endocrine system Flashcards
what are the two pharmacological effects of glucocorticoids?
anti-inflammatory effects, immunosuppressant effects
describe the pharmacodynamics of glucocorticoids?
they prevent the formation of key chemicals that mediate inflammation
in which three ways does glucagon work to increase blood glucose levels?
increases glycogenolysis (breakdown of glycogen into glucose in liver and skeletal muscle)
increases gluconeogenesis (synthesis and release of glucose by the liver)
increases ketogenesis (breakdown of fat to fatty acids in adipose tissue)
what does insulin do?
allows glucose transport into cells
increases rate of glucose utilisation/ATP generation
inhibits hepatic glycogenolysis and gluconeogenesis
increases conversion of glucose into glycogen for storage in liver and skeletal muscles
increases amino acid absorption and protein synthesis
increases triglyceride synthesis in adipose tissue
where is glucagon released from?
alpha cells in the pancreatic islets
what kind of hormone is glucagon?
peptide hormone
what controls the release of glucagon?
decreased blood glucose levels
what is the function of cortisol?
anti-inflammatory; affects glucose metabolism
where is cortisol released from?
the adrenal cortex
what controls the release of cortisol?
stimulated by ACTH
what kind of hormone is cortisol?
steroid hormone (glucocorticoid)
what hormone is released by adipose tissue, and what does it do?
leptin targets the hypothalamus to suppress the appetite
what are the cells of the pancreatic islets and what type of hormones does each produce?
alpha cells: glucagon
beta cells: insulin
delta cells: GH-IH
f cells: pancreatic polypeptide (PP)
what are the four functions of adrenaline?
increased cardiac activity
increased blood pressure
increased glycogen breakdown
increased blood glucose levels
where is adrenaline released from?
the adrenal medulla
what controls the release of adrenaline?
sympathetic innervation by the hypothalmus
what kind of hormone is adrenaline?
amine hormone
what is the function of aldosterone?
increases the reabsorption of Na+ and water
where is aldosterone released from?
the adrenal cortex
what controls the release of aldosterone?
angiotensin II; also elevated blood K+ or fall in blood Na+
what inhibits the release of aldosterone?
ANP and BNP
what kind of hormone is aldosterone?
a steroid hormone
what are glucocorticoids?
“stress hormones”
steroid hormones
affect glucose metabolism
suppress the immune system
anti-inflammatory
what are the glucocorticoids and where are they produced?
cortisol, corticosterone are produced in the adrenal cortex
cortisone is made in the liver from circulating cortisol
what is a synergistic interaction between hormones?
hormones act together and have an increased effect greater than the sum of their parts
eg. glucagon and cortisol and adrenaline together greatly increase blood glucose levels
what are first messengers and second messengers?
first messenger: hormone binding to protein receptor in cell membrane activates second messenger.
second messenger is in cytoplasm; changes rates of metabolic reactions
which hormones are necessary for normal growth and development?
growth hormone insulin parathyroid hormone calcitonin calcitriol thyroid hormones reproductive hormones
what is the network of arteries that transports hormones from the hypothalamus to the anterior lobe of the pituitary gland?
the hypophyseal portal system
define regulatory hormone
a special hormone released by the hypothalamus, controls endocrine cells in the anterior lobe of the pituitary gland
what tissue or organ is targeted by the hormone ACTH?
adrenocorticotropic hormone targets the adrenal cortex
what class of drug is metformin? what are its main pharmacological effects?
oral hypoglycaemic (biguanides)
decreased synthesis of glucose
increased insulin sensitivity
which hormone regulates the secretion of potassium in the nephron?
aldosterone
ADH
- where?
- what?
anti-diuretic hormone
made in the hypothalamus, secreted by the posterior pituitary gland
causes kidney to retain water; less urination leads to increased blood volume, therefore increased BP
what hormones are released by the anterior lobe of the pituitary gland?
TSH - thyroid stimulating hormone ACTH - adrenocorticotropic hormone FSH - follicle stimulating hormone LH - lutenising hormone PRL - prolactin GH - growth hormone MSH - melanocyte stimulating hormone
list the hypothalamic releasing hormones
- CRH - corticotropin releasing hormone –> ACTH –> glucocorticoids
- TRH - thyrotropin realeasing hormone –> TSH –> thyroid hormones
- GH-RH - growth hormone releasing hormone –> GH
- GH-IH - growth hormone inhibiting hormone
- PRF - prolactin releasing factor
- PIH - prolactin inhibiting factor
- GnRH - gonadotropin releasing hormone –> LH and FSH
how does ADH work?
causes a second messenger (cAMP) to cause vesicles containing aquaporins to exocytose, creating channels for water to exit into hypertonic ISF and from there into the bloodstream
which hormone stimulates RBC production? where is it made?
EPO - erythropoietin, made in the kidneys and liver
name three lipid-soluble hormones
cortisol
oestrogen
androgens
aldosterone