Endocrinology Flashcards

1
Q

Describe the roles of the endocrine system

A
  • Allows communication between organs; secretion and transport of hormones
  • Maintenance of the internal environment and homeostasis eg blood glucose regulation
  • Involved in many important physiological function such as metabolism, sexual function and reproduction, energy and water balance, growth and development, stress response, sleep-wake cycles
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2
Q

Outline how the endocrine system communicates

A
  • Consists of various glands
  • Communicate through chemical messengers (hormones) in the blood
  • Communication is slower and lasts longer than the nervous system
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3
Q

What are the roles of the hypothalamus and pituitary gland, endocrine glands and hormones?

A
  • Hypo and pituitary gland - form the H-P axis, main regulator of downstream glands
  • Endocrine glands - secrete hormones to initiate actions within cells
  • Hormones - chemical messengers, responsible for initiating change within target cells
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4
Q

Name glands of the endocrine system and in short their function

A
  • Pituitary gland - master gland
  • Pancreas - blood glucose
  • Adrenal glands - stress response, blood pressure and heart rate
  • Testes and ovaries - sexual function and reproduction
  • Thyroid - metabolism and calcium homeostasis
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5
Q

Describe the hypothalamus role in the hypothalamus-pituitary axis

A
  • Not a gland, but the overall master of the system
  • Recieves information from the body (feedback)
  • Homeostatic control and behaviour regulation - controls pituitary gland secretion
  • Provides important link between nervous system and endocrine system
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6
Q

Describe the pituitary glands role in the hypothalamus-pituitary axis

A
  • Releases hormones –> ‘tropic factors’
  • Tropic factors regulate the activity of other glands eg adrenal gland to release cortisol
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7
Q

Outline the overall process of how the H-P axis works

A
  • Releasing factors such as growth hormone-releasing hormone from the hypothalamus activate cells within pituitary gland
  • Pituitary gland cells release ‘tropic factors’ which act on target organs/tissues
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8
Q

Describe hormones

A
  • Chemicals produced and released by cells/glands within the body
  • Act as ‘messengers’
  • Bind to specific cells with the appropriate receptor
  • Regulate the activity of target cells/tissues/organs
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9
Q

Describe peptide and steroid hormones with an example

A
  • Peptide - majority of hormones within the body, water soluble, eg insulin
  • Steroid - made from lipids, lipid soluble, eg cortisol
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10
Q

What 2 things can the action of a hormone be dependant?

A
  1. The concentration of the hormone
  2. The abundance of target cell receptors (sensetivity)
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11
Q

What are the 2 hormones produced in the pituitary gland and their actions?

A
  • Antidiuretic hormone (vasopressin) - affects water retention and blood pressure
  • Growth hormone - growth and development, fat distribution
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12
Q

What are the 2 hormones produced in the adrenal glands and their actions?

A
  • Aldosterone - regulates salt, water balance and blood pressure
  • Corticosteroid (eg cortisol) - anti-inflammatory, blood glucose regulation, salt and water balance, muscle strength
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13
Q

What are the 2 hormones produced in the pancreas and their actions?

A
  • Insulin - regulates blood sugar, promotes glucose uptake into cells
  • Glucagon - regulates blood sugar - increases blood glucose
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14
Q

What is the hormone produced in the kidneys and its action?

A

Erythropoietin - regulates RBC production

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15
Q

Describe the 3 ways endocrine glands are stimulated via negative feedback and an example for each

A
  • Hormonal stimulation - hormones will influence secretion of other hormones eg pituitary gland hormone –> pancreas
  • Humoral stimulation - fluctuating concentrations of ions and nutrients in the blood eg increased blood glucose –> insulin
  • Neural stimulation - nerve fibres will detect changes and initiate hormone release eg digestion of food –> release of insulin
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16
Q

Describe the human growth hormone (HGH)

A
  • Growth and development of tissues ie cell division and hypertrophy
  • Hypothalamus releases growth hormone releasing hormone to anterior pituitary gland which releases HGH
  • To adipose tissue, bone and muscle
  • HGH can directly influence target tissues
17
Q

What are the most common hormones associated with the HP-adrenal axis/stress response?

A
  • Catecholamines (epinephrine and norepinephrine) - increase HR and improve muscle contracibility
  • ACTH and cortisol - ACTH secreted from pituitary gland –> initiates secretion of cortisol from adrenal gland
18
Q

Describe cortisol

A
  • Steroid hormone (synthesised from cholesterol)
  • Most organs within the body have cortisol receptors, therefore cortisol can act on these organs
  • General benefits are to help deal with stress
  • Anti inflammatory, mobilisation of fuel sources (increases availability of blood glucose), promotes gluconeogenesis (synthesis of glucose)
19
Q

What are the long term consequences of cortisol?

A
  • Interferes with bone formation
  • High blood pressure –> type 2 diabetes
  • Suppress immune function
20
Q

Describe acute exercise

A
  • Critical threshold for exercise intensity (50-60% VO2 max)
  • Greater intensity = greater increase in hormones (generally)
  • At fixed intensity, duration influences the response
  • Able to deal with demands and maintain homeostasis
21
Q

Describe chronic exercise

A
  • Adaptive or maladaptive response to training
  • Hormonal response to sub-maximal exercise after training is reduced
  • Increases sensitivity of target tissues and reduced neural, humoral and hormonal disturbance
  • Psychological stress response decreases in those that are more physically active
  • Excessive endocrine responses through chronic exercise (and additional life stresses) can become harmful
  • For athletes this can lead to maladaptation and impair performance (overtraining)