Endocrine System Flashcards

1
Q

What are the differences between endocrine and exocrine glands?

A

Exocrine - Body surface (gets put out into body surface)

Endocrine - Secrete’s hormones directly into blood vessel, into blood stream (hormones travel the blood to get to target)

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2
Q

What are the body’s endocrine glands?

A

PRIMARY:
Thyroid
Parathyroid
Anterior & Posterior pituitary gland (Master endocrine gland)
Adrenal Glands
Pancreas (dual)

SECONDARY:
Ovaries & Testies
Hypothalamus
Heart
Liver
Kidneys
Blood Vessels
Adipose Tissue
Pineal
Stomach and Small Intestine

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3
Q

Major classes of hormones

A

Amine Hormones: come from amino acids (small)
Thyroid hormones: Thyroxine, Triiodothyronine
Catecholamines: Norepinephrine, Epinephrine

Peptide Hormones: amino acid chains
ACTH (adrenocorticotropic hormone)
HGH (Human growth hormone)

Steroid Hormones: Made from cholesterol
Cortisol (stress)

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4
Q

How are peptide and protein hormones synthesized?

A

Preprohormone -> Prohormone -> Hormone

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5
Q

How are steroid hormones synthesized

A

Receive signal to make hormone -> Activates Proteins -> Takes cholesterol -> converts to Final Steroid hormone -> directly diffuses into blood stream (slips through membrane)

CAN NOT BE STORED

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6
Q

Examples of steroid hormones
(not as important, know how it all can be connected)

A

Cholesterol ->
Androgens (Masculine associated effects):
With Aromatase -> estrogens

Corticosterone & Cortisol: stress hormones

Aldosterone: Sodium regulation
Progesterone

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7
Q

Why and how are hormones removed from circulation?

A

To prevent oversignaling (like removing neurotransmitters)

Excretion by urine
Inactivated by metabolism
Activated by metabolism, binds to target cells -> More metabolism inactivates, excretion

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8
Q

How do different types of hormones have their effect on a target cell?

A

Nonsteroid hormone: second messenger

Steroid hormone: Changes gene transcription

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9
Q

Target specificity

A

Target cell: has the receptor for the hormone

Non-target cell: do not have the receptor

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10
Q

Target Sensitivity

A

Upregulation: Increase target sensitivity by putting more receptors

Downregulation: Decrease target sensitivity by decreasing # of receptors

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11
Q

Permissive Action

A

The impact one hormone has on another

Example: Thyroid hormone has permissive effect on epinephrine, allowing a large amount of fatty acids to be released in adipose cell.

How? Increase B adrenergic receptors.
Effect: Thyroid hormone -> Increase B adrenergic receptors -> Makes cell more sensitive to epinephrine

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12
Q

How do ions control hormone release?

A

Example: Increase in glucose causes increase in insulin.

so decrease in glucose decreases insulin

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13
Q

How do neurons control hormone secretion?

A

Central Nervous System:

Directly stimulates endocrine gland

Neuron releases hormone (tropic hormone) causes stimulation of gland

Neurohormone released directly by neuron (Neuron releases the hormone)

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14
Q

How do tropic hormones control hormone secretion?

A

Tropic hormone - Influences release of another hormone

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15
Q

Endocrine Disorders

A

2 basic categories of symptoms, caused by 3 different causes each

Too Much Hormone vs Too Little Hormone

Primary Hypersecretion, Primary Hyposecretion, Secondary Hypersecretion, Secondary Hyposecretion, Hyper Responsiveness, Hypo Responsiveness

LEARN HORMONE, TROPIC HORMONE, AND RECEPTORS INCREASING OR DECREASING

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16
Q

Hypothalamus & Posterior Pituitary relation

A

Hypothalamus (neural circuit) - involved in homeostasis.

Infundibulum (connecting spot) takes neurons and blood vessels from the brain to the pituitary

POSTERIOR PITUITARY : Neural tissue & blood vessels
Everything that happens from posterior pituitary is originating in the hypothalamus

17
Q

Functions of Posterior Pituitary Hormones

A

Oxytocin: Uterine muscles, mammary glands -> Reproductive Chapter

ADH (Antidiaretic hormone/Vasopressin) -> Blood pressure regulation -> Renal Chapter

18
Q

Hypothalamus & Anterior Pituitary

A

Infundibulum -> Median Eminence -> Dumps neurohormones (tropic hormones) into Hypothalamo-hypophyseal portal vessels -> Tropic hormones cause change in hormone secretion -> Release hormones into blood stream

19
Q

Anterior Pituitary Gland Hormones

A

Endorphins - Decrease pain perception
Prolactin - Prepare for lactation
Growth Hormone - Growth and Development
FSH and LH (Gonadotropins) - Produce sperm & ova
ACTH (adrenocorticotropic hormone) - Stress response
TSH (Thyroid stimulating hormone) - Increase thyroid hormone

20
Q

Hormones and what they cause

A

CRH -> ACTH
TRH -> TSH
GHRH -> GH
GnRH -> LH and FSH
SST -> Inhibits GH
Dopamine -> Inhibits Prolactin
Prolactin -> Inhibits FSH and LH, and GnRH

21
Q

How is Hormone release by hypothalamus and anterior pituitary gland controlled?

A

Stimulus (stress) -> CRH -> hypothalamo-hypophyseal portal vessels -> ACTH -> throughout the body (general circulation) -> Cortisol (prevents hypersecretion) -> Targets cells for stress response

22
Q

What are the pathways controlling release of growth hormones

A

Stimulus -> Hypothalamus (GHRH secretion, and decrease in somatostatin) -> Hypothalamo-hypophyseal portal vessels -> Anterior pituitary (increase GH secretion) -> General circulation -> Liver and other cells (increase in insulin like growth factor) -> Increase growth -> Increase bone length and increase protein synthesis

23
Q

Feedback loop for growth hormone

A

Insulin like growth factor - 1: stimulates GHRH, stimulates SST
GHRH stimulates GH
SST inhibits GH
GH simulates Insulin like growth factor - 1

24
Q

Abnormal growth hormone secretion

A

DURING CHILDHOOD ADOLESCENCE
Too little GH - Pituitary Dwarfism
Too much GH - Pituitary Gigantism
DURING ADULTHOOD
Acromegaly - Too much GH causes face to thicken, bones in face and hands and feet grow.

25
Other hormones affecting growth
Postnatal: Growth Hormone - Stimulates liver to secrete IGF - 1, stimulates protein synthesis Prenatal: Insulin - Fetal growth, little bit of postnatal growth Thyroid hormone - Increase GH receptors (permissive action) Testosterone, Estrogen - Puberty growth, stimulates secretion of GH, causes a burst of growth, then a cessation of growth Cortisol - Inhibits growth, stimulates protein catabolism (breaking down) allows us to regulate growth speed
26
Location and structure of the thyroid gland
Follicular cells - thyroid hormone Follicle Lumen - colloid, protein rich tyrosine Thyroid follicle - made up of follicular cells and follicle lumen Parafollicular cells - c cells - make calcitonin
27
How are thyroid hormones synthesized?
1. Iodide is cotransported with Na+ 2. Diffusion through the follicle cell into the lumen (colloid) 3. Iodide attaches to the ring in tyrosine (Thyroglobulin) 4. The iodinated ring is added to another ring. (T3, or T4) 5. Endocytosis of thyroglobulin containing T3 and T4 molecules 6. Lysosome added, releasing T3 and T4 7. T3 and T4 secretion (diffuses lipophylic) T3 form is more active T4 form is less active Thyroid hormone cant be stored
28
Thyroid Process how is it controlled
Hypothalamus -> Hypothalamo - hypophyseal portal vessels -> Anterior Pituitary (TSH secretion)-> general circulation -> Increase thyroid hormone secretion -> General circulation -> Target cells cell response
29
What are the effects of Thyroid hormone
Increased metabolism Increase IGF - 1 & protein synthesis Increase dendrite and axon growth & synapse formation Increased catecholamine effect Increase in B adrenergic receptors (epinephrine)
30
What are the symptoms of Hypothyroidism
Decreased Metabolic rate Decreased catacholamine effects Myxedema - build up of glycosaminoglycons in the interstitual fluid Goiter - enlarged thyroid gland - Primary hyposecretion
31
Hyperthyroidism
Increased metabolic rate Increased appetite Increased catecholamine effect Decrease in free testosterone Myxedema - prolonged hyperthyroidism Goiter - overstimulating and overproducing
32
What hormones do the medulla and cortex of the adrenal glands secrete?
Medulla -> Epinephrine and Norepinephrine Cortex -> 3 layers, each produce different hormones Aldosterone (blood Na control) Cortisol & small amount of androgens Androgens & small amount of cortisol
33
What is the HPA axis and how does it help the body deal with stress?
HPA axis - Hypothalamic Pituitary Adrenal axis Permissive effect on catecholamines Inhibits inflammation and specific immunity Permissive effect on growth hormone Inhibits non essential functions
34
How does negative feedback control activity of the HPA axis?
Hypothalamus (increase CRH secretion) -> Hypothalamo - hypophyseal portal vessels -> Anterior pituitary (increase ACTH secretion) -> general circulation -> Adrenal cortex (increase cortisol secretion) -> General circulation -> Response to increase cortisol. Increase cortisol causes negative feedback for ACTH and CRH secretion.
35
What are the symptoms of insufficient cortisol production
Less sensitive to epinephrine Decrease Liver function Weakness Weight loss Addisons disease (bronze pigmentation and changes in body hair)
36
What are the symptoms of excess cortisol production
Decreases immune system Decreased catecholamine permissive effect Inhibition of nonessential functions Increase energy mobilization and disregulation in fat storage Increase androgens Cushings disease (tumor)
37