Endocrine System Flashcards

1
Q

What commonalities exist in the overall functions of the nervous system (NS) and the endocrine system?

A

Both serve for internal communication and both use chemical transmitters.

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2
Q

Can a single chemical function as both a neurotransmitter and a hormone? If so, give examples.

A

Yes, norepinephrine, dopamine, and ADH

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3
Q

What structures constitute the endocrine system?

A

It is made up of all the glands, tissues, and cells that secrete hormones.

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4
Q

What is the definition of “gland”?

A

A bodily structure responsible for producing various substances, such as hormones, digestive fluids, sweat, tears, saliva, or milk.

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5
Q

Is the pancreas classified as an exocrine or endocrine gland? Why?

A

Both. Acinar cells release digestive enzymes into ducts and the pancreatic islets release hormones into the blood.

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6
Q

What are the islets of Langerhans, and where are they located?

A

Endocrine cell clusters are called pancreatic islets. They are scattered throughout the pancreas.

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7
Q

Which specific pancreatic cells are responsible for the production of the hormones insulin, amylin, and glucagon?

A

Beta cells produce insulin and alpha cells produce glucagon.

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8
Q

In the regulation of glucose homeostasis, which pancreatic hormones play a pivotal role?

A

Insulin, amylin, and glucagon?

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9
Q

Concerning the control of glucose levels, are the functions of insulin and glucagon similar or distinct?

A

Insulin and glucagon have antagonistic effects. Insulin has glucose-lowering effects while glucagon tends to raise circulating glucose levels.

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10
Q

What initiates the release of insulin from the pancreas?

A

Increase in blood glucose levels, such as after a meal.

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11
Q

Define glycogenesis and clarify whether insulin or glucagon promotes or inhibits these metabolic reactions.

A

Simulated by insulin, glycogenesis is the process by which glucose is converted into glycogen for storage in liver and muscle cells.

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12
Q

Define gluconeogenesis and clarify whether insulin or glucagon promotes or inhibits these metabolic reactions.

A

Gluconeogenesis is the synthesis of glucose from non-carbohydrate sources, such as amino acids and glycerol, primarily in the liver and kidneys. It is inhibited by insulin and promoted by glucagon.

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13
Q

Define glycogenolysis and clarify whether insulin or glucagon promotes or inhibits these metabolic reactions.

A

Glycogenolysis is the breakdown of glycogen into glucose, releasing it into the bloodstream to be used for energy. It is promoted by glucagon.

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14
Q

What are the overall effects of insulin on adipose tissue and muscle?

A

Insulin increases glucose uptake in adipose tissue and muscle.

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15
Q

Which metabolic reactions does insulin influence in the liver?

A

Stimulate glycogenesis in the liver while it inhibits gluconeogenesis.

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16
Q

When is amylin secreted, and what functions does it serve?

A

Amylin is simultaneously secreted with insulin, decreasing spikes in blood glucose by suppressing appetite, slowing gastric emptying, and inhibiting glucagon release.

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17
Q

What triggers the release of glucagon from the liver, and what are its primary functions?

A

Decrease in blood glucose levels, such as after a meal. Glucagon raises blood glucose levels by promoting the breakdown of glycogen into glucose (glycogenesis) and the synthesis of glucose from non-carbohydrate sources.

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18
Q

What is the role of GLUT 4?

A

GLUT-4 or glucose transporter type 4 is responsible for transporting glucose from the bloodstream into cells, particularly muscle and adipose (fat) cells.

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18
Q

What is the definition of diabetes mellitus (DM)?

A

A metabolic disease, involving inappropriately elevated blood glucose levels.

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19
Q

Describe type 1 diabetes mellitus.

A

Attack on the autoimmune system causes pancreatic B (beta) cell destruction subsequently causing a deficiency of insulin. Diagnosis occurs before the age of 30, and patients require insulin injections.

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20
Q

Describe type 2 diabetes mellitus.

A

Peripheral resistance to insulin action (decreasing sensitivity) and inadequate compensatory response of insulin secretion by the pancreas (progressive loss of β-cells function). Diganosis occurs after the age of 40.

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21
Q

What is “insulin resistance”, and which types of diabetes is characterized by this state?

A

Insulin resistance is unresponsiveness of the target cells to insulin, see in type 2 diabetes.

22
Q

What is the alternate name for the pituitary gland?

A

Hypophysis

23
Q

How many lobes does the pituitary gland possess, and what are their respective names?

A

(1) Anterior or adenohypophyis, (2) posterior or neurohypophysis.

24
Q

Which area in the diencephalon plays a crucial role in maintaining homeostasis and serves as a link between the nervous and endocrine systems through the pituitary gland?

A

Hypothalamus

25
Q

What structure connects the hypothalamus to the pituitary gland?

A

Infundibulum

26
Q

How are hormone produced in the hypothalamus transported to the neurohypophysis and adenohypophysis?

A

Through the hypothalamo-hypophyseal tract (axonal connections) and hypophysial portal system, respectively.

26
Q

In relation to the hypothalamus, what is the portal system?

A

Specialized network of blood vessels that connects the hypothalamus and anterior pituitary gland.

26
Q

What are the primary functions of hypothalamic hormones that travel through the hypophysial portal system?

A

They bind receptors in the anterior pituitary gland affecting pituitary hormone production and release.

27
Q

Describe releasing hormones.

A

Produced in the hypothalamus, they stimulate the anterior pituitary to release hormones. Abbreviated RH

28
Q

Describe inhibiting hormones.

A

Produced in the hypothalamus, they suppress the they anterior pituitary secretion of hormones. Abbreviated IH.

29
Q

Define tropic hormones.

A

Hormones which act on another endocrine glands and stimulate production of other hormones. Most are produced by the anterior pituitary.

30
Q

Thyrotropin-releasing hormone (TRH)

A

Promotes secretion of thyroid-stimulating hormone (TSH) and prolactin (PRL)

31
Q

Corticotropin-releasing hormone (CRH)

A

Promotes secretion of adrenocorticotropic hormone (ACTH)

32
Q

Gonadotropin-releasing hormones (GnRH)

A

Promotes secretion of follice-stimulating hormone (FSH) and lutenising hormone (LH)

33
Q

Growth-hormone-releasing hormone (GHRH)

A

Promotes secretion of growth hormone (GH)

34
Q

Prolactin-inhibiting hormone (PIH, dopamine)

A

Inhibits secretion of prolactin (PRL)

35
Q

Somatostatin (SS)

A

Inhibits secretion of growth hormone (GH) and thyroid-stimulating hormone (TSH)

36
Q

Which hypothalamic hormones inhibit the release of GH and PRL from the pituitary gland?

A

Somatostatin (GH) & dopamine (PRL)

37
Q

Which hypothalamic nuclei produce the hormones oxytocin and ADH, and how are they transported to the posterior pituitary for storage?

A

The paraventricular and supraoptic nuclei. Through the hypothalamo-hypophyseal tract.

38
Q

Name the six hormones produced by the anterior pituitary gland and the two hormones produced by the posterior pituitary gland.

A

Anterior: (1) Follice-stimulating hormone (FSH, gonads), (2) Luteinizing hormone (LH, gonads ), (3) Thyroid-stimulating hormone (TSH, thyroid), (4) Adrenocorticotropic hormones (ACTH, adrenal cortex), (5) Prolactin (PRL, breasts), (6) Growth hormone (GH, bone and muscle)
Posterior: (1) Antidiurretic hormone (ADH, kidney), (2) Oxytocin (OT, breasts)

39
Q

Which cells within the thyroid gland are responsible for producing thyroid hormone (TH), and what are the two types of thyroid hormones.

A

Follicular cells produce T3 (triiodothyronine) and T4 (tetraiodothyronine)

40
Q

Which cells in the thyroid gland produce calcitonin?

A

Parafollicular cells located at the periphery.

41
Q

What protein is present in the colloid of the follicles within the thyroid gland?

A

Thyroglobulin (Tg)

42
Q

How are blood levels of TH regulated?

A

Circulating TH concentrations are via a negative feedback system at the level of the hypothalamus and the pituitary.

43
Q

(a) Which hormone stimulates the growth of the thyroid gland and the secretion of TH, and (b) what stimulates its secretion by the pituitary gland?

A

(a) TSH (b) TRH (Thyrotropin-releasing hormone)

44
Q

Where is the TH receptor located within the cell?

A

The nucleus.

45
Q

How does TH utilize a negative feedback system?

A

An increase of blood levels of TH will inhibit their own secretion by decreasing the levels of TRH and TSH.

46
Q

What are the two main components of the TH structure?

A

Iodine and tyrosine.

47
Q

How does iodide from the diet enter the lumen of the thyroid follicles?

A

Through the sodium/iodide symporter.

48
Q

What are the three actions of TSH on the thyroid gland?

A

TSH stimulates TH secretion through enhancing: iodide uptake, thyroglobulin synthesis, and thyroperoxidase activity

49
Q

What is Hashimoto’s disease?

A

The immune system mistakenly attacks the thyroid tissue. The most common antibody associated with Hashimoto’s is thyroid peroxidase antibody (TPO antibody). Thyroglobulin antibodies may also be present.

50
Q

What are some symptoms of hypothyroidism and hyperthyroidism?

A

Hypo: hair loss, weight gain, muscle pain, and cold intolerance
Hyper: Heat intolerance, irritability and anxiety.