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AB120 - Ch. 45
Hormones and Endocrine System
104
Biology
Undergraduate 1
02/07/2010

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Term
dopamine (intropin)
Definition
Class: Adrenergic, agonist

Mechanism: stimulation of D1 rececptors (dilation of blood vessels in kidney), direct alpha and beta agonist, indirect sympathomimetic

Indication: shock, selected pts with CHF

Adverse Effects: must be given I.V.
Term
terbutaline
Definition
Class: Adrenergic, agonist

Mechanism: beta2 receptor agonist

Indication: premature labor to relaz uterus (unlabeled), bronchodilation (labeled)

Adverse Effects: tachycardia (beta1 interaction) in both mother and fetus, monitor HR; tremor
Term
dobutamine
Definition
Class: Adrenergic, agonist

Mechanism: stimulates beta1 receptor, also beta2 and alpha; INOTROPIC increases contractility and cardiac output

Indication: cardiac failure (esp. acute emergencies); laboratory "stress test"; must be given iv
Term
brinmonidine (alphagan)
Definition
Class: Adrenergic, agonist

Mechanism: alpha2 agonist, ciliary body activation increases outflow of aqueous humor

Indications: lower intraocular pressure in glaucoma or ocular HTN

Adverse Effects: sedation (esp. kids), CNS depression
Term
clonidine (catapres)
Definition
Class: Adrenergics, agonist

Mechanism: alpha2 receptor agonist, acts in CNS brainstem to decrease SNS activity to heart and vessels

Indications: HTN, neuropathic pain, other related CNS

Adverse Effects: HYPOtension, sedation, dry mouth; withdrawal: tachycardia, HTN, angina, MI
Term
methylphenidate (Ritalin)
Definition
Class: Adrenergics, agonist

Mechanism: direct agonist for beta>alpha, STRONG indirect effect on noradrenergic in periphery and CNS

Indication: ADHD, narcolepsy

Adverse Effects: tolerance develops, potential for abuse; cardiac arrhythmias, angina, stroke, psychosis, convulsions
Term
ephedrine, pseudoephedrine (Sudafed)
Definition
Class: Adrenergics, agonist

Mechanism: agonist of beta>alpha, STRONG indirect effect on noradrenergic in peripheral and CNS

Indication: decongestant (OTC) due to alpha action-> vasoconstriction-> relieve swelling; (nonmedical) weight loss and strength training dietary

Adverse Effects: increase BP and stroke, cardiac arrhythmia and MI, CNS stimulation and seizures
Term
amphetamine, methamphetamine (Adderall, phentermine, ephedrine)

(normal dosing?_
Definition
Class: Adrenergics, agonist

Mechanism: agonist beta>alpha, STRONG indirect effect on noradrenergic in peripheral and CNS

Indications: narcolepsy, appetite suppression, ADHD

Adverse Effects: tolerance, abuse; cardiac arrhythmias, angina, stroke, psychosis, convulsions; greater than or prolonged --> palpitation, dizziness, vasomotor disturbance, agitation, confusion

Dosing: 10-30mg is normal dose
Term
phenylephrine (neo-synephrine, Sudafed-PE)
Definition
Class: Adrenergics, agonist

Mechanism: direct alpha1 agonist, other indirect pathway

Indications: decongestant (OTC), HYPOtension (vascular failure in shock), mydriatic in ophthalmic procedures, symptomatic relief of eye redness, hemorrhoids

Adverse Effects: bradycardia due to vagal reflex in response to increase BP
Term
epinephrine
Definition
Class: Adrenergic, agonist

Mechanism: potent agonist at alpha and beta1/beta2 receptors

Indication: treatment of anaphylaxis or cardiac arrest; adjunct with local anesthetics, OTC bronchodilator (primatine mist)

Adverse Effects: excessive cardiac stimulation (non-receptor-selective)
Term
tyramine
Definition
Class: Adrenergic, indirect sympathomimetic

Mechanism: indirect sympathomimetic effect

Adverse Effects: Wine and Cheese syndrome (causative agent), hypertensive crisis
Term
atomoxetime (straterra)
Definition
Class: Adrenergics, agonistic

Mechanism: selective inhibitor of NET, thus enhances NE levels

Indication: ADD

Adverse Effects: surprisingly little CV (dec. sympathetic outflow while potentiating NE effects centrally)
Term
imipramine (tricyclic antidepressants)
Definition
Class: Adrenergic, agonistic

Mechanism: non-selective uptake inhibitors (serotonin and NE), other non-selective depending on molecule

Indication: depression, enuresis in kids (bed wetting)

Adverse Effects: tachycardia, cardiac arrhythmias, increased risk of sudden cardiac death; dry mouth and constipation
Term
cocaine
Definition
Class: Adrenergic, agonistic

Mechanism: signaling, decrease update for recycling, results in vasoconstriction

Indication: local anesthetic in surgery of nasal mucosa or lacrimal ducts

Adverse Effects: systemic effects - inhibition of NET (inc. BP and heart rate, potential state for sroke, cardiac arrhythmias, MI an sudden death); central inhibition of NET and DA/5HT transporters (euphoria, increased alertness, arousal)
Term
entacapone
****specifics needed for problems
Definition
Class: Adrenergics, agonistic

Mechanism: block COMT, co-administer with levodopa/carbidopa --> increase conc. of those

Indication: adjunct therapy for Parkinson's

Adverse Effects: problems assoc. with increased dopamine
Term
iproniazid (phenelzine, selegiline, rasagiline)
Definition
Class: Adrenergic, agonistic

Mechanism: inhibits MAO, increasing catecholamines

Indications: depression, adjunct therapy for Parkinson's

Adverse Effects: increased tyramine levels, serotonin syndrome with SSRIs
Term
reserpine
Definition
Class: Adrenergic, antagonistic

Mechanism: specific irreversible blocker of VMAT results in depleted NE storage

Indication: HTN though rare today

Contraindications:

Adverse Effects: orthostate HYPOtension, increased GI activity, CNS - sedation, severe depression, suicide

Drug Interactions
Term
methyldopa
Definition
Class: Adrenergic, false transmitter

Mechanism: prodrug to methyl-NE, agonist at presynaptic alpha2, inhibits adrenergic neural outflow from brain stem, decreae NE release, reduce output of adrenergic signals to SNS

Indications: HTN (esp. pregnancy)

Adverse Effects: rare/serious, hepatotoxicity and hemolytic anemia

Drug Interactions:
Term
sildenafil
Definition
Class: PDE inhibitors

Mechanism: PDE-5 inhibitors lead to increased intracavernosal cGMP, smooth muscle relax, vasodilation, erection

Indication: erectile dysfunction, types of pulmonary HTN (revatio)

Contraindication: with nitrates (severe HTN and syncope)

Adverse Effects: prolonged erection can lead to penile ischemia, visual disturbances (PDE-6 interaction, photoreceptor signal transduction, exception: tadalafil

Drug Interaction: nitrates
Term
metyrosine
Definition
Class: Adrenergic, antagonistic

Mechanism: competitive inhibitor of tyrosine hydroxylase, depletes catecholamines everywhere

Indication: pheochromocytoma

Adverse Effects: sedation/depression, crystalluira, GI upset
Term
nervous system
Definition
conveys high-speed signals along neurons
Term
endocrine system
Definition
animal's hormone secreting cells
Term
endocrine glands
Definition
hormone secreting organs (ductless); no tubes, secrete into blood
Term
exocrine glands
Definition
secrete chemicals via ducts to appropriate locations
Term
neurosecretory cells
Definition
specialized neurons that secrete hormones
Term
hormones (and neurohormones)
Definition
secreted into body fluids and may affect target cells throughout the body
Term
neurotransmitters
Definition
act rapidly and often locally (local communication)
Term
target cells
Definition
detect hormones with protein receptors and react
Term
local regulators
Definition
affect target cells close to their point of secretion (via diffusion)
Term
growth factors
Definition
cause certain cells to grow, divide, and develop normally (local regulator)
Term
nitric oxide
Definition
neurotransmitter; kills cancer cells, vasodilator (local regulator)
Term
prostaglandins (PGs)
Definition
affect cells of uterus, induce fever/inflammation; intensify pain (local regulator)
Term
pheromones
Definition
chemical signals that act outside the body (mate attraction, sexual activity)
Term
signal-transduction pathway
Definition
mechanism linking a mechanical or chemical stimulus to a specific cellular response
Term
hypothalmus
Definition
region of lower brain; RECEIVES information from nerves throughout the body and brain, COORDINATES/REGULATES response of pituitary gland
Term
pituitary gland
Definition
"master gland"- extension of brain cosisting of two lobes
Term
posterior pituitary (neurohypophysis)
Definition
neural tissue; STORES and SECRETES two hormones made by hypothalmus
Term
anterior pituitary (adenohypophysis)
Definition
glandular tissue; SYNTHESIZES and SECRETES at least seven hormones (release of which is regulated by hypothalmus)
Term
releasing hormones
Definition
hormones produced by hypothalmus to tell the anterior putuitary what hormone it should secrete
Term
inhibiting hormones
Definition
hormones produced by the hypothalmus that inhibit the anterior pituitary from secreting certain hormones
Term
tropic hormones
Definition
provide chemical coordiantion by targeting other endocrine glands; hormone that causes hormone relase
Term
oxytocin
Definition
induces uterine muscle contraction; causes mammary glands to eject milk; from posterior putuitary
Term
antiduretic hormone (ADH)
Definition
promotes retention of water by kidneys by opening aquaporins in collecting duct; from posterior pituitary
Term
thyroid-stimulating hormone (TSH)
Definition
regulates relase of thryroid hormones; is regulated by TSHIH and TSHRH; from anterior pituitary (tropic)
Term
adrenocorticotropic hormone (ACTH)
Definition
stimulates production and secretion of steroid hormones by the adrenal cortex (tropic); anterior pituitary
Term
follicle-stimulating hormone (FSH)
Definition
stimulates gonads (gonadotropin); tropic; anterior pituitary
Term
luteinizing hormone
Definition
gonadtropin that stimulates ovulation and corpus lutem formation in females and androgen production in males; tropic; anterior pituitary
Term
gonadotropin
Definition
hormone that stiumlates the activities of the testes and ovaries; FSH and luteinizing hormone; anterior pituitary
Term
prolactin (PRL)
Definition
diverse effects in different vertebrates (stimulates mammary gland growth and milk production in mammals); nontropic; anterior pituitary
Term
melocyte-stimulating hormone (MSH)
Definition
no knowledge of purpose; anterior pituitary; nontropic
Term
growth hormone (GH)
Definition
variety of effects; both tropic and nontropic; anterior pituitary
Term
pancreas
Definition
performs both endrocrine and exocrine functions
Term
islets of langerhans
Definition
clusters of endocrine cells scattered among exocrine tissue
Term
alpha cells
Definition
secrete homone glucagon
Term
glucagon
Definition
hormone secreted by pancreatic alpha cells that raises blood glucose levels by promoting glycogen breaking down and release of glucose by the liver
Term
beta cells
Definition
secrete hormone insulin
Term
insulin
Definition
hormone secreted by pancreatic beta cells that lowers blood glucose levels; promotes the uptake of glucose by most body cells and synthesis and storage of glycogen in the liver and also stimulates protein and fat synthesis
Term
diabetes mellitus
Definition
disorder in glucose homeostasis
Term
Type I diabetes
Definition
autoimmunte disorder that destroys beta cells; must use insulin injection or pump
Term
Type II diabetes
Definition
characterized by insulin deficiency or reduced responsiveness to insulin; target cells become resistent to insulin
Term
gestational diabetes
Definition
diabetes during pregnancy
Term
thyroid gland
Definition
consists of two lobes located on ventral surface of trachea
Term
triiodothyromic (T3)
Definition
iodine-containing hormone; important for vertebrate development; maintain normal blood pressure, heart rate, muscle tone, and reproductive functions
Term
thyroxine (T3)
Definition
iodine-containing hormone; important for vertebrate development; maintain normal blood pressure, heart rate, muscle tone, and reproductive functions
Term
goiter
Definition
enlargement of thyroid gland caused by dietary iodine deficiency; anterior signaling more and more and thyroid trying to produce
Term
calcitonin
Definition
hormone that lowers blood calcium levels
Term
parathyroid glands
Definition
embedded in surface of the thyroid
Term
parathyroid hormone (PTH)
Definition
raises blood calcium levels; works with vitamin D
Term
adrenal glands
Definition
located adjacent to kidneys, consisting of endrocrine and neural portions
Term
adrenal cortex
Definition
responds to endocrine signals (ACTH); long term stress; SYNTHESIZES and SECRETES corticosteroids
Term
andrenal medulla
Definition
close development and functional ties with nervous system; fast response; short term stress; SYNTHESIZES and SECRETES epinephrine and norepinephrine
Term
epinephrine
Definition
catecholamine hormone secreted from the adrenal medulla that mediates "fight-or-flight" response to short-term stress (neurotransmitter)
Term
norepinephrine
Definition
catecholamine hormone secreted from the adrenal medulla that mediates "fight-or-flight" response to short-term stress (neurotransmitter)
Term
corticosteroids
Definition
family of steroids that inhibit immune system
Term
glucocorticoids (major one: corisol)
Definition
tells animal to use noncarb stuff for energy
Term
mineralocorticoids (major one: aldosterone)
Definition
(RAAS) distal tubule absorb more NaCl to maintain high blood pressure
Term
gonads
Definition
PRODUCE and SECRETE three major categories of steroid hormones (androgens, estrogens, progestins)
Term
testes
Definition
produce steroid hormones in males
Term
ovaries
Definition
produce steroid hormones in females
Term
androgens
Definition
(testosterone) stimulate deveolment and maintenance of male reproductive system
Term
estrogens
Definition
stimulate the deveolment and maintenance of female reproductive system
Term
progestins
Definition
involved with preparing and maintaining uterus
Term
pineal gland
Definition
small mass of tissue near center of mammalian brain
Term
melatonin
Definition
involved in biological rhythms (from pineal); affects skin pigmentation in some vertebrates
Term
dopamine (intropin)
Definition
Class: Adrenergic, agonist

Mechanism: stimulation of D1 rececptors (dilation of blood vessels in kidney), direct alpha and beta agonist, indirect sympathomimetic

Indication: shock, selected pts with CHF

Adverse Effects: must be given I.V.
Term
terbutaline
Definition
Class: Adrenergic, agonist

Mechanism: beta2 receptor agonist

Indication: premature labor to relaz uterus (unlabeled), bronchodilation (labeled)

Adverse Effects: tachycardia (beta1 interaction) in both mother and fetus, monitor HR; tremor
Term
dobutamine
Definition
Class: Adrenergic, agonist

Mechanism: stimulates beta1 receptor, also beta2 and alpha; INOTROPIC increases contractility and cardiac output

Indication: cardiac failure (esp. acute emergencies); laboratory "stress test"; must be given iv
Term
brinmonidine (alphagan)
Definition
Class: Adrenergic, agonist

Mechanism: alpha2 agonist, ciliary body activation increases outflow of aqueous humor

Indications: lower intraocular pressure in glaucoma or ocular HTN

Adverse Effects: sedation (esp. kids), CNS depression
Term
clonidine (catapres)
Definition
Class: Adrenergics, agonist

Mechanism: alpha2 receptor agonist, acts in CNS brainstem to decrease SNS activity to heart and vessels

Indications: HTN, neuropathic pain, other related CNS

Adverse Effects: HYPOtension, sedation, dry mouth; withdrawal: tachycardia, HTN, angina, MI
Term
methylphenidate (Ritalin)
Definition
Class: Adrenergics, agonist

Mechanism: direct agonist for beta>alpha, STRONG indirect effect on noradrenergic in periphery and CNS

Indication: ADHD, narcolepsy

Adverse Effects: tolerance develops, potential for abuse; cardiac arrhythmias, angina, stroke, psychosis, convulsions
Term
ephedrine, pseudoephedrine (Sudafed)
Definition
Class: Adrenergics, agonist

Mechanism: agonist of beta>alpha, STRONG indirect effect on noradrenergic in peripheral and CNS

Indication: decongestant (OTC) due to alpha action-> vasoconstriction-> relieve swelling; (nonmedical) weight loss and strength training dietary

Adverse Effects: increase BP and stroke, cardiac arrhythmia and MI, CNS stimulation and seizures
Term
amphetamine, methamphetamine (Adderall, phentermine, ephedrine)

(normal dosing?_
Definition
Class: Adrenergics, agonist

Mechanism: agonist beta>alpha, STRONG indirect effect on noradrenergic in peripheral and CNS

Indications: narcolepsy, appetite suppression, ADHD

Adverse Effects: tolerance, abuse; cardiac arrhythmias, angina, stroke, psychosis, convulsions; greater than or prolonged --> palpitation, dizziness, vasomotor disturbance, agitation, confusion

Dosing: 10-30mg is normal dose
Term
phenylephrine (neo-synephrine, Sudafed-PE)
Definition
Class: Adrenergics, agonist

Mechanism: direct alpha1 agonist, other indirect pathway

Indications: decongestant (OTC), HYPOtension (vascular failure in shock), mydriatic in ophthalmic procedures, symptomatic relief of eye redness, hemorrhoids

Adverse Effects: bradycardia due to vagal reflex in response to increase BP
Term
epinephrine
Definition
Class: Adrenergic, agonist

Mechanism: potent agonist at alpha and beta1/beta2 receptors

Indication: treatment of anaphylaxis or cardiac arrest; adjunct with local anesthetics, OTC bronchodilator (primatine mist)

Adverse Effects: excessive cardiac stimulation (non-receptor-selective)
Term
tyramine
Definition
Class: Adrenergic, indirect sympathomimetic

Mechanism: indirect sympathomimetic effect

Adverse Effects: Wine and Cheese syndrome (causative agent), hypertensive crisis
Term
atomoxetime (straterra)
Definition
Class: Adrenergics, agonistic

Mechanism: selective inhibitor of NET, thus enhances NE levels

Indication: ADD

Adverse Effects: surprisingly little CV (dec. sympathetic outflow while potentiating NE effects centrally)
Term
imipramine (tricyclic antidepressants)
Definition
Class: Adrenergic, agonistic

Mechanism: non-selective uptake inhibitors (serotonin and NE), other non-selective depending on molecule

Indication: depression, enuresis in kids (bed wetting)

Adverse Effects: tachycardia, cardiac arrhythmias, increased risk of sudden cardiac death; dry mouth and constipation
Term
cocaine
Definition
Class: Adrenergic, agonistic

Mechanism: signaling, decrease update for recycling, results in vasoconstriction

Indication: local anesthetic in surgery of nasal mucosa or lacrimal ducts

Adverse Effects: systemic effects - inhibition of NET (inc. BP and heart rate, potential state for sroke, cardiac arrhythmias, MI an sudden death); central inhibition of NET and DA/5HT transporters (euphoria, increased alertness, arousal)
Term
entacapone
****specifics needed for problems
Definition
Class: Adrenergics, agonistic

Mechanism: block COMT, co-administer with levodopa/carbidopa --> increase conc. of those

Indication: adjunct therapy for Parkinson's

Adverse Effects: problems assoc. with increased dopamine
Term
iproniazid (phenelzine, selegiline, rasagiline)
Definition
Class: Adrenergic, agonistic

Mechanism: inhibits MAO, increasing catecholamines

Indications: depression, adjunct therapy for Parkinson's

Adverse Effects: increased tyramine levels, serotonin syndrome with SSRIs
Term
reserpine
Definition
Class: Adrenergic, antagonistic

Mechanism: specific irreversible blocker of VMAT results in depleted NE storage

Indication: HTN though rare today

Contraindications:

Adverse Effects: orthostate HYPOtension, increased GI activity, CNS - sedation, severe depression, suicide

Drug Interactions
Term
methyldopa
Definition
Class: Adrenergic, false transmitter

Mechanism: prodrug to methyl-NE, agonist at presynaptic alpha2, inhibits adrenergic neural outflow from brain stem, decreae NE release, reduce output of adrenergic signals to SNS

Indications: HTN (esp. pregnancy)

Adverse Effects: rare/serious, hepatotoxicity and hemolytic anemia

Drug Interactions:
Term
sildenafil
Definition
Class: PDE inhibitors

Mechanism: PDE-5 inhibitors lead to increased intracavernosal cGMP, smooth muscle relax, vasodilation, erection

Indication: erectile dysfunction, types of pulmonary HTN (revatio)

Contraindication: with nitrates (severe HTN and syncope)

Adverse Effects: prolonged erection can lead to penile ischemia, visual disturbances (PDE-6 interaction, photoreceptor signal transduction, exception: tadalafil

Drug Interaction: nitrates
Term
metyrosine
Definition
Class: Adrenergic, antagonistic

Mechanism: competitive inhibitor of tyrosine hydroxylase, depletes catecholamines everywhere

Indication: pheochromocytoma

Adverse Effects: sedation/depression, crystalluira, GI upset
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