SM_174b: Mechanisms of Hormone Action Flashcards

1
Q

Hormones may act on ____ or ____ receptors

A

Hormones may act on membrane or nuclear receptors

  • Receptors mediate messages within the cell in response to the binding of a ligand
  • Disease causes when excess / deficient hormone or impaired / hyperactive receptor
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2
Q

Ligands for nuclear receptors are ____, ____, and ____

A

Ligands for nuclear receptors are small, lipophilic, and synthesized by enzymes from precursors / sourced exogenously

  • < 1000 daltons
  • Steroid hormones (1,25-Vitamin D, thyroxine, estrogen, testosterone, progesterone, aldosterone, cortisol)
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3
Q

Describe the domains of nuclear receptors

A

Domains of nuclear receptors

  • A/B: N-terminal domain
  • C: DNA binding domain
  • D: hinge region domain
  • E: ligand binding domain
  • F: C terminal DNA binding domain
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4
Q

Describe the steps of nuclear receptor activation

A

Nuclear receptor activation

  1. Ligand binding
  2. For most receptors: dimerization to homo- or heterodimers
  3. Binding to hormone response element: receptor specific DNA sequence specific to the receptor close to promoters of genes regulated by the particular receptor
  4. Optional: binding of co-activator(s) or co-repressor(s)
  5. Activation of repression of gene transcription
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5
Q

Signaling via nuclear receptors can be regulated at the level of the ____ or ____ as well as the presence of coactivators or corepressors

A

Signaling via nuclear receptors can be regulated at the level of the ligand or receptor as well as the presence of coactivators or corepressors

  • Ligand levels: precursor availability, synthesis, secretion, activation, deactivation, elimination
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6
Q

Nuclear receptors regulate gene transcription via _____ and _____

A

Nuclear receptors regulate gene transcription via ligand-dependent activation and ligand-dependent negative regulation of transcription

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7
Q

An example of a nuclear receptor is ____

A

An example of a nuclear receptor is resistance to thyroid hormone at the thyroid hormone receptor beta

  • Presents as goiter and tachycardia (also others)
  • Elevated thyroid hormone and normal TSH level
  • Most common mutation is inactivating mutation in thyroid hormone beta receptor
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8
Q

Complete androgen insensitivity syndrome involves a mutation in ____ that causes ____ and subsequent ____

A

Complete androgen insensitivity syndrome involves a mutation in androgen receptor that causes inability for cells to sense testosterone and subsequent conversion of testosterone to estrogen

  • 46XY, genetically male, phenotypically female
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9
Q

Complete androgen insensitivity syndrome is often discovered at ____ due to ____

A

Complete androgen insensitivity syndrome is often discovered at puberty due to the absence of menses

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10
Q

Hereditary Vitamin D resistance rickets type 2 is due to ____

A

Hereditary Vitamin D resistance rickets type 2 is due to an inactivating mutation in Vitamin D receptor

  • Vitamin D resistance: rickets, alopecia, variable degree of hypocalcemia, secondary hyperparathyroidism, high levels of 1,25(OH)2-vitamin-D3
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11
Q

Describe the types of membrane receptors

A

Membrane receptors

  • Receptor tyrosine kinases: insulin receptor
  • Receptor serine / threonine kinases
  • Cytokine receptors
  • G-protein coupled receptors
  • Ligand-gated ion channels (nicotinic ACh-R)
  • Receptor guanlyate cyclase
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12
Q

Receptor tyrosine kinases have components of ____, ____, and ____

A

Receptor tyrosine kinases have components of extracellular ligand-binding domain, single transmembrane domain, and intracellular tyrosine kinase catalytic domain

  • Examples of ligands: insulin, epidermal growth factor, platelet-derived growth factor
  • Most sequence / structural variation in extracellular domain
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13
Q

Receptor tyrosine kinases require ____ for activity

A

Receptor tyrosine kinases require dimerization (homodimers or heterodimers) for activity

  • Ligand binding leads to tyrosine kinase activation and downstream phosphorylation and signaling events
  • Multiple variations: pre-existing dimers or large complexes that need one or multiple ligands to induce activity
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14
Q

Donohue syndrome (leprechaunism) is caused by a mutation in the ____ receptor which is a ____

A

Donohue syndrome (leprechaunism) is caused by a mutation in the insulin receptor which is a receptor tyrosine kinase

  • Impaired binding or signaling via mutations in insulin receptor (insulin resistance)
  • Most individuals die young
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15
Q

_____ have the same structure as receptor tyrosine kinases except these receptors phosphorylate serine / threonine

A

Receptor serine / threonine kinases have the same structure as receptor tyrosine kinases except these receptors phosphorylate serine / threonine

  • Two types that interact to mediate signaling as dimers: type I (12 genes), type II (5 genes)
  • Example: TGF-beta
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16
Q

Cytokine activated receptors are like other tyrosine kinases but signaling occurs via associated ____

A

Cytokine activated receptors are like other tyrosine kinases but signaling occurs via associated tyrosine kinase associated proteins (Janus kinase / JAKs)

  • Growth hormone: growth
  • Prolactin: reproduction / lactation
  • Leptin: suppresses appetite and regulates metabolism
17
Q

Growth hormone receptor mutation (cytokine receptor) lead to ____, ____, and ____

A

Growth hormone receptor mutation (cytokine receptor) lead to laron dwarfism, insensitivity to growth hormone, and reported resistance to diabetes and cancer

(autosomal recessive)

18
Q

Leptin receptor is a ____ and inactivating mutations lead to ____ and ____

A

Leptin receptor is a cytokine receptor and inactivating mutations lead to early onset morbid obesity and hyperphagia

(autosomal recessive)

19
Q

Describe GPCRs

A

GPCRs

  • 7 transmembrane spanning helices
  • Each GPCR is coupled intracellularly to heterotrimeric protein: G protein (alpha, beta, gamma subunits)
  • Extracellular domain determines ligand specificity
  • Intracellular domain determines function via G protein specificity
20
Q

Gs proteins function to ____

A

Gs proteins function to stimulate cAMP production via adenylate cyclase

21
Q

Gi proteins function to ____

A

Gi proteins function to inhibit cAMP production by adenylate cyclase

22
Q

Gq proteins function to ____

A

Gq proteins function to induce phospholipase C mediated cleavage of PIP2 to IP3 and DAG

  • IP3: ligand for ligand-gated ER bound Ca channels
  • DAG: ligand for Ser/Thr kinase receptors
23
Q

Describe receptors that use the non-classical signaling pathway through Gq

A

Non-classical signaling pathway through Gq

  • 5-HT2 serotonergic receptors
  • Alpha-1 adrenergic receptor
  • Vasopressin receptor
  • Angiotensin II receptor type 1
24
Q

GPCRs are desensitized / downregulated by ____ or ____

A

GPCRs are desensitized / downregulated by phosphorylation or endocytosis

25
Q

Nephrogenic diabetes insipidus results from a mutation in the ____ receptor which is a ____

A

Nephrogenic diabetes insipidus results from a mutation in the Vasopressin 2 receptor which is a GPCR

26
Q

Autosomal dominant loss of function in a Ca sensing receptor which is a ____ causes ____

A

Autosomal dominant loss of function in a Ca sensing receptor which is a GPCR causes familial hypocalciuric hypercalcemia

27
Q

Gain of function in TSH receptor which is a ____ cause ____

A

Gain of function in TSH receptor which is a GPCR cause hyperfunctioning thyroid nodules (toxic adenomas) leading to hyperthyroidism

28
Q

Graves disease results from ____

A

Graves disease results from activating antibodies to TSH receptor

  • Autoantibodies to receptors can be inhibiting or activating and lead to disease
  • Gain of function
29
Q

Ligand-gated ion channels act as ____

A

Ligand-gated ion channels act as ion channels for a specific ion

  • Commonly either Na, Ca, K in response to ligand binding
  • IP3 gated Ca channel