Week 8 Flashcards
Peptide/protein hormones
- synthesized by
- specificity
- storage
- solubility/transport in blood
- receptor type
- Half life
- Metabolism
- syn: polyribosome
- spec:primary AA, post translational modification
- stor: exocytosis from vesicles
- sol/trans: soluble/unbound
- receptor: cell membrane
- half life: short
- met: endocytosis or lysosomal degradation
Catecholamines
- synthesized by
- specificity
- storage
- solubility/transport in blood
- receptor type
- Half life
- Metabolism
- syn: adrenal medulla
- spec: enzymatic modifications of tyrosine
- stor: exocytosis from vesicles
- sol/trans: soluble/unbound
- receptor: cell membrane
- half life: short
- met: endocytosis or lysosomal degradation
Steroids
- synthesized by
- specificity
- storage
- solubility/transport in blood
- receptor type
- Half life
- Metabolism
- syn: adrenal cortex, ovaries, testes, placenta
- spec: cholesterol
- enzymatic modifications
- stor: hydrophobic
- sol/trans: insoluble/bound
- receptor: intracellular
- half life: long
- met: conjugation in liver
Thyroid
- synthesized by
- specificity
- storage
- solubility/transport in blood
- receptor type
- Half life
- Metabolism
- syn: thyroid
- spec: thyroxine structures
- stor: extracellular
- sol/trans: soluble/bound
- receptor: intracellular
- half life: long
- met: conjugation in liver
List the structures included in endocrine axis and what they release
Hypothalamus–releasing hormone to Pituitary–Trophic hormone to Peripheral endocrine gland–hormone to Target organs
Hipthalamic-Pituitary-Adrenal axis
Hypothalamus–corticoid releasing hormone to Anterior pituitary–Adreno corticotropic hormone (ACTH) to Adrenal gland (zona fascicullata)–cortisol
How is ACTH released?
on pituitary gland: CRH binds to CRH1 (G coupled protein receptor)–alpha subunit binds to Adenyl cyclase–ATP to cAMP–increase to PKA–increases Ca–release ACTH
How is cortisol made?
on adrenal cortex: ACTH binds to MC2R (gcoupled protein receptor)–adenyl cyclase–ATP to cAMP–increase in PKA–creates enzymes–enzymes change cholesterol to adrenal cortex
Effects of cortisol–Liver, fat, collagen, muscle, pancreas, reproductive organs, immune system, cardiac
Liver: increase blood glucose, increase gluconeogenesis, increase glyconeolysis
Fat: increase lypolysis, increase release of FFA and glycerol, decrease in glucose intake
Collagen: decrease in collagen formation
Muscle: decrease in glucose uptake, decrease in protein synthesis, intake proteolysis
Pancreas: decrease insulin, increase glucagon
Reproductive organs: decrease reproductive organs
Immune system: anti-inflamm/immune system bc will inhibit nfKappaB, stopping transcriptoin of cytokines
Cardiac : increase in cardiac output and increase in peripheral vascular tone
Glucose tolerance test -normal results
overnight fasting–fasting blood glucose sample (should be low)–oral glucose load (taking in glucose)–post-load BG sampling (should be between 140-199)
Glucose tolerance test -abnormal
overnight fasting–fasting BG sample (will be elevated)–oral glucose load–post load blood glucose (will be over 200)
Dexamthasome testing– why and how?
to see which part of axis is not working;
if ACTH is normal in morning=level of adrenal cortex, if ACTH is elevated=at the level of pituitary gland
Why check cortisol sample in urine vs plasma?
Cortisol is cyclic so urine gives accurate total collection of cortisol while plasma will only give you level of cortisone at that specific moment which depends on what part of cycle it is in (low or high)
Sympathoadrenal medullary axis
symp will release Ach on nictonic receptors of chromafin cells–chromafin will then release epi in blood
Effects of Epi on: liver, adipose tissue, muscle, pancreas, lungs, heart
- liver: increase in blood glucose,
- gluconeogenesis, and glycolysis
- adipose tissue: increase in lipolysis, release of FAA, decrease in glucose uptake
- muscle: decrease in glucose and protein synthesis, increase in release of AA and glycolysis
- pancreas: decrease in insulin, increase in glucagon
- lungs: bronchodilation
- heart: increase heart rate, contractility, peripheral vascular tone