Hormones Flashcards

1
Q

What are the different stimuli to hormone release? + Example of each

A

Humoral stimulus -
Change to extracellular fluid concentration.
E.G glucose = insulin release.

Neural stimulus - preganglionic sympathetic fibres stimulate the adrenal medulla to release NA/A.

Hormonal stimulus -

Hypothalamus releases GNrH which stimulates anterior pituitary to produce FSH, which acts on Gonads(ovaries) to release Oestrogen.

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2
Q

What is the structure of the Adrenal glands?

A

Sit atop the kidneys

Triangular shape - with outer cortex, and inner medulla.

Inner produces Adrenaline and NA.

Adrenal cortex has 3 zones:
But produces steroids…

Outer most = Glomerulata = Aldosterone (Mineralocorticoids)

Fasciculata = Cortisol (Glucocorticoid) and DHEA (Androgens)

Reticularis - DHEA

Medulla accounts for 20% of volume = Adrenaline, N.

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3
Q

How are steroids produced in the adrenal glands?

A

The adrenal cortex uses cholesterol as common precursor, with successive enzymatic modifications.

It has no intracellular storage - the rate of secretion depends on synthesis rate.

Passively diffuses through PM for release.

= Endocrine cells!!!

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4
Q

When is aldosterone produced?

Targets?

Effects?

A

Aldosterone produced by Endocrine cells of Zona Glomerulata.

In response to reduced plasma volume and Na+, or elevated plasma K+.

Aldosterone acts on renal tubule and collecting duct.
= To increase K+ excretion, Na+ reabsorption and therefore reabsorbe more water.

= Increase volemia and maintain hydric balance.

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5
Q

How is Cortisol produced?

Targets?

Effects?

A

ACTH released by Anterior Pituitary, stimulates Zona fasciculata to produce Cortisol.

Cortisol acts on nuclear receptors.

Metabolic = Raise liver gluconeogenesis, reduce glucose entry in cells except CNS, raise proteolysis and lipolysis.
= Raise glycemia!

Anti-inflammatory and immunosuppressive effects - limit amplitude and duration of responses.

Permissive effect - raise response to catecholamines.

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6
Q

How does cortisol signalling work?

A

Glucocorticoid receptor is intracellular receptor.

GR is cytoplasmic.

When absent, GR is inactive and bound to HSP + IP.

When present, GR-cortisol dissociates from HSP + IP, and translocates to nucleus.

Cortisol-GR activates gene transcription.

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7
Q

Catecholamine production and release?

A

All derived from Tyrosine.

Noradrenaline is precursor to Adrenaline, but adrenaline is released and produced in greater amounts.

Hydrophilic hormones, stored in Chromaffin granules (Storage vessicles).

Released by exocytosis.

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8
Q

What type of GPCR are a1, a2, b1, b2?

A

a1 = Gq = raise intracellular Ca2+.

a2 = Gi = inhibit AC, reduce cAMP.

b1, b2 = Gs = activate AC, riase cAMP.

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9
Q

What were the animal responses to stress in Selyes experiments?

His definition of stress?

A

Turgor of adrenal glands.
Involution of the Thymus and lymph nuclei (Immune system).
Stomach bleeding and adrenaline secretion.

The non-specific response of the body to any demand for change.

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10
Q

Modern definition of stress?

A

Response of organism to stressing environmental stimuli.

The environmental demand exceeds the natural regulatory capacity of the organism.

Env. modification = where regulatory mechanisms are insufficient so stress mechanisms activated .

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11
Q

What is allostasis?

A

Adaptive reaction of the organism that maintains a stable internal state despite presence of stressing elements.

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12
Q

What are the response trees to stress?

A

Stressing stimulus -> brain stress perception -> Sympathetic NS and HPA axis -> Biological effects.

Consideration of stress -> Rapid alarm stage -> Resistance stage -> Recovery or Exhaustion

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13
Q

How is stress perceived by the brain?

A

Sensory organs relay info. to Cortex (Sensory associative areas), The wider cortex attenuates emotions.

The limbic system:
Amygdala - quantifies emotional connotation of info. to determine importance.
Hippocampus - memorises info. modulated by amygdala.

= Limbic provides subjective interpretation of the stimulus, if threat to homeostasis = alarm signal.

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14
Q

What occurs during the alarm stage?

A

Neuroendocrine phase.

Limbic system activates the reticular formation.
This triggers pre-ganglionic sympathetic fibres to act on the adrenal medulla to release Adrenaline.

Adrenaline causes vasodilation, increased HR, fasting breathing etc.
+ Raises vigilance, cardiorespiratory mobilisation.

Declarative memorisation process - New scene is analysed with regard to past experiences.

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15
Q

What occurs during Resistance stage?

A

When stressor persists = Endocrine phase.

Limbic system acts via hypothalamus on the HPA axis.

Hypothalamus secretes CRH, Anterior pituitary secretes ACTH, adrenal cortex zona fasciculata produces cortisol.

Cortisols metabolic effects:
Raise gluconeogenesis in liver, raise lipolysis, proteolysis, reduce glucose entry.
= Raise glycaemia.

Permissive effects - raise response to catecholamines.

Suppressive effects: Suppress immune+inflammatory system.
= Keeps responses in physiological range.

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16
Q

What happens in Recovery/ exhaustion stage?

A

If the stressor is stopped, then in recovery, responses should have remained in physiological range.

In Exhaustion, there is pathological evolution.
= Stressor was too intense/long lasting.
= Inoperative stress reactions.
= Overwhelmed physiological responses.

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17
Q

What parts of brain are near the hypothalamus?

Where is the hypothalamus?

A

Pineal gland - produces melatonin.

Pituitary gland is below.

Next to the thalamus.

Ventral face of brain.
= part of the Ventral NS.
Composed of independent clusters of neurones (Hypothalamic nuclei)

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18
Q

Where is the pituitary gland?

A

Below the Hypothalamus
= Hypophysis.

Ventrally connected to hypothalamus.

Anterior = Adenohypophysis

Posterior = Neurohypophysis.

Hypothalamus is connected to the pituitary by the infundibulum/pituitary stalk.

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19
Q

What is the role of hypothalamus?

A

Independent clusters of neurones called Hypothalamic nuclei.

Integrate several stimuli.

Part of ventral NS.

Contains some neuroendocrine cells - producing peptidic hormones which interplay with pituitary gland.

Parvocellular vs Magnocellular systems

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20
Q

What are the Parvocellular and Magnocellular systems?

A

Endocrine neurones in the hypothalamus can interact with the pituitary gland with 2 systems.

Parvocellular system contains small, disseminated neuroendocrine cells interplay with anterior pitutary/adenohypophysis.

Magnocellular system has large, big cells of specific hypothalamic nuclei interplaying with posterior pituitary/neurohypophysis.

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21
Q

What are the names for the anterior and posterior pituitary hormones?

A

Anterior = Adrenohypophyseal hormones.

Posterior = Neurohypophyseal hormones.

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22
Q

What are the different origins and functions of the Posterior/Anterior Pituitary?

A

Anterior pituitary = Embryonic origin of epithelial cells.

Synthesis and release of adenohypophyseal hormones.
= Endocrine gland.

= Parvocellular system.

Posterior pituitary = neuroectoderm origin.

Posterior pituitary contains axonal extensions from hypothalamic neurones, which are responsible for synthesising neurohypophyseal hormones, which are released in the posterior pituitary.

Magnocellular system
- large hypothalamic nuclei axonal extensions into posterior pituitary.

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23
Q

Explain the parvocellular system?

A

Small, disseminated neuroendocrine cells in Hypothalamus produce hormones regulating the anterior pituitary gland.

These hormones are released into the 1st capillary meshwork.

Short-distance blood transport via the portal system.

This brings to capillary bed of the anterior pituitary.
Regulate secretion of adenohypophyseal hormones in the 2nd capillary meshwork (in the anterior pituitary) for release into general bloodstream.

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24
Q

How do histology of anterior and posterior pituitary compare?

A

Anterior = capillary meshwork surrounding endocrine cells filled with secretory vesicles.

Posterior = Axonal endings of hypothalamic neurones, containing secretory vesicles.

Near to fenestrated capillaries (endothelial)

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25
Q

Explain the magnocellular system?

A

Neurohypophyseal hormones produced in hypothalamic neurones undergo axonal transport in storage vesicles.

(As peptidic hormones)

At axonal endings of hypothalamic neurones in the posterior pituitary, release of neurohypophyseal hormones into fenestrated capillary bed.

= Intra-neurone transport of peptidic hormone storage vesicles, followed by release into posterior pituitary capillary bed.

26
Q

What are 2 examples of neurohypophyseal hormones?

A

Posterior pituitary hormones include ADH and Oxytocin.

Both are polypeptidic.

Synthesised in hypothalamic cell body.

Transported intracellulary via storage vesicles to axonal endings.

27
Q

What are the targets and effects of ADH?

A

ADH produced in hypothalamic nuclei, released from axonal endings in posterior pituitary.

Targets rental tubules and arteriolar muscle cells.

In renal tubule, increases water reabsorption to reduce urine production.

Acts as a vasoconstrictant in arteriole wall - but this is limited as more effective hypertensive mechanisms.

28
Q

What are the targets and effects of Oxytocin?

A

Uterus muscle and myoepithelial cells of mammary glands.

In uterus muscle, Oxytocin causes stimulation of contraction to expulse fetus at birth and expel placenta.

In Myoepithelial cells of mammary glands, Stimulate milk ejection.

Socially - emotional comfort, but not as an endocrine hormones but as a neuromediator in the CNS.

29
Q

What is the hypophyseal portal system?

A

Hypophysiotropic hormones released by hypothalamus into 1st capillary meshwork reach anterior pituitary gland rapidly as travel a short distance at high concentration (do not dilute in general blood) via the hypophyseal portal system.

Hypophysiotropic hormones released into primary plexus (1st capillary meshwork), then travel via portal vessels into secondary plexus of anterior pituitary gland.

30
Q

What is the feedback system in the HP-axis?

A

Hypophysiotropic hormones regulate anterior pituitary.

Hypophyseal hormones can regulate target cells or endocrine glands, like adrenal glands.

The hormones produced by endocrine glands can then regulate the hypothalamus and anterior pituitary.

So this is called a cascading hormonal control.

Plus nervous input on hypothalamus = Integrates nervous and hormonal signals.

31
Q

What are the endocrine cells of the anterior pituitary gland?

A

These endocrine cells are regulated by hypophysiotropic hormones produced and released by the hypothalamus.

Corticotropic = Produce ACTH, acts on adrenal cortex to produce cortisol.

Thryotropic = TSH, on thyroid gland to produce T3/T4.

Somatotropic = Growth hormone.

Lactotropic cell = prolactin, mammary glands.

Gonadotropic = FSH and LH on gonads, in response to GNrH.

32
Q

What are the effects of these main hormones?

A

Growth hormone and TSH = metabolic, growth and development.

ACTH = Adrenal cortex release of cortisol.

FSH - production of follicle and in testes = spermatozoid production.

LH - production of corpus luteum, oestrogen and progesterone. In Testees, production of testosterone.

33
Q

What are the hypophysiotropic hormones?

A

Releasing or inhibiting hormones.

CRH = stimulates ACTH.

TRH = stimulates TSH

GHRH or GHIH = Growth Hormone.

PRH or PIH = prolactin

GnRH = FSH and LH stimulation.

34
Q

What is the normal blood glucose level?

Why important?

What is homeostasis?

A

Between 4.5-5.5 mM.

Glucose is only energy source for the CNS so requires a stable, constant supply.

Mechanisms in order to maintain the value of a certain biological parameter in a given range.

35
Q

How to raise and lower glycemia?

A

Raise = Fasting.

Gluconeogenesis in the liver - form glucose from AAs in liver.

Glycogenolysis - glycogen catabolism in liver.

Triglyceride catabolism.
Protein catabolism.

Decrease - Post-prandium
Protein synthesis.

Lipogenesis = use excess glucose to produce triglycerides and store.

Glycogenesis - use glucose to make glycogen and store.

36
Q

How does glucose enter cells?

A

Facilitated fifddusion down conc. gradient via GLUT transporters.

GLUT2 has entry and exit = two way

GLUT3 = NEURONES, non-insulin regulated, ENTRY

GLUT4 = ENTRY, insulin regulated!

37
Q

What are the roles of different tissues?

A

Liver = store glycogen and main location of gluconeogenesis.

Adipose tissue = storage of triglycerides.

Muscles = AA storage and use of glucose.

Brain = glucose consumption.

Endocrine pancreas = produce insulin and glucagon.

38
Q

Structure of pancreas?

A

Pancreatic Islets of Langerhans account for only 1-2% of mass, but 10% of blood flow.

60% Beta cells = insulin.
25% Alpha cells = Glucagon
10% Delta cells = Somatostatin, inhibits digestion.

39
Q

What are the different glycaemic disorders?

A

T1DM = Insulin-dependent diabetes, where insufficient insulin secretion due to autoimmune destruction of beta cells.

T2DM - non-insulin dependent because insulin receptivity is decreased due to restistance.
= So can ave normal or even increased insulin.
= Most cases of diabetes.
= Treated with Insulin resistance inhibitors like Metformine.

Pancreatic endocrine tumours = Excess glucagon secretion leads to diabetes.

40
Q

How does the I/G ratio differ?

A

Normal = 2

Prolonged exercise = 0.5

Hyperglycaemia = 10

41
Q

What is the glucagon receptor?

A

A Gs-GPCR
and 7 TM domain receptor.

Gs- coupled so acts on AC, to raise cAMP, activate PKA and phosphorylate intracellular targets.

Including:
Phosphorylation of Glycogen phosphorylase = activating glycogenolysis.

42
Q

What stimulates production of glucagon?

A

Alpha cells mainly stimulated by decreased blood glucose.

But also via insulin signalling too.

43
Q

What is the structure of Glucagon and how is it modified from its precursor?

A

Glucagon is peptidic hormone.

Preproglucagon is product of GCG gene.
Cleavage of C-terminus sequence in the Endoplasmic reticulum = Proglucagon.

Proglucagon undergoes multiple cleavage to produce a short 29AA long polypeptide.

44
Q

What are the effects of glucagon?

A

Glucagon acts mostly on the liver.

To stimulate:
Glycogenolysis, gluconeogenesis and inhibit glycogenesis.

Stimulates adipose tissue to undergo lipolysis - raise blood FA level.

Inhibits protein synthesis in liver, and stimulates protein degradation.

45
Q

What are the effects of Insulin?

A

Raise glucose uptake:
Increase expression of GLUT4 in most cells, where it is stored in vessicles.

Especially liver:
Stimulate glycogenesis, inhibit gluconeogenesis and glycogenolysis.

Stimulate FA uptake, glucose uptake in adipocytes, lipogenesis, inhibit lipolysis = reduce FA levels in blood.

Stimulate AA uptake and protein synthesis = lower AA conc.

46
Q

What is the structure of insulin and how is it modified from precursors?

A

preproinsulin is product of INS gene.

Cleavage of AA sequence at C terminal produces proinsulin.

Proinsulin undergoes cleavage of Peptide C within sequence, which joins peptide A and B.

Therefore, Insulin is peptide A and B held together by disulfid nbonds.

47
Q

What stimulates insulin release?

A

Elevated blood glucose.
Elevated blood AA

Gastrointestinal hormones, and parasympathetic NS.

Sympathetic NS and adrenaline inhibit Insulin production.

48
Q

How is insulin secreted?

A

Elevated glycaemia prompts more glucose entry into beta cell via GLUT2.

Glucokinase phosphorlyates glucose into Glucose-6-phosphate.

More ATP and NADH.

ATP inhibits ATP-dependent K+ channels, causing membrane depolarisation.

Depolarisation activates VOC Ca2+ channels.

Ca2+ increase causes exocytosis of insulin vesicles.

49
Q

What is the structure of insulin receptor and its activity?

A

The insulin receptor is an RTK.

Containing 2 alpha subunits, where insulin binds, and 2 beta subunits with tyrosine kinase activity.

Insulin binding to alpha subunits prompts autophosphorylation of beta subunits.
Phosphorylation of IRS protein = Insulin Receptor Substrate proteins.

Activation of second messengers.

50
Q

What is a hormone?

A

Substance liberated by endocrine cells, carried in blood flow, to act remotely on target cells expressing hormone receptor.

51
Q

What was the first hormone discovered?

A

Secretin

52
Q

What organs contain isolated endocrine cells?

A

Liver, Thymus, heart, Stomach, Small intestine, kidneys.

53
Q

What are endocrine glands? How do they different from isolated endocrine cells?

A

Clusters of secretory cells, sepsarated by numerous capillaries.

Pancreas considered a mixed gland - 98% of pancreas is exocrine function, not endocrine.

Isolated endocrine cells - within epithelium, secrete hormone closed to basal pore of capillary.
E.G endocrine cells of small intestine producing secretin.

54
Q

What are examples of Amine hormones?

Steroid

A

Catecholamines of adrenal medulla

Thyroid hormones T3/T4.

Steroid - Glucocorticoid by Zona fasciculate of addrenal cortex = Cortisol.

55
Q

How are lipophilic hormones administrated and transported?

How about amines and peptides?

A

Lipophilic hormones are not enzymatically degraded in gut, and cross PM = oral administration.

Will bind to corticosteroid-binding globulin blood.

T3/T4 are lipophilic, like steroids, but are classes as amines.

Hydrophilic hormones - insulin, catecholamines, glucagon, are not orally administered as enzymatically degraded in gut.

56
Q

How are the different Hormones produced?

A

Catecholamines and Thyroid hormones = from modification of tyrosine.

Steroids - Modification of cholesterol, within secretory cell, passively diffused.

Peptidic hormones - directly from mRNA and modified by cleavage, e.g. insulin.

57
Q

How are peptidic hormones produced?

A

mRNA is translated in rough ER ribosomes, directed into ER lumen through its signal sequence, which is cleaved in ER, to become inactive prohormone.

Inactive prohormone is transported to golgi body.

Within golgi body, modifying enzymes and prohormone are packaged into secretory vesicles.

Prohormone is cleaved into active peptide along with additional peptide ragments and released.

58
Q

How are different steroids produced?

A

No intracellular storage mechanism.

Rate of release determined by rate of synthesis from cholesterol.

Cholesterol is modified to Pregnenolone.

Then into Progesterone. From here, pathways to Cortisol, aldosterone, Testosterone and oestradiol.

59
Q

How are thyroid hormones produced?

A

Na/Iodine symporter brings Iodine into follicular cell.

Exocytosis of thyroglobulin into follicle colloid.

Tyrosine residues are oxidised by iodide ions during Iodination in the Colloid.

Then iodinated thyroglobulin is conjugated, and endocytosed.

In the follicular cell, This complex undergoes proteolysis to form T3 and T4, which are released by MCT transported into blood.

60
Q

What is the structure of the thyroid gland?

A

There is a follicle filled with colloid substance, containing thyroglobulin.

Thryoglobulin is large complex with tyrosine residues, which undergoes iodination, conjugation and endocytosis.

Follicular cells form a spherical cavity delimiting the colloid follicle.

61
Q

How are hydrophilic and hydrophobic hormones transported?

A

Lipophilic hormones are poorly soluble in blood plasma - so will be transported by binding within plasma albumins/globulins.

BUT only free fraction is biologically active.

Hydrophilic hormones are soluble, so transported freely.

62
Q

What are the targets of lipophilic and hydrophilic hormones?

A

Hydrophilic hormones do not cross PM, but rather act on PM receptors.

This tends to result in modification/phosphorylation of existing proteins.

Lipophilic hormones cross the PM to act on intracellular receptors.
This tends to lead to gene activation and synthesis of new proteins.