Endocrine Glands Part 2 Flashcards
Small, oval endocrine glands associated with thyroid
parathyroid gland
parathyroid is usually two pairs in mammals (2),
present on
superior & inferior
posterior surface of thyroid gland
Parathyroid Gland is embryologically derived from
third and fourth branchial (pharyngeal) pouches
Parathyroid Gland
secretes (1)
PTH (parathyroid hormone, parathormone)
PTH regulates
serum Ca and P
PTH is — to calcitonin
antagonistic
Have reciprocal effects—parathyroid hormone
slowly — serum Ca; calcitonin rapidly — serum Ca
increases
decreases
Parathyroid hormone increases serum Ca 3 ways—
- increases osteoclast activity (inhibits osteoblasts)
- increases renal tubular absorption of Ca in kidneys (& inhibits resorption of phosphate)
- increases Ca absorption from gut via Vit D
• Parathyroid hormone secretion stimulated by
decrease in blood Ca
Damage/removal parathyroid results in
hypoparathyroidism
Hyperparathyroidism—
excess PTH production
Hyperparathyroidism—excess PTH production results in (2)
bony erosion & lysis
2 types of secretory cells:
chief (principal) cells
oxyphil cells
most abundant
chief cells
chief cells secrete
PTH
chief cells stain
clear to light pink, with dark nuclei & moderate amount of cytoplasm
Oxyphil cells are —, less numerous
larger
oxyphil cells stain
dark pink with more cytoplasm
oxyphil cells occur in —
clusters
oxyphil cells contain large numbers of —, but no —
mitochondria
secretory vesicles
function of oxyphil cells
unknown
— — of parathyroid gland common in older individuals
Fatty infiltration
Adrenal Gland=
suprarenal gland
Adrenal Gland is located
superior to kidneys
Adrenal Glands are covered by
thin CT capsule
Adrenal Gland: In mammals, — endocrine gland with — different
embryological origins
single
two
Adrenal Gland: In lower vertebrates, (2) are two separate
glands
medulla & cortex
Adrenal cortex is — embryological origin, similar to —
mesodermal
gonads
Adrenal cortex is regulated by
ACTH secreted by anterior pituitary
Steroid hormones structurally related to — precursor
cholesterol
3 functional classes of adrenal hormones :
mineralocorticoids
glucocorticoids
sex hormones
Mineralocorticoids—(e.g., aldosterone) control (2) balance
electrolyte & fluid balance
Mineralocorticoids regulates Na and K levels via
Na pumps, especially in renal tubules
mineralocorticoids regulate BP via
JGA
Glucocorticoids—(e.g., cortisol)
Stimulate (2)
gluconeogenesis & glycogenolysis
gluconeogenesis & glycogenolysis both — blood glucose
increase
Glucocorticoids increase metabolism and breakdown of (3)
proteins
carbs
lipids
Sex hormones—(e.g., androgens) very — amount; supplement — production
small
gonadal
Cortex has three layers (from superficial to deep):
zona glomerulosa
zona fasciculata
zona reticularis
Zona glomerulosa—
~15% of cortex: thin, dark-staining band
zona glomerulosa secretes
mineralocorticoids, e.g., aldosterone
Zona fasciculata—
~80% of cortex; broad, light-staining band
Zona fasciculata contains cells called
spongioctes
Zona fasciculata secretes (2)
glucocorticoids eg. cortisol
small amounts of androgens
Stress promotes secretion of cortisol, which — immune response
decreases
Zona reticularis—
~5% of cortex; thin, dark-staining band
Zona reticularis secretes small quantities of (2)
androgens and glucorticoids
Hypoadrenocorticism is also known as
Addison’s disease
Addison’s disease
Failure of adrenal cortex to produce hormone
mineralo- & glucocorticoids
Addisons disease is usually due to
atrophy of gland (often caused by autoimmune disease)
decrease in aldosterone results in (4)
decrease in ECF volume,
hyponatremia,
hyperkalemia,
mild acidosis
mild acidosis results in (2)
shock, death
aka Addisonian crisis
decrease in cortisol results in decrease in
blood glucose
treatment of Addisons disease
exogenous administration of mineralocorticoids & glucocorticoids
(fluorinef & cortisol)
Hyperadrenocorticism is also known as
Cushing’s disease
Cushing’s disease can be either
1’ and 2’
1’ Cushing’s disease
2’ Cushing’s disease
adrenal hyperadrenocorticism
pituitary hyperadrenocorticism, aka “Classical form”
1’ (adrenal hyperadrenocorticism) is due to (2)
general adrenal hyperplasia or functional tumor of adrenal cortex
1’ results in excess — secretion
cortisol
2’ (pituitary hyperadrenocorticism, aka “Classical form”) is due to
increased ACTH from anterior pituitary (pituitary tumor, e.g., adenoma or carcinoma) or other cortisol-producing tumor
increased ACTH secretion results in (2)
adrenal hyperplasia & excess cortisol secretion
Other cortisol producing tumor
Adrenal medulla embryologically originates from —
neuroectoderm
Adrenal medulla contains
chromaffin cells
chromaffin cells—
modified, post-ganglionic neuronal cells with secretory function (epithelioid in appearance)
Adrenal medulla is controlled directly by
preganglionic, sympathetic nerve fibers
Chromaffin cells secrete
catecholamines
catecholamines— (2)
Adrenaline (= epinephrine) & noradrenaline (= norepinephrine)
catecholamines are stored in cytoplasmic granules called
dense core granules
Catecholamine release has systemic effect on --- receptors throughout body (especially skeletal, cardiac, & smooth Mm)
adrenergic
In concert with glucocorticoids, prepares body for — response
“fight or flight”
Adrenaline promotes glycogenolysis in liver as energy source & is
responsible for production of
enkephalins
enkephalins—
endogenous opiates responsible for pain relief
Generally benign, functional
tumor of chromaffin cells of
adrenal medulla
Pheochromocytoma
Pheochromocytoma symptoms due to
increased epi and norepinephrine secretion
SKIPPED
symptoms of Pheochromocytoma such as (7)
Hypertension, headache, cardiac arrhythmias, chest pain, anxiety, panic attacks, nausea
treatment of Pheochromocytoma
surgical removal of tumor
Bulk of pancreas contains
exocrine acini
exocrine acini—
secrete digestive products into gut
During development, endocrine cells migrate from duct sys & aggregate around capillaries of pancreas, form
islets of Langerhans
islets of Langerhans are distributed throughout
exocrine pancreatic tissue
3 main islet cell types:
alpha
beta
gamma
islet cells require — staining to differentiate
immunohistochemical
alpha-cells (~15-20%)—secrete
glucagon
glucagon; — blood glucose, stimulates (2)
increases
glucogenesis & glycogenolysis
beta-cells (~70%)—secrete
insulin
insulin; — blood glucose & stimulates intracellular
decreases
glycogen synthesis
gamma-cells (~5-10%)—secrete
somatostatin
somatatostatin inhibits both (2) production
insulin & glucagon
Other, miscellaneous cell types secrete (2)
vasoactive intestinal peptide (VIP) & pancreatic polypeptide (PP)
Pathology of pancreas—insulin deficiency/abnormality results in
diabetes mellitus
diabetes mellitus is characterized by (2)
hyperglycemia (increase in blood glucose)
& glucosuria (glucose in urine)
diabetes mellitus type 1
juvenile diabetes (decrease insulin production)
diabetes mellitus type 2
adult onset diabetes (decrease # of insulin receptors or decrease responsiveness)
Pineal Gland/ Body length
~6-8 mm
Pineal Gland/ Body is located
anterodorsal to cerebellum
Pineal Gland/ Body develops from — as evagination of
neuroectoderm
posterior portion of third ventricle, from roof of diencephalon
Pineal Gland/ Body communicates with —
hypothalamus
Pineal Gland/ Body acts as — in lower vertebrates
photoreceptor
Pineal Gland/ Body translates light intensity & duration (photoperiod) into
endocrine activity
Translates light intensity & duration (photoperiod) into endocrine activity—important in (2)
circadian rhythms & seasonal reproductive cycles
Pineal Gland/ Body secretes hormones (2)
melatonin
chromatophores
melatonin stimulates —
melanophores
chromatophores
pigment-containing cells
change in color intensity with (2)
reproductive cycle & serotonin (vasoconstrictor; neurotransmitter)
In mammals, melatonin has anti— effect, to decrease
gonadal
sex activity
Melatonin => — GNRH from hypothalamus => — sex hormone secretion
from gonads
decreases
decreases
Two main cell types:
pinealocytes
neuroglial cells
most common cell in pineal gland
Pinealocytes (= pineal chief cells)
pinealocytes are highly modified —; which secrete (2)
neurons
melatonin and serotonin
Neuroglial cells (= interstitial cells)—
support cells such as astrocytes, microglial cells
May also see:
corpora arenacea
corpora arenacea= (2)
“brain sand”, pineal sand
corpora arenacea are calcified accretions of (2) in aging individuals
Ca & Mg phosphate
Pituitary is divided int
anterior
posterior
Pituitary is divided into
anterior & posterior half
Anterior contains (3)
pink acidophils, purplish basophils & pale chromophobes
Posterior contains (1)
neurosecretory axons from neurons in hypothalamus
Thyroid—
large follicles containing thyroglobulin, lined by follicular epithelium
Parathyroid—contains pale staining — cells (secrete PTH) with clusters of
larger, brighter pink — cells scattered throughout
chief
oxyphil
Adrenal—
Cortex contains three alternating bands of
Central medulla contains
dark & light pink cells
adrenalin secreting chromaffin cells
Pancreas—contains — eyelets of Langerhans interspersed among
— pancreatic acini
endocrine
exocrine
Pineal—contains basophilic — scattered among pale staining —
pineal sand (corpora arenacea) pinealocytes
A variety of endocrine cells scattered in the mucosa of (3)
GI,
respiratory tract,
& other organs
GI & Respiratory Endocrine System secrete (2) hormones
peptide & amine hormones (e.g., gastrin, secretin, CCK, serotonin)
~– different cell types with confusing terminology
20
Some products even found in brain as —
neurotransmitters
• Some of these cells have similar ultrastructure & metabolic pathways- called — cells
APUD
amine precursor uptake & decarboxylation
At one time, common metabolic pathway was thought to indicate
common ancestry; term now falling into disuse, because cells found to
have different
embryological origins
Embryologically, most derived from — — (highly modified
neurons, aka — cells)
neural crest
neuroendocrine
Others in gut derived from — (— cells)
endoderm
enteroendocrine
Both produce (2) hormones or neurotransmitters, with — granules & —like activity
amine or peptide
neurosecretory
hormone
Best known examples include (3)
chromaffin cells of adrenal medulla (epinephrine & norepinephrine),
thyroid C cells (calcitonin),
pancreatic islets (insulin, glucagon, & somatostatin)
Enteroendocrine cells in GI & respiratory tracts have a variety of
secretory products
e.g., gastrin, CCK, VIP, substance P, serotonin, bombesin