Peters Lectures Flashcards

1
Q

How is specificty of signalling achieved in the endocrine system?

A
  • chemically distinct hormones
  • specific receptors for each hormone
  • distinct distribution of receptors across target cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the difference between the glands in the endocrine and exocrine systems?

A

endocrine glands are ductless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 4 chemical types of homrone?

A

modified amino acids; steroids; peptides; proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the features of hormone control?

A

act a low concentration over large distances to activate specific receptors with high potency to integrate organ function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is hormone action terminated?

A

by enzyme-mediated metabolic inactivation in the liver or at sites of action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How are amine hormones stored and released?

A

pre-synthesised, stored in vesicles. when ligand binds to cell receptor, calcium enters the cell and mediates exocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How are peptide and protein hormones stored and released?

A

pre-synthesised usually from a longer precursor, stored in vesicles, released in response to stimuli by calcium-deoendent exocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What enzymes convert the precursor protein to the mature hormone?

A

convertases during intracellular transport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the difference between steroid synthesis and release compared to that of amines and proteins?

A

steroids are synthesised and secreted upon demand, are not presynthesised and stored in vesicles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What effect does stimuli have on the synthesis of steroids?

A

stimuli increase:

  • cellular uptake and availability of cholesterol
  • rate of conversion of cholesterol to pregnenolone (rate limiting step)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the functions of carrier proteins?

A

to increase amount of hormone tranported in the blood; provise a reservoir of hormone and extend the half-life of the hormone in the circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are two important general carrier proteins?

A

albumin; transthyretin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why does free concentration of hormone not rise abruptly?

A

surges in hormone secretion are buffered by biding to carriers-they mop up the extra hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What type of hormone can corss the capillary wall to activate receptors in target tissues?

A

free hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the main determinant of plasma concentration?

A

rate of secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What factors contraol secretion?

A

negative feedback; neuroendocrine (eg stress); diurnal rhythm (rate fluctuates as a function of time)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does tropic mean in relation to hormones?

A

a hromone that acts upon a nother endocrine gland to resulgate its secretion of hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Aside from secretion, what other factor contributes to plasma concentration?

A

rate of elimination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the 3 types of hormone receptor?

A

GPCR; receptor kinases; nuclear receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the classes of nuclear receptor?

A

class 1; class 2 and hybrid class

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What hormone activates class 1?

A

steroid hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What do class 1 recetpros do in absence and presence of activating ligand?

A

in absence- located in the cytoplasm bound to inhibitor heat shock proteins, when activated, move to the nucleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What type of hormone activates class 2 nuclear receptors?

A

lipids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Where are class 2 receptors found?

A

in the nucleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What hormones act of hybrid class of receptors?

A

thyroid hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What other class of receptor is hybrid class similar to?

A

class 1

27
Q

What enzyme converts ATP to cAMP?

A

adenylyl cyclase

28
Q

What does cAMP do?

A

increases the amoutn of protein kinase A which phosphorylates target proteins

29
Q

What type of G protein increases action of adenylyl cyclase?

A

Gs

30
Q

What type of G protein inhibits adenylyl cyclase?

A

Gi

31
Q

What enxyme does Gq receptors increase the activity of?

A

phospholipase C

32
Q

What two molecules does phosphlipase C create from PIP2?

A

IP3 and DAG

33
Q

What is the action of DAG?

A

activates protein kinase C which phosphorylates target proteins

34
Q

What does IP3 do?

A

works on IP3 receptors on the endoplasmic reticulum(or sarcoplasmic reticulum in muscle cells) to `release calcium

35
Q

Give an exmple of a hormone which signals via receptor kinases?

A

insulin

36
Q

What does binding of a ligand to a receptor kinase cause?

A

autophosphorylation of intracellular tyrosine residues

37
Q

What proteins do the phosphorylated tyrosines then phosphorylate?

A

insulin receptor substrate proteins

38
Q

What happens to the class 1 nuclear recetor when it moves into the nucleus (when activated and bound to steroid)?

A

forms a dimer and binds to hormone response elements in DNA

39
Q

What does the binding of the dimer to hormone receptor elements inthe DNA cause?

A

transcrition of specific genes to tbe switched on (transactivated) or switched off (transrepressed)

40
Q

What are the 4 methods of action of drugs for T2DM?

A

increasing secretion of insulin; decreasing insulin resistane and reducing hepatic glucose output; slowing glucose absorption from the GI tract; enhancing glucose excretion by the kidney

41
Q

What drugs at by increasing secretion of insulin?

A

SUs; incretin mimicsl glinides; gliptins

42
Q

What causes the Katp channel to open?

A

ADP-Mg binding to the SUR1 subunit

43
Q

Give examples of sulfonyureas?

A

tolbutamide; glibenclamide; glipizide

44
Q

What is the action of SUs?

A

displace the binding of ADP-Mg from the SUR1 subunit

45
Q

What are the side effects of SUs?

A

hypoglyaemia; weight gain

46
Q

How do glinides work?

A

bind to SUR1 to close the Katp channel

47
Q

Why are glinides less likely to cause hypoglycaemia than SUs?

A

have rapid osnet/offset kinetics

48
Q

What are the actions of GLP-1?

A

enhance insulin release; delay gastric emptying; decrease glucagon release

49
Q

Give an example of an incretin analogue?

A

extenatide

50
Q

How does extenatide work?

A

binds to GPCR GLP-1 receptors that increase intracellular cAMP conc.

51
Q

What are actions of extenatide?

A

increases insulin secretion; suppresses glucagon secetion; slows gastric emptying and decreases appetite

52
Q

How is extenatide administered?

A

subcutaneously

53
Q

What are the side effects of extenatide?

A

nausea; hypo; pancreatitis

54
Q

What does the enzyme dipeptidyl peptidase-4 do?

A

temrinates the actions of GLP-1 and GIP

55
Q

What is the mode of action of gliptins?

A

competitively inhibit DPP-4, prolonging the actions of GLP-1 and GIP

56
Q

What is alpha-glucosidase?

A

a brush border enzyme that breaks down starch and disaccharides to absorbale glucose

57
Q

What are the side effects of alpha-glucosidase inhibitors?

A

flatulence; loose stools; diarrhoea; abdominal pain; bloating

58
Q

What are the actions of metformin?

A

reduces hepatic gluconeogensis; increases glucose uptake; reduces carbohydrate absorption; increases fatty acid oxidation

59
Q

What are the good things about metformin?

A

doesnt cause hypos; causes weight loss

60
Q

What are the side effects of metformin?

A

GI upset; lactic acidosis

61
Q

What is the mode of action of TZDs?

A

enhance the action of insulin at target tissues by acting on the PPARy nuclear receptor

62
Q

What are benefits of TZDs?

A

promote FA uptake and storage in adipocytes rather than in SK and liver; reduces hetpatic glucose output

63
Q

What are the adverse effects of TZDs?

A

weight gain; fluid retention; increased incidence of bone fractures

64
Q

What is the action of SGLT inhibitors?

A

act to selectively block the reabsorption of glucose by SGLT2 in the proximal tubule of the kidney tubule