5.1.4 - Hormonal communication Flashcards
What is diabetes mellitus?
A condition in which the body is no longer able to produce enough insulin to control its blood glucose concentration.
What is hypERglycaemia?
Where blood glucose concentrations remain high for longer than normal periods, which can lead to organ damage.
What is hypOglycaemia?
Abnormally low levels of glucose in the blood. Results in inadequate delivery of glucose to the body tissues and is particularly damaging to brain
When can blood glucose concentration become too high?
- after a meal rich in sugars and other carbs
When can blood glucose concentration become too low?
- after exercise
- after fasting
What are other terms for type 1 diabetes?
- insulin-dependent diabetes
- juvenile-onset diabetes
What is type 1 diabetes thought to be caused by?
EITHER:
- an autoimmune response in which the body’s immune system attacks and destroys the beta cells in the islets of Langerhans.
- a viral attack
In a healthy person, what happens to glucose?
- glucose is absorbed into blood.
- any excess is converted to glycogen in liver and muscles.
- this glycogen = used to release glucose when blood glucose concentration FALLS.
Describe the effect type 1 has on insulin.
- they are no longer able to make enough/any insulin
- cannot store excess glucose as glycogen.
> EXCESS glucose in blood is not removed quickly, leaving a prolonged period of high concentration.
> when the blood glucose FALLS, there is NO store of glycogen that can be used to release glucose.
∴ blood glucose concentration falls TOO LOW. (a ‘hypo’)
How is type 1 usually treated?
By using insulin injections.
- the blood glucose conc. must be monitored and the correct dose of insulin administered to keep glucose conc. stable.
Give 3 other types of type 1 treatment.
> insulin pump therapy: a small device constantly pumps insulin (at a controlled rate) into the bloodstream through a needle that is permanently inserted under the skin.
> islet cell transplantation - healthy beta cells from the pancreas of a deceased donor are implanted into the pancreas of someone with type 1.
> a complete pancreas transplant.
What has recent research shown about the use of stem cells in treating type 1 diabetes?
- may be possible to treat T1 diabetes using stem cells to grown NEW ISLETS OF LANGERHANS in the pancreas.
- stem cells are not yet differentiated and can be induced to develop into a variety of cell types.
Where are the most common sources of stem cells?
- in the bone marrow and in the placenta
What have scientists discovered about the pancreas of adult mice?
- scientists have found precursor cells in the pancreas of adult mice.
- can develop into a variety of cell types and may be true stem cells!
- if similar cells can be found in human pancreas then they could be used to produce new beta cells in patients with T1 diabetes.
= patient free from daily insulin injections.
What is another term for type 2 diabetes?
non-insulin-dependent diabetes
What happens in type 2 diabetes?
- beta cells do not produce enough insulin or the body’s cells don’t respond properly to insulin.
- as people age, their responsiveness to insulin declines.
> because the specific receptors on the surface of the liver and muscle cells become less responsive and the cells lose their ability to respond to the insulin in the blood.
In …….. diabetes, the blood glucose concentration is almost permanently ……………..
What effect does this have on the organs?
> type 2
raised
- high blood glucose concentration can damage the major organs and circulation.
What factors can lead to T2 diabetes? (5 factors)
- obesity
- lack of regular exercise
- a diet high in sugars, particularly refined sugars
- being of Asian or Afro-Caribbean origin
- family history
How is T2 diabetes usually treated?
- usually treated by changes in lifestyle.
- weight loss
- more exercise
- monitoring their diet (matching carb intake and use)
- may also take medication that reduces amount of glucose liver releases to the bloodstream or that boosts the amount of insulin released from the pancreas.
In severe T2 cases what might the treatment include?
Treatment may include insulin injections or the use of other drugs that slow down the absorption of glucose from digestive system.
Recently, insulin that has been produced by Escherichia coli bacteria has undergone genetic modification to manufacture human insulin.
State the advantages.
- it is an exact copy of human insulin, therefore it is faster acting and more effective
- less chance of developing tolerance to the insulin
- less chance of rejection due to an immune response
- lower risk of infection
- cheaper to manufacture the insulin than to extract it from animals
- manufacturing process = more adaptable to demand
- some = less likely to have moral objections to using the insulin produced from bacteria than to using that extracted from animals.
What is the endocrine system?
What does it consist of.
A communication system using hormones as signalling molecules.
- uses the blood circulatory system to transport its signals.
> Consists of ENDOCRINE GLANDS and HORMONES.
What are hormones?
‘Chemical messengers’ (proteins or steroids) that are released by endocrine glands directly into the blood.
- carry a signal from the endocrine gland to a specific target organ or tissue.
- hormone transported throughout body.
What are endocrine glands?
Endocrine glands are groups of cells specialised to secrete hormones.
- secrete hormones directly into the blood in capillaries running through gland.
- they are ductless
Example: pancreas secretes insulin.
What are the two types of hormone?
> protein and peptide hormones, and derivatives of amino acids (e.g. adrenaline, insulin, and glucagon)
> steroid hormones (e.g. oestrogen and testosterone)
Explain the way in which protein hormones work. (hint: phospholipid membrane)
- not soluble in the phospholipid membrane
- do not enter cell
- protein hormones must bind to cell surface membrane and release a second messenger inside the cell.
Explain the way in which steroid hormones work? (hint: phospholipid membrane)
- can pass through phospholipid membrane
- do enter cell & nucleus
- have a direct effect on the DNA in the nucleus.
What are exocrine glands?
Exocrine glands do not release hormones.
Hormones are released directly into the blood from ………………. glands.
Endocrine
What do the endocrine glands consist of?
They are ductless glands - consist of groups of cells that make
- they release the hormone directly into blood in capillaries running through gland.
How are glands stimulated?
- can be stimulated by a change in conc. of a specific substance (sometimes another hormone).
- can also be stimulated by electrical impulses
How many tissues do hormones have an effect on and why?
They are transported all around body BUT
- only have an effect in one type of tissue
- as always have a specific function
What are target cells and what are what are target tissues?
Each hormone will only bind to specific receptors for that hormone, found in the membranes of some cells = target cells.
Tissue that contains target cells is called a target tissue.
Describe how non-steroid hormones use target cells.
target cells must possess a specific receptor on their plasma membrane that is complimentary in shape to the shape of the signalling molecule (hormone).
- hormone binds to receptor & initiates changes in cell