Test 4 Flashcards
What hormones are released from the adrenal medulla
Epinephrine (80%) and Norepinephrine (20%)
What kinds of hormones are secreted from the adrenal gland
steroids from the cortex
catecholamines from the medulla
What is the Adrenal medulla made of, and thereby controlled by
post-ganglionic sympathetic neurons
sympathetic nervous system
What affect does Epinephrine have on the pancrease
inhibits secretion of Insulin and promotes secretion of glucagon
what affect does epinephrine have on the liver
It causes the liver to convert glycogen into glucose
What affect does epinephrine have on skeletal muscle
causes the muscle to convert glycogen into lactate, that lactate then gets converted to glucose in the liver
What is the overall affect of epinephrine
it increases blood sugar levels
what controls the release of epinephrine
the sympathetic nervous system through the neurotransmitter acetocholine
What are the three classes of Corticosteroids
Minerolocorticoloids - aldosterone
Glucocorticoroids - Cortisol
Sex Hormones - DHEA
Where do corticosteroids get secreted from
the adrenal cortex
What does cortisol do
- increase blood sugar (by increasing glucogenesis in the liver, and decreasing glucose uptake)
- increases protein degredation (especially in muscle)
- Increase in lipolysis
What regulates the secretion of Cortisol
Stress and circadian rhythm cause
hypothalamus to secrete CRH causes
Ant. Pituitary to secrete ACTH causes
increased cortisol secretion
Increased cortisol negatively feedsback to hypothalamus and Ant. Pituitary
What is Cushings Disease
Hypersecretion of cortisol
What can cause cushings disease
- hypersecretion of
CRH
ACTH
and or cortisol
What does Cushings disease cause
increased blood sugar = increased fat deposits (Moon Face) Weak Muscles Stretch marks poor wound healing Mental retardation in children
What is the common precursor for all steroid hormones
Cholesterol
What is 21 hydroxylase
The enzyme that helps form cortisol from Pregnenolone
What happens when there is a deficieny of 21 hydroxylase
Pregnenolone can’t be turned into cortisol, so most of it is turned into DHEA.
Excessive DHEA leads to excessive Adrenal Androgens.
That leads to early puberty in males and ambiguous sex development in females
What is the disease called when there is a shortage of 21 hydroxylase
congenital adrenal Hyperplasia
early puberty in males, ambiguous sex differentiaion in females
What is the exocrine function of the pancreas
digestive enzymes
what are the endocrine hormones of the pancreas
insulin
glucagon
somatostatin
What cells secrete insulin
beta cells
What cells secrete glucagon
alpha cells
What cells secrete somatostatin
delta cells
What happens with the pancreas and liver when there is low blood sugar
- pancreas secretes glucagon
- glucagon stimulates the liver
- increase glycogenolysis
- increase gluconeogenesis
- decrease glycogenesis
- That all increases blood sugar levels
What does glucagon do for carbohydrate metabolism
increases blood sugar
what does glucagon do for fat metabolism
increases blood fatty acids and ketones
- decreases triglyceride synthesis from glucose and fatty acids
- increases lipolysis
- increases ketogenesis
what does glucagon do for protein metabolism
there isn’t a large effect on blood amino acid levels
- increases gluconeogenesis (uses AA’s)
- increases protein degredation
- decreases protein synthesis
What is the overall action of glucagon
promotes hepatic glucose production and secretion
What are the steps of glucagon signaling
- glucagon binds to the receptor
- g protein moves over to adenylate cyclase and activates it
- that turns atp into cAMP
- cAMP activates PKA
- PKA phosphorylates other proteins
- This initiates a cellular response
What is the primary action of insulin
decrease blood glucose (makes cells absorb it better)
What does insulin do for carbohydrate metabolism
- increases glucose uptake into most cells
- increases glycogenesis in skeletal muscle and liver
- decreases glycogenolysis in skeletal muscle and liver
- decreases gluconeogenesis in liver
What does insulin do for fat metablolism
- increase triglyceride synthesis from glucose and fatty acids
- decreases lipolysis
What does insulin do for protein metabolism
- increases amino acid transport into cells
- increases protein synthesis
- decreases protein degredation
What does insulin do for
adipose tissue
liver
muscle
- increases glucose uptake and storage as fat
- increases glucose uptake and storage as glycogen and fat
- increases glucose uptake and storage as glycogen
how exactly does insulin cause increased glucose uptake into cells
- Insulin binds to IR (insulin receptor)
- This causes IRS1 to be activated
- this causes translocation of the GLUT 4 in microvesicles to the sarcolemna
- The GLUT 4 molecules are the glucose channels that allow Glucose to enter the cell
What are the different methods of control for insulin release
Food intake
- increase gastrointestinal hormones stimulate insulin release
- parasympathetic situation causes insulin to release
High blood amino acid concentration stimulates insulin release sympathetic stimulation (epinephrine) decreases insulin release
Blood glucose levels
What is the major control of insulin release
blood glucose levels
What does Diabetes Mellitus mean
increased urine output, sweet tasting
what is diabetes mellitus
a group of diseases characterized by elevated blood glucose levels
What is Type 1 Diabetes mellitus
Caused by an autoimmune destruction of the beta cells of the pancreatic islets
This causes insulin deficiency
patients must take insulin to survive
What is Type 2 Diabetes mellitus
An increase in insulin resistance
90% of all diabetics
early on the insensitivity is compensated for by increased insulin secretion
when insulin defiecieny occurs then you have hyperglycemia
What is the average age of onset for type 2
35
what are the 6 problems created by an insulin deficiency
- polyuria
- polyphagia
- polydipsia
- muscle wasting
- ketosis
- peripheral circulatory failure
What are the short term complications for Diabetes
- hyperglycemia
- glycosuria (dehydration due to osmotic diuresis)
- Ketoacidosis
What are the long term complications for diabetes
- Atherosclerosis
- renal failure
- retinopathy
- neuropathy
how prevelent is diabetes
8% of people in the us
25% for people over 60
what are the treatments for diabetes
lifestyle changes - exercise - diet changes Medication - insulin sensitizers - insulin
What are the treaments for major medial complicatoins from diabetes
dialysis
amputation
not much for retinopathy and neuropathy
what caused the sharp rise in diabetes in kids
fatter from the diets,. and less exercise due to video games
How does exercising help prevent diabetes
Muscle contractions also stimulate the GLUT 4 to move to the sarcolemma increasing glucose uptake by the cells
How does muscle contraction act like insulin and increase glucose uptake
it stimulates the activation of AMPK which helps in the translocation of GLUT 4 to the sarcolemma
What is AMPK
an energy sensing enzyme that counteracts impending ATP depletion
How does AMPK fight impending ATP depletion
- acutely activates fatty acid oxidation and glucose uptake (sources of energy for ATP synthesis)
- Increases capacity for ATP synthesis (GLUT 4 and mitochondrial enzymes) in response to endurance training
what are the benefits of running for diabetes
muscle contraction has an insulin like effect
inactivity decreases insulin sensitivity of muscle
endurance training increases insulin activity in muscle
- wears off after 40 hours
What are other health reasons to run
- reduces the risk of premature death
- reduces the risk of heart disease
- reduces the risk of hypertension
- reduces the risk of colon cancer
What are the two hormones secreted by adipose tissue
- Adiponectin
- Leptin
What does adiponectin do
increased glucose uptake and decrease glucose formation in liver
decreases caloric intake and increases BMR in hypothalamus
What Leptin do
decreases caloric intake and increases BMR in hypothalamus
increases fatty acid oxidation in muscle
What is a virus
DNA/RNA in a protein coat
What is a bacteria
single celled living microorganism
What are the functions of the immune system
- defend against invading pathogens (major targets are viruses and bacteria)
- Remove worn out cells and tissue damaged by trauma
- identifies and destroys abnormal or mutant cells that originated inside the body
- Mounts innappropriate immune responses that lead either to allergies or to autoimmune diseases
How do Bacteria attack cells
they shoot them with toxins
how do viruses attack cells
they invade and take over the cell, which can transform the cell, starve it, and cause it to shoot out toxins
What are the 5 types of leukocytes
- Neutrophils
- Eosinophils
3, Basophils - Monocytes
- Lymphocytes
- B cells
- T cells
What do Neutrophils do
Phagocytosis
What do Eosinophils do
Parasitic destruction and allergic reactions
What do basophils do
histamine and heparin release, allergic reactions
What do monocytes do
transform into macrophages (phagocytosis)
What do lymphocytes do
B cells - Secrete antibodies (antibody mediated immunity)
T cells - destory virus infected and mutant cells (Cell-mediated immunity)
What are the two categories of immune defense
Innate (nonspecific) immunity
Adaptive (specific) immunity
What is innate immunity
inherited as part of the organism
nonselectively fights against forein invaders
first line of defense
rapid but limited response
What is adaptive immunity
organism adapts to defend against specific invaders
What are the defenses of the innate immunity
- Inflammation
- Interferon
- Natural Killer Cells
- Complement system
What is inflammation
an innate non specific series of events that occur in response to an injury or infection of a tissue
What is the goal of inflammation
bring phagocytotic cells, fluid, and plasma proteins (clotting factors and compliment proteins) to the affected area to
- kill microorganisms
- Remove debris
- prepare the tissue for healing