Introduction to Endocrine Physiology Flashcards

(58 cards)

1
Q

The classical definition of a hormone defines one as a chemical messenger from an endocrine gland into the bloodstream and acts on a distant tissue. How does this differ from the modern definition of hormone?

A

The modern definition defines a hormone as any substance released from a cell that acts on another cell, near or far, regardless of the singularity or ubiquity of the source and regardless of the means of conveyance

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2
Q

Define autocrine action. Example?

A

Secreting cell and target cell are the same

Ex: prostaglandins

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3
Q

Define paracrine action. Example?

A

A hormone is secreted into extracellular space and targets cells in the surrounding area; diffuse short distances

Ex: Somatostatin

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4
Q

Define endocrine action. Example?

A

A hormone is secreted by specialized endocrine glands/cells directly into the blood; travel long distances

Ex: thyroxine

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5
Q

Define neural action. Example?

A

A product of a neuron that is secreted into synaptic spaces; travel short distances

Ex: Acetylcholine & Norepinephrine

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6
Q

Define neuro-endocrine action. Example?

A

A product of a neuron that is released into the blood

Ex: Oxytocin

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7
Q

What six hormones does the anterior pituitary secrete?

A

Follicle-stimulating hormone (FSH)

Leutinizing hormone (LH)

Adrenocorticotropic hormone (ACTH)

Thyroid-stimulating hormone (TSH)

Prolactin (PRL)

Growth hormone (GH)

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8
Q

Somatostatin is secreted from what two locations?

A

Hypothalamus

Pancreas

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9
Q

What two receptors are responsible for modulating the secretion of antidiuretic hormone (ADH)? What do they respond to?

A

Stretch receptors signal ADH secretion at low atrial pressures (hypovolemia)

Osmoreceptors signal ADH secretion when ECF osmolarity increases (dehydration)

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10
Q

What five hormones function to increase plasma glucose?

A

Growth hormone

Norepinephrine

Epinephrine

Cortisol

Glucagon

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11
Q

When is norepinephrine considered a hormone and when is it considered a neurotransmitter?

A

Hormone: when secreted by the adrenal medulla

Neurotransmitter: when released by sympathetic postganglionic neurons

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12
Q

What are the four types of hormones? Which ones are hydrophilic and which ones are hydrophobic?

A

Peptide and protein hormones (Hydrophilic)

Amino acid derivatives (Hydrophilic)

Steroid hormones (Hydrophobic)

Fatty Acid derivatives (Hydrophobic)

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13
Q

Where are peptide hormones produced? Where are their receptors typically located?

A

Produced by the pituitary gland as releasing factors (except insulin)

Act on receptors on cell surfaces of peripheral endocrine glands

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14
Q

What are the “pre” and “pro” segments of a preprohormone? What are their functions?

A

Pre: signaling peptide sequence; bind to signal recognition complex to pause translation until docked on the ER

Pro: Intervening peptide; holds the final product in the proper orientation; keeps hormone inactive until it is cleaved

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15
Q

What is the “C-Peptide”? What is its clinical significance?

A

“Pro” segment of pro-insulin

Unknown physiological function

Marker of insulin levels (used to diagnose diabetes)

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16
Q

How are peptide hormones stored and transported?

A

Secretory vescicles

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17
Q

Which hormone type requires use of a secondary messenger? Why?

A

Peptide/protein hormones

Receptors are located the cell surface; cannot freely diffuse through the cell membrane

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18
Q

True or false: protein/peptide hormones can be administered orally.

A

False. They will degrade in the stomach.

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19
Q

What hormones are derivatives of tyrosine?

A

Thyroid hormones

Catecholamines

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20
Q

Where are catecholamines synthesized within the cell (2)? What tissues synthesize them?

A

Synthesized in the cytosol in:

Adrenal medulla

Post-ganglionic fibers of the sympathetic nervous system

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21
Q

In the synthesis of catecholamines, what reaction does tyrosine hydroxylase catalyze?

A

Tyrosine –> DOPA

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22
Q

In the synthesis of catecholamines, what reaction does DOPA decarboxylase catalyze?

A

DOPA –> Dopamine

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23
Q

In the synthesis of catecholamines, what reaction does Dopamine β-hydroxylase catalyze?

A

Dopamine –> Norepinephrine

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24
Q

In the synthesis of catecholamines, what reaction does PNMT catalyze?

A

Norepinephrine –> Epinephrine

25
What is the rate-limiting step of steroid hormone synthesis? Where does it occur in the cell? What enzyme catalyzes this step?
Cholesterol --\> Pregnenolone occurs in the mitochondria side-chain cleavage enzyme (desmolase)
26
What are the three major types of steroid hormones?
Corticosteroids Sex hormones Vitamin D
27
What are the two subtypes of corticosteroids? Examples?
Glucocorticoids (ex: cortisol) Mineralcorticoids (ex: aldosterone)
28
Where are corticosteroids synthesized?
Adrenal cortex
29
How are steroid hormones transported?
Synthesized and immediately diffuses through the cell membrane Bound to albumin or a specific binding globulin for transport through the blood
30
Where are receptors for steroid hormones located?
Intracellularly
31
True or false: steroid hormones can be administered orally.
True
32
Aside from peptide and protein hormones, what specific hormones also have cell surface receptors? (2)
Triiodothyronine (T3) Thyroxine (T4)
33
CYP11A1 is what enzyme? What reaction does it catalyze?
**Side-chain cleavage enzyme (desmolase)** catalyzes the first reaction in steroidogenesis: cholesterol --\> pregnenolone
34
CYP17 is what enzyme? What reactions does it catalyze? (3)
**17 alpha-hydroxylase** Pregnenolone --\> 17α-OH pregnenolone Progesterone --\> 17α-OH progesterone cleavage of C17,20 bonds to yield DHEA or androstenedione
35
CYP21A2 is what enzyme?
21-hydroxylase
36
CYP19 is what enzyme? What reaction does it catalyze?
**Aromatase** Testosterone --\> estradiol
37
Steroid hormones are synthesized from the enzymatic modification of what molecule?
cyclopentanoperhydrophenanthrene (CHL)
38
How are steroid hormones transported?
Immediately released from the cell after synthesis Circulates protein-bound in blood Interacts with cytoplasmic or nuclear receptors (activate DNA for protein synthesis)
39
The physiologic effects of hormones depend on?
Concentration in blood
40
The concentration of hormone as seen by target cells is determined by what three factors? Which is the most highly regulated (\*)?
\*Rate of production Rate of delivery Rate of degradation and elimination
41
How is the rate of production and secretion of hormones mediated? (3)
Neuroendocrine reflexes Circadian rhythms Positive and negative feedback
42
What is the main determinant of the rate of delivery of hormones?
**Blood flow to a target organ** High blood flow delivers more hormone
43
True or false: rate of degradation (liver) and elimination (kidney) is normally meant to fluctuate.
False: any changes in rate of degradation and/or elimination are bad
44
What are the three types of stimuli that control rate of production of hormones?
**Humoral**: pertaining to ECF, blood, or lymph **Neural**: direct stimulation of glands by the nervous system **Hormonal**: hormone is released in response to another
45
T4 levels are _______ in the winter and _______ in the summer.
Increased in the winter Decreased in the summer
46
What time of the day does cortisol concentration peak?
At the beginning of the light cycle
47
What is the pacemaker for most circadian rhythms? Where is it located?
**Suprachiasmatic nucleus** located in the hypothalamus, superior to the optic chiasma
48
What are some examples of positive feedback?
Opening of Na+ channels during depolarization Ovulation (progesterone) Birth (oxytocin)
49
What is the HPA axis?
**Hypothalamic-pituitary-adrenal axis** Negative feedback loop between the hypothalamus, anterior pituitary, and the adrenal cortex that controls the secretion of CRH, ACTH, and cortisol
50
How do binding proteins affect half-life of hormones?
Prevent hormones from being degraded, metabolized, or bound to a receptor
51
Which thyroid hormone (T3 and T4) has a greater affinity for its binding protein and which has a greater affinity for its receptor? What are their half-lives?
T4: binding protein (6-7 day half-life) T3: receptor (18 hour half-life)
52
What is half-life?
The amount of time required to reduce the amount of a hormone to 1/2 of the original amount
53
What are the three characteristics of receptors?
**Specificity**: receptor can bind a given hormone (+ agonists & antagonists) but not others **Affinity**: how well the receptor binds to the hormone (affected by receptor conformation) **Density**: changing the number of receptors on the cell surface
54
Define permissiveness. Example?
One hormone must be present in adequate amounts for the full effect of another hormone Ex: thyroid hormone increases epinephrine receptors
55
Define synergism. Example?
The combined effect of several hormones is greater than the sum of their separate effects Ex: counterregulatory hormones on blood glucose
56
Define antagonism. Example?
One hormone causes the loss of another hormone's receptors Ex: Progesterone causes loss of estrogen receptors on uterine smooth muscle (decreases uterine contractions)
57
Hormone-producing cells in tumors usually do not respond to negative feedback except for \_\_\_\_\_
tumors of the pituitary gland
58
What is the difference between functional and nonfunctional endocrine tumors?
Nonfunctional: do not secrete hormone (~25% of endocrine tumors) Functional: secrete hormones and are named after hormones they secrete (ex: insulinomas secrete insulin)