Week 2 - Neuroendocrinology Flashcards

1
Q

Neuroendocrinology

A

the interaction between the nervous system and the endocrine system - the two major homeostatic systems involved in control and regulation of bodily functions.

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2
Q

What is the role of the Nervous system?

A

uses neurotransmitters to relay messages from one nerve to another or from a nerve to a tissue.

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3
Q

What is the role of the endocrine glands?

A

endocrine glands releases hormones into blood to circulate to tissues.

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4
Q

Hormones

A

chemical messengers secreted from endocrine glands that signal changes in other organs and tissues throughout the body.

They only affect tissues that contain specific hormone receptors.

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5
Q

3 classes of hormones

A

1) Amino acid derivatives (thyroxine, epinephrine and norepinephrine)
2) Peptide/protein (insulin, glucagon, ADH and ACTN)
3) Steroids (glucocorticoids, aldosterone)

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6
Q

What is plasma concentration determined by?

A
  1. Rate of secretion of hormone from endocrine gland
  2. Rate of metabolism or excretion of hormone
  3. Quantity of transport proteins
  4. Changes in plasma volume
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7
Q

What is the magnitude of the effect of a hormone dependent on?

A

1) Concentration of the hormone
2) Number of target receptors on the cell
3) Affinity of the receptor for the hormone

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8
Q

What is the difference between downregulation and upregulation in receptors?

A

Downregulation - decrease in receptor number in response to high concentration of hormone

Upregulation - increase in receptor number in response to low concentration of hormone

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9
Q

What is an example of downregulation?

A

an individual with high bp could be treated with beta-blocker drug which reduces binding of adrenaline to the cell.

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10
Q

What are the 3 mechanisms of hormone action?

A

1) Activation of genes to alter protein synthesis (steroid hormones: cortisol, testosterone)

2) Activating ‘second messengers’ in the cell via G protein (cyclic AMP)

3) Altering membrane transport (insulin via tyrosine kinase)

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11
Q

Hypothalamus

A

controls secretion of hormones from pituitary glands (anterior and posterior)

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12
Q

Antidiuretic hormone (ADH)
1) Site of release
2) Stimulus for release
3) Predominant action

A

1) Secreted from posterior pituitary gland

2) Release is stimulated by high plasma osmolality and low plasma volume (due to sweat loss without water replacement)

3) Reduces water loss from the body to maintain plasma volume - favours the reabsorption of water from kidney tubules to the capillaries

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13
Q

How does exercise influence plasma ADH concentrations?

A

Exercise >60% of V02 max increases plasma ADH due to increase in plasma osmolality and decrease in plasma volume.

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14
Q

Aldosterone (mineralocorticoid)
1) Site of release
2) Stimulus for release
3) Predominant action

A

1) Secreted from the adrenal cortex

2) Release stimulated by an increased plasma K+ concentration (causes negative feedback loop), decrease plasma volume and bp when extracellular Na+ is lost, Angiotensin II, ACTH.

3) Control of Na+ reabsorption and K+ secretion (Na+/H20 balance) + regulation of blood volume and blood pressure

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15
Q

How does exercise influence renin, angiotensin II and aldosterone?

A

all 3 hormones increased during exercise, the effect takes >45mins (steroid hormones) so major effect is post exercise

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16
Q

Name the 2 hormones responsible for control of plasma volume.

A

1) Aldosterone
2) Antidiuretic hormone (ADH)

17
Q

What are the 4 processes that maintain blood glucose during exercise?

A

1) Mobilisation of glucose from liver glycogen stores
2) Mobilisation of FFA from adipose tissue (spares blood glucose)
3) Gluconeogenesis from amino acids, lactic acid, and glycerol
4) Blocking the entry of glucose into cells (forces use of FFA as a fuel)

18
Q

Two types of “acting” hormones

A

1) Permissive or slow-acting (Thyroid, cortisol, growth hormone): allow other hormones to exert their full effect.

2) Fast-acting (Epinephrine, norepinephrine, insulin and glucagon)

19
Q

Growth hormone
- Why is it essential for growth of all tissues?
- How does it change during exercise?
- What is its secretion stimulated by and when is its secretion at its peak?

A

Increases amino acid uptake, cartilage growth and protein synthesis in muscle and long bone growth.

Increase in plasma GH with an increase in exercise intensity.

Its secretion is stimulated by ghrelin and secretion it as its peak during sleep.

20
Q

What are the 3 ways which growth hormone spares plasma glucose?

A
  1. Reduces the use of plasma glucose
  2. Increases gluconeogenesis (in liver)
  3. Mobilize fatty acids from adipose tissue
21
Q

Cortisol
- Where is it derived from?
- Where is it secreted from?
- What is it stimulated by?
- What is its role?
- Influence of exercise intensity on cortisol.

A
  • Derived from cholesterol
  • Secreted from the adrenal cortex
  • Stimulated by stress (via ACTH - adrenocorticotropic hormone) and exercise
  • Increases the release of fatty acids from adipocytes and glucose from liver cells
  • Increases proportional to increases in exercise intensity
22
Q

What are two considerations when measuring cortisol?

A

1) Diurnal variation: concentrations peak in the am (6am) and drop throughout the day
2) Emotional arousal

23
Q

Catecholamines
- Where is it secreted from?
- What receptors do they bind to?
- Slow-acting or fast-acting?
- Influence of exercise
- How does endurance training influence catecholamine at a fixed intensity exercise bout?
- What do trained individuals have a greater capacity to do? Why?

A
  • Adrenal medulla: epinephrine (80%) and norepinephrine
  • Adrenergic receptors
  • Fast-acting
  • Plasma E and NE increase during exercise which is related to increased HR and BP during exercise (sympathetic activation)
  • Rapid decrease in catecholamine in response to a fixed intensity exercise about.
  • Greater capacity to increase catecholamines (35%) compared to untrained individuals in response to supramaximal exercise - because regular stimulation of SNS increases capacity of response.
24
Q

How does high-intensity exercise influence plasma epinephrine? What is plasma epinephrine a powerful stimulator of?

A

High-intensity exercise results in greater increase in plasma epinephrine.
Plasma epinephrine is a powerful stimulator of glycogenolysis.

25
Q

Explain why the blocking of epinephrine doesn’t stop glycogenolysis (muscle glycogen breakdown).

A

Breakdown of muscle glycogen is under dual control.
1) Epinephrine is the extracellular way and this activates phosphorylase kinase which activates phosphorylase to breakdown glycogen.
2) The intracellular control involves calcium release from SR which bind to calmodulin (+ AMP release), in turn activating phosphorylase kinase which then activates phosphorylase to breakdown glycogen.

26
Q

Insulin
- Define its role.
- How does exercise change plasma insulin?

A
  • promotes uptake and storage of glucose, amino acids, and fats (lower their levels in plasma)
  • during moderate-intensity exercise, insulin levels drop (50%) to favour mobilization of glucose from the liver and FFA from adipose tissue
27
Q

Glucagon
- Describe its role.
- How does endurance training change plasma glucagon during exercise?

A
  • promotes the mobilization of fatty acids and glucose + stimulates gluconeogenesis in the liver.
  • Glucagon response is diminished to the point there is little to no increase during exercise.
28
Q

What does the ratio of glucagon to insulin determine?

A

the mobilization of FFA and glucose

29
Q

Where is insulin and glucagon released from?

A

Insulin from beta-cells in the pancreas
Glucagon from alpha-cells in the pancreas

30
Q

What is the effect of catecholamines on insulin and glucagon secretion?

A

Increased E/NE leads to increased glucagon secretion and decreased insulin secretion. This leads to increase liver glycogen breakdown which maintains blood glucose, and it increases lipolysis of TG which increased plasma FFA.

31
Q

Name the hormones that increase in plasma concentration, mobilise fat and CHO, and preserve blood glucose during exercise.

A

Epinephrine, Norepinephrine, Growth Hormone, Cortisol, Glucagon

32
Q

Explain why trained individuals can use more fat as a fuel whilst sparing the limited CHO stores?

A

1) Decreased lactate concentration at any fixed work rate, which reduces this inhibition to FFA mobilization from adipose tissue.
2) Increases in mitochondria which increases capacity for FFA oxidation.

33
Q

Difference between nervous control and hormonal control.

A

Nervous control
- Rapid response to reflex excitation.
- Rapid offset after stimulus removed.

Hormonal
- Response may take minutes to hours to reach maximum.
- After stimulus is removed, effects can last for minutes or even hours.

34
Q

Is aldosterone secretion controlled by hormonal feedback?

A

No
- Aldosterone secretion is regulated by the need to maintain a normal blood volume and blood pressure and a normal plasma K+ concentration.

35
Q

What is the difference between endocrine signaling and paracrine signaling?

A

Endocrine signaling allows control of cell function throughout the body. Hormones are secreted from endocrine cells and enter the blood to be carried to the target organs.

Paracrine signaling is important in regulating gastrointestinal secretions and motility. Neuroendocrine cells secrete peptides that diffuse locally and affect smooth muscle and secretory glands. Also vital in fetal development.

36
Q

Epinephrine role

A

increases release of fatty acids from adipocytes and release of glucose from the liver

37
Q

What are the 2 influences of thyroid hormones?

A

1) Influences the number of receptors on the surface of a cell for other hormones to interact with.
2) They influence the affinity of the receptor for the hormone.