Ch. 18 Flashcards

(161 cards)

1
Q

What 2 systems coordinate the functions of all body systems?

A

nervous and endocrine

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2
Q

How does the nervous system control activities?

A

Through nerve impulses that cause muscles to contract or glands to secrete

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3
Q

How does the endocrine system control activities?

A

By releasing chemical messenger molecules called hormones

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4
Q

What is the neuroendocrine system and how do they work?

A

It is the nervous and endocrine system that work as a coordinated, interconnecting, tremendous system.

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5
Q

What stimulates the release of hormones?

A

The central nervous system?

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6
Q

What may hormones do to nerve impulses?

A

Promote or inhibit the generation of them

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7
Q

2 types of glands in the body

A

exocrine and endocrine

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8
Q

exocrine glands secrete

A

their products (enzymes) into ducts

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9
Q

endocrine glands secrete

A

hormones into the interstitial fluid surrounding the secretory cells, which then diffuse into capillaries; ductless

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10
Q

what are the endocrine system’s glands?

A

Pituitary, thyroid, parathyroid, adrenal, pineal

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11
Q

how are hormones
circulated through the body?

A

via the circulatory system, they regulate
and modify cell activity and metabolism

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12
Q

what do hormones only
affect?

A

specific target tissues.

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13
Q

what do target cells have?

A

specific receptors to which hormones bind

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14
Q

receptor molecules are
constantly being_________

A

synthesized and broken down

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15
Q

down regulation

A

may occur under conditions of high
hormone concentration and decreased
surface receptor molecules.

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16
Q

up regulation

A

may occur during conditions of low
hormone concentration and high surface
receptor molecules.

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17
Q

circulating hormones aka
endocrine are hormones that

A

travel in blood and act on
distant target cells

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18
Q

local hormones are hormones that

A

act locally without first
entering the blood stream.

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19
Q

2 types of local hormones

A

paracrine, autocrine

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20
Q

paracrin

A

local hormones that act on neighboring
cells

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21
Q

autocrin are

A

local hormones that act on the same cell
that secreted them

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22
Q

lipid soluble hormones include

A

steroids and thyroid hormones

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23
Q

water soluble hormones include

A

amines, peptides, and proteins

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24
Q

amines are

A

modified amino acids. have an NH3 group.
formed by removal of CO2

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25
steroids are made from
cholesterol
26
peptides and proteins are formed from
polypeptides
27
where do most water- soluble hormones circulate?
in the plasma, in a free, unattached form
28
to what do most lipid soluble hormones bind? what does it cause?
bind to transport proteins, which improves transportability in the blood. causes an impediment of passage through the kidney
29
typical mechanism of an amine is to use cyclic AMP as the 2nd messenger; what is the process?
alters the DNA, resulting in the formation of new proteins. causes a response typical of that hormone. steps: 1. hormone binds to receptor, forming a receptor hormone complex 2. an enzyme in the cell (adenylate cyclase) is activated by G-protein. G proteins are activated by the receptors that have bound to the hormones 3. adenylate cyclase converts ATP into cyclic AMP (second messenger) 4. cyclic AMP activates protein kinases (which modify metabolism of cell) 5. phosphorylation (kinase enzymes transfer a phosphate ion from side chain of 1 protein to another) 6. enzyme phosphodiesterase is an enzyme that quickly destroys cyclic AMP (effects of cyclic AMP are brief/alter activity in target cells
30
why do we need water soluble hormone binding?
without it, protein and peptide molecules can’t break through the cell membrane
31
what do water soluble hormones activate/ what does that initiate?
activates plasma membrane receptors, initiating a series of biochemical events within the target cell
32
what is the first messenger?
water-soluble hormone
33
what is the second messenger?
produced inside the cell because of the first messenger (hormone)
34
what does regulation of hormone secretion do?
normally maintains homeostasis and prevents overproduction or underproduction of a particular hormone
35
what is hormone secretion controlled by
signals from the nervous system, chemical changes in the blood, and other hormones
36
more hormones secreted, _____ effect on target hormone
greater
37
what 2 things does the secretion of hormones affect?
1. modifies target organ 2. endocrine gland that secreted it; inhibits further hormone production (feedback inhibition)
38
hypothalamus is
the major integrating link between the nervous and endocrine systems
39
what 2 glands regulated virtually all aspects of growth development, metabolism, and homeostasis?
hypothalamus and pituitary gland (hypophysis)
40
anatomy of pituitary gland
rests in the sphenoid bone on the hypophyseal fossa and is divided into two lobes; attaches to the brain by the infundibulum (aka hypophyseal stalk)
41
what is the anterior pituitary gland aka adenohypophysis supplied by?
the hypophyseal portal (branches of internal carotid) because it does not have a direct blood supply
42
what are the hormones of the anterior pituitary gland controlled by?
releasing or inhibiting hormones produced by the hypothalamus
43
hormones of the anterior pituitary gland
many are tropic hormones; has a target organ other than endocrine gland: human growth hormone (HGH) or somatotrophin (STH) Thyroid stimulating hormone (TSH) Follicle Stimulating Hormone (FSH) and luteinizing hormone (LH) Prolactin (PRL) Adrenocorticotrophic hormone (ACTH) and melanocyte-stimulating hormone (MSH)
44
HGH or somatotrophin is secreted by
somatotrophs
45
Thyroid stimulating hormone (TSH) is secreted by
thyrotrophs
46
Follicle Stimulating hormone (FSH) and luteinizing hormone (LH) are secreted by
gonadotrophs
47
Prolactin (PRL) secreted by
lactotrophs
48
Adrenocorticotrophic hormone (ACTH) and melanocyte-stimulating hormone (MSH) are secreted by
corticotrophs.
49
hypothalamic regulating hormones and feedback inhibition mechanisms regulates
the secretion (release) of anterior pituitary gland hormones
50
what is the secretion of HGH dependent upon?
hypothalamic releasing factors (GHRF, GHIRF)
51
HGH
stimulates general body growth and regulates various aspects of metabolism involving muscle, bone, adipose tissue (lipolysis - breaks down fat), and acts synergistically with insulin.
52
"synergistically"
combined effects of 2 agents are greater than 1
53
hypersecretion
too much
54
hyposecretion
too little
55
HGH hypersecretion
childhood: giantism adulthood: acromegaly
56
acromegaly
bones no longer grown in length - they thicken (esp. brow line, mandible) massive hands and feet. die young (heart/kidney failure)
57
HGH hyposecretion
pituitary dwarfism and hypoglycemia; slow growth rate; premature closure of epiphysis
58
Thyroid stimulating hormone
regulates synthesis and secretion of thyroid gland hormones
59
what is secretion of thyroid stimulating hormone controlled by?
TRH aka thyroid releasing hormone (thyrotrophin)
60
what happens to Thyroid releasing hormone factor at high hormone levels? low?
high - TRF inhibited low - TRF stimulated
61
TSH hypersecretion
hyperthyroidism
62
TSH hyposecretion
hyperthyroidism; thyroid gland atrophies
63
secretion of follicle stimulating hormone (FSH) is controlled by?
GnRF aka gonadotropin releasing factor
64
what does FSH stimulate in FSH
follicle (egg cell) production
65
what does FSH stimulate in men?
sperm cell production
66
Luteinizing Hormone (LH) secretion is controlled by?
GnRF aka gonadotropin releasing factors
67
what does LH stimulate in women?
2 sex hormones - progesterone and estrogen
68
what does LH stimulate in men?
secretion of testosterone in seminiferous tubes
69
Leydig cells
cells that produce testosterone
70
Prolactin (PRL) secretion is regulated by
PIF aka prolactin inhibiting factor
71
what does PRL stimulate?
when used with estrogen and progesterone, PRL initiates and maintains milk secretion
72
what does prolactin do in males?
increase the effects of LH
73
secretion of adrenocorticotrophic hormone (ACTH) is regulated by
CRF aka corticotroph releasing factor
74
what does ACTH control?
the production and secretion of hormones of the cortex and adrenal glands, namely glucocorticoids.
75
ACTH hypersecretion examples
Cushing's Disease; moon face, expressionless, Dowager’s hump
76
ACTH hyposecretion examples
Addison's disease; bronze skin
77
Melanocyte-stimulating hormone (MSH) secretion is regulated by
ACTH
78
what does MSH do?
increase melanin production in the skin; increase the number of melanocytes. if you inject MSH, causes intense darkening of skin
79
cells of the posterior pituitary gland
pituicytes.
80
do pituicytes synthesize hormones?
no
81
hypothalamohypophyseal tract
a neural connection between the hypothalamus and the neurohypophysis
82
what does the neural connection (hypothalamohypophyseal tract) resemble?
support cells of the nervous system; support axon terminals in gland
83
2 hormones made by hypothalamic nuclei and stored in the posterior pituitary gland
oxytocin, antidiuretic hormone
84
"Hypothalamic nuclei"
paraventricular and supra optic; collections of cell bodies; axons of these cell bodies terminate in posterior pituitary
85
oxytocin
stimulates contraction of the uterus and milk ejection from the mammary glands
86
hyposecretion of oxytocin effects
difficult labor; inability to nurse
87
antidiuretic hormone regulates
body water balance through its action on the kidneys
88
secretion of antidiuretic hormone regulated by
osmoreceptors
89
osmoreceptors
sense organs that detect solute concentration in body fluids
90
what does ADH cause? where does it come from?
decreased water excretion; comes from supraoptic
91
hypersecretion of antidiuretic hormone
high blood pressure (vasoconstricts blood vessels)
92
hyposecretion of antidiuretic hormone
diabetes insipidus - excretion of very dilute urine (15-20 L/day)
93
anatomy of larynx
located just below the larynx and has right and left lobes connected by the thyroid isthmus
94
what does the thyroid consist of?
thyroid follicles composed of follicular cells, which secrete 2 hormones (thyroxin [t4, tetraiodothyronine] which is most abundant, and t3 aka triiodothyronine (most active)
95
follicular cells
simple cuboidal
96
which hormone from the follicular cells is most abundant? most active?
abundant - t4 active - t3
97
how are thyroid hormones synthesized?
from iodine and the amino acid tyrosine within a glycoprotein called thyroglobulin and then t3 and t4 are transported in the blood by TBG (thyroxin binding globulin - plasma protein).
98
what does thyroglobulin represent?
inactive t3, t4
99
what can thyroid hormones regulate?
oxygen use and basal metabolic rate, cellular metabolism, and growth and development
100
hyposecretion of Thyroid hormone
in a fetus - can delay development in CNS, in children - mental retardation
101
what is thyroid hormone secreted by?
feedback inhibition involving the hypothalamus, the pituitary gland, and TSH
102
what role does TSH play in secretion of thyroid hormone
maintaining thyroid follicles which produce t3 and t4; stimulates follicles to take up iodine from blood and incorporate it into t3s and t4s. it also increases the size of the follicles
103
hypersecretion of thyroid hormone
hyperthyroidism (grave's disease) - tachycardia (100-160), heart failure, nervous excitability, elevated body temp, flushed moist skin, decrease tolerance to heat, increase tolerance to cold, hyperglycemia - can lead to thyroid storm
104
what happens to TSH with low levels of t3 and t4?
increases. and vice versa.
105
hyposecretion of thyroid gland
hypothyroidism infants and children: cretinism adults: myxedema (Gulls’ disease)
106
cretinism
slow mental/physical growth, dwarfism, bradycardia, mental retardation, low body temp, thick dry skin
107
myxedema
slow mental/physical growth, dwarfism, bradycardia, mental retardation, low body temp, thick dry skin and infertility, loss of body hair
108
4 reasons for hypothyroidism
1. failure of the hypothalamus to release TRF (thyroid releasing factors). 2. failure of pituitary gland to release TSH 3. failure of thyroid gland 4. deficiency in iodine
109
thyrocalcitonin
produced by cells lying outside the thyroid gland called C cells aka parafollicular cells
110
do you get a goiter with hypo or hyper?
both
111
what turns on thyrocalcitonin?
high blood calcium levels
112
what is thyrocalcitonin secretion regulated by?
calcium levels in the blood
113
what does thyrocalcitonin do?
promote uptake of calcium by bone tissue thus causing a decrease in blood calcium levels
114
where are the parathyroid glands?
embedded on the posterior surface of the thyroid
115
what cells are in the parathyroid gland?
principal cells aka parathormone aka chief cells, which produce parathyroid hormone
116
parathyroid hormone
regulated calcium homeostasis by increasing blood calcium levels through its effect on the kidneys, bone, and GI tract - opposite of thyrocalcitonin
117
when is parathyroid hormone activated?
when blood calcium levels drop. calcium is taken out of bone and put to blood (increased osteoclast activity)
118
what is secretion of parathyroid hormone regulated by?
feedback inhibition based on blood calcium levels
119
hypersecretion of parathyroid hormone
hyperparathyroidism: increase calcium levels causes decreased excitability of muscle and nerve tissue. muscle weakness, lethargy, fragile bones, kidney stones
120
hyposecretion of parathyroid hormone
hypoparathyroidism: decreased calcium levels, increase excitability to muscle and nerve tissue, muscle strength, no lethargy, strong bones, cramps, spasms, convulsions
121
where are the adrenal glands?
superior to the kidneys and have 2 layers - internal and external
122
external tissue of adrenal glands
adrenal cortex: divided into three zones that secrete different hormones chemically related to cholesterol and androgens (sex hormones); zona glomerulosa, zona fasciculata, zona reticularis
123
zona glomerulosa
outer zone. secretes mineralocorticoids. closest to capsule
124
zone fasciculata
middle zone. secrete glucocorticoids
125
zona reticularis
inner zone. secretes androgens
126
mineralocorticoids
decrease sodium and water excretion (increase retention) and increase potassium excretion (decrease retention) into the urine.
127
what is secretion of mineralocorticoids regulated by?
the renin angiotensin pathway
128
target organ for adrenal glands
kidney
129
renin-angiotensin pathway
angiotensinogen -->renin--.angiotensin I-- >angiotensin CE-->angiotensin II
130
angiotensin CE
converting enzyme secreted by type 1 alveolar cells
131
renin
secreted by kidney. converts angiotensinogen into angiotensin I
132
hypersecretion of mineralocorticoids
edema (increased ECF water) increased: blood volume, cardiac output, blood pressure. congestive heart failure
133
hyposecretion of mineralocorticoids
hypovolemia, shock, death; decreased in blood volume, cardiac output, blood pressure. shock (cause of death), sodium and ECF water lost
134
glucocorticoids; 4 actions on the body
1. gluconeogenesis and inhibition of protein synthesis 2. release of stored fat from adipose tissue 3. suppress immune system to reduce lymphocyte and antibody products 4. anti-inflammatory affect causes heat, redness swelling pain
135
what is secretion of glucocorticoids regulated by
feedback inhibition involving ACTH, cortisol, and CRH aka corticotropic releasing hormone
136
effect of glucocorticoid hypersecretion
Cushing's disease; suppressed immune system, loss of body protein/muscle, tumor of adrenal pituitary, atrophy, thin skin, hyperglycemia
137
effect of glucocorticoid hyposecretion
Addison’s disease; bronze skin, muscle weakness, GI disturbances, low BP, renal failure
138
adrenogenital syndrome
involves the adrenal cortex, gonads, and pituitary hypothalamus - the primary defect is the inability of the adrenal cortex to produce cortisol (inhibiting ACTH secretion); ACTH levels increase, gonadotropin production decreases and egg and sperm cells are not produced .. result -sterility
139
what effect do high levels of cortical androgens have on women?
masculinizing
140
adrenal medulla
consists of hormone producing cells called chromaffin cells which surround large blood, filled sinuses
141
what are medullary secretions of adrenal medulla? what response is it similar to?
epinephrine and norepinephrine; sympathetic
142
hypersecretion of adrenal medulla
pheochromocytoma (marked hypertension)
143
pancreas
a flattened organ located posterior and slightly inferior to the stomach
144
what is the pancreas classified as?
endocrine and exocrine gland; it secretes both hormones into the blood and digestive enzymes into the duct systems.
145
histology of endocrine portion of pancreas
consists of pancreatic islets or islets of Langerhans
146
4 types of cells in the islets of Langerhans
alpha cells, beta cells, delta cells, f cells
147
alpha cells
produce the hormone glucagon
148
beta cells
produce the hormone insulin
149
delta cells
produce somatostatin; inhibits growth hormone insulin release
150
f cells
produce pancreatic polypeptide
151
what does the exocrine portion consist of (pancreas)?
clusters of digestive enzyme-producing cells called pancreatic acini that empty into the duodenum of the small intestine through the duct of Wirsung
152
what is the secretion of insulin regulated by?
feedback inhibition
153
what does insulin regulate?
carbohydrate, protein, and fat metabolism mainly in muscle, adipose, and liver tissues
154
hypersecretion of insulin
hypoglycemia (glucose levels in the blood fall below 100 mgs/100 mls)
155
effect of hyposecretion of insulin
juvenile type I and adult-onset type II diabetes mellitus
156
juvenile type I diabetes
before age 30. rapid onset. no insulin production. auto immune. t-lymphocytes attack beta cells. genetic defect on chromosome 11. need insulin
157
adult-onset type II diabetes
middle age, FFF (fat female forty), make insulin but a decreased sensitization of insulin receptors. use diet and exercise may need some insulin help
158
ovaries
located in the pelvic cavity and produce sex hormones (estrogen and progesterone) related to development and maintenance of female sexual characteristics, reproductive cycle, pregnancy, lactation, and normal reproductive functions. they also produce inhibin and relaxin
159
testes
lie inside the scrotum and produce sex hormones (testosterone primarily) related to the development and maintenance of male sexual characteristics and normal reproductive functions. they also produce inhibin.
160
the thymus gland secretes several hormones related to ____
immunity
161
what promotes the proliferation and maturation of t lymphocytes (a WBC involved in immunity)?
thymosin, thymic humoral factor, thymic factor, and thymopoietin.