Pancreas/Gonads/Pineal/Misc Flashcards
endocrine and exocrine gland
endocrine secretes directly into circulation
Pancreas
but almost ALL exocrine
A flattened organ located in the curve of the duodenum (the first part of the small intestine)
Contains a head, body and tail
Pancreas
In the middle of the exocrine acini lie 1-2 million endocrine cells called ____ (Islets of Langerhans)
(Pancreas Endrocrine cells)
pancreatic islets
4 types of islet cells
Alpha
Beta
Delta
F (aka PP)
20% of islet cells, secrete GLUCAGON
Alpha (A) Cells
75% of islet cells, secrete INSULIN
Beta (B) Cells-
4% of islet cells, secrete somatostatin (GHIH)
Delta (D) Cells
1% of islet cells, secrete pancreatic polypeptide
F Cells (aka PP cell)
Stimulates liver to break down stored glycogen (glycogenolysis)
Stimulates liver to take up serum amino acids and convert them into glucose (gluconeogenesis)
Stimulates the break down of triglycerides into free fatty acids and glycerol (lipolysis)
Glucagon
Receptors located in pancreas sense low blood glucose levels which trigger a release of
glucagon
Glucagon regulated through ___ feedback from serum glucose levels
negative
lowers blood glucose levels
insulin
Presence of food in small intestine triggers release of glucose-dependent insulinotropic peptide (GDIP; aka Gastric Inhibitory Peptide[GIP])
This triggers release of insulin from pancreas
Continued nutrient absorption raises blood glucose levels which further stimulate pancreas to continue to release insulin
insulin
Facilitates glucose uptake into cells
Stimulates glycolysis (metabolism of glucose for generation of ATP)
Stimulates glycogenesis (excess glucose into glycogen in liver)
Promotes triglyceride and protein synthesis
Insulin
Insulin Regulated through negative feedback from ___ levels
serum glucose
Acts in paracrine manner by inhibiting both insulin and glucagon release
Acts in an endocrine manner by inhibiting release of hGH from anterior pituitary gland
Somatostatin (aka GHIH)
also found in pancreas! (from Delta cells)
Inhibits somatostatin release
Inhibits gallbladder contraction
Inhibits secretion of bicarb and certain enzymes from pancreas
Thought to play a role in appetite suppression
Pancreatic polypeptide
from F cells
_____ inhibits release of insulin, stimulates secretion of glucagon from alpha cells of pancreas
Hypoglycemia
Glucagon acts on ___.
Stimulates conversion of glycogen into glucose (glycogenolysis)
Stimulates gluconeogenesis. Glucose is then released by hepatocytes into blood stream
hepatocytes (liver cells)
glycogen into glucose
(glycogenolysis)
inhibits the release of glucagon, stimulates secretion of insulin by beta cells
Hyperglycemia
Facilitates diffusion of glucose into cells
Speeds conversion of glucose into glycogen (glycogenesis)
Increases uptake of amino acids to increase protein synthesis
Speeds synthesis of fatty acids (lipogenesis)
Insulin (acts on various cells in the body)
synthesize and secrete estrogen, progesterone, inhibin, relaxin
Ovaries
___, ____ along with LH and FSH (from ant pituitary) regulate the menstrual cycle, maintain pregnancy, prepare the mammary glands for lactation
Estrogen, progesterone
*Inhibin and Relaxin are only produced in large quantities when ___ occurs, otherwise negligible levels exist
pregnancy
Inhibin is used to inhibit ___.
Deters follicle development
FSH
Relaxes the cartilage of the pubic symphysis for passage of the baby
Helps to relax/widen the cervix
Relaxin
produce testosterone, inhibin
Testes
Stimulates decent of testes before birth
Regulates production of sperm
Regulates male secondary sex characteristics
Testosterone
Inhibin inhibits FSH (concentration based). FSH stimulates ____. Inhibin therefore inhibits ____ when concentration is high enough
spermatogenesis
Pineal gland secretes
melatonin
Melatonin is thought to contribute to the setting of the body’s biological clock
As more melatonin is secreted in hours of darkness than light, it is thought to promote sleepiness
Synthesized/secreted by muscles cells of heart atria when stretched too far.
Has blood pressure reducing effects
Atrial-Natriuretic Peptide (ANP; aka A-type natriuretic peptide)
Synthesized/secreted by muscle cells of the heart ventricles when stretched too far.
Has blood pressure reducing effects
B-type natriuretic peptide (BNP)
Kidneys secrete?
Renin
Calcitriol
Erythropoetin
stimulates release of aldosterone
Renin
aids in absorption of calcium in GI tract
Calcitriol
stimulates new RBC synthesis in bone marrow
Erythropoietin
Leptin – promotes satiety signal being sent to the brain
Adiponectin – helps to reduce insulin resistance
Adipose Tissue
promotes satiety signal being sent to the brain
Leptin
helps to reduce insulin resistance
Adiponectin
modified to form Vitamin D
Cholecalciferol (from skin)
Produces multiple hormones that promote maturation of T-Cells (WBC’s that destroy microbes)
Thymus
Thymosin
Thymic humoral factor
Thymic factor
Thymopoietin
Thymus
ATROPHIES WITH AGE
From liver: raises BP (part of renin-angiotensin-aldosterone system)
angiotensinogen
From liver, stimulates increase in platelet production
thrombopoietin
From liver, blocks release of iron into body fluids
hepcidin
Gastrin
Cholecystokinin (CCK)
Glucose-dependent insulinotropic peptide (GDIP) aka gastric inhibitory peptide
(GIP)
Secretin
Gastrointestinal Tract
Secreted by G Cells in stomach
Stimulated by
Ingestion of protein containing meal
Distention of stomach
Vagal stimulation
Gastrin
Promotes H+ ion secretion from gastric parietal cells (leading to churning/vomiting)
Stimulates growth of gastric mucosa
Gastrin
Secreted by I cells of the small intestine
Stimulated by:
Meals containing fats and proteins
Monoglycerides and fatty acids present in luminal contents
Small peptides and amino acids present in luminal contents
Cholecystokinin (CCK)
Causes gallbladder contraction
Slows gastric emptying
Stimulates secretion of pancreatic enzymes
Stimulates bicarb secretion from pancreas
Stimulates growth of exocrine pancreas and the gallbladder
*Thought to provide sense of satiety (fullness)
Cholecystokinin (CCK)
Secreted by K cells of the small intestine
Stimulated by: presence of the following in luminal contents
Glucose (carbohydrates)
Fatty acids (fats)
Amino acids (proteins)
Glucose-dependent Insulinotropic Peptide (aka gastric inhibitory peptide)
Stimulates insulin release
Inhibits H+ ion secretion by gastric mucosa
Glucose-dependent Insulinotropic Peptide (aka gastric inhibitory peptide)
Secreted by S cells of the small intestine
Secretin
Stimulated by presence of the following in luminal contents Fatty acids (fats) Contents with pH <4.5 arrive in small intestine (increase in H+ ions)
Secretin
Stimulates secretion of pancreatic bicarb
Stimulates secretion of biliary bicarb (gallbladder)
Inhibits effects of gastrin
Secretin
Found in all cells in the body except RBC’s
Act as local (paracrine, autocrine) hormones in response to chemical or mechanical stimuli
Present in the blood briefly due to rapid inactivation
Eicosanoids
alter smooth muscle contraction, glandular secretions, blood flow, reproductive processes, platelet function, respiration, nerve impulse transmission, lipid metabolism, immune responses
Prostaglandins (PG’s)
Eicosanoids
stimulates chemotaxis* of WBC’s and mediates inflammation
Leukotrienes (LT’s)
Eicosanoids
Synthesized in any tissue that has mast cells (most tissues) and in platelets
Stimulated by:
Physical trauma to cells containing histamine
Immune response to foreign pathogens (allergens)
Histamine
Contraction of smooth muscle in lungs, uterus, stomach
Dilation of blood vessels in general (lower BP)
Stimulates gastric acid secretion in stomach
Increases permeability of capillaries and post-cap venules to WBC’s
Histamine
Synthesized by cells in the intestines, brain, CNS
Stimulated by numerous situations and carries multiple functions depending on the type of serotonin receptor that gets activated
Mood, anxiety, sleep, appetite, temperature, eating behavior, sexual behavior
General body movement, gastrointestinal motility
Depending on concentration, can act as a vasoconstrictor or a vasodilator
Serotonin
Alarm Stage (usually minutes to hours)
The Resistance Reaction (hours to weeks)
The Exhaustion Response
Stress Respnse
raise blood glucose levels
glucagon
GDIP (glucose-dependent insulinotrophic peptide) is what actually triggers…
insulin
GDIP; aka Gastric Inhibitory Peptide[GIP]
liver takes up serum amino acids and convert them into glucose
gluconeogenesis
break down of triglycerides into free fatty acids and glycerol
lipolysis
Presence of food triggers _____ which then trigger inslulin from pancreas
glucose-dependent insulinotropic peptide (GDIP; aka Gastric Inhibitory Peptide[GIP])
Insulin performs:
facilitates glucse uptake by cells
stimulates glycolysis
stimulates glycogenesis
promotes triglyceride/protein synthesis
used to inhibit FSH
gonads
Inhibin
Deters follicle development
inhibin
relaxes cartilage of public symphisis for delivery
gonads
relaxin
inhibits FSH (concentration based)
in men
inhibin
Secretes melatonin
pineal gland
IGF 1
Angiotensinogen
Thrombopoietin
Hepcidin
Liver
Causes gallbladder contraction
CCK
gastric empyting
CCK
secretion of pancreatic enzymes
CCK
bicarb secretion
CCK
Secreted by K cells of the small intestine
Glucose-dependent Insulinotropic Peptide (aka gastric inhibitory peptide)
Stimulated by presence of the following in luminal contents
Glucose (carbohydrates)
Fatty acids (fats)
Amino acids (proteins)
Glucose-dependent Insulinotropic Peptide (aka gastric inhibitory peptide)
Secreted by S cells of the small intestine
Secretin
Stimulated by presence of the following in luminal contents Fatty acids (fats) Contents with pH <4.5 arrive in small intestine (increase in H+ ions)
Secretin
Synthesized by cells in the intestines, brain, CNS
Estimated that 90% of total serotonin is made in the intestines as a reaction to the bacterial colonies present
Although not synthesized in platelets, platelets uptake free serotonin from blood stream and store it until needed
Serotonin
Mood, anxiety, sleep, appetite, temperature, eating behavior, sexual behavior
General body movement, gastrointestinal motility
Depending on concentration, can act as a vasoconstrictor or a vasodilator
serotonin
The body attempts to counteract all stress with stress response
Also called general adaptation syndrome (GAS)
Thought to be controlled from the hypothalamus
Initiated by any stressor (emotional, physical, mental)
Indirectly, adrenal cortex stimulated to release glucocorticoids (cortisol)
Circulating levels of lymphocytes and eosinophils decrease (impairs the immune response)
Activity of the sympathetic nervous system and adrenal medulla increase significantly
Alarm Stage (usually minutes to hours)
After the stressor has ceased, but still dealing with the psychological aftermath
Considered to be a normal “recovery phase” after the initial alarm stage
The Resistance Reaction (hours to weeks)
Glucocorticoids (cortisol) levels should decline
Immune system begins to replenish its lymphocytes and eosinophils
Sympathetic stimulation reduces
HR/SV/CO to return to normal levels
Vascular tone decreases (decreases BP)
Parasympathetic system stimulated
Allows for return to normal digestion
Return to normal rest patterns for the body and mind
If the stressor is not removed successfully, or the resistance reaction (stage 2) was not sufficient, only then will the body move into the exhaustion phase
Depletion of physical and psychological energy levels
The body can no longer “cope” with the stressor
The Exhaustion Response
Prolonged exposure to cortisol
Prolonged stimulation of sympathetic nervous system
This stage is where mental and physical illnesses begin to surface
The Exhaustion Response
hGH production is reduced causing muscle atrophy
Aging
T3/T4 production reduced by worn-out thyroid causing a reduction in metabolism leading to increase in body fat and ultimately hypothyroidism
TRH/TSH increases though as we age because of lack of negative feedback*
In aging,Increased PTH levels likely due to decreased dietary calcium intake
Calcitriol and calcitonin levels reduced as well leading to bone injury
In aging, adrenal cortex becomes fibrous leading to decreased cortisol and aldosterone
Medulla is usually unaffected though because the cortex fibroses around the medulla, therefore protecting it
In aging, pancreas releases insulin more slowly (if at all) and receptor sensitivity to glucose declines (due to overuse)
Leads to blood glucose levels remaining elevated
Ovaries decrease in size and eventually stop responding to gonadotropins in aging
Decreased production of estrogen leading to osteoporosis, hyperlipidemia, atherosclerosis
Leads to menopause (its all downhill from here…)
___ decrease in size but still produce testosterone in viable levels in aging.
Testes
Effects of decreased testosterone production aren’t usually seen until advanced age
Usually same number of sperm produced but the quality is lacking
Morphologically abnormal
Decreased sperm motility