Nilem Patel, an endocrinologist at Los Angeles’s Adventist Health White Memorial Hospital. “Left untreated, thyroid disorder can cause disruption in patients’ lives,” he says. Dysfunction in the thyroid can cause the thyroid to overproduce or underproduce thyroid hormones. If you suspect an issue with your thyroid, request tests beyond just your baseline TSH levels, including T3 and T4 levels as well as thyroid antibodies.

5. ANXIETY AND INSOMNIA CAN BE SIGNS OF AN OVERACTIVE THYROID …

Your wee hour tossing and turning, as well as a racing heart and anxiety, could actually be symptoms of hyperthyroidism, or the overproduction of thyroid hormone. Other symptoms include fatigue, weight loss, palpitations, increased heart rate, and nervousness.

6. … WHILE SUDDEN WEIGHT GAIN AND DEPRESSION MIGHT BE CAUSED BY AN UNDERACTIVE THYROID.

When these symptoms seemingly come out of nowhere, they can be evidence of an underproduction of thyroid hormone. Other common signs of a sluggish thyroid include fatigue, hair loss, constipation, dry skin, irregular menses, cold intolerance, brittle hair, slow heart rate, and general lethargy.

7. IT CAPTURES AN ESSENTIAL ELEMENT.

“The thyroid is the only gland to take up and trap iodine,” says Alan P. Farwell, section chief of endocrinology, diabetes, and nutrition at Boston Medical Center.

Thyroid hormones are also the only iodine-containing hormones. The thyroid gland not only takes up this element from dietary sources but stores a significant amount of iodinated tyrosines (a kind of amino acid) to maintain thyroid hormones in instances of iodine deficiency.

8. IT STORES A POTENTIALLY LETHAL DOSE OF HORMONES.

The gland can store a very large amount of hormone—so much that if the gland released all of its hormone into the bloodstream at once, it could kill you (this is known as thyrotoxicosis), says Linda Anegawa, a Hawaii-based physician with a specialty in obesity medicine. Fortunately thyroid hormone is very tightly regulated by constant, exquisitely sensitive signals traveling between the brain, the gland, the body’s tissues, and the blood concentrations of the hormone at any given moment.

9. THE THYROID PLAYS A CRITICAL ROLE IN PREGNANCY AND FETAL DEVELOPMENT.

To meet the increased metabolic needs of a pregnancy, a mother’s brain stimulates the thyroid gland to produce more hormone. “In the uterus, the fetal thyroid gland begins to function by 18 weeks of gestation. Should the fetus not get enough thyroid hormone from either the mother or from its own gland, severe outcomes can occur including abnormal brain development, abnormal growth of the skeletal system, problems with the placenta, or even miscarriage and increased perinatal mortality risk,” Anegawa says.

10. BALANCING YOUR THYROID MIGHT HELP YOU AVOID CHOLESTEROL-LOWERING DRUGS.

“I sometimes see patients with very elevated cholesterol on cholesterol-lowering medication that doesn’t seem to be working. But then I discover that their thyroid function is off-kilter,” says Anegawa. In these cases, she generally recommends adjusting a patient’s thyroid medicines or beginning treatment for at least six to eight weeks prior to checking the blood cholesterol level. This has helped some of her patients reduce their doses of cholesterol medicines, or stop taking them completely. “[Thyroid hormones] may someday be used as a cholesterol treatment, especially for patients who cannot tolerate statins, the most commonly used drugs,” she says.

11. SYNTHETIC THYROID HORMONE MAY HAVE EXCITING NEW MEDICAL USES.

A specially engineered form of thyroid hormone that only targets heart cells is under research as a treatment for heart failure, Anegawa says. Another form of the hormone, which selectively can enter nerve cells, may someday be a treatment for neurodegenerative disease.

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12 Fantastic Facts About the Immune System
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The human body is an amazing thing. For each one of us, it's the most intimate object we know. And yet most of us don't know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

If it weren't for our immune system, none of us would live very long. Not only does the immune system protect us from external pathogens like viruses, bacteria, and parasites, it also battles cells that have mutated due to illnesses, like cancer, within the body.

Here are 12 fighting facts about the immune system.

1. THE IMMUNE SYSTEM SAVES LIVES.

The immune system is a complex network of tissues and organs that spreads throughout the entire body. In a nutshell, it works like this: A series of "sensors" within the system detects an intruding pathogen, like bacteria or a virus. Then the sensors signal other parts of the system to kill the pathogen and eliminate the infection.

"The immune system is being bombarded by all sorts of microbes all the time," Russell Vance, professor of immunology at University of California, Berkeley and an investigator for the Howard Hughes Medical Institute, tells Mental Floss. "Yet, even though we're not aware of it, it's saving our lives every day, and doing a remarkably good job of it."

2. BEFORE SCIENTISTS UNDERSTOOD THE IMMUNE SYSTEM, ILLNESS WAS CHALKED UP TO UNBALANCED HUMORS.

Long before physicians realized how invisible pathogens interacted with the body's system for fighting them off, doctors diagnosed all ills of the body and the mind according to the balance of "four humors": melancholic, phlegmatic, choleric, or sanguine. These criteria, devised by the Greek philosopher Hippocrates, were divided between the four elements, which were linked to bodily fluids (a.k.a. humors): earth (black bile), air (blood), water (phlegm) and fire (yellow bile), which also carried properties of cold, hot, moist, or dry. Through a combination of guesswork and observation, physicians would diagnose patients' humors and prescribe treatment that most likely did little to support the immune system's ability to resist infection.

3. TWO MEN WHO UNRAVELED THE IMMUNE SYSTEM'S FUNCTIONS WERE BITTER RIVALS.

Two scientists who discovered key functions of the immune system, Louis Pasteur and Robert Koch, should have been able to see their work as complementary, but they wound up rivals. Pasteur, a French microbiologist, was famous for his experiments demonstrating the mechanism of vaccines using weakened versions of the microbes. Koch, a German physician, established four essential conditions under which pathogenic bacteria can infect hosts, and used them to identify the Mycobacterium tuberculosis bacterium that causes tuberculosis. Though both helped establish the germ theory of disease—one of the foundations of modern medicine today—Pasteur and Koch's feud may have been aggravated by nationalism, a language barrier, criticisms of each other's work, and possibly a hint of jealousy.

4. SPECIALIZED BLOOD CELLS ARE YOUR IMMUNE SYSTEM'S GREATEST WEAPON.

The most powerful weapons in your immune system's arsenal are white blood cells, divided into two main types: lymphocytes, which create antigens for specific pathogens and kill them or escort them out of the body; and phagocytes, which ingest harmful bacteria. White blood cells not only attack foreign pathogens, but recognize these interlopers the next time they meet them and respond more quickly. Many of these immune cells are produced in your bone marrow but also in the spleen, lymph nodes, and thymus, and are stored in some of these tissues and other areas of the body. In the lymph nodes, which are located throughout your body but most noticeably in your armpits, throat, and groin, lymphatic fluid containing white blood cells flows through vein-like tubules to escort foreign invaders out.

5. THE SPLEEN HELPS YOUR IMMUNE SYSTEM WORK.

Though you can live without the spleen, an organ that lies between stomach and diaphragm, it's better to hang onto it for your immune function. According to Adriana Medina, a doctor who specializes in hematology and oncology at the Alvin and Lois Lapidus Cancer Institute at Sinai Hospital in Baltimore, your spleen is "one big lymph node" that makes new white blood cells, and cleans out old blood cells from the body.

It's also a place where immune cells congregate. "Because the immune cells are spread out through the body," Vance says, "eventually they need to communicate with each other." They do so in both the spleen and lymph nodes.

6. YOU HAVE IMMUNE CELLS IN ALL OF YOUR TISSUES.

While immune cells may congregate more in lymph nodes than elsewhere, "every tissue in your body has immune cells stationed in it or circulating through it, constantly roving for signs of attack," Vance explains. These cells also circulate through the blood. The reason for their widespread presence is that there are thousands of different pathogens that might infect us, from bacteria to viruses to parasites. "To eliminate each of those different kinds of threats requires specialized detectors," he says.

7. HOW FRIENDLY YOU'RE FEELING COULD BE LINKED TO YOUR IMMUNE SYSTEM.

From an evolutionary perspective, humans' high sociability may have less to do with our bigger brains, and more to do with our immune system's exposure to a greater number of bacteria and other pathogens.

Researchers at the University of Virginia School of Medicine have theorized that interferon gamma (IG), the immune cytokine that helps the immune system fight invaders, was linked to social behavior, which is one of the ways we become exposed to pathogens.

In mice, they found IG acted as a kind of brake to the brain's prefrontal cortex, essentially stopping aberrant hyperactivity that can cause negative changes in social behavior. When they blocked the IG molecule, the mice's prefrontal cortexes became hyperactive, resulting in less sociability. When they restored the function, the mice's brains returned to normal, as did their social behavior.

8. YOUR IMMUNE SYSTEM MIGHT RECRUIT UNLIKELY ORGANS—LIKE THE APPENDIX—INTO ITS SERVICE.

The appendix gets a bad rap as a vestigial organ that does nothing but occasionally go septic and create a need for immediate surgery. But the appendix may help keep your gut in good shape. According to Gabrielle Belz, professor of molecular immunology at the Walter and Eliza Hall Institute of Medical Research in Melbourne, Australia, research by Duke University's Randal Bollinger and Bill Parker suggests the appendix houses symbiotic bacteria that are important for overall gut health—especially after infections wipe out the gut's good microbes. Special immune cells known as innate lymphoid cells (ILCs) in the appendix may help to repopulate the gut with healthy bacteria and put the gut back on track to recovery.

9. GUT BACTERIA HAS BEEN SHOWN TO BOOST IMMUNE SYSTEMS IN MICE.

Researchers at the University of Chicago noticed that one group of mice in their lab had a stronger response to a cancer treatment than other mice. They eventually traced the reason to a strain of bacteria—Bifidobacterium—in the mice's guts that boosted the animals' immune system to such a degree they could compare it to anti-cancer drugs called checkpoint inhibitors, which keep the immune system from overreacting.

To test their theory, they transferred fecal matter from the robust mice to the stomachs of less immune-strengthened mice, with positive results: The treated mice mounted stronger immune responses and tumor growth slowed. When they compared the bacterial transfer effects with the effects of a checkpoint inhibitor drug, they found that the bacteria treatment was just as effective. The researchers believe that, with further study, the same effect could be seen in human cancer patients.

10. SCIENTISTS ARE TRYING TO HARNESS THE IMMUNE SYSTEM'S "PAC-MAN" CELLS TO TREAT CANCER.

Aggressive pediatric tumors are difficult to treat due to the toxicity of chemotherapy, but some researchers are hoping to develop effective treatments without the harmful side effects. Stanford researchers designed a study around a recently discovered molecule known as CD47, a protein expressed on the surface of all cells, and how it interacts with macrophages, white blood cells that kill abnormal cells. "Think of the macrophages as the Pac-Man of the immune system," Samuel Cheshier, lead study author and assistant professor of neurosurgery at Stanford Medicine, tells Mental Floss.

CD47 sends the immune system's macrophages a "don't eat me" signal. Cancer cells fool the immune system into not destroying them by secreting high amounts of CD47. When Cheshier and his team blocked the CD47 signals on cancer cells, the macrophages could identify the cancer cells and eat them, without toxic side effects to healthy cells. The treatment successfully shrank all five of the common pediatric tumors, without the nasty side effects of chemotherapy.

11. A NEW THERAPY FOR TYPE 1 DIABETES TRICKS THE IMMUNE SYSTEM.

In those with type 1 diabetes, the body attacks its own pancreatic cells, interrupting its normal ability to produce insulin in response to glucose. In a 2016 paper, researchers at MIT, in collaboration with Boston's Children's Hospital, successfully designed a new material that allows them to encapsulate and transplant healthy pancreatic "islet" cells into diabetic mice without triggering an immune response. Made from seaweed, the substance is benign enough that the body doesn't react to it, and porous enough to allow the islet cells to be placed in the abdomen of mice, where they restore the pancreatic function. Senior author Daniel Anderson, an associate professor at MIT, said in a statement that this approach "has the potential to provide [human] diabetics with a new pancreas that is protected from the immune system, which would allow them to control their blood sugar without taking drugs. That's the dream."

12. IMMUNOTHERAPY IS ON THE CUTTING EDGE OF IMMUNE SYSTEM RESEARCH.

Over the last few years, research in the field of immunology has focused on developing cancer treatments using immunotherapy. This method engineers the patient's own normal cells to attack the cancer cells. Vance says the technique could be used for many more conditions. "I feel like that could be just the tip of the iceberg," he says. "If we can understand better what the cancer and immunotherapy is showing, maybe we can go in there and manipulate the immune responses and get good outcomes for other diseases, too."

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Why Is Your First Instinct After Hurting Your Finger to Put It in Your Mouth?
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If you close your fingers in a car door or slam your funny bone into a wall, you might find your first reaction is to suck on your fingers or rub your elbow. Not only is this an instinctive self-soothing behavior, it's a pretty effective technique for temporarily calming pain signals to the brain.

But how and why does it work? To understand, you need to know about the dominant theory of how pain is communicated in the body.

In the 17th century, French scientist and philosopher René Descartes proposed that there were specific pain receptors in the body that "rang a bell in the brain" when a stimulus interacted with the body, Lorne Mendell, a professor of neurobiology and behavior at Stony Brook University in New York, tells Mental Floss. However, no study has effectively been able to identify receptors anywhere in the body that only respond to painful stimuli.

"You can activate certain nerve fibers that can lead to pain, but under other circumstances, they don't," Mendell says. In other words, the same nerve fibers that carry pain signals also carry other sensations.

In 1965, two researchers at MIT, Patrick Wall and Ronald Melzack, proposed what they called the gate control theory of pain, which, for the most part, holds up to this day. Mendell, whose research focuses on the neurobiology of pain and who worked with both men on their pain studies, explains that their research showed that feeling pain is more about a balance of stimuli on the different types of nerve fibers.

"The idea was that certain fibers that increased the input were ones that opened the gate, and the ones that reduced the input closed the gate," Mendell says. "So you have this idea of a gate control sitting across the entrance of the spinal cord, and that could either be open and produce pain, or the gate could be shut and reduce pain."

The gate control theory was fleshed out in 1996 when neurophysiologist Edward Perl discovered that cells contain nociceptors, which are neurons that signal the presence of tissue-damaging stimuli or the existence of tissue damage.

Of the two main types of nerve fibers—large and small—the large fibers carry non-nociceptive information (no pain), while small fibers transmit nociceptive information (pain).

Mendell explains that in studies where electric stimulation is applied to nerves, as the current is raised, the first fibers to be stimulated are the largest ones. As the intensity of the stimulus increases, smaller and smaller fibers get recruited in. "When you do this in a patient at low intensity, the patient will recognize the stimulus, but it will not be painful," he says. "But when you increase the intensity of the stimulus, eventually you reach threshold where suddenly the patient will say, 'This is painful.'"

Thus, "the idea was that shutting the gate was something that the large fibers produced, and opening the gate was something that the small fibers produced."

Now back to your pain. When you suck on a jammed finger or rub a banged shin, you're stimulating the large fibers with "counter irritation," Mendell says. The effect is "a decrease in the message, or the magnitude of the barrage of signals being driven across the incoming fiber activation. You basically shut the gate. That is what reduces pain."

This concept has created "a big industry" around treating pain with mild electrical stimulation, Mendell says, with the goal of stimulating those large fibers in the hopes they will shut the gate on the pain signals from the small fibers.

While counter irritation may not help dull the pain of serious injury, it may come in handy the next time you experience a bad bruise or a stubbed toe.

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