Endocrine Flashcards
Water soluble hormones
Peptides (LH, FSH, insulin, prolactin,GH)
Amines (nAd, Ad, dopamine)
Fat soluble hormones
Thyroid hormone, cholesterol derivatives & steroids
Cytoplasm receptor
Glucocorticoids, mineralocorticoird, androgens, progesterone
Nuclear receptors
Oestrogen, thyroid hormone, vitamin d
Posterior pituitary
ADH, oxytocin
Gut peptides in appetite regulation
Grehlin pyy glp1, ckk
Increase food intake
NPY
AgRP
Decrease food intake
POMC -> alpha MSH
Peptide YY
secreted but neuroendocrine cells in ileum, pancreas, colon. Binds to NPY & AgRP receptors - decreasing their secretion - inhibits gastric motility & reduces appetite
What does CCK do
Stops eating. Delays gastric emptying, stimulates gall bladder contraction and insulin release. Causes satiety via vagus nerve
POMC
Signals satiety
Needed for ACTH production. Without POMC get pale skin, adrenal insufficiency, hyperphagia and obesity
Low calcium
Long QT, paraesthesia, muscle spasm, seizures, cataracts, anxiety, dermatitis, impetigo herpetiformis, Chovstek & trousseau
Dopamine agonists
Cabergoline
Brompcriptine
Quinagolide
Growth hormone producing tumour treatment
Cabergoline (has some effect on reducing GH levels)
Somatostatin anologues - more effective than cabergoline
Growth hormone receptor antagonists
Radiotherapy
ADH receptor blocker
Tolvaptan