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Dental Histology - Endocrine
Exam 3
60
Medical
Professional
10/21/2008

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Term
Endocrine
Definition
deposite product (hormones) directly into the bloodstream
Term

Composed of glands

 

5 total 

Definition
1. Adrenal
2. Thyroid
3. Parathyroid
4. Pituitary
5. Pineal 
Term
Adrenal Glands
Definition
-paired
-assymetrical 
-at superior poles of kidney
-inner medulla & outer cortex
    -surrounded by dense fiberous connective tissue
-richly vascularized
-arterial branch --> subcapsular plexus --> cortical & medullary                                                                capillary bed 
-vessels of cortex drains into medullary capillaries
        (therefore, medullary capillaries have two blood supplies)
            arterial blood via medullary
            venous blood via cortical
 
 
Term
Adrenal Cortex
Definition
-from mesoderm
-produces corticosteroids from cholesterol
-secretion regulated by adrenocorticotropic hormone                 (ACTH) from anterior pituitary 
-regulated via negative feedback
    -high levels of secreted compounds inhibits                 anterior pituitary from releasing more ACTH 
 
**release products into bloodstream upon stimulation
            do NOT store them in secretory granules 
Term
Layers of the Adrenal Cortex
Definition
1. zona glomerulosa (ZG)
2. zona fasciculata (ZF)
3. zona reticularis (ZR) 
Term
Zonal Glomerulosa (ZG)
Definition
-outermost layer
-made of cords and clusters of small columnar cells
        -may contain lipid droplets
-produce mineralocorticoid (aldosterone)
-stimulated by
    a. angiotensin II
    b. ACTH
    c. increase in serum K+ concentration 
Term
Aldosterone
Definition
-influences distal convoluted tubule
-maintains water balance
        via Na reabsorption and K secretion
-other targets
    a. gastric mucosa
    b. salivary sweat glands
    c. sweat glands
-results in
    a. increased blood volume
    b. elevated blood pressure 
Term
Zona Fasciculata (ZF)
Definition
-middle layer
-largest percent volume of entire gland (65-80%)
-elongated cords of large polyhedral cells (1-2 thick)
-bordered by blood vessels
-cytoplasm may contain lipid droplets
        may appear vacuolated (spongiocytes)
-stimulated by
    a. ACTH
    b. ZF
-produces gucocorticoids (cortisol and corticosterone)
Term
Cortisol and Corticosterone
Definition
-role in anabolic (uptake of substances for glucose                                 and glycogen synthesis)
-role in catabolic (lipolysis and proteolysis) 
-help withstand stress
-anti-inflammatory role
-assist in immune suppression 
Term
Zona Reticularis (ZG)
Definition
-innermost layer
-smallest percent of volume of gland (7%)
-irregular, anastomosing cords with darkly-staining cells
-cells compared to cells in the ZF
    a. smaller
    b. fewer lipid droplets
    c. may contain sig amounts of lipofuscin pigment
-stimulated by ACTH
-produces 
    a. androgens (dehydroepiandosterone and                                         androstenedione)
    b. small amounts of glucocorticoids 
Term
Adrenal Medulla
Definition
-from neural crest (ectoderm)
-center of adrenal gland
-consists of cords and clusters of polyhedral cells
    -contain cytoplasmic secretory granules
    -also called chromaffin cells
    -modified postganglionic secretory neurons
-acts as modified sympathetic ganglion
-ganglionic (non-secretory) nerve cells scattered throughout 
-stimulated by preganglionic sympathetic splanchnic neurons
-secrete (catacholamines)
    a. epinephrine
    b. norepinephrine
Term
Epinephrine
Definition
-INCREASES
    a. heart rate
    b. cardiac output
    c. blood flow through organs
    d. blood glucose
    e. gluconeogenesis
    f. oxygen consumption
    g. pituitary ACTH secretion
        (associated with physiological source like pain) 
Term
Norepinephrine
Definition
Causes vasoconstriction of the peripheral bloos vessels = elevated blood pressure
 
(often associated with an emotional source) 
Term
Thyroid Gland
Definition
-endodermally-derived
-role in stimulation of metabolism via synthesis of
            a. Thyroxin (T4)
            b. Triiodothyronine (T3)
Term
Thyroid Structure
Definition
-numerous round oval follicles
-rich network of vascular + neural elements
    -embedded in stroma
    -surround each follicle
    -composed of reticular fibers 
-capsule of loose connective tissue surrounds entire                 thyroid gland 
-within the thyroid follicles is colloid 
    -homogeneous   
    -eosiniphillic
    -contains T3 and T4 bound to thyroglobulin 
Term
Follicular Cells of Thyroid
Definition
-nuclei
    -round to oval
    -center of cell
    -contain 1-2 nucleoli
-numerous short villous extensions go into colloid 
-when thyroid hormone is in demand
    a. follicular cell extends pseudopods into colloid
    b. brings thyroid hormone into the cell 
Term
Parafollicular (C) cells of Thyroid
Definition
-neuroendocrine cell
-found between thyroid follicles
-secrete calcitonin
    -promotes decrease in serum calcium 
           because it
    -inhibits actions of osteoclasts
           therefore
    -promotes osteogenesis 
Term
Synthesis of Thyroid Hormones
Definition
-requires iodie (I)
-regulated by thyroid stimulating hormone (TSH)
        -from anterior pituitary
 
Term
Thyroglobulin
Definition
-synthesized and packaged in RER and Golgi
               (of follicular cell)
 
 
-released through apical membrane into colloid
                (stored in lumen of thyroid follicle) 
Term
Iodide
Definition
-active transported into follicular cell via iodide pump
-oxidized into cytoplasm by thyroid peroxidase
-then moves into colloid where it iodinates tyrosine         residues of thyroglonulin
-this forms monoiodinated tyrosine (MIT) and                     diiodinated tyrosine (DIT) 
-MIT + DIT = T3
-DIT + DIT = T4 
Term
Release of Thyroid Hormones
Definition
-TSH released form basophils of anterior pituitary
-binds to basilar cell membrane of follicular cell
-initaties formation of cytoplasmic extensions of                 apical cell membrane which encloses some                 colloid for endocytosis
-endocytic vesicle fuses with lysosome
-lysosomal proteases cleave iodinated residues from         thyroglobulin molecule, release MIT, DIT, T3, T4
-T3 and T4 cross cell membrane into capillaries
-MIT and DIT broken down into iodine and tyrosine
        -remain in cytoplasm to be recycled
Term
Functions of Thyroid Hormones
Definition
-T3 is more biologically active (bound less strongly)
 
Thyroid Hormones:
    -increase carb metabolism
    -fatty acid synthesis
    -vitamin uptake
=overall increase in cellular metabolism
    -decrease cholesterol synthesis
    -decrease phospholipid synthesis
    -decrease triglyceride synthesis
Term
Elevated Levels of Thyroid Hormone
Definition
-decreased body weight
-increased
    -heart rate
    -metabolism
    -respiration
    -muscle function
 
 
Term
Elevated Levels of Thyroid Hormone in Children
Definition
-increased growth rate
-facilitates mental processes
-stimulates endocrine secretion 
Term
Parathyroid Gland
Definition
-four encapsulated glands located at each pole of             thyroid
-embryonically derived from third (inferior) and fourth         (superior) pharyngeal pouches 
Term
Structure of Parathyroid
Definition
-parenchyma composed of two types of cells
  
 
        1. chief cells
        2. oxyphil cells
Term
Chief cells
Definition
-most numerous
-small
-slightly eosinophilic
-ovoid and vesicular nucleus
-small cytoplasmic secretory granules contain 
     parathyroid hormone (PT)
  
Term
Oxyphil Cells
Definition
-occur singly or in clusters
-larger 
-more eosinophilic
-abundent mitochondria
-may be an inactive phase of chief cells 
Term
Parenchyma
Definition

With age the parenchyma is

gradually replaced by

adipose tissue which will

eventually constitute 50%

of the cell.

Term
Function
Definition
-regulation of serum calcium levels via PTH
-PTH
    -increases serum calcium concentration
    -decreases serum phosphate concentration
    -acts on
           -bone
           -kidney
           -intestine
 
Term
PTH in Bone
Definition
-PTH binds to osteoblasts
-induces them to produce osteoclast stimulating facto
        therefore increasing osteoclast activity + #
-leads to bone resorption
-leads to calcium liberation in bloodstream
Term
PTH in Kidneys
Definition
-PTH acts on celss of renal tubules to resorb calcium
-prevents resorption of phos[hate
-thus, reduces serum phosphate concentration
-increases serum calcium concentration 
Term
PTH and Vitamin D
Definition
-stimulates production of active form of Vitamin D in         kidneys
-casues calcium to be absorped by intestinal epitelial         cells 
Term
Control of PTH
Definition
-operates on negative feedback loop
 
-both PTH and calcitonin serve to maintain calcium             homeostasis 
Term
Pituitary Gland (hypophysis)
Definition
-lies in recession of spenoid bone called sella turcica
-connected to hybpthalmus by hypophyseal stalk
-derived embryologically from neural + oral ectoderm
-produces and stores hormones that regulate
        -growth
        -metabolism
        -reproduction
-has 2 major anatomical subdivisons
        1. Adenohypophysis (anterior pituitary)
        2. Neurohypophysis (posterior pituitary)
Term

Adenohypophysis (anterior pituitary)

 

Definition
-from invagination of oral ectoder known as
        Rathke's pouch
-further divided into:
        anterior lobe (pars distalis)
        pars tuberalis
        pars intermedia
Term
Neurohypophysis (posterior pituitary)
Definition
-derived from neural ectoderm in the form of                     extensions of diencephalon
-comprised of
        -pars nervosa
        -infundubulum (neural stalk)
 
 
(remnants of Rathke's pouch are found between the two lobes) 
Term
Blood Supply of Pituitary Gland
Definition
-richly vascularized
-blood supply conveyed mainly by
        superior hypohyseal arteries which divide into a
              -primary capillary plexus to supply
                  -median eminence and
                  -infundibulum
-median eminence + infundibulum form portal venous     system prior to entering secondary capillary plexus     in adenohyophysis (anterior)
           -this consistutes hypophyseal portal system
Term
Hypophyseal Portal System
Definition
-responsible for transporting neurosecretory hormones form hypothalmus to anterior pituitary
 
-these hormones modulate secretion of anterior pituitary hormones 
Term
Structure and Function of Andenohypophysis
Definition
-enclosed in fberous capsule
-contains cords of cells supported by reticulin fibers
-numerous intervening fenestrated capillaries
 
Further divided into:
        pars distalis
        pars tuberalis
        pars intermedia
 
Term
Pars distalis
Definition
-composed of populations of:
        1. chromophil cells
        2. chromphobe cells
Term
Chromophils
Definition
can be either:
    -acidophils
    -basophils 
Term
Chromophils - Acidophils
Definition
-most common
-has 2 subtypes
 
        1. somatotrophs
        2. mammotrophs
Term
Chromophils - Acidophils - Somatotrophs
Definition
-secrete growth hormone (GH)
    -increases cellular metabolic rate
    -increases growth of long bones
             by inducing hepatocytes to produce                          insulin-like growth factor causing epiphyseal              plate chondrocytes to divide    
 
Releasing Hormone: somatotropin releasing hormone
                                            (SRH)
Inhibiting Hormone: somatostatin
Term
Chromophils - Acidophils - Mammotrophs
Definition
-secrete prolactin
    -encourages development of mammary glands             during pregnancy and milk secretion
 
Releasing Hormone: thyrotropin releasing hormone
                                            (TRH)
                              oxytocyn
Inhibiting Hormone: prolactin inhibiting hormone                                                 (PIH)
                              dopamine (from CNS)
Term
Chromophils - Basophils
Definition
-usually found at periphery of pars distalis
-3 subtypes
    1. corticotrophs
    2. thyrotrophs
    3. gonadotrophs 
Term
Chromophils - Basophils - Corticotrophs
Definition
-secrete adrenocorticotropic hormone (ACTH)
    -stimulates release of hormones by adrenal cortex
 
 
Releasing Hormone: corticotropin releasing hormone
                                         (CRH)
 

Term
Chromophils - Basophils - Thyrotrophs
Definition
-secrete thyroid stimulating hormone (TSH)
 
Releasing Hormone: thyrotropin releasing hormone
                                         (TRH)
Inhibiting Hormone: presence of serume T3 and T4
Term
Chromophils - Basophils - Gonadotrophs
Definition
-secrete FSH and LH  
-Females: FSH stimulates secondary ovarian follicle                     devlopments and estrogen secretion 
               LH promotes follicle maturation and                         progesterone + estrogen secretion
-Males: FSH stimulates spermatogenesis
           LH induces testosterone production by                             testicular intestital cells
Releasing Hormone: gonadotropin (GnRH)
Inhibiting Hormone: serum estrogen, progesterone,                                 and testosterone
Term
Chromophobes
Definition
-named for inability to take H & E stains
-probably degranulated chromophils 
Term
Pars Tuberalis
Definition
-majority of secretory cells are gonadotrophs
Term
Pars Intermedia
Definition
-contain colloid-filled cysts lined by cuboidasl cells
        -remenants of Rathke's pouch
-secrete alpha-melanocyte stimulating hormone
        (α-MSH)
 
Term
Neurohypophysis
Definition
-consists of unmyelinated axons
    -carry neurosecretory granules from cell bodies in         supraoptic and paraventricular nuclei to pars             nervosa (released into circulation)
-granules can accumulate and cause distention of             axon forming pale basophilic HERRING BODIES
-axons bordered by pituictye (glial cell) 
 
Term

Neurohypophysis Hormone Secretion

(2) 

Definition
-2 types
-each is bound to ots own type of carrier protein             called neurophysin 
 
        1. antidiuretic hormone (ADH) (vasopressin)
        2. oxytocin
 
Term

Neurohypophysis Hormone Secretion

 

Antidiuretic Hormone (ADH) (vasopressin) 

Definition
-targets cells of renal collecting tubules
-increases water permiability
        -thus forming low volume of concentrated urine
-mainly produced in supraoptic nuclei
 
Term

Neurohypophysis Hormone Secretion

 

Oxytocin 

Definition
-causes smooth muscle contraction of uterine                     myometrium during childbirth
-causes myoepithelial contraction in mammary glands         which assist in milk ejection
-mainly produced in paraventricular nuclei 
Term
Pineal Gland
Definition
-small conical structure
-projects from roof of diencephalon
-covered by pia mater
-function is goverend by circadian rhythms
-has concentric basophilic calcifications called
           Corpora Arenacea
-2 major cell types
    1. pinealoytes
    2. astrocyte
 
Term
Pineal Gland - Pinealocytes
Definition
-slighlt basophilic
-irregular nuclei
-cellular processes contact regional capillaries 
           and sometimes neighboring pinealocytes
-secrete melatonin
        -secreted in dark hours
        -regulates activity of gonads and possibly other                 organs
Term
Pineal Gland - Astrocytes
Definition
-like interstitial cells
Term
Innervation of Pineal Gland
Definition
-through parasympathetic nerves from superior                 cervical ganglion
 
-unmyelinated axons terminate on pinealocytes
     release:
        norepinephrine = stimulate melatonin secretion
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