Lecture 33 - Endocrine 3 Flashcards

(40 cards)

1
Q

what is the collective name for the hormones dopamine, adrenaline and noradrenaline?

A

catecholamines

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2
Q

which nucleus of the hypothalamus is at the bottom nearest to the pituitary?

A

the arcuate nucleus

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3
Q

what is the full name of the vascular system linking the hypothalamus to the pituitary?

A

hypothalamus pituitary portal circulation

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4
Q

which endocrine organ is directly linked to the sympathetic nervous system?

A

the adrenal glands
- nerve stimulation the response is quicker
- blood hormone transport gives a slower, more sustained response

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5
Q

true or false, the thyroid gland is highly vascularised

A

true
- they sense the blood and release hormones into the blood

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6
Q

what are thyroid follicles?

A

sac made of cells that is filled with colloid
- peroxidase enzymes fill follicle (lots of oxidation) which allows a colloid iodine to be added to a tyrosine to turn it into thyroxine (T4) or triiodothyronine (T3)

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7
Q

why do we have thyroid follicles?

A

so the peroxidase enzymes are kept separate from the blood and the rest of the body

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8
Q

what does the thyroid do?

A

control of metabolism and body temperature

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9
Q

describe how T3 and T4 is synthesised

A
  1. follicular cell synthesises enzymes and thyroglobulin for the colloid
  2. Na+ and I- is brought into the follicular cell and through into the colloid
  3. enzymes add I- to tyrosines in thyroglobulin, making T3 and T4
  4. thyroglobulin is taken back into the cell
  5. intracellular enzymes separate T3 and T4 from the protein
  6. free T3 and T4 enter the circulation
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10
Q

where does thyroid stimulating hormone TSH act?

A

controls the:
- influx of iodine into follicular cell
- production of thyroglobulin and enzymes

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11
Q

describe the feedback loop that leads to TSH production

A

nuclei in hypothalamus release TRH after sensing low T3 and T4 levels in the blood, which travels via the hypothalamic pituitary portal circulation to the anterior pituitary, which causes secretion of TSH, which causes increased T3 and T4

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12
Q

what are C cells?

A

endocrine cells in the thyroid which sense Ca2+ levels and lower circulating calcium when levels are too high by releasing calcitonin

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13
Q

how does calcitonin reduce Ca2+ levels in the circulation?

A

inhibiting osteoclast activity (no Ca2+ release)
stimulating Ca2+ ion secretion at the kidneys

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14
Q

which hormone opposes the action of calcitonin?

A

parathyroid hormone

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15
Q

where are the parathyroid glands located?

A

posterior thyroid

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16
Q

what does parathyroid hormone do?

A

when Ca2+ levels are low, PTH stimulates osteoclasts and reduces urinary excretion of Ca2+ ions
- also stimulated the production of calcitriol, a kidney hormone that promotes intestinal absorption of calcium

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17
Q

which glands regulate bone density?

A

thyroid and parathyroids

18
Q

how is the adrenal gland well placed?

A

well places to receive nerve input from splanchnic nerve and to recieve ACTH from the pituitary via the bloodstream
- well placed to have two ways to regulate metabolism

19
Q

what are the histological layers of the adrenal gland?

A

Capsule
Zona glomerulosa
Zona fasiculata
Zona reticularis
Adrenal medulla
(will come up in exam along with functions)

20
Q

what three layers of the adrenal gland make up the adrenal cortex?

A

the zona glomerulosa, zona fasiculata and the zona reticularis

21
Q

what does the capsule of the adrenal gland do?

A

contains the gland

22
Q

what does the zona glomerulosa so?

A

produces mineralocorticoids to regulate electrolyte composition
- aldosterone targets kidney to regulate ionic composition in urine by retaining Na+ ions and water, and losing potassium ions in the urine

23
Q

what triggers aldosterone release?

A
  1. fall in sodium levels
  2. rise in potassium levels
  3. angiotensin II (blood pressure)
24
Q

what does the zona fasiculata do?

A

ACTH from anterior pituitary stimulates glucocorticoid (cortisol and corticosterone) production from zona fasiculata
- down regulates the immune system (bc its energy expensive) and raise blood glucose levels through gluconeogenesis in the liver to make glucose available to major organs eg brain

25
what does the liver do to cortisol?
converts some to cortisone
26
what does the zona reticularis do?
secretes some androgens but understudied
27
what does the adrenal medulla do?
chromaffin cells release pre-made adrenaline and noradrenaline into the densely packed blood vessels of the adrenal medulla - triggers cellular energy utilisation and mobilisation of energy reserves
28
which part of the adrenal gland is directly innervated by the sympathetic nervous system?
the adrenal medulla
29
describe the speed of the medullary response vs the cortex response
the cortex functions are medium response bc they act via the bloodstream, the medulla is a fast response bc its innervated directly by sympathetic nerves - medulla response lasts for only seconds to minutes, cortex for hours
30
what are the two cell types in the adrenal medulla?
one cell type releases epinephrine (adrenaline) and the other releases norepinephrine (noradrenaline)
31
what is the ratio of epinephrine release to norepinephrine release?
3x more epinephrine produced than norepinephrine
32
why is it impossible to give an adrenal gland transplant?
because of its nerve innervation
33
how does the hypothalamic pituitary adrenal axis differ from other endocrine axis?
The HPA axis and ACTH release is strongly regulated by diurnal rhythms. This circadian rhythm is driven by the suprachiasmatic nucleus (SCN) of the hypothalamus, which coordinates the timing of hormone release based on light-dark cycles. - stress and meal times also influence ACTH release
34
what is hypothyroidism?
inadequate production of thyroid hormones T3 and T4 and therefore inadequate skeletal and nervous system development adult hypothyroidism is known as myxedema and causes hair loss etc
35
what is goiter?
an enlargement of the thyroid gland associated with hypothyroidism - caused by iodine deficiency- body makes lots of thyroglobulin thinking it will get I- but doesnt and thyroglobulin accumulates in colloid - treated with iodine supplements
36
what is Hashimotos disease?
causes goiter- an autoimmune response that creates antibodies against follicular cells of thyroid and stops T3 and T4 production - treated with replacement therapy
37
what is thyrotoxicosis?
excessive T3 and T4 are produced and metabolic rate increases and blood pressure and heart rate can increase
38
what is graves disease?
a form of hyperthyroidism - antibodies produced against TSH receptor on follicular cells that stimulates excessive T3 and T4 release
39
how do we treat thyrotoxicosis and graves disease?
with surgery or radioactie iodine to reduce thyroid
40