Chapter 74 - Guyton Flashcards
Endocrine communication
cell–>hormone–>blood–>target cell
Neuroendocrine communication
neuron–>hormone–>blood–>target cell
Paracrine communication
cell–>hormone–>interstitial fluid–>target cell
Autocrine communication
cell–>hormone–>interstitial fluid–>back to SAME cell
Classes of hormones
peptide/protein, steroid, amine
Hypothalamus hormones (protein)
TRH, GnRH, CRH, GHRH, Somatostatin
Anterior pituitary hormones (protein)
ACTH, TSH, FSH, LH, PRL, GH
Posterior pituitary hormones (protein)
oxytocin, ADH
Thyroid hormone (protein)
calcitonin
Pancreas hormones (protein)
insulin, glucagon, somatostatin
Liver hormone (protein)
somatomedin C (IGF-1)
Parathyroid hormone (protein)
PTH
Placenta hormone (protein)
HCG, HCS or HPL
Kidney hormone (protein)
renin
Heart hormone (protein)
ANP
GI tract (protein)
gastrin, CCK, secretin, GIP, somatostatin, GLP-1
Adipocyte hormone (protein)
leptin
Synthesis and secretion of peptide hormones
nucleus–>DNA–>transcription–>mRNA–>translation–>ER–>Golgi apparatus–>secretory vesicles–>ECF (stimulated by Ca++ and cAMP)
After a hormone binds with a receptor, communication with the cell can continue via a second messenger such as?
cAMP, phospholipid
Insulin stimulates which processes?
glucose transport, fat synthesis, growth and gene expression, protein synthesis, glucose synthesis (insulin receptor substrates - phosphorylation of enzymes)
The most common second messenger system?
cAMP (then in order phospholipid, tyrosine kinase/cytokine, cGMP)
Protein hormones have little protein binding and a short plasma half life which results in a large/small insulin response to a small sugar intake.
large
Adrenal cortex hormones
cortisol, aldosterone, androgens
Testes hormone
testosterone
Ovaries hormones
estrogen, progesterone (also produced from corpus luteum and placenta)
Kidney hormone (steroid)
1, 25-dihydroxycholecalciferol
Hypothalamus hormone (amine)
dopamine
Thyroid hormone (amine)
T3, T4
Adrenal medulla hormone (amine)
EPI, NE
Synthesis of Amine Hormones
tyrosine–>L-dopa–>dopamine–>NE–>EPI (or tyrosine–>thyroid hormones)
T/F The majority of thyroid hormones are bound by proteins and thus have a longer plasma half life.
true
Causes of decreased endocrine function.
autoimmune disease, infection, mutation, enzyme defects, nutritional deficiency, hemorrhage
Causes of increased endocrine function.
neoplastic, autoimmune, iatrogenic, infection, receptor mutation