Fundamentals of Endocrinology Flashcards

1
Q

What is a hormone?

What is a tropic hormone?

A

Hormone= specialised substance secreted directly into the blood stream by a specialised cell, travels in the blood and binds to specific receptors on a target cell

Tropic hormones= target other endocrine tissues

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2
Q

Name the major endocrine glands? (10)

A
Pineal
Hypothalamus
Pituitary 
Thyroid
Parathyroid
Thymus
Adrenal
Pancreas
Ovaries
Testes
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3
Q

Difference between Endocrine, Exocrine and mixed glands?

A

Endocrine glands release heroes directly into the blood from cells. They are ductless!

Exocrine glands release their secretions outside the body (e.g. gut) and may be ducted

Mixed glands
e.g. pancreas do both

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4
Q

Wha the key mechanisms of cellular signalling (5)

A
Neuroendocrine
endocrine
paracrine
autocrine
intracrine
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5
Q

What is negative feedback? Why is it so important?

A

Procedure by which the body sense change and activates a mechanism to reduce it.

The endocrine system relies on N feedback
final product of an endocrine cascade acts to inhibit the release of hormones higher up the cascade.

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6
Q

Whats an axis in endocrinology?

A

Axis means how the different glands communicate with each other.
Hypothalmo-pituitary-adrenal axis

Hypothalamus releases CRH via neurosecretion which causes anterior pituitary to release ACTH (Adrenocorticotropic hormone)
Rise of glucocorticoid levels switches of CHR + ACTH production

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7
Q

Peptide hormones
Where are they made?
Biosynthesis? two ways?

A

Majority of body hormes

preformed in the RER as large precursor molecules, sent to golgi for post translational modification
packaged into secretory vesicles (regulated secretion) require as signal to trigger release via exocytosis

synthesised in steps pre-prohomone (RER), prohomone(golgi), hormone
Or
made up of two units stuck together. Alpha subunit is common between the hormones however the B subunit confers specificity
a unit cleaved functional hormone realised (LH, FSH,TSH)

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8
Q

How are protein hormones transported and how do they effect target cells

A

hydrophilic charged molecules therefore soluble transported in blood.

Cannot pass hydrophobic core of PPL bilayer must bind to specific receptors and trigger a 2nd messenger system.

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9
Q

Steroid hormones
Originated from where
have common biosynthesis? what are the first major steps?

A

All originate from the adrenal gland
Made from cholesterol this is coverted by CYP11A to pregnenolone which is the staring point of all steroid hormone syntheis.

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10
Q

What enzyme convertes cholesterol to X in steroid hormone synthesis. (name X too)

A

CYP11A converts cholesterol to Pregnenolone which is the starting point of all SH synthesis

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11
Q

What are the properties of steroid hormones? How does this affect their transport and effects on target cells

A

hydrophobic lipophilic molecules (once synthesied cannot be stored)

Cannot be transported in blood (primarily water) alone must bind to a transport protein

lipophillic so once at specific target cell pass feely into cell and bind to intracellular receptors.

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12
Q

Zona glomerulosa contains enzymes allowing for production of?

A

aldosterone (mineralocorticoid) from pregnenolone

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13
Q

Zone fasiciculata contains enzymes allowing for?

A

cortisol (glucocorticoid) production from pregnenolone

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14
Q

Zone reticularis contains enzymes allowing for?

A

Adrenal adrogen synthesis from pregnenolone

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15
Q

Amine hormones/Tyrosine derivatives? properties

A

made from tyrosine (amino acid)

Thyroid hormones are small non polar molecules (hydrophobic) therefore need a transporter in the blood. (freely pass through csm)

Catecholamines act like proteins ie don’t need transporter and trigger 2nd messenger system.

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16
Q

Whats the role of transport proteins in the blood

A

transport hydrophobic thyroid hormones as well as steroid hormones to there target cells.
increase solubility of the hormones
increase hormone half life (less easily metabolised)

17
Q

name the carrier protein that transports:

a) thyroid hormones
b) cortisol

A

thyroxine binding globulin
TBG

corticosterioid binding globulin
CBG

18
Q

What is the function of thyroid hormone

A

Basal metabolic rate regulation

Growth

19
Q

What is the function of the parathyroid

A

Produce parathyroid that regulates Ca2+ levels

20
Q

What is the function of cortisol

A

glucose regulation
inflammation

produced in the zona fasiciculata in the kidney

21
Q

What hormones are produced by the anterior pituitary gland?

A

ACTH (adrenocorticotropic hormone) Stimulates cortisol production

TSH regulates thyroid gland

hGH (human growth hormone) regulates growth and metabolism

LH FSH reproductive development

PRL (prolatctin) milk production following childbirth

22
Q

Posterior pituitary hormones?

A

ADH (Vasopressin) water balance of urine

Oxytocin sexual reproduction childbirth

23
Q

What usually causes hormone excess? what is the usual treatment?

A

Tumours that switch of negative feedback control system
or too much of a hormone is being given

likely treatments:
block biosynthesis
remove tumor
reduce dose of hormone

24
Q

What usually causes hormone deficiencies? how is this treated?

A

Primary failure- gland dosnt produce hormones

secondary failure- tropic hormone deficient - gland is destroyed due to autoimmune condition

Treatment:
replacement therapy

25
Q

What are the causes of acromegaly as an example of hormone excess?
What can acromegaly lead to?

A

Growth hormone excess usually due to a pituitary tumor
results in growth of facial bones changes in appearance

Tumour can press on optic chiasm and lead to bitemporal hemianopia (visual field loss)

26
Q

Hypothyroidism

rare condition due to sever hypothyroidism?

A

caused by lack of thyroid hormone release or lack of sensitivity to thyroid hormone
result in lethargy, hair loss, weight gain

Lack of iodine in the diet T4 cannot be synthesised properly –> excess TSH in the blood to try and stimulate T4 synthesis. TSK is also a growth hormone so causes the growth of huge tumour like goitres