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Principles of Hormonal Integration • Endocrinological solutions to physiological problems require integration of a large variety of simultaneous events • Redundancy, is the excess of regulatory capacity provided in the form of seemingly duplicative or overlapping controls • Reinforcement, most hormones act at several locales either within a single cell or in different tissues or organs to produce separate but mutually reinforcing responses • Push-pull mechanisms, many critical processes are under dual control by agents that act antagonistically either to stimulate or to inhibit • Modulation of responding systems, or the relationship between amount of hormone available and magnitude of the response, is subjected to regulation by many factors, including the action of other hormones S Introduction “story lines” and “circles intersecting circles …” S E how many circles do you see here ? Page 1 26 E Principles of Hormonal Integration (or how responses can get complicated) • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Integration at the cellular level. A cell may receive inputs from hormones A, B, and C simultaneously. Hormone B acting through a G-protein coupled receptor activates adenylyl cyclase (AC) through the stimulatory subunit Gs. Hormone C binds to its G-protein coupled receptor, which inhibits adenylyl cyclase through the inhibitory subunit Gi, and activates phospholipase C through the Gq subunit, resulting in cleavage of phosphatidylinositol bis-phosphate (PIP2) and the release of diacylglycerol (DAG) and inositol trisphosphate (IP3). Hormone A, acting through a tyrosine kinase receptor, activates cyclic AMP phosphodiesterase (PDE), which degrades cAMP. The combined actions of the three hormones determines the concentration of cyclic AMP. S E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems S Redundancy, is the excess of regulatory capacity provided in the form of seemingly duplicative or overlapping controls Redundancy allows for physiological adaptation when partial or even total failure of an homeostatic mechanism occur and another compensates for it Strategies for therapeutic interventions, designed to increase or decrease the rate of a process, must take into account the redundant inputs that regulate that process Redundancy allows for adaptation of homeostatic mechanisms to confront environmental changes E Page 2 Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems (e.g. at a tissue level) S Redundant mechanisms to stimulate hepatic glucose production. Hormonal and neural mechanisms are marshaled to combat potentially life-threatening low blood glucose concentrations. Glucagon and epinephrin, two hormones from two different tissues, produce the same end-result E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems (e.g. at a molecular level) S Redundant mechanisms to activate glycogen phosphorylase by a single hormone, epinephrine, acting through both 1 and receptors. Epinephrin increase glycogenolysis by two signal transduction pathways to produce a same end-result E Page 3 Principles of Hormonal Integration Idealized representation of the effects of epinephrine and growth hormone on plasma concentrations of free fatty acids. • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems (e.g. at different time domains at the same site) S Epi and GH increase plasma FFA at two different time - domains for acute and susteined responses E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems (e.g. at different time domains at different sites) S PTH and Vit D increase blood levels of calcium at different target sites and at different time-domains E Page 4 Principles of Hormonal Integration Synergistic effects of human growth hormone (hGH) and the synthetic glucocorticoid dexamethasone (DEX) on lipolysis as measured by the increase in glycerol release from rat adipocytes. • Redundancy • Reinforcement • Push-Pull mechanisms Both hGH and Dex were somewhat effective when added individually, but when added together the overall tissue response was greater than the sum of the responses produced by each hormone alone. • Modulation of Responding Systems (e.g. at the same time domain from different sites) S GH and dexamethason increase lipolysis in a synergistic way when administered simultaneously E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms Insulin has different effects in different ICF and ECF places regarding fat storage • Modulation of Responding Systems Cortisol has different effects in different places of different cells regarding gluconeogenesis. S Reinforcement, most hormones act at several locales either within a single cell or in different tissues or organs to produce separate but mutually reinforcing responses from the perspective of the whole organism. For example: Aldosterone has different effect in different places of a single cell regarding Na reabsorption Reinforcement involves multiple target homeostatic activation to confront environmental changes E Page 5 Principles of Hormonal Integration • Redundancy glycogen glycogen phosphorilase glycogen synthetase G-1-P • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems G-6-Pase glucose hexokinase glucose G-6-P F-6-P PFK F-1,6-diPase F - 1,6 -diP transaminases insulin glucagon epinephrine glucocorticoids triose amino acids pyruvate proteins Krebs cycle acetyl CoA fats Insulin has different effects in different ICF and ECF places regarding fat storage S E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Insulin has different effects in different ICF and ECF places regarding fat storage S E Page 6 Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Increased uptake of glucose which serves as substrate for fatty acid synthesis and for alphaglycerol phosphate to trap any FFA formed by spontaneous lipolysis of triglyceride stores Activate enzymes for fatty acid synthesis (e.g. pyruvate dehydrogenase, pyruvate carboxylase, acetyl-CoA carboxylase) Inhibits breakdown of triglycerides already made Induced synthesis of the ECF enzyme lipoprotein lipase needed to take-up lipids from circulation Insulin has different effects in different ICF and ECF places regarding fat storage S E Principles of Hormonal Integration • Redundancy glycogen glycogen phosphorilase glycogen synthetase G-1-P • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems G-6-Pase glucose hexokinase glucose G-6-P F-6-P PFK F-1,6-diPase F - 1,6 -diP transaminases insulin glucagon epinephrine glucocorticoids triose amino acids pyruvate proteins Krebs cycle acetyl CoA fats Cortisol has different effects in different places of different cells regarding gluconeogenesis S E Page 7 Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Cortisol has different effects in different places of different cells regarding gluconeogenesis S E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Glucocorticoids promote protein breakdown in muscle and lymphoid tissues and consequently release of aminoacids into the blood In adipose tissue, glucocorticoids promote triglyceride lipolysis and the release of glycerol In the liver, glucocorticoids induce the formation of the enzymes necessary to convert aminoacids, glycerol and other substrates into glucose Cortisol has different effects in different places of different cells regarding gluconeogenesis S E Page 8 Principles of Hormonal Integration • Redundancy ALDO its mechanism of action include: serosal surface • Reinforcement 1) • Push-Pull mechanisms increase Na permeability 2) • Modulation of Responding Systems increase content of Na/K ATPases 3) increases ATP to Na / K ATPases luminal surface Aldosterone has different effect in different places of a single cell regarding Na reabsorption S E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems S Many critical processes are under dual control by agents that act antagonistically either to stimulate or to inhibit. Such dual control allows for a more precise regulation than through negative feedback Insulin and glucagon form a push-pull mechanism controlling glucose output from liver which under basal catabolic and anabolic conditions is controlled by their negative feedbacks. In emergency situations or during exercise Epi and Nepi release from adrenal medulla and sympathetic nerve endings overide them Another example of a push-pull mechanism is the “switch” operated by glycogen phosphorylase and glycogen synthetase, through their simultaneous cAMP activation and inactivation by glucagon and insulin, as well as by other hormones such as Epi Push-pull mechanisms allow for a more precise regulation than that produced by negative feedback E Page 9 Principles of Hormonal Integration • Redundancy • Reinforcement Push–pull mechanism. • Push-Pull mechanisms Epinephrine inhibits insulin secretion while promoting glucagons secretion. This combination of effects on the liver stimulates glucose production while simultaneously relieving an inhibitory influence. • Modulation of Responding Systems (+) = increases (-) = decreases Insulin and glucagon form a push-pull mechanism controlling glucose output from liver S E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems S Insulin and form a push-pull AVP released fromglucagon the PP controls water permeability mechanism in controlling the DCT andglucose collectingoutput ducts from liver E Page 10 Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms Push–pull mechanism to activate glycogen phosphorylase while simultaneously inhibiting glycogen synthase. • Modulation of Responding Systems S Insulin and form a push-pull AVP released fromglucagon the PP controls water permeability mechanism in controlling the DCT andglucose collectingoutput ducts from liver E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems S Insulin and form a push-pull AVP released fromglucagon the PP controls water permeability mechanism in controlling the DCT andglucose collectingoutput ducts from liver E Page 11 Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Modulation of responding systems, or the relationship between amount of hormone available and magnitude of the response, is subjected to regulation by many factors, including the action of other hormones Two important determinants of the magnitude and the duration of responses are the hormone concentration present in the ECF sourrounding a target site and the length of time that concentration is maintained. For hormones having pulsatile release it means frequency and amplitude of the hormone pulsatile release Another important determinant of the magnitude and the duration of the response are the sensitivity of target tissues to hormonal stimulation and their capacity to respond. Neither of them is constant and can be modulated by other hormones Modulation of responding systems relates to amount of hormone available and magnitude of the response S E Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Modulation of responding systems relates to both the magnitude and the duration of the hormonal response S E Page 12 Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems Modulation of responding systems relates to both the magnitude and the duration of the hormonal response S E Principles of Hormonal Integration bound hormone ( H R ) • Redundancy binding capacity k1 • Reinforcement H + R <------> H R half saturation affinity = kd k2 H* R • Push-Pull mechanisms • Modulation of Responding Systems = k1 = kd k2 free hormone ( H ) Scatchard plot single binding bound / free HR / H slope = - 1 / kd double binding capacity bound hormo ne ( HR ) high affinity / low capacity low affinity / high capacity there are four ways S HR A lower Km (response at half maximal velocity) indicates the sensitivity of hormone-receptor binding E Page 13 Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms The relationship between concentration and response at three different levels of sensitivity. Arrows indicate the concentration of hormone that produces a half-maximal response for each level of sensitivity. Note that the abscissa is plotted on a logarithmic scale. • Modulation of Responding Systems 1) modulation of sensitivity A lower Km (response at half maximal velocity) indicates the sensitivity of hormone-receptor binding Principles of Hormonal Integration Concentration response relationships showing different capacities to respond. • Redundancy • Reinforcement Note that the concentration needed to produce the half maximal response is identical for all three response capacities. • Push-Pull mechanisms • Modulation of Responding Systems 1) modulation of sensitivity Note that the abscissa is plotted on a logarithmic scale. change in Vmax when Km is maintained indicates changes in the capacity of the system to respond Page 14 Principles of Hormonal Integration • Redundancy • Reinforcement The effects of up or down regulation of receptor number on sensitivity to hormonal stimulation. • Push-Pull mechanisms Note that the abscissa is plotted on a logarithmic scale. • Modulation of Responding Systems 1) modulation of sensitivity main modulation paradigm is change of receptor # rather than receptor affinity by covalent modification Principles of Hormonal Integration • Redundancy • Reinforcement • Push-Pull mechanisms • Modulation of Responding Systems 2) postreceptor effects 20 number of occupied receptors 10 per cell 5 x 1000 0 biological response as % of maximum Specific hormone binding 0 % reduction in the conc. 50 of receptors 75 88 100 Biological response 50 0 -11 10 number of receptors occupied for maximal biological response (100%) -10 -9 -8 -7 10 10 10 10 hormone concentration (M) Spare receptors, if fewer than 100% of receptors are occupied to reach the maximal biological response Page 15 Principles of Hormonal Integration • Redundancy Spare receptors. Note that the concentration of hormone needed to produce a half maximal response is considerably lower than that needed to occupy half of the receptors. • Reinforcement • Push-Pull mechanisms Note that the abscissa is plotted on a logarithmic scale. • Modulation of Responding Systems 2) postreceptor effects Spare receptors, if fewer than 100% of receptors are occupied to reach the maximal biological response Principles of Hormonal Integration • Redundancy E2 • Reinforcement • Push-Pull mechanisms LH • Modulation of Responding Systems -Fb 3) abundance of competent target cells +Fb POA phasic control of E2 on the preovulatory LH surge is related to the increase abundance of granulosa cells Page 16 Principles of Hormonal Integration • Redundancy cAMP ----> PKA ----> channel / enzyme R AC • Reinforcement 5 • Push-Pull mechanisms • Modulation of Responding Systems 4) permissive actions XX1 HRE E1 Protein synthesis Na / K pump 3 mRNA Steroid S + R ----> SR SR DNA addi tional transc ription factor Spare receptors, if fewer than 100% of receptors are occupied to reach the maximal biological response Page 17