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Biology 232 Human Anatomy and Physiology Chapter 18 Lecture Outline ENDOCRINE SYSTEM – regulates body functions endocrine glands – ductless glands; secrete products into interstitial fluid (pituitary, thyroid, parathyroid, adrenals, pineal) hormones – products of endocrine glands and cells; usually diffuse into capillaries and circulate in blood endocrine cells – found in many tissues and organs hypothalamus, thymus, pancreas, ovaries, testes, kidneys, stomach, liver, small intestine, skin, heart, adipose tissue, placenta COMPARISON OF NERVOUS AND ENDOCRINE REGULATION Nervous System synaptic communication - neurotransmitter released at a specific site postsynaptic cell (muscle, gland, neuron) must have correct receptors rapid onset of response (milliseconds) short duration – local inactivation of neurotransmitter direct communication – electrical synapses at gap junctions Endocrine System endocrine communication - hormones released in bloodstream diffuse - targets any body tissues with correct receptors onset of response may take seconds to hours longer duration – hormone inactivated by liver or excreted by kidneys paracrine communication (local hormones) – hormones released in interstitial fluid target neighboring cells with correct receptors HORMONE FUNCTION hormone receptors – cell proteins or glycoproteins on specific target cells bind specific hormones and alter cell structure or function Chemical Classes of Hormones – determines how the hormone functions lipid soluble hormones – receptors inside target cells steroid hormones – derived from cholesterol sex hormones – androgens, estrogens adrenal cortex hormones – mineralocorticoids, glucocorticoids calcitriol thyroid hormones – amino acid derivatives (tyrosine + iodines) T3 and T4 1 water-soluble hormones – receptors in plasma membrane of target cells amino acid hormones – derived from amino acids catecholamines – epinephrine, norepinephrine melanin peptide hormones – amino acid chains and proteins many (eg. insulin, human growth hormone, oxytocin, etc.) eicosanoid hormones – derived from arachadonic acid (fatty acid) prostaglandins and leukotrienes usually act as local hormones act on receptors on inner cell membrane Hormone Transport in the Blood water-soluble hormones – free in blood plasma relatively short-acting broken down by liver, kidneys or enzymes lipid-soluble hormones – bound to transport proteins from liver 3 advantages: increases solubility in blood plasma slows down breakdown and excretion provides hormone reserve in bloodstream free fraction (small percentage of unbound hormone) these are the only active form of hormones Mechanisms of Hormone Action – various target cells can respond differently to the same hormone depending on the receptor lipid-soluble hormones – intracellular receptor receptor in cytoplasm or nucleus of target cell 1) free hormone diffuses into cell through lipid bilayer 2) in target cell, hormone binds to and activates receptors 3) receptor-hormone complex turns genes on or off 4) alters gene expression – synthesis of a protein enzyme – alters target cell function structural protein – alters target cell structure water-soluble hormones – receptors in outer cell membrane (eicosanoids – inner cell membrane) first messenger (hormone) activates a second messenger inside cell 1) hormone binds receptor at surface of plasma membrane 2) hormone-receptor complex activates a G protein, which activates membrane enzymes 3) enzymes activate a second messenger (eg. cAMP, cGMP, Ca+2) 4) second messenger alters enzyme within target cell turns enzymes on or off = alters cell function 2 amplification – one hormone may activate thousands of second messengers cascade effect – more than one enzyme pathway may be activated one hormone can alter multiple cell functions Target Cell Response – depends on 3 factors: 1) hormone concentration 2) number of hormone receptors down-regulation - decrease number of receptors; decreases sensitivity when excess hormone is present up-regulation – increase number of receptors; increases sensitivity during hormone deficiency 3) influence of other hormones antagonistic effect – one hormone opposes the action of another net result depends on balance of opposing hormones synergistic effect – effect of 2 hormones is greater than sum of those hormones acting alone permissive effect – the action of one hormone is required for the proper function of another hormone Regulation of Hormone Secretion neural stimuli –endocrine cell stimulated by neuron at neuroglandular junction humoral stimuli – endocrine cell stimulated by changes in composition of blood or interstitial fluid hormonal stimuli – presence or absence of another hormone stimulates endocrine cell negative feedback – most endocrine cells are inhibited as their products or effects increase (eg. high thyroid hormone levels inhibit thyroid gland secretion) HYPOTHALAMUS AND PITUITARY GLAND – function together to regulate most aspects of growth, development, metabolism, and homeostasis HYPOTHALAMUS – integrates nervous and endocrine systems neurosecretory cells – specialized neurons which produce hormones release hormones in interstitial spaces when stimulated by a nervous impulse or humoral receptors hormones stored by posterior pituitary antidiuretic hormone (ADH) oxytocin produced by neuron cell bodies in hypothalamus hormone vesicles travel down axons in infundibulum to posterior pituitary 3 regulatory hormones – regulate anterior pituitary releasing hormones – stimulate anterior pituitary inhibiting hormones – inhibit anterior pituitary produced by neurons in hypothalamus and released in interstitial space hypophyseal portal system – system of 2 capillary networks which delivers hormones secreted by the hypothalamus to the anterior pituitary autonomic motor neurons sympathetic stimulation of adrenal medulla secretion of epinephrine and norepinephrine into blood stream PITUITARY GLAND (HYPOPHYSIS) – inferior to hypothalamus in hypophyseal fossa of sella turcica (sphenoid bone) infundibulum – stalk attaching pituitary to hypothalamus 2 lobes of pituitary: 1) Anterior Pituitary – adenohypophysis (glandular hypophysis) produces and secretes 7 hormones tropins – hormones that regulate other endocrine glands or tissues thyrotropin – thyroid-stimulating hormone (TSH) regulates thyroid corticotropin – adrenocorticotropic hormone (ACTH) regulates adrenal cortex gonadotropins – follicle-stimulating hormone (FSH) luteinizing hormone (LH) both regulate gonads (testes and ovaries) mammotropin – prolactin (PRL) regulates mammary glands somatotropin – growth hormone (GH) regulates most body tissues melanotropin – melanocyte-stimulating hormone (MSH) regulates melanocytes secretion of these hormones is regulated mainly by hypothalamic releasing and inhibiting hormones 2) Posterior Pituitary – neurohypophysis (neural hypophysis) modified axon terminals – stores hormones from hypothalamus and releases them in response to nervous stimulation pituicytes – specialized neuroglia of posterior pituitary hypothalamohypophyseal tract – axon tract from hypothalamus to posterior pituitary (in infundibulum) 2 stored hormones: oxytocin antidiuretic hormone (ADH) – also called vasopressin 4 Hormones of Anterior Pituitary 1) thyroid-stimulating hormone (TSH) – (thyrotropin) stimulates thyroid to produce and secrete T3 and T4 promoted by a thyrotropin-releasing hormone (TRH) [from hypothalamus] inhibited by negative feedback of T3 and T4 2) adrenocorticotropic hormone (ACTH) - (corticotropin) stimulates adrenal cortex to produce and secrete glucocorticoids promoted by corticotropin-releasing hormone (during stress) inhibited by negative feedback of glucocorticoids 3) follicle-stimulating hormone (FSH) – (gonadotropin) female – stimulates ovaries to produce egg follicles and estrogen male – stimulates testes to produce sperm promoted by a gonadotropin-releasing hormone (GnRH) inhibited by negative feedback of sex hormones 4) luteinizing hormone (LH) - (gonadotropin) female – stimulates ovaries to ovulate and maintain pregnancy male – stimulates testes to secrete testosterone promoted by gonadotropin-releasing hormone (GnRH) inhibited by negative feedback of sex hormones 5) prolactin (PRL) – (mammotropin) stimulates mammary glands to produce and secrete milk permissive and synergistic effects of other hormones required: estrogens, progesterone, glucocorticoids, GH, T4, insulin, oxytocin promoted by prolactin-releasing hormone (PRH) inhibited by prolactin-inhibiting hormone (PIH) 6) growth hormone (GH) – (somatotropin) stimulates cells in most body tissues and organs causes cell growth, division, breakdown of energy stores insulinlike growth factors – hormones produced by liver in response to GH; target other body tissues increase protein synthesis = growth promoted by growth hormone-releasing hormone (GHRH) inhibited by growth hormone-inhibiting hormone (GHIH) gigantism – hypersecretion of GH during childhood pituitary dwarfism – hyposecretion of GH during childhood acromegally – hypersecretion of GH during adulthood 7) melanocyte-stimulating hormone (MSH) from pars intermedia – fetal pituitary lobe which atrophies function unknown 5 Hormones of Posterior Pituitary – produced by hypothalamus neuroendocrine reflexes – hormones are released due to neural impulses 1) oxytocin stimulates uterine wall muscles to contract during delivery, and mammary glands to eject milk promoted by sensory stimuli: stretch of the cervix suckling of an infant positive feedback loop – hormone release continues until sensory stimulus stops (birth, or infant stops suckling) 2) antidiuretic hormone (ADH) vasopressin – regulates blood volume and pressure promoted by: high blood osmotic pressure (detected by osmoreceptors in hypothalamus) low blood pressure (detected by baroreceptors in blood vessels) low blood volume target organs: kidneys – excrete less water from blood = less urine produced sweat glands – decrease sweating arterioles – constrict = increases blood pressure diabetes insipidus – hyposecretion of ADH or nonfunctional ADH receptors excess urine output = thirst, dehydration THYROID GLAND Anatomy of the Thyroid inferior to larynx; lateral and anterior to trachea right and left lateral lobes – connected by isthmus thyroid follicles – contain colloid (large quantity of stored form of thyroid hormones T4 & T3) follicular cells (simple cuboidal epithelium) produce thyroid hormones - T4 and T3 parafollicular cells (C cells) – produce calcitonin Production of Thyroid Hormones follicular cells actively transport iodide ions from blood into cell follicular cells synthesize thyroglobulin (large glycoprotein) and secrete it into follicle lumen iodides react with tyrosines (amino acid) on thyroglobulin T4 = tyrosine + 4 iodides (tetraiodothyronine) [thyroxine] T3 = tyrosine + 3 iodides (triiodothyronine) hormones stored in follicle as colloid (thyroglobulin molecules) 6 secretion of thyroid hormones endocytosis of colloid into follicular cells lysosomes digest colloid and cleave off molecules of T4 and T3 T4 and T3 diffuse into interstitial fluid and into bloodstream (90% T4) thyroxine-binding globulin (TBG) – blood transport protein for T4 & T3 T4 and T3 released as free fraction is used up Functions of Thyroid Hormones target – most cells of body increases basal metabolic rate – oxygen consumption at rest after overnight fast increase cellular metabolism – more ATP production, protein synthesis, glycolysis, and more sodium/potassium pumps calorigenic effect – body temperature rises upregulate beta receptors for catecholamines – increase heart rate and force, increase blood pressure participate in growth – especially nervous tissue Regulation of Thyroid Hormones 1) low T4 and T3 in blood 2) hypothalamus secretes thyrotropin-releasing hormone (TRH) 3) anterior pituitary secretes TSH 4) thyroid production and secretion of T4 and T3 increases 5) negative feedback inhibition by T3 (increased ATP demands increase thyroid activity) Thyroid Disorders hypothyroidism – reduced secretion congenital (at birth) – mental retardation (cretinism) myxedema (adult) – edema, low heart rate and body temperature, weakness, weight gain hyperthyroidism – increased secretion high heart rate and blood pressure elevated body temperature, nervousness weight loss, increased appetite goiter – enlarged thyroid; various causes hyperthyroidism dietary iodine deficiency Function of Calcitonin – from parafollicular (C) cells of thyroid lowers blood calcium (increases bone density) targets – osteoclasts – inhibits bone resorption kidneys – increases excretion of calcium ions in urine promoted by high blood calcium inhibited by low blood calcium 7 PARATHYROID GLANDS Anatomy of the Parathyroids attached to posterior surface of thyroid lobes 4 glands – superior and inferior glands on each side chief cells – produce parathyroid hormone (PTH) oxyphil cells – function unknown Parathyroid Hormone – major regulator of calcium level in blood increases blood calcium targets: osteoclasts – stimulates resorption of bone, which releases calcium into blood osteoblasts – inhibits calcification of bone kidneys – decreases calcium excretion in urine stimulates production of calcitriol – increases absorption of dietary calcium promoted by low blood calcium inhibited by high blood calcium Regulation of Blood Calcium Level – negative feedback loops by blood calcium directly to thyroid and parathyroid 1) low blood calcium stimulates parathyroid gland secretion of PTH (also inhibits calcitonin) 2) PTH targets osteoclasts, osteoblasts, and kidneys 3) blood calcium increases 4) high blood calcium stimulates thyroid secretion of calcitonin (also inhibits PTH) 5) calcitonin targets osteoclasts and kidneys 6) blood calcium decreases Parathyroid Disorders hypoparathyroidism – causes low blood calcium tetany and spasms – spontaneous depolarization of neurons and muscle cells hyperparathyroidism – causes excess blood calcium fragile bones, kidney stones, lethargy, and weakness ADRENAL GLANDS Anatomy of Adrenals – superior to each kidney; pyramidal shape; covered by connective tissue capsule 8 2 functional regions of adrenal gland: adrenal cortex – peripheral 80-90% of gland 3 zones – 3 hormones: zona glomerulosa (outer) – mineralocorticoids zona fasciculata (middle) – glucocorticoids zona reticularis (inner) – androgens adrenal medulla – modified sympathetic ganglion central 10-20% of gland neuroendocrine cells – produce epinephrine and norepinephrine stimulated by sympathetic ANS (review effects of sympathetic nervous system) Adrenal Cortical Hormones 1) Mineralocorticoids – electrolyte and water homeostasis aldosterone – main mineralocorticoid produced increases blood Na+ and water, decreases blood K+ (increases blood pressure) targets - kidneys (sweat, salivary, digestive glands) – decreases excretion of Na+, increases excretion of K+ promoted directly by low blood Na+ or high blood K+ Regulated by renin-angiotensin-aldosterone (RAA) pathway 1) decreased blood volume and pressure 2) kidneys secrete renin (enzyme) into blood 3) renin converts angiotensinogen (plasma protein from liver) into angiotensin I 4) enzyme in lung capillaries converts angiotensin I to angiotensin II 5) angiotensin II promotes aldosterone secretion by adrenal cortex 6) aldosterone promotes Na+ and water reabsorption in kidneys 7) blood volume and pressure increase 2) Glucocorticoids – regulate metabolism and resistance to stress cortisol (hydrocortisone) – main glucocorticoid (also cortisone and corticosterone) Regulation of Secretion 1) low glucocorticoids in blood 2) corticotropin- releasing hormone (CRH) from hypothalamus 3) ACTH from anterior pituitary 4) zona fasciculata secretes more glucocorticoids 5) high glucocorticoids cause negative feedback 9 Effects of Glucocorticoids (stress hormones) resistance to stress – mobilize energy and substrates; increase blood pressure, increase appetite protein breakdown (muscles) mobilizes amino acids lipolysis – breakdown and metabolism of fats glucose synthesis and glycogen storage in liver spares glucose for use of neural tissues anti-inflammatory effects – inhibit white blood cells, reduce swelling and pain, slows healing depression of immune responses Cushing’s syndrome – hypersecretion of glucocorticoids loss of muscle, redistribution of fat (buffalo hump, pendulous abdomen), poor healing, infections, hypertension, weakness 3) Androgens – masculinizing sex hormones effects: puberty in boys and girls – participate in growth spurt; growth of axillary and pubic hair adult males – small quantity relative to testicular androgens females – libido (sex drive), anabolic effects (increase muscle and bone mass), body tissues convert to estrogens (only source of estrogen after menopause) THE STRESS RESPONSE stressor – physical or emotional disturbance that threatens equilibrium general adaptation syndrome (GAS) – body changes due to stress, controlled mainly by the hypothalamus 3 phases: 1) alarm phase – immediate sympathetic nervous response initiated by hypothalamus rapid energy mobilization to brain, heart, skeletal muscles reduced non-essential functions activates RAA pathway – aldosterone maintains blood pressure decreases urine production 2) resistance phase – longer-lasting hormonal response initiated by hypothalamic releasing hormones CRH – ACTH – cortisol GHRH – GH TRH – TSH – T4 & T3 1) mobilizes lipids and proteins for energy 2) glucose-sparing for use by nervous tissues 3) synthesis of glucose from other molecules 4) maintains blood volume and pressure – supplies nutrients to tissue 10 3) exhaustion phase – prolonged exposure to cortisol and other stress hormones “Cushing-like” symptoms - muscle wasting, immune failure, poor healing high blood pressure electrolyte imbalances – low K+ exhaustion of adrenal cortex – inability to produce glucocorticoids lack of available energy sources, especially glucose Pancreatic Islets pancreas – between stomach and sm. intestine; exocrine and endocrine functions 99% acinar cells – exocrine cells producing digestive enzymes 1% pancreatic islets (islets of Langerhans) – produce hormones Cell Types in Pancreatic Islets alpha (A) cells – about 15%; secrete glucagon (increases blood glucose) beta (B) cells – about 80%; secrete insulin (decreases blood glucose) delta (D) cells – about 5%; secrete somatostatin (GHIH) inhibits glucagon and insulin release; slows nutrient absorption from GI tract F cells – remainder; secrete pancreatic polypeptide inhibits gallbladder contraction regulates digestive enzyme secretion Regulation and Effects of Glucagon – increases blood glucose hypoglycemia (low blood glucose) stimulates alpha cells to produce and secrete glucagon main target - liver promotes glycogenolysis (glycogenbroken down to glucose) promotes gluconeogenesis (lactic acid and amino acids converted to glucose) other target – adipocytes stimulates lipolysis (fat breakdown for energy) decreases glucose consumption glucagon secretion also stimulated by sympathetic activity inhibited by increases glucose, insulin, somatostatin from D cells Regulation and Effects of Insulin – decreases blood glucose hyperglycemia (high blood glucose) stimulates beta cells to produce and secrete insulin targets – most body cells promotes uptake of glucose by body cells by stimulating synthesis of glucose transporter proteins promotes use of glucose for ATP synthesis promotes protein synthesis 11 liver – promotes glycogenesis (excess glucose stored as glycogen) adipocytes – promotes triglyceride synthesis insulin secretion also stimulated by: parasympathetic activity some amino acids and glucose in small intestine (eating) Pancreatic Islet Disorders Diabetes mellitus – inability to produce or respond to insulin Signs and symptoms: cells can’t take in or use glucose for energy hyperglycemia glucosuria – glucose in urine polyuria – excessive urine production polydipsia – excessive drinking polyphagia – excessive eating lipolysis – atherosclerosis and cardiovascular disease ketoacidosis – high blood ketones from fatty acid breakdown 2 Types of Diabetes Mellitus type I (insulin dependent) – destruction of beta cells juvenile diabetes - usually develops when young can’t produce enough insulin insulin injections required to prevent death type II (non-insulin dependent) – insulin levels normal or high, but target cells don’t respond down-regulation of insulin receptors on target cells usually in obese, over age 40 may be managed with diet and exercise insulin shock – hypoglycemia due to overdose of insulin or not eating; deprivation of glucose to brain causes convulsions, loss of consciousness, shock, and death Pineal Gland – part of epithalamus; regulated by light and darkness Cell Types: neurons, neuroglia pinealocytes – secrete melatonin mainly in darkness functions: biological clock (circadian rhythm) – sleep and awakening cycles seasonal affective disorder (SAD) – winter depression less daylight = more melatonin production may inhibit reproductive functions 12 Thymus – lies over base of heart participates in immune system hormones promote maturation of lymphocytes Eicosanoids – local hormones in most tissues; derived from arachadonic acid released by damaged cell membranes 2 families: prostaglandins (PGs) – broad physiological effects participate in inflammation, fever, and pain – inhibited by NSAIDS (non-steroidal anti-inflammatory drugs) thromboxane – participates in blood clotting leukotrienes (LTs) – promote inflammation and chemotaxis of white blood cells Other Endocrine Cells GI tract GIP – promotes insulin secretion Kidneys erythropoietin (EPO) – red blood cell formation calcitriol (vitamin D) – dietary calcium and phosphorus absorption Heart atrial natriuretic peptide (ANP) – decreases blood pressure Adipose tissue leptin – suppresses appetite Placenta Ovaries and Testes sex hormones – androgens, estrogens, others Growth Factors – mitogenic (promote cell division) many act locally promoting tissue development, growth, and repair tumor angiogenesis factors (TAFs) – promote capillary growth, regeneration, and wound healing 13