Basic Endocrine Principles Flashcards

1
Q

Components of Endocrine System (9)

A
Pineal Gland
Hypothalamus 
Thyroid gland
Pituitary Gland 
Thymus
Pancreas
Adrenal Glands 
Testes
Ovaries
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2
Q

Hormone Subtypes (3)

A

Amino acid derived
Proteins and Peptides
Steroid Hormones

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3
Q

Protein and peptide examples (3)

A

Oxytocin
Growth hormone
Follicle Stimulating Hormone (FSH)

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4
Q

Amino acid derived

A

Adrenaline

Melatonin

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5
Q

Steroid Hormones

A

Testosterone

Oestradiol

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6
Q

Hormone Receptors (5)

A
G-protein coupled receptors 
Tyrosine Kinase Receptors 
Cytokine Receptors 
Steroid Hormone Receptors
Glucocorticoid Receptors
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7
Q

G-protein coupled receptors

A

7 transmembrane domain and an associated G-protein complex

Activation of a limited number of regulatory signalling cascades
(e.g. cAMP, IP3, P13 K)

Loss of function mutations in GPCRs can lead to some endocrine diseases.

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8
Q

Tyrosine Kinase Receptors

A

Intrinsic tyrosine kinase activity

Insulin Receptor

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9
Q

Cytokine Receptors

A

Linked to tyrosine kinase activity

Prolactin Receptor

Growth hormone receptor

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10
Q

Steroid hormone receptors

A

Typically intracellular - nucleus or cytoplasm

Nuclear receptor family include oestrogen and androgen receptors

Steroid receptor complex binds DNA response elements.

Result in change in gene transcription

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11
Q

Hypothalamic Pituitary Axis

A

Negative feedback loop

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12
Q

Hormones released by posterior pituitary (2)

A

Antidiuretic hormone

Oxytocin

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13
Q

Hormones released by anterior pituitary (6)

A
Growth Hormone 
Luteinising Hormone 
Follicle Stimulating Hormone 
Adrenocorticotropic Hormone (ACTH) 
Thyroid Stimulating Hormone 
Prolactin Hormone
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14
Q

Hypothalamic Pituitary Adrenal (HPA) Axis

A

Negative Feedback Loop
–> Cortisol

Hypothalamus secretes corticotropin releasing hormone.
Causes anterior pituitary to secrete ACTH
Results in adrenal cortex secreting cortisol

Cortisol can result in multiple physiological effects.
Can also negatively feedback on hypothalamus or anterior pituitary.

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15
Q

Hypothalamic Pituitary Gonadal Axis

A

Hypothalamus causes secretion of GnRH (gonadotropin releasing hormone)
Acts on anterior pituitary gland to secrete luteinising hormone and follicle stimulating hormone
Produce response in gonads (ovaries or testes)

The testosterone produced by testes or oestrogen produced by ovaries can then act as a feedback loop on pituitary or hypothalamus.

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16
Q

Prolactin

A

Secreted by lactotroph cells of anterior pituitary which are under tonic inhibition by hypothalamic dopamine

prolactin secretion is regulated by short-loop negative feedback

Effects of prolactin mediated by prolactin receptor

17
Q

Assessing pituitary function

A

9am Cortisol (circadian cortisol secretion)

FT4, FT3, TSH

Prolactin

IGF1

LH, FSH, E2/Testosterone

U&E, plasma/ urine osmolarity

18
Q

Steroid Hormone Metabolism

A

CYP21A2 plays a key role

Hormones

  • Aldosterone
  • Cortisol
  • Testosterone
19
Q

Thyroid Problems

A

Hyperthyroidism
Hypothroidism
Goitre
Carcinoma thyroid

20
Q

Pancreas Problems

A

Type 1 DM

Type 2 DM

21
Q

Kidney Problems

A

Renin-dependent hypertension

22
Q

Testes Problems

A

Subfertility

Testicular failure

23
Q

Bone Problems

A

Osteoporosis

Osteomalacia

24
Q

Pituitary and hypothalamus problems

A

Hyperprolactinaemia
Hypopituitarism
Pituitary factors

25
Q

Parathyroid gland problems

A

Hyperparathyroidism

Hypoparathyroidism

26
Q

Breast problems

A

Hyperprolactinaemia

27
Q

Adrenal Problems

A

Addison’s disease
Cushing syndrome
Conn Syndrome
Phaechromocytoma

28
Q

Ovaries

A

Polycystic Ovarian Syndrome
Menopause
Subfertility