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Some Definitions I Endocrine: glandular secretion of substances inside the body Exocrine: glandular secretion of substances outside the body (sweat gland, liver, pancreas) The endocrine system uses hormones to convey information through the bloodstream Some Definitions II Hormone: a substance released by an endocrine gland and transported through the bloodstream to another tissue (target) where it exerts its function (stimulatory or inhibitory) Autocrine: the hormone acts on the cell that has produced it (insulin) Paracrine: the hormone acts locally on nearby cells (sex steroids in the ovary) The endocrine glands Several glands located in different areas of the body Ductless (do not have a duct system) Richly vascularized “Classic” Endocrine Glands Anterior Hypophysis Posterior Hypophysis Thyroid Parathyroid Adrenal Cortex Adrenal Medulla Testis Ovary Pancreatic Islets Placenta ACTH, TSH, LH, FSH, GH, PRL Oxytocin and ADH T4, T3 and calcitonin PTH Aldosteron, Cortisol, DHEA et al. Epinephrine and Norepinephrine Testosterone, Inhibin Estradiol, androgens Insulin, glucagon, somatostatin, etc hCG, hPL, estradiol, progesterone “Non-classic” Endocrine Glands Brain CRH, TRH, GnRH, dopamine, GHRH, somatostatin Heart Kidney Liver Stomach Small intestine Atrial natriuretic peptide Renin, 1,25-Vit. D, erythropoietin Insulin-like growth factor-1 Gastrin Many regulatory peptides Chemical Nature of Hormones • Derived from one amino acid (tyrosine): • amine: dopamine, norepinephrine, epinephrine • thyroid hormones: T4 and T3 • Polypeptides: • some are small (TRH is 3 AA) • some are big (GH is ~200 AA) • Steroid hormones (derived from cholesterol): • with intact steroid nucleus (gonadal and adrenal) Amine Thyroid Hormones Peptides & Steroids Hormones Functions of Hormones Reproduction and Sex •Ex: LH, FSH, PRL, E2 and T Growth •Ex: GH, insulin-like growth factors Maintenance of water, electrolyte & blood pressure: •ADH •Aldosterone •PTH, Vit. D, calcitonin •Epi. & norepinephrine water Na and K calcium and phosphate blood pressure Regulation of energy availability: •Insulin, glucagon and cortisol •Thyroid hormones glucose basal metabolism Hormone Synthesis & Release Vescicular versus nonvescicular The basal secretion is pulsatile (not continuous) The secretory episodes may have different periodicity: •Circa-horal •Circa-dian •Circa-trigintan •Circa-annual (seasonal) Vescicular & Non-vesc. Secretion Hormone Transport Amine and Polypetide hormones usually circulate free in the bloodstream Exception: insulin-like growth factors • Steroids and thyroid hormones circulate bound to transport proteins: Specific: TBG for T4 and T3, SHBG for T and E2, CBG for cortisol Non-specific: albumin and pre-albumin • • Hormone Transport Binding influences clearance Only the free hormone is “active” Only the free hormone dictates the feedback Mechanisms of Hormone Action Cell surface receptors: Seven transmembrane receptors (G linked) Growth factor receptors • • Nuclear receptors: Steroids receptor family Thyroid hormones receptor family • • G-protein coupled Receptor Nuclear Receptor Effects of Hormone Action Agonist Weak agonist (partial agonist) Antagonist Hormone Metabolism & Clearance Only a small fraction of circulating hormone is taken up by the target tissue The bulk of clearance is done by liver and kidneys Many kinds of enzymatic reactions: hydrolysis, oxidation, hydroxylation, methylation, decarboxylation, sulfation, glucuronidation Only a small fraction is excreted intact in urine or feces The feedbacks controller controller a b target a b target The negative feedback Long loop: inhibition of pituitary secretion by hormones released by the target organs Short loop: inhibition of hypothalamic secretion by pituitary hormones Ultrashort loop: inhibition of hypothalamic secretion by hypothalamic hormones Mechanisms of Endocrine Disease Hypofuction (hormone deficiency) Hyperfunction (hormone excess) Hormone resistance: the hormone itself is abnormal the receptor is “blocked” by antibodies the receptor itself is abnormal the post-receptor pathway is abnormal • • • •