Lecture 1 Introduction to Endocrinology and Diabetes Flashcards

1
Q

Define the endocrine system

A

• A system that integrates and controls organ function via the secretion of chemicals (hormones) from cells, tissues or glands which are then carried in the blood to target organs, distal from the site of hormone synthesis, where they influence the activity of that target organ

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2
Q

What is the neuroendocrine system

A

Endocrine and nervous system combine. Nerves release hormones which enter blood and travel to their target cells

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3
Q

What are autocrine hormones

A

Cells secrete chemicals that bind to receptor on the same cell

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4
Q

What are paracrine hormones

A

Chemicals diffuse in ECF to affect neighbouring cells

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5
Q

Name features of an Endocrine Hormone

A
  1. Produced by a cell or group of cells
  2. Secreted from those cells into the blood
  3. Transported via the blood to distant targets
  4. Exert their effects at very low concentrations (act in the range 10-9 -10-12 M)
  5. Act by binding to receptors on target tissues
  6. Have their action terminated, often via negative feedback loops.
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6
Q

What are peptide hormones made of

A

Chains of amino acids (most common)

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7
Q

What are amine hormones composed of

A

All derived from one of two amino acids (tryptophan or tyrosine)

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8
Q

What are steroid hormones composed of

A

Cholesterol

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9
Q

Describe the synthesis of peptide hormones

A

Preprohormone is directed into the ER by a signal sequence
Enzymes in the ER chop off signal sequence creating pro hormone (inactive)
Prohormone transported to Golgi complex and bud offing active peptides

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10
Q

What are C-peptides

A

inactive fragment cleaved from the insulin prohormone. Levels of C-peptide in plasma or urine are often measured to indicate endogenous insulin production from the pancreas (produced in equal amounts). However, because insulin is metabolised faster, levels of C-peptide are typically about 5x higher than endogenous insulin.

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11
Q

Why is measuring C-peptides important

A

Measuring C-peptide levels ensures quick stabilization of glucose levels of type 1 diabetic- endogenous insulin production by pancreas

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12
Q

Why are peptide hormones able to transport via blood easily

A

Water soluble

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13
Q

How do most peptide hormones work

A

modulating either the GPCR or tyrosine kinase linked signalling pathways. These pathways phosphorylate existing proteins in the cell and modify their function e.g. open or close ion channels, activate or inactivate enzymes.

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14
Q

Name Amine Hormones

A

Catecholamines: Dopamine, Norepinephrine, Epinephrine
Tyrosine
Thyroxine (T3)
Triiodothyronine (T3)

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15
Q

Which amines have a similar mechanism to peptide hormones

A

Catecholamines

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16
Q

Which amines have a similar mechanism to steroid hormones

A

Thyroid hormones

17
Q

Name the only amine hormone not derived from Tyrosine

A

Melatonin which is derived from tryptophan

18
Q

Why are steroid hormones synthesised directly and released

A

Lipophillic so cannot be retained within lipid membranes

19
Q

Why are steroid hormones transported by carrier proteins

A

Poorly soluble in water which increases their half-life (60-90 mins vs 2 mins)

20
Q

Steroid hormones are produced by

A
  1. Gonads (testes and ovary) – sex steroids
  2. Placenta - hCG, sex steroids
  3. Kidney - Vitamin D3
  4. Adrenal cortex - corticosteriods
21
Q

Where are steroid hormones receptors located and why

A

their receptors are located inside cells (cytoplasmic or nuclear receptors) and trigger either activation or repression (inhibition) of gene function within the nucleus = genomic effect.
Lipophilic and can travel easily inside and out of cell

22
Q

What type of steroid hormone can diffuse across capillary walls to target cells

A

Unbound free steer/thyroid hormone

23
Q

What is the Law of Mass Action

A

dictates that as free hormone leaves the plasma (taken up by cells) more hormone is released from the carriers. Typically only minute quantities of hormone are required for physiological functions.