* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Endocrine System
Hypothyroidism wikipedia , lookup
Neuroendocrine tumor wikipedia , lookup
Hormone replacement therapy (menopause) wikipedia , lookup
Hormone replacement therapy (male-to-female) wikipedia , lookup
Hyperandrogenism wikipedia , lookup
Bioidentical hormone replacement therapy wikipedia , lookup
Graves' disease wikipedia , lookup
Hyperthyroidism wikipedia , lookup
Pituitary apoplexy wikipedia , lookup
Hypothalamus wikipedia , lookup
Endocrine System Chapter 16 Overview • Overall goal of endocrine system: maintain a stable internal environment (homeostasis) • Endocrine glands are “ductless glands” • Endocrine glands secrete hormones which travel through the blood to a target cell – Receptor must be present on target cell • Glands of the endocrine system are present throughout the body • Most cells are regulated by the endocrine system Endocrine vs Nervous System • Both systems function to maintain homeostasis • Main differences: Feature Endocrine System Nervous System Effector cells Target cells throughout the body Postsynaptic cells in muscle and glandular tissue only Chemical messenger Hormone Neurotransmitter Distance traveled by messenger Long – in blood Short – across synaptic cleft Regulatory effects Slow to appear; long-lasting Appear rapidly; short Endocrine vs Nervous System Major Endocrine Glands Classification of Hormones • Classified by Function – Tropic hormones: target other endocrine glands and stimulate their growth & secretion – Sex hormones: target reproductive tissues – Anabolic hormones: stimulate anabolism in their target cell Classification of Hormones • Classified by Chemical Structure – Steroid Hormones • Derived from cholesterol • Lipid soluble; can pass through phospholipid bilayer – Nonsteroid Hormones • Synthesized from amino acids • Proteins, Glycoproteins, peptides, amino acid derivatives (Fig 16-3) Chemical Classifications of Hormones How Hormones Work • Hormones bind to receptors on target cells – Lock & key • Hormone-receptor interactions produce regulatory changes within the target cell – Ex: initiating protein synthesis; activation/inactivation of enzymes; opening/closing of ion channels • Endocrine glands produce more hormone molecules than necessary to hit the target cells – Excess hormones are excreted in urine or broken down by metabolic processes How Hormones Work • Synergism: combinations of hormones have a greater effect on the target cell compared to a single hormone acting alone • Permissiveness: a small amount of one hormone allows a second hormone to exhibit its full effect on the target cell • Antagonism: two hormones produce opposite effects Mechanisms of Steroid Hormone Action • Steroids are lipids not soluble in blood plasma (mostly H2O) • In blood steroids attach to plasma proteins • Steroid reaches a target cell dissociates from plasma protein diffuses into target cell • In the nucleus a hormone-receptor complex is formed • Hormone-receptor complexes in the nucleus trigger protein synthesis (transcription & translation) • Increase steroid = increase response (protein synthesis) • Regulatory effects of hormones are slow to appear Mechanisms of Steroid Hormone Action Mechanisms of Nonsteriod Hormone Action • Nonsteroid hormones operate according to the second messenger hypothesis – Nonsteroid hormone is the “1st messenger” and binds to a receptor on the plasma membrane of the target cell – The “message” is relayed inside the cell to a “2nd messenger” which triggers the appropriate cellular response Second Messenger Mechanism 1. 2. 3. Nonsteroid hormone (1st messenger) binds with receptor on plasma membrane Hormone-receptor complex activates a membrane protein called the G protein G protein activates guanosine triphosphate (GTP) which also activates another membrane protein (adenyl cyclase) Second Messenger Mechanism 4. 5. 6. Adenyl cyclase removes 2 phosphate groups from ATP creating cyclic adenosine monophosphate (cAMP) (second mesenger) cAMP activates or inactivates protein kinases Protein kinases activate specific intracellular enzymes Second Messenger Mechanism 7. Enzymes influence specific cellular reactions (target cell’s response to hormone) Second Messenger Mechanism Summary: • Hormone or 1st messenger binds to plasma membrane receptor • Triggers formation of intracellular 2nd messenger • 2nd messenger activates cascade of chemical reactions • Target cell’s response to the hormone is produced Another Second Messenger • Some hormones produce effects in target cells by triggering opening of calcium channels – – – – – – Hormone binds to receptor on plasma membrane Ca2+ channels open Ca2+ binds with calmodulin Ca2+/Calmodulin complex acts as 2nd messenger Enzymes are activated/inactivated Target cell’s response is produced Calcium-Calmodulin as 2nd Messenger Regulation of Hormone Secretion • Hormone secretion is controlled by a negative feedback loop – Ex: parathyroid hormone (PTH) and blood calcium levels (fig 16-10) – Ex: insulin and blood glucose levels Endocrine Feedback Loop Hyper vs Hyposecretion • Tumors or abnormalities of the endocrine glands cause secretion of too much or too little hormone • Hypersecretion: production of too much hormone • Hyposecretion: production of too little hormone – Results in lack of target cell response – Also caused by target cell insensitivity Regulation of Target Cell Sensitivity • Sensitivity of target cell depends on number of receptors it has for a specific hormone • Receptors are constantly being broken down and re-synthesized by the cell • Up-regulation: synthesis of new receptors > degeneration of old receptors – Increase target cell sensitivity to that particular hormone • Down-regulation: synthesis of new receptors < degeneration of old receptors – Decrease target cell sensitivity Pituitary Gland • Also called hypophysis • Located on ventral surface of brain, inferior to the hypothalamus • “Master gland” because functions are crucial to life • Composed of two parts: Anterior Pituitary and Posterior Pituitary Anterior Pituitary • Hormones secreted from Anterior Pituitary: – Growth Hormone – Prolactin – Trophic hormones • Thyroid-stimulating hormone (TSH) • Adrenocorticotropic hormone (ACTH) • Gonadotropic hormones – Follicle-stimulating hormone (FSH) – Luteinizing hormone (LH) Growth Hormone • Growth Hormone (GH) – promotes growth by stimulating protein anabolism • Increased protein anabolism allows increased growth rate • Target cells: – Promotes growth of bone and muscle • GH has a hyperglycemic effect; antagonist of insulin – Hyperglycemic effect because GH stimulates fat metabolism – Interaction vital to maintaining homeostasis of blood glucose levels Growth Hormone Abnormalities • Hypersecretion – Prior to ossification of the epiphyseal plates hypersections of GH results in rapid skeletal growth Gigantism – After closure of epiphyseal plates hypersecretion causes cartilage to continue to form new bone Acromegaly • Distorted appearance; enlarged hands, feet, face, jaw; thickened skin Growth Hormone Abnormalities • Hyposecretion – Results in stunted body growth pituitary dwarfism – Treated with genetically engineered growth hormone Prolactin (PRL) • • • • Also called lactogenic hormone Initiates milk secretion (lactation) Target cells: Mammary glands During pregnancy PRL promotes development of breasts • At birth PRL stimulates milk production Prolactin Abnormalities • Hypersecretion: – Lactation in non-nursing women – Disruption of menstrual cycle – Impotence in men • Hyposecretion: – Insignificant unless mother wishes to breastfeed Trophic Hormones • Review: a trophic hormone stimulate effects of other endocrine glands • Trophic hormones released from anterior pituitary gland: – Thyroid-stimulating hormone (TSH) – Adrenocorticotropic hormone (ACTH) – Gonadotrophic hormones • Follicle-stimulating hormone (FSH) • Luteinizing hormone (LH) Thyroid-stimulating hormone (TSH) • Promotes and maintains growth and development of thyroid gland • Required for thyroid gland to secrete its hormones Adrenocorticotropic hormone (ACTH) • Promotes and maintains normal growth and development of the cortex (outer portion) of the adrenal gland • Required for adrenal cortex to secrete its hormone Gonadotrophic hormones • Target cells: gonads (testes & ovaries) • Follicle-stimulating hormone (FSH) – Females: • Stimulates growth & development of an ovum that is released each month during ovulation • Stimulate estrogen release from the ovaries – Males • Stimulates development of seminiferous tubules and maintains sperm production in the testes Gonadotrophic hormones • Luteinizing hormone (LH) – Females: • Triggers ovulation • Promotes development of corpus luteum which secretes progesterone and estrogen; these hormones help maintain pregnancy – Males: • Stimulates cells of the testes to synthesize and secrete testosterone Control of Anterior Pituitary Secretion • The hypothalamus releases chemical called releasing hormones which influence hormone secretion from the anterior pituitary gland • This regulatory mechanism is a negative feedback loop Posterior Pituitary • Hormones secreted from Posterior Pituitary: – Antidiuretic Hormone (ADH) – Oxytocin (OH) Antidiuretic Hormone (ADH) • Target cells: kidney • Prevents formation of large volumes of dilute urine • Antidiuresis • Helps conserve water balance • Example: – Blood is hypertonic change detected by osmoreceptors ADH is released water reabsorbed in kidneys and returned to blood ADH Abnormalities • Hyposecretion – – – – Diabetes insipidus Increased urine output of dilute urine “high and dry” Na+ levels are increased; Intercellular Fluid- decreased • Hypersecretion – Syndrome of inappropriate antidiuretic hormone (SIADH) – Decreased urine output – Fluid overload; low Na+ levels Oxytocin (OT) • Target cells: mammary glands & uterine smooth muscle • Operates on a positive feedback loop • Stimulates uterine smooth muscle contractions – During childbirth stretching of receptors causes continued release of oxytocin until after delivery of the placenta • Ejection of milk into ducts of the breast of lactating women – When breastfeeding the suckling action of the baby causes secretion of additional oxytocin increasing milk production – Breastfeeding also helps the uterus continue to contract back to normal size during the postpartum period Pineal Body • Regulates the body’s biological clock – Patterns of eating – Sleeping – Female reproductive cycle – Behavior • Secretes melatonin – Induces sleep – Secretion is inhibited by sunlight – Target cell in humans is unknown Melatonin & Seasonal Affective Disorder • Also know as “winter depression” • During shorter days, melatonin secretion increases causes a depressed feeling in affected patients • Treatment – Exposure to high-intensity lights to inhibit melatonin secretion Thyroid Gland • The thyroid gland is composed of two lateral lobes connected by an isthmus • Located on the anterior and lateral surfaces of the trachea, below the larynx Thyroid Hormones • Tetraiodothyronine or thyroxine (T4) – Most abundant thyroid hormone – Contains 4 iodine atoms – May have effect on target cells, but mostly serve as precursor to T3 • Triodothyronine (T3) – “principal thyroid hormone” – Contains 3 iodine atoms Thyroid Hormones • Both hormone bind to plasma proteins once secreted into the bloodstream • Function: – Regulate metabolic rate of all cells – Regulate cell growth – Regulate tissue differentiation • Target cells: “general” because thyroid hormones can potentially interact with all cells of the body Hypersecretion • Graves Disease – Autoimmune condition (thyroid stimulating antibodies causes abnormal secretion) – Weight loss – Increases basal metabolic rate – Increased heart and respiratory rate – exophthalmos Exophthalmos Hyposecretion of Thyroid Hormone • Cretinism – develops during the growth years due to hypothyroidism – Low metabolic rate – Retarded growth and sexual development – Mental retardation (possibly) • Hypothyroidism later in life – – – – – – Decreased metabolic rate Loss of mental & physical vigor Weight gain Loss of hair Yellow discoloration of the skin myxedema Goiter • Caused by lack of iodine in the diet • Iodine is needed to synthesize thyroid hormone • Lack of iodine causes drop in thyroid hormone production/secretion • Negative feedback loop informs hypothalamus and anterior pituitary to release releasing hormones and TSH • Lack of iodine causes enlargement of thyroid gland Calcitonin • The 3rd hormone secreted from the thyroid gland • Target cells – bone • Function – regulates calcium levels in the blood by decreasing blood calcium levels – Increases action of osteoblasts (build bone) and inhibits action of osteoclasts (breakdown bone) – Antagonist to parathyroid hormone Parathyroid Glands • Parathyroid glands are embedded in the posterior aspect of the thyroid glands • Usually 4 or 5 parathyroid glands