Introduction to Endocrine Flashcards
Definition of endocrine system
A system that integrates and controls organ function via the secretion of chemicals (hormones) from tissues or glands, which are then carried in the blood to the target organs distal from the site of the hormone synthesis where they influence the activity of the target organ
What do hormones cause in the target organ?
A change in activity
Different types of chemicals in the body
Paracrine chemicals
Endocrine chemicals
Autocrine chemicals
Exocrine chemicals
Where do paracrine chemicals act?
Local to the site of synthesis, do not travel to distant sites
Example of a paracrine chemical
Histamine
Where do exocrine chemicals act?
Released from exocrine glands via ducts to the external environment including the GI tract e.g. saliva, sweat, bile
Where do autocrine chemicals act?
Act on/in the same cell that synthesises the hormone
Example of an autocrine chemical
Cytokine
How do tissues detect hormones?
Through the presence of specific receptors for that chemical on/in the cells.
Where can receptors be for the hormones?
Either outside the cell or within the cell
What are neurotransmitters released from?
Presynaptic neurones
Where do neurotransmitters travel?
From presynaptic neurones
across the synaptic cleft
To postsynaptic cell to influence its activity
Where do neurotransmitters act?
Locally within the synaptic cleft
What two systems co-operate intimately to provide further control particularly for long term phenomena e.g. growth?
Endocrine and nervous systems
When the endocrine and neuro systems combine, what occurs?
Nerves release hormones which enter the blood and travel to their target cells (distal site)
Example of a neuroendocrine system
Hypothalamic posterior pituitary axis
Example of a neuroendocrine hormone
Adrenaline
Function of hormones / Neurotransmitters
Bring about changes in the activity of their target cells and tissues (increase or decrease in a particular activity)
What does the pineal gland produce?
Melatonin
What does the hypothalamus produce?
Trophic hormones
What is the primary target of trophic hormones?
Anterior pituitary
What does the posterior pituitary produce?
Oxytocin
Vasopressin (ADH)
What does the anterior pituitary produce?
Prolactin Growth hormone Corticotrophin (ACTH) Thyrotropin FSH LH
What is another name for growth hormone?
Somatotropin
What does the thyroid gland produce?
Triiodothyronine
Thyroxine
Calcitonin
What does the parathyroid gland produce?
Parathyroid hormone
What does the thymus gland produce?
Thymosin
Thymopoietin
What hormone does the heart produce?
ANP
Function of ANP
increases Na excretion
What hormones does the liver produce?
Angiotensinogen
Insulin-like growth factors
What hormones does the pancreas produce?
Insulin
Glucagon
Somatostatin
Pancreatic polypeptide
What does the adrenal cortex produce?
Aldosterone
Cortisol
Androgens
What does the adrenal medulla produce?
Epinephrine / norepinephrine
What hormones do the kidneys produce?
Erythropoietin
1,25-Dihydroxy-vitamin D3 (calciferol)
What hormone does the skin produce?
Vitamin D3
What hormones do the testis produce?
Androgens
Inhibin
What hormones do the ovaries produce?
oestrogen
progesterone
inhibin
Relaxin (pregnancy)
How much endocrine hormone is needed to bring about a response?
Endocrine hormones exert their effects at very low concentrations because the receptors have a very high affinity for the hormone and therefore do not need a lot of hormone to bring about a response
How do endocrine hormones often have their actions terminated?
Via negative feedback loops
Where do endocrine hormones get metabolised?
Liver
Kidneys
What Is the release of endocrine hormones controlled by?
Negative feedback loops
Types of endocrine hormones
Peptide/protein hormones
Steroid hormones
Amine hormones
Different structures of peptide/protein hormones
Composed of chains of amino acids
Can be very short e.g. 3 amino acids long (TRH)
Can be very long e.g. FSH
What are all steroid hormones derived from?
Cholesterol
Examples of steroid hormones
Oestrogen
Progesterone
What are amine hormones derived from?
One of two amino acids - either
- Tryptophan
- Tyrosine
What is the only amine hormone is derived from tryptophan?
Melatonin
What amine hormones are derived from tyrosine?
All other amine hormones apart from melatonin
Examples of peptide hormones
TRH
FSH
Insulin
When are peptide hormones synthesised?
In advance of need
Where are peptide hormones stored and until when?
Vesicles until required
What is the initial protein of peptide hormones called and what is it produced by?
Preprohormone
Produced by ribosomes
Features of the preprohormone
Large and inactive so no endocrine function in that form
Where are preprohormones cleaved and what are they cleaved into?
In the RER
Into small but still inactive proteins called prohormones
What happens to prohormones?
Packaged into vesicles in the Golgi apparatus, along with proteolytic enzymes
What do the proteolytic enzymes stored with the prohormones do?
Break the prohormone down into active hormone and other fragments
Hormones and fragments after the breakdown of prohormones are stored where and until when?
Stored in vesicles in the endocrine cells
Until release is triggered where all vesicle contents are released into the plasma
What is the release of all vesicle contents (inactive and active fragments) called?
Co-secretion
How can inactive fragments in the plasma be useful clinically and how? Then give an example
They can be measured
They tend not to be metabolised as quickly as hormones and so can be detected clinically
C peptide in diabetes
What is C peptide?
The inactive fragment cleaved from the insulin prohormone
What does C peptide measurement indicate?
Endogenous insulin production from the pancreas (produced in equal amounts)
C peptide levels compared to insulin levels and why
C peptide levels are approx. 5x higher than endogenous insulin release levels
Because insulin is metabolised faster
Solubility of peptide hormones
Water soluble
Where can water soluble hormones move?
Dissolve easily in plasma so transport via the blood is simple and easy
Cannot cross cell membrane
Where are the hormone receptors for peptide hormones?
Membrane bound receptors on outside of cells
Speed of peptide hormone reactions once bound to the receptors
Fast (secs - mins)
Peptide hormone pathways
GPCR (G-protein coupled receptors) signalling pathway
Tyrosine kinase linked signalling pathway
Other names for hormones being water soluble
Hydrophilic
Lipophobic
How does a peptide hormone activating a G protein coupled receptor work?
2nd messenger system activation and / or ion channels
Modification of existing protein
Rapid response
How does a peptide hormone activating a tyrosine kinase linked receptor work?
Alters gene expression
Slower, longer lasting activity
What may 2nd messengers also do in peptide hormone reactions?
Alter gene expression
When are steroid hormones synthesised?
Directly as needed
Solubility of steroid hormones and what this means for their storage
Highly lipophilic / lipid soluble
So cannot be retained within lipid membranes and so cannot be stored
How are steroid hormones transported in the blood?
Bound to carrier proteins such as albumin
Function of carrier proteins transporting steroid hormones
Stabilises their transport through the plasma
Protects them from metabolic enzymatic degradation - massively increasing their half life
Examples of steroid hormones and what they are produced by..
Gonads - sex steroids
Placenta - hCG, sex steroids
Kidneys - vitamin D3
Adrenal cortex - corticosteriods
How is which specific steroid hormone is derived from cholesterol determined?
By different cells having different enzymes synthesising different derivatives of cholesterol
Where are receptors for steroid hormones found?
Inside cells (cytoplasmic or nuclear receptors)
What do steroid hormones do once bound to receptors and what is this called?
Triggers either activation or repression (inhibition) of gene function within the nucleus
Genes control the synthesis of proteins so these hormones either increase of decrease protein synthesis
This is called the genomic effect
What does the relatively slow process of steroid hormones cause?
A lag time between hormone release and biological effect (hours to days) but the effect persists for around the same time
Examples of amine hormones
Dopamine
Norepinephrine
Epinephrine
Where is dopamine released from?
The brain
Where is norepinephrine released from?
Neurones
Where is epinephrine released from?
The adrenal medulla
Function of melatonin
Regulates circadian rhythm
What is the only amine hormone not derived from tyrosine and what is it derived from?
Melatonin - derived from tryptophan
Two types of amine hormones derived from tyrosine
Catecholamines
Thyroid hormones
Mechanism of action of catecholamines
Similar mechanism to peptide hormones as they are HYDROPHILIC
Mechanism of action of thyroid hormones
Similar mechanism to steroid hormones as they are LIPOPHILIC
What is the physiologically important fraction of steroid/thyroid hormones in the plasma? Why?
The small amount of unbound free steroid/thyroid hormone
Because only free hormone can diffuse across capillary walls to target cells (lipophilic)
What is the free hormone : hormone-protein complex ratio of steroid hormones much in favour of?
Bound hormone
What is an important fact of the level of free (active) hormone of the lipophilic hormones in the plasma?
The levels remain constant
What does the Law of Mass Action dictate?
As free hormone leaves the plasma (taken up by cells) more hormone is released from the carriers
Equation for total plasma hormone in lipophilic hormones
Total plasma (hormone) = free hormone + complexed hormone
Types of carrier protein in the plasma for steroid/thyroid hormones
Specific = corticosteriod binding globulin
Non specific = albumin
What does the reservoir of steroid in the plasma result in?
Prolonged effect
What does the concentration of hormone in the blood depend on?
Rate of secretion
Rate of removal
How are hormones removed and where does this occur?
Excretion or metabolic transformation
Mainly occurs in liver and kidneys
Which types of hormones are excreted quickly and easily due to their short half life? (mins - hours)
Catecholamines
Peptide hormones
Which types of hormones take hours and days to excrete or metabolise and why is this?
Steroid hormones
Thyroid hormones
Because they are protein bound
What happens to the target cells after prolonged exposure to a low hormone concentration in the plasma?
Up regulation
= increase in no. of hormone receptors on the target tissues
What happens to the target cells after prolonged exposure to high concentration of the hormone in the plasma?
Down regulation
= decrease in the receptor number on target tissues
Definition of permissive effects
The presence of one hormone enhances the effects of another
Definition of half life
Time taken for the plasma concentration to fall by one half