Chapter 5: Principle of Endocrinology Flashcards
Tropic Hormones
- regulates hormone secretion by another endocrine gland
- stimulates and maintains their endocrine target tissues
ex. TSH- secreted from anterior pit. and stimulates thyroid hormone secretion by thyroid gland
Plasma Hormone Concentration
- plasma concentration of each hormone is normally controlled by regulated changes in rate of hormone secretion
- direct regulatory inputs that influence secretory output of endocrine cells
- neural input- neuroendocrine reflexes
- input from another hormone
- effective plasma concentration also influenced by: rate of removal from blood by metabolic inactivation and excretion and rate of activation or its extent of binding to plasma proteins
Negative-Feedback Control
- negative exists when the ouput of a system counteracts a change in input
- maintains the plasma concentration of a hormone at a given level
- given level is referred to as a “set point”
Neuroendocrine Reflexes
- neural and hormonal components
- quick increase in secretion of hormone
- E release, vasopressin, and cortisol
Diurnal Rhythm
- cycle 1/day with external cues (entrained)
- set by CNS
- other cycles (menstrual)
Endocrine Dysfunction
- can arise from a variety of factors
- most commonly by inappropriate rates of secretion
- hyposecretion and hypersecretion
Hyposecretion
primary: too little hormone is secreted due to abnormailty within gland
- causes: genetic, dietary, chemical or toxic, immunologic, other disease processes such as cancer, latrogenic “healer”, idiopathic
secondary: gland is normal but too little hormone is secreted due to deficiency of its tropic hormone
- replacement therapy to alleviate symptoms
Hypersecretion
- causes: tumors that ignore normal regulatory input and continuously secrete excess hormone
- immunological factors- Ab-mimicking TSH
primary: too much hormone is secreted due to abnormality within gland
secondary: excessive stimulation from outside the gland causes oversecretion
Hormone Influence at Target Cell
- permissiveness: one hormone must be present in adequate amounts for full exertion of another hormone’s effect
- synergism: occurs when actions of several hormones are complimentary; combined effect is greater than the sum of their separate effects
- antagonism: occurs when one hormone causes loss of another hormone’s receptors; reduces effectiveness of second hormone
2 Hormones Based on Solubility
- Hydrophilic: peptide hormone and catecholamines
2. Lipophilic: steroid and thyroid hormones
Peptide and Protein Hormones
- most common are polypeptides
- synthesized, processed, and packaged
Insulin Release
- preparation and release of insulin
- C-peptide also released but inactive
Steroid Hormones
- derived from cholesterol
- mostly from in cell stores
- sequential modifications by enzymes
- final product depends on cell type: Testosterone to estradiol in ovaries
- cannot be stored
- final product depends on cell type
Amine hormones
- derivatives of amino acid tyrosine
- thyroid hormones (2 tyrosines)
- melatonin derived from tryptophan (pineal gland)
Catecholamines
- cytosolic enzymes make changes to chemicals
- this pathway occurs in adrenal gland