Histology of Endocrine Organs Flashcards

1
Q

Endocrine Vs. Nervous system?

A

both have the ability to influence physiological functions of organs but go about it differently

mechanism is different –>

nervous system is quick and through a membrane depolarization. it’s short lived

endocrine system –> involves hormones that are distributed throughout the cardiovascular system so takes awhile for the effect to occur! MUCH LONGER LASTING.

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2
Q

important to note about neurons and hormones?

A

neurons can secrete hormones, so don’t think it’s only endocrine

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3
Q

What are the three classes of hormones and examples of each?

A

Peptide (chains of AAs)

  • largest group of hormones
  • GH, PTH
Biogenic Amines (molecules that are altered by changing one amino acid)
-TH and EPI (both came from tyrosine)
Steroid hormones (lipids derived from cholesterol)
- Estrogen, Testosterone, Cortisol
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4
Q

What are the three ways that hormones are released?

A

Humoral Stimuli –> release controlled by monitoring levels of ions and nutrients in blood and body fluids.. (release of PTH stimulated by low serum calcium levels)

Neuronal stimuli –> the release is because of the stimulation of nerves. (adrenal medulla is receiving signals from the Sympathetics to release epinephrine)

Hormonal Stimuli –> a release of a hormone is stimulated by the release of another hormone

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5
Q

What are endocrine glands composed of?

how are they arranged?

what makes them different than other cells?

What’s to note about their vasculature?

A

epithelioid cells (lacking free surface) –> derived from epithelium

they’re arranged in cords and follicles

what’s different is they do NOT have an apical free luminal surface.

super well vascularized (vessels have fenestrated endothelium)

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6
Q

What is the hypothalamus?

where is it located? (Posterior to what, superior to what, part of what (2 things)?

A

primary site that controls the endocrine function via the pituitary.

it’s located inferior to the thalamus portion of the CNS. It’s located posterior to the optic chiasm, but above the pituitary gland. it’s a part of the 3rd ventricle of the brain, and it’s part of the diencephalon..

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7
Q

What is another name for the pituitary gland?

what part of the skull is it part of?

what is it divided into and what is its other name?

A

Hypophysis

connected to the hypothalamus by an “infundibulum”

in the sphenoid portion of the skull –> Sella Turcica

Anterior (adenohypophhysis) and posterior (neurohypophysis) portions

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8
Q

What does the hypothalamus directly signal?

A

it directly influence the anterior pituitary gland by sending out releasing and inhibiting factors.

it directly targets the kidney and uterus through the posterior pituitary because it sends hypothalamic axons down into the posterior pituitary and release ADH and Oxytocin which directly go to the kidney and uterus.

Through sympathetic innervation from the hypothalamus and ANS to go to the adrenal medulla

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9
Q

What does the hypothalamus indirectly signal?

what is this kind of signaling hormone is it called in this case if its indirect?

A

the hypothalamus releases hormones that stimulate or inhibit the release of OTHER hormones from the anterior pituitary.. these hormones then act on OTHER STUFF

Tropic hormones!

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10
Q

Explain the origin of the pituitary gland?

A

The anterior and posterior pituitary glands are from ECTODERM

Posterior Pituitary: there’s a little diverticulum that forms within the diencephalon of the brain. and that is the posterior pituitary

anterior to the oropharyngeal membrane is a little ectoderm placode (Rathke’s pouch) that shows up and pinches off to make Rathke’s pouch.. this moves towards the infundibulum and joins with the diverticulum forming from the diencephalon of the neural tube.

the Infundibulum forms the posterior pituitary and infundibular stalk.

Rathke’s pouch forms the rest of the pituitary

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11
Q

What’s between the anterior pituitary and the posterior pituitary?

A

the lumen of rathke’s pouch as cysts in the adult pituitary gland in the center.

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12
Q

What does Rathke’s Pouch become (pars structures)?

what about the diencephalon?

A

Pars distills, pars Intermedia, and a portion that wraps around the infundibulum called the Pars tuberalis –> all is the anterior pituitary

it’s the Pars Nervosa –> majority of the posterior pituitary

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13
Q

When does Rathke’s pouch become the anterior pituitary endocrine wise?

A

as early as 7 weeks (ACTH is formed)

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14
Q

what can happen if Rathke’s pouch is trying to migrate to the infundibulum?

what pathology is it called?

A

you could have some ectopic pituitary tissue found in other regions like the Pharynx.

“craniopharyngeomas” –> 2-4% of all brain tumors and people think this stray tissue is responsible for those tumors.

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15
Q

what is the part of the hypothalamus that becomes the infundibular stalk?

A

median eminence

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16
Q

What is the anterior pituitary cellularly composed of?

posterior?

A

glandular epithelial cells controlled by neurohormones from the hypothalamus

unmyelinated axons from the hypothalamus and supporting cells (glial cells)

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17
Q

What are you going to see in the Pars Distalis as compared to Pars Nervosa?

A

it’ll be more basophilic.. nervosa is super light staining.

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18
Q

What are the major cell types of the Anterior Pituitary?

A
Somatotropic
Thyrotropic
Corticotropic
Gonadotropic
Mammotropic
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19
Q

What do Somatotropic cells do?

Thyrotropic?

Corticotropic?

gonadotropic

mammotropic?

A

Secrete GH (in response to a signal from GHRF)

secrete TSH to regulate thyroid gland secretion

secrete ACTH (targeting adrenal gland to release cortisol and glucocorticoids) and MSH (mediate melanin production and helping mediating appetite, arousal, mood)

target the gonads –> FSH and LH

secrete prolactin that stimulates milk production

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20
Q

Of the cells of the anterior pituitary (Pars Distalis), which ones are acidophils, Basophils, Chromophobes,

what else are you going to find in this?

A

Somatotrophs, Mammotrophs (take up eosin –> acidophils

Corticotrophs, Thyrotrophs, Gonadotrophs (like hemotoxin) –> basophils

Chromophobes –> no one knows but they don’t stain to either

Sinusoidal capillaries (FENESTRATED!)

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21
Q

What are you going to see in the pars intermedia?

where is this located?

A

between the pars distills and pars nervosa

most of the cells here are basophilic!

there are cysts that are remnant of the interluminal space of rathke’s spouch, lined by simple cuboidal cells.

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22
Q

What are you going to see in the Pars Nervosa?

A

You’re going to see Hypothalamic unmyelinated axons –> these are accumulating at the axon terminals at large aggregates called “Herring bodies”

any nuclei that’s stained with H&E is going to be glial like cells called PITUICYTES

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23
Q

What do herring bodies do?

A

they store ADH/Oxytocin..

when the hypothalamus says we need ADH/Oxytocin, they send it to the blood stream through the sinusoidal capillaries and it does its job

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24
Q

What does the infundibulum look like under the microscope?

A

the middle of it is the neurohypophysis portion (neuro stalk) –> part connecting the pars nervosa and median eminence of the hypothalamus.

On the outskirts you’ll see the adenohypophysis portion (pars tuberalis) which envelopes it! (these are cuboidal cells arranged in cords)

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25
Q

What is the blood supply to the Hypophysis (pituitary gland)

how does it work?

A

Hypothalamus-Hypophyseal portal system (2 capillary beds!)

1) stimulated –> neurons from the hypothalamus secrete releasing or inhibiting hormones into the primary capillary plexus
2) these hormones travel through portal veins to the Ant Pity where they stimulate or inhibit hormone release in the ant pity
3) in response to releasing hormones, ant pity secretes hormones to secondary capillary plexus.
4) empties into the general circulation via a inferior hypophyseal vein to go through the body.

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26
Q

How does the Posterior Pituitary gland work?

A

Nerve impulses travel down the axons of hypothalamic neurons, causing hormone release from their axon terminals in the posterior pituitary

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27
Q

What is released from the posterior pituitary and what does each do?

A

ADH –> targets kidney; regulates sodium and water retention

Oxytocin –> Targets uterine smooth muscle and stimulates lactation; induces birth. may be involved in arousal and social bonding

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28
Q

What is Gigantism?

Acromegaly?

A

if there’s a tumor in the Ant Pity causing an excess of GH.

if it occurs before the bone growth plates close, you can get people as tall as 8 feet.

if it occurs AFTER they close, it leads to an enlargement of the extremities (ACROMEGALY) and organs

29
Q

What are Pituitary Dwarfs?

treatment?

A

hyposecretion of GH –> normal body proportion but rarely exceed 4 feet tall.

if you give them GH, you can reach normal stature.

30
Q

Where is the pineal gland?

What does it look like?

what 3 things does it do?

A

out pocketing of the diencephalon (roof of 3rd ventricle)

it’s a flatten cone-shaped structure, covered with Pia matter.

Synthesizes melatonin and serotonin and is super important in circadian rhythm.

31
Q

What are you going to see histologically of a pineal gland?

A

Pinealocytes –> specialized cells that secrete melatonin.

Neuroglia (different glial cells)

Calcified Granular Material

32
Q

What’s to know about calcified granular material?

what are they secreted by?

A

“Brain Sand”

calcium phosphate crystal located intercellular spaces showing up beginning early childhood.. it’s super important for radiogenic marker (reference for CTs) –> more the older you have

pinealocytes

33
Q

Pineal gland secretion of melatonin and time of day?

A

daylight matters.. it changes depending on the time of day!

34
Q

What does the thyroid look like?

blood supply?

A

butterfly shape, bi-lobed endocrine gland just below the larynx and anterior to the trachea.

superior thyroid vessels and inferior thyroid vessels

35
Q

What would you see if you were looking at the thyroid gland under the microscope?

what is the fluid like substance? what does it contain?

A

characterized by follicles consisting of a layer of “follicular cells” which are simple cuboidal or simple columnar epithelium.. surrounding a fluid called “colloid”

colloid contains thyroglobulin –> storage form of thyroid hormones T3 and T4 (iodine-containing hormones)

36
Q

What is special about the thyroid?

general function of the thyroid hormones?

A

it’s the only gland to store hormone OUTSIDE of the cell.. it stores it in the big follicles

thyroid hormones control basal metabolism, O2 usage, body temp, etc.

37
Q

how can you tell if the gland is active or not depending on the cells… how?

A

the cells are cuboidal or if they’re really tall if they’re making a lot of hormone.. they’ll be more columnar in shape

38
Q

How is thyroid hormone synthesized?

A

thyroid hormone is generated and stored extracellularly as thyroglobulin.

thyroglobulin is synthesized in the rough ER, glycosylated in the golgim and secreted by exocytosis into lumen of the follicle (colloid)

it’s at the cell surface the iodine is put on, either making T3 or T4 THAT REMAINS BOUND TO THYROGLOBULIN. (iodine is needed to be the active form of the hormone)

39
Q

what happens when we have a stimulus of TSH on the thyroid gland?

A

TSH stimulates the internalization of thyroglobulin via endocytosis, degraded, freeing the T3 and T4 and that T3/T4 hormone is released in the bloodstream through exocytosis.

40
Q

What are Parafollicular C cells?

what do they do and when do they do it?

where are they derived from?

A

cells alongside the follicles.

they secrete calcitonin WHEN BLOOD LEVELS OF CALCIUM ARE HIGH!

Neural crest cells

41
Q

what does calcitonin do?

what organs does it target?

A

targets a number of organs: kidney and bones (osteoclasts and blasts)

tell the kidneys to excrete more of the calcium through the urine.

decreasing the calcium-releasing activity of osteoclasts (slow down the breaking down of bone)

stimulate bone formation (needs to utilize calcium)

42
Q

negative feedback loop with thyroid/ant pity/hypothalamus?

A

a stimulus causes the hypothalamus to secrete thyrotropin-releasing hormone (TRH) which acts on the anterior pituitary

thyrotropic cells in the ant pity are stimulated to release TSH.

TSH acts on cells of the thyroid gland. Follicular cels are stimulated to release TH.

TH stimulates target cells to increase metabolic activities, resulting in an increased basal body temp

increased TH levels cause heat production in target cells; this heat change is detected by the hypothalamus as it monitors blood temperature and inhibits secretion of TRH by the hypothalamus. TH also blocks TRH from the hypothalamus and ant pity to prevent formation of TSH

43
Q

What is Grave’s disease?

what symptoms do you present with?

who is more common?

what is the treatment?

A

abnormal antibodies stimulating TSH receptors causing over-secretion of T3 and T4.

T3 and T4 increase metabolism, sweating, rapid heart rate, rapid weight loss. Eyes start bulging out due to ECM accumulating behind the fat in the eye balls.

way more common in women, 4-8x more common in women.

use antithyroid drugs for treatment

44
Q

Hypothyroidism?

who is more common?

what symptoms are there?

what’s the treatment?

A

insufficient T3 and T4 production (7% of women, 3% of men)

often autoimmune disease causing follicle cell death

low-metabolic rate, weight gain, lethargy, chilliness, Mentally sluggish!

treated with synthetic T3/T4.

45
Q

What are Goiters?

where do you find it (regionally)?

A

Thyroid enlargement most commonly due to iodine deficiency… so you can’t make functional T3 and T4. the follicle keeps producing thyroglobulin but can’t iodinate it to make TH.

so you get a giant thyroid gland.

more present in places that people are malnourished.

46
Q

What are the parathyroid glands?

where are they located?

what is the blood supply like for the parathyroid glands?

A

small ovoid glands lying on the posterior surface of the thyroid gland that release PTH.

similar to the thyroid hormone

47
Q

What do the parathyroid. glands look like histologically?

A

they look like a cluster of epithelioid like cells surrounded by the follicles of the thyroid gland.

48
Q

what does PTH regulate?

A

serum calcium and phosphate levels! (opposite of calcitonin)

49
Q

What are two cell types that are found in the Parathyroid gland?

A

Chief (principle) cells –> release PTH. they tend to be more basophilic!

the secretion occurs when the blood concentration of calcium falls below 9.5-10.5 mg/dL… it stops secreting when the levels return to normal.

Oxyphil cells –> much larger than chief cells and more acidophilic. no one knows what the function is to oxyphil cells.

50
Q

What happens when calcium levels go below 9.5 mg/dL?

above 10.5?

A

PTH is released

Calcitonin is released

51
Q

Oxyphil cells aren’t present until when?

A

after puberty.

52
Q

How is calcium regulated by PTH?

what organs does PTH work on?

How does it work in each of these places?

A

blood levels drop below 9.5 mg/dL of calcium.

PTH released by the PTH into the bloodstream –> stimulates osteoclasts to resorb bone and release its calcium stores –> calcium goes into the bloodstream.

PTH also turns off osteoblasts

PTH increases calcium retention by the kidneys..

PTH stimulates the kidney to convert inactive form of vitamin D to Calcitriol (vitamin D) –> calcitriol increases calcium absorption by the intestines

so blood calcium levels increase until its high enough where it inhibits further PTH release

53
Q

What is the adrenal gland divided in?

what are the three zones?

A

outer adrenal cortex and an inner central core called the adrenal medulla.

Zona glomerulosa (most outer layer-> you’ll see circular arrangements of secretory cells

Zona Fasciculata (this is because there are cord like “fascicles” that are running along the length towards the medulla from the exterior)

Zona reticularis –> adjacent to the medulla.

54
Q

why is the adrenal cortex a distinctive yellow color?

A

due to stored lipids in its cells due to steroidal hormones that the adrenal gland is making!

25 different steroid hormones (corticosteroids) are secreted from here

55
Q

What is the function of the Zone Glomerulosa?

what does the thing it makes do?

A

associated with mineralocorticoids… regulating sodium and potassium levels (salts)

Main hormones produced by this zone is ALDOSTERONE! targeting the kidneys and released low BP and low Na through RAAS system.

56
Q

What is the function of the Zona Fasciculata?

what does that do?

A

associated with glucocorticoids… influence glucose metabolism and immune response (anti-inflammatory like)

It releases cortisol (through ACTH control from the Ant pity)

cortisol –> deals with stress and mediates glucose metabolism and serves as negative feedback mech for the immune system!

57
Q

What is the function of the zone reticularis?

A

associated with ANDROGENS! –> influence secondary sex characteristics.

58
Q

What’s inside the adrenal medulla?

what happens when there’s a stimulation by the ANS?

what do these things that are released deal with?

where are the cells coming from?

A

forms the inner core of the adrenal gland

consists of spherical cells –> Chromaffin cells (target of sympathetic neurons)

when stimulated by the ANS, one population of Chromaffin cells secretes the hormone EPINEPHRINE and a second population secretes the hormone NOREPINEPHRINE

fight or flight

neural crest!

59
Q

What are the different chromaffin cells?

difference of each on electron micrographs? I guess histologically too…

A

Epinephrine cells –> smaller with granules less electron dense than norepinephrine cells

Norepinephrine cells –> larger with granule more electron dense!

60
Q

What are the two suprarenal gland syndromes?

A

Addison’s Disease

61
Q

Addison’s disease?

what is the result of this?

what do patients present with?

what is it caused by (2 things)

A

hyposecretory disorder usually in both glucocorticoids and mineralocorticoids

–> messed up glucose metabolism and messed up sodium control… so

severe dehydration, sodium levels drop. low blood pressure along with fatigue, loss of appetite.

caused by autoimmune disease or due to an inherited metabolic disease leading to deficiencies in hormone-producing enzymes.

super rare

62
Q

Cushing Syndrome?

A

hyper secretion of glucocorticoids because of either an ACTH secreting pituitary tumor or a tumor in adrenal cortex!

so you get high serum glucose levels, protein loss in muscles, muscle weakness, and lethargy!

swollen face (moon face), Buffalo hump!

63
Q

Exocrine cells are organized in what kind of structures in the pancreas?

ENDOCRINE cells of the pancreas are organized how?

A

pancreatic acini

pancreatic islets or islets of Langerhans –>

64
Q

What are the different cells of the endocrine pancreas (islet of langerhan)

A

alpha cells
beta cells
delta cells
F cells

65
Q

Alpha cells?

A

Alpha cells –> secrete glucagon when blood glucose levels drop; stimulates release of glucose from liver glycogen stores

66
Q

Beta Cells?

A

Beta cells –> secrete insulin when blood glucose levels are elevated and promote glycogen storage in liver and entry into cells

67
Q

Delta Cells?

what stimulates these?

A

Delta cells –> secrete somatostatin, slowing the release of insulin and glucagon thereby controlling rate of nutrient entry into the bloodstream and cells… stimulated by high levels of nutrients in the bloodstream.

68
Q

F-Cells?

A

F-cells –> secrete pancreatic polypeptide that inhibit the release of somatostatin.

69
Q

What is the blood supply to the pancreas? (2)

A

Each islet of langerhans is supplied by afferent arterioles, forming a network of capillaries lined by fenestrated endothelial cells… this is called the INSULOACINAR PORTAL SYSTEM

capillaries that leave the islet contain products from the islets and they go over the acing cells and go to circulation.

Acinar cells have their own acing vascular system, which also supplies the pancreatic acini