Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Xenoestrogen wikipedia , lookup
Hyperthyroidism wikipedia , lookup
Neuroendocrine tumor wikipedia , lookup
Bioidentical hormone replacement therapy wikipedia , lookup
Mammary gland wikipedia , lookup
Growth hormone therapy wikipedia , lookup
Hyperandrogenism wikipedia , lookup
History of catecholamine research wikipedia , lookup
Triclocarban wikipedia , lookup
Endocrine disruptor wikipedia , lookup
10/28/2010 The endocrine system (overview) Primary text: Vander’s physiology, Chapter 11 Result of growth hormone deficiency Result of growth hormone overproduction Thyroid hormone overproduction A pump for insulin delivery Principle of endocrine signalling Endocrine gland Target Cell-1 Target Cell-2 Hormone Target Cell-3 Hormones are used for long range intercellular communication within the body. 1 10/28/2010 The endocrine system: a system of endocrine (ductless) glands or specialised cells which can secrete hormones directly into local capillaries for distribution around the body. ENDOCRINE (traditional) For a molecule to be classifiable as a hormone it must: a) be synthesised and secreted by specific type of cells (NB: these are not always anatomically distinct cells assembled as a “gland” i.e. vitamin D3 is produced by skin cells) b) be secreted into the blood stream and travel in the blood c) bind to specific receptors on target cells, where it exerts various actions d) In addition, hormones often affect metabolism, cell division, gene expression. HORMONES ARE EITHER: 1. Derivatives of the amino acid tyrosine: a) catecholamines (adrenaline and noradrenaline) b) thyroid hormones thyroxine (T4) and triiodothyronine (T3) I I I I 2. Proteins/peptides – long chains of aminoacids (eg insulin) 3. Steroids: eg cortisol, tesosterone 2 10/28/2010 Secretion of hormones is regulated by: 1. Ca2+ -dependent exocytosis (pituitary hormones, insulin, adrenaline) Ca2+ Synthesis - storage in vesicles - vesicle fusion with the membrane – hormone release. 2. By cleavage of the storage molecules (thyroid hormones – from thyroglobulin). 3. Adrenal steroids: little storage but massive pool of the precursors: synthesised on command (ACTH) and immediately secreted. Some of the endocrine glands in man ACTH, GH, LH, FSH, TSH, PROLACTIN hypothalamus ADH, OXYTOCIN Thyroxine (T4)& triiodothyronine (T3) Calcitonin Cortisol, aldosterone Adrenaline Insulin Glucagon Estrogens Progesteron Androgens Organisation of the endocrine circuits which operate via anterior pituitary Hypothalamus Anterior Pituitary Endocrine glands controlled by pituitary Targets throughout the body 3 10/28/2010 Hypothalamus Mammary glands Uterus Target endocrine glands Tissues of the body Organisation of the endocrine circuits which operate via anterior pituitary HYPOTHALAMUS RELEASING (INHIBITORY)FACTORS (HORMONES) ANTERIOR PITUITARY “Trophic” Trophic hormones hormones TSH TARGET ENDOCRINE GLANDS Thyroid Adrenal cortex thyroxine cortisol HORMONES ACTH FSH LH FSH, LH Gonads sex steroids TARGET TISSUES AND ORGANS 4 10/28/2010 HYPERthyroidism (Toxic goiter) HYPOthyroidism (cretinism) Hypothalamus Posterior y Pituitary A direct channel Targets throughout the body Hypothalamus Vasopressin Oxytocin (anti-diuretic hormone) Tissues of the body 5 10/28/2010 There are many hormones produced by specialised cells in various organs which are not controlled by the pituitary.. In some cases these are “true” glands, pituitary sometimes just groups of specialised cells present in various tissues. “True” glands “Groups of cells” Pancreas cells in kidney Cells in the atria of the heart Renin-producing i d i Adrenal medulla Targets throughout the body Blood glucose Insulin Endocrine gland ANTERIOR PITUITARY Major hormone Primary targets Trophic hormones Other ~endocrine~ glands and various tissues ACTH (adrenocortico…) TSH (thyroidstimulating...) Adrenal cortex LH (luteinizing hormone {corpus luteus – yellow body} Ovaries Testes Female hormones↑ Ovulation Male hormones↑ FSH (folliclestimulating…) Ovaries Testes Follicle growth ↑ Sperm formation ↑ GH (growth…) Liver, cartilages, muscles, many other Breasts Growth of almost all types of cells. Prolactin POSTERIOR PITUITARY Primary effects Stimulate hormones secretion and proliferation of the organs’ tissue Secretion of cortisol ↑ Secretion of T3 and T4 ↑ ADH (antidiuretic…) also called VASOPRESSIN OXYTOCIN Thyroid kidneys, higher concentrations – blood vessels Uterus Mammary glands Growth of tissue and milk expression H2O retention and vasoconstriction, BP increase Contraction Milk expression 6 10/28/2010 Endocrine gland Major hormone THYROID Thyroxine (T4) & tri-iodothyronine (T3) Primary targets Calcitonin Bone PARATHYROIDS Parathyroid hormone Bone, intestine, kidneys ADRENAL cortex Cortisol Liver, muscles, immune cells etc… Most organs (glucocorticoid) Aldosterone Kidneys ADRENAL medulla Adrenaline& Noradrenaline Cardio-vascular system, lungs, liver PANCREAS, islets of Langerhans Insulin many cells Glucagon Liver and fat ESTROGENS, mainly estradiol Female genitals, mammary glands GESTAGENS, i.e. progesterone Uterus Testosterone Prostate, seminal vesicles, other organs OVARIES Mammary glands TESTES Primary effects Rate of cell respiration↑ overall metabolism ↑ CNS: excitability & emotional reactivity ↑ growth (young children)↑ Ca2+ concentration in blood↓ Ca2+ concentration in blood↑ “Stress” hormone, glucose and fatty acids mobilisation, protein catabolism↑ Na+ retention, K+ excretion Blood pressure↑, blood glucose↑, components of fight-or-flight status Cellular uptake of glucose, formation of glycogen and fat. Blood glucose ↓ Breakdown of glycogen and fat. Blood glucose ↑ Develop female sex charateristics. Increase sex drive (central effect). “Pro-gestational” action – decrease in excitability and contractility Development of the secretory tissue Promotes male secondary sex characteristic, skeletal muscles: “anabolic” effect. RECEPTORS: Located intracellular Located at the membrane Receptors which operate via gene expression (steroid and thyroid hormones) Receptors which themselves are ion channels (“A”) Hormones act on Receptors which act as enzymes y (for ( example, p the insulin receptor) Receptors which are coupled via G-proteins (for example adrenalin receptors) Intracellular receptors may be located as free-floating proteins in the cytoplasm or nucleus DNA GENE expression CHANGE of cell function Protein Synthesis 7 10/28/2010 RECEPTORS: Located intracellulary Located at cell membrane Receptors which operate via gene expression (steroid hormones) Receptors which themselves are ion channels (“A”) Receptors which act as y ( p enzymes (for example, the insulin receptor) Hormones act on Receptors which are coupled to their targets via G-proteins (for example adrenalin receptors) Receptors which act as enzymes -PO4 -PO4 -PO4 Changes in -PO 4 -PO cell’s proteins -PO4 4 -PO 4-PO4 -PO 4 -PO -PO4 4 Cell response RECEPTORS: Located intracellularly Located at cell membrane Receptors which operate via gene expression (steroids) Hormones act on Receptors which themselves are ion channels (“A”) Receptors which act as enzymes (kinases, for example, l the h insulin i li receptor) or directly coupled to enzymes Receptors which are coupled via G-proteins (for example adrenalin receptors) 8 10/28/2010 Boy-ohboy!!!!!! Medical importance of endocrine system 1. Numerous diseases result from pathologically low or high concentration of hormones: - diabetes (two forms due to insufficiency of 2 different hormones) - dwarf dwarfism sm and gigantism g gant sm - many forms of infertility and many more... 2. Numerous drugs act like hormones or their antagonists: - bronchial asthma (allergic constriction of bronchi) - prevention of pregnancy (contraception) - treatment of hormonal diseases - to enhance muscle growth (illegal doping!) 3. Numerous unwanted (side-) effects of drugs are due to their interactions with hormones Questions to consider: - Concentration of which hormones are likely to be elevated during pregnancy? - What would happen to blood glucose levels if a bulk dose of insulin was injected? - Why Wh is i it common practice ti to t check h k blood bl d concentrations of thyroid hormones in newborn children? 9