Endocrinology Flashcards

1
Q

Endocrine system

A

hormones are chemical signalling molecules that travel through the blood and reach every part of the body but only target cells have receptors that allow them to respond

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2
Q

Homeostasis

A
  • organisms use homeostasis to maintain a steady state or internal balance regardless of external environment
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3
Q

What is the role of homeostasis mechanisms in the internal environment?

A

They moderate changes in the internal environment.

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4
Q

What happens when a variable fluctuates above or below the set point?

A

It serves as a stimulus.

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5
Q

What detects a stimulus in homeostasis?

A

A sensor.

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6
Q

What is triggered after a sensor detects a stimulus?

A

A response.

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7
Q

What does the response do in the homeostasis process?

A

It returns the variable to the set point.

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8
Q

Hormone

A

A chemical messenger produced and secreted by a specialised endocrine gland that is transported in the bloodstream to a distant target organ/ cell where it elicits a physiological response

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9
Q
A
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10
Q

What are the three different classes of hormones?

A

Proteins/Peptides, Cholesterol Derivatives, Modified Amino Acids

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11
Q

Give an example of a hormone from the Proteins/Peptides class.

A

Growth hormone

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12
Q

Are protein/peptide hormones hydrophilic or hydrophobic?

A

Hydrophilic

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13
Q

What are the two examples of Cholesterol Derivatives?

A

Steroids and Vitamin D

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14
Q

Are cholesterol derivative hormones hydrophilic or hydrophobic?

A

Hydrophobic

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15
Q

Name two hormones that fall under Modified Amino Acids.

A

Adrenaline and Thyroid hormones

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16
Q

Is adrenaline hydrophilic or hydrophobic?

A

Hydrophilic

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17
Q

Are thyroid hormones hydrophilic or hydrophobic?

A

Hydrophobic

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18
Q

Can non lipid-soluble hormones (e.g., protein hormones) diffuse through the phospholipid bilayer?

A

No, they cannot diffuse through the phospholipid bilayer.

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19
Q

How do non lipid-soluble hormones affect their target cells?

A

They act indirectly via extracellular receptors.

20
Q

What happens when a non lipid-soluble hormone binds to an extracellular receptor?

A

It triggers an intracellular signaling cascade.

21
Q

What is the name of the intracellular signaling pathway triggered by non lipid-soluble hormones?

A

The “second messenger system.”

22
Q

stages of the second messenger model

A
  • the hormone itself is the first messenger
  • it binds to specific receptors on the cell-surface membrane of target cells
  • forms a hormone-receptor complex
  • activates an enzyme within the cell
  • production of a chemical that acts as a second messenger
23
Q

Can lipid-soluble hormones diffuse through the phospholipid bilayer?

A

Yes, lipid-soluble hormones (e.g., steroid hormones) can diffuse through the phospholipid bilayer.

24
Q

Where do lipid-soluble hormones bind once inside the cell?

A

They bind to intracellular receptors.

25
Q

What is the effect of lipid-soluble hormone binding on the target cell?

A

It directly activates target molecules, usually by changing gene expression.

26
Q

hormone actions

A
  • affect growth, development, metabolic activity and function of tissues
  • may be stimulatory or inhibitory
  • may act on several tissues or just one specific target tissue-major difference between endocrine and nervous system
  • responsive tissues must have specific receptors for that hormone
27
Q

circulating hormone levels influenced by:

A
  • rate of secretion - by endocrine gland
  • rate of metabolism - by target tissue, blood, liver, kidney
  • serum binding proteins - transport in blood
28
Q

Regulation of hormone secretion - by physiological changes

A
  • blood glucose regulates insulin and glucagon releases from pancreas
  • stress regulates adrenaline release from adrenal medulla
29
Q

Regulation of hormone secretion - by endogenous rhythms

A
  • ultradian - cycles in minutes eg GnRH pulses (90 - 120 min)
  • Circadian - daily cycles eg testosterone (24hr)
  • infradian cycles - monthly eg LH in females (28 day menstrual cycle)
30
Q

Regulation of Hormone Secretion - by feedback mechanisms

A
  • mostly negative - maintains homeostasis
  • some positive feedback - less common
31
Q

main types of endocrine dysfunction

A
  • hypersecretion
  • hyposecretion
  • ectopic hormone secretion - hormone made outside normal endocrine gland (eg tumour)
32
Q

Hyposecretion: genetic

A

Caused by inherited genetic mutations that affect the production of hormones or glandular function.

33
Q

Hyposecretion: Dietary

A

Caused by inadequate intake of nutrients, especially vitamins and minerals, which are necessary for hormone production.

34
Q

Hyposecretion: Immunological (auto-immune disease)

A

Caused by the immune system attacking the body’s own tissues, including endocrine glands, leading to decreased hormone production.

35
Q

Hyposecretion: Cancer

A

Caused by tumours that damage or replace hormone-producing tissues or glands, impairing their ability to secrete hormones.

36
Q

Hyposecretion: Iatrogenic (= doctor-caused)

A

Caused by medical treatments, such as surgery, radiation, or medication, that inadvertently damage hormone-producing glands.

37
Q

Hyposecretion: Idiopathic

A

The cause is unknown or cannot be determined despite medical investigation.

38
Q

hyposecretion- treatment

A
  • Hormone Replacement with Steroids: This treatment is straightforward. Steroids are absorbed in the gastrointestinal tract and have a high success rate.
  • Protein Hormones: The treatment with protein hormones is more difficult. These hormones must be injected and are species-specific, meaning that the treatment varies depending on the species.
39
Q

hypersecretion - functional tumour

A

a functional tumour is one that produces hormones, leading to an overproduction of hormones in the body

40
Q

hypersecretion: Ectopic Hormone-Secreting Tumour:

A

This type of tumour occurs when a tumour outside of the endocrine glands secretes hormones, causing hypersecretion.

41
Q

hypersecretion: Immunological

A

In some cases, an immunological issue can cause hypersecretion, where the immune system triggers an overproduction of hormones.

42
Q

hypersecretion: substance abuse

A

The use of certain substances, such as drugs or alcohol, can interfere with hormone regulation and lead to hypersecretion.

43
Q

Hypersecretion: treatment

A
  • Surgical removal of the gland that is hyper-secreting (but will then need replacement therapy!)
  • Irradiation of Gland – reduce function (but will then need replacement therapy!)
  • Drugs that block the actions of the hormone
44
Q

Hypothalamic-pituitary system

A
  • plays a major tole in coordinating the entire endocrine system
  • pituitary gland = conductor of the endocrine orchestra
  • a major interface between brain (nervous system and periphery
  • organizes appropriate hormonal responses to stimuli from higher centres of brain in response to changes in the external environment and changes in internal environment