Endocrine

58
Endocrine BIOL 242

Transcript of Endocrine

Page 1: Endocrine

Endocrine

BIOL 242

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Hormones• Classes (Chemical)

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Hormones• Classes (Chemical)

• Amines

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Hormones• Classes (Chemical)

• Peptides /proteins

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Hormones• Classes (Chemical)

• Lipid soluble/steroids

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Hormones• Classes (Chemical)

Prostaglandins and leukotrines

Secreted by all cells except RBC’s

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Hormones• Mechanisms of Action

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Hormones• Mechanisms of Action

• Steroids and Thyroid Hormone

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Hormones• Hormone receptors

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Hormones• Hormonal Interactions

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Hormones• Tropic hormones

• ANS input –

• Humoral input

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Hormones• Glands have a large blood supply• Glands are surrounded by connective tissue • May be paired glands or single structures

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Hormones• Pathologies

Describe 3 hormone pathologies….

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Hormones• Overview of functions• regulate chemical composition and volume of

internal environment: water and electrolytes• regulate metabolism and energy balance• regulate contraction of smooth and cardiac

muscle fibers• regulate homeostasis despite disruptions• regulate activities of immune system• integration of growth and development• contribute to basic processes of reproduction

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Pituitary - Hypophysis CerebriLocation

• hypophyseal fossa of the sella turcia, just above optic chiasma

• pathology: tumor may cause visual problems

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Pituitary - Hypophysis CerebriParts

• pars distalis (anterior) - releases about 7 hormones

• pars intermedia - unknown function in humans

• pars nervosa (posterior) - releases but does not produce – ADH and oxytocin

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Pituitary - Hypophysis Cerebri• Regulated by neuron impulses & releasing

factors originate in hypothalamus

• hypophysis may also influence the hypothalamus

• releasing factors (RF) - often tropins

• inhibiting hormones - from the hypothalamus stops

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Pituitary - Hypophysis CerebriAnterior Pituitary Hormones• hGH - human growth hormone = somatotropin

– not fetal and early postnatal - rather children– adult aids in maintenance– periods of fasting or starvation

• Functions - stimulate protein synthesis – inhibit protein breakdown– increases rate amino acids enter cell– stimulates triglycerides into fatty acids and glycerol– retards use glucose --> ATP production– structurally and functionally like insulin– causes the production of insulin -like growth factors (IGF’s)– formation of cartilage and bone -->epiphyseal plates– decreases fat production– hGH and IGF --> decrease glucose fro ATP in most cells– allows for neurons to use glucose in times of sparity– may stimulate liver to release glucose into blood = insulin antagonist

• Pathologies = hyperglycemia - excess GH --> diabetes effect: high blood sugar– diabetes mellitus - lack of insulin activity– Pituitary dwarfism - hyposecretion or lack of receptors– Giantism - hypersecretion or in adults acromegaly

• Controlled: – GH releasing hormone (GHRH) - low blood sugar – GHIH - inhibits GH, secreted w/high blood glucose

• growing children - cyclic secretions - peaks early hrs of sleep cycle

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Human Growth Hormone

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Pituitary - Hypophysis CerebriAnterior Pituitary Hormones• TSH - thyroid stimulating hormone =

thyrotropin• Functions - stimulate secretion of T3 & T4

(produced by thyroid)• Controlled: by thyrotropin secreting

hormone TRH from hypothalamus– release of TRH depends upon blood levels of

TSH,T3 and blood glucose and metabolism - negative feed back system

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Pituitary - Hypophysis CerebriAnterior Pituitary Hormones• FSH – Follicle Stimulating Hormone

– from anterior pituitary to ovaries/testes

• Functions - initiates dev of egg-containing follicles– influences estrogen secretions– Males - stimulates sperm production in testes

• Controlled: Gonadotropin releasing hormone (GnRH) from hypothalamus FSH release– FSH release suppressed by estrogen and testosterone -

negative feed back system

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Pituitary - Hypophysis CerebriAnterior Pituitary Hormones• LH – Leutinizing Hormone• Functions - w/FSH estrogen and

releases 2nd oocyte: ovulation– Form of corpus luteum and secretion of

progesterone– Prepare uterus for egg implant and mammary

glands for milk production– Male interstitial cells --> testosterone

• Controlled: GnRH

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Pituitary - Hypophysis CerebriAnterior Pituitary Hormones• PRL - Prolactin• Functions - initiate and maintain milk production

– mammary glands are primed by estrogen, progesterone, glucocorticoids, hGH, T4, insulin

– not ejection which is oxytocin

• Controlled: hypothalamus - PIH or dopamine – as estrogen and progesterone fall --> dopamine secretion– just before menstruation– PRH - during pregnancy causes PRL release– nursing decreases PIH release

• Pathologies – females - too much = loss of menstruation– males - too much = impotence

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Pituitary - Hypophysis CerebriAnterior Pituitary Hormones• ACTH - adrenocorticotropic hormone• Functions - stimulates growth of adrenal cortex

– stimulates release of glucocorticoids by adrenal cortex

• Controlled: CRH - corticotropin releasing hormone from hypothalamus– stress related– low blood sugar, physical trauma, macrophage

interleukin release– also negative feedback from blood levels of

glucocorticoids

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Pituitary - Hypophysis CerebriAnterior Pituitary Hormones• MSH - melanocyte stimulating hormone• Functions - increase in skin pigment –

amphibians– humans - ? Appetite and sexual arousal?– does seem to darken human skin

• Controlled: CRH - corticotropin releasing hormone– dopamine inhibits

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Pituitary - Hypophysis Cerebri• Posterior Pituitary Hormones - stores and releases does

not make– made in cell bodies of neurosecretory cells - moved to axon

terminals• ADH – antidiuretic hormone• Function - decreases urinary output, retain water

– raise BP - constriction of arterioles = vasopressin• Controlled: osmoreceptors in hypothalamus

– variety of factors affect blood levels of hormone– For example body level of hydration

• Pathologies = Diabetes insidus – hyposecretion of ADH or kidneys do not respond to ADH =

nephrogenic DI– treat with less salt in diet and some diuretics (?) work– large amount of urine, treat w/ADH

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Pituitary - Hypophysis Cerebri• Posterior Pituitary Hormones - stores and releases does

not make– made in cell bodies of neurosecretory cells - moved to axon

terminals• Oxytocin - • Function - uterus and breasts during childbirth

– Contraction of smooth muscles: delivery and milk let-down– maternal instincts in males and nonpregnant females– sexual pleasure– inhibits release of prolactin inhibiting hormone

• Controlled– stretch receptors in cervix hypothalamus– nursing infant

• Given in synthetic form to induce labor or increase uterine tone

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ThyroidLocation - neck between C5-C7Parts: a. Two lateral lobes with

a connecting isthmusRegulated by TSH from pars

distalis to produce thyroxinpathologies - malignant and

benign tumorsif removed need hormone supplements

Hormones - stored up in large amounts: up to a 100 day supply

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• Formation - thyroid cells trap iodine– I binds to tyrosine of thyroglobulin molecule (TGB)– I'd TGB forms T3 and T4– T3 and T4 are lipid soluble and enter blood – T3 < T4, but T3 more potent– T4 may T3 (- one I)

Thyroid – thyroid hormones

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Thyroid – thyoid hormonesFunctions

oxygen use and BMRproduction of ATP from O2

increases body temperaturecellular metabolism: protein synthesis, lipolysis, use of ATP glucos, lower cholesterolall lead to heat productiongrowth development and maturation

especially Nerve tissuemodulate NS - receptors of NE and epi

receptors in nuclei of cellsT3 more affinity than T4

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Thyroid – thyroid hormones• Controlled: level of iodine, blood levels of T3 and T4

– negative feedback via hypothalamus and anterior pituitary– low T3 --> TRH secreted from ant pituitary --> TSH release

• Pathologies– Cretinism - hyposecretion of T's – dwarfism– Grave's - hypersecretion, enlarges thyroid– autoimmune: body makes Ab that mimic TSH edema behind eyes– Goiter - enlarged thyroid, symptoms of many thyroid problems– absence in early infancy under dev NS: mental retard– absence in adults --> decrease alertness

• Calcitonin - CT: produced by C cells• Functions - regulates calcium and

phosphate levels in blood• inhibits bone break down

and uptake of Ca in bones• limits action of osteoclasts

in bone•

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Thyroid – calcitonin• produced by C cells

• Functions - regulates calcium and phosphate levels in blood– inhibits bone break down and uptake of Ca in

bones– limits action of osteoclasts in bone

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Parathyroid• = 4 glands• Location

– Within the fibrous capsule of the thyroid– Posterior surface of each lateral lobe - super and inferior parathyroid

gland• Hormone = PTH • Functions

– regulates calcium and phosphate levels– breakdown of Ca in bone and increases blood Ca– increases action of osteoclasts in bone– increases kidney release of Ca

• Controlled: blood levels of Ca• Pathologies

– Hyperparathyroidism - neurons depolarize w/o stimulus• due to Ca deficiency• causes tetany

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Pancreas• Pancreas -exocrine and endocrine gland

• Location - flattened, posterior and inferior stomach– Parts

• Islets of Langerhans • Some cells in the parenchyma

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PancreasHormones• Glucagon - produced by A cells or alpha cells

– post absorb state - prevents glu from falling too low

• Function - raises blood sugar - target = liver– glycogen glucose glycogenolysis– lactic acid and amino acids glucose– promote Fatty Acids as alternate Energy source– production of Acetyl CoA and ketones

• = glucose sparing• glucose --> blood

• Controlled– negative feedback from blood glucose levels– inhibited by glucose levels of absorb state and high PS activity– inhibited when beta cells are active

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PancreasHormones• Insulin - produced by B cells or beta cells

– absorptive state• Function - lowers blood sugar

– transport of glucose from blood into cells especially muscles– glucose --> glycogen for storage– "hormone of abundance"– amino acids --> cells and protein synthesis– glucose --> fatty acids– slows gluconeogenesis– glucose into all cells except liver, brain, RBC's & renal medulla

• Controlled: negative feedback from blood glucose– < 50 mg/dl --> stop insulin production– > 300 mg/dl = max secretion of insulin– release depends upon glucose receptors on beta cells– increase carbohydrates diet --> more glucose receptors on beta cells– decrease carbohydrate diet --> less glucose receptors– beta cells also stimulate by AA, gastric inhibiting hormone, cholecystokinin

(CCK), and increase PS activity

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PancreasHormones• Somatostatin (GHIH) - produced by Delta cells or D cells• Function - inhibits release of insulin and glucagon

– decrease GI motility and secretion– decrease pancreatic secretion– slows all aspects of digestion and absorption– prolongs absorption - more time for body to handle incoming

nutrients• Controlled

– release increased by increase glucose and amino acids in plasma

– inhibited by pancreatic polypeptide• Pathology

– Hypersecretion --> diabetes mellitus eventually

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PancreasHormones• Pancreatic polypeptide

– produced by F cells

• Function– regulates release of pancreatic digestive enzymes– decreases somatostatin

• Controlled– release: meals w/protein, fasting, exercise,

hypoglycemi– inhibited: somatostatin, elevated blood glucose

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Pancreas• Diabetes Mellitus - hormonal deficiency of the B cells to produce

insulin• Cellular famine in the midst of plenty

– blindness, atherosclerosis, poor circulation (gangrene)– glucose enters urine because too much, also urea and ketones

• Type I - absolute deficiency of insulin - insulin dependent– 20% of infected autoimmune disorder– no glucose allowed to enter cells

• ketoacidosis from fatty acids --> ATP• Type II - less sensitive to insulin - not insulin dependent

– fewer receptors or receptors no longer sensitive– Juvenile or Adult onset 80% affected– Hyperglycemia

• Gestational diabetes - gone after delivery– due to changes in glucose metabolism during pregnancy– may be hazardous to the fetus

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Adrenal• Location:

– above kidneys - no connection between kidneys and glands

• Parts

– Cortex - produces corticosteroids, small amts of male sex hormone

• hormones are essential for life

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AdrenalHormones - cortex• Mineralcorticoids - or Aldosterone is the main

one• Functions - control water and electrolyte

homeostasis (Na+ & K+)– reabsorption of Na+ in kidney, and K+ release in urine– --> more Na+ in blood --> water retention– also prevents acidosis by releasing H+ into urine

• Controlled: renin-angiotensin pathway - detects decrease in blood volume from dehydration– concentration K+ increases --> aldosterone secreted

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AdrenalHormones - cortex• Glucocorticoids - cortisol (mostly),

corticosterone, and cortisone• Functions - regulate metabolism and resistance

to stress– protein catabolism, lipolysis– make enough ATP – gluconeogenesis– anti-inflammatory, inhibit cells that aid immune

responses– maintain blood glucose levels

• Controlled - corticotropin releasing hormoneAdrenocorticotropic Hormone (ACTH)– released from anterior pituitary

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AdrenalHormones - cortex

• Gonadocorticoids - estrogens and androgens (testosterone)

• Steroids are regulated by ACTH from the pars distalis

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AdrenalParts: Medulla

produces catecholamines

epi and norepi

Sympthetic end organ w/sympathetic impulses cause release of hormones

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GonadsLocations

ovariestestes

Hormones• Ovaries: estrogen and progesterones influenced by pars

distalis– Functions - develop and maintain female sex characteristics– reproductive cycle, maintain preg, prepare lactation

• Testes: testosterone an androgen– Functions - develop and maintain male sex characteristics– production of sperm

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Pineal - epiphysis cerebriLocation - roof of third ventricle

covered w/pia mater and masses of neuroglia

Hormones• Melatonin - produced during darkness =

biogenic amine– Functions: lack of sleepiness

• diurnal: day/night cycle

– Controlled: stops when light hits retina hypothalamus superior cervical ganglion

• sympathetic postganglionic fibers end here

– Pathologies - Seasonal affective disorder

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Thymus• Hormones: thymosin, thymic humoral

factor, thymic factor, thymopoietin

• Functions: immunity T cells and B cells/lymphocytes

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