Lecture 11 Flashcards
(10 cards)
What are the non-classical endocrine glands?
Brain-especially hypothalamus
Kidney- renin, vitamin D, erythropoietin
Heart-ANP, BNP
Liver-IGF-I
GI-small intestine, stomach (serotonin, ghrelin)
Where is renin produced and what does it do?
glycoprotein produced in the juxtaglomerular cells of afferent arterioles
- important regulator of arteriolar diameter
- cleaves angiotensinogen to angiotensin 1 (precursor for angiotensin 2)
What does EPO do?
24 kDa protein made in the kidney; tyrosine-linked kinase receptor
-stimulates proerythroblasts and differentiation of RBCs (increases cell number)
What is EPO regulated by?
anemia thyroid hormone hypoxia norepinephrine androgens stimulate, estrogens inhibit
WHy is doping with EPO bad?
raising hematocrit too quickly=hypertension
-severe hypertension–> encephaly and seizure
Pure red cell aplasia-but now thought to be bud to injection prep not EPO
The heart makes ANP and BNP, what do they do?
released in response to high blood volume
1) decrease vascular smooth muscle tone
2) decrease peripheral resistance
3) increase capillary permeability
4) generates a significant increase in hematocrit!!!
ANP-atrial myocytes-respond to blood volume
BNP-Ventricular myocytes-respond to stretch
- both trigger through NPR receptor
- decrease in renin and ADH
Is ANP or BNP used as a diagnostic tool? Why?
BNP-longer half life
-normal levels can rule out congestive heart failure
higher levels with heart and renal failure
-lower levels with obesity, increase with age, higher levels in women
PCBs are environmental endocrine disruptors what do they do?
compete with thyroid hormone binding to transport protein in the blood
Result:
-increased breakdown of thyroid hormone
-compensatory excessive production by thyroid gland
-goiter (enlarged thyroid gland)
-also causes cancer, immune function suppression (atrophied thymus), reduced sperm count, neurological defects.
DES is an environmental endocrine disruptor what is it?
non-steroidal synthetic estrogen
DES daughters=40% increase in cervical/vaginal cancers
-also used to treat prostate cancer and livestock
Is there birth control in water? What other estrogenic compounds are in the water?
-synthetic estrogen EE2 is minimal or nonexistent in drinking water
Other estrogenic compounds:
- pesticides (atrazine)
- estrogen given to livestock
- industrial chemicals (bisphenol-A)