22 - Endocrine & Pituitary Flashcards

1
Q

How is endocrine system different from the nervous system

A

NS: direct connection to target cells
- through neurotransmitters
- works in milliseconds
- effects are brief

Endocrine: hormones enter the blood to circulate throughout the body and affect the activity of distant cell
- binds to receptors
- through hormones
- can take seconds, hours or days
- duration of action longer

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2
Q

What are the types of glands in the body

A

exocrine (secrete products into ducts)
endocrine (secrete products into the blood or tissues fluids)

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3
Q

what is a circulating hormone

A

most endocrine hormones

travel through the blood to distant tissues

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3
Q

What are local hormones

A

act on a paracrine or autocrine fashion

paracrine: act on neraby cells
autocrine: work on the cell that released them

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3
Q

Describe the path of lipid solupble (lipophilic) hormones

A

cross the plasma mebrnae to act on intracellular receptors (cytoplasmic or nuclear) that affect levels of gene transcription

  1. lipophilic hormone diffuses into cell
  2. activated receptor-hormone complex binds response element on DNA to alter gene expression
  3. newly formed mRNA directs synthesis of specific proteins on ribosomes
  4. new proteins alter cellular activity
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4
Q

Describe the path of water-soluble (hydrophilic) hormones

A

cannot cross the plasma membrane –> act on cell surface receptors
- allows for amplication effect

  1. hydrophilic hormone (first messenger) binds to receptor and activates G protein
  2. activated adenylate cyclase coverts ATP to cAMP (second messanger)
  3. cAMP activates protein kinases
  4. activated kinases phosphorylate cellular proteins
  5. millions of phosphorylated proteins cause reactions that produce physiological responses
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5
Q

How are endocrine hormones controlled

A

1) signals from the NS
2) chemical changes in the blood
3) other hormones

most operate through negative feedback mechanism

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6
Q

What are the two parts of the pituitary

A

anterior pituitary (adenohypophysis: more of a gland)
posterior (neurohypophysis: arises from neurological tissue)

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7
Q

Where is the pituitary found

A

sits in the hypophyseal fossa
formed between the sellae of the sphenoid bone

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8
Q

How is the pituitary seperated from the sphenoid sinus

A

with paper thin segment of bone

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9
Q

Where do pituitary tumors largely occur
what would that result in

A

adenohypophysis (glandular part)

may cause compression of the optic chiasm leading to diplopia (double vision)
- adenomas can be functional (release hormones) or non-functional (does not release hormones)
- pituitary lies deep and posterior to the optic chiasm

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10
Q

TF the pituitary does not have BV around it

A

False
because the pituitary releases endocrine hormones to the blood stream, there is a rich network of BV around it

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11
Q

TF the ant and post pituitary have seperate circulations

A

True
both arise from the internal carotid arteries

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12
Q

What is a cause of panhypopituritarism

A

blood in ant pituitary supplied by portal system (vein –> capillary bed –> vein)
makes anterior pituitary susceptible to damage following a significant hemorrhage

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13
Q

What are the hormones of the posterior pituitary

A

hormones released from neurosecreotry cells located in the hypothalamus
axons extend through the infundibulum to release their hormones into the capillary network around the posterior pituitary

1) antidiuretic hormone (ADH) - vasopressin because large doses cause vasoconstriction
- released from the supraoptic nucleus

2) Oxytocin
- released from the paraventricular nucleus

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14
Q

What stimulates ADH release
What inhibits ADH release

A

increased blood osmolarity, low bp, pain
release is inhibited by alcohol

15
Q

What stimulates oxytocin release

A

stretch of the cervix or stimulation of the nipple

16
Q

What are the hormones of the anterior pituitary

A

release in response to the hypothalamic releasing hormones

1) thyroid stimulating hormone (TSH)
- release in response to thyrotropin releasing hormone (TRH)
2) follicle stimulating hormone (FSH)
- released in response to gonadotropin releasing hormone (GnRH)
3) adrenocorticotropic hormone (ACTH) (corticotropin)
- released in response to croticotropin releasing hormone (CRH)
4) growth hormone (GH) (somatotropin)
- released in response to growth hormone relasing hormone (GHRH)
5) prolactin (PRL)
- released in response to prolactin releasing hormone (PRH)

17
Q

How is the release of growth hormone regulated

A

regulated by
- growth hormone releasing hormone (GHRH)
- growth hormone inhibiting hormone (GHIH)

negative feedback loop

18
Q

When will the growth plate close

A

closed by influence of testosterone and estrogen - slows down chondrocytes

once closed, only hands, feet and face increase with growth hormone because there are still cartilaginous plates that can grow

19
Q

What are the growth hormone conditions/diseases

A

gigantism: occurs if growth hormone levels rise before the epiphyseal growth plates close

acromegaly: when growth hormone levels rise after the epiphyseal growth plates close
- bones of hands, feet, cheek and jaw thicken
- nose, tongue and ears enlarge
- skin thickens creating furrows

20
Q

What regulates the prolactin hormone

A

prolactin releasing hormone (PRH) and prolactin inhibiting hormone (PIH) (dopamine)

21
Q

what must occur for prolactin to exert its effect on milk production

A

mammary glands must first be “primed” by other “permissive” hormones

22
Q

What would happen if there was too much prolactin

A

galactorrhea (males and females)
amenorrhea (females)
impotence (males)

23
Q

What would happen if too little prolactin

A

lack of milk production (females)
infertility/subfertility (males and females)

24
Q

When does PRH relase increase

A

during early stages of menstrual cycle
during pregnancy

25
Q

When is PIh release inhibited

A

just before menstruration
by suckling of infant

26
Q

What causes hypoglycemia

A

deep sleep
testosterone, estrogen, thryoid hormones, ghrelin

27
Q

What causes hyperglycemia

A

obesity
aging
high levels of GH and IGF’s