endocrine system Flashcards

1
Q

What is the endocrine system?

What is it secondary to?

How long can it take to respond?

A

The endocrine system is a system of loads of hormone producing glands that are scattered around the body, which use hormones as chemical messengers
The endocrine (hormone) system is the second integrative control System of the body – slower than the nervous system
Hormones of the endocrine system can have a lag of seconds, weeks or months before they work
* The endocrine system is responsible for:

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2
Q

What are the 5 things the endocrine system is responsible for?

A

1) Cellular metabolism
2) Growth and development
3) Sexual development
4) Homeostasis e.g Ca++
5) Behaviour e.g mood/sleep

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3
Q

What are endocrine glands?

Why do they have a rich blood supply?

Where are the typical target tissues of endocrine glands located?

How do hormones act on target tissues?

What concentrations are hormones released in?

How can hormones elicit such a big response?

What other hormone systems is the endocrine system in line with?

What is an example

A
  • Endocrine glands are ductless glands with a rich blood supply, that secrete hormones into the bloodstream
  • Having a rich blood supply ensures rapid movement of hormones into the blood and around the body
  • Endocrine glands typically act on tissues distant from the source
  • Hormones are able to act on target tissues, as these tissues have specific receptors that re complementary to the hormone
  • Hormones are released in very small concentrations, but can elicit a huge response, because target tissue receptors have every high affinity for their hormones
  • The endocrine system is also alongside other local hormonal systems, such as the paracrine and autocrine systems e.g. testosterone produced in testes and acting on testes is paracrine
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4
Q

What do exocrine glands may or may not have?

How do exocrine and endocrine glands differ?

What are 3 examples where exocrine glands are used?

A

A
* Exocrine glands may or may not have ducts, where whatever substance is secreted travels up the ducts (typically have ducts)
* Exo refer to the fact that secretions come out of the gland onto an external epithelial layer, rather than internally into the blood stream or extracellular fluids, like endocrine glands
* 3 places where exocrine glands are used:
1) Tongue – saliva
2) Skin – sebum/sweat
3) GI tract – digestive enzymes

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5
Q

What are the 3 different classes of hormones?

A
  • proteins
  • steroids
  • amino acids
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6
Q

PEPTIDE HORMONES
How are they usually transported?
What is their half life like?

How do they act as chemical messengers for cells?

What does this initiate?

How are they degraded?

When might they be used?

A

Peptide hormones are readily transported in the blood, as they ae usually water soluble
They have a short half life of a few minutes, as they are not attached to transport proteins
Peptide hormones bind to plasma membrane receptors on plasma membrane cells
This initiates a cascade response in the cell, which can initiate cell changes, such as in gene expression or phosphorylation of proteins
Peptide hormones are degraded via proteolysis
Peptide hormones can allow generation of short term elicited response in an immediate crisis

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7
Q

What are steroids synthesised from?

What are they soluble in?

What do they need to be transported and why?

How does this affect their half-life?

How do steroid hormones get into cells?

How do steroids target cells?

When is the steroid hormone biologically active?

A

Steroids are synthesised from cholesterol
They are lipid soluble
Steroids require specific transporter proteins to move through the blood, due tot being lipophilic
This increases their half life
Hormones can readily diffuse into and out of the cell through the plasma membrane
Steroids can then bind to intracellular receptors/transcription factors and modify gene expression e,g hormone can bind to a receptor, and the complex becomes a transcription factor
Only the free hormone is biologically active

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8
Q

What are amino acid derivative hormones derived from?

What are the 2 types?

What are the example of each type?

How are they similar?

What 2 ways do they differ?

A

Amino acid derivative hormones are derived from tyrosine
There are 2 types of amino acid derivative hormones:
1) Catecholamines – neurotransmitters
* Adrenaline
* Noradrenaline
* Dopamine

2) Thyroid hormones
* Throxine (T4)
* Tri-iodothyronine (T3)

Although catecholamines and thyroid hormones have a common pre-cursor, they behave very different.
Catecholamines have the shortest half-life of all hormones (can be a few seconds e.g adrenaline released instantly, but degraded very quickly)
Thyroid hormones have the longest half-life of all hormones, and can stay around for a few days
Catecholamines (like peptide hormones) bind to plasma membrane receptors, which triggers secondary messenger signal responses in the cell
Thyroid hormones (like steroids) diffuse across the plasma membrane, and bind to receptors inside the cell.

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9
Q

How do all hormones act?

What can make response vary?

What changes will all of them bring about?

What 3 hormones use plasma membrane receptors?

What 2 hormones use intracellular receptors?

A

All hormones act by binding to receptors on target cells
Cellular response can vary depending on the numbers of receptors present.
All hormones bring about changes in gene expression
* Hormones that use plasma membrane receptors:

1) Peptides
2) Glycoproteins (peptide hormones)
3) Catecholamines

  • Proteins that use intracellular receptors:

1) Steroids
2) Thyroid hormones

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10
Q

what are the 3 different rhythms hormones can be secreted at

A

1) Episodic
* In response to physiological demand e.g insulin

2) Diurnal
* Predictable pattern over 24 hours e.g cortisol
* May also respond to episodic stimuli

3) Constant
* Fairly constant blood concentrations for normal physiological function e.g thyroxine, which is involved in BMR

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11
Q

what are the 3 stimuli for endocrine glands?

A

1- humeral = circulating molecules in blood
2- neuronal = stress response - sympathetic ns
3- hormonal = in response to hormones produced by other endocrine glands

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12
Q

where is the pineal gland

A

centre of brain between the 2 hemispheres, it is for the circadian sleep cycle

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13
Q

What does the hypothalamus link?

What is the role of the hypothalamus and pituitary gland?

What do they provide?

What does the hypothalamus release?

What does the pituitary then release?

How is the hypothalamus connected with the pituitary gland?

A

The hypothalamus links the nervous system and the endocrine system together via the pituitary gland
The hypothalamus, along with the pituitary gland, coordinate the endocrine system, and orchestrate the activity of other endocrine glands
They provide signal amplification through cascades and fine control
The hypothalamus releases and inhibits hormones that have an effect on its target cells: the pituitary gland cells
This stimulates the pituitary gland to release hormones which stimulates/controls many other endocrine glands.
The hypothalamus is connected to the pituitary gland by a stock that receives the neuronal and hormonal and stimuli from the hypothalamus

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14
Q

what 3 things is the hypothalamus responsible for?

A
  • circadian rhythms
  • reproduction
  • growth
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15
Q

What does the hypothalamus respond to?

Describe 4 stages of the endocrine axis using the thyroid as an example.

How is this system regulated?

A

The hypothalamus responds to neuronal and hormonal stimuli from circulating hormones
The endocrine axes (thyroid example):
1) Hypothalamus releases hormone through the stock that targets the pituitary gland cells e.g TRH (Thyrotropin releasing hormone)
2) TRH stimulates the target cells of the anterior lobe of the pituitary gland to produce and release TSH (throxine-stimulating hormone)
3) The TSH travels towards the thyroid through systemic circulation and stimulates the thyroid cells to produce Thyroxine
4) Thyroxine then goes into systemic circulation towards the target cells

  • This system is regulated by a negative feedback control, where products can inhibit hormones produced earlier in the chain, stimulate glands to produce inhibitory hormones, or inhibit glands from producing hormones
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16
Q

What does the hypothalamus do with the 2 lobes of the pituitary gland?

What are the 2 types of hormones the hypothalamus releases?

A

The hypothalamus uses hormones to stimulate the production and secretion of hormones in the anterior pituitary lobe
The hypothalamus synthesises hormones (oxytocin and anti-diuretic hormone) which are stored in the posterior lobe of the pituitary gland
The hypothalamus releases:
1) Releasing hormones
* E.g growth hormone releasing hormone (GHRH) which stimulates the anterior pituitary to release Growth hormone

2) Inhibitor hormones
* E.g growth hormone inhibiting hormone (GHIH)

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17
Q

when do growth hormone levels peak

A

adolescence - the Growth hormone targets the epiphyseal growth plate

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18
Q

what causes Gigantism

A
  • hyper secretion of GH in pre-pubescent children
  • may be caused by an interior pituitary tumour
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19
Q

acromegaly

A

caused by excessive growth hormone and leads to excessive bone growth in the extremities

20
Q

dwarfism

A

caused by hypo secretion of GH in children

21
Q

what are the 2 major lobes in the pituitary glands?

A

anterior pituitary - oral ectoderm derived, vascular connection to the hypothalamus
posterior pituitary - neuroectoderm derived, direct neural link to the hypothalamus
BOTH LOCATATED IN A HOLLOW IN SPHENOID BONE

22
Q

What does the anterior lobe consist of?

What 6 hormones does the anterior lobe synthesise and secrete in response to stimuli from hypothalamus?

A

Hormones from the hypothalamus stimulates the anterior lobe to synthesise its own hormones, which it then released into circulation
The anterior lobe consists of epithelial cells
* The 6 hormones synthesised and secreted by the anterior pituitary in response to stimuli from hypothalamus:

1) Growth hormone (GH)
2) Thyroid stimulating hormone (TSH)
3) Adrenocorticotropic hormone (ACTH)
4) Luteinizing hormone (LH)
5) Follicle stimulating hormone (FSH)
6) Prolactin

23
Q

WHAT DOES THE POSTERIOR LOBE OF THE PITUITARY consist of and what does it do

A
  • consists of neural tissue
  • stores hormones that are secreted by the neurosecretory cells in the hypothalamus
24
Q

what 2 hormones is released from the posterior pituitary

A

anti diuretic hormone - released in response to low blood volume, maintains water in the body
oxytocin - responsible for muscular contraction in the uterus, stimulates breast cells to produce milk

25
Q

prolactin

A

used for production of breast milk in women
enhances LH receptors on lewdig cells of men = testosterone secretion

26
Q

What does the thyroid gland consist of?

Where is it found?

Why does size of the thyroid vary?

What is blood supply and innervation like in the thyroid?

Why is it this way?

How does the thyroid develop in the embryo?

A

The thyroid gland consists of 2 lobes covering the anterolateral surface of the trachea
It is found within the visceral compartment of the neck surrounded by pre-tracheal fascia

The size of the thyroid varies based on diet/iodine availability and physiological demands for thyroid hormones
The thyroid has a rich blood supply, which allows for quick release of hormones into the blood
The thyroid is innervated by the parasympathetic and sympathetic nervous system
This allows the thyroid to respond to more immediate neuronal stimuli, as well as hormones
In the embryo, the thyroid develops as a down growth of the tongue epithelium

27
Q

What are the structural and functional units of the thyroid?

What do these units consist of?

What is produced in the cells of these units?

Where are they stored?

What 2 hormones are these products used to form?

A
  • follicles
    -Follicles consists of a lumen filled with colloid surrounded by simple columnar folicular cells
  • Thyroglobulin is a glycoprotein produced by follicular cells and stored in the lumen of the follicle
  • thyroglobulin will be cleaved to make T3 and T4
  • T3 and T4 will regulate how the body uses energy.
28
Q

what does thyroxine regulate

A
  • rate of metabolism
  • protein production
  • sensitivity of cells to other hormones
29
Q

what are the 3 thyroid disorders

A

-hypothroidism (due to iodine poor soil-poor diet)
- hyperthyroidism - graves disease
- severe hypothroidism- due to iodine deficiency - neural defects

30
Q

What does the parathyroid gland consist of?

Where is it found?

What does it develop?

What does the parathyroid gland produce?

What 2 things is this hormone responsible for?

A

The parathyroid gland consists of two pairs of glands embedded on the posterior aspect of the thyroid gland
It develops the wall of the pharynx
The parathyroid gland produces parathyroid hormone, which opposes calcitonin
* Parathyroid hormone is responsible for:

1) Regulating calcium homeostasis – stimulates osteoclasts to breakdown bone matrix and increase blood Ca++ levels
2) Promotes conversion of inactive vitamin D to active form, which is required for absorption of Ca++ from diet.

31
Q

what is parathyroid hormone regulation in bone?

A

regulates calcium homeostasis which stimulates osteoclasts to breakdown bone matrix and increases blood calcium levels

32
Q

calcium levels are too low/ too high?

A

too low= parathyroid hormone released
too high = calcitonin released

33
Q

what does the medulla release

A

noradrenaline and adrenaline

34
Q

what does the cortex release

A

cortisol - increases blood glucose
- aldosterone - increases BP

35
Q

What are the adrenal/suprarenal glands?

Where are they found?

What 2 tissues are they comprised of?

What are these tissues comprised of?

What does each region produce?

A

The adrenal/suprarenal glands are paired glands superior to the kidneys

The 2 tissues that make up the adrenal glands:
Cortex
Glandular tissue derived from mesoderm
Medulla
Nervous tissue derived from neural crest (neuroectoderm)
The cortex surrounds the adrenal medulla
* Each region produces their own set of hormones that allow the body to immediately respond to stress e.g exercise, injury

36
Q

What hormones does the adrenal cortex produce?

What is a common pre-cursor?

What are the 3 different layers of the adrenal cortex from top to bottom?

What kind of steroids do they each produce?

A

The adrenal cortex produces hormones that are quite long lasting
These are steroid hormones called corticoid steroids, with cholesterol being the common pre-cursor
The 3 layers of the adrenal cortex from top to bottom:
zona glomerulus= produces mineralocorticoids eg) aldosterone
zona fasiculata = glucocorticoids eg) cortisol
zona reticularis = gonadocorticoids which are sex steroids

37
Q

briefly describe the hypothalamic- pituitary - adrenal axis

A

1) Hypothalamus detects stress and excites neurons to release corticotropic releasing factor
2) This stimulated the anterior pituitary gland to release adrenocorticotropic hormone (ACTH), which targets cells in the cortex of the adrenal gland (in this case fasciculata)
3) This stimulates the cells to release cortisol into circulation
4) Cortisol can negatively feedback, and can inhibit the hypothalamus from secreting hormones, and instead secrete an inhibitory hormone

38
Q

what stimulates th hypothalamic - pituitary - adrenal axis

A

stress and exercise

39
Q

what is the rhythm and the effects of the hypothalamus- pituitary - adrenal axis

A

peak rhythm= 6-8am
lowest = midnight- 2 am
main effects:
glucosemobilisation
cardiovascular blood volume
sensitivity to catecholamines

40
Q

What is the cause of Cushing’s syndrome?

What are 3 potential reasons for this?

What are 5 characteristic symptoms of Cushing’s Syndrome?

A

Cushing’s Syndrome is caused be excessive cortisol

This may be due to:
* Tumour excessively stimulating cortisol production
* May be from an ectopic source, such as prescribed glucocorticoids for conditions like rheumatoid arthritis (RA)
* A hypersecretory condition

Characteristic symptoms:
Moon face
Redistribution of fat to abdomen and neck
Peripheral wasting
Hypertension
Osteoporosis

41
Q

what is the adrenal medulla and what are the cells in it called/what will they produce?

A

the adrenal medulla is a direct connection with the sympathetic nervous system, primed for immediate response
- site of catecholamine synthesis and secretion
CHROMAFFIN CELLS:
these produce the catecholamines:
- epinephrine
norepinephrine
dopamine

42
Q

what are the 3 effects of the 3 cells produces by chromatin cells in the adrenal medulla

A

epinephrine - increase heart rate, BP and respiratory rate
norepinephrine - diversion of blood to muscles
dopamine - glucose mobilisation

43
Q

PANCREASE
How is it developed?

Is it exocrine or endocrine?

What does it play a major role in?

A

The pancreas develops as on outgrowth of the epithelial lining of the GI tract
It acts as both an endocrine and exocrine gland, but a majority of its tissues is exocrine
Major role in glucose homeostasis

44
Q

What are the endocrine cells of the pancreas?

Where are they found?

What mass do they make up of the pancreas?

What hormones are produced by what cells?

What are these hormones responsible for?

What is a disorder concerning these cells?

What are the exocrine secretions of the pancreas?

A

The endocrine cells of the pancreas are the Islets of Langerhans, which are found embedded within exocrine tissue (acinar cells)
These endocrine cells make up 1-2% of the total pancreas mass
Islets of Langerhans produce hormones:
Alpha cells produce glucagon
Beta cells produce insulin
These hormones are essential for the regulation of blood glucose
A key disorder of these cells is diabetes mellitus, which is caused by the immune system killing insulin-producing beta cells
The exocrine function of the pancreas is the secretion of digestive enzymes and bicarbonate

45
Q

what are examples of 4 other endocrine organs

A

GI tract produces gastrin – stimulates HCl production in parietal cells of stomach
Kidneys produce renin – involved in feedback mechanism of aldosterone (mineralocorticoids) which maintains blood volume and sodium concentrations (renin can indirectly raises blood pressure)
Ovaries produce oestradiol and progesterone – oestradiol and progesterone thicken uterine wall so the egg can implant if fertilised.
Testes produce testosterone – increases levels of spermatogenesis