Homeostasis Flashcards

1
Q

Define homeostasis and the basic process by which it occurs

A

Homeostasis is the existence and maintenance of a stable internal environment.
Process:
> Stimulus (change in variable) e.g too hot
v
> Receptor (detects change) e.g thermoreceptors
v
> Input (afferent pathway)
v
> Control Centre e.g cooling mechanisms activated
v
> Output (efferent pathway)
v
> Response (reduce change) e.g sweating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two feedback systems

A
  1. Positive Feedback
    - body exaggerates change
    - when a quick response is needed (usually in potentially dangerous/ stressful processes - less common)
    e. g haemostasis - break/ tear in vessel wall > platelets adhering and releasing chemicals attracting more platelets (positive feedback loop)> loop = broken when platelet plug = formed
  2. Negative feedback
    - main mechanism for homeostatic regulation
    - maintenance of fixed range (minor changes = ignored)
    (ranges = norm for 95% of population)
    e.g. temperature control via sweating/shivering
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Explain system integration and what can go wrong with homeostasis

A

> system integration is maintenance of homeostasis within different systems as reducing a change in one will create a change in another
- e.g sweating to reduce temperature change reduces water level in blood so heart has to work harder unless kidneys reabsorb more water
*Therefore a pathology in one system can affect homeostasis in another
in some cases (injury/infection/genetic abnormality)
the change is too great - mechanisms can’t compensate
- leading to illness/disease
- new-borns = susceptible as systems are immature - less able to cope with change
- elderly = susceptible:
a) hormones are fewer are less efficient
b) heart + circulation = less efficient
c) fewer neurons + neurotransmitters = slower response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the two mechanisms of homeostasis

A
  1. Autoregulation
    - cells/tissues/organs adjust to changes automatically
    - e.g. lack of O2 - vasodilation in area for more blood
  2. Extrinsic regulation
    a) nervous system
    - sympathetic (ACh +noradrenaline)/parasympathetic (ACh only)
    - fast + short lasting (crisis management - fight/flight)
    - e.g. re-direction of blood from digestive system in exercise
    b) endocrine system
    - slower to react but longer lasting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the endocrine system

A

> glands/organs that produce hormones
typically ductless (endocrine) - secrete into interstitial fluid to then diffuse into blood stream
may also have ducts (exocrine)
hormones excite/inhibit activity of organs/tissues
e.g hypothalamus/pituitary gland/stomach/kidney/pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the functions of the endocrine system

A
Regulate
> blood volume - water/sodium balance
> extracellular fluid concentration - calcium/phosphate levels
> energy balance
> control of macronutrient usage/storage
> Response to stress
> reproduction + sexual development
> growth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Categories of hormones

A
  1. Non-steroidal (fat insoluble)
    - attach to receptors on membrane - 2nd messenger mechanism
    > Peptide/protein = majority e.g insulin/glucagon
    - made as pre-hormones + activated as needed
    - stored in secretory glands
    - secreted in vesicles (exocytose from cells)
    > Amino acid e.g adrenaline/dopamine (-ine suffix)
    - synthesised from other amino acids
  2. Steroidal (fat soluble)
    - pass through membrane of target organ to bind with receptor in nucleus
    - derived from cholesterol
    - synthesised in adrenal cortex/gonads/placenta
    - require binding proteins to travel in blood
    e.g. testosterone/oestrogen/progesterone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hormone pathways

A

> Paracrine - act on nearby receptive cells (histamine/bradykinin)
Autocrine - acts on cell it is released by
Endocrine (telecrine) - via blood to distant cells
Synaptic - produced by neurone - secreted into synapse to be taken up by nearby neurone (ACh)
Neuroendocrine - produced by neurone - secreted into synapse - travels by blood to distant cells with receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hypothalamus + Pituitary gland

A

> Hypothalamus = situated in base of brain
- contains neurons that synthesize inhibiting/releasing hormones that act on the pituitary gland
Common releasing hormones
- Growth hormone RH (pituitary to release HGH)
- thyrotropin RH (pituitary - thyroid stimulating hormone)
- corticotropin RH (cortisol release)
- gonadotropin RH (pituitary - reproductive hormones)
* Triggered by neurotransmitters/injury/chemical mediators/neuroendocrine signals (ie. positive/negative feedback loops)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Thyroid

  • position
  • role
  • hormones
A

> butterfly shaped gland on anterior part of neck
stimulates metabolism
facilitates breakdown of carbs/protein/fat - for energy/heat
produces structural enzymes/proteins/hormones
(promotes growth + development in kids)
Process
- thyrotropin RH from hypothalamus triggers thyroid stimulating hormone from pituitary - in turn triggers thyroid hormones to be released
- Thyroxine (T4)
- triiodothyronine (T3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What happens if thyroid hormones are released

A
> increased glucose absorption
> lipids = released from adipose tissue
> Proteins= metabolised from muscle
> Cholesterol = broken down in liver
> Increased O2 consumption
> Increased body heat production
> Increased cardiac output
> Increased gastric motility
> Increased muscle tone + reactivity
> Increased activation of cognitive processes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Causes of altered hormone function

A
> Impairment of hypothalamus/ pituitary gland/ endocrine gland
> Too much/little hormone = secreted
> Inactive hormone = produced
> Inadequate receptor binding
> Lack of response from target cell
> Impaired negative feedback 
> Produced ectopically (tumour produces hormone)
> Impaired metabolism/elimination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Examples of disorders of endocrine system

A

> acromegaly = too much HGH (thickened bone areas)
gigantism = too much hgh pre-puberty
dwarfism (achondroplasia) - too little hgh
hyperthyroidism (grave’s disease)
hypothyroidism (goiter/ myxedema)
diabetes mellitus/insipidus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hyperthyroidism

A

> excessive levels of thyroid hormone

  • increased stimulation
  • increased production of thyroid stimulating hormone
  • high levels of iodine
  • diseases of thyroid

> Grave’s disease
- autoimmune condition (unknown trigger)
- immunoglobulin binds to TSH receptors - thyrotoxicosis (excess thyroid stimulation)
- more common in women - 7-10x
Symptoms
- enlarged thyroid gland (goiter)
- excess metabolic rate (weight loss, muscle wastage, tremor, tachycardia)
- bulging eyeballs
(some become permanent so treatment early is key)
treated with meds/surgical removal of part or all of thyroid - may then need supplement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hypothyroidism

A

Deficient thyroid hormone
> Congenital (life threatening)
- during foetal development (masked by mothers hormone)
- lack of thyroid development (less hormone produced)
- results in developmental delay + impaired growth
*If detected thyroid replacement treatment may help
> Acquired
- autoimmune disorder/iodine deficiency/surgical removal/ radiation or chemical damage to thyroid
- 10 x more common in women
Symptoms
- boggy/swollen tissue (hands/feet/face)
- muscle wastage
- weight gain
(possible goiter from gland working harder to produce deficient hormone)
Treatment
- hormone supplement
- treat other symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Example of homeostasis - Calcium levels

A

> 99.9% in bone (other in blood/extracellular fluid)
Normal levels = 1.1-1.4mm/L
Essential for muscle/heart contraction/ nerve conduction/ bone density
Key hormones
- Calcitriol: promotes calcium absorption from digestive tract
- growth hormone - stimulates osteoblasts
- thyroxine - stimulates osteoblasts
- parathyroid hormone - stimulates osteoclasts (calcium levels in blood then increase)
- Calcitonin - inhibits osteoclasts
- promotes calcium loss via kidneys (reduced levels in blood/fluid)

17
Q

If calcium levels = too low/high

A

Too low (<8.5mg/dL)

  • parathyroid hormone is released
  • stimulating osteoclasts - releases calcium to blood
  • kidneys retain calcium + produce calcitriol
  • more calcium is absorbed from digestive tract (more vit D synthesis)
  • more calcium in bloodstream

Too high (> 11mg/dL)
- Calcitonin = released by thyroid
- osteoclasts = inhibited
- kidneys allow calcium loss (produce less calcitriol)
- less calcium absorption from digestive tract
less calcium in bloodstream

18
Q

Diabetes

A

> absence/ deficit/ resistance to insulin

Type 1: viral infection or autoimmune disease
- linked with family history
- 10% of cases
- generally appears before 40
(no insulin = produced - glucose cannot enter cells)
Treated by injection

Type 2:

  • linked with obesity/age/ethnicity
  • 90% of cases (300 new per day)
  • don’t produce enough insulin or receptors = faulty
  • treated with diet (+tablets/injections if needed)
19
Q

Diabetes symptoms, clinical signs, tests, links to other disease

A
> Symptoms
- weight loss 
- thirst/hunger
- frequent urination
- fatigue 
> Clinical signs
- hyperglycaemia - raised blood glucose levels
- hyperketonaemia - raised blood ketone levels
> Tests
- blood/urine tests
> Other diseases (more likely to have:)
- 2x more likely to have stroke/ CV disease
- kidney failure
- go blind 
- amputation