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8/9/2019 CHAPTER 8 THE ENDOCRINE SYSTEM.ppt
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THE ENDOCRINE SYSTEM
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OVERVIEW
Endocrine system organ are small and unipresive
Widely separated regions of the body
Role: Maintaining body homeostasis
System of ductless glands that secrete hormonesHormones are “messenger molecules”Circulate in the blood Act on distant target cellsTarget cells respond to the hormones for whichthey have receptors
The effects are dependent on the programmedresponse of the target cells
Hormones are just molecular triggers
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CATEGORY OF HORMONES
Amino acid based: modified amino acids (oramines), peptides (short chains of amino acids),and proteins (long chains of amino acids)
Steroids: lipid molecules derived from cholesterol
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HORMONES AND RECEPTORS
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PEPTIDE HORMONES
Peptide hormones do not enter the cell directly.
These hormones bind to receptor proteins in the
cell membrane.
When the hormone binds with the receptor
protein, a secondary messenger molecule
initiates the cell response.
Because peptide hormones are water soluble,
they often produce fast responses.
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(cytoplasm)
(nucleus)
peptide or aminoacid-derivedhormone(frst messenger)
(extracellular fuid)
cyclic AMP-synthesizingenzyme
cyclic AMP
ATP
inactiveenzyme
(second messenger)
activeenzyme
reactant
product
plasma membrane
nuclearenvelope
receptor
The hormone binds toa receptor on the plasmamembrane o a target cell
1
The activated enzymescatalyze specifc reactions
The secondmessenger activatesother enzymes
!
"ormone#receptor bindingactivates an enzyme that catalyzesthe synthesis o a second messenger$such as cyclic AMP
%
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STEROID HORMONES
Steroid hormones enter through the cell
membrane and bind to receptors inside of the
target cell.
These hormones may directly stimulate
transcription of genes to make certain proteins.
Because steroids work by triggering gene activity,
the response is slower than peptide hormones.
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gene
plasma
membrane ribosome
hormone receptor
steroid hormone
m&'A
(nucleus)
&'A polymerase
'A
(cytoplasm)
ne protein
(extracellular fuid)
A steroid hormonedi*uses through theplasma membrane
The hormone binds to areceptor in the nucleus or toa receptor in the cytoplasm
that carries it into the nucleus
The hormone#receptor
comple+ binds to 'A andcauses &'A polymerase tobind to a nearby promotersite or a specifc gene
&'A polymerase catalyzesthe transcription o 'A intomessenger &'A (m&'A)
The m&'A leaves thenucleus$ then attaches to aribosome and directs thesynthesis o a specifc proteinproduct
1
%
!
,
nuclearenvelope
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ENDOCRINE
ORGANS
Purely endocrine organsPituitary glandPineal glandThyroid glandParathyroid glands
Adrenal: 2 glandsCortexMedulla
Endocrine cells in other
organsPancreasThymusGonadsHypothalamus
9
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MECHANIS
MS OF
HORMONERELEASE
(a) Humoral: in response to changing levelsof ions or nutrients in the blood
(b) Neural: stimulation by nerves
(c) Hormonal: stimulation received fromother hormones
10
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11
Pituitary__________ (hypophysis)
Hypothalamus___________
"ypothalamusAnterior pituitary(adenohypophysis)
Posterior pituitary (neurohypophys
.earn the ! endocrine organs on this slide/"ypothalamusPituitary (hyophysis)Pineal
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Two divisions:
Anterior pituitary(adenohypophysis)
Posteriorpituitary(neurohypophysis)
12
Sits in hypophyseal fossa: depression in sellaturcica of sphenoid bone
Pituitary secretes 9 hormonesThe Pituitary
1. TSH2. ACTH. !SH". #H$. %H
&. P'#(. )SH
*. A+H ,antidiuretic hormone- or /asopres9. 0ytocin
_________________________________________________________________
The rst our are “tropic”hormones, they regulatethe unction o otherhormones
________
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WHAT THE LETTERS STAND FOR…
TSH: thyroid-stimulating hormone
ACTH: adrenocorticotropic hormone
FSH: follicle-stimulating hormone
LH: luteinizing hormone
GH: growth hormonePRL: prolactin
MSH: melanocyte-stimulating hormone
ADH: antidiuretic hormone
Oxytocin13
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HYPOTHALAMUS CONTROLS
ANTERIOR PITUITARY HORMONE
RELEASEReleasing hormones (releasing factors)Secreted like neurotransmitters from neuronalaxons into capillaries and veins to anteriorpituitary (adenohypophysis)
TRH-----turns on TSHCRH-----turns on ACTH
GnRH (=LHRH)---turns on FSH and LH
PRF-----turns on PRL
GHRH----turns on GHInhibiting hormones
PIF-----turns off PRL
GH inhibiting hormone---turns off GH14
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WHAT THE LETTERS MEAN…Releasing hormones (releasing factors) ofhypothalamus
Secreted like neurotransmitters from neuronal axons into capillaries
and veins to anterior pituitary (adenohypophysis)TRH (thyroid releasing hormone) -----turns on* TSH
CRH (corticotropin releasing hormone) -----turns on ACTH
GnRH (gonadotropin releasing hormone) ---turns on FSH andLH
PRF (prolactin releasing hormone) -----turns on PRLGHRH (growth hormone releasing hormone) ----turns on GH
Inhibiting hormones ofhypothalmusPIF (prolactin inhibiting factor) -----turns off PRL
GH (growth hormone) inhibiting hormone---turns off GH
The hypothalamus controls secretion of hormones which intheir turn control the secretion of hormones by the thyroid gland, the adrenal cortex and gonads: in this way the brain
controls these endocrine glands
15
3ote: 4turns on5 means causes to be released
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SO WHAT DO THE PITUITARY
HORMONES DO?
TSH stimulates the thyroid to produce thyroidhormone
ACTH stimulates the adrenal cortex to produce
corticosteroids: aldosterone and cortisolFSH stimulates follicle growth and ovarianestrogen production; stimulates spermproduction and androgen-binding protein
LH has a role in ovulation and the growth ofthe corpus luteum; stimulates androgensecretion by interstitial cells in testes
16
The four tropic ones re6ulate the function of other horm
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THE OTHERS FROM THE ANTERIOR
PITUITARY…
GH (aka somatrotropic hormone) stimulates growth of
skeletal epiphyseal plates and body to synthesize
protein
PRL stimulates mammary glands in breast to make
milk
MSH stimulates melanocytes; may increase mental
alertness
17
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FROM THE POSTERIOR PITUITARY
(NEUROHYPOPHYSIS)STRUCTURALLY PART OF THE BRAIN
ADH (antidiuretic hormone AKA vasopressin) stimulates
the kidneys to reclaim more water from the urine, raises
blood pressure
Oxytocin prompts contraction of smooth muscle in
reproductive tracts, in females initiating labor and ejection
of milk from breasts
18
TSH ti l t th th id t d
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19
TSH: thyroid7stimulatin6 hormoneACTH: adrenocorticotropic hormone!SH: follicle7stimulatin6 hormone
#H: luteini8in6 hormone%H: 6roth hormoneP'#: prolactin)SH: melanocyte7stimulatin6hormone
A+H: antidiuretic hormone0ytocin
T&" (thyroid releasing hormone)turns on TSH
0&" (corticotropin releasinghormone)turns on ACTHn&" (gonadotropin releasinghormone) turns on !SH and #HP&2 (prolactin releasing hormone)
turns on P'#"&" (groth hormone releasinghm)turns on %H
TSH stimulates the thyroid to producethyroid hormoneACTH stimulates the adrenal corte toproduce corticosteroids: aldosteroneand cortisol
!SH stimulates follicle 6roth ando/arian estro6en productionstimulates sperm production andandro6en7bindin6 protein#H has a role in o/ulation and the6roth of the corpus luteum
stimulates andro6en secretion byinterstitial cells in testes%H ,a;a somatrotropic hormone-stimulates 6roth of s;eletalepiphyseal plates and body tosynthesi8e proteinP'# stimulates mammary 6lands inbreast to ma;e mil;
)SH stimulates melanocytes mayincrease mental alertnessA+H ,antidiuretic hormone or/asopressin- stimulates the ;idneysto reclaim more ater from the urineraises blood pressure0ytocin prompts contraction of
smooth muscle in reproducti/e tracts
a n w e p u t i t a l l to g e t h e r ?
3lue is rom hypothalamus3lac4 is rom pituitary
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20
Pituitary__________ (hypophysis)
Hypothalamus___________
'o try and remember the anatomy
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THE THYROID GLAND
Anterior neck ontrachea just inferior tolarynx
Two lateral lobes and
an isthmusProduces two hormonesThyroid hormone:tyrosine based with 3 or4 iodine molecules
T4 (thyroxine) and T3Calcitonin involved withcalcium and phosphorusmetabolism
21
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Thyroid is composed of spherical folliclesFollicle cells: produce thyroglobulin, the precursor of thryoid
hormone (thyroxin)
Colloid lumen is of thyroglobulin
Parafollicular “C” cells: produce calcitonin
22
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AN EXAMPLE OF A FEEDBACK
LOOP
23
A certain item in the blooddecreases
A certain area of the brainsenses this decrease
A certain hormone isreleased
This hormone stimulatesthe release of anotherhormone
This other hormone
stimulates the release ofthe hormone which wassensed to be decreased inthe first place, causing it tobe increased to desiredlevel
Thyroxine (thyroid hormone)
Hypothalamus
TRF from the hypothalamus
TSH from anterior pituitary
Thyroxine from the thyroid
(TSH has caused cleavage ofthryroglobulin into thyroxine)
generic particular example: thyroid hormon
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SOME EFFECTS OF THYROID
HORMONE
(THYROXINE)Increases the basal metabolic rateThe rate at which the body uses oxygen to
transform nutrients (carbohydrates, fats and
proteins) into energy
Affects many target cells throughout the
body; some effects areProtein synthesis
Bone growthNeuronal maturation
Cell differentiation24
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THE EFFECTS OF
CALCITONIN
Secreted from thyroid parafollicular (C) cells
when blood calcium levels are high
Calcitonin lowers Ca++ by slowing the calcium-
releasing activity of osteoclasts in bone and
increasing calcium secretion by the kidney
Acts mostly during childhood
25
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THE PARATHYROID
GLANDS
Most people have four
On posterior surface of thyroid
gland
(sometimes embedded)
26
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PARATHYROIDS
(TWO TYPES OF
CELLS)Rare chief cells
Abundant oxyphil cells
(unknown function)
Chief cells produce PTHParathyroid hormone, or
parathormone
A small protein hormone
27
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FUNCTION OF PTH(PARATHYROID HORMONE OR
“PARATHORMONE”) Increases blood Ca++ (calcium) concentration when it gets too low
Mechanism of raising blood calcium
1. Stimulates osteoclasts to release more Ca++ frombone
2. Decreases secretion of Ca++ by kidney
3. Activates Vitamin D, which stimulates theuptake of Ca++ from the intestine
Unwitting removal during thyroidectomy waslethal
Has opposite effect on calcium ascalcitonin (which lowers Ca++ levels) 28
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ADRENAL (SUPRARENAL) GLANDS(“SUPRARENAL” MEANS ON TOP OF THE
KIDNEY)Each is really two endocrine glands Adrenal cortex (outer) Adrenal medulla (inner)
Unrelated chemicals but all help with extreme situations
29
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ADRENAL GLAND
Adrenal cortexSecretes lipid-based steroid hormones, called “corticosteroids” –
“cortico” as in “cortex”MINERALOCORTICOIDS
Aldosterone is the main one
GLUCOCORTICOIDS
Cortisol (hydrocortisone) is the main one
Adrenal medulla
Secretes epinephrine and norepinephrine
30
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ALDOSTERONE, THE MAIN
MINERALOCORTICOID
Secreted by adrenal cortex in response to adecline in either blood volume or blood pressure(e.g. severe hemorrhage)Is terminal hormone in renin-angiotensin mechanism
Prompts distal and collecting tubules in kidney toreabsorb more sodiumWater passively followsBlood volume thus increases
31
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CORTISOL,THE MOST IMPORTANT
GLUCOCORTICOID
(GLUCOCORTICOID RECEPTORS ARE FOUND IN THE CELLS OF MOS
VERTEBRATE TISSUES)
It is essential for lifeHelps the body deal with stressful situationswithin minutes
Physical: trauma, surgery, exercisePsychological: anxiety, depression, crowdingPhysiological: fasting, hypoglycemia, fever, infection
Regulates or supports a variety of important
cardiovascular, metabolic, immunologic, andhomeostatic functions including water balance
32People with adrenal insuciency these stresses can cause
hypotension, shoc! and death must gi"e glucocorticoids, eg orsurgery or i ha"e inection, etc#
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CORTISOL, CONTINUED
Keeps blood glucose levels high enough to supportbrain’s activityForces other body cells to switch to fats and aminoacids as energy sources
Catabolic: break down proteinRedirects circulating lymphocytes to lymphoidand peripheral tissues where pathogens usuallyare
In large quantities, depresses immune andinflammatory responseUsed therapeuticallyResponsible for some of its side effects 33
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HORMONAL STIMULATION OF
GLUCOCORTICOIDS HPA AXIS(HYPOTHALAMIC/PITUITARY/ADRENAL AXIS)
With stress, hypothalamus sends CRH toanterior pituitary (adenohypophysis)
Pituitary secretes ACTH
ACTH goes to adrenal cortex where stimulatesglucocorticoid secretionSympathetic nervous system can also stimulate it
Adrenal cortex also secretes DHEA
(dehydroepiandrosterone)Converted in peripheral tissues to testosterone andestrogen (also steroid hormones)
Unclear function in relation to stress 34
=n 6eneral:
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Steroid-secreting cells
have abundant smooth
ER As opposed to rough ER in
protein-secreting cells
Steroids directly diffuse
across plasmamembraneNot exocytosis
Abundant lipid dropletsRaw material from which
steroids made
35
=n 6eneral:
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ADRENAL
MEDULLA
Part of autonomicnervous system
Spherical chromaffincells are modified
postganglionicsympathetic neuronsSecrete epinephrineand norepinephrine
Amine hormonesFight, flight, fright Vesicles store thehormones
36
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THE PINEAL GLAND
At the end of a short stalk on the roof of thediencephalon
Pinealocytes with dense calcium particlesCan be seen on x-ray (because of Ca++)Melatonin helps regulate the circadium rhythmThe biological clock of the diurnal (night/day) rhythmComplicated feedback via retina’s visual input
37
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THE PANCREAS
Exocrine and endocrine cells
Acinar cells (forming most of the pancreas) Exocrine function
Secrete digestive enzymes
Isletcells (of Langerhans) Endocrine function
38
PANCREATIC
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PANCREATIC
ISLET
ENDOCRINE
CELLS
39
Alpha cells/ secrete glucagonraises blood sugarmostly in periphery
3eta cells/ secrete insulinloers blood sugarcentral part (are more
abundant)Also rare elta cells/secretesomatostatin
inhibits glucagon
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THE GONADS (TESTES AND OVARIES)
MAIN SOURCE OF THE STEROID SEX HORMONES Testes Interstitial cells secrete androgens Primary androgen is testosterone
Maintains secondary sex characteristics Helps promote sperm formation
Ovaries Androgens secreted by thecal folliculi
Directly converted to estrogens by follicular granulosa cells Granulosa cells also produce progesterone Corpus luteum also secretes estrogen andprogesterone 40
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ENDOCRINE CELLS IN VARIOUS
ORGANS
The heart: atrial natriuretic peptide (ANP)Stimulates kidney to secrete more salt
Thereby decreases excess blood volume, high BP and high blood
sodium concentration
GI tract & derivatives: Diffuse neuroendocrine system(DNES)
41
ENDOCRINECELLSINVARIOUSORGANS
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ENDOCRINE CELLS IN VARIOUS ORGANS
CONTINUEDThe heart: atrial natriuretic peptide (ANP)Stimulates kidney to secrete more salt
Thereby decreases excess blood volume, high BP and high bloodsodium concentration
GI tract & derivatives: Diffuse neuroendocrine system(DNES)
The placenta secretes steroid and protein hormonesEstrogens, progesteroneCRHHCG
The kidneysJuxtaglomerular cells secrete renin
Renin indirectly signals adrenal cortex to secrete aldosteroneErythropoietin: signals bone marrow to increase RBC production
The skinModified cholesterol with uv exposure becomes Vitamin D precursor Vitamin D necessary for calcium metabolism: signals intestine to
absorb CA++
42
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PATHOLOGY
PituitaryGigantism –too much GH in childhood Acromegaly – too much GH in adulthoodPituitary dwarfs – too little GH in childhoodDiabetes insipidus - too much ADH
PancreasDiabetes mellitus – one type of insulin (not enough)
ThyroidHyperthyroidism, commonest is Grave’s disease
(autoimmune)Hypothyroidism
In childhood leads to cretinismEndemic goiter from insufficient iodine in diet Adult hypothyroidism (myxedema): autoimmune
43
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44
5+ophthalmos orave6s disease
5nlarged
thyroid(goiter) romiodinedefciency
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PATHOLOGY, CONTINUED
Adrenal glandCushing’s syndrome (see next pic)Usually caused by an ACTH-secreting pituitary tumorRarely by tumor of adrenal cortexIatrogenic
Addison’s diseaseHyposecretion (under secretion) of adrenal cortexUsually involves cortisol and aldosterone: low blood glucose andsodium, severe dehydration, fatigue, loss of appetetie, abdominalpain
(Jane Austin)
45
BEFOREANDAFTERONSETOFCUSHING’S
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BEFORE AND AFTER ONSET OF CUSHING’S
DISEASE
46
After>efore
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HOMEOSTASIS AND HORMONES
Examples:Thyroid and temperature control
Thyroid, Parathyroid, and calcium
Pancreas and glucose control
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Knowing the following:The thyroid produces thyroxine, which increases
metabolism.
Thyroid-stimulating hormone is released by the
pituitary.Sketch a negative feedback loop that controls
body temperature regulation.
78&9
T
85T"5
&
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TEMPERATURE CONTROL
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Knowing the following:
Calcitonin from the thyroid inhibits calcium
release from the bones.
Parathyroid hormone stimulates release of calciumfrom the bones.
Sketch a negative feedback loop that controls
blood calcium level.
78&9
T
85T"5
&
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BLOOD CALCIUM
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Knowing that:
Insulin from the pancreas lowers blood glucose by
stimulating body cells to take up glucose.
Glucagon from the pancreas increases blood sugar by
stimulating the liver to break down glycogen into
glucose.Sketch a negative feedback loop that controls
blood sugar.
78&9
T
85T"5
&
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BLOOD SUGAR CONTROL
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OTHER HORMONE ROLES
Controlling sleep cycles (melatonin)
Controlling reproductive cycles (melatonin, sex
hormones)
Growth (growth hormone)
Responding to stress or emergencies
(epinephrine and other hormones)
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HORMONES EVERYWHERE!
Many other organs besides the endocrine glands
produce hormones.
Kidneys produce several hormones that regulate
blood pressure, which is essential for kidney
function.The digestive system produces several hormones
that regulate appetite.
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Low body fat stimulates leptin production, which stimulates appetite. The mouse
is obese because its low leptin levels give it an enormous appetite. Leptin
injections return the mouse’s weight to normal. Humans sometimes have a leptin
issue, too, but the problem is a bad leptin receptor on body cells. Alas, leptin
injections won’t cure that.
The obese mouse on the
left does not produce
enough leptin, a hormone
produced by fat cells.