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Pathophysiology II
Exam II - Lecture (General Endocrine)
42
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Not Applicable
03/04/2008

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Term
Endocrine vs. Nervous System
Definition

- Major communication systems in the body

- Integrate stimuli and responses to chanes in external and internal envionrment

- Both are crucial to coordinatead functions of highly differentiated cells, tissues, and organs

- Unlike the nervous system, the endocrine system is anatomically discontinuous. 

Term
How does the Nervous System work?
Definition
The nervous system exerts point-to-point control through nerves, similar to sending messages by conventional telephone.  Nervous system is electrical in nature, if you sever a nerve, you sever the connection
Term
How does the Endocrine System work?
Definition

- Broacasts its hormonal messages to essentially all cells by secretion into blood and extracellular fluid.

It requires receptors to recieve teh message

- In other words, a cell must bear the receptor for hte hormone being broadcast in order to respond. 

Term
How do target cells work?
Definition

- Most hormones come into contact with nearly every cell.  Howeer, each hormone usually affects only a limited number of cells, called target cells. 

- A target cell responds to a hormone because it bears the receptors for hte hormone 

Term
What are the major functions of the Endocrine System?
Definition

- Maintenance of the internal environment in the body

- Integration and regulation of growth and development.

- Control, maintenance and instigation of sexual reproduction, including....
    - Gametogenesis
    - Coitus
    - Fertilization
    - Fetal Growth
    - Development
    - Nourishment of the newborn

Term
How do Endocrine hormones signal?
Definition
Endocrine hormones travel via bloodstream to target cells
Term
How do Neurohormones work?
Definition
Neurohormones are released via synapses and travel via the bloodstream.
Term
How do Paracrine hormones work?
Definition
Paracrine hormones act only on adjacent cells
Term
How do Autocrine hormones work?
Definition
Autocrine hormones are released and act on the cell that secreted them
Term
What does the hypothalamus produce which is important in regard to the endocrine system?
Definition
- Hypothalamus produces releasing factors
    - Releasing factors stimulate production of anterior       pituitary hormone
           - Anterior Pituitary Hormone acts on                            peripheral Endocrine gland 
                 - Peripheral Endocrine Gland releases                        third hormone
Term
Where are posterior pituitary hormones produced?
Definition

- In the neuronal cell bodies in the hypothalamus

- These are released via synapses in posterior pituitary

- Examples of these kinds of hormones include Oxytocin and Antidiuretic hormone (ADH) 

Term
Types of Hormones: Peptide/protein hormones
Definition

- Range from 3 amino acids to hundreds of amino acids in size

- Often produced as larger molecular weight precursors that are proteolytically cleaved to the active form of the hormone

-Water soluble

- Comprise the largest number of hormones - perhaps in thousands 

Term
How are inactive precursors of peptide hormones are activated?
Definition

- Encoded by specific gene, which is translated into mRNA, then translated into a protein precursor called a prehormone.

- Prehormones are post-translationally modified in ER to contained carbohydrates (glycosylation).

- Prehormones contain signal peptides (hydrophobic amino acids) which targets them to the golgi, where the signal sequence si removed to form prohormone.  

- Prohormone is processed into active hormone and packaged into secretory vessicles.  

- Secretory vessicles move into plasma membrane where they await a signal, then they are secreted.

- In some cases the hormone is converted into the active hormone while in the E.F 

Term
What are the two kinds of amine hormones?
Definition

- There are two groups of hormones derived from the amino acid tyrosine.

- These are Thyroid hormones and Catecholamines 

Term
What is a Thyroid hormone?
Definition

- Basically a "double" tyrosine with a critical incorporation of 3 or 4 iodine atoms.

- Thyroid hormone is produced by the thyroid gland and is lipid soluble

- Thyroid hormones are produced by modification of a tyrosine residue contained in thyroglobulin, post-translationally modified to bind iodine, then proteolytically claved and released as T4 and T3.  T3 and T4 then bind to thyroxin binding globulin for transport in the blood.   

Term
What is a Catecholamine Hormone?
Definition

- They are both neurohormones and neurotransmitters.

- These include epinephrine, and norepinephrine

- Epinephrine and norepinephrine are produced by the adrenal medulla both are water soluble.  

- Secreted like peptide hormones 

Term
What about Tryptophan?
Definition
- Precursor to Seretonin and hte pineal hormone melatonin
Term
What about Glutamic Acid?
Definition
Converted to Histamine
Term
Characteristics of Steroid Hormones
Definition

- All are derived from Cholesterol

- All steroids are lipid soluble (Not stored in cells)

- Not packaged, but synthesized and immediately released

-  Enzymes which produce steroids from Cholesterol are located in ER and Mito

- Not water soluble, so have to be carried in blood

- Corticosteroid binding globulin carries cortisol

- Sex steroid globulin carries testosterone and estradiol.

- Steroid sec. by one cell can be activated by target cell (androgen --> estrogen)

- Rate limiting step is free cholesterol from cyto into Mito

- Cholesterol comes from acetate and/or stores in intracellular lipid 

Term
Types of Steroid Hormones: Glucocorticoids
Definition
Cortisol is the major representative in most mammals; Glucocorticoids control sugar level of blood (glucose). 
Term
Types of Steroid Hormones: Mineralocorticoids
Definition
Aldosterone being most prominent
Term
Types of Steroid Hormones: Androgens
Definition
Testosterone is an androgen
Term
Types of Steroid Hormones: Estrogens
Definition
Estradiol and Estrone are grouped under Estrogens
Term
Types of Steroid Hormones: Progestogens
Definition
(Also known as progestins) such as progesterone
Term
What is 1,25-Dihydroxy Vitamin D3?
Definition

- Derived from cholestrol, like a steroid, and is lipid soluble

- Not really a "Vitamin" as it can be synthesized de novo (over again, anew, fresh)

- Acts as a true hormone 

Term
Fatty Acid Derivaties - Eicosanoids
Definition

- Arachadonic acid is the most abundant precursor for these hormones.

- Lipases release the stores of arachadonic acid in the membrane lipds

- Specific Eicosanoids synthesized are dictated by the battery of processing enzymes in that cell

- These hormones are rapidly inactivated by being metabolized, and are typically active for only a few seconds.   

Term
Eicosanoids (Origin and classes)
Definition

- Large group of molecules derived from polyunsaturated fatty acids

- Principal groups of hormones of this class are prostaglandins, prostacyclins, leukotrines, and thromboxanes 

Term
Key Features of the Stimulus Response System
Definition

- Receipt of stimulus

- Synthesis and secretion of hormone

- Dlivery of hormone to target cell

- Evoking target cell response

- Degradation of hormone 

Term
What controls are there on Endocrine activity?
Definition

- The physiologic effects of hormones depend largely on their concentration in blood and extracellular fluid.

- Almost inevitably, disease results when hormone concentrations are either too high or too low, and precise control over circulating concentrations of hormones is therefore crucial

Term
What affects the concentration of hormones that the target cell sees?
Definition

- Rate of production

- Rate of delivery

- Rate of degradation and elimination 

Term
What affects the rate of production of hormones?
Definition
Synthesis and secretion of horones are the most highly regulated aspect of endocrine control.  Such control is mediated by positive and negative feedback circuits.
Term
What affects the rate of delivery of hormones?
Definition
An example of this effect is bloodflow to a target organ or group of target cells - high blood flow delivers more hormone than low blood flow.
Term
What affects the degradation and elimination of hormones?
Definition

- Hormones, like all biomolecules, have characteristic rates of decay, and are metabolized and excreted from the body through several routes. 

- Shutting off secretion of a hormone that has a very short half-life causes circulating hormone concentration to plummet, but if a hormone's biological half-life is long, effective concentrations persist for some time after secretion ceases.   

Term
Example of a feedback loop
Definition
Hypothalamus released hormones --> This stimulates Anterior Pituitary to release Tropic Hormones  --> These Tropic hormones stimulate the Adrenals, Gonads, and Thyroids --> These target organ hormones provide negative feedback on the hypothalamus, so the process stops
Term
What is the episodic secretion of hormones?
Definition

- Response-stimulus coupling enables the endocrine system to remain responsive to physiological demands

- Secretory episodes occur with diferent periodicity

- Pulses can be as frequent as every 5-10 minutes 

Term
Episodic Secretion: Circhoral
Definition
The most prominent episodes of release occur with a frequency of about one hour.
Term
Episodic Secretion: Ultradian
Definition
An episode of release longer than an hour, but less than 24 hours
Term
Episodic Secretion: Circadian or Diurnal
Definition
If the periodicity is approximately 24 hours, the rhythm is referred to as Circadian
Term
Physiological Importance of Pulsatile Hormone Release
Definition

- Demonstrated by GnRH infusion

- If given once hourly, gonadotropin secretion and gonadal function are maintained normally

- A slower frequency won't maintain gonad function

- Faster, or continuous infusion inhibits gonadotropin secretion and blocks gonadal steroid production 

Term
Feedback Control
Definition

- Negative feedback is most common: for example, LH from pituitary stimulates the testis to produce testosterone which in turn feeds back and inhibits LH secretion.

- Postiive feedback is less common: examples include LH stimulation of sestrogen which stimulates LH surge at ovulation 

Term
Substrate-hormone control
Definition
- Glucose and Insulin: as glucose increases it stimulates the pancreas to secrete insulin
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