Intro to Endocrinology Flashcards

1
Q

What is endocrinology?

A

endocrine glands + their secretions (hormones) + diagnosis and treatment of disorders of endocrine system

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2
Q

What is the most common endocrine disorder?

A

diabetes mellitus

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3
Q

What are glands?

A

structures (epithelial tissue derivatives) specialized for secretion

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4
Q

What are the two types of glands?

A
  • exocrine glands

- endocrine glands

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5
Q

What cells (important characteristic) do exocrine glands have?

A

duct cells – exocrine secretions (from secretory portion of gland) are released into ducts, which deliver them to surface of skin or to one of the cavities in the body

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6
Q

What are some examples of exocrine glands? (4)

A

exocrine pancreas – source of digestive enzymes
sweat glands
salivary glands
mammary gland

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7
Q

What are 2 important characteristics of endocrine glands?

A
  • disappearance of duct cells

- hormones are secreted into blood capillaries

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8
Q

What are some examples of endocrine glands? (4)

A

pituitary gland
thyroid gland
adrenal glands
parathyroid glands

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9
Q

What are endocrine tissues and cells responsible for?

A

producing hormones

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10
Q

What are some examples of endocrine tissues and cells? (5)

A
  • islets of Langerhans within pancreas (source of insulin and glucagon)
  • granulosa cells of ovarian follicle (estrogen)
  • lining of stomach (gastrin), atrial muscle fibres (atrial natriuretic peptide)
  • kidneys (renin)
  • Leydig cells of testes (testosterone)
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11
Q

What type of effect do hormones have?

A

can have stimulatory or inhibitory effect

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12
Q

What do hormones interact with?

A

specific receptors found on or in target cells

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13
Q

What do hormones do?

A

help to regulate all major functions of the body, including:

  • growth and development
  • reproduction
  • metabolism
  • contraction of cardiac and smooth muscle
  • glandular secretions
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14
Q

Can a hormone have affect multiple functions?

A

yes – ie. thyroid hormones

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15
Q

Can a function be controlled by more than one hormone?

A

yes – ie. reproduction is controlled by thyroid hormone, LH, FSH, estrogen, testosterone

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16
Q

What are the 4 chemical classes of hormones?

A
  • protein hormones
  • steroid hormones
  • amines
  • eicosanoids
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17
Q

Which is the most common class of hormones?

A

protein hormones

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18
Q

Are protein hormones hydrophilic or hydrophobic?

A

water soluble (hydrophilic)

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19
Q

What are the steps in protein hormone synthesis?

A
  1. transcription and translation (preprohormone)
  2. processing and packaging (prohormone; hormone)
  3. storage in secretory vesicles until specific stimulus-induced release
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20
Q

What are protein hormones synthesized by? (3)

A

anterior pituitary gland
hypothalamus
endocrine pancreas

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21
Q

Are steroid hormones hydrophilic or hydrophobic?

A

hydrophobic, lipid soluble

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22
Q

What are steroid hormones synthesized from?

A

cholesterol

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23
Q

What does synthesis of steroid hormones require?

A

requires specific enzymes, found only within steroidogenic organs, such as:

  • gonads (testis and ovary)
  • adrenal glands (cortex)
  • placenta (during pregnancy)
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24
Q

What do gonads (testis and ovary) produce?

A

sex steroid hormones (androgens, estrogens, progesterone)

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25
Q

What do adrenal glands (cortex) produce?

A

corticosteroids (mineralocorticoids, glucocorticoids, androgens)

26
Q

What does the placenta (during pregnancy) produce?

A

multiple placental hormones, including estrogens and progesterone

27
Q

Are steroid hormones transported or stored immediately following synthesis?

A

diffuse to extracellular fluid and blood (NOT stored in vesicles)

28
Q

What are amines?

A

small molecules derived from one of two amino acids: tyrosine and tryptophan

29
Q

Where us tyrosine found? (2)

A
  • adrenal medulla (inner portion of adrenal gland)

- thyroid gland

30
Q

In what form is tyrosine found in adrenal medulla (inner portion of adrenal gland)?

A

precursor of norepinephrine and epinephrine (catecholamines)

31
Q

In what form is tyrosine found in thyroid gland?

A

conjugation of two tyrosine molecules is required for production of thyroid hormones

32
Q

Where is tryptophan found?

A
  • gut and brain

- brain (pineal gland)

33
Q

In what form is tryptophan found in the gut and brain?

A

precursor of serotonin

  • gut: serotonin regulates motility, secretions
  • brain: serotonin regulates emotions, appetite, sleep
34
Q

In what form is tryptophan found in the brain (pineal gland)?

A

serotonin is precursor of melatonin

35
Q

What is melatonin?

A

biological clock – integrates sleep-wake cycles

36
Q

What are eicosanoids synthesized from?

A

lipids and phospholipids

37
Q

What are most eicosanoids derived from?

A

arachidonic acid (component of plasma membrane phospholipids)

38
Q

What do eicosanoids do?

A

serve as local chemical mediators with powerful biologic activities

ie. prostaglandins

39
Q

What do prostaglandins do?

A

involved in inflammation, initiation of labour, airway constriction, etc.

40
Q

What is homeostasis?

A

ability of body to maintain a relatively constant environment in the face of a constantly changing external environment

41
Q

What is the secretion of hormones regulated by?

A

negative feedback systems

42
Q

When is negative feedback initiated?

A

if a factor becomes excessive or deficient, control system initiates negative feedback to bring that factor back to within normal range

43
Q

Does positive feedback ever occur?

A

yes

in rare cases, biological action of hormone may INDUCE additional release of that hormone (positive feedback)

44
Q

What are consequences of positive feedback of hormone secretion?

A
  • can result in vicious cycle incompatible with homeostasis
  • then can lead to disease or death

(there are very few examples of physiological positive feedbacks because they disturb homeostasis)

45
Q

What are the 5 modes of delivery of hormones to target tissues?

A
  • endocrine (most common)
  • neuroendocrine
  • paracrine
  • autocrine
  • intracrine
46
Q

What is the endocrine mode of delivery of hormones to target tissues?

A

endocrine cells → blood → target tissue

47
Q

What is the neuroendocrine mode of delivery of hormones to target tissues?

A

specialized neurons → blood → target tissue

48
Q

What is the paracrine mode of delivery of hormones to target tissues?

A

endocrine cells → extracellular space → target tissue

49
Q

What type of function does the paracrine mode of hormone delivery have?

A

local function, often provided by eicosanoids and growth factors

50
Q

What is the autocrine mode of delivery of hormones to target tissues?

A

endocrine cells → extracellular space → target tissue

51
Q

What type of function does the autocrine mode of hormone delivery have?

A

local function, often provided by eicosanoids and growth factors

52
Q

What is the intracrine mode of delivery of hormones to target tissues?

A

hormone acts within the cell of origin

53
Q

What type of function does the intracrine mode of hormone delivery have?

A

local function, often provided by eicosanoids and growth factors

54
Q

What must a hormone do to exert its biological function?

A

hormone must bind to its receptor on and/or in the target tissue and form a hormone-receptor complex

hormone + receptor → hormone-receptor complex → specific biological response

ie. GnRH + receptor (on anterior pituitary) → GnRHR complex → release of LH and FSH

55
Q

What are receptors?

A

large proteins, most are highly specific for a single hormone

56
Q

Where are receptors located? (3)

A
  • cell membrane
  • cell cytoplasm
  • cell nucleus
57
Q

Which receptors are located in the cell membrane?

A

protein hormone and catecholamine receptors

58
Q

Which receptors are located in the cell cytoplasm?

A

some steroid hormone receptors (ie. testosterone)

59
Q

Which receptors are located in the cell nucleus?

A

some steroid and thyroid hormone receptors

60
Q

What generates rapid non-genomic responses?

A

many steroid hormones (including E and T) and thyroid hormones also interact with specific cell-surface receptors to generate rapid non-genomic responses