Chapter 10: The Endocrine system Flashcards
Hormones vs. Neurotransmitters
hormones in blood; neurotransmitters in synapses epinephrine can be either
hormones
chemical messengers that are released in one tissue and transported by the bloodstream to reach target cells in other tissues
amino acid derivative hormones
small molecules structurally similar to amino acids: epinephrine, norepinephrine, thyroid hormones, melatonin
peptide hormones
chains of amino acids; largest class of hormones all hypothalamic, pituitary gland, heart, kidney, thymus, digestive, and pancreatic hormones, poterior pituitary (ADH, oxytocin)
lipid derivative hormones
two classes: steroids, aldosterone and eicosanoids (prostaglandins)
steroid hormones
insoluble in water, bind to specific transport proteins in the blood; lipid-soluble released by the reproductive organs and the adrenal glands
Eicosanoids
fatty acid-based compounds derived from 20-carbon fatty acid arachidonic acid; coordinate local cellular activities, affect enzymatic processes in extracellular fluids, including blood clotting; lipid-soluble include prostaglandins
g protein
an enzyme complex coupled to a membrane receptor
cyclic-AMP
most common second messenger; created by an enzyme called adenylate cyclase; activates kinase enzymes which attach high-energy phosphate group to another molecule
phosphorylation
The metabolic process of introducing a phosphate group into an organic molecule
adenylate cyclase
converts ATP to cAMP
kinase
enzyme that transfers phosphate ions from one molecule to another; activated by cAMP
phosphodiesterase (PDE)
breaks down cAMP
first messenger
A water soluble hormone that binds to its receptor at the outer surface of the plasma membrane because it cannot pass through cell membrane
Second messenger
acts as a signal molecule in the cytoplasmexamples include: cAMP, calcium ions, cyclic-GMP
methods of free hormone activation
- diffusing out of bloodstream/binding to target cells2. absorbed/broken down by liver or kidney3. broken down by enzymes in blood or interstitial fluids
regulatory hormones
Control release of hormones from anterior pituitary; may be releasing (RH) or inhibitory (IH)
posterior pituitary gland
releases ADH and oxytocin
anterior pituitary gland
releases TSH, ACTH, FSH, LH, PRL, GH, and MSH
hypophysis
pituitary gland
infundibulum
connects hypothalamus to pituitary gland
hypophyseal portal system
blood leaving capillary beds in hypothalamus travels to a capillary bed in anterior pituitary to allow for secretion of releasing hormones
tropic hormones
regulatory hormones
thyroid-stimulating hormone (TSH)
“thyrotropin”targets thyroid gland; released in response to thyrotropin-releasing hormone (TRH) from hypothalamusresults in secretion of thyroid hormones
adrenocorticotropic hormone (ACTH)
targets adrenal cortex; released in response to corticotropin-releasing hormone (CRH) from hypothalamusresults in glucocorticoid secretion
gonadotropins
FSH and LH released in response to gonadotropin-releasing hormone (GnRH) from hypothalamus regulates the activities of the male and female sex organs, or gonads
follicle-stimulating hormone (FSH)
targets follicle cells of ovaries, sustentacular cells of testes; released in response to GnRH; inhibited by inhibitinresults in estrogen secretion, egg follicle development, sperm maturation
luteinizing hormone (LH)
targets gonads; released in response to GnRHresults in ovulation, progesterone and esterone secretion, testosterone secretion
inhibin
inhibits secretion of FSH
prolactin (PRL)
targets mammary glands; released in response to prolactin-releasing hormone (PRH)results in production of milk
growth hormone (GH)
“human growth hormone (hGH)”targets all cells; released in response to GH-RHresults in growth, protein synthesis, lipid mobilization/catabolism; glucose-sparing effect
somatotropin
hGH
melanocyte-stimulating hormone (MSH)
targets melanocytes; virtually non-functional in humans except during fetal development, in very young children, in pregnancy, and in some diseasesresults in increased melanin synthesis
somatomedins
“insulin-like growth factors”peptide hormones that bind to receptor sites on a variety of cell membranes, increase the rates at which amino acids are incorporated into new proteins
glucose-sparing effect
causes tissues to use fatty acids instead of glucose as an energy sourceaccelerate rates of glucose synthesis/glycogen formation, releases fatty acids from adipose tissue into bloodstream; tissues break down fatty acids rather than glucose
antidiuretic hormone (ADH)
manufactured in hypothalamus, released by posterior pituitary gland, targets kidneysresults in reabsorption/conservation of water, elevation of blood volume/pressure, vasoconstrictionreleased in response to increased osmotic pressure or low blood volume
oxytocin
manufactured in hypothalamus, released by posterior pituitary gland, targets reproductive organsresults in smooth muscle uterine labor contractions, milk ejection, peaks during sexual activity
vasopressin
ADH; decreases water lost at kidneys and causes vasoconstriction
diabetes insipidus
posterior pituitary gland no longer releases adequate amounts of ADH or the kidney is resistant to its effect; water conservation is impaired; leads to polydipsia and polyuria
isthmus
connects the two lobes of the thyroid gland
colloid
viscous fluid containing large amounts of suspended proteins, hormones
thyroxine
“tetraiodothyronine” or “t4”produced and secreted by follicle cells in the thyroid gland; targets all cells in the body, readily passes through cell membranes, increases overall body metabolismmakes up 90% of thyroid secretions
Triiodothyronine
“t3”more potent than t4; only contains 3 iodine atoms
calorigenic effect
cells consume more energy (specifically when stimulated by thyroid hormones)
goiter
enlarged thyroid gland
c cells
“parafollicular cells”endocrine cells sandwiched between follicle cells and basement membrane in thyroid glandproduce calcitonin (CT) in response to increase in blood calcium levels
calcitonin
produced by c cells in thyroid gland; targets bones and kidneysinhibits osteoclasts (slowing release of calcium from the bone) and promotes calcium excretion at kidneys
hyperthyroidism
presence of excess thyroid hormones in the blood; characterized by weight loss, heat intolerance, insomnia, muscle weakness, tachycardia
thyrotoxic crisis
“thyroid storm”condition that reflects prolonged exposure of body organs to excess thyroid hormones, with resultant changes in structures and functionfrequently caused by Graves’ disease
hypothyroidism
inadequate amounts of thyroid hormones in the blood; characterized by weight gain, cold intolerance, depression, muscle cramps, bradycardia
myxedema
condition that reflects long-term exposure to inadequate levels of thyroid hormonesclassic appearance is unemotional, puffy face, pale individual with thinned hair, enlarged tongue, cool skin
Graves disease
excess circulating thyroid hormones; can lead to thyrotoxic crisisgenetic predisposition; autoimmune originshows signs of hyperthyroidism, along with potential protrusion of eyeballs and cardiovascular issues
thyroid follicles
produce T3/T4 respond to thyroid-stimulating hormone
chief cells
produce PTH
parathyroid hormone (PTH)
“parathormone”targets bone and kidneys, stimulates osteoclasts, inhibits osteoblasts, reduces urinary excretion of calcium, stimulates secretion of calcitriolopposes calcitonin
calcitriol
secreted by kidneys in response to PTHpromotes absorption of calcium and phosphate by the digestive tractsynthesis is dependent on D3
suprarenal gland
adrenal gland; consists of adrenal cortex and medulla
adrenal cortex
releases corticosteroids which are bound to transport proteins in the bloodstreamouter zone produces mineralocorticoids; middle zone produces glucocorticoids; inner zone produces androgens
mineralocorticoids
affect the electrolyte composition of body fluids aldosterone
aldosterone
principal mineralocorticoid; produced in adrenal cortextargets kidneys; acts on them to retain Na+ and excrete K+; raises blood pressure and normalizes electrolyte levels targets kidneys; release occurs in response to drop in blood sodium, volume, pressure, rise in blood potassium, or in response to angiotensin II
glucocorticoids
produced in adrenal cortex, affect glucose metabolismcortisol, corticosterone, cortisoneglucose-sparing effects, anti-inflammatory, slow wound healing and suppress immune functions
androgens
sex hormones
cushing’s disease
hyperadrenalism”moonface”, skin changes, easy bruising, weight gain
addison’s disease
adrenal insufficiencyover 90% of cases are autoimmuneweakness, weight loss, hyperpigmentation
adrenal medulla
secretes epinephrine (75-80%) and norepinephrineincreased cardiac activity, BP, glycogen breakdown, blood glucose levels
pineal gland
secretes melatonininhibits reproductive function, acts as antioxidant, establishes day-night cycles
pancreas
glucagon, insulin
alpha cells
produce glucagon
beta cells
secrete insulin; insulin leads to lower blood sugar which causes increase in glycogen within cells
insulin
lowers blood sugar
glucagon
increases blood glucose levels; opposes insulin
kidneys
release calcitriol, erythropoietin, renin
Eythropoietin (EPO)
released by kidneys in response to low blood volume or low oxygen levelsstimulates production of RBC in bone marrow
renin
hormone secreted by the kidney in response to decline in blood volume/pressurestarts chain reaction (renin-angiotensin system) that leads to formation of angiotensin II
angiotensin II
stimulates production of aldosterone and ADH, stimulates thirst, in Na+ reabsorption to increase fluid retention at vessels
Atrial natriuretic peptide (ANP)
hormone secreted from atrial cells of the heart in response to atrial stretching and an increase in circulating blood volume; a diuretic that causes sodium loss and inhibits the thirst mechanism
thymosins
produced in thymus; play a key role in the development and maintenance of normal immune functions
testosterone
male sex hormone; promotes production of sperm, maintains the secretory glands of male reproductive tract, determines secondary sex characteristics, stimulates protein synthesis, growth, behavioral aggression
sustentacular cells
support formation of functional sperm; secrete inhibin
estrogens
steroid hormones that support the maturation of the eggs and stimulate the growth of the lining of the uterus
corpus luteum
Endocrine tissue which produces estrogen and progesterone after ovulation
progesterone
accelerates movement of fertilized eggs along uterine tubes, prepares uterus for arrival of developing embryo, causes enlargement of mammary glands
leptin
negative feedback control of appetite, enhances GnRH and gonadotropin synthesis
resistin
resists insulin sensitivity
antagonistic effects
opposinginsulin/glucagon
synergistic effect
additive effects, where net result is greater than effect of each alone would have beenglucose-sparing action of GH and glucocortisoids
permissive effect
one hormone must be present to let another work
integrative effects
different but complementary effectscalcitriol/PTH
General Adaptation Syndrome (GAS)
stress responsethree phases: alarm, resistance, exhaustion
alarm phase
immediate stress response; sympathetic nervous system “fight or flight”; epinephrine
resistance phase
longer than a few hours; glucocorticoids dominate; some GH, epinephrine, TH; high metabolic demand
exhaustion phase
system overload; occurs after extended resistance from mineral imbalances
acromelagy
a disorder resulting from excessive secretion of growth hormone after puberty
insulin shock
hypoglycemia
common endocrine disorders in elderly
diabetes, hypothyroidism
endocrine vs exocrine
Endocrine secretes hormones directly into bloodstream; exocrine secretes into a duct
hypothalamus
link between nervous and endocrine systemssynthesizes ADH, oxytocin and 5 releasing hormones (thyrotropin-releasing, corticotropin-releasing, gonadotropin-releasing, and growth hormone-releasing)
endocrine emergencies
generally the result of over or under-production of hormones
Islets of Langerhans
located in the pancreas, contain alpha and beta cells
Angiotensin-converting enzyme (ACE) inhibitors
Converts angiotensin I into angiotensin II (active form) to then go to adrenals and secrete aldosterone (cortex)