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Unit 8 Abbey > MCP Lecture 3 > Flashcards

MCP Lecture 3 Flashcards

1
Q

What is the precursor of all steroid hormones?

A

cholesterol

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2
Q

What are the classes of steroid hormones?

A 
glucocorticoids (i.e. cortisol)
mineralocorticoids (i.e. aldosterone)
sex hormones (androgens, estrogens, progestins)
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3
Q

Where is cortisol, aldosterone, and androgens secreted from?

A

adrenal cortex

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4
Q

How do steroid hormones reach their target?

A

carrier proteins in the blood

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5
Q

Describe the synthesis of steroid hormones

A

shortening the hydrocarbon chain of cholesterol and hydroxylating the steroid nucleus

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6
Q

What is the rate limiting step in steroid hormone synthesis? What is the enzyme that catalyzes this reaction?

A

conversion of cholesterol to the 21 carbon pregnenolone

catalyzed by CYP11A (cholesterol side-chain cleavage enzyme

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7
Q

What type of enzyme is CYP11A, and where is it located? What does the reaction require?

A

cytochrome P450 mixed function oxidase
located on inner mitochondrial membrane
requires NADPH and O2

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8
Q

What mediates the transfer of cholesterol from the mitochondrial outer membrane to the inner membrane?

A

StAR (steroidogenic acute regulatory protein)

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9
Q

What are congenital adrenal hyperplasias?

A

an enzyme deficiency in the conversion of cholesterol to a steroid hormone causing serious metabolic imbalance

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10
Q

Where is cortisol produced? How is its production and secretion controlled?

A

produced in middle layer of adrenal cortex (zona fasciculata)

controlled by hypothalamus

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11
Q

When and why is cortisol released?

A

in response to stress (infection) - corticotropin releasing hormone (CRH) produced by hypothalamus travels to anterior pituitary where it induces the production and secretion of ACTH - the “stress hormone” - which causes the adrenal cortex to synthesize and secrete glucocorticoid cortisol

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12
Q

What does cortisol do?

A

helps the body respond to stress through effects on metabolism (stimulating gluconeogensis) and the inflammatory and immune responses

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13
Q

What inhibits CRH and ACTH?

A

cortisol - negative feedback

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14
Q

What are the steps of cortisol synthesis?

A

ACTH binding to G-protein receptor = increased cAMP = activated PKA which phosphorylates and activates the lipase which converts cholesterol ester to cholesterol and StAR protein (cholesterol to inner mitochondrial membrane)

pregnenolone is returned to the cytosol and converted to progesterone

CYP17 and CYP21 convert progesterone to 11-deoxycortisol which is returned to inner mitochondrial membrane where CYP11B1 catalyzes Beta hydoxylation at c21 to give cortisol

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15
Q

What causes production of aldosterone and where is it produced?

A

production stimulated by decrease in plasma Na+/K+ ratio and by angiotensin II (which binds Gcoupled cell surface receptor and acts through phosphatidylinositol 4,5 biphosphate pathway)

produced in outer layer of adrenal cortex (zona glomerulosa)

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16
Q

What is the function of aldosterone?

A

enhances Na+ and water uptake and K+ efflux in the kidney tubules

this increases blood pressure

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17
Q

Where are the sex hormones produced?

A

androgens produced by the inner (zona reticularis) and middle layers of adrenal cortex

they are converted to testosterone and estrogen in peripheral tissues

18
Q

What causes the testes and ovaries to synthesize the sex hormones?

A

GRH (gonadotropin-releasing hormone) stimulates the anterior pituitary to release luteinizing hormone (LH) and follicle stimulating hormone (FSH)

LH and FSH both bind to g-protein linked surface receptors - increase cAMP - PKA

19
Q

What effect does LH have?

A

stimulates testes to produce testoesterone

stimulates ovaries to produce estrogens and progesterones

20
Q

What effect does FSH have?

A

regulates the growth of ovarian follicles and stimulates spermatogenesis within the testes

21
Q

How is estrogen produced? What enzyme catalyzes?

A

produced from androstenedione and then testosterone

enzyme involved is aromatase

22
Q

What is the hormone response element? (HRE)

A

found in the promoter or an enhancer element for genes that are responsive to a specific steroid hormone

23
Q

How are steroid hormones converted into inactive excretion products in the liver?

A

reduction of unsaturated bonds and introduction of additional hydroxyl groups

24
Q

How are steroid hormone excretion products made more water soluble?

A

conjugation with glucuronic acid or sulfate

25
Q

How are the steroid hormones excreted?

A

first the reduction of unsaturated bonds and introduction of addition hydroxyl groups along with conjugation with glucuronic acid or sulfate (to make more water soluble) - from there 20-30% secreted into bile and secreted in poop

the remained are released in blood and filtered in the kidneys passing into urine

26
Q

What is the active molecule of D vitamins and what does it do?

A

1,25-dihydroxycholecalciferol (1,25-diOH-D3)

aka calcitriol - interacts with DNA to enhace or repress transcription of a coordinate a set of genes
most important function: regulate plasma levels of calcium and phosphorous

27
Q

What are the sources of Vitamin D?

A

exogenous source/diet - D2 from plants and D3 from animal tissues

endogenous source - 7-dehydrocholesterol converted to cholecalciferol in the dermis that is exposed to sunlight - cholecalciferol transported to liver bound to vitamin D binding protein

28
Q

How is inactive vitamin D (D2 and D3) converted to active vitamin D

A

converted in vivo first in liver by the enzyme 25 hydroxylase yielding 25-hydroxycholecalciferol (25-OH-D3 or calcidiol)

in the kidney, 25-hydroxycholecalciferol 1-hydroxylase forms 1,25-diOH-D3 calcitriol

29
Q

What type of enzymes are 25 hydroxylase and 25-hydroxycholecalciferol 1-hydroxylase?

A

cytochrome p450 proteins

30
Q

How is 25-hydroxycholecalciferol 1-hydroxylase regulated?

A

activity is increased directly by low plasma phosphate and indirectly by low plasma calcium (low calcium triggers secretion of PTH which upregulates the enzyme)

elevated levels of 1,25-diOH-D3 (calcitriol) inhibits the enzyme in negative feedback loop

31
Q

What are the effects of calcitriol?

A

increased calcium mobilization from bone
increased renal reabsorption of calcium
decreased renal excretion of calcium
increased calcium absorption from intestine

32
Q

What is the mechanism that calcitriol stimulates intestinal absorption of calcium?

A

binds to a ligand binding domain within the vitamin D receptor (VDR) - enters nucleus and forms heterodimer with retinoid-X-receptor (RXR) - recognize VDRE in the promoter or regulatory element of the genes

33
Q

What are the enhanced proteins within enterocytes by calcitriol?

A

calbindin-D9K (mediates transport of calcium across the enterocyte from the apical side)
calcium transport protein TRPV5 (allows entry of calcium into the epithelial cell

34
Q

What does low plasma calcium cause?

A

elevation of calcitriol (1,25-DiOH-D3) and PTH which both act to increase calcium absorption and bone resportion

35
Q

What does calcitonin do?

A

hormone that decreases blood calcium and opposes effects of PTH (which raise blood calcium)

36
Q

What are the levels of vitamin d associated with deficiency? toxic level? best level?

A

deficiency: 50 adequate/best level

>125 adverse effects (loss of appetite, nausea, thirst, stupor - hypercalcemia (calcium deposits in organs))

37
Q

What is rickets?

A

formation of the collagen matrix but insufficient mineralization = soft and pliable bones in children

38
Q

What is osteomalacia?

A

demineralization of existing bones making them more susceptible to fracture

39
Q

What is renal osteodystrophy?

A

decreased synthesis of active vitamin D and increased retention of phosphate - hypocalcemia and hyperphosphatemia

40
Q

What is hyperthyroidism?

A

lack of PTH causes hypocalcemia and hyperphosphatemia (trated with calcium and calcitriol)

Unit 8 Abbey (19 decks)

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