Introduction to Endocrinology Flashcards

1
Q

endocrine glands secrete via WHAT
exocrine glands secrete via WHAT

what are the three main types of hormones? (3)

A

endocrine glands secrete via bloodstream
​exocrine glands secrete via duct

types of hormones:

  • peptides (insulin)
  • biological amines (thyroid hormones, dopamine)
  • steroids (cortisol, vitamin D). produced from cholesterol
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2
Q

how do peptides, biological amines and steroids become activated?

A

undergo peptide hormone processing: preproX -> preX -> active X (e.g. insulin / PTH)

biological amines: also undergo metabolism to be activated

steroids: metabolised from cholesterol. get interchanged under effect of different streroidgenic ezymes

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3
Q

where do u find hormone receptors (3)

what are

A
  • nucleus (typically steroid hormones)
  • cytoplasm
  • plasma membrane
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4
Q

what are the effect of nucleus hormone receptors?

explain how thryoid hormone receptor

A
  • nucleus hormone receptors usually cause up / down regulation of gene transcription

thryoid hormone receptor

  • thyroid binds to homodimer receptor
  • causes conformational change in homodimer receptor: falls apart and recruits retinoic acid r (creating heterodimer) & coA
  • transcription activated
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5
Q

how many transmembrane domains to GPCRs have?

general overview of how GPRCs work?

what is effect of hormone binding to GCPR in endocrine cells ?(3)

A
  • GPCRs have 7 transmembrane domains
  • cause conformational change on ligand binding -> interacts with second messengers (cAMP, PIP3, DAG)

effect of hormone binding to GCPR in endocrine cells

  • increase all of processes that lead to hormone production
  • causes release of hormone
  • endocrine cells will multiply
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6
Q

what type of receptor is used for insulin?
how work ? v general

A
  • *tyrosine kinase receptor:**
  • leads to autophosphorylation of Tyr residues
  • downstream signallong pathways lead to altered gene experssion or enzyme upregulation
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7
Q

how how hormones complex?

A
  • single hormones have multiple effects
  • multiple hormones with shared effects
  • different hormones are able to recognise the same receptor
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8
Q

adaptations of endocrine organs? (3)

A
  • high vasculature (bc secrete into blood)
  • cells in the gland are very close to capillaries
  • interact with own organ first e.g. in adrenal gland: hormones from cortex can see tissues in the medulla first -> to influence own response of organ
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9
Q

how is the pituitary gland split up? (2)

what are both parts controlled by?

A

anterior pituitary (aka adenohypophysis): ectodermal origin

posterior pituitary (neuohypophysis): neural origin

both controlled by hypothalamus

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10
Q

what does anterior pituitary gland control / cause release of? (5)

posterior pit ? (2)

A
  • *anterior pituitary gland:**
  • ACTH (causes cortisol production from adrenal gland)
  • growth hormone (muscle)
  • TSH - thyroid stimulating hormone (causes thyroid hormones to be released from thyroid)
  • LH & LSH (men & women)
  • prolactin (milk production)
  • *posterior pit. gland:**
  • Oxytocin (milk release when suckling)
  • ADH
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11
Q

how does hypothalamus communicate with the anterior pit. gland? and posterior pit gland?

A
  • hypothalamic hormone binds to anterior pituitary cell target (all are stimulatory except Dopamine which is inhibitory) via portal system
  • causes release of anterior pituitary hormone - releaed into blood
  • hypothalamus have long axons that cause release of posterior pituitary hormones (ADH and oxytocin)
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12
Q

which are the only two hormones that are released frm posterior pituitary gland?

A

ADH
Oxytocin

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13
Q

what is the hypothalamic-pituitary-adrenal axis (HPA axis)

how is it controlled? (3)

A
  • CRH (corticotropin releasing hormone) from hypo causes release of ACTH from anterior pituitary gland; causes release of cortisol from adrenal gland

controlled by:

  • *- long loop: cortisol controls this system via negative feedback on CRH (**more cortisol released, causes inhibition of more cortisol)
  • short loop: ACTH causes negative feedback on CRH
  • ultrashort loop: ACTH feedbacks back itself & inhibits.
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14
Q

Adrenal gland has different cells: ZG, ZF and ZR that all secrete different hormones

how do u produce many different hormones from same organ?

A
  • different enzymes expressed in the different zones (e.g. ZG/ ZF/ ZR will express different horomones) - causes cholerestrol to be turned into different things
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15
Q

what type of hormones are thyroid hormones?

produced from what?

what is active / inactive names?

how does it circulate around body?

A

biological amines - produced from tyrosine

T4 (inactive) is produced by thyroid gland -> converted to T3 to be active (via deiodinise enzyme)

circulates as T3, but attached to thryoid binding globulin

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16
Q

main role of thryoid hormones? (1)

how controlled?

  • negative feedback - how? (1)
  • how else (4)
A
  • increases metabolic rate
  • negative feedback control: T3 inhibits pituitary release of TSH
  • local control mechanism:
    i) deiodinase expression
    ii) thyroid hormone uptake transporter expression
    iii) thyroid hormone receptor expression
    iv) release from thyroid binding globulin
17
Q

how does pit. gland control FSH & LH hormone release?

why is it more complex in women then men?

A

hypothalamic hormones: GnRH + kisspeptin

regulate release of: FSH and LH from pituitary.

FSH & LH cause sex steroid release (testosterone / oestrogen) , ovulation, spermatogenesis.

in women: estradiol +ve and -ve feedback depends on stage of menstruation

18
Q

growth hormone (GH) mechanism?

caused from a release of WHAT in hypothalamus?

direct and indirect effects of GH?

inhibited by?

A
  • hypothalamus: releases growth hormone releasing hormone (GHRH)
  • causes release of GH from _anterior pit.

direct effects:_

  • growth of muscle and bone tissue

i_ndirect effects:_ causes release of IFG-1 (insulin-like growth factor - similar to GH) from liver
- acts on same times as above

negative feedback occurs

somatostatin (SS) has inhibitory effect.

19
Q

which hormone is released when have hypocalcemia?

what is it effects? (3)

what is 1. inhibited by?

A

fall in calcium: PTH (parathryoid hormone) rises - restores calcium back to normal by:

  • Increased renal Ca++ reabsorption.
  • Increased bone Ca++ release.
  • Increased gut absorption via release of vitamin D (1,25vitD).

The release if PTH is inhibited by raised Ca++ levels.

20
Q

where is endocrine fucntion of pancreas located?

A

islets of langerhans

21
Q

what does aldosterone do? (3)

A

aldosterone has two different roles:

  1. restores BP, reabsorbed salt & water lvls (not excrete as much)
  2. restores K loss !

(two totally differnet systems! )

22
Q

what does renin cause to occur?

A

renin initiates RAAs system - release of aldosterone

in response to hypotension: renin released:

  • renin converts angiotensin -> ANG1
  • ANG1 converted to ANGII by ACE (from lungs)
  • ANG II -> direct vasoconstriction + binding to ANG II receptors in ZG -> to produce aldosterone:
    i) Aldosterone -> vasoconstriction + remodelling - (inflammation in heart + vasculature).
    ii) aldosterone -> ‘sodium savour’ - Na reabsorption + water reabsorption -> Have to exchange K+ at the ENAC channels on the distal tubule. Aldosterone release triggered by RAAS and high serum K+ levels.
23
Q

what are the two differing roles of ADH :)

A

ADH:

  1. regulates osmolality of blood serum (increases reabsorbtion & causes dilution of blood serum)
  2. vasoconstriction of arterial BP