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2017.03.01. Endocrine system Hormones influence their target cells to respond in a specific way, to the benefit of the organism. It is part of the homeostatic response to an altered environment, whether external or internal. 1902 Secretin William Bayliss (1860-1924) Ernest Starling (1866-1927) „Chemical transmission” of information (almost all cells) eg. adenosin local vasodilatation 1 2017.03.01. Signal transduction ENDOCRINE Macrophage Effector cell Effector cell PARACRINE T-helper Synapse B-lymphocyte AUTOCRINE T-helper + intracrine effect Endocrine system Immune system Nervous system Functions regulated by hormones: Metabolism Adaptation to the environment (eg. stress) Sexual functions Growth 2 2017.03.01. „Classic” endocrine glands Anterior lobe of the pituitary gland (Adenohypophysis) „Diffuse” endocrine system Central nervous system (Hypothalamus) Thyroid gland Parathyroid glands Parafollicular cells of the thyroid gland Thymus Lung epithelial cells Adrenal cortex Atrium of the heart Pancreas (Langerhans islets) Kidney Gastrointestinal tract Fat tissue + placenta Ovaries Tissue hormones: prostaglandins, NO Testes Chemical composition of hormones 1) Polypeptide and protein hormones (Glykoproteins) most hormones 2) Steroid hormones adrenal cortex, gonads, placenta, calcitriol 3) Amino acid (tyrosine)-derived hormones Catecholamines (adrenaline, noradrenaline, dopamine) Thyroid hormones (thyroxine, triiodothyronine) Solubility of hormones Water-soluble hormones: Polypeptide and protein hormones, catecholamines Lipid-soluble hormones: Steroid hormones, thyroid hormones Solubility of hormones determines their biological characteristics. 3 2017.03.01. Biosynthesis of peptide hormones DNA nucleus Endoplasmic reticulum Preprohormone ribosomes cisterns Prohormone Golgi apparatus Granulum Hormone Membrane C-peptide A-chain B-chain Insulin is released along with equimolar amounts of C-peptide. Concentration of C-peptide can be measured in the plasma. Its level provides an index of B cell function in patients receiving exogenous insulin. 4 2017.03.01. Biosynthesis of steroid hormones plasma LDL synthesis Cholesterol 17,20-lyase 17-OH-ase Desmolase Pregnenolone 17-HSDH Androstanedione 17-OH-pregnenolone 3-HSDH Progesterone 17-OH-progesterone 21-OH-ase Androstenedione Testosterone aromatase 11-deoxycorticosterone Estrone 11-deoxycortisol Estradiol 11-OH-ase Corticosterone Cortisol 18-OH-ase 18-OH-costicosterone Synthesis: Smooth endoplasmic reticulum Mitochondria 18-HSDH Aldosterone Enzymes: Cytochrome P450 Hydroxysteroid dehydrogenases DHEAS = Dehydroepiandrosterone sulfate Cholesterol C21 Progesterone C19 Aldosterone Cortisol C18 Testosterone Estradiol 5 2017.03.01. Sekretion of hormones Polypeptide and protein hormones, catecholamines: They are stored in vesicles, exocytosis results in expulsion of vesicle contents. Lipophilic hormones: They are synthesised on demand. Their release into the bloodstream is the consequence of the passive diffusion through the lipid membrane. Cholesterol can be esterified and stored intracellularly in lipid droplets. Thyroid hormones are stored in colloid. Rhythm of hormone secretion Hours ovulation Weeks Estradiol Estradiol minutes menstruation Minutes days Lifespan hours Circadian rhythm sleep years 24 hours 6 2017.03.01. The half-life of a hormone in blood is defined as that periode of time needed for its concentration to be reduced by half. Hormone concentrations in the blood: unstable! 10-9 – 10-12 mol/l It depends on the rate of production, secretion and degradation. Measurement: (Bioassay) Galli-Mainini pregnancy test Radioimmunoassay (RIA) Enzyme-linked immunosorbent assay (ELISA) antibody antigen labeled antigen komplex 7 2017.03.01. Activation of hormones in peripheral tissues Thyroid hormones: Thyroxine Androgens: Testosterone Triiodothyronine Dihydrotestosterone Transport of hormones in the circulation Water-soluble hormones: generally in a free form Lipid-soluble hormones: free + protein-bound form Transportproteins: prealbumin, albumin, globulins Only free hormones are biologically active, but bound and free fractions are in equilibrium. Breakdown of hormones Liver, kidney (proteolysis of peptide hormones) Liver (steroid hormones - reduction or conjugation with glucuronic acid) Effects of hormones on target cells Hormone receptor 1 hormone – more receptors (ADH – V1,V2) 1 receptor - more hormones Autoantibodies (Basedow/Graves disease) 8 2017.03.01. Action – hormone receptors – intracellular signal transduction Hormone receptors: 1) Membranreceptors (Peptid- und Proteinhormone) - extracellular domain - membrane-spanning section - intracellular domain G protein coupled receptors Guanylate cyclasecoupled receptor Tyrosin kinase receptor Tyrosin kinasecoupled receptor 2) Intracellular receptors of lipid-soluble hormones: + membrane receptors Typ I: in the cytoplasm (glucocorticoids, mineralocorticoids, androgens, progesterone) Typ II: in the nucleus (thyroid hormones, calcitriol, estrogen) 9 2017.03.01. Axis of the hypothalamus/adenohypophysis/hormone-secreting gland (negative feedback regulation) HYPOTHALAMUS ADENOHYPOPHYSIS „long loop” feedback „short loop” feedback HORMONE SECRETING GLAND Hormone Metabolites TARGET CELL metabolic effect Positive feedback regulation Estradiol Estradiol menstruation Ovulation days 10 2017.03.01. Neural control of endocrine functions Autonomic innervation: - direct - regulation of blood flow Neural activity of the oxytocin secreting neurons Neurosecretion: hypothalamus, adrenal medulla Increase in pressure in the ducts Permissive effect: eg. requirement of glucocorticoids to be present for catecholamins to exert their effects. Pathophysiology of hormone secretion Hypofunction Hormone or receptor ? Hyperfunction - tumour - stimulating autoantibodies - disturbances of feedback regulation Hormone therapy Hormone replacement Treatment Glucocorticoids: anti-inflammatory and immunosuppressive agents Estrogens, gestagens: hormonal contraception Doping (growth hormone, androgens) side effects! 11 2017.03.01. Hypothalamo-hypophyseal system Hypothalamus Hypophysis (Pituitary gland) Magnocellular neurons Parvocellular neurons Paraventricular nucleus Supraoptic nucleus Adenohypophysis Neurohypophysis limbic system circumventricular organs autonomic function third ventricle portal vessels Adenohypophysis Releasing hormons Inhibiting hormons Neurohypophysis GH, 12 2017.03.01. Neuropeptides secreted by the Hypothalamus 1. Supraoptic and Paraventricular nuclei (Magnocellular neurons): Vasopressin (Antidiuretic hormone - ADH) Oxytocin 2. Hypophysiotropic releasing and inhibiting hormones (Parvocellular neurons): Corticotropin-releasing hormone CRH Growth hormone-releasing hormone GHRH Gonadotropin-releasing hormone GnRH Thyrotropin-releasing hormone TRH Growth hormone-inhibiting hormone (Somatostatin) Prolactin-inhibiting hormone (Dopamine!) 3. Other neuropeptides: Enkephalin, Endorphin, Substance P, Calcitonin-gene related peptide etc. Hormones of the adenohypophysis 1) Hormones acting on endocrine glands Adrenocorticotropic hormone (ACTH) Thyroid-stimulating hormone (TSH) Gonadotropins: Follicle-stimulating hormone (FSH) Luteinizing hormone (LH) 2) Hormones acting on peripheral tissues Growth hormone (GH) Prolactin (PRL) LH/FSH TSH 40% ACTH 25% GH PRL 13 2017.03.01. Prolactin Gonadotropins Prolactin Gonads Adrenal Growth hormone Growth hormone Thyroid gland cortex Hormones acting on endocrine glands Hormon Abbreviation Chemical nature Effect Adrenocorticotropic hormone ACTH Polypeptide Stimulates secretion and growth of the adrenal cortex Thyroid-stimulating Hormone TSH Glykoprotein Stimulates thyroid secretion and growth of thyroid gland Follicle-stimulating Hormone Luteinizing Hormone FSH LH Glykoprotein Glykoprotein Stimulates ovarian follicle growth in female and spermatogenesis in male Stimulates ovulation and luteinization of ovarian follicles in female and testosterone secretion in male 14 2017.03.01. 1. Pre-pro-opiomelanocortin (POMC) Signal peptide N-terminal fragment β-lipotropin γ-lipotropin β-endorphin ACTH - Adrenocorticotropic hormone MSH - Melanocyte-stimulating hormone 2. Glykoproteins: TSH, FSH, LH carbohydrate 3. Somatomammotropic hormones Growth hormone Prolactin 191 amino acids 199 amino acids 15 2017.03.01. Feedback control TRH-TSH-Thyroid gland CRH-ACTH-Adrenal cortex GnRH-FSH/LH-Gonads 16