01: Intro & The Hypothalamus and Pituitary Flashcards

1
Q

Define Endocrine System

A

integrates and controls organ function via secretion of hormones

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2
Q

Define Hormone

A

Chemicals released from cells tissues and glands, travel through blood to distal target organs (from hormone synthesis)
+exert their effects at low concentrations
+ action terminated via negative feedback loops
+ released in short bursts = 24hr clinical monitoring

Same hormone = different effects in different cells bc of downstream pathways

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3
Q

Define Neurohormone

A

NERVES release hormones entering BLOOD > TARGET

e.g. hypothalamic - posterior pituitary axis

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4
Q

Define Endocrinology

A

a

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5
Q

Compare and contrast the main features of nervous and endocrine modes of communication

A

Endocrine comm.: HORMONES, blood, detection via receptors in order to produce response @ target

Vs

Nervous: chemical release from NERVES crosses synapses. locally within cleft.

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6
Q

Describe the ‘life history’ of a typical hormone

A

INSULIN reaches:

SKEL MUSC/ADIPOSE = ⇧glucose uptake
LIVER = ⇧glycogenesis, ⇩gluconeo

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7
Q

Classify hormones according to their chemistry and mechanisms of action upon target cells

A

PEPTIDE/PROTEIN: A.A
-preprohormone triggered by stimulus = prohormone and stored
=> COSECRETION: active hormone fragment + inactive peptide fragment released into blood
* measuring inactive fragments: C-peptide inactive part of insulin

=> HYDROPHILLIC/LIPOPHOBIC thus bind to receptors.

  • GPCR or Tyrosine kinase-linked receptors
  • fast responses (seconds/minutes)

AMINE HORMONES: all derived from TYROSINE (tryptophan -melatonin only)
*melatonin - circadian rythm

1) CATECHOLAMINES (dopamine + norepinephrine - NT epinephrine - hormone)
* HYDROPHILLIC

2) THYROID HORMONES (thyroxine, triiodothyroxine)
* LIPOPHILLIC

STEROID HORMONE: derived from cholesterol

  • synth as required bc cannot be stored bc LIPOPHILLIC
  • transported BOUND such as ALBUMIN
  • longer half-life
  • slow onset of action, but longer effect of peptide or amine hormones
  • produced by GONADS, PLACENTA, KIDNEY, ADRENAL CORTEX
  • specific hormone prod. determined by enzymes cells possess

=> INTRACELLULAR RECEPTORS = genomic effect = protein synthesis altered d/t gene expr. altered

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8
Q

ENDOCRINE GLANDS

A

Ductless endocrine glands

Ducted Exocrine

Autocrine secretions = secretions bind to receptors on same cell (cytokines)

Paracrine secretions = diffuse in ECF to affect neighbouring cells (histamine)

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9
Q

C-Peptide

A

Indicative of endogenous insulin production from pancreas. Typically 5x higher than insulin bc insulin metabolised much faster.

Measuring C-peptide only rules out synthetic insulin being taken.

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10
Q

State in logical sequence the factors that determine the availability of a hormone or
neurohormone to its target cells.

A

Free hormone:protein bound hormone ratio favours bound.
- In health levels of free hormone remain constant
- The Law of Mass Action: as free hormone taken up by cells, more hormone is released from carriers
=> free hormone + complexed hormone = total plasma hormone

  • [hormone]pl. determined by secretion/degradation
  • negative feedback reflexes mostly control.

*neuroendocrine response to neural feedback loops (e.g. adrenaline)

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11
Q

List major categories of physiological function that are governed by endocrine pathways and mechanisms.

A

a

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12
Q

Describe the main routes and types of signal that determine the rates of hormone synthesis and secretion by a typical endocrine cell.

A

a

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13
Q

Describe diagrammatically the compartmentation and routes of communication within the hypothalamus-pituitary gland complex

A

HYPOTHALAMUS-POST. PITUITARY via INFUNDIBULUM; project hypothalamic axons and nerve terminals

  • neuroendocrine nature
  • neurohormones secr. originating from hypothal.

HYPOTHALAMUS-ANTERIOR PITUITARY via NEUROHORMONES travel via CAPILLARY PORTAL SYSTEM

  • true endocrine
  • blood supply from hypothalamus

*Pars intermedia releases melanocyte stimulating hormone

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14
Q

Define the terms: troph; trophic hormone; hypophysiotrophic hormone.

A

TROPIC: govern release of another hormone (released by both hypothal. and ant. pituitary.)

non-TROPIC: NEUROHORMONES > post. pit. via axons > blood
* synth @ magnocellular neurons = 2 peptide neurohormones
= 1) VASOPRESSIN/ / ADH: maintain water balance
= 2) OXYTOCIN: uterine contraction at parturition, and aids expression of milk in alctating breast

TROPH: largely has direct/indirect effect in growth

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15
Q

List the hormone families and major individual hormones secreted by the adenohypophysis (anterior pituitary lobe).

A

TROPIC NEUROHORMONES

RELEASING HORMONES (peptide):

i) (GHRH) promotes growth;
ii) CORTICOTROPIN (CRH) causes the adrenal cortex to secrete corticosteroid hormones => ACTH
iii) PROLACTIN (PRH) causes milk synthesis in the mammary glands
iv) THYROTROPIC HORMONE (TSH) stimulates the thyroid gland to secrete thyroxine
v) Gonadotropin releasing hormone (GnRH) => FSH & LH

INHIBITING HORMONES (peptide):

i) GHIH aka SOMATOSTATIN
ii) Dopamine aka Prolactin Inhib. Hormone (amine hormone)

  • Prolactin only ant pit hormone NOT tropic
  • (FSH) & luteinizing hormone (LH) interact to regulate the function of the gonads
  • LIPOTROPIN (LPH) affects fat metabolism;
  • MELANOPHORE-STIMULATING HORMONE (MSH) stimulates melanin synthesis in pigment cells;
  • OPIODS (endorphins and enkephalins) reduce pain.
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16
Q
List the neurohormones produced by the hypothalamus - including those secreted via
the neurohypophysis (posterior pituitary lobe).
A

NON-TROPIC NEUROHORMONES; originating from cell body

VASOPRESSIN; peptide; kidneys to cause water retention.

OXYTOCIN; peptide; causes contraction of smooth muscle in the uterus, breast, and male reproductive tract.

=> blood

17
Q

Significance of Hypothalamo-hypophyseal portal system

A

vessels interacing hypothal. to ant. pit.

*hormones released from neurones @ the median eminence

18
Q

Ant. Pit. feedback control

A
  • hormones act as neg feedback signal
    1) LONG-LOOP FEEDBACK: feedback from endocrine target

2) SHORT-LOOP FEEDBACK: feedback from ant. pit.

= maintain plasma hormone levels based off hormone levlels VS Direct feedback which is initiated by products of cellular response (Calcium and PTH)

19
Q

1º Endocrine Disorders

A

Defect is in the cells tha tsecrete the hormone

20
Q

2º Endocrine Disorders

A

++/– of tropic hormone from pituitary

21
Q

3º Endocrine Disorders

A

Hypothalamic defects where the releasing hormones are affected

22
Q

Hyporesponsiveness

A

Due to alterations in receptor, disordered post-receptor events, failure of metabolic activation of hormone, antagonistic effects

low[hormone] => homeostatic upregulation of receptors = in order to increase chance of contact + increased tissue sens.

23
Q

Hyperresponsiveness

A

Permissive effects d/t hormone enhances activity of another. (TSH = lipolysis/epinephrine + growth hormone)

high[hormone] => downregulation of receptors + decreased tissue sens