Endocrinology Flashcards
What are characteristics of water-soluble hormones?
Travel loose in plasma, bind to plasma membrane-based recepticles, vesicles > exocytosis
What kind of protein is hCG?
Glycoprotein
What are characteristics of lipid-soluble hormones?
Diffuse out of cells, travel bound to carrier proteins, bind to receptors inside the cell
Why are prostaglandins paracrine?
Broken down rapidly
What makes up the blood-brain barrier?
Capillaries connected by extra-tight junctions, basement membrane and glial feet
Which molecules can pass the BBB?
Lipid-soluble
Which regions have a permeable BBB?
Posterior pituitary, median eminence, pineal gland, OVLT, subfornical organ, area postrema
Which are the circumventricular organs?
OVLT, subfornical organ, area postrema
Where is hCG released?
Chorion (placenta)
Why do some hormones show pulsality?
Receptor would be down-regulated if constant growth
What is a Zeitgeber?
Tunes the circadian clock
What produces melatonin?
Pineal gland
What does blue light do?
Blue light > Intrinsically photosensitive retinal ganglion cells containing melanopsin (ipRGC) > retinal hypothalamic tract > SCN
What does SCN inhibit during light?
Paraventricular nucleus
What does the paraventricular nucleus do?
Causes sympathetic nerves to cause pineal gland to produce melatonin
What controls circadian rhythms?
Suprachiasmatic nucleus
How do you get act pots during the day and not at night?
Proteins induce membrane ion channels so depolarised during the day (so act pots) and hyperpolarised at night so no act pots here
Where are vomeronasal organs?
In nasal cavity between mouth and nose
Where does the hypothalamic hypophyseal tract go?
From the paraventricular and supraoptic nucleus to the posterior pituitary
What is the neurohypophysis?
Posterior
What is the adenohypophysis?
Anterior
What does the posterior pituitary produce?
ADH and oxytocin
Why does the anterior pituitary lie outside the BBB?
Originates from Rathke’s pouch which pinches off mouth roof in embryo
What can white fat do?
White fat > leptin > arcuate nucleus > suppresses feeding behaviour, increases metabolic rate, increases reproductive function
How does leptin increase metabolic rate?
PVN > TRH > pituitary/thyroid > thyroid hormone
Why isn’t anterior pituitary a neural tissue?
Pulsatility is preserved
What are secretory cells of the anterior pituitary called?
Trophs
What is long loop feedback?
Hormone produced elsewhere negatively feeds back on hypothalamus
What is short loop feedback?
Pituitary hormone feeds back on hypothalamus
What is ultra short loop feedback?
Hypothalamic hormone inhibits its own production
Why does thyroid colloid contain?
Thyroglobulin
What families does the anterior pituitary produce?
Somatomammotropins, pro-opiomelanocorticoids, glycoproteins
What are the Somatomammotropins?
Growth hormone, prolactin
What are the pro-opiomelanocorticoids?
Melanocyte-stimulating hormone, adrenocorticotropic hormone
What are the glycoproteins?
GOnadotropind LH and FSH, thyroid stimulating hormone
What is the process of T3 production?
PVN > TRH > thyrotrophs in anterior pituitary > TSH > thyroid gland > T4 > T3
Which enzyme converts T4 > T3?
Deiodinase
Which transporter gets I- into the cells? Which into the follicular lumen?
NIS then pendrin
Why doesn’t T4 show circadian rhythm?
Half life is long anyway
Which enzyme produces iodinated thyroglobulin?
Thyroid peroxidase
Which transporters gets T4 into the blood?
MCT8
Why do growth hormones have along half life?
Travel bound to binding proteins
How do thyroid hormones cause thermogenesis?
Promote less efficient ATP synthesis, increase brown fat oxidation, upregulate futile cycles
How are thyroid hormone receptors activated?
Dimers attached to thyroid hormone responsive elements (TRE), co-repressor released when hormone attaches
Which kinase does thyroid hormone receptor activate?
janus kinase 2 which phosphorylates tyrosine
How does growth hormone promote growth at growth plates?
Released during high AA levels, promotes uptake by muscle and chondrocytes, promotes growth
What takes the role of prolactin in cows?
Growth hormones
What is a diabetogenic effect?
Inhibits glucose uptake
What is growth hormone released in response to during fasting?
Ghrelin, hypoglycaemia, low FFA levels
What does growth hormone do during fasting?
Increased lipolysis and FFA release, stimulates gluconeogenesis and hepatic glucose output
What is pituitary dwarfism?
Defective growth hormone axis, either can’t produce or respond to it, small but correct proportions
What is pituitary gigantism?
Pituitary tumour causing joint problems, diabetes, tunnel vision
Why does pituitary gigantism cause tunnel vision?
Squashed optic chiasm
What is dwarfism of Sindh?
GHRH receptor deficiency
What is Laron syndrome?
GH receptor deficiency
What is african pygmy?
IGF-1 receptor deficiency