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ExercisePhysiology:TheoryandApplicationtoFitnessandPerformance ByScottPowers&EdwardHowley Ch5CellSignalingandtheHormonalResponsesto Exercise SummaryCreatedbyDanHechler ClassLectureExercisePhysiologyIDr.LaurieMilliken,UMassBoston,Fall2015 Neuroendocrinology 1.Neuroendocrine -EndocrineSystemreleaseshormones(chemicalmessengers) -NervousSystemusesneurotransmitters 2.EndocrineGlands -Ductlessglandsthatreleasehormonesdirectlyintotheblood 3.Exocrineglands -Releaseproductsintoducts(sweatglands,digestiveglands) 4.Pancreas -BothExocrine(digestiveenzymes)andEndocrine(insulinandglucagon) Hormones 1. -Travelinbloodtotheirspecifictargetorgans -Receptorsarespecifictohormonessuchthatonlythecorrecthormonewillfit. -Eachcellhas2,000to10,000specificreceptors 2.Severalclassesbasedonchemicalmakeup -Aminoacidderivatives -Peptides/Protein -Steroids BloodHormoneConcentration Theeffectahormonehasonatissueisdeterminedbyplasmaconcentration Determineby: 1.Rateofsecretionofhormonefromendocrinegland -Magnitudeofinput -Stimulatoryversusinhibitoryinput 2.Rateofmetabolismorexcretionofhormone -Atreceptorandbytheliverandkidneys 3.Quantityoftransportprotein -Ex.Steroidhormones 4.Changesinplasmavolume ExampleofFactorsThatInfluenceSecretionofHormones HormoneReceptorInteractions 1.Hormonesonlyaffecttissuewithspecificreceptors 2.Magnitudeofeffectdependenton: -Concentrationofhormone -Numberofreceptorsoncell -Affinityofreceptorforhormone 3.Downregulation -Decreaseinreceptornumberinresponsetohighconcentrationofhormone 4.Upregulation -Increaseinreceptornumberinresponsetolowconcentrationofhormone MechanismsofHormoneAction 1.Alteringmembranetransport -Ex.Insulin 2.AlteringactivityofDNAtomodifyproteinsynthesis -SteroidHormones(OnlyHormonetoDIRECTLYmodifyDNA) 3.ActivatingsecondmessengersviaGprotein -CyclicAMP -Ca+2 -InositolTriphosphate -Diacylglycerol 4.TyrosineKinase -InsulinandGrowthHormone MechanismofSteroidHormoneAction 1.Mustbecarriedthroughcarrierprotein(duetobeingfatandnotsolubleinblood)butcan diffuseacrosslipidbilayer(bothfat)andthenattachestoreceptorproteintobecarriedinto thenucleustointeractwithDNA CyclicAMP“SecondMessenger”Mechanism 1.HormoneattachestoreceptorwhichgoesthroughcellmembraneandactivatesGprotein whichactivatesAdenlylateCyclasewhichproducesATPresultinginCyclicAMPwhichwill activateaproteinkinasewhichcanactivatespecificcellularresponses.ThePhosphodiesterase breaksdowntheCyclicAMPtoinhibitthisprocess. CalciumandPhospholipaseCSecondMessengerMechanisms InsulinReceptor Hormones:RegulationandAction 1.Hormonesaresecretedfromendocrineglands -Hypothalamusandpituitaryglands -Thyroidandparathyroid -AdrenalGlands -Pancreas -Testesandovaries HypothalamusandPituitaryGland 1.Hypothalamus -Controlssecretionsfrompituitarygland -Releaseshormonesorfactors 2.AnteriorPituitaryGland(EndocrineConnectiontoHypothalamus) -Adrenocorticotropichormone(ACTH) -Follicle-stimulatinghormone(FSH) -Luteinizinghormone(LH) -Melanocyte-stimulatinghormone(MSH) -Thyroid-stimulatinghormone(TSH) -GrowthHormone(GH) -Prolactin 3.PosteriorPituitaryGland(DirectNeuralConnectiontoHypothalamus) -Oxytocin -AntidiureticHormone(ADH) HormonesoftheAnteriorPituitaryGland InfluencesonGrowthHormoneRelease 1.Stimulatesreleaseofinsulin-likegrowthfactors(IGFs) -IGF-1inmuscleresponsibleformusclegrowth 2.Essentialgrowthofalltissues -AminoAciduptakeandproteinsynthesis -Promoteslongbonegrowth(femur) 3.Sparesplasmaglucose -Reducesuseofplasmaglucose(opposesactionofinsulin) -Increasesgluconeogenesis(creationofnewglucosethroughnon-CHOcarbonsubstratessuch aspyruvate,lactate,glycerol,andglycogenicaminoacids)(increasesynthesisofglucoseinliver) -Mobilizesfattyacidsfromadiposetissues 4.Sideeffectsareacromegaly(toomuchgrowthhormone)anddiabetes 5.Respondsvianegativefeedbackloop GrowthHormoneandPerformance 1.GHincreasesproteinsynthesisinmuscleandlongbonegrowth -Usedtotreatchildhooddwarfismandusedbyathletesandelderly 2.Moreadverseeffectsthanbenefits 3.NoevidenceGHpromotesstrengthgains -Proteinsynthesisiscollagen,notcontractileprotein 4.Difficulttodetectusagebyathletes GrowthHormone PosteriorPituitaryHormones -PosteriorPituitary(Neurohypophysis)storeshormonesandreleasesthemasneededvia neuralstimulation(thesehormonesareproducedinhypothalamusandsecretedtothe neurohypophysis -Hormones 1.Oxytocin -Stimulatorofsmoothmuscle -Involvedwithreleaseofbreastmilk 2.Antidiuretichormone(ADH)orvasopressin -Stimulatedbyexercise -Reduceswaterlossfrombodytomaintainplasmavolumeviareabsorptionofwaterfrom kidneytubulestocapillaries -Releasestimulatedbyhighplasmaosmolalityandlowplasmavolume(duetosweatloss withoutwaterreplacement) -Increasesduringexercise>60%VO2max(tomaintainplasmavolume) ThyroidGland 1.StimulatedbyThyroidStimulatingHormone(TSH) 2.Triiodothyronine(T3)andThyroxin(T4) -Establishmentofmetabolicrate -Permissivehormones(Permitfulleffectofotherhormones) 3.Calcitonin -RegulationofplasmaCa+2(minorrole) -HighCa+2leveltriggersrelease -Blocksreleasefrombone,stimulatesexcretionbykidneys ParathyroidGland 1.ParathyroidHormone -PrimaryhormoneinplasmaCa+2regulation -StimulatesCa+2releasefrombone -StimulatesCa+2reabsorptionbykidneys -ConvertsVitaminD3intohormonethatincreasesCa+2absorptionfromGItract AdrenalMedulla(LocatedOntopofKidney) 1.Secretsthecatecholamine’s -Epinephrine(E)andNorepinephrine(NE) -PrimarysecretionisE(80%)andispartofthe“fightorflight”response 2.Bindtoadrenergicreceptors -Alpha -Beta -Effectsdependonhormoneusedandreceptortype AdrenalCortex(OuterLayer) 1.Secretessteroidhormones -Derivedfromcholesterol 2.Mineralocorticoids -Aldosterone -MaintenanceofplasmaNa+andK+ 3.Glucocorticoids -Cortisol -Regulationofplasmaglucose 4.SexSteroids -Androgensandestrogens -Supportprepubescentgrowth Aldosterone(AdrenalCortex) 1.ControlofNa+reabsorptionandK+secretion -Maintainelectrolyte(Na+andK+)balanceinextracellularfluids 2.Regulationofbloodvolumeandbloodpressure -Partofrenin-angiotensin-aldosteronesystem -Vasoconstrictor(offsetslowbloodpressurewhenplasmabloodvolumedecreasesand stimulatesaldosteronereleasewhichincreasessodiumreabsorption) -Allthreehormonesincreaseduringexercise 3.Stimulatedby -IncreasedK+concentration -Decreasedplasmavolume Cortisol(AdrenalCortex) 1.Maintenanceofplasmaglucose -Promotesproteinbreakdownforgluconeogenesis -StimulatesFFAmobilizationandincreaseslipolysis -Stimulatesglucosesynthesis -Bluntstheeffectsofinsulin(decreaseglucoseuse) • Blocksuptakeofglucoseintocells • PromotestheuseofFFAasfuel -Neteffect=mobilizationoffuel 2.Stimulatedby: -StressviaACTHPartofGeneralAdaptationSyndrome -Exercise 3.Anti-inflammatoryagent -Trainedrunnersareinahypercortisolismstate -Remainselevatedpostexercise(tissuerecoveryandrepair) Cortisol AdiposeTissueIsanEndocrineOrgan 1.Additiontostoringtriglycerides,adiposetissuealsosecreteshormones -Leptin • Influencesappetitivethroughhypothalamus(decreasedleptinincreaseseating) • Enhancesinsulinsensitivityandfattyacidoxidation -Adiponectin • Increasesinsulinsensitivityandfattyacidoxidation 2.Withincreasedfatmass(obesity) -HigherLeptinlevelsandloweradiponectin • Leptinresistance -Leadstotype2diabetes(insulinresistance)andlow-gradeinflammation MuscleAsAnEndocrineGland 1.Skeletalmuscleproducesmyokineswhenitcontracts -Stimulateglucoseuptakeandfattyacidoxidation -Promotebloodvesselgrowthinmuscle -Promoteliverglucoseproductionandtriglyceridebreakdown 2.Interleukin6(IL-6) • Bothpro-inflammatoryandanti-inflammatory • IL-6producedduringexercisepromotesanti-inflammatoryeffect • InhibitsproductionofTNF-alpha 3.Regularexercisepromotesanti-inflammatory • Reductioninchronicinflammationandreducedriskofheartdisease,type2diabetes, andcertaincancers Pancreas(BothExocrineandEndocrineFunctions) 1.Secretes: -Insulin(BetaCells) • Promotesthestorageofglucose,aminoacids,andfats(anabolicfunctions) • Lackofinsuliniscalleddiabetesmellitus(TypeI) -Glucagon(AlphaCells) • Promotesthemobilizationoffattyacidsandglucose -Somatostatin(GammaCells) • Controlsrateofentryofnutrientsintothecirculation -Digestiveenzymesandbicarbonate • Intothesmallintestine Kidneys 1.Hormoneerythropoietinwhichregulatesredbloodcellproduction • EPOimportantinadaptingtotrainingandaltitude 2.KidneysalsoreleasereninwhichisahormoneandenzymeinvolvedinBPcontrolandfluid andelectrolytebalance. TestesandOvaries 1.Testosterone -Releasedfromtestes -Anabolic • Promotestissuebuilding • Performanceenhancement Androgenicsteroid • Promotesmasculinecharacteristics 2.EstrogenandProgesterone -Releasedfromovaries -Establishandmaintainreproductivefunction -Levelsvarythroughoutthemenstrualcycle Table5.2Pg.107-108OverallSummaryOfHormones HormonalControlofSubstrateMobilizationDuringExercise 1.Systemsworktomaintainnormalbloodglucoselevelsduringexercise -Liverhas80gramsofglucosebeforeexercise -Oxidationratesofglucosecanreach1g/mininheavyorprolongedactivity MuscleGlycogenUtilization 1.Glycogenolysis(splittingofglycogenintoglucose)isrelatedtoexerciseintensity -HighIntensity=greateruseofglycogenresultingindepletion 2.Plasmaepinephrinepowerfulstimulatorofglycogenolysis -HighIntensity=increasedplasmaepinephrine 3.Evenwithepinephrineblockedviapropranololmuscleglycogenwasstillmobilized ControlofMuscleGlycogenUtilization 1.BreakdownofmuscleglycogenisunderDualcontrol -Epinephrine-cyclicAMP • Viabeta-adrenergicreceptors -Ca+2-calmodulin • EnhancedduringexerciseduetoCa+2releasefromsarcoplasmicreticulum 2.EvidenceforroleofCa+2-calmodulininglycogenolysisfromthepropranololstudy BloodGlucoseHomeostasisDuringExercise PlasmaglucosemaintainedthroughFOURProcesses 1.Mobilizationofglucosefromliverglycogenstores 2.MobilizationofFFAfromadiposetissue • Sparesbloodglucose 3.Gluconeogenesisfromaminoacids,lactate,andglycerol 4.Blockingtheentryofglucoseintocells • ForcesuseofFFAasfuel ControlledbyTWOTypesofHormones 1.Permissiveorslowacting • Thyroxin,cortisol,growthhormone 2.Fasting-Acting • Epinephrine,norepinephrine,insulin,glucagon SlowActingHormones(Permissive) 1.ThyroidHormones(PermissiveManner) -T3enhanceseffectofepinephrinetomobilizefreefattyacidsfromadiposetissue -NOREALCHANGEinT3andT4duringexercise 2.Cortisol(PermissiveManner) -StimulateFFAmobilizationfromadiposetissue -Enhancegluconeogenesisinliver -Decreaserateofglucoseutilizationbycells(forcingmoreFFA) EffectsofExercise -Decreaseduringlow-intensityexercise -Increaseduringhighintensityexercise • Aboveapprox.60%VO2Max Changesincortisolmayberelatedtorepairofexercise-inducedtissuedamage GrowthHormone(PermissiveManner) Effects: -Supportstheactionofcortisol • Decreasesglucoseuptakebytissues • IncreasesFFAmobilization • Enhancesgluconeogenesisintheliver ExerciseEffect -IncreaseinplasmaGHwithincreasedintensity -Greaterresponseintrainedrunnerscomparedtountrained FastActingHormones EpinephrineandNorepinephrine 1.Fastingacting 2.Maintainbloodglucoseduringexercise • Muscleglycogenmobilization • Increasingliverglucosemobilization • IncreasingFFAmobilization • Interferewithglucoseuptakeforcells 3.PlasmaEandNEINCREASEduringexercise -Relatedtoincreasedheartrateandbloodpressureduringexercise(NEbiggerrole) 4.DecreasedplasmaEandNEfollowingtraining DecreasedplasmaEandNEfollowingtraining;Graphbelowshowssubmaximaltrainingand adaptationstoEandNEreleasefollowingweeksoftrainingatthatlevel. InsulinandGlucagon(FastActingHormones) 1.Insulin -UptakeandstorageofglucoseandFFA -PlasmaconcentrationDECREASESduringexercise -Decreasedinsulinresponsefollowingtraining 2.Glucagon -MobilizationofglucoseandFFAfuels -Plasmaconcentrationincreases -Decreasedresponsefollowingtraining InsulinandGlucagonsecretioninfluencedbycatecholamine’s(EandNE) ChangesinPlasmaInsulinDURINGEXERCISE -Decreaseduringexercise(duetoitbeinganabolichormone) ChangesinPlasmaGlucagonDURINGEXERCISE -Increasesduringexerciseandmoreintrainedindividuals BloodglucoselevelsDONOTchangeduringexercisesolevelofbloodglucoseCANNOTbethe stimulusofchangeofInsulinandGlucagonSOEpinephrineandNorepinephrinecontrolthe releaseofGlucagonandInsulin. SummaryofHormonalResponseDuringExercise 1. 2. 3. 4. HormonesIncreasingGlucoseMetabolism Glucagon(increasesglycogenolysisandgluconeogenesis) Epinephrine(increasesglycogenolysis) Norepinephrine(increaseglycogenolysis) Cortisol(increasesgluconeogenesis) 1.Cortisol 2.Glucagon 3.Epinephrine 4.GrowthHormone HormonesIncreasingFatMetabolism SummaryofPlasmaGlucoseDuringExercise 1.Plasmaglucoseismaintainedduringexercisebyincreasingliverglycogenmobilization,using moreplasmaFFA,increasinggluconeogenesis,decreasingglucoseuptakebytissues. 2.DecreaseinplasmainsulinandincreaseinplasmaE,NE,GH,glucagon,andcortisolduring exercisecontrolthesemechanismstomaintainglucoseconcentration. 3.GlucoseistakenupseventotwentytimesfasterduringexercisethanatrestEVENwitha decreaseinplasmainsulin. 4.TrainingcausesareductioninE,NE,Glucagon,andinsulinresponsestoexercise. FreeFattyAcid&Exercise 1.FFAmobilizationdependentonhormonesensitivelipase(HSL) 2.FFAmobilizationDECREASESduringheavyexercise -OccursinspiteofpersistinghormonalstimulationforFFAmobilization 3.Maybedueto: -Highlevelsoflactate • Promotesresynthesisoftriglycerides -ElevatedH+inhibitsHSL(hormonesensitivelipase) -Inadequatebloodflowtoadiposetissue -InsufficientalbumintotransportFFAinplasma EffectofLactateonFFAMobilization