HORMONES OF THE ENDOCRINE SYSTEM CONT Flashcards
Located below the larynx and consists of two broad lobes connected by an isthmus.
Thyroid Gland
Consists of secretory parts called follicles filled with hormonestoring colloid (thyroglobulin)
Thyroid Gland
Follicular cells produce two iodine-containing hormones,
thyroxine (T4 )/(tetraiodothyronine) and triiodothyronine (T3)
3 Types of Carriers protein of Thyroid hormones
TBG – thyroxine binding globulin
TBPA – thyroxine binding prealbumin or TTR transthyretin
TBA – thyroxine binding albumin
(70-75%)
TBG – thyroxine binding globulin
primary carrier protein of thyroid hormone
TBG – thyroxine binding globulin
synthesized and produced by the liver
TBG – thyroxine binding globulin
highest affinity to T3 and T4 = readily released
TBG – thyroxine binding globulin
(10- 25%)
(10%)
thyroxine binding prealbumin or TTR transthyretin
thyroxine binding albumin
Lowest affinity
TBPA – thyroxine binding prealbumin or TTR transthyretin
In the tissues, T4 is converted to T3 (physiologically active product);conversion of T4 to T3
Diiodination
takes place in liver and kidneys
Diiodination
99.97% : bound; 0.03% : free
T4
more abundant
T4
T4 NV
0.24 ug/dL
99.7% :bound
T3
T3 NV
7 ug/dL
0.3%: free
T3
more potent
T3
Biological Function of thyroid hormones
Calorigenic effects
Increase (?)
Stimulate synthesis of (?)
Increase (?) through the use of chemical energy for metabolic processes which is fueled mainly by (?)
basal metabolic rate
Na/K ATPase
body temperature; fatty acids
: enhances use of chem energy for MP
Calorigenic effects
Biological Function of thyroid hormones: Action of thyroid hormones
Stimulate (?)
Promote (?)
Increase (?)
Stimulate (?)
neural development
sexual maturation
adrenergic activity
protein synthesis and carbohydrate metabolism
adrenergic activity Aka
Sympathetic Nervous System Stimulation
1° Hypothyroidism
TT4 TT3 FT4 TSH
↓ ↓ ↓ ↑
2° Hypothyroidism
TT4 TT3 FT4 TSH
↓ ↓ ↓ ↓
1° Hyperthyroidism
TT4 TT3 FT4 TSH
↑ ↑ ↑ ↓
2° Hyperthyroidism
TT4 TT3 FT4 TSH
↑ ↑ ↑ ↑
1° Increased TBG
TT4 TT3 FT4 TSH
↑ ↑ N N
1° Decreased TBG
TT4 TT3 FT4 TSH
↓ ↓ N N
: Problem in the actual synthesis of T3 and T4 (thyroid gland)
Primary
: Problem in the actual synthesis of TSH (AP gland/hypothalamus)
Secondary
Produced by the C-cells (parafollicular) of the thyroid
Calcitonin
Lowers plasma Ca+2 level
Calcitonin
Opposes the effects of parathyroid hormones w/c acts primarily to increase blood level of calcium
Calcitonin
its production is stimulated by hypercalcemia
Calcitonin
promotes Ca+2 deposition in bones and urinary excretion of calcium
Calcitonin
Located at the posterior of the thyroid which consists of tightly packed secretory cells covered by thin connective tissue
Parathyroid Glands
consists of tightly packed secretory cells covered by thin connective tissue
Parathyroid Glands
Release is stimulated by hypocalcemia and increased plasma calcium levels
Parathyroid Hormone
responds to decrease in free calcium concentration within seconds.
Parathyroid Hormone
It stimulate bone resorption of osteoclasts and promotes tubular reabsorption of Ca+2 and intestinal absorption of calcium
Parathyroid Hormone
During a time of calcium deprivation, the increase in PTH rapidly alters both renal and skeletal metabolism
Parathyroid Hormone
2-3 cm wide, 4-6 cm long and 1 cm thick and situated on top of the kidneys enclosed in a layer of fat
Adrenal Glands
because each glands sits atop of the kidney, the adrenal glands are also referred to as the suprarenal glands
Adrenal Glands
Pyramid-shaped glands
Adrenal Glands
stores and secretes catecholamines
Adrenal medulla
Catecholamines:
Epinephrine, Norepinephrine, Dopamine
Adrenal Cortex - further divided into three layers:
- Zona glomerulosa (outermost)
- Zona fasciculata (middle)
- Zona reticularis (innermost)
Mineralocorticoid synthesis : (chief)
ALDOSTERONE
Glucocorticoid synthesis :
CORTISOL
Glucocorticoid and minimal Gonadal steroids :
ANDROGEN, ESTROGEN, PROGESTERONE
Adrenal steroid hormones:
Glucocorticoids, Mineralocorticoids, Sex steroids
The cells of the adrenal cortex produce over [?] different steroids
30
Release is stimulated by a decrease in serum SODIUM levels
Aldosterone
Promotes tubular reabsorption of sodium in the kidneys
Aldosterone
Promotes excretion of potassium and hydrogen
Aldosterone
Production is controlled by RAA (renin-angiotensin-aldosterone) system
Aldosterone
Dehydration = [?] = [?]
decreased blood volume = hypotension
Kidneys : produce
RENIN
Increased angiotensin I converted to angiotensin II in the presence of [?]
ACE