Introduction Flashcards

1
Q

Describe the general pathway for anterior pituitary secretions.

A

Hypothalamus –> ant. pituitary –> peripheral endocrine gland –> release of third hormone

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2
Q

Describe the general pathway for posterior pituitary secretions.

A

Hormones synthesized in neuronal cell bodies in hypothalamus –> released via synapses in posterior pituitary (oxytocin and ADH)

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3
Q

4 structural groups of hormones:

A
  • peptides/proteins
  • amino acid derivatives
  • steroids
  • fatty acid derivatives (eicosanoids)
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4
Q

Peptide/protein hormones are _____ soluble and are often _______ to achieve an active form.

A

water; proteolytically cleaved

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5
Q

Describe the general pathway for peptide/protein hormone formation.

A

Gene –> mRNA –> preprohormone –> glycosylation in ER –> prohormone (in Golgi) –> secretory vessels (often in active form; other times remains a prohormone, like angiotensin)

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6
Q

What are the 2 groups of hormones derived from tyrosine?

A

Thyroid hormones and catecholamines

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7
Q

Describe thyroid hormones.

A
  • “double” tyrosine with 3/4 iodines
  • produced by thyroid gland
  • lipid soluble
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8
Q

Describe catecholamines (epinephrine and norepinephrine)

A
  • neurohormones/transmitters
  • produced in adrenal medulla
  • water soluble (secreted like peptide hormones)
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9
Q

Besides tyrosine, what are two other amino acids used for hormone synthesis? What do they make?

A

Tryptophan
- serotonin, melatonin
Glutamic acid
- histamine

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10
Q

Steroid hormones are derived from _____ and are ______ soluble.

A

cholesterol in the mitochondria and ER; lipid

No packaging; synthesized and immediately released. Require a globulin carrier in the blood.

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11
Q

List the types of steroid hormones.

A
  • Glucocorticoids (cortisol)
  • Mineralocorticoids (aldosterone)
  • Androgens, estrogens, progestogens (testosterone, estradiol and estrone, progesterone)

Sugar, salt, sex

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12
Q

What is an example of a steroid secreted by one cell and converted to the active steroid by the target cell?

A

Androgen secreted by gonad and converted to estrogen in the brain.

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13
Q

What is the rate-limiting step of steroid hormone synthesis?

A

Transport of free cholesterol from cytoplasm into mitochondria; done by StAR (steroidogenic actue regulatory protein)

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14
Q

Cholesterol precursor comes from…

A
  • acetate (synthesis in cell)
  • cholesterol ester stores in intracellular lipid droplets
  • uptake of cholesterol-containing LDLs
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15
Q

What is a “vitamin” derived from cholesterol?

A

1,25-Dihydroxy Vitamin D3

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16
Q

What are eicosanoids? What are they derived from?

A

Prostaglandins, prostacyclins, leukotrienes, thromboxanes

Arachidonic acid; these hormones active for a very short time

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17
Q

What are the features of the stimulus response system?

A
  • Receipt of stimulus
  • Synthesis and secretion of hormone
  • Delivery of hormone to target cell
  • Evoking target cell response
  • Degradation of hormone
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18
Q

What 3 factors affect hormone concentration?

A
  • Rate of production
  • Rate of delivery
  • Rate of degradation and elimination
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19
Q

What is neural control?

A

Neural input to hypothalamus stimulates releasing factors to stimulates pituitary

20
Q

What is chronotropic control?

A

Endogenous neuronal rhythmicity

- diurnal, circadian (GH/cortisol), sleep-wake cycle, seasonal

21
Q

What is a circhoral rhythm?

A

Release every house

22
Q

What is an ultraradian rhythm?

A

Release > 1 hr but

23
Q

What is a circadian rhythem?

A

Release every 24 hrs

24
Q

GnRH is pulsatile. Given once hourly, ________. Given more slowly, _______. Given constantly, ________.

A

Normal gonadotropin secretion
Won’t maintain gonad function
Inhibits gonadotropin secretion, blocks gonadal steroid production (prostate cancer treatment)

25
Long-acting GnRH analogs (leuproline) can treat...
- precocious puberty - manipulate reproductive cycles - treatment of endometriosis, PCOS, uterine leiomyoma
26
What is a negative feedback example?
LH from pituitary stimulates testosterone, which inhibits LH
27
What is a positive feedback example? (rarer)
LH stimulation of estrogen, which stimulates LH surge at ovulation
28
What is an example of substrate-hormone control?
As glucose increases, it stimulates the pancreas to secrete insulin.
29
What are the water and lipid soluble hormones?
Water: catecholamines, peptide/protein hormones Lipid: thyroid hormone, steroid hormones, Vitamin D3
30
Describe water soluble hormone receptors.
Surface of target cell, second messenger system
31
Describe lipid soluble hormone receptors.
Nucleus of cell (sometimes cytoplasm) - hormones can diffuse into the cell
32
What are some second messenger systems?
- Adenylate cyclase (cAMP) - Guanylate cyclase (cGMP) - Calcium and calmodulin; phospholipase C (DAG and IP3)
33
Signal transduction mechanisms: Activation of adenylate cyclase affects...
beta-adrenergic, LH, FSH, TSH, hCG, glucagon, vasopressin-V2, ACTH
34
Signal transduction mechanisms: Inhibition of adenylate cyclase affects...
alpha2-adrenergic, opioid, muscarinic cholinergic-M2
35
Signal transduction mechanisms: Increased phosphoinositide turnover affects...
alpha1-adrenergic, angiotensin II, muscarinic cholinergic-M3, vasopressin-V1
36
Signal transduction mechanisms: Tyrosine kinase activation affects...
insulin, growth factors, GH, prolactin
37
Why are responses evoked by lipid soluble hormones usually slow?
Involves transcription/translation. Receptor-hormone complex binds to response element (specific DNA sequence) to make desired mRNA
38
What is homologous desensitization?
Hormonally-induced negative regulation of receptors - protects from toxic effects of hormone excess
39
What is heterologous desensitization?
Occurs when exposure of the cell to one agonist reduces the responsiveness of the cell to another agonist that acts via a different receptor. - most commonly in adenylate cyclase system
40
Mechanisms of endocrine disease: What is deficiency?
Due to destructive process occurring at gland where hormone is produced (infection, infarction, physical compression by tumor) - Type 1 diabetes (beta-cells) OR Genetic defects in production (gene deletion/mutation, failure to cleave precursor, enzymatic defect) - Congenital Adrenal Hyperplasia
41
Deficiency can also arise from...
Genetic defects in production (gene deletion/mutation, failure to cleave precursor, enzymatic defect) - Congenital Adrenal Hyperplasia
42
A third type of deficiency is caused by...
Inactivating mutations of receptors - Testicular Feminization Syndrome
43
Mechanisms of endocrine disease: What is excess?
Overproduction by gland or by a tissue that is not an endocrine organ; unregulated - Cushing's Syndrome (cortisol)
44
Another type of excess can be caused by... (an example is anabolic steroid usage)
Exogenous ingestion
45
________ of cell surface receptors can cause aberrant stimulation of endocrine gland
Activating mutations McCune-Albright Syndrome
46
What causes Grave's Disease?
Anti-receptor antibodies stimulate the receptor (instead of block it) - hyperthyroidism
47
Alterations in the receptor number can also cause endocrine disorders; an aberrant ______ in hormone level can ______ available receptors
increase; decrease Type II diabetes