Histology - Endocrine System Flashcards

0
Q

Egs of peptide hormones

A

Glycoproteins -> TSH, LH, FSH

Short polypeptides -> ADH, Oxytocin, Prolactin, GH

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1
Q

Egs of amino acid derived hormones

A

Tyrosine -> thyroid hormone, catecholamines (E,NE,dopamine)

Tryptophan -> melatonin

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2
Q

Egs of lipid derived hormones

A

Steroid -> androgens, estrogens, progestins, calcitriol, corticosteroids
Eicosanoids ->. Leukotrienes, prostaglandins

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3
Q

Routes of communication in endocrine system

A

Endocrine
Paracrine
Autocrine
Synaptic

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4
Q

Features of endocrine system

A

One gland many hormones
One hormone many glands
One hormone, many targets, many effects
One hormone different messenger type

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5
Q

How are islet cell types identified

A

Cell distribution
Immunohistochemistry/ flourescence
EM

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6
Q

Two vascular systems in the pancreas

A

Insuloacinar portal system

Acinar vascular system

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7
Q

How are islet cells regulated

A
  1. Neural - arteriole wall inner action regulates blood flow
  2. Paracrine secretions - alpha cells regulate insulin release. Somatostatin inhibits insulin and glucagon release.
  3. Autocrine - neoropeptide release that acts on same cell to release hormone (eg alpha cells release glutamate to stimulate glucagon release)
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8
Q

Alpha cells release

A

Glucagon

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9
Q

Beta cells release

A

Insulin

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10
Q

Delta cells release

A

Somatostatin and gastrin

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11
Q

F-cells release

A

Pancreatic polypeptide

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12
Q

When are D cells stimulated

A

After protein rich meal

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13
Q

What hypothalamic nuclei releases ADH

A

Supra optic nucleus

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14
Q

What hypothalamic nuclei release OXY

A

Para ventricular nucleus

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15
Q

How is the pituitary formed

A

Down growth of floor of diencephalon joins to Rathke’s pouch (up growth of ectodermal lining of future oral cavity)

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16
Q

What separates the two lobes of the pituitary

A

Pars intermedia

17
Q

What are the separate parts of the pituitary

A
Infundibular stem
Pars tuberalis
Pars distalis (anterior)
Pars intermedia (Rathke's cyst)
Pars nervosa (posterior)
18
Q

Blood supply to pituitary

A

Superior hypophyseal artery -> 1ry cap plexus -> portal veins -> 2ndry cap plexus -> hypophyseal veins

Note inferior hypophyseal artery supplies pars nervosa

19
Q

Function of hypothalamo-hypophyseal portal system

A
  1. Hormones from 1ry cap plexus can act on anterior hypophysis
  2. Secretions from ant hypophysis can enter general circulation
  3. Allows for functional integration of hypothalamus with anterior hypophysis
20
Q

Three components of anterior pituitary

A

Cords of epithelial cells (chromophils and chromophobes)
Delicate connective tissue stroma
Fenestrated caps

21
Q

What are the acidophilic cells in the ant pit lobe and what do they release

A

Somatotrophs (GH - somatotropin)

Lactotrophs (Prolactin)

22
Q

Somatotrophs inhibited by … and stimulated by …

A

Somatostatin. Increased blood glucose.

GHRH. Decreased IGF-1.

23
Q

Function of GH

A

Stimulate secretion of IGF-1 by liver

24
Lactotrophs inhibited by ... and stimulated by ...
Dopamine Prolactin releasing hormone (PRH) thyrotropin releasing hormone (TRH)
25
What are the basophilic cells in the ant pit lobe and what do they release
Gonadotrophs - FSH, LH Thyrotrophs - TSH Corticotrophs - ACTH
26
What is the role of pituicytes in the release of hormones
They have retracting cell processes that allow passage of hormones into pericapillary space
27
Absence of thyroid leads to what childhood feature
Cretinism
28
Morphology of hypothyroid gland
Large colloid filled follicles Flattened principle cells Sparse resorption vacuoles
29
Morphology of hyperthyroid
Numerous small irregular shaped follicles Columnar principle cells Many resorption vacuoles
30
Function of C cells in thyroid
Release calcitonin to suppress Ca resorption from bone.
31
Describe exocrine phase of thyroid hormone synthesis
Iodide diffuses across cell and is converted to iodine by thyroid peroxidase. Thyroglobulin is released into colloid and its tyrosyl residues are linked to two iodine molecules each = iodothyroglobulin
32
Describe the endocrine phase of thyroid hormone synthesis
Iodothyroglobulin colloid droplet is endocytosed and fused with a lysosome. Proteolytic action of lysosomal enzymes release T3 and T4 which diffuse into the blood stream
33
What will removal of the parathyroid glands cause
Tetany | Thoracic and laryngeal muscle spasm = death
34
What does PTH do
Resort Ca from bone Stimulate kidney resorption of Ca Activate Vit D
35
Functional cells of the parathyroid gland
Chief cells | Oxyphil cells
36
What can be seen on EM of a steroid cell
Lipid droplets Mitochondria ++ Abundant sER
37
General steroid synthesis path way
Cholesterol -> via StAR -> mitochondria -> sER -> mitochondria (not DHEA, androstenedione) -> extracellular
38
Blood supply to adrenal gland
Capsular artery 1. Medullary arteriole 2. Cap bed in each zone Therefore dual blood supply
39
Mechanism of hot flashes
High GnRH, FSF, LH | Low estrogen
40
What happens following estrogen withdrawal
``` Vasomotor disturbances Atrophy vaginal epithelium Decreased vaginal secretions Decreased circulation to vagina/ uterus Loss of vaginal tone (pelvic relaxation) Cardiovascular risk increased ```
41
Why does increased fat help in menopause
Androstenedione and DHEA can be converted to estrone by adipose tissue