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HCB Objectives 14 1. Note: Pars intermedia of the pituitary releases MSH (melanocyte stimulating hormone) to make skin darker Structure, function, and location of: a. Pituitary: a. Structure: divided into adenohypophysis and neurohypophysis a. Adenohypophysis: “regular tissue” part; divided into pars distalis (anterior lobe), pars intermedia (connection between posterior and anterior lobes), and pars tuberalis (tissue surrounding infundibulum). b. Neurohypophysis: “nervous tissue” part; divided into pars nervosa (nervous posterior lobe) and infudibulum (stalk connecting to hypothalamus). b. Location: in the sella turcica at the base of the brain below the hypothalamus c. Function: release of hormones: FSH, LH, ACTH, TSH, Prolactin, GH, ADH, and oxytocin b. Pineal body: a. Structure: cone shaped, joined to the brain by a short stalk, surrounded by loose CT and highly vascularized (can calcify easily due to rich vascular supply; look for “brain sand” calcium deposits) b. Location: midline, dorsal to the roof of the diencephalon and superior colliculi c. Function: release of melatonin c. Thyroid: a. Structure: two lateral lobes (right larger than left) connected by an isthmus that may or may not have a pyramidal lobe extending anteriorly from it b. Location: in the anterior neck adjacent to the trachea c. Function: release of thyroid hormone and calcitonin d. Parathyroid: a. Structure: small, split-pea appearance b. Location: four glands (two upper, two lower) situated on the posterior surface of the thyroid c. Function: release of parathyroid hormone e. Adrenals: a. Structure: flat, triangular glands separated into cortex and medulla a. Adrenal cortex: zona glomerulosa, zona fasciculata, and zona reticularis b. Adrenal medulla: modified postganglionic neurons b. Location: the upper poles of the kidneys c. Function: release of steroids: mineralocorticoids (aldosterone), glucocorticoids (cortisol, cortisone, corticosterone), sex hormones, norepinephrine, and epinephrine 2. Cell types present, secretory product/function of: f. Pituitary: a. Cell types: a. Adenohypophysis: Acidophils (“GPA”: GH, prolactin producers): stain eosinophilically Basophils (“B FLAT”: FSH, LH, ACTH, TSH producers): stain basophilically Chromophobes (cells that have released granules): do not stain (no granules) b. Neurohypophysis: Pituicytes (astrocytes): small, dense, numerous nuclei Neuroendocrine cells (ADH, oxitocin producers): large, basophilic cells with lots of RER and defined Golgi Herring bodies (accumulation of granules): basophilic staining masses b. Secretory product: a. Adenohypophysis: FSH, LH, ACTH, TSH, Prolactin, GH b. Neurohypophysis: ADH, Oxytocin c. Function of secretory product: a. Adenohypophysis: FSH: Males: Spermatogenesis Females: Follicular development LH: Males: Maintenance of testicular IC cells Females: Ovulation ACTH: synthesis/release of glucocorticoids from adrenal cortex TSH: synthesis/release of thyroid hormone Prolactin: milk secretion GH: bone growth b. Neurohypophysis: ADH: increased water permeability in renal collecting ducts Oxytocin: contraction of myoepithelial alveolar cells in the lactating breast g. h. i. j. Pineal body: a. Cell types: a. Pinealocytes (melatonin producers): irregular, infolded, basophilic nuclei with extensive smooth ER and microtubules b. Interstitial cells (astrocytes): elongated, basophilic nuclei b. Secretory product: melatonin c. Function of secretory product: desire to sleep in circadian rhythms (light sensation in the retina inhibits melatonin), inhibition of pituitary gonadotropin synthesis Thyroid: a. Cell types: a. Follicular cells (thyroglobulin producers): polarized cells with centrally located nucleus, lysosomes, and colloid droplets Note: follicles are surrounded by epithelium that is squamous when inactive and fills to become columnar when active b. C cells (calcitonin producers): clear staining pattern cells that stain in anti-calcitonin stains b. Secretory product: thyroid hormone and calcitonin c. Function of secretory product: a. thyroid hormone (T-3, T-4) induces metabolism via mitochondrial respiration b. calcitonin decreases serum Ca2+ levels by inhibiting osteoclasts Parathyroid: a. Cell types: a. Principal cells (parathyroid hormone producers): smaller cells with centrally located, variably shaped nuclei and pale staining cytoplams b. Oxyphil cells (unknown function): larger cells with eosinophilic cytoplasm b. Secretory product: parathyroid hormone c. Function of secretory product: increases serum Ca2+ levels by increasing osteoclast proliferation Adrenals: a. Cell types: a. Zona glomerulosa: small cells adjacent to the capsule b. Zona fasciculata: long fascicles perpendicular to the gland with large, numerous lipid droplets c. Zona reticularis: small cells adjacent to the medulla with few lipid droplets d. Adrenal medulla: polyhedral cells, surrounded by large medullary veins b. Secretory product: a. Adrenal cortex: mineralosteroids (aldosterone), glucocorticoids (cortisol, cortisone, corticosterone), sex hormones b. Adrenal medulla: epinephrine and norepinephrine c. Function of secretory product: a. Adrenal cortex: mineralosteroids (aldosterone): promotes reabsorption of Na+ in renal distal convoluted tubules, gastric mucosa, salivary glands, and sweat glands glucocorticoids: slows metabolism (increases gluconeogenesis, amino-acid and fatty acid uptake, and protein synthesis) and depresses immune system sex hormones: determines individual sex b. Adrenal medulla: epinephrine: sympathetic hormone (fight or flight) norepinephrine: sympathetic neurotransmitter (fight or flight) 3. Structural and functional pathways: a. Hypothalamic regulation of the pituitary: humoral: hormone signaling through hypothalamohypophyseal portal system (passes through the median eminence) neuronal: IPSPs and EPSPs on hypothalamohypophyseal tract b. Light regulation of pineal gland: retinal light sensors inhibits release of melatonin c. Pituitary regulation of thyroid: pituitary releases TSH to stimulate thyroid d. Ca2+ regulation of parathyroid: high calcium levels inhibit parathyroid function e. Pituitary regulation of adrenal cortex: pituitary releases ACTH to stimulate zona glomerulosa and zona fasciculata of adrenal cortex f. Nervous regulation of adrenal medulla: sympathetic input stimulates adrenal medulla