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Transcript
ENDOCRINOLOGY
Reading: Chapter 11
1
Neural vs. Endocrine Communication
Neural
-electrical/hardwired (phone)
-fast (msec)
-short-term changes
-electrical impulse + NT’s
-localized action (stim. 1 muscle or gland)
RESULT =
Endocrine
-chemical (mail)
-relatively slow
-long-term and/or
cyclical changes
-hormones (dilution, so you need
greater sensitivity)
-widespread action (many tissues)
RESULT = homeostasis
reproduction
growth
2
Fig. 11.01
3
Fig. 11.02
4
“Neuroendocrine System”
The nervous & endocrine systems are very closely intertwined.
Hypothalamus (nervous tissue) controls endocrine secretions
What chemical is both a neurotransmitter and a hormone?
Norepinephrine
5
GENERALIZED ENDOCRINE FUNCTIONS
1. Maintains Homeostasis:
Dehydration =
Nutrition =
Infection =
regulate water & electrolyte balance
transport across cell membranes,
metabolic rate, energy balance,
control smooth muscle activity, glands
immune system activity
2. Control Reproduction & Development:
-Gamete development, ovulation (timing), parturition, lactation
-Growth of various tissues
-Development (imbalances can impair brain dev.)
6
Hormones: mechanism of action
Gland = cluster of epithelial cells that secrete
Exocrine Gland = -secretion via DUCT
-sweat, mucous, sebaceous, …….
Endocrine Gland = -secretion into BLOOD
-so these are highly vascular tissue
7
What is a hormone?
A substance secreted by a cell (into the
blood), that has an effect on the function of
another “target” cell.
A “chemical messenger”
Two types/groups, divided based on chemical nature.
8
Water Insoluble Hormones
•
•
•
•
STEROIDS
Synthesized from cholesterol, on SER
4 ring structure (C & H)
Carried in plasma by carrier proteins
Example: sex hormones
9
Water Soluble Hormones
• Dissolve in plasma (no carriers needed)
Amines: -derived from amino acids (a.a’s)
Peptides: -short chains (2 to 12) of a.a’s
Proteins: -100 to 200 a.a’s
10
Target Tissues
• Target tissues have specific receptors
–
–
–
–
Receptors = proteins or glycoproteins
Each receptor recognizes one hormone
But, each cell can have 2000 to 100,000 receptors!
More receptors = greater sensitivity to that hormone
NOTE:
-only tissues w/ receptor are affected
-water soluble & insoluble hormones have
v. different actions at target tissues
11
Action of Steroids (lipid soluble)
a.
b.
b.
c.
d.
e.
f.
Steriod hormones attach to carrier proteins in plasma which:
-increases solubility
-prevents their excretion
-creates a reserve
Dissociate from carrier to pass through cell membrane
Bind w/ new carrier inside cell, usually the nucleus
Hormone/carrier complex bind w/ DNA
Specific genes = activated
Specific proteins are made depending on which genes are activated
The newly synthesized protein may change __________ or produce some other
effect associated with a particular steriod hormone.
PROPORTIONAL RESPONSE
12
13
Action of Water Soluble Hormones
1. Hormones = soluble in plasma (do you need a
carrier?)
2. Hormones can’t cross cell membrane
3. So, receptors found on surface of cell
4. H-R complex on cell surface triggers changes inside
the cell
5. H-R-receptor binding activates a cascade response
inside target cell
6. [Proteins are ________ so that they are capable of
activating and inactivating enzymes & produce the
effect associated w/ particular _____ hormone. 14
15
Control of Hormonal Secretions
Negative Feedback Based On:
-amount of hormone produced (thyroxin)
-concentration of a product created in response to a
particular hormone (blood sugar level)
16
Low Thyroxin
(+)
Anterior Pituitary
TSH
(-)
Thyroid
Thyroxin
17
18
Control of Hormonal Secretions
Neural Control: -epinephrine released from adrenal medulla
-due to pre-ganglionic stimulation (what branch
of the nervous system?)
19
20
Hormonal Interactions
Synergistic: 2+ hormones working together
Estrogen + progesterone + PL + oxytocin 
Antagonistic: Effect of 1 hormone opposed by another
Insulin opposes the action glucagon
21
Removal of “yesterday’s” hormones
Water Soluble Hormones
• Do these enter the cell?
• Removed/broken down in minutes  short term changes
• Excreted by _____________
Water Insoluble Hormones
• Do these enter the cell?
• Why might these stay in the blood longer?
• Limited kidney clearance
• Mainly removed by ______________
22
Pituitary Gland (hypophysis)
Embryogenesis: Nerve Tissue + Epithelial Tissue
1. Neural portion  -floor of diencephalon
-grows down to form neural stalk
2. Oral epithelium 
-making roof of mouth in embryo
-a little piece pinches off
-wraps around ant. part of neural stalk
23
Pituitary Gland (hypophysis)
- located below hypothalamus
- has 2 portions: anterior pituitary (adenohypophysis)
posterior pituitary (neurohypophysis)
24
Posterior Pituitary
-neurohypophysis  highly innervated
-no “gland cells”
-stores and releases ADH & oxytocin, hormones produced by
hypothalamus
-neurons run from hypothalamus, through infundibulum, to
posterior pituitary
25
1) antidiuretic hormone (ADH)
-stimulates retention of H2O in the kidneys.
-absence of ADH causes diabetes insipidus.
2) oxytocin
- stimulates contractions during labor.
- stimulates uterus constriction post-partum.
- stimulates milk letdown.
26
Anterior Pituitary
-adenohypophysis
-composed of glandular epithelial tissue
-no innervation
-no direct blood supply, blood receive via portal vein
-produces 6 major hormones
-hormones are only released in response to releasing factors from
hypothalamus
27
Anterior Pituitary (con’t)
-produces 6 major tropic hormones.
-tropic hormone  act on other tissues to trigger growth,
increased activity, or hormone release
28
The 6 Anterior Pituitary Hormones
1)
Thyrotropin (troph = to feed or nourish)
-also called Thyroid Stimulating Hormone (TSH)
-stimulates thyroid to increase in size and activity.
2)
Adrenocorticotrophic Hormone (ACTH)
- stimulates adrenal cortex to increase in size & activity
3)
Prolactin (PL)
-stimulates milk production in women
-possible electrolyte regulation in men
29
4) Somatotropin = Growth Hormone (GH)
-stimulates growth of tissue (bone, muscle, organs)
-maintains tissues
-produced throughout life, but there is a surge in adolescence
-Until age 25 = long bone growth & soft tissue growth
-After age 25 = health and repair of soft tissues only
30
Growth Hormone Abnormalities
a)
b)
c)
d)
Gigantism
Acromegaly
Dwarfism
Abuse in athletes
31
Growth Hormone Abnormalities
a) Gigantism:
-too much GH before age 25
-tumor in pituitary gland
-very tall
32
Growth Hormone Abnormalities
Acromegaly: -too much GH after age 25
-growth of soft tissues (nose, chin, hands…)
-pituitary gland tumor
33
Growth Hormone Abnormalities
c) Pituitary Dwarfism: -insufficient GH
34
Growth Hormone Abnormalities
d) Abuse in athletes…why? Effect of age?
35
5 & 6) gonadotrophic hormones
a) follicle stimulating hormone (FSH)
-stimulates follicles to develop
-follicle = ova + surrounding cells (make estrogens & progesterone)
-stimulates the production of sperm
b) luteinizing hormone (LH)
-LH stimulates ovulation in females
-in males it stimulates the interstitial cells in testes to make
testosterone (in males LH is called ICSH)
36
Hypothalamus
- Part of both the nervous & endocrine systems.
- Controls pituitary gland w/ releasing & inhibitory factors
GHIH decreases GH sec.
GHRH  increases GH sec.
PIH  decreases PL sec.
PRH  increases PL sec.
37
38
ENDOCRINOLOGY
Reading: Chapter 11
39
Non-Pituitary Endocrine Glands
1. Adrenal gland
- located just above the kidneys.
- each gland has 2 separate portions: inside = medulla
outside = cortex
40
41
Adrenal Cortex:
Mineralocorticoids
-primarily aldosterone (steroid)
-stimulates the kidneys to retain sodium
-controlled by ACTH from ant. Pit.
-controlled by kidneys (neg. feedback)
aldosterone
42
Adrenal Cortex:
Glucocorticoids -mainly cortisol
-released during stress (coping mechanism)
*increases blood glucose levels
*vasoconstriction  decreases inflammation
*stabilizes lysosomes  reduce cell destruction
Cortisol
(hydrocortisone)
43
Adrenal Cortex:
Androgens: -male sex hormones
-little effect in males (high testosterone from testes)
-stimulate libido & muscle development in females
Androgens
44
Adrenal Cortex:
Abnormalities:
-excess androgens = masculinization in females (adult vs. fetal)
-adrenal failure = Addison’s disease (unable to reg. Na & K)
-excess adrenal activity = Cushing’s syndrome
-too much cortisol = fat storage in
face & on back
45
Adrenal Medulla
-stimulated by ANS
-E &small quantities of NE are released
Epinephrine
Norepinephrine
46
2. Thyroid Gland
- located just below the larynx.
- Produces 2 major hormones = thyroxin & thyrocalcitonin.
47
a) Thyroxin -a metabolic hormone
-made when iodine is available
-increases BMR & ATP production/use
-increases oxygen consumption
-increases rate of heat production
-stimulates protein synthesis
-works permissively w/ GH & insulin to accelerate
growth
48
Low Thyroxin
(+)
Hypothalamus
(-)
TRH
Anterior Pituitary
(-)
TSH
Thyroid
Thyroxin
49
b) calcitonin (thyrocalcitonin)
-stimulates osteoblast activity
-lowers blood calcium levels
50
Abnormalities of the thyroid gland:
1)
hypothyroidism
-insufficient activity of thyroid
-decreased metabolic rate
-sluggish & tiered
-cretinism in infants (abnormal NS dev.)
-diagnose with low thyroxin & high TSH
-treat with thyroxin
51
Abnormalities of the thyroid gland:
2)
hyperthyroidism -increased metabolic rate.
-weight loss, nervousness, insomnia
-exophtalmia
-treat with surgery or iodine blockers
52
Abnormalities of the thyroid gland:
3) goiter
-enlarged thyroid
-many causes, including lack of iodine
-treat with iodine & cosmetic surgery
53
3) parathyroid glands
usually 4 glands located on the dorsal surface of the thyroid.
produce parathyroid hormone (PTH, or parathormone)
PTH stimulates osteoclast (bone eaters) activity
Stimulate calcium retention by kidneys & intestines
raises blood Ca
-
54
55
4) Pancreas
-
Located next to stomach & duodenum.
Has exocrine and endocrine functions.
Endocrine tissue = Islets of Langerhans.
2 major hormones: glucagon and insulin.
56
Glucagon -produced by alpha cells in the islets
-released when blood glucose levels fall (hypoglycemia)
-causes breakdown of glycogen, glucose rel. from tissues
-blood glucose returns to normal levels
Glucagon
57
Insulin
-produced by beta cells in the islets
-released when blood glucose levels rise (hyperglycemia)
-causes glucose to move into cells
-lowers blood glucose levels
-glucose is stored in the liver & muscle as glycogen (glycogenesis)
Insulin
58
59
Diabetes Mellitus
•
•
•
•
•
•
•
•
•
•
Type I
Juvenile onset (under age 25)
Insulin dependant
Usually sudden onset
Autoimmune destruction of beta-cells
~10% of all diabetics
Family history is rare
“Starvation” of cells
Body uses fat for energy
Leads to ketoacidosis & coma
Long-term: renal & retinal problems,
hypertension, arteriosclerosis, gangrene
•
•
•
•
•
•
•
•
Type II
Adult onset ?????
NOT insulin dependant
Usually gradual onset
Lack insulin receptors at target cells
~90% of all diabetics
Strong links within family
Treated with drugs to stimulate
insulin secretion
Also with diet & exercise
60
5) pineal gland
-
located near the midbrain
produces melatonin
important for seasonal breeding
in humans it is important for sleep-wake cycles
increased light  decreased melatonin
61
6) Thymus
-located just below sternum
-large in children but atrophies in adults
-produces thymosin  stimulates the immune system
Thymosin
62
7) Gonads
-ovaries in women (estrogens & progesterone)
-testes in men (testosterone)
Testosterone
Estrogens
Progesterone
63
Do endocrine organs have other functions?
Most often, YES!
Give me some examples:
64
8) Prostaglandins
-hormone like chemicals produced by most cells
-important in inflammation, clotting, BP, uterine
contractions and many other functions
-inhibited by ibuprofen
65
END
66