Term
| List the four major classes of hormones. |
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Definition
- Tyrosine derivatives
- Peptides and proteins
- Steroids
- Eicosanoids
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Term
| Explain the process by which cell-surface receptors work. |
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Definition
- The hormone binds to receptor’s binding site on the extracellular side of the plasma membrane.
- The complex of receptor and hormone activates a G protein associated with the cytoplasmic side of the membrane.
- The G protein activates adenyl cyclase, also on the cytoplasmic face of the membrane.
- Adenyl cyclase converts a small fraction of the cell’s supply of ATP into cAMP.
- The cAMP diffuses throughout the cell, activating a specific family of cytoplasmic protein kinases.
- 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.
- The second message is terminated as cAMP is converted to an inactive form (noncyclic AMP) by an enzyme called cAMP phosphodiesterase.
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Term
| Explain the mechanism of action of steroid hormones. |
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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.
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Term
| Describe the parts of the pituitary gland and their functions. |
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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
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Term
| List six hormones secreted by the adenohypophysis |
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Definition
- Growth hormone (HGH; aka somatotropin)
- Prolactin (PRL)
- Adrenocorticotropic hormone (ACTH; aka corticotropin)
- Thyroid-stimulating hormone (TSH; aka thyrotropin)
- Follicle-stimulating hormone (FSH; a gonadotropin)
- Luteinizing hormone (LH; a gonadotropin)
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Term
| 3 classificaitons of adenohypophyseal hormones according to their structures. |
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Definition
- One group includes growth hormone and prolactin. These hormones possess substantial sequence homology—long stretches of their amino acid sequences are similar
- 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.
- 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.
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Term
| Describe the 3 main kinds of negative feedback regulation in endocrine systems. |
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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.
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Term
| Identify the actions of the nontrophic adenohypophyseal hormones. |
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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).
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Term
| Describe the functions of the adrenal glands. |
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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.
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Term
| Explain the role of aldosterone |
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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.
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Term
| Describe the functions of the thyroid. |
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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.
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Term
| Describe the functions of the gonads. |
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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 |
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Term
| Describe the functions of the parathyroids. |
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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. |
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Term
| Describe the functions of the pancreas. |
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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 |
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Term
| Describe the function of the pineal gland. |
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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. |
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Term
| List nonglandular tissues that possess endocrine functions. |
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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. |
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Term
| What 2 basic types of hormones are derived from tyrosine? |
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Definition
Thyroid hormones T3 and T4 and The catecholamines epinephrine and norepinephrine |
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Term
| epinephrine is the major hormone secreted by the |
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Definition
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Term
| the adrenal medulla secretes |
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Definition
| epinephrine and norepinephrine |
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Term
| norepinephrine is the major trasmitter chemical released by |
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Definition
| sympathetic postganglionic fibers |
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Term
| difference between protein and peptide |
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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 |
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Term
| steroids are derivatives of |
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Definition
| cholesterol, a complex, fat-soluble molecule |
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Term
| Prostaglandins are the major class of |
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Definition
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Term
| Prostaglandins are key mediators in the control of |
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Definition
| blood flow and inflammation. |
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Term
| prostaglandins are derivatives of |
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Definition
| arachidonic acid, a fatty acid present in plasma membranes. |
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Term
| prostaglandins are composed of a |
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Definition
| 20 carbon skeleton folded to form a hairpin structure by formation of a 5 carbon ring at the head of the hairpin. |
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Term
| prostaglandin formation occurs in the |
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Definition
| lipid environment of plasma membranes. |
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Term
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Definition
a key enzyme causes the release of arachidonic acid from phospholipids may be stimulated by hormonal messages, increasing production of PGs. |
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Term
| Steroidal anti-inflammatory drugs (such as cortisone) |
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Definition
| block the release of arachidonic acid and thus the synthesis of all eicosanoids. |
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Term
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Definition
| key enzyme cyclooxygenase in the route of prostaglandin synthesis |
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Term
| prolactin - critical roles |
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Definition
sustaining milk production inhibiting reproductive cycling during lactation |
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Term
| prolactin secretion is increased |
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Definition
| during pregnancy and sustained after delivery by a neural reflex initiated by suckling |
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Term
| hormones which stimulate growth of ducts and alveoli of mammary glands during pregnancy |
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Definition
prolactin estrogen progesterone chorionic somatomammotropin |
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Term
| ___________ controls of PRL release |
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Definition
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Term
| except during pregnancy, PRL secretion is tonically suppressed by |
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Definition
| dopamine, a catecholamine which acts as PRL release inhibiting factor |
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Term
| a hormonal message is only ablt to act on |
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Definition
| those tissues that possess molecular receptors that recognize the hormone and bind to it. |
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Term
| hormones can have different affinities for 2 receptors. explain |
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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. |
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Term
| Sequence of events that occurs in a hormonal response mediated by a cyclic nucleotide second messenger |
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Definition
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Term
| 2nd major 2nd messenger system image |
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Definition
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Term
| 2nd major 2nd messenger system |
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Definition
- involves activation by a specific G protein of a membrane bound enzyme called phospholipase C
- This enzyme splits a small fraction of the plasma membrane's phospholipid (phosphoinositol) into 2 signaling substances
- inositol trisphosphate (ITP or IP3)
- diacylglycerol
- the signal pathway branches
- IP3 is a water soluble substance that enters the cytoplasm and causes the release of Ca++ from intracellular stores in the ER
- 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.
- the C kinases can then phosphorylate specific proteins within the cell, affecting their function.
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Term
| cells maintain a very low Ca++ concentration in their cytoplasm by |
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Definition
| active secretion of Ca++ accross the plasma membrane, and by concentrating the Ca++ within intracellular structures. |
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Term
| In all types of muscle, excitation-contraction coupling involves |
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Definition
either or both:
Ca++ entry across the plasma membrane
or
Ca++ release from storage sites within the cell. |
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Term
| Ca++ is actively involved in activating secretion in |
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Definition
| exocrine and endocrine glands. |
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Term
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Definition
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Term
| For smooth muscle and nonmuscle cells, the major Ca++ binding protein is |
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Definition
| a protein called calmodulin |
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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_____. |
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Definition
A. cAMP and ITP
B. Troponin
C. myosin heads
D. calmodulin |
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Term
| tyrosine-kinase coupled receptors are involved in |
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Definition
| the response to thyroid hormones and growth factors. |
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Term
tyrosine-kinase coupled receptors in the unactivated state
|
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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 |
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Term
tyrosine-kinase coupled receptors: Each molecule of hormone that arrives at the surface of the target cells can
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Definition
dimerize 2 receptor monomers, bringing their cytoplasmic domains close to one another. |
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Term
| Mechanism of Tyrosine-kinase coupled receptors: image |
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Definition
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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. |
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Definition
A. phosphorylate
B. tyrosine-kinase
C. phosphorylate
D. cytoplasmic enzymes |
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Term
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Definition
poorly water soluble
travel in the blood as complexes with specific carrier proteins. |
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Term
| when a steroid hormone complex approaches the plasma membrane of a cell, |
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Definition
| the steroid may detach and dissolve in the lipid membrane. |
|
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Term
| steroid hormones enter the cell |
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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. |
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Term
| time scale required for action of steroid hormones |
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Definition
|
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Term
| time scale difference between steroid hormones and hormones that act on cell surface |
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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. |
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Term
| 2 types of tissue in the pitutary gland |
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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 |
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Term
| the 2 lobes of the pituitary are separated anatomically by |
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Definition
| an itnermediate lobe (pars intermedia) |
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Term
| the pituitary enclosed in |
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Definition
| a pocket in the sphenoid bone called the sella turcica |
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Term
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Definition
| neurons whose synapses release substances that pass into the blood and act as hormones |
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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 |
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Definition
|
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Term
| the terminals that emanate from neurons in the paraventricular nucleus release |
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Definition
| the octapeptide hormone oxytocin |
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Term
oxytocin release: 2 specific roles in femal reproduction
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Definition
potenitiates uterine contractions during labor
promotes contraction of mammary ducts leading to milk ejection during lactation |
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Term
| antidiuretic hormone is released by |
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Definition
| the terminals that emanate from the supra optic nucleus in the neurohypophysis |
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Term
| the hypothalamus controls |
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Definition
internal body conditions:
body temp
energy supplies
fluid volume regulation
reproductive cycling |
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Term
| hypothalamus influences neural pathways that control behavioral drives |
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Definition
hunger
thirst
sexual interest |
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Term
| hypothalamus regulates body conditions by releasing |
|
Definition
| adenohypophyseal hormones |
|
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Term
| the six secretions of the adenohypophesis table |
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Definition
|
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Term
| releasing factors which control secretion of adenohypophyseal hormones are secreted by |
|
Definition
| hypothalamopituitary portal system |
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Term
| hypothalamopituitary portal system |
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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 |
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Term
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Definition
| hormones that control the function of other endocrine glands. |
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Term
| three classificaitons of adenohyphyseal hormones based on structures |
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Definition
- hormones possessing substantial sequence homology - long stretches of their amino acids are simila
- HGH
- PRL
- 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.
- TSH
- FSH
- LH
- 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
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Term
ACTH Production
- primary transcript of the gene is translatd into a protein sequence called proopiomelanocortin (POMC) that serves as a ____a_____.
- Posttranslational processing snips the prohormone's sequence to yield _______b_____.
- The ______c______ of the adenohypophysis snip POMC at 2 points in the middle of the sequence to yield ACTH, discarding the 2 scraps.
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Definition
A. prohormone
B. shorter sequences of the various hormones
C. corticotrophs
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Term
| The POMC sequence includes a family of hormones called |
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Definition
| melanocyte-stimulating hormones (MSH) that are important in animals that change color, but have no apparent function in humans. |
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Term
| Explain the role of cortisol |
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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.
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Term
| secretion of LH in women occurs in |
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Definition
| several pulses throughout the day and is suppressed during sleep |
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Term
| HGH secretion in young people |
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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. |
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Term
| secretion of testosterone and cortisol |
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Definition
| rise and fall throughout the day in response to life events |
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Term
| Why is it unwise to attempt to evaluate endocrine status of a pt with a single measurement of blood hormone levels? |
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Definition
| Pituitary hormone secretion is largely episodic, with differing levels throughout the day. |
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Term
| Release of growth hormone (somatotropin) |
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Definition
- is stimulated by growth hormone-releasing factor and inhibited by a release-inhibiting factor called somatostatin
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Term
|
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
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Term
|
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 |
|
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Term
|
Definition
| stimulates growth of epiphyseal plates of long bones, thus bone growth that leads to growth in stature |
|
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Term
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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. |
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Term
| Except during pregnancy and lactation, prolactin is tonically suppressed by |
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Definition
| dopamine, a catecholamine that acts as PRL release inhibiting factor (PRLIF) |
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Term
|
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
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Term
| Describe the adrenal medulla |
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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.
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|
Term
| the sympathetic branch of the autonomic motor system is activated during |
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Definition
| emotional stress or any threat or perceived threat to the body's integrity, including blood loss, starvation, cold exposure, exercise |
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Term
| 3 functional classes of steroids secreted by the adrenal cortex |
|
Definition
- mineralocorticoids
- glucocorticoids
- gonadocorticoids
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|
|
Term
|
Definition
- major form is aldosterone
- have their major effect on the body's homeostatic mechanisms for Na+ and K+
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|
|
Term
|
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)
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Term
|
Definition
- sex hormones
- adrenal cortex secretes both adrongenic and estrogenic steroids.
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Term
| pathways for synthesis of the 3 major families of adrenal steroids |
|
Definition
|
|
Term
| aldosterone levels are normally regulated primarily by |
|
Definition
| renin-angiotensins pathway |
|
|
Term
| cortisol levels exercise tonic negative feedback on |
|
Definition
|
|
Term
| chronically low cortisol levels in 21-hydroxylase deficiency cause |
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Definition
|
|
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
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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
- decrease in the Na+ concentration of blood (hyponatremia), an indicaotr of a need to conserve more Na+
- A decrease in the rate of blood flow to the kidney, an indicator of hypovolemia, a need to form additional extracellular fluid
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Term
| List the steps between renin secretion and aldosterone secretion |
|
Definition
- renin is a protease that acts on a plasma protein called angiotensinogen to split off angiotensin I
- angiotensin I is then converted to angiotensin II by angiotensin-converting enzyme (ACE)
- angiotensin II acts on the adrenal cortex to increase aldosterone secretion
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|
|
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)
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|
Term
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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
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Term
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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
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Term
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Definition
| a butterfly shaped gland located anterior to the trachea and just inferior to the larynx. |
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Term
| thyroid gland is composed of |
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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
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Term
| Rates of thyroid secretion are controlled by |
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Definition
| thyroid stimulating hormone (TSH) which is secreted by the adenohypophesis in response to hypthalamic TSH releasing factor (TSHrf) |
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Term
| The majority of secreted T4 and T3 |
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Definition
| do not travel in the blood as free hormones, but must be bound to a specific carrier protein |
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Term
| Which of the thyroid hormones is more potent and is considered the main thyroid hormone? |
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Definition
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Term
| Many target tissues can convert T$ to |
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Definition
T3.
This gives these tissues some control over the effectiveness of the hormone. |
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Term
| What is the most potent stimulus for conversion of T4 to T3 |
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Definition
| eating, particularly of carbohydrates, thus some ill patients sometimes develop hypthyroid-like symptoms that can be reversed by improved nutrition. |
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Term
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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
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Term
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Definition
| the rate of energy use that is unrelated to specific body activities such as eating, exercise, or keeping warm |
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Term
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Definition
| measuring the rate of oxygen uptake by subjects who are awake and resting quietly in a warm room. |
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Term
| Early thyroid deficiency leads to |
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Definition
| growth failure and a form of mental retardation called hypothyroid cretinism |
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Term
| Failure of the thyroid to produce T4 and T3 may lead to |
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Definition
devleopment of an enlarged gland (goiter)
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Term
| Why does failure of the thyroid to produce T4 and T3 lead to development of a goiter? |
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Definition
| in the absence of a negative feedback to the hypthalamus and pituitary, there is excessive secretion of TSH. |
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Term
Which hormones are key mediators in the control of blood flow and inflammation?
- peptides
- prostaglandins
- steroids
- tyrosine derivatives
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Definition
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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
- carrier proteins
- genes
- receptors
- target cells
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Definition
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Term
What type of tissue is the posterior lobe of the pituitary gland composed of?
- adipose
- connective
- epithelial
- neural
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Definition
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Term
Which one of the following is not a hormone secreted by adenohypophesis?
- carotidtropin
- growth hormone
- prolactin
- thyrotropin
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Definition
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Term
Which of the following is composed of two protein chains called alpha and beta subunits?
- ACTH
- FSH
- Growth hormone
- Prolactin
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Definition
Prolactin is incorrect
fsh? |
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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.
- CRF
- GnRF
- HGH
- PRL
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Definition
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Term
The adrenal medulla is a branch of the sympathetic nervous system that secretes
- catecholamines
- gonadocorticoids
- glucocorticoids
- mineralocorticoids
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Definition
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Term
Which steroid plays an important role in regulating Na+ and extracellular fluid volume?
- Aldosterone
- Cholesterol
- Cortisol
- Progesterone
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Definition
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Term
Which one of the following is not affected - directly or indirectly - by PTH?
- bone
- intestine
- kidney
- pancreas
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Definition
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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
- adrenal
- endocrine
- pineal
- pituitary
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Definition
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