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Chapter 11 (VPHY 3100)
Chapter 11 (VPHY 3100)
213
Physiology
Undergraduate 3
09/21/2020

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Term
endocrinology
Definition
The study of endocrine glands/tissue, the hormones they release, and their effects on target tissues
Term
Hormones are carried via...
Definition
the blood
Term
Hormones regulate...
Definition
-body metabolism
-growth
-reproduction
Term
major hormones released by the hypothalamus
Definition
Releasing and inhibiting hormones
Term
primary target organ of the Releasing and inhibiting hormones released by the hypothalamus
Definition
anterior pituitary
Term
primary effects of the Releasing and inhibiting hormones released by the hypothalamus
Definition
Regulates secretion of anterior pituitary hormones
Term
major hormones released by the pituitary gland, anterior lobe
Definition
Trophic hormones
Term
major target organs of the Trophic hormones released by the pituitary gland, anterior lobe
Definition
Endocrine glands and other organs
Term
primary effects of the Trophic hormones released by the pituitary gland, anterior lobe
Definition
Stimulates growth and development of target organs; stimulates secretion of other hormones
Term
major hormones released by the pituitary gland, posterior lobe
Definition
Antidiuretic hormone Oxytocin
Term
primary target organs of the Antidiuretic hormone Oxytocin released by the pituitary gland, posterior lobe
Definition
Kidneys and blood vessels Uterus and mammary glands
Term
primary effects of the Antidiuretic hormone Oxytocin released by the pituitary gland, posterior lobe
Definition
Antidiuretic hormone promotes water retention and vasoconstriction; oxytocin stimulates contraction of uterus and mammary secretory units, promoting milk ejection
Term
major hormones released by the thyroid gland
Definition
Thyroxine (T4) and triiodothyronine (T3); calcitonin
Term
primary target organs of the Thyroxine (T4) and triiodothyronine (T3) and calcitonin
Definition
most organs
Term
primary effects of the Thyroxine (T4) and triiodothyronine (T3) and calcitonin
Definition
Thyroxine and triiodothyronine promote growth and development and stimulate basal rate of cell respiration (basal metabolic rate or BMR); calcitonin may participate in the regulation of blood Ca2+ levels
Term
components of the adrenal glands
Definition
-adrenal cortex
-adrenal medulla
Term
major hormones released by the adrenal cortex
Definition
Glucocorticoids (mainly cortisol) Mineralocorticoids (mainly aldosterone)
Term
primary target organs of the Glucocorticoids (mainly cortisol) and Mineralocorticoids (mainly aldosterone) released by the adrenal cortex
Definition
-Liver
-muscles
-Kidneys
Term
primary effects of the Glucocorticoids (mainly cortisol) and Mineralocorticoids (mainly aldosterone) released by the adrenal cortex
Definition
Glucocorticoids influence glucose metabolism; mineralocorticoids promote Na+ retention, K+ excretion
Term
major hormones released by the adrenal medulla
Definition
Epinephrine
Term
major target organs of the Epinephrine released by the adrenal medulla
Definition
-Heart
-bronchioles
-blood vessels
Term
primary effects of the Epinephrine released by the adrenal medulla
Definition
Causes adrenergic stimulation
Term
major hormones released by the pancreas
Definition
-Insulin
-Glucagon
Term
primary target organs of the insulin and glucagon released by the pancreas
Definition
-Liver
-skeletal muscle
-adipose tissue
Term
primary effects of the insulin and glucagon released by the pancreas
Definition
Insulin promotes cellular uptake of glucose and formation of glycogen and fat; glucagon stimulates hydrolysis of glycogen and fat
Term
hormones formed from...
Definition
Inactive hormone precursor molecules (prohormones & prehormones (a.k.a. preprohormones))
Term
prohormones & prehormones (a.k.a. preprohormones)
Definition
Inactive hormone precursor molecules

prehormone/preprohormones --> prohormones --> hormones
Term
The nervous & endocrine systems overlap in terms of...
Definition
chemical transmitters and receptor proteins
Term
most target tissues are regulated by how many hormones?
Definition
multiple (more than 1)
Term
the downstream effects hormones have on target tissues
Definition
-mostly antagonistic
-can be complementary
Term
the response of the target tissue can change as a function of...
Definition
the circulating concentrations of hormones in the blood supply
Term
when you tend to see sensitization or upregulation of the response of the target tissue
Definition
when the hormone is changing within the physiological range
Term
when you tend to see desensitization or down regulation of the target tissue
Definition
when you have pharmacological ranges, or toxic ranges, of circulating hormones, or perhaps the presence of synthetic hormones or hormone mimetics
Term
2 ways to classify hormones
Definition
-chemical structures
-physical properties
Term
groups of hormones based on chemical structure
Definition
-amino acid derivatives
-peptides and proteins
-steroids
Term
groups of hormones based on physical properties
Definition
-hydrophilic
-hydrophobic
Term
some hormones that are amino acids or derivatives of amino acids
Definition
-Epinephrine & norepinephrine (adrenal medulla)
-Thyroid hormones
-Melatonin (pineal gland)
Term
some hormones that are peptides and proteins
Definition
-Hypothalamic & pituitary hormones
-Insulin & glucagon (pancreas)
-Parathyroid hormone
Term
some hormones that are steroids
Definition
-Corticosteroids (adrenal cortex)
-Sex steroids (gonads)
Term
most of our hormones fit into this chemical structure group of hormones
Definition
peptides and proteins
Term
steroids are derived from...
Definition
cholesterol
Term
what makes the big difference in terms of what type of receptor the hormone will interact with at target tissues?
Definition
whether the hormone is hydrophilic or hydrophobic
Term
2 groups of hormones based on physical properties
Definition
-hydrophilic
-hydrophobic
Term
Hydrophilic hormones interact with...
Definition
cell-surface receptors at target tissues
Term
Hydrophobic (or lipophilic) hormones interact with...
Definition
intracellular receptors at target tissues
Term
some hormones that are hydrophilic
Definition
-All peptide & protein hormones
-Epinephrine & norepinephrine
Term
some hormones that are hydrophilic
Definition
-Steroid hormones
-Thyroid hormones
Term
the vast majority of hormones are hydrophilic or hydrophobic?
Definition
hydrophilic
Term
the different types of cellular receptors hormones interact with
Definition
-enzyme-linked
-GPCRs
-intracellular
Term
how enzyme-linked receptors react to hormones
Definition
they act through intracellular 2nd messengers (cAMP, Ca2+, kinases)
Term
some hormones that interact with enzyme-linked receptors
Definition
-insulin
-growth factors
Term
how GPCRs react to hormones
Definition
they act through intracellular 2nd messengers (cAMP, Ca2+, kinases)
Term
some hormones that interact with GPCRs
Definition
-Epinephrine
-norepinephrine
Term
how intracellular receptors react to hormones
Definition
they act as transcription factors in the nucleus
Term
some hormones that interact with intracellular receptors
Definition
-Steroids
-thyroid hormones
Term
the types of receptors hormones interact with and what those receptors look like
Definition
[image]
Term
the pancreas is not under the control of the...
Definition
hypothalamic-pituitary axis (HPA)
Term
hormones released by the pancreas
Definition
-insulin
-glucagon
Term
the endocrine portion of the pancreas
Definition
The islets of Langerhans
Term
The islets of Langerhans
Definition
the endocrine portion of the pancreas
Term
2 types of endocrine cells in the pancreas
Definition
-alpha-cells
-beta-cells
Term
alpha-cells in the pancreas
Definition
secrete glucagon
Term
beta-cells in the pancreas
Definition
secrete insulin
Term
Changes in ______ influence secretion of pancreatic hormones
Definition
blood glucose levels
Term
Pancreatic hormones regulate...
Definition
blood-glucose levels
Term
Pancreatic hormones influence...
Definition
cellular metabolism
Term
how insulin influences cell metabolism
Definition
Insulin --> anabolism
Term
how glucagon influences cell metabolism
Definition
Glucagon --> catabolism
Term
target tissues of the insulin and glucagon released by the pancreas
Definition
-liver
-skeletal muscle
-adipocytes
Term
depiction of alpha and beta cells in the pancreas
Definition
[image]
Term
comparison of Anabolism vs. Catabolism
Definition
[image]
Term
anabolic processes
Definition
promote the creation of larger molecules

consumes energy
Term
catabolism
Definition
breakdown of larger molecules into smaller byproducts

releases energy
Term
the effect of glucagon on the liver
Definition
breakdown of glycogen such that free glucose is released into the bloodstream
Term
depiction of how the pancreas responds to changes in glucose levels
Definition
[image]
Term
2 processes that are activated by glucagon
Definition
-glycogenolysis
-gluconeogenesis
Term
the structure of insulin from preprohormone to active hormone
Definition
[image]
Term
the most prevalent type of enzyme-linked cell surface receptor
Definition
Receptor tyrosine kinases (RTKs)
[image]
Term
The insulin receptor is this kind of receptor
Definition
a Receptor tyrosine kinases (RTKs)
[image]
Term
Kinases
Definition
enzymes that phosphorylate proteins
Term
Tyrosine kinases
Definition
they attach phosphate groups to tyrosine residues within proteins
Term
what phosphorylates the activated insulin receptor?
Definition
the activated insulin receptor phosphorylates itself
Term
depiction of how the insulin receptor gets activated
Definition
[image]
Term
what activates the kinase activity of the intracellular side of the insulin receptor?
Definition
binding of insulin
Term
depiction of how insulin stimulates the uptake of blood glucose
Definition
[image]
Term
effect of insulin on liver and muscle
Definition
Increases glycogen synthesis (glucose --> glycogen)
Term
effect of insulin on adipocytes (fat)
Definition
Increases fat stores (glucose --> triglycerides)
Term
GLUT4
Definition
insulin-dependent glucose uniporter found only in skeletal muscle, cardiac muscle, and fat cells
[image]
Term
metabolic effect of insulin
Definition
as glucose enters the cell, enzymes that make glycogen are activated

Increases glycogen synthesis (glucose --> glycogen) in liver & muscle
Increases fat stores in adipocytes (glucose --> triglycerides)
Term
GLUT2
Definition
insulin-independent glucose transporter found on hepatocytes that moves glucose into the cells when blood glucose is high and out of the cells when blood glucose is low
Term
When blood glucose increases, >95% of blood glucose is taken up by...
Definition
muscle & fat tissues (~90/10 muscle/fat)
Term
Major effect of insulin at the liver
Definition
to decrease gluconeogenesis & increase glycogen synthesis
Term
Major effect of glucagon is at the liver
Definition
to increase glycogenolysis & gluconeogenesis
Term
Exercise increases ______ levels and decreases ______ levels, probably due to...
Definition
glucagon
insulin
lowered blood glucose levels
Term
of the glucose that gets taken up by muscle and fat tissue, how much goes to muscle and how much goes to fat?
Definition
~90% muscle
~10% fat
Term
hormones released by the hypothalamus that communicate with the pituitary gland
Definition
-Releasing hormones
-Inhibiting hormones
Term
hormones released from the anterior pituitary
Definition
-GH
-TSH
-ACTH
-FSH
-LH
-prolactin
Term
hormones released from the posterior pituitary
Definition
-ADH
-Oxytocin
Term
the "master controller" of most of our endocrine systems
Definition
the Hypothalamus/Pituitary Axis (HPA)
Term
the Hypothalamus/Pituitary Axis (HPA) is responsible for the integration of the...
Definition
neuro and endocrine systems
Term
pituitary gland aka...
Definition
hypophysis
Term
Anterior lobe of pituitary gland aka...
Definition
adenohypophysis
Term
Posterior lobe of pituitary gland aka...
Definition
neurohypophysis
Term
how the hypothalamus regulates the anterior lobe of the pituitary gland (adenohypophysis)
Definition
by way of hormones
Term
how the hypothalamus regulates the posterior lobe of the pituitary gland (neurohypophysis)
Definition
neurologically
-this is actually a neural extension of the hypothalamus
Term
depiction of the pituitary gland and the hypothalamus
Definition
[image]
Term
depiction of the anatomical and functional details of hypothalamic control of the posterior and anterior pituitary glands
Definition
[image]
Term
how the hypothalamus makes the posterior pituitary release ADH and oxytocin into the bloodstream
Definition
-neurologically
-each nucleus from the hypothalamus is used for one hormone or the other, not both
-the nerve terminals send the hormone into the blood stream
[image]
Term
how the hypothalamus makes the anterior pituitary release anterior pituitary hormones into the bloodstream
Definition
-neurologically within the hypothalamus
-portal venules carry hormones into the anterior pituitary
-these hormones regulate release of pituitary hormones into the secondary capillaries
Term
how the signal gets from the hypothalamus to the posterior pituitary
Definition
Supraoptic & paraventricular nuclei of the hypothalamus produce two hormones which are transported down the hypothalamo-hypophyseal tract to the posterior pituitary
Term
how hormones from the posterior pituitary are released into the blood
Definition
When hypothalamic neurons are stimulated, their nerve endings in the posterior pituitary release these hormones into the general circulation
Term
effects of oxytocin
Definition
-Uterine contractions during labor
-Contraction of mammary glands during lactation
Term
ADH aka...
Definition
vasopressin
Term
effects of ADH aka vasopressin
Definition
Water reabsorption by the kidneys
Term
depiction of how ADH is involved in thirst and drinking
Definition
[image]
Term
2 hormones you need to know that are released from the hypothalamus to control the anterior pituitary
Definition
-corticotropin-releasing hormone (CRH)
-thyrotropin-releasing hormone (TRH)
Term
structure of corticotropin-releasing hormone (CRH)
Definition
41 amino acids
Term
effect of corticotropin-releasing hormone (CRH) on the anterior pituitary
Definition
stimulates secretion of adrenocorticotropic hormone (ACTH)
Term
structure of thyrotropin-releasing hormone (TRH)
Definition
3 amino acids
Term
effect of thyrotropin-releasing hormone (TRH) on the anterior pituitary
Definition
stimulates secretion of thyroid-stimulating hormone (TSH)
Term
details for how the hypothalamus controls the anterior pituitary
Definition
-Various releasing and inhibiting hormones are produced in the hypothalamus
-Hypothalamic nerve endings secrete these hormones into a capillary/venule system known as the hypothalamo-hypophyseal portal system
-These hormones regulate the secretion of anterior pituitary hormones; these pituitary hormones then travel through the bloodstream to effector organs, including other endocrine glands
Term
the hypothalamo-hypophyseal portal system
Definition
the capillary-venule system that hypothalamic nerve endings secrete hormones into
Term
effect of ACTH
Definition
causes the adrenal cortex to release certain steroid hormones, such as glucocorticoids
Term
one type of steroid hormone released by the adrenal cortex in response to ACTH
Definition
glucocorticoids
Term
effect of TSH
Definition
causes thyroid to release thyroid hormones, such as T3 and T4 or throxine
Term
Trophic hormones
Definition
suffix “-tropin”
-they have an endocrine role where they're going to cause some sort of endocrine function to happen, perhaps the release of another hormone that will go do its job
-these hormones also have a nutritive function, that is, growth effect for those target tissues
Term
Negative feedback-inhibition
Definition
a common theme in target gland-mediated regulation of the anterior pituitary and/or hypothalamus
Term
Higher brain centers can influence activity of ______, thus influencing...
Definition
hypothalamic nuclei
downstream endocrine systems
Term
Thyroid-stimulating hormone (TSH)
Definition
promotes production & secretion of T3 & T4 in the thyroid
Term
Adrenocorticotropic hormone (ACTH)
Definition
promotes secretion of glucocorticoids in the adrenal cortex
Term
the 2 components of the adrenal glands
Definition
-adrenal medulla
-adrenal cortex
Term
hormones released by the adrenal medulla
Definition
-Epinephrine
-Norepinephrine
Term
hormones released by the adrenal cortex
Definition
-Glucocorticoids
-Mineralocorticoids
-Sex steroids
Term
Adrenal medulla
Definition
-Secretes epinephrine & norepinephrine into the blood
-Stimulated by the sympathetic nervous system
Term
Adrenal cortex
Definition
-Secretes corticosteroids, or steroid hormones, into the blood
-Arranged into three layers, or zones
+Zona glomerulosa --> mineralocorticoids
+Zona fasciculata & zona reticularis --> glucocorticoids & sex steroids
Term
the three layers, or zones, of the adrenal cortex
Definition
-Zona glomerulosa --> mineralocorticoids
-Zona fasciculata & zona reticularis --> glucocorticoids & sex steroids
[image]
Term
the adrenal medulla is not controles by...
Definition
the HPA
Term
adrenal medulla controlled by...
Definition
sympathetic nervous system
Term
epinephrine & norepinephrine are in this group of hormones
Definition
catecholamines
Term
Catecholamine hormones released by the adrenal medulla
Definition
-epinephrine
-norepinephrine
Term
some sympathoadrenal effects of the catecholamine hormones (epinephrine and norepinephrine) released by the adrenal medulla
Definition
-Increase cardiac output
-Increase heart rate
-Dilate blood vessels to heart
-Increase alertness
-Increase respiratory rate
-Increase metabolic rate
Term
some metabolic effects of the catecholamine hormones (epinephrine and norepinephrine) released by the adrenal medulla
Definition
-Increase glycogenolysis in the liver
-Increase lipolysis in the adipose tissue
Term
what epinephrine released from the adrenal medulla does
Definition
it mediates its effects at target tissues via activation of GPCRs that increase intracellular second messengers, such as cAMP and calcium
Term
some intracellular second messengers
Definition
-cAMP
-calcium
Term
the receptors that lead to increased intracellular cAMP
Definition
beta receptors
Term
the receptors that lead to increased intracellular cytosolic calcium
Definition
alpha receptors
Term
depiction of how epinephrine binding to beta-adrenergic receptors leads to increased intracellular cAMP
Definition
[image]
beta-receptor --> G-protein --> adenylyl cyclase --> cAMPi --> protein kinase A --> other kinases --> downstream effects
-in this case, the alpha subunit interacts with the downstream effector
Term
depiction of how alpha-adrenergic receptors lead to increased cytosolic calcium concentration
Definition
[image] alpha-receptor --> G-protein --> PLC --> IP3 --> Ca2+i --> Ca/calmodulin --> kinases --> downstream effects -IP3 receptors are Ca channels on the endoplasmic reticulum
Term
DAG
Definition
diacylglycerol
Term
IP3 receptors
Definition
Ca channels on the endoplasmic reticulum
Term
where in the cell Ca is usually stored
Definition
ER (sarcoplasmic reticulum in muscle cells)
Term
why release of Ca into the cytosol leads to downstream events
Definition
because of Ca binding to calmodulin
Term
depiction of the metabolic effects of epinephrine in a liver cell
Definition
[image]
Term
the adrenal cortex is controlled by the...
Definition
the hypothalamic pituitary axis (HPA)
Term
mineralocorticoids
Definition
steroids that regulate electrolytes, such as Na+ and K+
Term
glucocorticoids
Definition
steroids that regulate glucose and other metabolites (catabolic effects)
-also play a role in immune suppression & inhibition of inflammation
Term
Zona glomerulosa
Definition
-layer of the adrenal cortex
-releases mineralocorticoids
[image]
Term
Zona fasciculata & zona reticularis
Definition
-layers of the adrenal cortex
-release glucocorticoids & sex steroids
[image]
Term
depiction of how corticosteroids are made from cholesterol in the adrenal cortex
Definition
[image]
Term
Sex steroids
Definition
weak androgens that supplement gonadal hormones
Term
an example of a mineralocorticoid
Definition
aldosterone, probably the most important mineralocorticoid
Term
Aldosterone
Definition
a mineralocorticoid that increases Na+ and H2O retention as well as K+ excretion in the kidneys --> increases blood volume & pressure; balances electrolytes
Term
an example of a glucocorticoid
Definition
cortisol
Term
Cortisol
Definition
increases blood glucose levels by stimulating gluconeogenesis & inhibiting glucose utilization in the tissues; it also increases free fatty acid levels in the blood by stimulating lipolysis
Term
how cortisol increases blood glucose levels
Definition
by stimulating gluconeogenesis & inhibiting glucose utilization in the tissues
Term
how cortisol increases free fatty acid levels in the blood
Definition
by stimulating lipolysis
Term
steroids hydrophilic or hydrophobic?
Definition
hydrophobic
Term
how steroids travel through the blood stream
Definition
by binding to “carrier proteins”
Term
carrier proteins
Definition
proteins steroids bind to so they can travel through the blood stream
Term
the effect of steroids on target organs
Definition
-they bind to & activate intracellular nuclear hormone receptors, which then function as transcription factors (canonical “genomic” mechanism of action)
-they may also mediate non-genomic responses in target tissues
Term
the specific receptors steroids bind to
Definition
intracellular nuclear hormone receptors, which then function as transcription factors
Term
depiction of how steroids get through the blood to their target tissues
Definition
[image]
Term
the part of the receptor protein that binds to the steroid hormone
Definition
the ligand-binding domain
Term
for the hormone-bound receptor to act as a transcription factor, the monomers have to...
Definition
come together to form a homodimer
[image]
Term
homodimer
Definition
the pair of receptor proteins that join to act as a transcription factor
[image]
Term
depiction of the Hypothalamic-pituitary-adrenal axis: negative feedback control
Definition
[image]
Term
the hormones released by the thyroid gland
Definition
-Thyroid hormone (T3, T4) -Calcitonin
Term
Thyroid hormone (T3, T4) released by which cells in the thyroid gland?
Definition
the follicular cells
Term
role of Thyroid hormone (T3, T4)
Definition
-Regulation of body metabolism
-Regulation of growth & development, particularly the brain
Term
depiction of the follicles in the thyroid
Definition
[image]
Term
secretion of Thyroid hormone (T3, T4) stimulated by...
Definition
TSH released from the anterior pituitary
Term
role of calcitonin
Definition
Regulation of blood calcium levels
Term
calcitonin secreted by which cells in the thyroid?
Definition
the parafollicular cells
Term
TRH
Definition
thyrotropin-releasing hormone
Term
TSH
Definition
thyroid-stimulating hormone
Term
how the thyroid hormones (T3, T4) are produced
Definition
-Hypothalamus secretes TRH (thyrotropin-releasing hormone) --> anterior pituitary secretes TSH (thyroid-stimulating hormone) --> thyroid gland secretes T3 & T4
-Thyroid follicular cells transport iodide from the blood into the colloid
-Iodine is attached to tyrosine residues on thyroglobulin (MIT & DIT)
[image]
Term
difference between thyroid hormones T3, T4
Definition
[image]
Term
is there more T3 or T4?
Definition
T4; about 20 times more of it
Term
depiction of how thyroid hormones are produced in and released from the follicles
Definition
[image]
you don't need to know the names of any of these enzymes
Term
thyroid hormone T4 aka...
Definition
thyroxine
Term
TBG
Definition
thyroxine-binding globulin -this is the carrier-protein for T4 in blood
Term
thyroid hormones hydrophilic or hydrophobic?
Definition
hydrophobic
Term
specific details on how thyroid hormone is produced and released
Definition
[image] 1: follicular cell synthesizes enzymes and thyroglobulin for colloid 2: a Na+-I- symporter brings I- into the cell. The pendrin transporter moves I-into the colloid. 3: enzymes add iodine to tyrosine to make T3 and T4 4: thyroglobulin is taken back into the cell in vesicles 5: intracellular enzymes separate T3 and T4 from the protein 6: free T3 and T4 enter circulation
Term
thyroid hormones T3 and T4 are derivatives of...
Definition
tyrosine
Term
thyroid hormones T3 and T4 diffuse through...
Definition
membranes
Term
target tissues of thyroid hormones T3 and T4
Definition
-liver
-skeletal and cardiac muscles
-bones
-brain
Term
effect of thyroid hormones T3 and T4 on the liver
Definition
promotes glucose metabolism & gluconeogenesis
Term
effect of thyroid hormones T3 and T4 on the skeletal and cardiac muscles, bones, and brain
Definition
promotes normal growth & development
Term
the active form of thyroid hormone within the cells
Definition
T3
Term
the mechanism of action for thyroid hormone
Definition
[image]
Term
the Hypothalamo-pituitary-thyroid axis
Definition
[image]
Term
trophic effect
Definition
when hormones have a nourishing effect on their target tissues
Term
2 types of effects TSH has on the thyroid
Definition
-trophic
-hormonal
Term
some conditions that can result from thyroid dysfunction
Definition
-hypothyroid
-hyperthyroid
-goiter
Term
Hypothyroid
Definition
decreased levels of T4 in blood
Term
Hyperthyroid
Definition
increased levels of T4 in blood
Term
Goiter
Definition
abnormal growth of the thyroid gland
Term
types of goiter that can occur
Definition
-iodine insufficiency (endemic goiter)
-Grave's disease (toxic goiter)
Term
endemic goiter caused by...
Definition
iodine insufficiency
Term
some details about iodine insufficiency (endemic goiter)
Definition
Hypothyroid condition
Low levels of circulating T4 --> no negative feedback on anterior pituitary --> elevated TSH --> trophic effects on thyroid gland --> goiter
Term
some details about Grave's disease (toxic goiter)
Definition
Hyperthyroid condition
Autoantibodies mimic TSH effects at thyroid --> excessive T4 in blood, but autoantibodies circumvent normal negative feedback loop --> goiter
Term
the pathway by which lack of iodine leads to goiters
Definition
[image]
Term
depiction of how Graves's disease leads to goiter
Definition
[image] -notice that the antibody activates the receptor; it's an agonist -this is a constant trophic effect that leads to producing too much T4
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