14.1 Endocrinology Flashcards

1
Q

What is a hormone?

A

A chemical signal released from an endocrine cell to influence the activity of another cell via a receptor through a series of mechanisms

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2
Q

Compare endocrine, paracrine and autocrine communication

A

Endocrine: hormones travel through blood to effect distant cells
Paracrine: hormones act on neighbouring cells
Autocrine: hormones act on the same cell in a feedback loop (this is seen in hormones effecting breast cancer)

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3
Q

What are the different types of endocrine systems?

A
  • Endocrine gland (well-defined collection of endocrine cells)
  • Neuroendocrine systems (Neurons that release hormones both into the blood and into the CNS)
  • Diffuse endocrine systems (endocrine cells not arranged in glands but are dispersed, this is seen in the gut, respiratory tract, heart, kidney and in fat)
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4
Q

What are the general functions of endocrine systems?

A

Promoting the survival of individuals and therefore species by effects on:

  • development and growth, including differentiation of cells to result in functional organs and tissues
  • maintaining homeostasis (constant stable internal environment, very long term)
  • responding to stimuli that arise as a result of a changed external environment
  • control of reproduction (e.g. gamete production and maturation is largely controlled by hormones)
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5
Q

How quick can endocrine reactions be and what do their response times depend on? Give examples.

A
  • Can be anything from rapid (secs-mins) to intermediate (minutes) to prolonged (hours, days)
  • Depends on rapidity of release, half-life of the hormone and rapidity of action/response
    • > rapid example: adrenaline in fight or flight response, rapid release, T1/2 of ~10 secs, rapid action at receptors
    • > intermediate example: insulin after eating a meal causing rapid uptake of glucose, has a rapid release and a short(ish) T1/2 of around 3-5 mins, but an intermediate action which prolongs the response over several minutes (60-90 mins)
    • > long example: lung development after birth due to the hormone cortisol, produced from adrenal gland and causes production of lung surfactant, effects the genome through encouraging surfactant production with a T 1/2 of 90 mins and an action which lasts for hours (if baby premature, blue baby syndrome occurs as cortisol hasn’t been released yet so mother may be treated with cortisol before birth, if not produced at all with a normal birth then infant respiratory distress syndrome occurs as work done to breathe is far higher than it should be)
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6
Q
  • What is a clinical way to determine disregulation?
A
  • Hormones act in cycles
  • Take regular samples throughout the day/at set intervals and then compare over a series of days to see whether patterns are regular or irregular or if they do or do not match certain events
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7
Q

What are the two types of control for endocrine systems?

A
  • Feedforward (often stimulatory)

- Feedback (often negative/inhibitory)

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8
Q

What are the different chemical classifications of hormones (with examples)?

A
  • Amino acid derived, e.g. T3, adrenaline
  • Polypeptide, e.g. insulin
  • Protein, e.g. prolactin
  • Glycoproteins, e.g. luteinising hormone
  • Steroids, e.g. testosterone (four rings, lipid soluble)
  • Prostaglandins, e.g. prostaglandin E2 (cyclic fatty acids)
  • Gaseous mediators, e.g. nitric oxide

Generally organised into two groups, hydrophobic/lipophilic or hydrophilic/lipophobic

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9
Q

How are polypeptide and protein hormones synthesised, stored and released?

A
  • Translation of proteins occurs on the rough endoplasmic reticulum
  • Processed and packaged by the Golgi apparatus, where it is then secreted by vesicles that have budded off of the cisternae
  • Either form small clear vesicles or dense-cored vesicles
    • > small clear vesicles are released via constitutive secretion, which has unregulated membrane fusion i.e. can happen randomly
    • > dense-core vesicles are released via regulated secretion, where the vesicles require a hormone or transmitter signal before release
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10
Q

Compare constitutive and regulation secretion.

A

Constitutive:
- Proteins are not concentrated within the vesicles, and vesicles are not stored within the cell
- Contents are released as soon as they are produced
- Regulation is through the control of transcription, as this process cannot occurs if the proteins are not synthesised
- Seen in unpolarised cells and is the main form of secretion from tumour cells
- Growth hormones are also just released as soon as they are produced
Regulated:
- Proteins are highly concentrated within vesicles, many of these secretory vesicles are then stored within the cell
- In response to a stimulus (e.g. Ca2+ influx) the vesicles will secrete their contents very quickly via exocytosis

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11
Q

What is a good indicator of a secretory cell?

A

Lots of euchromatin/loose chromatin, so shows a high protein production and secretory action

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12
Q

What happens to protein hormones after secretion?

A
  • Protease cleavage occurs at various dibasic sites
  • Pre-prohormone in rough ER, pre- section is a signal peptide
  • Exists as a prohormone within the Golgi apparatus (signal peptide section removed)
    • > prohormones can contain several copies of the same hormone, e.g. pro-thyrotrophin-releasing protein (TRH) made in the hypothalamus
    • > some endocrine cells can produce multiple active hormones from one prohormone, e.g. ProOpioMelanoCortin (POMC) made in the anterior pituitary
  • In secretory vesicle or in the extracellular space, pro- section of the protein is cleaved off just leaving the active hormone and another peptide
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13
Q

How are catecholamines synthesised, stored and released?

A
  • Adrenaline and noradrenaline are synthesised by the same pathway in adrenal medulla chromaffin cells
  • Released by exocytosis in response to a stimulus (innervated)
  • A and NA are synthesised from the amino acid tyrosine in the following steps:
    -> tyrosine to L-DOPA, catalysed by the enzyme tyrosine hydroxylase (tetrahydrobiopterin as a cofactor)
    -> L-DOPA to dopamine, catalysed by the enzyme DOPA decarboxylase (pyridoxal phosphate as a cofactor), dopamine is a neurotransmitter in the CNS
    -> Dopamine to noradrenaline, catalysed by the enzyme dopamine beta-hydroxylase (ascorbic acid and oxygen as cofactors), noradrenaline is a neurotransmitter for the sympathetic nervous system
    -> Noradrenaline to adrenaline, catalysed by the enzyme phenylethanolamine n-methyl transferase (PNMT), these enzyme is pretty much only expressed in the adrenal medulla (s-adenosylmethionine as a cofactor)
    Takes 20h to make a full adrenaline vesicle
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14
Q

How are steroid hormones synthesised, stored and released?

A
  • Made rapidly from cholesterol
  • Enzymes that catalyse this process are stored in the mitochondria and smooth ER
  • Cholesterol is from the lipid stores
  • Sterols are not stored within the cell but are instead produced and released by diffusion or membrane transporter on demand
  • Steroid producing cells contain drops of lipids, lots of mitochondria with tubular cristae/folds and smooth endoplasmic reticulum filling up the rest of the cell
  • As steroid hormones are lipophilic, they cannot be stored in vesicles as they would just be able to diffuse out
  • Testosterone is synthesised in the testes (* derivatives increase body muscle and strength)
  • Oestrogen and progesterone are synthesised in the ovaries
  • Cortisol and aldosterone are synthesised in the adrenal glands
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15
Q

How are prostaglandins synthesised, stored and released?

A
  • Synthesised from lipids in the cell membrane
  • Initially broken down by lipases into arachidonic acid, then by cyclooxygenase enzymes to produce PGG2
    • > this is then converted into the different types of prostaglandins (e.g. prostaglandins E2, F2alpha, I2)
  • Similar to leukotrienes and thromboxanes as also derived from arachidonic acid
  • Prostaglandins are hydrophobic so cannot be stored in vesicles (would diffuse out), so are not stored in general but are produced and released upon demand
  • Aspirin blocks prostaglandin receptors
  • Prostaglandin E2 is used to induce labour/cause uterine contractions
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16
Q

How are hormones transported in the blood?

A
  • Hydrophilic hormones circulate freely in the plasma
  • Most steroid and thyroid hormones are bound to specific binding proteins in the plasma to prevent them from diffusing into cells where they are not wanted
    • > binding of hormones reduces their clearance and therefore extends their half-life/survival time in the blood
17
Q

How are hormones metabolised and excreted?

A
  • Any hormones taken up into cells/internalised with their receptor will be degraded in lysosomes
  • Steroid hormones are degraded in the liver by specific enzymes there (* liver failure in men can cause a build up of oestrogen that results in breast development)
  • Hydrophilic hormones can also be lost via excretion in the kidneys, as they can be forced through the basement membrane (* kidney failure can lead up to a build up of parathyroid hormone, which will then increase the breakdown of bone)
18
Q

What are the general features of endocrine pathology?

A

Defects can involve:
- Over or under-production of the hormone
-> Parkinson’s disease is due to a lack of dopamine in the CNS
- Over or under-release of the hormone
- Failures in the mechanism of action
-> e.g. type II diabetes, receptors become desensitised to insulin resulting in a defect in the mechanism action
These can be caused by:
- Genetic factors
- Tumours
-> e.g. Cushing’s disease, too much cortisol released due to a tumour on the adrenal cortex
- Autoimmune diseases
-> e.g. type 1 diabetes, autoimmune attacking pancreatic cells, lack of insulin
-> e.g. Grave’s disease, autoimmune disease that results in an overactive thyroid