Endocrine Flashcards

1
Q

Compare and contrast the general control of body functions by the nervous and endocrine systems.

A

Nervous system:

  • Regulates the activity of muscles and glands
  • Regulates via electrochemical impulses delivered by neurons and neurotransmitters
  • Organs respond within milliseconds (aka reacts quickly to stimuli)

Endocrine system:

  • Influences metabolic activity by means of hormones
  • Hormones are secreted by cells into the extracellular fluid, travel through the blood, and regulate the metabolic function of other cells in the body
  • Hormones control and integrate processes like reproduction, growth and development, maintenance of electrolyte, water, and nutrient balance of the blood, regulation of cellular metabolism and energy balance, mobilization of body defenses
  • Regulates processes that go on for relatively long periods of time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Distinguish between endocrine and exocrine glands.

A

Endocrine glands: aka ductless glands, produce hormones and release them into the surrounding tissue fluid, typically having a vascular and lymphatic drainage that receives the hormones and leads hormone to a target cell

Exocrine glands: produce nonhormonal substances (e.g. sweat, saliva), and have ducts that carry these substances to a membrane surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is a hormone? a target cell?

A

Hormone: chemical messengers secreted by cells into the ECF, then they travel through the blood to target cells, alter target cell activity and decreasing or increasing rates of normal cellular processes

Target cells: cells which have a receptor specifically able to recognize and bind to a particular hormone molecule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What enables certain cells to respond to a hormone, while others cannot?

A

The receptors on the cell must be specific to the hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Distinguish between classical endocrine signaling, paracrine signaling, and autocrine signaling.

A

Endocrine signaling: chemical is secreted blood circulates through the blood and diffuses to other areas of the body, more long distance than paracrine and autocrine signaling; diffuses through the blood to get to target cell

Paracrine signaling: chemicals act locally (within the same tissue) but affect cell types other than those releasing the paracrine chemicals; paracrine cells release a secretion that diffuses through the ECF to a target cell in the local area (does not go through the blood, just ECF)

Autocrine signaling: chemicals that exert their effects on the same cells that secrete them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In terms of their general chemistry, hormones can be broadly classified as amines, peptide or protein hormones, and steroid hormones. Explain the basic difference between each of these classes and list several examples of each class of hormone.

A

Amino acid based hormones include amines, peptide, and protein hormones. They are usually water soluble and cannot cross the plasma membrane.

Amine hormones: hormones that are simple amino acid derivatives; e.g. epinephrine, thyroxine

Peptide hormones: hormones that are made up of short amino acid chains; e.g. prolactin, oxytocin, insulin

Protein hormones: hormones that are made up of long polymers of amino acids; e.g. growth hormone

Steroid hormones: a category separate from amino acid based hormones. Steroid hormones are synthesized from cholesterol. They are all lipid soluble and can cross the plasma membrane; e.g. gonadal and adrenocortical hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which class of chemical messenger is derived from cholesterol? from amino acids? from arachidonic acid?

A

Derived from cholesterol: steroid hormones

Derived from amino acids: amine hormones, peptide hormones, protein hormones

Derived from arachidonic acid: eicosanoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hormones in the biogenic amine class are all derived from a single amino acid. From what amino acid are the catecholamines (i.e., epinephrine and norepinephrine) and thyroid hormones derived? From what amino acid are serotonin and melatonin derived?

A

Catecholamines and thyroid hormones: tyrosine

Serotonin and melatonin: tryptophan (melatonin is derived from serotonin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name the individual steroid hormones presented in this chapter. Identify the site of secretion for each of the steroid hormones.

A

Gonadal hormones - ovaries and testes

Adrenocortical hormones - adrenal glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
Arachadonic acid is a fatty acid present in phospholipid membranes (e.g., the plasma membranes of cells). It can be cleaved from plasma membranes and metabolized via 2 main enzymatic pathways, resulting in a class of chemical messengers called
\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
A

Eicosanoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the main subtypes of eicosanoids? Why are these chemical messengers not considered to be true hormones?

A

The main subtypes are leukotrienes and prostaglandins
The effects of eicosanoids are typically highly localized, affecting only nearby cells, they generally act as paracrines and autocrines and do not fit the definition of true hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which hormones affect their target cells by binding to an intracellular receptor?

A

Lipid-soluble hormones (steroid and thyroid hormones* (*lipid-soluble but also amino acid based))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the general mechanism through which the hormones identified above (#12) induce changes in their target cell’s metabolism.

A

Direct gene activation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the specific steps in direct gene activation by a lipid-soluble hormone (note that thyroid hormone also exerts its effect via direct gene activation).

A
  1. Steroid hormone diffuses through the plasma membrane and binds to an intracellular receptor, activating the receptor and becoming a hormone-receptor complex
  2. H-R complex enters the nucleus and makes its way to the nuclear chromatin
  3. H-R complex binds to portion of DNA region specific to the H-R complex
  4. Binding initiates transcription/alters the rate of transcription of the specific gene to mRNA
  5. The mRNA directs protein synthesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where are the receptors for amine and peptide hormones located?

A

In the plasma membrane of the target cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the process of G protein activation (in your explanation include the role of the
hormone, its receptor, GDP, GTP, the alpha subunit and the dimmer).

A

For water-soluable hormones

  1. Hormone (this is the first messenger) binds to its receptor in the plasma membrane
  2. Hormone binding causes the receptor the change shape, which allows it to bind a nearby inactive G protein (G proteins are heterotrimeric in structure (3 different subunits - alpha, beta, and gamma)). The G protein is activated as the GDP bound to its alpha subunit is displaced and replaced by GTP (higher energy than GDP)
  3. GDP being replaced by GTP activates the G protein and causes the alpha subunit to dissociate from the beta-gamma dimer.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the specific steps in the activation of the cAMP second messenger system.

A

Continuation of signal transduction from question 16

  1. The dissociated alpha-GTP moves along the membrane and binds to adenylate cyclase (an effector enzyme).
  2. Adenylate cyclase generates cAMP from ATP
  3. cAMP activates protein kinase A (enzymes that add phosphate group to proteins aka phosphorylates proteins), protein kinase A produces a cascading amplifying physiologic effect (changes cell activity)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Why is cAMP called a “second messenger”?

A

Because cAMP triggers a transduction cascade once activated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the function of phosphodiesterase (PDE)? How is PDE activated?

A

Phosphodiesterase (PDE) degrades cAMPs, therefore stopping signal transduction

PDE is activated by protein kinase A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Explain why second messenger systems are said to have an “amplifying effect” on the
initial hormone signal.

A

Each activated adenylate cyclase generates a large number of cAMP, and one cAMP activates one protein kinase A (???). But, one protein kinase A can catalyze hundreds of reactions, therefore having an amplifying effect.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe the specific steps in the activation of the PIP2-calcium signal mechanism.

A

Another signal transduction pathway mechanism thing

  1. Hormone-receptor binding → G protein activation → dissociated alpha subunit from beta-gamma dimer activates phospholipase C (PLC, membrane bound enzyme)
  2. Phospholipase C catalyzes hydrolysis (aka splits) of PIP2 (a plasma membrane phospholipid) into 2 second messengers: DAG and IP3
  3. DAG activates protein kinase C which phosphorylates proteins (esp those associated with Ca2+ ion channels), therefore triggering responses within the target cell. IP3 releases Ca2+ from intracellular storage sites (smooth ER and mitochondria)
  4. Ca2+ is released into the cytoplasm, where it combines with intracellular proteins (e.g. calmodulin) to induce and amplify intracellular effects (Ca2+ basically takes on role of second-messenger)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Name and identify the location of the second messengers of the PIP2-calcium signal mechanism.

A

DAG - stays in plasma membrane

IP3 - starts in plasma membrane but can diffuse and move through cytoplasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Identify the three types of stimuli that regulate endocrine gland secretion.

A

Humoral stimulus (hormone release caused in direct response to altered blood levels of certain critical ions or nutrients)

Neural stimulus (hormone release caused by neural input from nerve fibers)

Hormonal stimulus (hormone release caused by hormones produced by other endocrine organs (a tropic hormone))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Give an example of negative feedback control of hormone secretion.

A

A good example of negative feedback is with the hormone, insulin. Insulin is produced by the pancreas. Insulin is released by the pancreas in response to consumption of glucose. The amount of glucose in the blood rises and the pancreas detects this increase. It then secretes insulin into the blood. Insulin increases glucose uptake in target cells. Some glucose is used by the cells but some is also converted to and stored in the form of glycogen. Glucose uptake by cells decreases blood glucose levels - this decrease is detected by the pancreas and in response, it stops secreting insulin into the bloodstream. As insulin levels in the blood decrease, as does glucose uptake by cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How are hormones transported in the blood? Explain the importance of transport proteins in circulating lipid-soluble hormones.

A

In general, lipid-soluble hormones (steroids and thyroid hormone) travel in the bloodstream attached to plasma proteins. Most other hormones don’t have/need carriers.

Benefits of plasma proteins for lipid-soluble hormones:

  • Increases half-life of the hormone (e.g. T4 has a ½ life of a couple minutes when free, but when complexed, its ½ life is 7-8 days)
  • Provides a reserve of hormone in the blood - hormone can dissociate with the plasma protein if/when needed
  • Increases the solubility of lipid-soluble hormones in the blood
26
Q

Review the ways in which the hypothalamus contributes to homeostasis of body systems.

A

The hypothalamus controls the release of hormones from the pituitary gland. Hypothalamus regulates body temp, hunger, sleep/wake cycles, water balance and thirst. it controls ANS, endocrine function, and initiates physical responses to emotions.

27
Q

Name the two active lobes of the adult pituitary gland. Describe the general histology and identify the embryologic origins of each.

A

Posterior pituitary (+ infundibulum = neurohypophysis) - composed largely of neural tissue and nerve fibers (derives from a downgrowth of hypothalamic tissue), releases neurohormones that it received ready-made from the hypothalamus, is a hormone-storage area and not a true endocrine gland that manufactures hormones; embryologic origins: ectoderm

Anterior pituitary / adenohypophysis - composed of glandular tissue, originated from epithelial tissue, manufactures and releases a number of hormones, larger part of pituitary gland; embryologic origins: ectoderm

28
Q

Describe the hypophyseal portal system, noting the general location of each of the three main components of the system –i.e., the primary capillary plexus, the hypophyseal portal veins, and the secondary capillary plexus.

A

The hypophyseal portal system is a vascular connection between the anterior pituitary lobe and the hypothalamus. The primary capillary plexus in the hypothalamus communicates inferiorly via the small hypophyseal portal veins (in infundibulum) with a secondary capillary plexus (in anterior pituitary lobe).

29
Q

What is the functional significance of each of the structures noted above - hypophyseal portal system?

A

The portal system ensures that the minute quantities of hormones released by the hypothalamus arrive rapidly at the anterior pituitary gland without being diluted by the systemic circulation.

Also provides blood and nutrients to anterior pituitary gland

30
Q

What cells create the structural and functional relationship between the hypothalamus and the posterior lobe of the pituitary?

A

Neural secretory cells (fancy name for the neurons)

31
Q

What are the hormones associated with the posterior pituitary?

A

Oxytocin and antidiuretic hormone (ADH)

32
Q

Where are the posterior pituitary hormones synthesized? where are they stored?

A

Oxytocin - made in the paraventricular nuclei of the hypothalamus, stored in the posterior pituitary

ADH - made in the supraoptic nuclei of the hypothalamus, stored in the posterior pituitary

33
Q

Describe the process through which posterior pituitary hormones are secreted.

A

Axon terminals in the posterior pituitary release oxytocin and antidiuretic hormone “on demand” in response to action potentials that travel down the axons of the hypothalamic neurons (paraventricular neurons and supraoptic neurons)

34
Q

Describe the effects of antidiuretic hormone (ADH) on its target cells and tell how its secretion is regulated.

A

ADH prevents wide swings in water balance, helping the body avoid dehydration and water overload. It stimulates the kidney tubule cells to reabsorb water from the forming urine and return the water to the bloodstream ( → less urine is produced and the solute concentration of the blood declines).

ADH is stimulated by impulses from hypothalamic neurons in response to increased blood solute concentration or decreased blood volume. Also stimulated by pain, some drugs, low BP.

ADH is inhibited by adequate hydration of the body and by alcohol.

35
Q

Describe the effects of oxytocin (OT) on its target cells and tell how its secretion is regulated.

A

OT is a strong stimulant of uterine contraction (helps with labor), acts as a hormonal trigger for milk ejection when infants nurse, and acts as a NT in the brain (involved in secual and affectionate behavior, promotes nurturing, couple bonding, and trust)

OT is stimulated by impulses from hypothalamic neurons in response to cervical/uterine stretching and suckling of infant at breast.

OT is inhibited by lack of appropriate neural stimuli.

36
Q

What is a tropic hormone?

A

A hormone that regulates the secretory action of other endocrine glands

37
Q

Name the hormones secreted by the anterior lobe of the pituitary and tell which of the secretions are tropic hormones.

A
  1. Thyroid-stimulating hormone - tropic hormone
  2. Adrenocorticotropic hormone - tropic hormone
  3. Follicle-stimulating hormone - tropic hormone
  4. Luteinizing hormone - tropic hormone
  5. Growth hormone
  6. Prolactin
38
Q

How does the hypothalamus regulate the secretory activity of the anterior pituitary?

A

The hypothalamus sends an appropriate chemical stimulus to the anterior pituitary → the anterior pituitary releases one or more of its hormones

Many different hormones pass from the hypothalamus to the anterior pituitary, but each target cell can distinguish the messages directed to it and responds appropriately - i.e. secreting the proper hormone in response to specific releasing hormones and shutting off hormone release in response to specific inhibiting hormones in the hypophyseal portal system

39
Q

Describe the effects of thyroid-stimulating hormone (thyrotropin) and tell how its secretion is regulated.

A

TSH/thyrotropin stimulates normal development and secretory activity of the thyroid gland

The hypothalamic peptide thyrotropin-releasing hormone (TRH) triggers the release of thyrotropin from thyrotropic cells of the anterior pituitary. Rising blood levels of thyroid hormones act on both the pituitary and the hypothalamus to inhibit thyrotropin secretion. GHIH also inhibits thyrotropin secretion.

40
Q

Describe the effects of adrenocorticotropic hormone (ACTH) and tell how its secretion is regulated.

A

ACTH stimulates the adrenal cortex to release corticosteroid hormones, most importantly glucocorticoids that help the body resist stressors. Also releases androgens (a gonadocorticoid)

Stimulated by CRH (corticotropin-releasing hormone) stimuli that increase CRH release include fever, hypoglycemia, and other stressors

Inhibited by feedback inhibition exerted by glucocorticoids

41
Q

Describe the diurnal rhythm of corticotropin-releasing hormone (CRH) release.

A

Corticotropin-releasing hormone levels peak in the morning, shortly before awakening.

42
Q

Describe the effects of growth hormone (somatotropin) on its target cells and tell how its secretion is regulated.

A

GH mobilizes fats from fat deposits for transport to cells, increasing blood levels of fatty acids and encouraging their use for fuel. GH also decreases the rate of glucose metabolism, conserving glucose (glucose sparing effect). In the liver, GH encourages glycogen breakdown and release of glucose to the blood. GH increases amino acid uptake into cells and their incorporation into proteins.

Growth hormone-releasing hormone (GHRH) stimulates GH release, while growth hormone-inhibiting hormone (GHIH) inhibits GH release. Ghrelin also stimulates GH release.

43
Q

What is the normal biologic role of the insulin-like growth factors (IGFs)?

A

IGFs stimulate uptake of nutrients from the blood and their incorporation into proteins and DNA, allowing growth by cell division. IGFs also stimulate formation of collagen and deposition of bone matrix
^all actions required for growth

44
Q

What conditions result from oversecretion of GH in children? in undersecretion of GH in children? What condition results from oversecretion of GH in adults?

A

Oversecretion of growth hormone in children - gigantism (abnormally tall person (~8 ft) with relatively normal body proportions)

Hyposecretion of GH in children - pituitary dwarfism (max height of ~4 ft with fairly normal body proportions)

Oversecretion of GH in adults - acromegaly (overgrowth of bones of the hands, feet, and face)

45
Q

Why is growth hormone said to exert a diabetogenic (or anti-insulin) effect?

A

In the liver, GH encourages glycogen breakdown and release of glucose to the blood. This raises blood glucose levels (a glucose sparing action) and is called the anti-insulin effect because GH opposes the effects of insulin.

46
Q

What is the primary function (in males vs. females) of each of the gonadotropins?

A

Follicle-stimulating hormone (FSH)
- Both sexes - FSH stimulates production of gametes (sperm or eggs)

Luteinizing hormone (LH)

  • Both sexes - LH promotes production of gonadal hormones
  • Females - LH works with FSH to cause an egg containing ovarian follicle to mature. LH then triggers ovulation and promotes synthesis and release of ovarian hormones.
  • Males - LH stimulates the interstitial cells of the testes to produce the male hormone testosterone
47
Q

How is gonadotropin secretion regulated?

A

During puberty, gonadotropic cells of the anterior pituitary are activated → gonadotropin levels rise → gonads mature

In both sexes, gonadotropin-releasing hormone (GnRH) produced by the hypothalamus causes gonadotropin release. Gonadal hormones (which are produced in response to the gonadotropins) feed back to suppress FSH and LH release

48
Q

At what stage of development does GnRH begin to circulate in measurable quantities in the blood?

A

Puberty

49
Q

Describe the effects of prolactin on its target cells and tell how its secretion is regulated.

A

Prolactin (PRL) stimulates breast milk production

Prolactin-inhibiting hormone (PIH) (now known to be dopamine) prevents prolactin secretion. Decreased PIH secretion leads to a surge in prolactin release. There are prolactin releasing factors as well, but not understood well. Estrogens stimulate prolactin release directly and indirectly.

50
Q

Name the two types of endocrine cell of the thyroid gland, and identify the secretory product of each.

A

Follicular cells - involved in synthesis of thyroid hormones and release it into the blood, secretes thyroxine (T4) and triiodothyronine (T3) ( ← collectively referred to as thyroid hormone), also produces thyroglobulin (a glycoprotein, in colloid attached to iodine atoms)

Parafollicular cells - produce and secrete calcitonin

51
Q

Name the two hormones that are collectively referred to as “thyroid hormone”. Which of the two is the main hormone secretion of the follicular cells?

A

T4/thyroxine (main) and T3/triiodothyronine

52
Q

Describe the process of thyroid hormone synthesis and release.

A
  1. Thyroglobulin is synthesized and discharged into the follicle lumen
    - Synthesized on ribosomes of follicular cells → transported to Golgi apparatus → packaged into vesicle → transported and released into follicle lumen via exocytosis to become part of stored colloid
    - happening continuously
  2. Iodide (I–) trapping
    - Follicular cells accumulate iodides from the blood. NaI symporter pulls a Na and I– into follicular cell simultaneously (active transport). Once trapped inside the follicular cell, iodide then moves into the follicle lumen by facilitated diffusion
  3. Oxidation of iodide
    - Iodide diffuses to apical border of the follicular cell and colloid
    - Iodide gets catalyzed by thyroid peroxidase (TPO) and becomes iodine (I2). As this is happening, the molecule gets passed into the colloid.
  4. Iodination of tyrosine
    - Iodine/I2 is attached to tyrosine amino acids that form part of the thyroglobulin colloid. This is also catalyzed by TPO and happens at follicular cell-colloid junction.
    - Tyrosine + 1 I2 = monoiodotyrosine (MIT)
    - Tyrosine + 2 I2 = diiodotyrosine (DIT)
  5. Iodinated tyrosines are linked together to form T3 and T4
    - Enzymes in the colloid link MIT and DIT together
    - MIT + DIT = T3
    - DIT + DIT = T4
    - At this point, the hormones are still part of the thyroglobulin colloid
  6. Pinocytosis and cleavage of thyroid hormones
    - To secrete T4 and T3, the follicular cells must reclaim iodinated thyroglobulin by endocytosis, so…
    - The iodinated thyroglobulin gets fused with lysosomes → lysosomal enzymes break down thyroglobulin molecules → T4 and T3 cleave out of thyroglobulin
  7. T4 and T3 get released to the bloodstream from the follicular cell via facilitated diffusion
53
Q

Where is thyroglobulin synthesized? From what amino acid is thyroid hormone derived?

A

Thyroglobulin is synthesized in the follicular cells

Thyroid hormone is derived from tyrosine

54
Q

What is the role of thyroid peroxidase?

A

Thyroid peroxidase/TPO catalyzes iodide/I- so it becomes iodine/I2. TPO also catalyzes the reaction that attaches I2 to tyrosine amino acids that form part of the thyroglobulin colloid

55
Q

Where does thyroglobulin become iodinated?

A

Junction of the follicular cell and colloid

56
Q

How is thyroid hormone secretion regulated?

A

Falling TH blood levels trigger release of TSH (thyroid-stimulating hormone), and ultimately more TH

Rising TH levels feed back to inhibit the hypothalamic-anterior pituitary axis, temporarily shutting off the stimulus for TSH release

57
Q

What effects does thyroid hormone have on metabolism?

A

Increases basal metabolic rate and body heat production thru glucose catabolism, regulates tissue growth and development (critical for normal skeletal and nervous system development and maturation and for reproductive capabilities), and maintaining blood pressure

Promotes glucose catabolism, metabolizes fat, essential for protein synthesis, enhances liver’s synthesis of cholesterol, promotes normal BMR

58
Q

What is the role of thyroid-binding globulin?

A

Thyroid hormone circulates in bloodstream bound to carrier protein TBG. It extends TH’s half life and ensures pool of TH in blood ready for use.

59
Q

What is the result of severe hypothyroidism in infants? Describe the abnormalities associated with the condition.

A

Cretinism (when it’s due to iodine deficiency) and congenital hypothyroidism (when it’s due to a congenital abnormality of the thyroid gland)

Abnormalities - the child is intellectually disabled and has a short, disproportionately sized body and a thick tongue and neck

60
Q

What hormone prevents high blood calcium levels?

A

Calcitonin