Introduction To Endocrinology Flashcards

1
Q

What is a paracrine hormone

A

Local chemical messenger distributed via simple diffusion not blood stream
Travel short distances only
Example histamine

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2
Q

What is neurotransmitter secretion

A

From nerve terminals rely on diffusion in response to electrical signal before act on target which is usually another neurone via synaptic cleft

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3
Q

What is hormonal secretion

A

Long range sec from gland into blood to the target cell need specific receptor in order to illicit a cellular response

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4
Q

What is neurohormone secretion

A

ADH syn in nerve cells and released from terminal in response to action potential with release of ADH in blood to target tissue

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5
Q

What are some functions of the endocrine system

A

Regulating the metabolism, water and electrolyte balance
Regulate nutrient supply insulin glucagon
Inducing adaptive changes to help the body cope with stressful situations adrenaline and cortisol
Promoting smooth and sequential growth and development form action of growth hormone
Controlling sexual differentiation and reproduction
Regulating RBC production
Controlling and integrating activities of both the circulatory and digestive systems

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6
Q

What are the complex factors of the endocrine system

A

A single endocrine gland may produce multiple hormones

A single hormone may be secreted form more than one gland

A single hormone has more than one type of target cell and therefore can induce more than one type of effect

Rate of secretion of some hormones can vary over time in cyclic pattern

A single target cell can be influenced by more than one type of hormone

The same chemical messenger may be either a hormone or neurotransmitter

Some organs are exclusively endocrine in function whereas some organs exhibit non endocrine functions also

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7
Q

How many hormones does the anterior pituitary produce

A

6

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8
Q

What cells produce somatostatin

A

D cells in the pancreas

Also

Neurones of hypothalamus

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9
Q

What does vasopressin do roughly

A

Increase renal rubble permeability of water

Also

Arteriolar vasoconstrictor

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10
Q

What is an example of the rate of secretion of some hormones can vary over time in cyclic pattern

A

Menstrual cycle

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11
Q

Give an example of an endocrine organ which has non endocrine qualities also

A

Testes
Testosterone etc
Sperm production

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12
Q

What is a tropic nourishing hormone

A

A hormone which has its primary function to regulate the secretion of another hormone form a different endocrine gland

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13
Q

What does a tropic hormone do

A

Stimulate and maintain their endocrine target tissue
Eg

TSH
Into blood to thyroid gland to release thyroid hormones but receptors on the gland which maintain tissue if TSH absent gland should shrink

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14
Q

What are some hydrophillic hormones

A

Hydrophillic - water loving low lipid sol
Catecholamines
Indoleamines

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15
Q

What are catecholamines

A

Derived form amino acid tyrosine
Adrenaline
Prod in adrenal medulla

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16
Q

What are indoleamines

A

Derived form amino acid tyroptohan
Melatonin
Prod by pineal gland

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17
Q

What are some lipophilic hormones

A

Lipid loving poorly sol in water
Thyroid hormone
Sex hormones

18
Q

What are thyroid hormones

A

Amines derived from tyrosine add iodine - iodinated tyrosine derivative

19
Q

What are steroid hormones

A

Derived from cholesterol
Sex hormones
Aldosterone

20
Q

What does the solubility properties of a hormone determine

A

1) how hormone is processed (syn and sec) by the endocrine cell
2) how hormone is transported in blood (hydrophillic vs lipophilic)
3) how hormone exerts its effects at the target cell (hydrophilic can’t diffuse across PM where as lipophilic can)

21
Q

What is the processing of hydrophilic peptide hormones (long answer)

A

1) large inactive precursor protein (preprohormone) are syn by ribosomes on RER
2) they then migrate to the golgi complex in transport vesicles form smooth ER
3) enzymes in the ER cleave the preprohormone to active hormones
4) the golgi complex packages the finished hormones into secretory vesicles that pinch off and store in the cytoplasm til a signal triggers for secretion
5) on stimulation the secretory vesciles fuse with PM and release contents by exocytosis

22
Q

What is a common precursor for steroid hormones

A

Cholesterol

23
Q

Are steroid hormones stored

A

No only the precursor cholesterol is

24
Q

How are peptide hormones transported in the blood

A

As they are hydrophilic they are transported simpler diffused in blood

25
Q

How are steroid hormones and thyroid hormone transported in the blood

A

Reversible bind to plasma proteins

Some plasma proteins are specific while others may carry more than 1 hormone - albumin

26
Q

What lipophilic hormone is bio active

A

Only freely dissolved unbound

27
Q

Where are the hormonal receptors for hydrophilic and lipophilic hormones

A

Hydrophilic - sp receptors on the outer PM

Lipophilic - bind with specific receptors located inside the target cell nucleus maybe

28
Q

What are the two ways a hormone can alter the cells protein

A

1) surface Binding hydrophilic hormones function largely by activating 2nd messenger pathways within the cell by using a preexisting intracellular protein
2) lipophilic hormones function mainly by activating specific genes in the target cell to cause formation of new intracellular proteins enzymatic or structural

29
Q

What su the effective plasma concentration dependant on

A

Hormones rate of secretion into the blood by the endocrine gland

For a few hormones its rate of metabolic activation or conversion

For lipophilic hormones its extent of binding to plasma proteins

It’s rate of removal form the blood by metabolic inactivation and excretion of urine

30
Q

How is the effective plasma concentration usually regulated

A

By changes in the rate of its secretion

31
Q

Do endocrine glands secrete at a constant rate

A

No secretion varies and is subject to control

32
Q

What are some general mechanisms controlling secretion

A

Negative feedback

Neuroendocrine

Diurnal rhythm

33
Q

What is an example of negative feedback

A

Control of free thyroid hormone circulating

34
Q

What is an example of a neuroendocrine reflex

A

Increased sec of cortisol during stress

35
Q

What is diurnal rhythm

A

Sleep/wake pattern

Cortisol greatest at morning and decreases throughout the day

36
Q

What do endocrine disorders commonly arise form

A

Abnormal plasma concentrations of a hormone caused by inappropriate rates of secretion - too little/much

37
Q

What occasionally causes an endocrine function

A

The sensitively of the target even if cooks Aconcagua of the hormone is normal

38
Q

What is hypo secretion

A

Primary - abnormality in gland - factors such as disease, dietary, chemical, toxic, idiopathic ( spontaneous disease) , iatrogenic (disease form medical examination)

Secondary - endocrine gland is normal but is secreting too little as an issue with tropic enzyme

39
Q

What is a treatmeant for hyposeceretion

A

Replacement therapy

40
Q

What is hypersecrtion

A

Primary - defect in gland
Secondary - excessive stimulation form outside

Causes - tumour, immunological facctors( antibody mimic)

Treatment - removal of tumour or drugs to block Acton of hormone

41
Q

What are the two body systems that have evolved which overlap and integrate at many levels

A

The nervous system rapid very precise interaction with the external environment

The endocrine system require duration rather than speed