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PAMercer Levy Ch 41-51
Key points from Part Eight: Endocrine System
34
Medical
Graduate
01/24/2011

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Term
hormones
Definition
chemical substances secreted by the endocrine cells
Term
paracrine function
Definition
hormones that act on target cells in same area by diffusing through interstitial fluid
Term
autocrine function
Definition
hormones that act back on identical cells to modulate their own secretion or other intracellular process
Term
intracrine function
Definition
hormones that regulate process within their own cell
Term
Locations of endocrine cells
Definition
pituitary, thyroid, adrenal, and parathyroid glands; gonads, pancreatic islets
Term
neurocrine function
Definition
nerve cell cause endocrine cells to respond; some neurons extend axons in bundles or tracts adjacent to capillaries and release neurotransmitters
Term
neurohormones
Definition
neuropeptide - signaling molecule from cell body of a neuron
Term
hypoglycemia
Definition
decreased plasma concentration of glucose; results from hypersecretion of insulin; symptoms worse in fasting state.
Term
glucagon
Definition
hormone that stimulates release of stored glucose from liver;
Term
epinephrine
Definition
neuroendocrine gland hormone; acts on liver to release stored glucose and on other tissues to reduce glucose use
Term
Raf
Definition
GTP-binding protein that helps attach granules to specific sites
Term
thyroid hormones
Definition
thyroxine (T4), triiodothyronine (T3); synthesized from tyrosine and iodide
Term
steroid hormones
Definition
cortisol, aldosterone, androgens, estrogens, progestins, vitamin D; synthesized from cholesterol
Term
prostaglandins
Definition
hormones with largely paracrine actions; synthesized from unsaturated essential fatty acid
Term
negative feedback
Definition
an increase in the final substrate leads to a decrease in the hormone secretion
Term
positive feedback
Definition
final substrate leads to further hormone production; occasional - Labor- oxytocin leads to further uterine contractions that stimulate more oxytocin and subsequently more uterine contractions
Term
metabolic clearance rate
Definition
sum of all removal processes; includes metabolic degradation, target cell uptake, urinary and biliary excretion
Term
renal clearance
Definition
milligram per minute of urinary excretion
Term
basal metabolic rate or resting metabolic rate
Definition
absolute minimal energy expenditure
Term
major pancreatic islet hormones
Definition
insulin and glucagon; coordinate disposition of nutrient input from meals and flow of endogenous substrates during fasting via actions on the liver, adipose tissue, and muscle mass
Term
Type 1 diabetes mellitus
Definition
results from complete destruction of B eta cells and loss of all insulin
Term
Type 2 diabetes mellitus
Definition
most common form of disease; eventually glucose is no longer recognized as a stimulus
Term
median eminence
Definition
neurovascular region situated below the hypothalamus
Term
blood supply to posterior pituitary
Definition
inferior hypophyseal artery
Term
long-loop feedback
Definition
usually negative; hormones from adenohypophysis regulate concentrations of hormones secreted by the thyroid, adrenal, and reproductive glands; peripherally generated peptide products and substrates such as glucose or free fatty acids; these feed back to regulate output of both hypothalamus and anterior pituitary.
Term
short-loop feedback
Definition
negative feedback exerted by the anterior pituitary hormones on the synthesis or discharge of the related hypothalamic releasing of inhibiting hormones
Term
ultrashort-loop feedback
Definition
hypothalamic releasing hormone may inhibit is own synthesis and discharge or the synthesis of a paired hypothalamic inhibiting hormone.
Term
central diabetes insipidus
Definition
deficiency of ADH by disease or traumatic destruction of ADH neurons; Excess urine output (500-1000mL/hr); no concentration of urine; death due to dehydration
Term
acromegaly
Definition
hypersecretion of growth hormone (GH) in adults after closure of the growth plates. Thick skin, enlarged muscles (such as tongue), accelerated atherosclerosis, widening of bones, especially brows and limbs
Term
thyroxine binding globulins
Definition
TBG - glycoprotein that is synthesized in the liver; binds molecules of T4 and T3
Term
thyroglobulin
Definition
protein made from tyrosine molecules that is iodinated on specific constituent tyrosines that are brought into proximity for coupling by the tree-dimensional structure of the protein.
Term
cretinism
Definition
severe hypothyroidism commonly caused by insufficient iodine.
Term
TSH
Definition
thyroid-stimulating hormone; thyrotropin
Term
goiter
Definition
chronic stimulation of thyroid resulting in enlargement of the gland
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