Endocrine system Flashcards

1
Q

What are the two control system of homeostasis and what are their differences?

A

AUTONOMIC NERVOUS
SYSTEM:
-Rapid change.
-Less precise.
-Shorter duration.
-Neurotransmitters.
-Control centre:
Central nervous system

ENDOCRINE SYSTEM
-Slower change.
-More precise.
-Longer duration.
-Hormones.
-Control centre:
Hypothalamus.

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2
Q

What are the two types of glands?

A
  1. EXOCRINE
    * Excrete products into ducts leading to
    body cavities / organ / skin.
    * Examples: Salivary glands (saliva), gastric
    glands (digestive enzymes), mammary glands.
  2. ENDOCRINE
    * Ductless, secreting hormones directly into
    the blood.
    * Examples: Pituitary, adrenals, thyroid.
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3
Q

List the name of the 10 endocrine glands.

A
  • Hypothalamus (neuroendocrine gland).
  • Pituitary (glandular and neuroendocrine).
  • Pineal.
  • Thyroid.
  • Parathyroid.
  • Adrenal.
  • Pancreatic: islets of Langerhans.
  • Thymus.
  • Ovaries.
  • Testes.
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4
Q

List the seven endocrine tissues

A
  • Adipose tissue — leptin (suppresses food intake) and resistin
    (blood glucose).
  • Heart — atrial natriuretic peptide (blood pressure).
  • GIT — stomach: ghrelin and gastrin (satiety and gastric emptying).
  • Liver — angiotensinogen, insulin-like growth factor (IGF),
    thrombopoietin.
  • Placenta — human chorionic gonadotropin (hCG) and progesterone.
  • Kidneys — erythropoietin (RBC production) and calcitriol (vit. D).
  • Skin — cholecalciferol (vit. D).
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5
Q

What is down regulation and up regulation hormone?

A
  • If a hormone is present in
    excess, the number of target
    cell receptors may
    decrease.
  • Example: Hormones
    increase during puberty.
  • A deficiency in hormone
    causes an increase in the
    number of receptors on target
    cells.
  • Example: Increased number
    of oxytocin receptors in third
    trimester of pregnancy.
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6
Q

Which gland is the master endocrine gland?

A

Pituitary gland as it controls other glands and is regulated by hypothalamus

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7
Q

How are hypothalamus and pituitary gland connected?

A

The hypothalamus and pituitary
gland are connected by a stalk of
nerve fibres and network of
capillaries.

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8
Q

List of hypothalamus and anterior pituitary hormones

A

-Tyhrotrophin releasing hormone (TRH)- Thyroid stimulating hormone(TSH)- Targets thyroid gland

-Growth hormone releasing hormone(GHRH) and growth hormone Inhibiting hormone(GHIH)- Growth hormone(GH)- Targets most body tissues

-Corticotropin releasing Hormone (CRH)- Adrenocorticotropic hormone (ACTH) and Melanocyte stimulating Hormone(MSH)- Targets adrenal cortex and skin

  • Prolactin releasing hormone(PRH) and Prolactin inhibiting hormone(PIH) (Dopamine)- Prolactin(PRL)- Targets breasts

-Gonadotropin releasing hormone (GnRH)- Follicle stimulating hormone (FSH) and Luteinising Hormone (LH)-
Targets Ovaries and Testes

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9
Q

What are the two posterior pituitary hormones?

A

Oxytocin and Antidiuretic hormone (ADH)

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10
Q

What are the functions/activities of Growth hormone and when do they have increased production?

A

ACTIVITY:
1. Regulates metabolism in many organs.
2. Stimulates release of insulin-like
growth factors (IGFs) in cells.
3. Promotes growth and division of most
body cells (especially bone and muscle).
4. Breaks down fats and glycogen.

INCREASED PRODUCTION:
* Night-time (sleep — stage three, four).
* Hypoglycaemia.
* Exercise.
* Childhood and adolescence

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11
Q

What are the functions/activities of thyroid glands and when they have increased production?

A

ACTIVITY:
1. Growth and activity of the
thyroid gland: Increasing
thyroid hormone production
— thyroxine (T4) and triiodothyronine (T3).

PRODUCTION:
* Lowest levels in the early
evening and highest during
the night.

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12
Q

What are the functions/activities of Adrenocorticotropic glands and when they have increased production?

A

ACTIVITY:
1. Output of steroid hormones:
Glucocorticoids, especially cortisol.
2. Circadian rhythm (sleep / wake cycle).
INCREASED PRODUCTION:
* Hypoglycaemia.
* Exercise.
* Stressors such as emotions, fever.
* Interleukin-1 (inflammatory
response to infection).
PRODUCTION:
* Highest in the morning and lowest
at midnight.

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13
Q

What are the functions/actions of Prolactin hormone and when is it produced more?

A

ACTIVITY:
1. Stimulates lactation:
Prolactin + oxytocin = lactation.
2. Prevents pregnancy during lactation
(inhibits GnRH).
3. Breast maturation after childbirth.
Matures mammary glands in pregnancy.

PRODUCTION:
* After birth (delivery of placenta).
* Suckling: the more milk removed, the more produced.
* Emotional stress.
* Sleep.

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14
Q

Follicle stimulating hormone and luteinising hormone?

A
  • FSH:
  • Production of gametes (sex cells)
    in males and females.
  • Increases oestrogen production (F).
  • Stimulates testosterone production (M).
  • LH
  • Triggers ovulation and formation of the
    corpus luteum in females.
  • Increases secretion of progesterone (F).
  • Stimulates secretion of testosterone (M).
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15
Q

Melanocyte stimulating Hormone

A

Produced by the anterior pituitary in
response to UV light.
* Stimulated by corticotropin releasing
hormone (CRH) — released from
hypothalamus. So MSH and ACTH
share CRH as their precursor hormone.
* Role in skin, hair and eye pigmentation
in humans.
* Can be excessively produced as part of some
pathologies, such as the hyperpigmentation
of skin seen in Addison’s disease.

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16
Q

Oxytocin

A

ACTIVITY:
1. Contracts uterus in childbirth (parturition).
2. Contracts lactating breast.
3. Bonding hormone (mother with baby):
Social bonding, trust, skin contact,
cuddle hormone.
PRODUCTION:
* Suckling.
* Childbirth (positive feedback).
* Emotional state: Fear or anxiety may
inhibit release of oxytocin or milk let-down. Emotions can
trigger oxytocin — just hearing baby’s cry can start lactation

17
Q

Antidiuretic hormone (ADH)

A

Hypothalamus monitors concentration of body
fluid.
ACTIVITY:
1. Reduces urine output by stimulating
reabsorption of water in the kidneys.
2. Vasoconstriction in skin and abdominal
organs to increase blood pressure.
PRODUCTION:
* Increased osmotic pressure, hypovolaemia
(reduced fluid intake, thirst, vomiting).
INHIBITION:
* Reduced osmotic pressure, increased fluid
intake, alcohol.

18
Q

Pineal Gland: Melatonin

A

The pineal gland is a small pea-sized gland in the
midline of the brain that produces melatonin.
* Specialised photoreceptors in the retina detect light /
darkness cues.
* Levels are highest in children and decline with age.
* Stimulated by: Night, darkness (retinal feedback).
* Reduced by: Daylight, irregular sleep
patterns (jetlag, night-shifts).
ACTIVITY:
* Setting of the circadian rhythm:
Metabolic, physiological and behavioural
alterations that follow a 24-hour rhythm.
* A potent antioxidant, DNA protective.

19
Q

Thymus gland: Thymosin

A

The thymus is a bi-lobed gland, located
behind the sternum, which plays an
important role in immune development.
* The thymus atrophies after puberty and
is replaced by fibrous tissue.
ACTIVITY:
* Hormones produced by the thymus
promote the maturation of T-Lymphocytes. *
* Immature T-cells migrate from the red bone
marrow to the cortex of the thymus. Mature
T-lymphocytes then migrate to the lymphatic system

20
Q

Thyroid Gland

A

A butterfly-shaped gland that is inferior to the
larynx and located either side of the trachea.
* Influences metabolic rate (catabolic + anabolic)
and is an important ‘growth hormone’ in early life.
* Follicular cells produce thyroid hormones:
* Thyroxine (T4) — has four iodine atoms.
* Triiodothyronine (T3) — has three iodine atoms.
* T4 and T3 are synthesised from iodine and a
specialised thyroid protein called thyroglobulin
(Tg) rich in tyrosine.
* Follicular cells trap and store most of the body’s
iodide via active transport from blood to cytosol.

21
Q

Thyroid Hormone

A

The major form of thyroid hormone in the blood
is thyroxine (ratio of T4 to T3 is approx. 20:1).
* Selenium-containing enzymes are used in the conversion
of T4 to T3. Zinc is also needed for this.
* T3 is the more biologically active form:
Three-four times more potent than T4.
* This allows the body to maintain a stable
pool of thyroid hormones from which the
active, free hormones can be released as
required.
* Thyroid hormone levels are measured in terms of free T4 and T3.
* Most body cells have receptors for thyroid hormones.

ACTIVITY
:
* Increase metabolic rate and heat production. * Essential for normal growth and
development and CNS function.
* Work in conjunction with adrenaline and
noradrenaline, insulin and growth hormone.
PRODUCTION: * Stimulated by: TSH, exercise, stress,
malnutrition, low blood glucose, low T3 to T4

  • Reduced by: Low TSH, high T3
  • Highest levels at night. * Higher levels during adolescence,
    pregnancy and female reproductive years.
22
Q

Adrenal Glands

A

The adrenals are paired glands superior
to the kidneys. Divided into the:
1. Medulla (inner): Part of the autonomic NS,
producing:
* Adrenaline (epinephrine).
* Noradrenaline (norepinephrine).
* Dopamine.
2. Cortex (outer): Produces three groups
of steroid hormones:
* Glucocorticoids (mostly cortisol).
* Mineralocorticoids (mostly aldosterone).
* Sex hormones (mostly androgens).

23
Q

Adrenaline and Noradrenaline

A

Adrenaline (80%) and noradrenaline (20%)
are produced by the adrenal medulla.
* They both intensify the sympathetic response.
* Released by chromaffin cells (quick release
because innervated directly by sympathetic NS).
* Adrenaline has greater influence on the heart.
Noradrenaline affects blood vessels.
* Stimulated by: Exercise, fasting, shock,
elevated temperature, infection, disease,
emotional stress, caffeine.
* Inhibited by: Eating, sleeping, calmness,
diaphragmatic breathing.

24
Q

Glucocorticoids

A

Steroid hormones produced in the
adrenal cortex which regulate
metabolism and resistance to stress.
* This is mostly cortisol.
ACTIVITY:
1. Stimulating gluconeogenesis.
2. Proteolysis (amino acids from protein).
3. Lipolysis.
4. Production of glucose by the liver.
5. Reduces immune response (and tissue repair).
6. Anti-inflammatory — hence therapeutic use of steroids.
7. Weak reabsorption of sodium and water from kidney tubules

25
Mineralocorticoids
Primarily aldosterone — maintains water and electrolyte balance. ACTIVITY: 1. Reabsorption of sodium in kidneys. 2. Causes retention of water in the kidneys to increase blood volume and blood pressure. 3. Excretion of potassium in urine. * Stimulated by: Low BP or blood volume (dehydration, haemorrhage) and high blood potassium stimulates the renin-angiotensin- aldosterone pathway (RAAS). * Inhibited by: Low blood potassium.
26
Sex Hormones
Primarily androgens in the form of dehydroepiandrosterone (DHEA). ACTIVITY: 1. Production of pubic and axillary hair. 2. Growth: Increases muscle mass. 3. Converted to testosterone then oestrogen (in females à promotes libido). PRODUCTION: * Stimulated by CRH à ACTH * Cortical androgens are insignificant compared to amount produced in the ovaries and testes during puberty and adulthood.
27
Pancreas
The pancreas has both an endocrine and exocrine function. * Endocrine function is via the cells called the islets of Langerhans. The pancreas contains different types of endocrine cells including: 1. Alpha cells: Produce glucagon. 2. Beta cells: Produce insulin. * Main endocrine function of the pancreas is to regulate blood glucose levels and maintain within normal range (4-7 mmol/L)
28
Pancreas: Insulin
Lowers blood glucose levels, amino acids and fatty acids by: 1. Stimulating cells to uptake glucose from blood. 2. Promoting synthesis of proteins, glycogen (glycogenesis) and fats (lipogenesis). Stimulated by: * Directly: High blood glucose, elevated blood amino acids, eating, sweet taste (including artificial sweeteners). Indirectly: GH and ACTH acting to elevate blood sugar levels. Reduced by: * Low blood glucose, starvation, glucagon
29
Pancreas : Glucagon
Acts on the liver to elevate blood glucose levels. * Converts glycogen to glucose in liver and skeletal muscle (glycogenolysis). * Gluconeogenesis from lactic acid and amino acids. * Lipolysis to break down stored fat for use for metabolism. PRODUCTION: * Stimulated by: Low blood sugar, exercise, stress (fight-or-flight). * Reduced by: Insulin, hyperglycaemia.