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TCN Anatomy and Physiology Endocrine Notes
Endocrine system notes
129
Health Care
Professional
04/29/2012

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Term
List the four major classes of hormones.
Definition
  1. Tyrosine derivatives
  2. Peptides and proteins 
  3. Steroids 
  4. Eicosanoids
Term
Explain the process by which cell-surface receptors work.
Definition
  1. The hormone binds to receptor’s binding site on the extracellular side of the plasma membrane. 
  2. The complex of receptor and hormone activates a G protein associated with the cytoplasmic side of the membrane. 
  3. The G protein activates adenyl cyclase, also on the cytoplasmic face of the membrane. 
  4. Adenyl cyclase converts a small fraction of the cell’s supply of ATP into cAMP. 
  5. The cAMP diffuses throughout the cell, activating a specific family of cytoplasmic protein kinases. 
  6. The activated protein kinases attach phosphate groups to intracellular enzymes, activating (or inhibiting) them—an example of allosteric regulation. 
    • Changes in gene expression are the result of phosphorylation of a protein called CREB (cyclic AMP response element binding protein). 
    • When phosphorylated, this protein can serve as an inducer for the transcription of specific genes. 
  7. The second message is terminated as cAMP is converted to an inactive form (noncyclic AMP) by an enzyme called cAMP phosphodiesterase.
Term
Explain the mechanism of action of steroid hormones.
Definition
  • Steroid hormones, being only poorly water soluble, typically travel in the blood as complexes with specific carrier proteins. 
  • When the complex approaches the plasma membrane of a cell, the steroid may detach and dissolve in the lipid membrane. 
  • The steroid enters the cell and is carried to the nucleus. 
  • If the cell is a target cell, the steroid binds with a protein nuclear receptor. 
Term
Describe the parts of the pituitary gland and their functions.
Definition

The posterior lobe (the neurohypophysis or pars nervosa), develops as an extension of the floor of the diencephalon, thus is neural tissue 

  • The terminals that emanate from neurons in the paraventricular nucleus release the octapeptide hormone oxytocin. 
  • The terminals that emanate from the supraoptic nucleus release a similar octapeptide hormone, antidiuretic hormone (ADH), also known as vasopressin. 

anterior lobe (adenohypophysis or pars distalis) begins as a pocket of ectoderm that forms in the roof of the primitive pharynx and ultimately becomes an island of cells cut off from the pharynx by the development of the sphenoid bone.

  • secretions of the adenohypophesis
    • Growth Hormone HGH
    • Prolactin PRL
    • adenocorticotropic hormone ACTH
    • Thyroid-stimulating hormone TSH AKA thyrotropin
    • Follicle-stimulating hormone FSH
    • Luteinizing hormone LH 
Term
List six hormones secreted by the adenohypophysis
Definition
  1. Growth hormone (HGH; aka somatotropin)
  2. Prolactin (PRL)
  3. Adrenocorticotropic hormone (ACTH; aka corticotropin) 
  4. Thyroid-stimulating hormone (TSH; aka thyrotropin) 
  5. Follicle-stimulating hormone (FSH; a gonadotropin)
  6. Luteinizing hormone (LH; a gonadotropin)
Term
3 classificaitons of adenohypophyseal hormones according to their structures.
Definition
  1. One group includes growth hormone and prolactin. These hormones possess substantial sequence homology—long stretches of their amino acid sequences are similar
  2. TSH, FSH, and LH are glycoproteins related to each other and to chorionic gonadotropin. Each of these hormones is composed of two protein chains called alpha and beta subunits. he alpha subunits for all three hormones are the same; differences in the beta subunit alone account for the different effects of the different hormones. 
  3. The cellular processes that lead to the hormone ACTH illustrate several general principles of gene expression. The gene that codes for ACTH also contains the code for additional peptide hormones, including beta-lipotrophin, a protein that can be processed into several members of the endorphin family of pain- and mood-modulating hormones. Different endocrine and neural tissues that express this gene secrete different mixes of these substances.
Term
Describe the 3 main kinds of negative feedback regulation in endocrine systems.
Definition
  • Hormone secretion varies to oppose changes in a feedback-regulated variable. secretion of insulin is stimulated when plasma glucose levels rise and inhibited when they fall.
  • Hormone secretion is regulated by plasma hormone levels.  
    • For those hormones that must be secreted at steady rates to sustain long-term processes like growth and sexual differentiation, feedback from the target tissues is less important and direct feedback of the hormone on the secreting gland more important. 
    • In this mechanism, high levels of the hormone secreted by a gland inhibit further secretion of the hormone, and low levels stimulate it. 
  • Target cells regulate their sensitivity based on hormone levels. 
    • In many endocrine systems, the target cells can down regulate receptor numbers in response to high levels of the corresponding hormone, decreasing their sensitivity to the hormone. A corresponding up regulation can occur when hormone levels are low.
    •  A second possibility that has the same effect occurs with hormones that are secreted as prohormones and must be converted to another form to have their full effectiveness. 
Term
Identify the actions of the nontrophic adenohypophyseal hormones.
Definition
  • Release of growth hormone (somatotropin) is stimulated by growth hormone-releasing factor (GHRF) and inhibited by a release-inhibiting factor called somatostatin. 
  • Human growth hormone is designated by the abbreviation HGH and has a central role in the control of growth throughout the body. 
    • Congenital failure to synthesize HGH leads to dwarfism. 
    • Excess of HGH leads to giantism if it occurs early in life while long bone growth is still possible. 
    • Excessive HGH that begins only after adulthood leads to a condition of deformed flat bones and phalanges called acromegaly. 
    • HGH acts by inducing the liver (and some other tissues) to synthesize specific growth factors called somatomedins (also called insulin-like growth factors or IGFs). 
  • Prolactin (PRL) has a critical role in sustaining milk production and in inhibiting reproductive cycling during lactation. 
    • Prolactin secretion is increased during pregnancy, when, along with estrogen, progesterone, and chorionic somatomammotropin, it stimulates the growth of the ducts and alveoli of mammary glands. 
    • Except during pregnancy and lactation, prolactin secretion is tonically suppressed by dopamine, a catecholamine that acts as PRL release inhibiting factor (PRLRIF).
Term
Describe the functions of the adrenal glands.
Definition
  • Each adrenal consists of two very dissimilar glands.
  • The inner part is the adrenal medulla, a branch of the sympathetic nervous system that secretes catecholamines. 
  • The outer part is the adrenal cortex, a gland that secretes steroid hormones. 
Term
Explain the role of aldosterone 
Definition
  • Aldosterone regulates both Na+ content, and with ADH, extracellular fluid volume.
  • Changes in aldosterone levels also have the potential to affect K+ and acid-base homeostasis. 
  • Aldosterone participates in K+ regulation—an increase in plasma K+ stimulates its secretion by a direct effect on the adrenal cortex. 
Term
Describe the functions of the thyroid.
Definition
  • The two main hormones secreted by the thyroid are tetraiodothyronine (T4, also called thyroxine), and triiodothyronine (T3). 
  • Thyroid hormones stimulate the metabolism of almost all tissues, including both catabolic and anabolic pathways. 
  • They increase the rate of pumping of Na+ across plasma membranes and the ease with which Na+ leaks into cells. 
    • This creates a futile cycle that increases the turnover of ATP in cells throughout the body. 
    • Thus, thyroid secretion has a major effect on the basal metabolic rate. 
    • As a result of this increase, the rate of heat production increases. 
  • The thyroid is quite important for cold adaptation in infants and younger children.
  • Thyroid hormones are essential for normal growth and development, particularly of the nervous system. 
  • The thyroid secretes a third hormone, calcitonin, which stimulates bone calcification.
Term
Describe the functions of the gonads.
Definition
The gonadshave two basic functions: their role in gametogenesis (formation of
reproductive cells) and their endocrine role as the major sources of the sex hormones.
The gonadal female sex hormones are estrogens and progestins; the gonadal male
hormones are testosterone and dihydrotestosterone. These hormones are responsible for
the following:

 Establishment, before birth, of some sex-related differences in the brains of males
and females
 Differentiation of male internal and external genitalia (caused by prenatal secretion
of testosterone)
 Growth and differentiation of gender-specific secondary sexual characteristics at
puberty and their maintenance after puberty
 Together with other hormones, estrogens and progestin are necessary for
establishment and maintenance of pregnancy and preparation for lactation
Term
Describe the functions of the parathyroids.
Definition
Parathormone (PTH) is the hormone secreted by the parathyroid. The rate of secretion of PTH is stimulated by decreases in levels of Ca++ in the plasma, and all of the effects of PTH tend to protect against decreases in plasma Ca++.
PTH has direct or indirect effects on three organs: bone, kidney, and intestine. The net effects of PTH on bone and intestine are to increase plasma Ca++ and decrease plasma phosphate. This ensures that the response to a hypocalcemic challenge does not also lead to an excess of plasma phosphate. The stimulation of vitamin D activation by PTH ensures that dietary Ca++ will be absorbed efficiently when there is a continuing
challenge to plasma Ca++. Calcitonin, secreted by the thyroid, has a positive effect on bone growth; secretion of calcitonin is inhibited if plasma Ca++ levels fall.
Term
Describe the functions of the pancreas.
Definition
The pancreas is both an endocrine and an exocrine gland. As an exocrine gland, it secretes an alkaline juice containing digestive enzymes into the intestine. Its endocrine function is performed by thousands of small clumps of endocrine cells called islets of Langerhans, which are embedded in the exocrine tissue.

Three major protein hormones are secreted by the islets:

1. Glucagon
2. Insulin
3. Somatostatin
Term
Describe the function of the pineal gland.
Definition
The main hormone known to be secreted by the pineal gland is melatonin. Melatonin secretion follows a day-night cycle, with most of the hormone secreted during darkness.
The day-night cycle of the gland is set by light delivered to the eyes, so there are neural connections between the retina and the pineal gland. Melatonin is regarded as having an important role in synchronizing the twenty-four-hour cycle of the body and promoting rest during darkness.
Term
List nonglandular tissues that possess endocrine functions.
Definition
The following tissues are not classically recognized as being part of the endocrine system but do have important endocrine roles:

 Stomach: The stomach secretes gastrin, a mediator that stimulates secretion of acid and pepsin by the gastric mucosa.
 Duodenum: The duodenum secretes a large number of peptide hormones including secretin, cholecystokinin, motilin, and glucose-dependent insulinotropic hormone.
 Kidney: The kidney secretes an enzyme, renin, which controls the first step of a cascade leading to aldosterone secretion. Also, the kidney is the source of renal
erythropoietic factor, which is released when the kidney experiences an inadequate supply of oxygen and which stimulates the synthesis of the hormone erythropoietin.
The kidney also mediates the final step in activation of vitamin D into 1,25 dihydrocholecalciferol.
 Heart: The muscle fibers of the atria release a peptide hormone called atrial natriuretic factor, which is the third major hormone (along with ADH and aldosterone) that regulates kidney function.
 Placenta: The placenta is the organ that connects the developing fetus to the lining of the uterus, mediating transfer of gases between mother and fetus and delivery of nutrients. The placenta is also an important endocrine organ.
 Thymus: The thymus secretes a number of factors that promote maturation of T lymphocytes, including thymosin.
 Adipose tissue: The protein hormone leptin, which is released by adipose cells in proportion to their stored fat content, acts on the CNS to suppress appetite.
 Additional brain hormones (endorphins): The nervous system produces its own endogenous opiates. These peptide hormones are called endorphins and
enkephalins. These substances are involved in the process by which the body modulates its own pain sensitivity.
Term
What 2 basic types of hormones are derived from tyrosine?
Definition
Thyroid hormones T3 and T4
and
The catecholamines epinephrine and norepinephrine
Term
epinephrine is the major hormone secreted by the
Definition
adrenal medulla
Term
the adrenal medulla secretes
Definition
epinephrine and norepinephrine
Term
norepinephrine is the major trasmitter chemical released by
Definition
sympathetic postganglionic fibers
Term
difference between protein and peptide
Definition
protein: generally refers to molecules consisting of dozens to hundreds of amino acids..

peptide: may range from as few as 3 amino acids to 30
Term
steroids are derivatives of
Definition
cholesterol, a complex, fat-soluble molecule
Term
Prostaglandins are the major class of
Definition
eicosanoids
Term
Prostaglandins are key mediators in the control of
Definition
blood flow and inflammation.
Term
prostaglandins are derivatives of
Definition
arachidonic acid, a fatty acid present in plasma membranes.
Term
prostaglandins are composed of a
Definition
20 carbon skeleton folded to form a hairpin structure by formation of a 5 carbon ring at the head of the hairpin.
Term
prostaglandin formation occurs in the
Definition
lipid environment of plasma membranes.
Term
phospholipase A
Definition
a key enzyme
causes the release of arachidonic acid from phospholipids
may be stimulated by hormonal messages, increasing production of PGs.
Term
Steroidal anti-inflammatory drugs (such as cortisone)
Definition
block the release of arachidonic acid and thus the synthesis of all eicosanoids.
Term
NSAIDs block
Definition
key enzyme cyclooxygenase in the route of prostaglandin synthesis
Term
prolactin - critical roles
Definition
sustaining milk production
inhibiting reproductive cycling during lactation
Term
prolactin secretion is increased
Definition
during pregnancy and sustained after delivery by a neural reflex initiated by suckling
Term
hormones which stimulate growth of ducts and alveoli of mammary glands during pregnancy
Definition
prolactin
estrogen
progesterone
chorionic somatomammotropin
Term
___________ controls of PRL release
Definition
hypothalamus
Term
except during pregnancy, PRL secretion is tonically suppressed by
Definition
dopamine, a catecholamine which acts as PRL release inhibiting factor
Term
a hormonal message is only ablt to act on
Definition
those tissues that possess molecular receptors that recognize the hormone and bind to it.
Term
hormones can have different affinities for 2 receptors. explain
Definition
1 binds the hormone at very low concentrations, having effect at very low levels.

the other may add its response when the hormone is present in higher concentration.
Term
Sequence of events that occurs in a hormonal response mediated by a cyclic nucleotide second messenger
Definition
[image]
Term
2nd major 2nd messenger system image
Definition
[image]
Term
2nd major 2nd messenger system
Definition
  1. involves activation by a specific G protein of a membrane bound enzyme called phospholipase C
  2. This enzyme splits a small fraction of the plasma membrane's phospholipid (phosphoinositol) into 2 signaling substances
    1. inositol trisphosphate (ITP or IP3)
    2. diacylglycerol
  3. the signal pathway branches
  4. IP3 is a water soluble substance that enters the cytoplasm and causes the release of Ca++ from intracellular stores in the ER
  5. diacyglycerol is a hydrophobic molecule that diffuses freely within the plasma membrane and acts on a specific family of protein kinases (C kinases) distinct from that affected by cyclic nucleotides.
  6. the C kinases can then phosphorylate specific proteins within the cell, affecting their function.
Term
cells maintain a very low Ca++ concentration in their cytoplasm by 
Definition
active secretion of Ca++ accross the plasma membrane, and by concentrating the Ca++ within intracellular structures.
Term
In all types of muscle, excitation-contraction coupling involves 
Definition

either or both:

 

Ca++ entry across the plasma membrane

 

or

 

Ca++ release from storage sites within the cell.

Term
Ca++ is actively involved in activating secretion in
Definition
exocrine and endocrine glands.
Term
Ca++ must bind to
Definition
cytoplasmic receptor
Term
For smooth muscle and nonmuscle cells, the major Ca++ binding protein is 
Definition
a protein called calmodulin
Term

Ca++ calmodulin activates protein kinases in a way similar to _____A______. 

In skeletal and cardiac muscle, the Ca++ binding protein ______b_____ is attached to the thin filament and controls access of _____c_____ to active binding sites; the molecular structure of the Ca++ binding part of troponin closely resemles ____d_____.

Definition

A.   cAMP and ITP

 

B.    Troponin

 

C.     myosin heads

 

D.     calmodulin

Term
tyrosine-kinase coupled receptors are involved in
Definition
 the response to thyroid hormones and growth factors.
Term

tyrosine-kinase coupled receptors in the unactivated state

Definition
the receptors exist in the plasma membrane as single-pass monomers with an extracellular domain that can recognize the corresponding hormone and an intracellular domain that has weak tyrosin kinase activity
Term

tyrosine-kinase coupled receptors: Each molecule of hormone that arrives at the surface of the target cells can 

Definition

dimerize 2 receptor monomers, bringing their cytoplasmic domains close to one another.

Term
Mechanism of Tyrosine-kinase coupled receptors: image
Definition
[image]
Term

In a tyrosine-kinase coupled receptor,

 the cytoplasmic domains first ___A_____ one another, greatly increasing each other's _______B________.

 

They can then ______C_____ specific signal proteins that activate or inhibit ______D_____ and also exert specific genomic effects.

Definition

A.     phosphorylate

 

B.     tyrosine-kinase

 

 

C.     phosphorylate

 

D.     cytoplasmic enzymes

Term
steroid hormones
Definition

poorly water soluble

 

travel in the blood as complexes with specific carrier proteins.

Term
when a steroid hormone complex approaches the plasma membrane of a cell,
Definition
the steroid may detach and dissolve in the lipid membrane.
Term
steroid hormones enter the cell
Definition

and are carried to the nucleus. If the cell is a target cell, the steroid binds with a protein nuclear receptor.

If the cell is not a target cell, there is no effect.

Term
time scale required for action of steroid hormones
Definition
hours to days
Term
time scale difference between steroid hormones and hormones that act on cell surface
Definition

cell-surface-acting hormones typically turn on or off enzymes that are already in place within the cell

 

steroid hormones must await the transcription of new mRNA, the synthesis of new proteins, and their integration into cellular machinery.

Term
2 types of tissue in the pitutary gland
Definition

posterior lobe (neurohypophesis or pars nervosa) develops as an extension of the floor of the diencephalon and is nueral tissue.

 

anterior lobe (adenohypophesis or pars distalis) begins as a pocket of ectoderm that forms in the roof of the primitive pharynx

Term
the 2 lobes of the pituitary are separated anatomically by
Definition
an itnermediate lobe (pars intermedia)
Term
the pituitary enclosed in 
Definition
a pocket in the sphenoid bone called the sella turcica
Term
Neurosecretory cells are
Definition
neurons whose synapses release substances that pass into the blood and act as hormones
Term
In the neurohypophysis, neursecretory cells with cell bodies in 2 hypothalamic nuclei extend their axons through the stalk of the pituitary and form axon terminals in the neurohypophysis, which release
Definition
peptide hormones
Term
the terminals that emanate from neurons in the paraventricular nucleus release
Definition
the octapeptide hormone oxytocin
Term

oxytocin release: 2 specific roles in femal reproduction

 

Definition

potenitiates uterine contractions during labor

 

promotes contraction of mammary ducts leading to milk ejection during lactation

Term
antidiuretic hormone is released by
Definition
the terminals that emanate from the supra optic nucleus in the neurohypophysis
Term
the hypothalamus controls
Definition

internal body conditions:

body temp

energy supplies

fluid volume regulation

reproductive cycling

Term
hypothalamus influences neural pathways that control behavioral drives
Definition

hunger

thirst

sexual interest

Term
hypothalamus regulates body conditions by releasing
Definition
adenohypophyseal hormones
Term
the six secretions of the adenohypophesis table
Definition
[image]
Term
releasing factors which control secretion of adenohypophyseal hormones are secreted by
Definition
hypothalamopituitary portal system
Term
hypothalamopituitary portal system
Definition

a special variety of blood circulation that involves 2 sets of capillaries connected by one or more portal veins.

In this system, blood first flows through capillaries in the hypothalamus where it collects the secreted releasing factors.

It then passes to the 2nd set of capillaries in the adenohypohphysis where the releasing factors are delivered to the endocrine cells

Term
tropic hormones
Definition
hormones that control the function of other endocrine glands.
Term
three classificaitons of adenohyphyseal hormones based on structures
Definition
  1. hormones possessing substantial sequence homology - long stretches of their amino acids are simila
    1. HGH
    2. PRL
  2. glycoproteins related to each other and to chorionic gonadotropin. composed of 2 protein chains called alpha and beta subunits. alpha subunits for all three hormones are the same.
    1. TSH
    2. FSH
    3. LH
  3. cellular processes that lead to ACTH illustrate several general principles of gene expression. The gene that codes for ACTH also contains codes for peptide hormones including beta-lipotrophin

 

Term

ACTH Production

  1. primary transcript of the gene is translatd into a protein sequence called proopiomelanocortin (POMC) that serves as a ____a_____.
  2. Posttranslational processing snips the prohormone's sequence to yield _______b_____.
  3. The ______c______ of the adenohypophysis snip POMC at 2 points in the middle of the sequence to yield ACTH, discarding the 2 scraps.
Definition

A. prohormone

B. shorter sequences of the various hormones

C. corticotrophs

 

Term
The POMC sequence includes a family of hormones called
Definition
melanocyte-stimulating hormones (MSH) that are important in animals that change color, but have no apparent function in humans.
Term
Explain the role of cortisol
Definition
  • Cortisol favors resistance to several specific stressors: 
    • Survival of food deprivation and recovery from injury. 
      • Within a few hours after a meal, the body enters a state called the postabsorptive state in which it is no longer receiving nutrients from food in the intestine and must begin to draw upon its reserves of stored energy. 
      • Cortisol is an important hormone of the postabsorptive state, the other main hormones being epinephrine from the adrenal medulla and glucagon from the pancreas. 
      • This combination of hormones has three main effects: 
        • an increase in the breakdown of glycogen stores in the liver and muscle
        • an increase in fat breakdown
        • an increase in the rate of breakdown of nonessential proteins, making their amino acids available for synthesis of essential proteins and/or for metabolism for energy.
    •  Resistance to infection. Appropriate levels of cortisol are necessary for vigorous immune responses. 
    • Paradoxically, high levels of cortisol suppress some aspects of immune function, and cortisol can be used as a drug for this purpose.
Term
secretion of LH in women occurs in 
Definition
several pulses throughout the day and is suppressed during sleep
Term
HGH secretion in young people
Definition

rises significantly after every meal

largest part of daily secretion occurs as a pulse or series of pulses after the person falls asleep at night.

Term
secretion of testosterone and cortisol 
Definition
rise and fall throughout the day in response to life events
Term
Why is it unwise to attempt to evaluate endocrine status of a pt with a single measurement of blood hormone levels?
Definition
Pituitary hormone secretion is largely episodic, with differing levels throughout the day.
Term
Release of growth hormone (somatotropin) 
Definition
  • is stimulated by growth hormone-releasing factor and inhibited by a release-inhibiting factor called somatostatin
Term
Somatostatin
Definition
  • is an example of a single chemical mediator with multiple roles in different tissues:
    • hormone-releasing factor GHRF
    • serves as a GI tract hormone
Term
HGH acts by 
Definition

inducing the liver to synthesize specific growth factors called somatomedins (aka insulin-like growth factors IGFs)

 

2 IGFs are identified

IGF-I

IGF-II

Term
IGF I
Definition
stimulates growth of epiphyseal plates of long bones, thus bone growth that leads to growth in stature
Term
Laron Dwarfism
Definition
an inherited condition in which levels of circulating HGH are actually elevated above normal, but the body is unresponsive to the hormone that fails to synthesize IGF-I.
Term
Except during pregnancy and lactation, prolactin is tonically suppressed by
Definition
dopamine, a catecholamine that acts as PRL release inhibiting factor (PRLIF)
Term
the adrenals
Definition
  • sit on kidneys
  • each consists of 2 very dissimilar glands
    • adrenal medulla
      • inner portion
      • branch of the sympathetic nervous system that secretes catecholamines
    • adrenal cortex
      • outer part
      • secretes steroid hormones
Term
Describe the adrenal medulla
Definition
  • a collection of chromaffin cells - sympathetic postganglionic neurons that lack axons and are modified to serve as a neurosecretory organ, releasing the catecholamines epinephrine and norepinephrine into the bloodstream.
  • preganglionic cells that control adrenal medullary secretion are located in spinal segments T6-T11.
    • the axons of these neurons course in the thoracic splanchnic nerves, pass through the celiac plexus and terminate in the adrenal medulla.
Term
the sympathetic branch of the autonomic motor system is activated during 
Definition
emotional stress or any threat or perceived threat to the body's integrity, including blood loss, starvation, cold exposure, exercise
Term
3 functional classes of steroids secreted by the adrenal cortex
Definition
  • mineralocorticoids
  • glucocorticoids
  • gonadocorticoids
Term
mineralocorticoids
Definition
  • major form is aldosterone
  • have their major effect on the body's homeostatic mechanisms for Na+ and K+
Term
Glucocorticoids
Definition
  • major form is cortisol
  • major effects are on energy production during fasting and on immune system function.
  • are released during a variety of stressful life situations, including starvation, exhaustive exercise, intense emotion, and injury (including surgery)
Term
gonadocorticoids
Definition
  • sex hormones
  • adrenal cortex secretes both adrongenic and estrogenic steroids.
Term
pathways for synthesis of the 3 major families of adrenal steroids
Definition
[image]
Term
aldosterone levels are normally regulated primarily by
Definition
renin-angiotensins pathway
Term
cortisol levels exercise tonic negative feedback on
Definition
ACTH secretion
Term
chronically low cortisol levels in 21-hydroxylase deficiency cause
Definition
elevated levels of ACTH
Term
Explain the androgonization occuring in female patients with 21 hydroxylase deficiency
Definition
  • chronically low levels of cortisol cause elevated levels of ACTH in 21-hydroxylase deficiency 
  • which stimulates the adrenal cortex to the rate of conversion of cholesterol into the early intermediates of all three pathways
  • the intermediates in the pathways leading to cortisol and aldosterone simply pile up at the blocked steps in their pathways and then spill into the pathway of androgen synthesis.
  • excess androgen can masculinize the female fetuses if the mother has the defect causing a condition known as androgenital syndrome
Term
The symptoms of the 21-hydroxylase defect that relate to glucocorticoid and androgen can be alleviated by
Definition
cortisol replacement, which returns ACTH levels to normal range
Term
renin secretion is stimulated by 2 factors
Definition
  1. decrease in the Na+ concentration of blood (hyponatremia), an indicaotr of a need to conserve more Na+
  2. A decrease in the rate of blood flow to the kidney, an indicator of hypovolemia, a need to form additional extracellular fluid
Term
List the steps between renin secretion and aldosterone secretion
Definition
  1. renin is a protease that acts on a plasma protein called angiotensinogen to split off angiotensin I
  2. angiotensin I is then converted to angiotensin II by angiotensin-converting enzyme (ACE)
  3. angiotensin II acts on the adrenal cortex to increase aldosterone secretion
Term
additonal effects of aldosterone
Definition
  • in the distal tubule, the part of the renal tubule that responds to aldosterone, the recovery of Na+ from the tubular fluid must be matched by secretion of K+ and H+ to maintain electric charge neutrality.
  • changes in aldosterone levels also have the potential to affect K+ and acid-base homeostasis.
  • aldosterone participates in K+ regluation - an increase in plasma K+ stimulates its secretion by a direct effect on the adrenal cortex.
  • an excess of aldosterone, which occurs in some disorders of the adrenal cortex, causes a syndrome of elevated blood pressure (hypertension), depressed plasma K+ (hypokalemia), and excessive plasma alkalinity (alkalosis)
Term
addison syndrome
Definition
  • supply of adrenal steroids is inadequate
  • characteristics (J F Kennedy)
    • Muscle weakness and fatigue
    • Weight loss and decreased appetite
    • Darkening of your skin (hyperpigmentation)
    • Low blood pressure, even fainting
    • Salt craving
    • Low blood sugar (hypoglycemia)
    • Nausea, diarrhea or vomiting
    • Muscle or joint pains
    • Irritability
    • Depression
Term
Cushings Syndrome
Definition
  • excess mineralocorticoid causes a condition of hypervolemic hypertension.
  • excess glucocorticoid cuases mobilization of fat, particularly from the lower body, leaving excess fat deposits in the face and upper body
  • protein is also mobilized with the effect that muscle mass diminishes and tissues become more delicate
  • anti-insulin effects of glucocorticoid cause a decrease in tissue glycogen stores and an elevation of plasma glucose levels
Term
Thyroid - anatomy
Definition
a butterfly shaped gland located anterior to the trachea and just inferior to the larynx.
Term
thyroid gland is composed of
Definition
  • millions of thyroid follicles
  • each follicle consists of a single layer of cuboidal epithelial cells currounding a center space filled with a protein matrix called colloid
    • the colloid acts as a reservoir for iodine accumulated in the thyroid from the blood
    • the iodine combines with tyrosine residues of the colloid
  • to support thyroid secretion, colloid is taken up by follicle cells and the iodinated tyrosines are removed and converted into T4 and T3
Term
Rates of thyroid secretion are controlled by
Definition
thyroid stimulating hormone (TSH) which is secreted by the adenohypophesis in response to hypthalamic TSH releasing factor (TSHrf)
Term
The majority of secreted T4 and T3 
Definition
do not travel in the blood as free hormones, but must be bound to a specific carrier protein
Term
Which  of the thyroid hormones is more potent and is considered the main thyroid hormone?
Definition
T3
Term
Many target tissues can convert T$ to
Definition

T3.

This gives these tissues some control over the effectiveness of the hormone.

Term
What is the most potent stimulus for conversion of T4 to T3
Definition
eating, particularly of carbohydrates, thus some ill patients sometimes develop hypthyroid-like symptoms that can be reversed by improved nutrition.
Term
Effects of T3 and T4
Definition
  • Thyroid hormones stimulate the metabolism of almost all tissues including both catabolic and anabolic pathways.
  • They increase the rate of pumping of Na+ across plasma membranes and the ease with which Na+ leaks into cells.
  • this creates a cycle which increases turnover of ATP in cells throughout the body
  • Thyroid secretion has a major effect on the basal metabolic rate
Term
Basal metabolic rate
Definition
the rate of energy use that is unrelated to specific body activities such as eating, exercise, or keeping warm
Term

BMR is measured by

 

Definition
measuring the rate of oxygen uptake by subjects who are awake and resting quietly in a warm room.
Term
Early thyroid deficiency leads to
Definition
growth failure and a form of mental retardation called hypothyroid cretinism
Term
Failure of the thyroid to produce T4 and T3 may lead to
Definition

devleopment of an enlarged gland (goiter)

 

Term
Why does failure of the thyroid to produce T4 and T3 lead to development of a goiter?
Definition
in the absence of a negative feedback to the hypthalamus and pituitary, there is excessive secretion of TSH.
Term

Which hormones are key mediators in the control of blood flow and inflammation?

 

  1. peptides
  2. prostaglandins
  3. steroids
  4. tyrosine derivatives
Definition
2. Prostaglandins
Term

To affet the synthesis of particular proteins, the complex of steroid hormone and its nuclear receptor must be able to interact with particular _____ in the nucleaus

 

  1. carrier proteins
  2. genes
  3. receptors
  4. target cells
Definition
2. genes
Term

What type of tissue is the posterior lobe of the pituitary gland composed of?

 

  1. adipose
  2. connective
  3. epithelial
  4. neural
Definition
4. neural
Term

Which one of the following is not a hormone secreted by adenohypophesis?

 

  1. carotidtropin
  2. growth hormone
  3. prolactin
  4. thyrotropin
Definition
1. carotidtropin
Term

Which of the following is composed of two protein chains called alpha and beta subunits?

 

  1. ACTH
  2. FSH
  3. Growth hormone
  4. Prolactin
Definition

Prolactin is incorrect

 

fsh?

Term

The control of ______ release by the hypothalamus does not fit the pattern of other adenohypophyseal hormone, in which small peptide act as releasing factors of release-inhibiting factors.

 

  1. CRF
  2. GnRF
  3. HGH
  4. PRL
Definition
4. PRL
Term

The adrenal medulla is a branch of the sympathetic nervous system that secretes

 

  1. catecholamines
  2. gonadocorticoids
  3. glucocorticoids
  4. mineralocorticoids
Definition
1. catecholamines
Term

Which steroid plays an important role in regulating Na+ and extracellular fluid volume?

 

  1. Aldosterone
  2. Cholesterol
  3. Cortisol
  4. Progesterone
Definition
1. Aldosterone
Term

Which one of the following is not affected - directly or indirectly - by PTH?

 

  1. bone
  2. intestine
  3. kidney
  4. pancreas
Definition
4. pancreas
Term

The day-night cycle of the ______ gland is set by light delivered to the eyes, so there are neural connections between the retina and this gland

 

  1. adrenal
  2. endocrine
  3. pineal
  4. pituitary
Definition
3. pineal
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