-
intracrine
effects the cell that produces it, no secretion
-
autocrine
effects the cell that secretes it
-
paracrine
effects neighboring cells
-
hormone/endocrine
effects cell in a different location, travels thru the blood
-
neuroendocrine
secreted by neuron into the blood to a distant location
-
cytokine
peptide like endocrine, released into ECF, creates concentration gradient
-
endocrines maintain homeostasis
change in environment -> hormone secretion-> target cell -> restoration or homeostasis
-
Peptide hormones
- produced in RER
- 3+ amino acids
- water soluble
- activated by proteolytic cleavage
- signaled by cAMP and Ca+
- prohormone can be secreted then activated
-
steroid hormones
- made from cholesterol
- rate limiting step- cholesterol into mitochondria
- made on demand
- lipid soluble- transported by globulins
-
glucocorticoids
steroid- cortisol
-
mineralocorticoids
aldosterone- steroid
-
androgens
testosterone- steroids
-
estrogens
estrone, estradiol- steroids
-
progestins
progesterone- steroid
-
secosteroid
cholesterols with a broken ring
-
amine hormones
- derived from tyrosine
- 1-2 amino acids
- thyroid hormones, catecholamines
-
thyroid hormone
- double tyrosine with iodine groups
- T3- thiiodonthyroninie
- T4- thyroxine
- lipid soluble
- transported by thyroxin binding globulin
-
catecholamines
- single tyrosine
- norepinephrine, epinephrine
- water soluble
- produced by adrenal medulla
-
Eicosanoids
- from polyunsaturated fatty acids
- inflammatory, immunity, CNS messengers
- Arachadonic acid- precursor
-
control of endocrine activity
- increase/decrease amount of hormone circulating
- decrease/increase number of receptors on cell surface
- decrease/increase sensitivity of cell receptors
-
cause of chronic insulinemia
decrease of insulin receptors due to chronic high blood glucose
-
which hormones use positive feedback?
-
rate of degredation and elimination of hormones
- metabolic destruction by tissues
- binding to tissue
- recycled
- excretion by liver/bile/feces
- excretion by kidneys into urine
- protein-bound hormones cleared more slowly
-
hypothalamus is the link between nervous and endocrine systems
-
chronotropic control of endocrine system
secretory pulses that occur on a need basis
-
circadian rhythems
released once a day
-
diurnal rhythms
- daily
- synchronizes with day night cycle
-
sleep-wake cycle
different than diurnal if you have sleep problems
-
seasonal rhythm
different amounts of secretion depending on time of year
-
circhoral
release occuring for 1 hour
-
ultradian rhythm
release longer than once in 24 hours
-
thyroid hormone r/c are located
in the cell nucleus
-
steroid hormone r/c are located
in the cell cytoplasm
-
down regulation
increase in hormone causing a decrease in number of r/c or sensitivity of r/cs
-
up regulation
decrease in hormone causing increase sensitivity or increase number of r/cs
-
intracellular signaling
- ion channel-linked r/cs- open/close ion channels with binding
- enzyme-linked r/cs- activates second messenger
- GTP binding linked- activates G protein, opens/closes ion channel
-
-
cyclic nucleotides
- adenylate cyclase catalyzes ATP- cAMP
- guanylate cyclase catalyzes GMP- cGMP
-
Calcium-calmodulin
- catalyzes protein kinases
- entry of Ca into cell
-
phosphylipase C
- catalyzes phospholipid breakdown
- produces IP3 and DAG
-
IP3
- mobilizes mitochondrial/ER calcium
- cell secretion of Ca
-
DAG
- activates kinase C
- prostaglandins
-
reaction of intracellular r/cs
- r/c-hormone complex binds to DNA
- slow response
- causes transcription/translation
-
agonist ligand
- binds to r/c
- causes hormone response
-
antagonist ligand
- binds to r/c
- blocks binding hormone/response
-
partial agonist-partial antagonist
hormone response is less than full- dampened
-
mixed agonist-antagonist
act in different ways thru the same receptor
-
deficiency causing endocrine disease
- due to damage of hormone producing gland
- due to genetic defects in hormonal production
- due to inactivating mutations
-
excess causing endocrine disease
- gland overproducing hormone
- overproduction of tropic hormones from hypothalmus
- activation mutations- cell surface abnormalities
-
resistance causing endocrine disease
alteration in r/c number and function
-
posterior pituitary secretes which hormones
- oxytocin
- antidiuretic hormone
-
Growth hormone releasing/inhibiting (somatostasin) hormone
somatropes -> growth hormone -> cell growth
-
Thyrotrope releasing hormone
thyrotropes (lactotropes) -> thyroid stimulating hormone -> thyroid gland -> T3, T4 -> metabolic activation
-
Corticotropin releasing hormone
corticotropes -> adrenocorticotrope hormone -> adrenal cortex -> cortisol, (nor)epinephrin, aldosterone
secretion peaks before waking
-
gonadotropin releasing hormone
gonadotropes -> LH, FSH -> gonads -> sex hormones
-
prolactin releasing/inhibiting hormone
lactotropes -> prolactin -> breast development and milk production
-
ADH
- controls water concentration
- increase with concentration, decrease with dilution
- decreased blood volume = increase ADH
-
insufficient ADH secretion
- diabetes insipidus
- body cant concentrate urine
- could also be caused by insensitivity of kidneys to ADH
-
oversecretion of ADH
- SIADH
- too much water retention
- looks like decreased Na retention, but actually diluted
-
symptoms of diabetes insipidus
- increased urination
- nocturia
- enuresis
- increased thirst
- increased fluid consuption
- dehydration
-
the hypothalamus is connected to the anterior pituitary by:
- hypothalamic hypophysial portal system
- -superior hypophyseal artery
-
how many glandular cell types are found in the anterior pituitary and how many hormones do they secrete?
5 cell types, 6 hormones
-
TSH
- stimulates iodine uptake
- synthesis thyroid hormones and release
- increases thyroid size
-
LH and FSH
- maturation of sperm
- follical secretion of estrogen
- positive feed back
-
Hyperprolactinemia
- pituitary tumor
- women have menstral dysfunction
- men have decreased testosterone
-
Pituitary adenoma
- benign pituitary tumor
- produces prolactin
-
what does growth hormone do
- increases protein synthesis
- increases metabolization of FA
- decreases rate of glucose and carb use
- stimulates cartilage and bone growth
-
GHRH activates which second messenger in the anterior pituitary?
JAK/STAT
-
abnormalities of low GH
- panhypopituitaryism- decreases all ant. pituitary hormones
- Dwarfism
-
causes of Dwarfism
- panhypopituitaryism
- GH defiency
- somatomedian C defiencey with normal GH
-
abnormalites with high GH
- giantism- GH cell tumor
- acromegaly- thick bones and soft tissue
-
Pineal gland
- synthesizes and secretes melatonin
- regulates gonadal function and chronobiologic rhythms
- tryptophan -> serotonin -> melatonin
-
Melatonin
- inhibited by light exposure to eyes
- seasonal light changes effect levels
- plays a role in abnormal sleep
- immune system stimulant
-
Thyroid gland cell types
- follicular cells- secrete T3 and T4
- parafollicular cells- secretes calcitonin
-
Thyroglobulin
glycoprotein, stores tyrosine and iodine to make T3 and T4
-
How can you form a thyroid goiter?
- if you have low levels of iodine
- cant make thyroid hormone
- wont initiate negative feedback
- high levels of TSH
-
how is iodide turned into iodine?
via TPO (thyroid peroxidase)
-
Thyroid hormone secretion
- colloids of thyroid hormone taken into follicular cells
- droplets fuse with lysosomes
- hydrolosis of thyroglobulin to release T3 and T4
- T4 converted to T3
-
how is T4 converted to T3
deiodinase- also allows for iodine recycling
-
which carrier protine binds to T3/T4?
thyroxine binding globulin
-
which thyroid hormone has a better binding affinity for thyroid binding globulin?
T4- stays in system longer, acts as a resovior
-
Hyperthyroid can cause?
- insomnia due to overstimulation of CNS and MS systems
- thyroid storm
- graves disease
- AIDS
-
Hypothyroid can casue?
- hypersomnia- extreme fatigue
- Hashimoto's thyroditis
- postoperative hypothyroidism
-
Thyroid inhibitors
thiocyanate ions decrease iodide trapping- competative inhibitor
-
symptoms of hypothyroidism
- poor muscle tone
- fatigue
- cold intolerance
- weight gain
- depression
- slow heart rate
- anemia
-
symptoms of hyperthyroidism
- tachycardia
- fever
- weight loss
- heat intolerance
- protusion of eyeball
-
Cretinism
- congential lack of thyroid gland
- genetic defect
-
bone composition
- organic made first
- then inorganic hydroxyapatite- salt deposits of Ca and Ph
-
Bone strength
- collagen fibers
- hydroxyapitite
-
bone calcification
- osteoblasts- secrete collagen and ground substance
- collagen monomers- make osteoid bone
- calcium salts precipitate- allowed in bone b/c pyrophostphate is neutralized
-
where is excess calcium stored?
in the bone
-
bone remodeling
- deposited by osteoblasts
- removed by osteoclasts- controled by PTH
-
Calcium
- muscle contraction, hemostasis, NT
- can't be absorbed without Vitamin D
-
Phosphate
- ATP, 2nd messenger, DNA, RNA
- inorganic phosphate (Pi) inversely related to Ca
-
Absorption and excretion of Ca and Pi in kidneys
- controlled by PTH
- low Ca concentration- more Ca reabsorbed
- low Pi concentration- more Pi reabsorbed
-
how to increase the amount of Ca reabsorbed
Vitamin D and PTH increase calcium reabsorption by the gut, kidney, and bone
-
Calcitonin
decreases amount of Ca in ECF by putting it in the bones (only in kids)
-
PTH
- activates osteoclast activity
- activates reabsorption of Ca
- inhibits reabsorption of Pi
-
Overactive parathyroid
causes hypercalcemia/osteopurosis due to too much osteoclast activity releasing Ca into the ECF
-
under-active parathyroid
causes hypocalcemia which causes tetany becuase it increases the threshold of neurons making them easier to fire
-
If there is high Ca in the fluid...
binds to IP3, decreasing the amount of PTH, decreasing the amount of calcium reabsorbed
-
if there is low Ca in the fluid...
binds to cAMP causing increased PTH causing increased Ca reabsorption
-
hypoparathyroidism
- ostoclasts become inactive
- bones remain strong
- low Ca in ECF
-
Hyperparathyroidism
- extreme osteoclast activity
- kidney stones
- more Ca reabsorbed, less Pi reabsorbed
-
-
secondary hyperparathyroidism
elecated PTH due to hypocalcemia (binds to cAMP, increases PTH)
-
Calcitonin
- produced by parafollicular cells
- treatment for osteopurosis
- decreases Ca in EFC
- overridden by PTH
-
Vitamin D
- increasess absorption of Ca and Pi into ECF
- increases Ca and Pi absorption from GI
-
how is vitamin D made active
by PTH in the kidneys
-
how is vitamin D regulated
- inversely by Ca levels
- low Ca-> increased PTH -> more converted to active Vit D
-
rickets
- lack of sun/diet vitamin D
- weakens bones, leads to tetany and death
-
osteomalacia- adult rickets
defiency of Ca or vitamin D
-
renal rickets
imparied renal function, cant convert vit D to active form
-
Congenital hypophosphatemia
- vitamin D resistant rickets
- defect in kidney hydroxylase enzyme
-
osteoporosis
- diminished bone matrix
- osteoblastic activity normal
- excess osteoclast activity
- due to inactivity, malnutrition, vit D deficency, old age
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