endocrine (anat) Flashcards

1
Q

endocrine system

A
  • Communication and regulation in response to: body homeostasis
    ○ Normal physiologic changes in body
    ○ Alterations in external environ
  • Distinct glands or tissues
    ○ Secrete organic compounds
    ○ Chemical messengers (HORMONES)
  • Stimulate/ cause change in metabolic activity in target tissues/ organs
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2
Q

principal endocrine glands

A

pituitary gland
thyroid, parathyroid
pancreas, adrenals

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3
Q

endocrine gland

A

rich blood supply with fenestrated capillaries
secretory cells (cuboidal/ columnar epithelium)

cells arranged in cords/ clusters
supportive framework (connective tissue)

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4
Q

HORMONES

A

○ Biologically active sub released and transported in blood stream
○ Act on target organs/ paracrine/ autocrine

○ 4 major types: affects if binds intracellular or surface
§ PROTEIN, peptide: long/ short chain of aa
§ STEROIDS: lipid cholesterol
§ AMINO derived/ Tyrosine: aa with modified grps
§ FATTY ACID derivative: etc polyunsaturated FA (prostaglandins, leukotriene, thromboxane)

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5
Q

Pituitary gland – MASTER endocrine gland structure

A

Base of brain PITUITARY GLAND + hypothalamus = neuroendocrine unit

  • anterior pituitary (PARS tuberalis, intermedia, distalis)
  • posterior pituitary (neural stalk, pars nervosa)
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6
Q

Pars tuberalis (ant.)

A

○ Undifferentiated cells (Gonadotrophs = FSH, LH)
○ Many cells appear to be Chromophobe cells

    - Some acidophils, basophils also present
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7
Q

Pars intermedia

A

○ Follicles
○ Cystic follicles
○ Melanotrophs = Melanocyte stimulated hormone

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8
Q

Pars distalis

A

○ Sinusoidal capillaries

  • Chromophils: Secretory cells, hormones stored in cytoplasmic granules
    • a-cells (acidophils)
      ○ Somatotrophs = growth hormone
      ○ Mammotrophs = prolactin
    • b-cells (basophils)
      ○ Gonadotrophs = FSH, LH
      ○ Corticotrophs = ACTH, corticotropin
      ○ Thyrotrophs = TSH
  • Chromophobe cells
    ○ Degranulated chromophil cells
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9
Q

Hormones PRODUCED anterior pituitary

A

Follicle-stimulating hormone (FSH, LH) – gonadotrophs
○ Act on gonads (testes, ovaries)

Prolactin - mammotroph
○ Act on mammary glands, testes

growth hormone - somatotroph
○ Act on all body tissues, bone, muscle, adipose connective tissue

Adrenocorticotropin ACTH - corticotrophs
○ Act on adrenal cortex

Thyroid-stimulating hormone (TSH) - thyrotrophs
○ Acts on thyroid gland

MSH (melatonin) - melanotrophs
○ Acts on melanocytes in epidermis

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10
Q

Posterior pituitary structure

A

Neural stalk
Pars nervosa
- capillaries
- hypothalamic hormones stored in NEUROHYPOPHYSIS (granules in axons): ADH, oxytocin

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11
Q

pars nervosa

A
  • Axons of neurosecretory cells in supraoptic nucleus (SON) & paraventricular nucleus (PVN) of hypothalamus
    * Extension of hypothalamus
  • Cells:
    * Pituicytes (supporting cells)
    § Ensheath axons
    * Herring bodies (axons)
    § Granules of hormones stored - ADH, oxytocin
  • capillaries (large n.o. present)
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12
Q

hypothalamic hormones in pituitary gland

A

ADH – acts on renal tubules, reduce urine flow (incr water ab for BP)

Oxytocin – uterine contraction during labour, milk expulsion from mammary gland
Social interaction

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13
Q

Blood supply of pituitary gland
internal carotid artery branch

A
  • Primary capillary plexus (superior hypophyseal arteries)
    ○ Stalk & median eminence
  • Hypophyseal portal veins
  • 2nd cap plexus –> Ant pituitary
  • Hypophyseal veins
  • Inferior hypophyseal arteries –> Post pituitary
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14
Q

ANTERIOR pituitary secretion controlled by
1, 2 capillary plexus

A
  • Control by hypothalamic hypophyseal portal system (1* & 2* cap plexus)
    • Blood vessels
    • Additional control: negative feedback
      ○ Plasma levels of hormones secreted by anterior pituitary
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15
Q

POSTERIOR pituitary secretion controlled by

A
  • Control by hypothalamic hypophyseal tract (AXONS)
    • neurons
    • Pars nervosa
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16
Q

Hormone grp of pituitary glands

A

1) Directly acting on non-endocrine tissues
- GH, prolactin, ADH

2) Hormones modulating activity of other endocrine glands
- TSH, ACTH, FSH, LH

17
Q

what is not under pituitary control

A

Pancreas, adrenal medulla, parathyroid not under pituitary control

18
Q

disorders related to pituitary gland

A
  • Adenomas of adenohypophysis
  • Incr GH
    • Gigantism in children
    • Acromegaly in adults
  • Cushing disease
    • ACTH
    • Stimulates adrenal glands –> more cortisol
  • Diabetes insipidus
    • Damage neurohypophysis (from head trauma)
    • ADH/ vasopression insufficiency
    • Incr urine production
19
Q

Thyroid gland location

A

Located in ant and inferior to larynx in neck
Butterfly shape gland
- 2 lobes
- connected by isthmus
Capsule: richly supplied by superior and inferior thyroid arteries

Develops from foregut endoderm near base of developing tongue

20
Q

thyroid gland cells

A
  • Follicular cells
    ○ Cuboidal –> Tall columnar type
    ○ Active or non-active
  • Colloid contains THYROGLOBULIN (for T3, T4 bind to)
    ○ Under TSH control
  • Parafollicular cells
    ○ Develop from neural crest
    ○ Larger than follicular cells
    ○ LIGHTER STAINS
    ○Secrete calcitonin
21
Q

hormones from thyroid gland

A

follicular cells = T3, T4 (regulate BMR, influence growth, nervous tissue maturation)

parafollicular cells = calcitonin (regulate blood Ca lvl, decr Ca)

22
Q

disorders of thyroid gland

A
  • Overproduction of thyroid hormones
  • Underproduction of thyroid hormones
  • Thyroid nodules
  • Thyroiditis = inflam
  • thyroid neoplasms (tumour)
  • goitre (enlarged thyroid, TSH TSI)
23
Q

parathyroid glands structure

A

4 ovoid masses lying posterior surface of thyroid gland (within capsule)

  • secretes the PTH (raise blood Ca lvl)
24
Q

parathyroid gland cells

A
  • Chief cells
    • Small polygonal cells with round nuclei
    • Pale staining cytoplasm
  • Oxyphil cells
    • Large cells
    • Acidophilic

Older people (degenerated chief cells)

25
Adrenal gland structure
Superior of kidneys Cortex (outer) -- has 3 layers Medulla (inner) i. Maintain constancy of internal environment of body ii Make appropriate physiological changes in response to acute stress
26
adrenal cortex cells developed from mesoderm
◊ Steroid secreting cells has acidophilic cytoplasm rich in LIPID DROPLETS w/ central nuclei ◊ Abundant SER & mitochondria that has Enzymes for CHOLESTEROL SYNTHESIS HORMONES: lipophilic/ steroids - (not stored in granules) - diffuse through plasma mem
27
layers of adrenal cortex
1) Zona glomerulus (TOP) - Aldosterone, mineralocorticosteroids - columnar or pyramidal cells. rounded 2) Zona fasciculata - Glucocorticoids (cortisol) - Long cords of large polyhedral cells 3) zona reticularies (BOTTOM) - Dehydroepiandrosterone/ ANDROGENS, cortisol - Smaller cells. Irregular cords
28
adrenal medulla cells (inner) developed from neural crest fight or flight response
* Large PALE staining polyhedral cells (in cords/ clumps) = CHROMAFFIN CELLS * Have electron dense granules containing catecholamines (EP/ NEP) * Cells innervated by ○ Preganglionic sympathetic neurons ○ Trigger release of epinephrine and epinephrine § Flight or flight response these cells are considered Modified postsynaptic sympathetic neurons
29
hormones produced by medulla adrenal
1. epinephrine a. Incr HR b. Dilate bronchioles c. Dilate arteries of cardiac & skeletal muscle d. Cause glycogenolysis (glycogen --> glucose) 2. NORepinephrine a. Constrict vessels of GIT, skin b. Incr blood flow to heart, muscle, brain c.Cause glycogenolysis (glycogen --> glucose)
30
adrenal disorders
1) Addison's disease - hypoadrenalism - Damage to adrenal cortex, adrenal cortical insufficiency - Symptoms: a. Weak, tired, low blood Na, hypovolemia, low BP 2) Hypoadrenalism - Adrenal cortical tumours - Excess glucocorticoids = CUSHING - Excess mineralocorticoids = CONN'S syndrome 3) adrenal medullary tumour -- pheochromocytoma
31
Pancreas islets of langerhans
Compact spherical or ovoid MASSES of endocrine cells Embedded within acinar cells - thin reticular capsule surrounds each islets - DARKER STAIN
32
cells in islets of langerhans Islets may be ___: with cytoplasmic granules
○ Acidophilic ○ Basophilic Arranged in cords, separated by FENESTRATED CAPS
33
cells in islets of langerhans
a cell (20%) = glucagon: incr BGL (glycogenolysis, lipolysis) b cell (70%) = insulin (decr BGL --> DM) delta cell (5-10%) = somatostatin (inhibit GH, TSH (pitui), HCL , gastric parietal. incr BGL) PP cell or F cell (1-2%) = pancreatic pp (decr bile secretion, motility, secretion of pancreatic enzymes)