9.2 - Endocrinology + Endocrine Control Of Appetite Flashcards

1
Q

What is homeostasis

A

mechanisms that act to counteract changes in the internal environment
- Dynamic equilibrium
- Variables are regulated so that conditions remain stable and relatively constant
- Failure in homeostasis → disease
- Mechanisms exist at all levels:
☞ cell (ie Ca2+ regulation)
☞ tissue (balance between cell proliferation + apoptosis)
☞ organ (kidney regulating water)
☞ organism (constant body temperature)

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2
Q

Elements of a homeostatic control system

A

stimulus is a change in environment → receptor detects stimuli → communication via afferent pathway (via nervous system or endocrine system) → control system (ie hypothalamus) determines the set point, analyses afferent input and determines response → communication via efferent pathway → effector causes change ie sweat glands, muscle → negative (or positive) feedback

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3
Q

What are the 3 main roles of the control centre

A

Ie the hypothalamus
- determine the set point ie core body temp
- analyse the afferent input ie thermoreceptors detecting a rise in core body temp
- determine the appropriate response ie lower core body temp by sweating etc

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4
Q

What are the different types of receptors

A
  • chemoreceptors detect chemical changes eg O2, CO2 and pH levels
  • thermoreceptors detect changes in temp
  • proprioreceptors detect changes in position and movment (postioning of limbs)
  • mechanoreceptors detect mechanical stimuli, such as pressure and stretch
  • nociceptors detect potentially dangerous stimuli at the skin, such as temperature and pressure extremes. Ie detects pain
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5
Q

Biological rhythms

A
  • Set point of control centre can change, resulting in biological rhythms
  • circadian aka diurnal rhythms
  • Human biological clock found in the hypothalamus in the form of a small group of neurones called the suprachiasmatic nucleus
  • The biological clock receives input from environmental cues akazeitgeibers (light, temp, physical activity)
  • Keep body on 24 hour cycle
  • melatonin hormone is secreted from pineal gland + is involved in setting biological clock
    examples of biological rhythms include: cortisol (peaks at 9am) and the menstrual cycle (where levels of different hormones have set points that vary according to a monthly cycle)
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6
Q

Positive + negative feedback

A

negative
- Opposing direction of change
- Most common form of feedback in physiological systems
- Brings variable back to set point
positive
- Much rarer form of feedback
- Amplifies the stimulus
- This causes variable to deviate even further from set point
- Ie during labour where loop acts to increase strength of each uterine contraction

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7
Q

Osmolarity vs osmolality

A

osmolarity = the number of osmoles per litre of solution (therefore volume)
osmolality = the number of osmoles per kg of solution (therefore mass)

Osmole = the amount of substance that dissociates in solution to form one mole of osmotically active particles
ie 1mM solution of NaCl ⇢ Na+ + Cl- (therefore osmolarity of 2mOsmol/L (1 from Na+ and 1 from Cl-)

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8
Q

ADH + its role in body fluid homeostasis

A

high blood osmolality → body needs to conserve more water → detected by osmoreceptors in hypothalamus → thirst (which causes drinking, reducing osmolality) + stimulates posterior pituitary to secrete more ADH → increased reabsorption of H2O from urine into the blood in collecting ducts in the kidney → small volume of concentrated urine → normal blood osmolality

low blood osmolality → body needs to excrete water → detected by osmoreceptors in hypothalamus → posterior pituitary secretes less ADH → decreased reabsorption of H2O from urine into blood in collecting ducts of kidney → large volume of dilute urine → normal blood osmolality

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9
Q

Plasma glucose homeostasis (in broad terms)

A

in fed state → glucose concentration increases → β cells in islets of Langerhans (pancreas) secrete insulin → stimulates glucose uptake into tissues via GLUT4 + stimulates glycogenesis in liver → plasma glucose declines

in fasted state → decreased plasma glucose → α cells in islets of Langerhans (pancreas) releases glucagon → stimulates glycogenolysis in liver → glucose released into blood → plasma glucose increases

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10
Q

Endocrine system: what are hormones

A

☞ Chemical signals produced in endocrine glands or tissues that travel in the bloodstream to cause an effect on other tissues
☞ hormones often act on distant target cell
☞ present in the blood at very low concentrations
☞ Has many different methods of communication via hormones ie autocrine, paracrine, endocrine + neurocrine (more detail on separate card)

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11
Q

What are some of the major endocrine glands (and other important organs + tissues)

A

major endocrine glands
- Hypothalamus
- Pituitary
- Pineal
- Thyroid
- Parathyroid
- Thymus
- Adrenal
- Pancreas
- Ovary / testis

other important organs + tissues
- Heart (ANP + BNP to regulate blood pressure)
- Liver (IGF1 for insulin)
- Stomach (gastrin + ghrelin)
- Placenta (inhibin, placental lactogen)
- Adipose (leptin)
- Kidney (erythropoietin, renin + calcitriol)

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12
Q

Methods of communication via hormones

A
  • autocrine where hormone signal acts back on the cell of origin
  • paracrine where hormone signal carried to adjacent cells over a short distance via interstitial fluid
  • endocrine where hormone signal is released into blood and carried to distant target cells
  • neurocrine where hormone originates in neurone, passed down axon before travelling in bloodstream, and carried to distant target cells
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13
Q

Endocrine + nervous system (similarities + differences)

A

similarities
- Both neurons + endocrine cells are capable of secreting
- Both cells can be depolarised (ie they are excitable)
- Some molecules act as both neurotransmitter + hormone (ie dopamine)
- The mechanism of action requires interaction with specific receptors in target cells
- Both systems work in parallel to control homeostasis
- Both require receptors

differences
- signal E = hormones, N = neurotransmitters + action potentials
- nature E = chemical, N = chemical + electrical
- transporting E = bloodstream, N = synapses + axons
- speed E = slow, N = fast

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14
Q

Classification of hormones

A

peptide / polypeptide
- Short chains of AAs
- Ie insulin, glucagon + growth hormone
- All water soluble
glycoproteins
- Large protein molecules with carbohydrate side chain
- Often made up of subunits
- Eg LH, FSH + TSH
- All water soluble
amino acid deriratives (amines)
- Synthesised from aromatic amino acids
- Ie adrenaline, noradrenaline, thyroid hormones (from tyrosine)
- Ie melatonin (from tryptophan)
- Mixture of water (adrenal medulla hormones) and lipid soluble (thyroid hormones)
steroid
- All derived from cholesterol
- Steroidogenic tissues convert cholesterol to different hormones
- Ie cortisol, aldosterone + testosterone
- All lipid soluble

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15
Q

What are the steroid hormones (names)

A

all derived from cholesterol + are lipid soluble
- Aldosterone
- Testosterone
- Progesterone
- Cortisol

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16
Q

Hormone transport

A
  • Some hormones travel in the blood in simple solution (ie peptides and adrenaline) as they are water soluble
  • Lipid soluble hormones are not easily transportable, and therefore need a carrier
  • Most hormones bind to (usually) proteins, and these are usually specific (ie thyroid hormones bind to thyroxine-binding globulin)
  • Dynamic equilibrium between bound + free forms of the hormone in plasma
  • Only the free form is biologically active
17
Q

What are the main roles of carrier proteins (3)

A
  • Increase solubility of hormone in plasma
  • Increase half-life
  • Readily accessible reserve
18
Q

What are the 3 main factors that determine hormone levels in the blood

A
  • rate of production ie synthesis + secretion
  • rate of delivery ie higher blood flow to a particular organ will deliver more hormone (ie by vasodilation ⇢ increased blood flow)
  • rate of degradation ie hormones are metabolized + excreted from the body
  • Note: hormones circulate in the blood at very low concentrations
19
Q

How do hormones exert their effects? (more detail about specific types of receptor on following cards)

A
  • Endocrine cells synthesise + release hormones into the bloodstream
  • Hormone is carried in the bloodstream to distant target tissues
  • Target cells have to express a specific receptor for the hormone in order to carry out the specific cellular response to the hormone
  • water soluble hormones bind to cell surface receptor (as they can’t get inside the cell as not lipid soluble)
  • lipid soluble hormones bind to intracellular receptors (as they can get in the cell via diffusion)
20
Q

Receptors for water soluble hormones + mechanisms of action

A
  • these are cell surface receptors (as can’t get inside cell as not lipid soluble, but still need to have receptor in order to relay information to inside of cell)
  • two types of receptor: tyrosine kinase (ie insulin receptor) or G protein coupled receptor (ie adrenaline receptor)

G protein coupled receptor
Hormone binds to receptor → dissociation of G protein α subunit → activation of effector protein (eg adenylyl cyclase) → formation of second messenger (eg cAMP) → activation of protein kinase (eg PKA) → phosphorylation of target proteins → cellular reponse

tyrosine kinase receptor
Hormone binds to receptor → dimerisation → autophosphorylation of specific tyrosines → recruitment of adapter proteins and signalling complex → activation of protein kinase (eg PKB) → phosphorylation of target proteins → cellular response

21
Q

Receptors for lipid soluble hormones + mechansims of action

A
  • these are intracellular receptors
  • lipid soluble can get in cell via diffusion
  • act by modulating gene transcription
  • once in cell there are two types:
    type 1 = cytoplasmic receptor binds hormone + receptor-hormone complex enters nucleus + binds to DNA
    type 2 = hormone enters nucleus + binds to pre-bound receptor on DNA. Binding relieves repression, and allows gene transcription to take place

Hormone enters cell → binds to type 1 or 2 receptor → receptor binds/ bound to specific DNA sequence called hormone response element (HRE) in promoter region of specific genes → gene transcription is stimulated (so mRNA, and new protein formed) → expression of new protein mediates the effects of hormone → cellular response

22
Q

Do lipid soluble or water soluble hormones work quicker + why?

A
  • Water soluble work quicker
  • water: is just triggering intracellular pathways that already exist
  • lipid: need to wait for gene transcription + translation to occur before effect in place
23
Q

Control of appetite

A
  • Appetite control centre aka satiety centre is located in hypothalamus
  • Hypothalamus contains several clusters of neurones = nuclei
  • arcuate nucleus = plays central role in controlling appetite (in detail in different card) but neuronal, nutrient + hormonal signals are all process by primary neurones here
  • Other brain areas are also involved
24
Q

Why is arcuate nucleus located very near capillaries?

A
  • It is located in the hypothalamus
  • Plays central role in controlling appetite
  • Near capillaries so can sense substances in blood
25
Q

Neurones of the arcuate nucleus

A
  • Hormonal and nutrient signals from blood are processed by primary neurones here
  • Two types of primary neurone (stimulatory + inhibitory)
  • Primary neurones synapse with secondary neurones in other regions in hypothalamus
  • Signals are integrated in order to alter feeding behaviour

stimulatory primary neurones
- Contain neuropeptide Y (NPY)
- Contain Agouti-related peptide (AgRP)
- These both promote hunger: orexigenic
inhibitory primary neurones
- Contain pro-opiomelanocortin (POMC) which yields several neurotransmitters (including α-MSH and β-endorphin). α-MSH acts at MC4 receptors
- These promote satiety: anorexigenic

26
Q

Hormonal signals from gut → hypothalamus

A

ghrelin
- Peptide hormone released from stomach wall when empty
- Stimulates the excitory primary neurones in arcuate nucleus
- Therefore stimulates appetite
- Filling of stomach inhibits ghrelin release
PYY (peptide tyrosine tyrosine)
- Short peptide hormone released by cells in ileum and colon in response to feeding
- Inhibits the excitory primary neurones of the arcuate nucleus
- Stimulates the inhibitory neurons
- Effect therefore supresses appetite
- Note: in obese individuals, PYY response in blunted following food intake

27
Q

Hormonal signals from body → hypothalamus

A

leptin
- Peptide hormone released into blood by adipocytes
- Stimulates inhibitory neurones, and inhibits the excitory neurones in arcuate nucleus
- Overall effect = supress appetite
- Also induces expression of uncoupling proteins in mitochondria, therefore energy is dissipated as heat
- Patients can have defective leptin → become obese
insulin
- Supress appetite by similar mechanism as leptin
- Leptin seems to be more important in this process
amylin
- Peptide hormone secreted by β cells in pancreas
- Roles aren’t fully understood
- Known to supress appetite, decrease glucagon secretion and slow gastric emptying
- Amylin analogues can be used to supress appetite synthetically (ie pramlintide)

28
Q

Effect of leptin resistance

A
  • Obesity
  • Leptin gene can have loss of function due to mutations (this is rare)
  • These patients respond well to leptin injections, bringing them back down to lower weights
29
Q

Effect of leptin resistance

A
  • Obesity
  • Leptin gene can have loss of function due to mutations (this is rare)
  • These patients respond well to leptin injections, bringing them back down to lower weights