module 3-endocrine review Flashcards
steroids
derived from cholesterol, bound to plasma protein, not stored, lipophillic
3 classes of hormones
1) peptides
2) amines
3) steroids
peptides
derived from preprohormones, hydrophillic, free floating
amines
derived from tyrosine, stored until needed, bound to plasma proteins
tropic vs non-tropic hormone
tropic- regulates secretion of another hormone by acting on it
non-tropic: final product, does not regulate secretion of other hormones
how are hormone levels regulated (4)
1)rate of secretion
2) control of H transport
3) metabolism & excretion
4) control of hormone receptors
pineal gland
controls circadian rhythm, secretes melatonin
what 2 hormones are produced by posterior pituitary
ADH & oxytocin
what controls release of ADH & oxytocin
ADH- increase in plasma osmolarity
oxytocin: cervix nerves detecting stretch or suckling
what hormones are produced by the anterior pituitary gland? what controls their relase
GH, THS, ATCH, FHS, LH, prolactin
produced by hypothalamus
what is the hypothalamys-hypohyseal portal
2 capillary beds back to back without going through heart
3 factors effecting growth
diet, stress & normal levels of other hormones
differences between IGF-1 vs IGF-2
1- most important for growth, soft tissue & bone growth, stimulated by GH, produced everywhere
2-independent of GH, produced continuously throughout life, muscle growth
hyperplasia vs hypertrophy
plasia- increase in cell numbers
trophy- increase in size
3 steps of elongation of lone bones
1) diaphysis- shaft
2) epiphsysis- knobs
3) epiphyseal plate- layer of cartilahge
what causes GH deficiency
pituitary issues or congential
GH deficiency effects on newborn vs adult
newborn-dwarfism
adult-soft tissue overgrowth
treatment of GH deficiency
GH injection
excess GH condition cause
pituitary issues or congenital
excess GH conditions on children vs adult
children- gigantism
adult-acromegaly-soft tissue overgrwoth
what test is used to diagnose GH deficiency disorders
provocative test
- give massive injection of insulin, if no peak = GH disorder
metabolic, cardiovascular & growth effects of TH
metabolic: modulate BMR
cardiovascular: increase HR
growth: AP transmission slowed
lack of TH
hypothyroidism= lack of TH = increase TSH = goiter
cretnism
too little TH = GH cannot do its job
treatment of hypothyroidism
iodine
excess of TH
hyperthyroidism= increase in TH = increase in TSH = goiter
3 key steroids & functions
1) mineralcorticoids- electrolytes
2) glucocorticoids- glucose, lipid & protein metabolism
3) sex steroids- DHEA
most abundant hormone
DHEA
metabolic, anti-inflammatory & immunosuppression effects of glucocorticoids
metabolic: increase blood glucose concentration
anti-inflammatory: cortisol release
immunosuppression: too much stress
3 negative effects of glucocorticoids
immunosuppression, abortion & more infection
too much vs too little cortisol production disease
too much = cushings
too little = addisons
metabolic pathways involved in anabolism vs catabolism
anabolism: glycogenesis
catabolism: glycogenolysis, gluconeogenesis
effects of insulin on blood glucose
decrease blood glucose by facilitating uptake of glucose in muscle & adipose cells through GLUT-4 transporters & storage
effects of glucagon on blood glucose
increase blood glucose by promoting gluconeogenesis by increasing genolysis & inhibiting glycogenesis
why does AA intake trigger release of insulin & glucagon?
AA triggers release of glucagon = cancels insulin effect on glucose
2 types of diabetes
type 1: insulin dependent: insulin is not produced
type 2: insulin independent: cells stop responding to insulin
consequences of failed glucose control (diabetes)
blindness & leg pain
how does physical activity mediate blood glucose levels?
exercise of skeletal muscles can mimic the activity of insulin & absorb all extra glucose
why is calcium so tightly regulated
has various physiological effects