Endocrine System Flashcards

1
Q

Endocrinology

A

Study of structure and function of endocrine glands and the diagnosis and treatment of disorders of the endocrine system

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2
Q

Hormone

A

Chemical messenger secreted by cells of endocrine tissue/gland into interstitial fluid
- diffuses into blood capillaries
- transported into bloodstream
- distributed to specific target cells with specific receptors
- effects target cells physiology

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3
Q

Endocrine glands

A

Pituitary, thyroid, parathyroid, adrenal glands, pineal glands

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4
Q

Organs with endocrine tissues

A

Hypothalamus, thymus, pancreas, ovaries, testes, kidneys, digestive tract, heart, adipose tissue, placenta

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5
Q

Tropic hormone

A

Act on other endocrine glands/tissue
- most secreted by anterior pituitary
- those secreted by hypothalamus act on anterior pituitary are also tropic hormones

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6
Q

Functions of hormones

A
  • chemical composition of the ECF (e.g., insulin, calcitonin, aldosterone)
  • metabolism and energy balance (e.h., thyroid and growth hormone)
  • biological clock (e.g., melatonin)
  • contraction of smooth and cardiac muscle (e.g., epinephrine)
  • some immune system functions (cortisol)
  • growth and development (e.g., growth hormone)
  • regulate productive organs (e.g., estrogen, progesterone, testosterone)
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7
Q

Nervous System

A

Mediator molecules: neurotransmitters
Site of action: close to release site (synapse)
Types of target cells: Few cell types Neurons, muscle, glands
Time to onset of action: milliseconds
Duration of action: shorter (milliseconds)

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8
Q

Endocrine System

A

Mediator Molecules: hormones
Site of action: far from release site (anywhere in body)
Types of target cells: any body cells
Time to onset of action: seconds-days
Duration of action: longer (sec-days)

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9
Q

Anterior pituitary is also known as _____

A

Adenohypophysis

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10
Q

Pituitary gland is also known as _______

A

Hypophysis

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11
Q

5 releasing hormones from hypothalamus:

A

GnRH
GHRH
TRH
CRH
PRH
2 inhibiting hormones: PIH and somatostatin

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12
Q

GnRH is

A

Gonadotropin-releasing hormone

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13
Q

GHRH is

A

Growth hormone releasing hormone

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14
Q

TRH is

A

Thyrotropin-releasing hormone

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15
Q

CRH is

A

Corticotropin-releasing hormone

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16
Q

PRH is

A

Prolactin releasing hormone

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17
Q

PIH is

A

Prolactin inhibiting hormone

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18
Q

Somatostatin

A

Growth hormone inhibiting hormone

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19
Q

7 hormones from anterior pituitary

A

FSH
LH
TSH
ACTH
Prolactin
GH
MSH

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20
Q

FSH is

A

Follicle stimulating hormone

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21
Q

LH is

A

luteinizing hormone

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22
Q

TSH is

A

Thyroid Stimulating Hormone

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23
Q

ACTH is

A

Adrenocorticotropic hormone

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24
Q

GH is

A

Growth hormone

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25
Q

MSH is

A

Melanocyte-stimulating hormone

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26
Q

PRH

A

Hypothalamic hormone

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27
Q

Hypophyseal portal system

A

The blood connection between hypothalamus and the anterior pituitary

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28
Q

What is under control of hypothalamic tropic hormones

A

Anterior pituitary gland

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29
Q

Where does the pituitary gland sit?

A

Within the sella turcica of sphenoid bone
Attached to hypothalamus by infundibulum (a stalk)

30
Q

Which part of the pituitary is larger?

A

The anterior pituitary

31
Q

Antidiuretic Hormone

A

Acts on kidney tubules; detecting level of hydration and how much water to release or maintain

32
Q

Anterior pituitary histology

A

Grows upward from primitive pharynx during embyrological development
Larger lobe of pituitary

33
Q

Histology of posterior pituitary

A

Grows downwards from brain; composed of nervous tissue
Stores hormones made by the neurons in hypothalamus

34
Q

Control of pituitary secretion (thyroid hormone as example)

A

1) hypothalamus secretes TRH
2)TRH stimulates anterior pituitary to secrete TSH
3) TSH stimulates the thyroid gland to secrete thyroid hormone(TH)
4) TH stimulates metabolism of most cells in the body
5) TH also inhibits the release of TSH by the anterior pituitary
6) to a lesser extent, TH also inhibits the release of TRH by the hypothalamus

steps 5 and 6 are negative feedback

35
Q

Lipid soluble hormones

A
  • need transport protein
  • thyroid hormones
  • eicosanoids
  • steroid hormones
36
Q

Water soluble hormones

A
  • no transport protein needed
  • catecholamines
  • peptide hormones (majority of hormones)
37
Q

Tryptophan derivative

A
  • melatonin (ampiphatic)
38
Q

Amphipathic meaning

A

Both water and lipid soluble

39
Q

Thyroid hormones

A
  • lipid soluble
  • need transport proteins
40
Q

Catecholamines

A
  • epinephrine
  • norepinephrine
  • dopamine
  • water soluble
41
Q

All peptide hormones are __________

A

Water soluble

42
Q

Anemia

A
  • not enough RBC means not enough oxygen being circulated
  • lack of ertyhtopoietin derived from kidney
43
Q

Steroid hormones are synthesize from _____

A

Cholesterol

44
Q

All steroid hormones are ____

A

Lipid soluble

45
Q

Hormone Synthesis

A

-Gene for hormone is transcribed to mRNA molecule
-Ribosomes translate mRNA and assemble amino acids to make the peptide
-Further modification occurs to make the mature hormone molecule

46
Q

Thyroid Hormone (TH) Synthesis and Secretion

A

1)Cells of thyroid follicle absorb iodide ions from blood capillaries and oxidize I- to reactive form I*
2)Follicle cells synthesize thyroglobulin(Tg) and release it into the lumen for storage
3)Enzyme at cell surface adds iodine to a few tyrosines
4)When follicle cells receives TSH from ant. pituitary they absorb Tg and lysosomal enzyme hydrolyzes Tg chain
5)TH is released from basal side of cell into blood capillaries and it binds to transport proteins to go to target cells.

47
Q

Up regulation

A

Cell produces more receptors (increased density) and increases its own sensitivity to a hormone

48
Q

Down regulation

A

Cell produces less receptors (decreased density) and decreases its sensitivity to a hormone

49
Q

Modulation of target cell activity

A
  • up regulation
  • down regulation
50
Q

Peptide hormone (water soluble) receptors

A

Acts via a surface receptor on cell membrane and a second messenger system

51
Q

Steroid hormone (lipid soluble) receptor

A

Acts by diffusing into the nucleus and binding to a nuclear receptor associated with a gene

52
Q

CAMP as a second messenger (peptides and catecholamines)

A

1) hormone receptor binding activates a G protein
2) G protein activates Adenylate cyclase
3) Adenylate cyclase produces cAMP
4) cAMP activates protein kinases
5) protein kinases phosphorylate enzymes which activate some and deactivate others
6) activates a enzyme catalyze metabolic reaction with wide range of effects of target cell

53
Q

Peptide hormones (water soluble)

A
  • receptors on surface of target cell membrane
  • relies on second messenger system
  • 1st messenger = hormone
  • 2nd messenger depends on the hormone
  • some use cAMP pathway, some use IP3, DAG, Ca2+ (all = types of second messenger systems)
54
Q

Activation of phospholipids in plasma membrane (water soluble hormones)

A

1) receptor activated by certain hormones
2) receptor activates a G protein linked to a nearby enzyme, phospholiopase, in the plasma membrane
3) Phospholipase splits a membrane phospholipid into two fragments, inositol triphosphate (IP3) and diacylglyerol (DAG).
4) IP3 and DAG are the second messengers that go on to activate a wide variety of metabolic changes in target cells
5) DAG activates protein kinase (PK), much like cAMP does on the previous slide and PK phosphorylates other enzymes.
6) IP3 works by increasing the calcium concentration in the target cell. Calcium then acts to change cell physiology.

55
Q

metabolic effects of phospholipids

A
  • smooth muscle contraction
  • protein synthesis
  • secretion
  • mitosis
    -etc.
56
Q

Role of insulin

A

Acts to promote glucose uptake, glycogen storage, and lowing of blood glucose (BG) level

57
Q

Role of glucagon

A

Acts to promote glycogen breakdown, glucose synthesis, glucose release into blood, increasing BG level
- Breakdown of glucose

58
Q

Glycogenesis

A

Synthesis of glycogen

59
Q

Glycogenolysis

A

Breakdown of glycogen via hydrolysis (addition of water)

60
Q

Gluconeogenesis

A

Synthesis of glucose from non carbohydrates, especially fats and proteins (creation of new glucose)

61
Q

Classic signs/symptoms of diabetes mellitus (DM)

A
  • polyuria
  • polydipsia
  • polyphagia
62
Q

DM signs based on blood/urine testing

A
  • hyperglycaemia
  • glucosuria
  • ketonuria
  • fruity smelling breath (ketones)
63
Q

Potential complications of diabetes mellitus

A
  1. Retinopathy - damage to retina
  2. Nephropathy - damage to kidneys
  3. Peripheral neuropathy - damage to peripheral nerves
  4. Peripheral tissue damage and poor wound healing and diabetic ulcers
64
Q

Forms of cell signaling

A

Auto ring
Juxtacrine
Paracrine
Endocrine

65
Q

Autocrine (local hormones)

A

A cell targets itself

66
Q

Juxtacrine

A

A cell targets a cell connected by a gap junction

67
Q

Paracrine

A

A cell targets a nearby cell

68
Q

Endocrine

A

A cell targets a distant cell through the blood stream

69
Q

ALARM phase of stress

A

Aka fight or flight
Immediate short term response to crises
- increased mental alertness
- increased energy use by all cells
- mobilization of glycogen and lipid reserves
- changes in circulation
- reduction in digestive activity/urine production
- increased sweat gland secretion
- increased heart/respiratory rates

70
Q

Resistance Phase of Stress

A

Long term metabolic adjustments
- mobilization of remaining energy reserves
- conservation of glucose
- elevation of blood glucose concentrations

71
Q

Exhaustion Phase

A

Collapse of vital systems
Causes include:
- exhaustion of lipid reserves
- inability to produce gluccocorticoids
- failure of electrolyte balance
- cumulative damage to vital organs