Introduction to the Endocrine System and Appetite Flashcards

(27 cards)

1
Q

Where is the hormone melatonin produced?

A

Pineal Gland

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2
Q

Fraction of body fluid as intracellular fluid

A

2/3

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3
Q

Fraction of body fluid as extracellular fluid

A

1/3

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4
Q

Where is the osmotic pressure of blood plasma monitored?

A

In the hypothalamus by osmoreceptors

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5
Q

Osmolarity

A

The number of osmoles per litre of solution (volume)

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6
Q

Osmolality

A

The number of osmoles per kilogram of solution (mass)

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7
Q

Osmole

A

The amount of substance that dissociates in solution to form one mole of osmotically active particles

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8
Q

When is serum osmolality useful?

A

When investigating hyponatraemia

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9
Q

What is ADH and where is it secreted from?

A

Antidiuretic Hormone

Posterior Pituitary

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10
Q

The major endocrine glands (10)

A
Hypothalamus
Pituitary
Pineal
Thyroid
Parathyroid
Thymus
Adrenal
Pancreas
Ovary
Testis
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11
Q

Which other organs and tissues release hormones and what are those hormones?

A
Heart - ANP & BNP
Liver
Stomach - Gastrin, Ghrelin
Placenta
Adipose - Leptin
Kidney - Erythropoietin, Renin, Calcitriol
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12
Q

Mechanisms of hormones

A

Autocrine
Paracrine
Endocrine
Neurocrine

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13
Q

Classifications of hormones (4)

A

Peptide - Insulin, GH (water soluble)
Amino acid derivatives - adrenaline, noradrenaline, thyrid hormones (adrenal medulla water soluble, thyroid lipid soluble)
Glycoproteins - LH, FSH, TSH (water soluble)
Steroids - all derived from cholesterol, cortisol, aldosterone (lipid soluble)

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14
Q

Roles of carrier proteins

A
  • Increase solubility of hormone in plasma
  • Increase half life
  • Readily accessible reserve
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15
Q

What do water soluble and lipid soluble hormones bind to?

A

Water soluble - cell surface receptors

Lipid soluble - intracellular receptors

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16
Q

Tyrosine Kinase Receptor process

A
  • Dimerisation (except insulin receptor which is already dimerised)
  • Autophosphorylation of specific tyrosines
  • Recruitment of adaptor proteins and signalling complex
  • Activation of protein kinase
  • Phosphorylation of target proteins
  • Cellular response
17
Q

Types of lipid binding

A

Type I - Cytoplasmic receptor binds hormone and receptor hormone complex enters nucleus and binds to DNA
Type II - Hormone enters nucleus and binds to prebound receptor on DNA e.g. thyroid hormone. Binding relieves repression of gene transctiption

18
Q

What does the receptor bind to in lipid soluble hormones?

A

Specific DNA sequence called a hormone response element (HRE) in promoter region of specific gene

19
Q

BMI in obese

20
Q

Where is the appetite control centre?

A

Hypothalamus, contains several clusters of neurones referred to as nuclei

21
Q

Which nucleus plays a central role in controlling appetite?

A

Acuate nucleus

22
Q

Two types of primary neurones in the acuate nucleus

A

stimulatory - contain peptide Y (NPY) and Agouti-related peptide (AgRP)
Inhibitory - contain pro-opiomelanocortin (POMC) which yields several neurotransmitters including a-MSH and B-endorphin

23
Q

Ghrelin

A

Released from stomach wall when empty

Stimulates excitatory primary neurones in arcuate nucleus

24
Q

PYY

A

Peptide tyrosine tyrosine
Released by cells in the ileum and colon in response to feeding
Inhibitits excitatory primary neurones of the arcuate nucleus and stimulates inhibitory neurones

25
Leptin
Released into blood by adipocytes - Stimulates inhibitory (POMC) neurones - Inhibits excitatory (AgRP/NPY0 neurones Induces expression of ucoupling proteins in mitochondria, energy dissipated as heat
26
Insulin
Stimulates appetite by similar mechanism as leptin, less important than leptin in this respect
27
Amylin
Secreted by beta cells in pancreas Supresses appetite Decreases glucagon secretion and slows gastric emptying Pramlintide is an amylin analogue approved for treatment of Type 2 diabetes