Introduction to Endocrine Physiology Flashcards

1
Q

The classical definition of a hormone defines one as a chemical messenger from an endocrine gland into the bloodstream and acts on a distant tissue. How does this differ from the modern definition of hormone?

A

The modern definition defines a hormone as any substance released from a cell that acts on another cell, near or far, regardless of the singularity or ubiquity of the source and regardless of the means of conveyance

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2
Q

Define autocrine action. Example?

A

Secreting cell and target cell are the same

Ex: prostaglandins

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3
Q

Define paracrine action. Example?

A

A hormone is secreted into extracellular space and targets cells in the surrounding area; diffuse short distances

Ex: Somatostatin

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4
Q

Define endocrine action. Example?

A

A hormone is secreted by specialized endocrine glands/cells directly into the blood; travel long distances

Ex: thyroxine

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5
Q

Define neural action. Example?

A

A product of a neuron that is secreted into synaptic spaces; travel short distances

Ex: Acetylcholine & Norepinephrine

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6
Q

Define neuro-endocrine action. Example?

A

A product of a neuron that is released into the blood

Ex: Oxytocin

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7
Q

What six hormones does the anterior pituitary secrete?

A

Follicle-stimulating hormone (FSH)

Leutinizing hormone (LH)

Adrenocorticotropic hormone (ACTH)

Thyroid-stimulating hormone (TSH)

Prolactin (PRL)

Growth hormone (GH)

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8
Q

Somatostatin is secreted from what two locations?

A

Hypothalamus

Pancreas

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9
Q

What two receptors are responsible for modulating the secretion of antidiuretic hormone (ADH)? What do they respond to?

A

Stretch receptors signal ADH secretion at low atrial pressures (hypovolemia)

Osmoreceptors signal ADH secretion when ECF osmolarity increases (dehydration)

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10
Q

What five hormones function to increase plasma glucose?

A

Growth hormone

Norepinephrine

Epinephrine

Cortisol

Glucagon

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11
Q

When is norepinephrine considered a hormone and when is it considered a neurotransmitter?

A

Hormone: when secreted by the adrenal medulla

Neurotransmitter: when released by sympathetic postganglionic neurons

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12
Q

What are the four types of hormones? Which ones are hydrophilic and which ones are hydrophobic?

A

Peptide and protein hormones (Hydrophilic)

Amino acid derivatives (Hydrophilic)

Steroid hormones (Hydrophobic)

Fatty Acid derivatives (Hydrophobic)

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13
Q

Where are peptide hormones produced? Where are their receptors typically located?

A

Produced by the pituitary gland as releasing factors (except insulin)

Act on receptors on cell surfaces of peripheral endocrine glands

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14
Q

What are the “pre” and “pro” segments of a preprohormone? What are their functions?

A

Pre: signaling peptide sequence; bind to signal recognition complex to pause translation until docked on the ER

Pro: Intervening peptide; holds the final product in the proper orientation; keeps hormone inactive until it is cleaved

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15
Q

What is the “C-Peptide”? What is its clinical significance?

A

“Pro” segment of pro-insulin

Unknown physiological function

Marker of insulin levels (used to diagnose diabetes)

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16
Q

How are peptide hormones stored and transported?

A

Secretory vescicles

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17
Q

Which hormone type requires use of a secondary messenger? Why?

A

Peptide/protein hormones

Receptors are located the cell surface; cannot freely diffuse through the cell membrane

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18
Q

True or false: protein/peptide hormones can be administered orally.

A

False. They will degrade in the stomach.

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19
Q

What hormones are derivatives of tyrosine?

A

Thyroid hormones

Catecholamines

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20
Q

Where are catecholamines synthesized within the cell (2)? What tissues synthesize them?

A

Synthesized in the cytosol in:

Adrenal medulla

Post-ganglionic fibers of the sympathetic nervous system

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21
Q

In the synthesis of catecholamines, what reaction does tyrosine hydroxylase catalyze?

A

Tyrosine –> DOPA

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22
Q

In the synthesis of catecholamines, what reaction does DOPA decarboxylase catalyze?

A

DOPA –> Dopamine

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23
Q

In the synthesis of catecholamines, what reaction does Dopamine β-hydroxylase catalyze?

A

Dopamine –> Norepinephrine

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24
Q

In the synthesis of catecholamines, what reaction does PNMT catalyze?

A

Norepinephrine –> Epinephrine

25
Q

What is the rate-limiting step of steroid hormone synthesis? Where does it occur in the cell? What enzyme catalyzes this step?

A

Cholesterol –> Pregnenolone

occurs in the mitochondria

side-chain cleavage enzyme (desmolase)

26
Q

What are the three major types of steroid hormones?

A

Corticosteroids

Sex hormones

Vitamin D

27
Q

What are the two subtypes of corticosteroids? Examples?

A

Glucocorticoids (ex: cortisol)

Mineralcorticoids (ex: aldosterone)

28
Q

Where are corticosteroids synthesized?

A

Adrenal cortex

29
Q

How are steroid hormones transported?

A

Synthesized and immediately diffuses through the cell membrane

Bound to albumin or a specific binding globulin for transport through the blood

30
Q

Where are receptors for steroid hormones located?

A

Intracellularly

31
Q

True or false: steroid hormones can be administered orally.

A

True

32
Q

Aside from peptide and protein hormones, what specific hormones also have cell surface receptors? (2)

A

Triiodothyronine (T3)

Thyroxine (T4)

33
Q

CYP11A1 is what enzyme? What reaction does it catalyze?

A

Side-chain cleavage enzyme (desmolase)

catalyzes the first reaction in steroidogenesis:

cholesterol –> pregnenolone

34
Q

CYP17 is what enzyme? What reactions does it catalyze? (3)

A

17 alpha-hydroxylase

Pregnenolone –> 17α-OH pregnenolone

Progesterone –> 17α-OH progesterone

cleavage of C17,20 bonds to yield DHEA or androstenedione

35
Q

CYP21A2 is what enzyme?

A

21-hydroxylase

36
Q

CYP19 is what enzyme? What reaction does it catalyze?

A

Aromatase

Testosterone –> estradiol

37
Q

Steroid hormones are synthesized from the enzymatic modification of what molecule?

A

cyclopentanoperhydrophenanthrene (CHL)

38
Q

How are steroid hormones transported?

A

Immediately released from the cell after synthesis

Circulates protein-bound in blood

Interacts with cytoplasmic or nuclear receptors (activate DNA for protein synthesis)

39
Q

The physiologic effects of hormones depend on?

A

Concentration in blood

40
Q

The concentration of hormone as seen by target cells is determined by what three factors? Which is the most highly regulated (*)?

A

*Rate of production

Rate of delivery

Rate of degradation and elimination

41
Q

How is the rate of production and secretion of hormones mediated? (3)

A

Neuroendocrine reflexes

Circadian rhythms

Positive and negative feedback

42
Q

What is the main determinant of the rate of delivery of hormones?

A

Blood flow to a target organ

High blood flow delivers more hormone

43
Q

True or false: rate of degradation (liver) and elimination (kidney) is normally meant to fluctuate.

A

False: any changes in rate of degradation and/or elimination are bad

44
Q

What are the three types of stimuli that control rate of production of hormones?

A

Humoral: pertaining to ECF, blood, or lymph

Neural: direct stimulation of glands by the nervous system

Hormonal: hormone is released in response to another

45
Q

T4 levels are _______ in the winter and _______ in the summer.

A

Increased in the winter

Decreased in the summer

46
Q

What time of the day does cortisol concentration peak?

A

At the beginning of the light cycle

47
Q

What is the pacemaker for most circadian rhythms? Where is it located?

A

Suprachiasmatic nucleus

located in the hypothalamus, superior to the optic chiasma

48
Q

What are some examples of positive feedback?

A

Opening of Na+ channels during depolarization

Ovulation (progesterone)

Birth (oxytocin)

49
Q

What is the HPA axis?

A

Hypothalamic-pituitary-adrenal axis

Negative feedback loop between the hypothalamus, anterior pituitary, and the adrenal cortex that controls the secretion of CRH, ACTH, and cortisol

50
Q

How do binding proteins affect half-life of hormones?

A

Prevent hormones from being degraded, metabolized, or bound to a receptor

51
Q

Which thyroid hormone (T3 and T4) has a greater affinity for its binding protein and which has a greater affinity for its receptor? What are their half-lives?

A

T4: binding protein (6-7 day half-life)

T3: receptor (18 hour half-life)

52
Q

What is half-life?

A

The amount of time required to reduce the amount of a hormone to 1/2 of the original amount

53
Q

What are the three characteristics of receptors?

A

Specificity: receptor can bind a given hormone (+ agonists & antagonists) but not others

Affinity: how well the receptor binds to the hormone (affected by receptor conformation)

Density: changing the number of receptors on the cell surface

54
Q

Define permissiveness. Example?

A

One hormone must be present in adequate amounts for the full effect of another hormone

Ex: thyroid hormone increases epinephrine receptors

55
Q

Define synergism. Example?

A

The combined effect of several hormones is greater than the sum of their separate effects

Ex: counterregulatory hormones on blood glucose

56
Q

Define antagonism. Example?

A

One hormone causes the loss of another hormone’s receptors

Ex: Progesterone causes loss of estrogen receptors on uterine smooth muscle (decreases uterine contractions)

57
Q

Hormone-producing cells in tumors usually do not respond to negative feedback except for _____

A

tumors of the pituitary gland

58
Q

What is the difference between functional and nonfunctional endocrine tumors?

A

Nonfunctional: do not secrete hormone (~25% of endocrine tumors)

Functional: secrete hormones and are named after hormones they secrete (ex: insulinomas secrete insulin)