7.01 Overview of Endocrine Control Flashcards

1
Q

Define endocrinology

A

The study of the homeostatic mechanisms that are controlled by hormones

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2
Q

Define Hormone

A

A blood‐borne chemical mediator released from endocrine glands that act on distant target cells

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3
Q

What is the main group of hormones released by the hypothalamus?

Describe its main target and effect

A

Tropic hormones (hormones that affect the activity of other hormones)

They target the anterior pituitary to release or inhibit pituitary hormones

(Note: many of them are also trophic meaning that they elicit a growth effect on their target cells causing hyperplasia and hypertrophy)

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4
Q

What is the major guide for classification of hormones?

A

The structure of a hormone

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5
Q

Define the following:

  • Endocrine
  • Neurocrine
  • Autocrine
  • Paracrine
A
  • Endocrine: a chemical mediator that travels through the blood strem to act on a distant target (ie. a hormone)
  • Neurocrine: a chemical mediator that acts on adjacent cells with a nervous input (action potential (ie. neurotransmitters)
  • Autocrine: a chemical messenger that acts on the same cell that secreted it (self-reacting)
  • Paracrine: a chemical messenger that acts on the cells very locally
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6
Q

Compare and contrast the nervous system with the endocrine system by filling in the following table:

A
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7
Q

There is a lot of overlap in the endocrine system. What are four general principles that relate to this?

A
  1. One particular endocrine gland may produce multiple hormones (eg. pituitary)
  2. Hormones may be produced by multiple endocrine glands (eg. sex steroids)
  3. Hormones may have more than one target and function (sex steroids, GH)
  4. A single cell/ organ may be influenced by more than one hormone (pancreas, reproductive)
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8
Q

Is the rate of hormone secretion always tonic?

A

No

  • Rate of secretion is highly controlled and stimualated by many sources and trophic hormones
  • Rate of secretion of some hormones varies over time in a cyclic pattern (sex steroids)
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9
Q

What is an example of a chemical messenger that may be hormone or neurotransmitter?

A

Noradrenaline

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10
Q

Are hormones specific for targets or do they act globally to where they can access via the bloodstream?

A

Hormones will only have affect on target cells that express specific receptors for them (ie. if they are able to be recognised by cells)

A cell without a receptor, will have no response

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11
Q

How does the solubility profile of a hormone impact on its action?

A

Lipophilic/Hydrophobic

  • Means that it is able to easily diffuse through membranes and thus often have intracellular receptors
  • Also means it requires protein carriers in the blood

Hydrophilic = Lipophobic

  • Means that it requires endocytosis in the cells requiring an extracellular/membrane bound receptor
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12
Q

What is a neurohormone?

A

Chemical messengers that are released by neurons directly into the bloodstream to act on distant targets - neurocrine action

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13
Q

What are the three main groups of neurohormones?

A
  1. Hypothalamus neurohormones acting on the Anterior Pituitary.
  2. Hypothalamus neurons acting on the Posterior Pituitary.
  3. Catecholamines (made by modified adrenal medulla neurons).
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14
Q

What is a tropic hormone?

A

A hormone that controls the secretion of another hormone (trophic usually stimulates growth & development)

– Often (not always) have names that end with tropin Eg. Thyrotropin (TSH), Corticotropin, ACTH, etc.

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15
Q

Draw the simple neural reflex

A
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16
Q

Draw a simple neurohormonal reflex

A
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17
Q

Make sure you understand the following images (neuroendocrine pathways)

A

These are all varying complexities of neuroendocrine reflexes

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18
Q

What makes the simple endocrine pathways unique? How common are they?

A

They have no neuronal involvement at all

They are quite rare

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19
Q

What are the four main schemes of classifying hormones? Give examples

A
  1. Source of Hormone

•eg. pituitary

  1. Hormone Structure

• eg. Peptides, Amines, Steroids

  1. Hormone Solubility

• eg. hydrophilic or lipophilic

  1. Binding of Receptor Type

• eg. G protein‐coupled receptors, tyrosine kinase‐linked receptors etc

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20
Q

What are the three main classifications based on the structure?

A
  1. Peptide
  2. Steroid
  3. Amine (catecholamines and thyroid hormones)
21
Q

Hydrophobic/lipophillic hormones travel through the blood often bound to protein carriers. What does this achieve?

A
  • It enables a specificity to the hormones
  • Increases half-life
22
Q

Describe the synthesis pathway of a peptid hormone

A
  1. Messenger RNA on ribosomes bind amino acids into a peptide chain = preprohormone that is directed to the ER
  2. Enzymes in the ER cleave off the signal sequence creating an inactive prohormone
  3. The prohormone passes through the golgi complex
  4. They are packed and stored in secretory vesicles that contain the enzymes and the prohormone. The enzymes cleave the prohormone into one or more active peptides
  5. A release signal comes in causing exocytosis of vesicle contents into the extracellular space
  6. Hormones move into the circulation for transport to the target
23
Q

Fill in the following table about peptide hormones

A
24
Q

What is common to all steroid hormones in terms of their synthesis?

Give examples of steroid hormones

A

All steroid hormones start from cholesterol (it is the background structure). Depending on the enzymes in various tissues, gives the final steroid hormone:

  • Adrenal cortex: aldosterone and cortisol
  • Ovaries: oestrogen
25
Q

Describe the location of receptors for steroid hormones. What action does binding normally elicit?

A

Receptor is either in the cytoplasm or nucleus.

Binding causes the altering gene expression and production of new proteins. Thus the pathway takes time

26
Q

Fill in the following table about steroid hormones

A
27
Q

What is the basic building block of the amine hormones? What are the 2 main subgroups of the amines?

A

All amine hormones are derived from the amino acid tyrosine.

  1. Catecholamines (dopamine, noradrenaline, adrenaline)
  2. Thyroid Hormones (T3, T4)
28
Q

Describe the binding and mechanism of action of steriod hormones

A
  1. Most hydrophobic steroids are bound to plasma protein carriers (only unbound can diffuse into the target)
  2. Receptors in the cytoplasm or nucleus
    • Although some steroid hormones also bind to membrane receptors that cause rapid responses by activating second messenger cascades
  3. Receptor-hormone complex binds to DNA and activates or represses one or more genes
  4. Activated genes create new mRNA that moves back into the cytoplasm
  5. Translation produces new proteins for cell processes
29
Q

Fill in the following table in regards to the amine hormones (catecholamines and thyroid hormones)

A
30
Q

Which two types/classes of hormones are hydrophilic? What is their mechanism of hormone action?

A

Peptide and catecholamines

They bind to extracellular receptors and elicit an intracellular signal or “second messenger”

31
Q

What is the mechanism of action of thyroid hormones?

A

They behave like steroids (alter gene expression)

32
Q

What is the role of plasma proteins in the endocrine system? [3]

A
  1. Transport of lipophilic and hydrophilic hormones
  2. Act as a reservoir to maintain equilibrium of unbound plasma hormones
  3. Facilitate solubility of lipophilic hormones
33
Q

What are the three major influences on the plasma concentration of a hormone at any one time?

A
  1. Rate of secretion of the hormone
  2. Rate of metabolic activation of hormones (for only a few hormones)
  3. Extent of binding to plasma proteins (for lipophilic proteins)
  4. Rate of metabolic inactivation and excretion
34
Q

What is the general flow of hormone removal? (what organs)

A

Liver –> Kidney –> Urine

35
Q

How are each of the hormone classifications removed from the body?

A

Steroid Hormones:
– Conjugation→Urine (and Bile)

Amines:
– Specific circulating degrading enzymes

Large Peptides: most get recycled
– Receptor‐mediated endocytosis

Smaller peptides (most) = Kidneys

36
Q

Describe the major means of feedback in hormone regulation

A

The role of feedback systems is to supress or increase activity of endocrine glands and create a stable environment and homeostasis

The negative feedback loops

  • Short loops for fine tuning
  • Long loops from peripheral hormones to earlier parts of the pathway as a back up feedback
37
Q

Give examples of positive feedback control of hormone regulation

A
  • LH surge triggered by oestrogen to cause ovulation
  • Cervix: production of higher levels of oxytocin to aid deliver of the baby
38
Q

What is another means of negative feedback to hormone regulation?

A

Neuroendocrine reflexes offer fine tuning of hormone release

39
Q

Define the following terms in regards to hormone regulation:

  • Down regulation
  • Antagonism
  • Synergism
  • Permissive regulation
A

Down‐regulation

  • Endocytosis
  • Target cell desenitisation

Antagonism

  • Act together but act in opposite directions (insulin & glucagon)
  • Allows fine tuning

Synergism

  • Multiple stimuli and effect is more than additive (glucagon, cortisol & adrenaline regulating blood glucose; reproductive)

Permissive

  • First hormone cannot exert effects without presence of second hormone (cortisol & adrenaline)
40
Q

What is the difference between a primary and a secondary endocrine disorder?

A

Primary: gland abnormal

Secondary: gland is normal but the secretion is abnormal

41
Q

Describe the causes of endocrine disorder when there is a decrease in hormone activity?

= Hyposecretion

A

Primary (gland abnormal)

Secondary (normal gland; abnormal tropic hormone)

  • Removal from blood
  • Abnormal tissue response: Lack of receptorsor Lack of enzyme for cell response
42
Q

What would the treatment by for hyposecretion?

A

hormone administration for most cases

43
Q

Describe the causes of endocrine disorder when there is an increase in hormone activity?

= Hypersecretion

A

Primary (gland abnormal eg. tumour)

Secondary (normal gland; excessive stimulation)

  • 􏰄Plasma protein binding
  • Removal from blood: by inactivation or 􏰄Excretion
44
Q

What would the treatment by for hypersecretion?

A

Tumor removal, inhibiting drugs

45
Q

How would you make a differential diagnosis between primary and secondary causes?

A

Based on the levels of secretion of the different hormones (and trophic hormones) that are involved in the pathway.

46
Q

Draw the normal pathway for cortisol secretion starting from the hypothalamus to the target tissue

A
  • Corticotrophine hormone is released by the hypothalamus
  • This goes to the anterior pituitary gland to the target cell and causes it to release Adrenocorticotropic hormone (ACTH)
  • ACTH (also called corticotrophin) then travels to the adrenal cortex to lead to cortisol release
47
Q

Now draw pathways that would help differentiate hypersecretion due to…

  • Hypothalamic problem
  • Pituitary Problem
  • Adrenal cortex

which of these is primary and which is secondary?

A
  • Hypothalamic problem (secondary)
  • Pituitary Problem (secondary)
  • Adrenal cortex (primary)

if can’t read image: see slide 36

48
Q
A