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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.