Endocrine Flashcards

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1
Q

What are the four different types of hormones based on their mechanism of signalling

A

Endocrine hormones - chemical messengers that travel through circulation to reach distant target cells
Paracrine hormones - travel a relatively short distance
Autocrine hormones - act on the cells that synthesise and secrete them
Juxtacrine hormones - act on the cells in direct contact with them

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2
Q

How are hormones classified based on composition

A

Peptide hormones
Amino acid derivatives
Lipid derivatives

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3
Q

What are peptide hormones

A

Relative short, defined amino acid chains e.g. insulin, glucagon

Bind receptors at the plasma membrane

Exert their biological effects through plasma membrane receptors

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4
Q

What are amino acid derivatives

A

Derived from tyrosine e.g. epinephrine, norepinephrine (catecholamines) and thyroxine and triiodothyronine (thyroid hormones)

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5
Q

What are lipid derivative hormones

A

Steroid hormones derived from cholesterol e.g. testosterone, oestradiol, progesterone, cortisol, aldosterone

Exert their biological effects through intracellular receptors

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6
Q

How are hormones classed based on mechanism of action

A
  1. Receptors for protein based hormones exist on plasma membranes
  2. Receptors for lipid based hormones exist inside the cell
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7
Q

What are the 8 typical steps in signal transduction

A
  1. Synthesis of the signalling molecule
  2. Release from the signalling cell
  3. Transport to the target cell
  4. Binding to and activation of the target receptor
  5. Transmission of one or more intracellular signals from the
    activated receptor
  6. Arrival of the message at the final destination of the cell
  7. Changes in cellular function in response to the signal
  8. Termination of the signal and subsequent termination of the
    cellular response - Binding of hormone to its receptors is non-
    covalent & reversible
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8
Q

What are plasma membrane receptors composed of

A

– An extracellular domain (binds hormone)
– A membrane spanning region (hydrophobic)
– An intracellular domain (interacts with intracellular molecules)

Hormone binding causes conformational change of the receptor

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9
Q

Give an example of a plasma membrane receptor and explain how it works

A

– Interacts with and activates a G protein
– G proteins interact with and activate plasma membrane enzymes
– Activated enzymes catalyse biochemical reactions which result in
an increase in a second messenger
– The second messenger brings about a cellular response to the
hormones signal

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10
Q

Explain how lipid hormones exert their biological effects

A

Inactive receptors are bound in large protein complexes in the
cytosol
* Protein complexes contain inhibitor proteins such as Heat
Shock Proteins (e.g.HSP90)
– Confine the inactive receptors to the cytosol
* On binding of the ligand to its homodimeric receptor, inhibitor
proteins dissociate
* The active receptor translocates to the nucleus
* Ligand-receptor complexes bind DNA directly at hormone
response elements (HREs)
– Regulates gene transcription

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11
Q

What is the role of hormones in physiological homeostasis

A

Hormones alter the operation of target cells by changing the types, quantities or activities of important proteins

– Stimulate the synthesis of proteins not already present in the cell by activation of gene transcription
– Increase/decrease the rate of gene transcription and protein translation
– Turn on/off an existing protein by modification of its shape or structure (e.g. activation/inactivation of proteins through phosphorylation)

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12
Q

What is the role of the hypothalamus

A

Regulates the neuroendocrine system

Central nervous system receives information from internal and external sensors about danger, hunger, diet, blood composition

Hypothalamus regulates the production of appropriate hormones by endocrine
glands

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13
Q

What are the six components of organisation of the endocrine system

A

Stimulus
Neuronal response
Releasing factors -> hypothalamus
Stimulating factors -> pituitary gland
Effector hormones -> endocrine gland
Response -> target cell

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14
Q

Write about feedback control of endocrine secretion

A
  • Hypothalamus secretes a releasing hormone which stimulates
    hormone production from the pituitary gland
  • Endocrine hormones produced act on target cells to maintain
    physiological homeostasis
  • Once homeostasis is restored hormone production must be
    reduced

Positive or negative feedback

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15
Q

What is negative feedback

A

Most common mechanism of hormonal regulation
Hormone 1 stimulates production of hormone 2 which feeds back to inhibit cell production of hormone 1

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16
Q

What is positive feedback

A

Hormone 1 stimulates production of hormone 2 which stimulates production of hormone 1

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17
Q

Give an example of negative feedback

A

LH from pituitary
stimulates testis to produce
testosterone which feeds
back to inhibit LH secretion
from the pituitary

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18
Q

Give an example of positive feedback

A

LH stimulates ovaries
to secrete oestrogen which
stimulates LH secretion
from the pituitary (surge of
LH at ovulation)

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19
Q

Write about signal amplification

A
  • At each level in the signalling cascade,
    a small signal elicits a much larger
    response
  • Hormones are very potent only
    present in trace amounts
  • Endocrine systems allow amplification
    of the initial signal
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20
Q

What is an endocrine disorder

A

A process which changes the amount or activity of a hormone results in an endocrine disorder

  1. Overproduction
  2. Underproduction
  3. Resistance to the hormone action
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21
Q

What is an endocrine disorder

A

A process which changes the amount or activity of a hormone results in an endocrine disorder

  1. Overproduction
  2. Underproduction
  3. Resistance to the hormone action
22
Q

List seven endocrine disorders

A

Diabetes Mellitus

Acromegaly

Addison’s disease

Cushing’s Syndrome

Hyperthyroidism

Hypothyroidism

Prolactinoma

23
Q

Write about acromegaly

A

Increase in growth hormone

24
Q

Write about addison’s disease

A

Decreased hormones of the adrenal glands

25
Q

Write about cushings syndrome

A

Cortisol levels up

26
Q

Write about hyperthyroidism

A

Thyroid up

Grave’s disease -> thyroid hormone up

27
Q

Write about hypothyroidism

A

Thyroid down
Hashimoto’s thyroiditis -> thyroid hormone down

28
Q

Write about prolactinoma

A

Prolactin by the pituituary gland up

29
Q

Write about overproduction endocrine disorders

A

Hormone excess can occur when an endocrine gland overproduces it e.g. tumours in an endocrine tissue may lead to unregulated hormone production

Ectopic production of the hormone e.g. a tumour in a non-endocrine tissue acquires the ability to secrete the hormone

30
Q

Write about underproduction endocrine disorders

A

Hormonal deficiencies develop when the endocrine cells are
damaged/destroyed:
– Direct infection
– Ischemia (i.e. oxygen starvation)
– Compression (e.g. by a tumour)
– Autoimmune condition

Can also be due to:
– Decreased stimulation of hormone production by
upstream hormones
– Genetic defects in production of the mature hormone e.g.
enzymes missing from the biosynthetic pathway

31
Q

Write about hormone resistance endocrine disorders

A

A state where the hormone is present at normal or
increased levels, but the expected physiological response
does not exist
– e.g. insulin resistance in type 2 diabetes mellitus
* Can be due to a receptor defect or downstream
signalling defect
– i.e. genetic defect in a hormone recepto

32
Q

classify endocrine disorders

A

Primary 1’ disease
Seconday
Tertiary

33
Q

What is a primary disease

A

Defect in the end/target endocrine gland

34
Q

What is a secondary disease

A

Defect in the pituitary gland (stimulating factor)

35
Q

What is a tertiary disease

A

Defect in the hypothalamus (releasing factor)

36
Q

What is a tertiary disease

A

Defect in the hypothalamus (releasing factor)

37
Q

Write about primary hypothyroidism

A

1’ defect directly involves the endocrine gland:
– e.g. 1 hypothyroidism due to underactive thyroid gland and
reduction in thyroxine (T4) production

38
Q

Write about secondary hypothyroidism

A

2’ defect involves the pituitary gland:
– e.g. 2’ hypothyroidism due to decreased production of thyroid
stimulating hormone (TSH) from the pituitary gland

39
Q

Write about tertiary hypothyroidism

A

3’ defect involves the hypothalamus:
– e.g. 3’ hypothyroidism due to decreased production of
thryotropin releasing hormone (TRH) from the hypothalamus

40
Q

Describe the synthesis of thyroid hormones

A

Tyrosine + iodine forms T3 and T4

41
Q

Write about thyroid hormones

A

The thyroid gland produces thyroxine (T4) and tri-
iodothryonine (T3) in response to TSH
– ‘Stored’ in thyroglobulin & bound to protein in the blood
* Gland mainly produces T4
– Converted to T3 in liver and kidney
* T3 is the more potent thyroid hormone
* Thyroid hormones regulate metabolism, growth and development in virtually all cells through their regulation of gene expression
* Usually only a very small fraction of a circulating hormone is free (unbound) and biologically active
* 99% of T3 and T4 are bound to transport proteins in the blood:
– Thyroid binding globulin ~ 70%
– Transthyretin ~ 20%
– Albumin ~ 10%
* Carrier protein association increases the hormones stability and half life in circulation
* Only the free hormone is active

42
Q

What are four symptoms of hypothyroidism

A

Sluggish metabolism
Weight gain
Tiredness
Depression

43
Q

What causes hypothyroidism

A

Inflammation
Surgery/anti-thyroid drugs
Congenital hypothyroidism
Iodine deficiency

44
Q

What are four symptoms of hyperthyroidism

A

Increased heart rate
Increased metabolic rate
Weight loss
Sweating

45
Q

What causes hyperthyroidism

A

Grave’s disease
Adenoma
Inflammation
Iodine excess

46
Q

Write about thyroid function tests

A
  • First line tests for the laboratory assessment of thyroid function
    are TSH, free-T4 (and free-T3)
    – Thyroid stimulating hormone approximately 0.4-4.5 mIU/L
    – Free-thyroxine (FT4) approximately 10-30 pmol/L
    – Free- tri-iodothryonine (FT3) approximately 3-9 pmol/L
  • The pattern of results obtained from these tests can point
    towards the cause of the disorder
47
Q

What is the best single test to assess thyroid function

A

Thyroid stimulating hormone

If it is normal a disorder can generally be excluded

48
Q

What does Los TSH plus low FT4 indicate

A

2’ hypothyroidism

49
Q

What does low TSH plus high FT4 indicate

A

1’ hyperthyroidism

50
Q

What does high TSH plus low FT4 indicate

A

1’ hypothyroidism

51
Q

What does high TSH plus high FT4 suggest

A

2’ hyperthyroidism