Lec 19 - Endocrine Flashcards

1
Q

endocrine system; collectively regulate what, common feature, what else can it exist as

A
  • several organs located throughout the body, sometimes embedded in other structures
  • collectively regulate most aspects of growth, maturation and physiology
  • common feature of releasing signaling molecules (hormones) into the circulation
  • can also exist as single cells e.g. in mucosa of GI and respiratory tract: diffuse neuroendocrine system
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2
Q

hormones; three main classes and what they do / how they are synthesized

A
  • cells signal each other via molecules know as hormones
  • three main classes:
    1) Proteins & Polypeptides
  • produced via standard protein synthesis
  • stored in cytoplasmic vesicles until released

2) Steroids
- synthesized by sER
- generate from cholesterol or fatty acids stored in lipid droplets
- hormone itself is not stored in cell

3) Amino Acid Derivatives
- modified by biochemical pathways in cell
- most, but not all, can be stored
- some stain with chromium or silver
- some of these are also neuro-transmitters

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3
Q

hormone signalling; types and how it works, how does it affect other cells

A

Endocrine
* hormone released by cell into blood
* travels to distant site(s) to affect other cells

Paracrine
* hormone released by cell into extracellular space
* affect other cells locally

Neuroendocrine
* hormone released by neuron into blood
* travels to distant site(s) to affect other cells

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4
Q

microcirculation; synthesizing, release, recovery, entering blood

A
  • typically, endocrine cell synthesizes hormone & stores it in cytoplasmic vesicles
  • hormone released into basal
    extracellular space; enters blood via fenestrations in endothelial cells
  • endocrine cell can also recover
    hormone from storage depot and
    transport it through cell to basal space
  • hormone enters blood via
    fenestrations in endothelial cells
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5
Q

endocrine vs exocrine glands, what doesnt apply to endocrine glands, what are they made of

A
  • epithelial cells of mature endocrine glands can be arranged in clusters, cords/sheets, or hollow spheres
  • endocrine glands loose their duct
    (and connection to epithelium of
    origin) during development

~both types are generally made of epithelial cells specialized for secretion

  • terms like simple vs compound; acinar vs tubular; serous vs mucous, etc. do not apply to endocrine glands
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6
Q

pituitary glands/hypophysis; parts and whats included

A

-anterior pituitary; pars tuberalis, pars inermedia, pars distalis

posterior pituitary; infundibular stalk, pars nervosa

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7
Q

neurohypophysis; what comes from it, axons surrounded by what, hormone storage, hormone secretion, reduced release

A
  • unmyelinated axons from neurons in supraoptic & paraventricular nuclei extend into pars nervosa
    *axons surrounded by modified glial cells: pituicytes (P)
  • peptide hormones stored at swollen
    axon terminals: neurosecretory bodies (NB) (also called Herring bodies)
  • hormones released by neural activity; taken up by capillaries (C)
    Reduced release of ADH (tumour; trauma) leads to diabetes insipidus
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8
Q

adenohypophysis; cells, waht does staining reveal (3), specialized stains reveal what, hormones released where, benign tumors

A
  • cells of adenohypophysis produce variety of hormones
  • routine H & E staining reveals:
    Acidophils (A): eosinophilic granules containing growth hormone; prolactin

Basophils (B): basophilic granules
containing FSH, ACTH, TSH, LH

Chromophobes (C): inactive/stem
cells?

  • specialized stains or IHC reveal
    specific cell types
  • hormones released into sinusoidal capillaries of pituitary portal system;
    distributed to cells of body and/or other endocrine glands
  • hormones released also feed back on hypophysis to influence activity

Benign tumours: cause effects due to production or compression

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9
Q

hypothalamic regulation; neurons release what, carried by what, where do neurons project, names and where they come from

A
  • neurons (green) release regulating hormones into stalk region of pituitary
  • carried by portal bv & regulate
    release of hormones from adenohypophysis
  • neurons (yellow) directly project into pars nervosa; release hormones stored in their Herring bodies

basophil - TSH, FSH, LH, ACTH

acidophil - GH, prolactin

pars nervosa; ADH, oxytocin

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10
Q

adrenal gland; size, composed of what, how vascular

A
  • paired glands located on cranial end of kidneys
  • largest endocrine mass in body
  • composed of two main regions:
    ~cortex (3 layers) derived from mesoderm
    ~medulla derived from neural crest
  • very vascular with large sinuses in medulla
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11
Q

adrenal cortex; layers and what is involved, functions

A

Zona Glomerulosa (Z. Arcuata)
* electrolyte balance via mineralcorticoids: e.g. aldosterone
* regulation of Na+ and K+ levels

Zona Fasciculata
* energy metabolism via glucocorticoids: cortisol, corticosterone
* regulation of carbohydrate, lipid &
protein metabolism; immune system
(sex hormones)

Zona Reticularis
* sexual development via sex hormones: estrogens, androgens,
progesterone (glucocorticoids)

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12
Q

adrenal cortex; arrangement, species, overall appearance

A

zona glomerulosa
* cells arranged in clusters
* usually not a wide zone
* ruminants & humans

zona fasciculata
* radially arranged cords; 1 or 2 cells thick
* cells usually contain lipid droplets that get extracted during processing

zona arcuata
* cells arranged in arcs
* most veterinary species

zona reticularis
* irregular network of cords of cells
* often a thin region

Overall, appearance of cells in cortex varies with gland activity, histological processing & species

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13
Q

adrenal medulla; cell type, preganglionic fibers, epi and norepi, clusters make what

A
  • Chromaffin cells (pheochromocytes) of adrenal medulla are modified neurons, derived from neural crest
  • preganglionic fibres of sympathetic nervous system synapse with
    chromaffin cells; also some parasympathetic neurons/ganglia
  • autonomic NS induces release of catecholamine hormones epinephrine & norepinephrine into blood
  • clusters of cells make only one type of hormone
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14
Q

adrenal dysfunction; cushings, addisons disease, pheochromocytomas

A

Hyperadrenocorticism (Cushing Syndrome)
- excessive secretion of hormones, especially cortisol
- most commonly due to neoplasia (tumours); often ‘benign’ tumor in adenohypophysis (most common), or adrenal cortical tumour (rare)
- similar symptoms can arise with chronic corticosteroid therapy, or
with production of excessive adrenal sex hormones

Hypoadrenocorticism (Addison Disease)
- adrenal insufficiency; poorly understood- often autoimmune
- usually bilateral with all regions of cortex affected

Pheochromocytomas
- neoplasia of chromaffin cells of adrenal medulla
- often incidental finding with imaging- symptoms vague/intermittent
- can be locally invasive

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15
Q

thyroid gland; shape, covered by what, vascular, what does it produce, involved in what

A
  • large butterfly shaped structure on
    ventral surface of neck
  • covered by thin CT capsule; trabeculae project into gland dividing it into lobules
  • very well vascularized with
    extensive sinusoids/capillaries
  • produces and stores thyroid
    hormones:
    thyroxine (T4)
    triiodothyronine (T3)
  • involved in cellular metabolism,
    heat regulation, regulation of growth & development, etc
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16
Q

thyroid gland; composed of what, surrounded by what, follicles filled with what, acts as what

A

~composed of follicles made of
hollow balls of epithelial cells
(principal cells)
* surrounded by extensive vascular
network; very little CT
* follicles filled with protein rich
amorphous substance: colloid
* acts as storage depot for
thyroid hormones (T 3 & T 4 )

17
Q

how can thyroid gland be assessed histologically, what is larger in them, how are they found

A
  • thyroid gland activity can be assessed histologically by:
  • relative height of follicular cells (squamous, cuboidal or columnar)
  • presence & extent of colloid resorption vacuoles or lacunae (green arrows)
  • also present in thyroid gland are larger parafollicular cells or C cells (white arrows)
  • produce calcitonin
  • found as individual cells or small clusters in interstitial space between follicles
18
Q

thyroid hormones; 5 processes

A

1) follicular cells synthesize thyroglobulins & thyroid peroxidase; secrete into follicular cavity

2) iodine transported from circulation
through follicular cells via ion pumps

3,4) iodine oxidized and coupled to
thyroglobulins in colloid to create T 3 & T 4

5) colloid containing T 3 & T 4 hormones reabsorbed by endocytosis

6) T 3 & T 4 transported across cell &
released into basal space for uptake
into fenestrated capillaries

19
Q

hypo vs hyperthyroidism

A

Hyperthyroidism
* increased levels of circulating T 3 & T 4 ; can be autoimmune
* histology reflects excessive colloid (*) resorption: columnar epithelium;
~collapsed follicles; large resorption vacuoles

Hypothyroidism
* reduced levels of circulating T 3 & T 4 ; can be autoimmune or diet
* histology reflects excessive colloid
production & storage: squamous epithelium; large follicles; homogeneous colloid

20
Q

parathyroid gland; clusters covered by what, how many glands, what do they produce

A
  • clusters/cords of parathyroid cells
    covered by CT capsule embedded in
    dorsal area of thyroid gland
  • usually four separate glands, but
    number and location can vary (surgical concerns)
  • cells produce parathyroid hormone:
    increased blood [Ca2+ ] (as opposed to calcitonin which decreases blood [Ca2+ ]) decreased blood [K+ ]
21
Q

parathyroid gland; cells and what they look like, what they do

A

Chief cells
* small, well stained
* arranged in cords/clusters
* produce parathyroid hormone
* can fuse to make syncytial cells in some species- function unknown

Oxyphil cells
* larger and more eosinophilic
* found as single cells or in small clusters
* more prominent in equine, bovine, human
* function unknown

  • relative numbers of oxyphil cells increase with age
  • can also find adipose cells in older glands
22
Q

pancreatic islets; clusters surrounded by what, cells, stains

A
  • clusters of endocrine cells embedded in & surrounded by acinar pancreas * islets contain multiple cell types
  • special stains or IHC required

α-cells: glucagon
* mobilization of glucose

β-cells: insulin
* uptake/storage of glucose

δ cells: somatostatin
* inhibition of insulin & glucagon secretion

also other cells making peptides for
GI control