Friday, April 11, 2014

Endocrine System


  1. System of organs that releases hormones into the blood
  2. Function of endocrine system
    • endocrine system uses blood vessels to carry chemical information
  3. Organs of the endocrine system (overview) 
    • hormones
      • chemical messenger molecules that are made by cells in one part of the body and changes cells in another part of the body
      • regulate many functions that keep you alive
      • made and secreted by cells in endocrine glands
    • endocrine glands
      • ductless organs that secrete hormones directly into blood or fluid surrounding a cell
      • primary function is to make and secrete hormones
      • collectively make up endocrine system
      • other organs, such as stomach, heart, and kidneys, secrete hormones and are considered as part of the endocrine system
    • exocrine glands
      • organs that secrete products into ducts (duct glands) 
      • secrete substances, but do not secrete hormones
      • secrete things like water, mucus, enzymes, and other proteins
  4. Hormones (in detail) 
    • body produces many different hormones
    • each hormone very specific for target cells
    • target cell
      • cell on which hormone has effect
    • affected by hormones because they have receptor proteins that are specific for hormone
    • hormones will travel through bloodstream until they find target cells
    • amino acid based hormones
      • made of amino acids
      • can be simple in structure or very large
      • not fat-soluble and cannot diffuse through plasma membrane of target cell
      • bind to receptors found on cell membrane
    • cholesterol based hormones
      • made of lipids such as phospholipids and cholesterol
      • hormones are also called steroid hormones
      • fat soluble and able to diffuse through plasma membrane
      • found within cell cytosol and nucleus
    • hormone-like substances
      • group of signaling molecules derived from certain types of fatty acids and proteins
      • do not travel around body in blood and are broken down quickly
      • effects of hormone-like substances are localized in tissue where they are produced
      • prostaglandins: made from essential fatty acids and produced by most cells in body
      • have many different effects, like causing constriction or dilation of blood vessels
      • neuropeptides: signaling peptides found in nervous tissue
      • many different effects on nerve cells
      • some have effects on non nerve cells and are called hormones
      • hormones exit their cell of origin by exocytosis or some kind of membrane transport
      • cells that respond to hormone may be one of several cell types found in tissues throughout body
  5. Hormone receptors
    • cells that respond to hormones have two things in common: have receptors that are specific for certain hormones, and receptors are joined with processes that control metabolism of target cell
    • two ways receptor-bound hormones activate processes within cells
    • second messenger system
      • water soluble hormone molecules does not enter cell
      • binds to membrane bound receptor molecule, triggering change within cell
      • changes activated by second messenger molecules
    • direct gene activation
      • fat soluble hormone diffuses across membrane and binds to receptor within cytosol or nucleus
      • hormone-receptor complex acts as transcription factor that affects gene expression
  6. Action of glucagon: second messenger system
    • majority of amino acid based hormones bind to membrane bound receptors
    • binding of hormone triggers signal transduction pathway
      • process of molecular changes that turns hormones extracellular signal into intracellular response
    • activation of receptors by hormones make the intracellular production of second messengers as part of signal transduction pathway
    • second messenger is a small molecule that starts change inside cell in response to binding of specific signal to receptor protein
    • glucagon: hormone involved in carbohydrate metabolism
      • released when glucose level is low
      • released by pancreas and circulates blood until it binds to glucagon receptor
      • receptor found in plasma membrane of liver cells
      • binding of glucagon changes shape of receptor, which activates a G protein
      • G protein is enzyme that activates next enzyme, activating the next, etc.
      • end result: enzyme that breaks apart glycogen molecule in liver cell to release glucose molecules in blood
      • signal transduction pathway, a domino effect in the cell, allows a little bit of hormone to have large effect on cell or tissue
  7. Action of cortisol: direct gene activation
    • steroid hormones diffuse through cell membrane and bind to receptors in cytosol or nucleus
    • cortisol
      • steroid hormone produced by adrenal glands
      • often called stress hormone because it is involved in body's response to stress
      • increases blood pressure, blood sugar levels, and has immunosuppressive action
      • crosses cell membrane and binds to steroid receptor in cytoplasm
      • enters nucleus of cell and binds to DNA, either activating or deactivating gene transcription
  8. Effects of hormones
    • effects varies widely
    • tropic hormones (tropins) regulate production and release of other hormones
    • other effects
      • stimulation or inhibition of growth
      • induction or suppression of programmed cell death (apoptosis) 
      • activation or inhibition of immune system
      • regulation of metabolism
      • preparation for new activity
      • preparation for new phase of life (ex. puberty, caring for offspring, or menopause) 
      • control of reproductive cycle
  9. Hypothalamus
    • links nervous system to endocrine system by pituitary gland
    • located below thalamus
    • found in all mammalian brains
    • about the size of an almond
    • complex area of brain, and nerve cells are involved in many different functions
    • coordinates seasonal and circadian rhythms, complex homeostasis mechanisms, and ANS
    • circadian rhythm
      • 24 hour cycle in biological processes carried out within organisms
    • ANS controls activities such as body temperature, hunger, and thirst
    • hypothalamus must respond to different signals, both outside and outside
    • connected with many parts of CNS, including brainstem, olfactory bulbs, and cerebral cortex
    • produces hormones that are stored in pituitary gland
  10. Pituitary gland
    • about the size of a pea
    • attached to hypothalamus by thin stalk at base of the brain
    • secretes hormones that regulate homeostasis
    • secretes hormones that stimulate other endocrine glands
    • anterior pituitary (front lobe) makes many important hormones
    • posterior pituitary (rear lobe) releases two hormones, oxytocin and ADH
    • hormones transported down the nerve cell's axons to posterior pituitary where they are stored
    • most hormones are released from anterior pituitary under influence from hormones in hypothalamus
    • hypothalamus hormones travel to anterior lobe down special capillary system that surrounds pituitary
  11. Thyroid gland
    • one of the largest endocrine glands in body
    • butterfly gland found in the neck, wrapped around trachea
    • hormones released by thyroid control how quickly the body uses energy, makes proteins, and how sensitive the body should be to other hormones
    • controlled by hypothalamus and pituitary
    • thyroid hormones generally controls pace of all processes in body
    • pace is related to metabolism
    • hyperthyroidism (overactive thyroid) and hypothyroidism (under active thyroid) are common problems of the thyroid gland
    • thyroxin (T4) and triiodothyronine (T3) regulate rate of metabolism and affect growth of different systems in the body
    • iodine is very important for making T3 and T4
    • if not enough iodine, person developed iodine deficiency called goiter
      • low amounts of T3 and T4 causes pituitary to secrete large amounts of thyroid stimulating hormone (TSH) which causes abnormal growth of thyroid gland
      • addition of iodine to mass produced foods, like salt, helps reduce the iodine-deficiency in developed countries
    • also produces the hormone calcitonin, which plays a role in calcium homeostasis
  12. Parathyroid glands
    • usually located behind the thyroid gland
    • parathyroid hormone (PTH) maintains blood calcium levels within a narrow range
      • maintains calcium levels so that nervous and muscular systems can work properly
    • if blood calcium levels drop below certain point, calcium sensing receptors in parathyroid releases hormone PTH in the blood
      • PTH increases blood calcium levels by stimulating bone cells to break down bone and release calcium
      • increases gastrointestinal calcium absorption by activating vitamin D
      • promotes calcium uptake by kidneys
  13. Pineal gland
    • melatonin is made in pea-sized pineal gland
    • located at the base of the brain
    • production is under control of hypothalamus
      • receives information from retina about daily pattern of light and darkness
    • melatonin is involved in sleep cycles, onset of puberty, and immune function
    • responds to seasonal changes in light
      • could be reason why getting out of bed on a dull, rainy morning can be so difficult
  14. Pancreas
    • both exocrine gland and endocrine gland
      • exocrine gland because it secretes pancreatic juice containing digestive enzymes
      • endocrine gland because it produced several important hormones
    • located below and behind stomach
    • endocrine cells in pancreas are grouped together in areas called inslets of Langerhans
      • islets produce amino acid-based hormones insulin, glucagon, and somatostatin
    • insulin
      • produced by beta cells 
      • causes excess blood glucose to be taken up by liver and muscle cells
      • stored as glycogen, a polysaccharide
    • glucagon
      • produced by alpha cells and stimulates liver cells to break down glycogen into glucose
      • released into blood
    • alpha cell
      • another type of endocrine cell found within the islets of Langerhans
  15. Adrenal glands
    • located each above the kidneys
    • separated into two structures
      • adrenal medulla (center of gland) 
      • adrenal cortex (outer layer) 
      • work as two separate endocrine glands
    • adrenal medulla
      • core of adrenal gland
      • surrounded by adrenal cortex
      • secretion of hormones from medulla is controlled by sympathetic nervous system
      • cells of medulla are main source of epinephrine and norepinephrine
      • hormones are part of fight-or-flight response
      • boots supply of oxygen and glucose to brain and muscles, suppressing other non-emergency bodily processes
    • adrenal cortex
      • site od steroid hormone synthesis
      • some cells make cortisol, and others make testosterone (or more) 
      • other cells secrete aldosterone, which helps regulate blood pressure
      • regulated by hormones secreted by pituitary gland and hypothalamus
    • cortisol (see above) 
    • epinephrine (adrenaline) 
      • fight or flight hormone
      • released from adrenal medulla when stimulated by sympathetic nervous system
      • plays central role in short term stress reaction
      • body's response to threatening, exciting, or environmental stressors, like high noise levels and bright light
      • binds to multiple receptors when secreted into bloodstream
      • increases heart rate, dilates pupils, and constricts blood vessels in skin and gut while dilating arterioles in leg muscles
      • also increases blood sugar levels
      • begins breakdown of lipids in fat cells
      • "turns down" non-emergency bodily processes like digestion
      • depresses the immune system
    • norepinephrine
      • similar actions on the body as adrenaline
      • psychoactive because it affects alertness, helpful for studying
  16. Gonads
    • ovaries of females and testes of males are gamete producing organs
    • ovaries are homologous to testes in males
    • producing gametes is an exocrine action
    • gonads are endocrine glands that produce steroid sex hormones
    • sex hormones
      • responsible for secondary sex characteristics that develop at puberty
    • puberty
      • process of physical changes during which the sex organs mature and a person becomes capable of reproducing
    • gonadotropes
      • luteinizing hormone (LH) and follicle stimulating hormone (FSH) both secreted by pituitary gland
      • tropic hormones of the gonads
      • triggers production of hormones in other glands
      • secretion of LH and FSH are controlled by gonadotropin-releasing hormone for hypothalamus
      • pulses are subject to estrogen feedback from gonads
    • androgens
      • in males, LH triggers production of sex hormones androgens in testes
      • main androgen is testosterone
      • causes increase in skeletal mass and bone density
      • also responsible for secondary sex characteristics of males, such as facial hair
      • also produce small amounts of estrogen in the form of estradiol
    • estrogen and progesterone
      • rise in LH concentration triggers production of estrogen and progesterone by ovaries
      • estrogen causes release of an egg from ovaries
      • progesterone prepares uterus for possible implantation by fertilized egg
      • placenta is endocrine gland for pregnancy
      • secrets hormones estrogen, human chorionic gonadatropin, and progesterone
      • important for maintaining pregnancy
  17. Other hormone-producing tissues and organs
    • stomach, small intestine, kidneys, and heart
    • have cells that secrete hormones
  18. Homeostatic imbalance: endocrine system disorders
    • diseases are common
    • includes diseases such as diabetes, thyroid disease, and obesity
    • usually characterized by hyposecretion or hypersecretion of hormones
    • also inappropriate response to hormone signaling by cells
    • cancer can occur in endocrine glands (thyroid) 
    • some hormones can signal distant cancer cells to multiply
  19. hyposecretion
    • production of no hormone or too little of a hormone
    • can be caused by destruction of hormone-secreting cells
      • such as Type 1 diabetes, an autoimmune disease that results in destruction of insulin producing beta cells in pancreas
    • also can be caused by deficiency in nutrient that is important for hormone synthesis
    • can be treated with hormone-replacement therapies
    • diabetes insipidus is characterized by excretion of large amounts of dilute urine
      • caused by inability of kidney to concentrate urine because of lack of ADH
      • insensitivity of kidneys to hormone
      • blood glucose levels are not affected in diabetes insipidus
    • growth hormone deficiency
      • caused by lack of GH production in pituitary gland
      • affects bone growth development
      • have low bone density and small stature, called pituitary dwarfism
      • treated by growth hormone replacement
    • hypothyroidism
      • not enough thyroid hormones are made
      • autoimmune disease where body's antibodies attack cells of thyroid and destroy it
      • plays important part in brain development during fetal growth
      • hypothyroidism in child is major cause of physical and mental growth impairment in developing countries
      • iodine deficiency is most common cause of preventable mental retardation and brain damage in the world
  20. hypersecretion
    • body produces too much of a hormone
    • hormone can be hypersecreted if gland develops a tumor and grows out of control
    • hyperthyroidism
      • result of excess thyroid hormone production
      • causes overactive metabolism
      • increased speed of all body's processes
      • most common cause of goiter in developed world
    • hypersecretion of growth hormone causes acromegaly
      • common cause of acromegaly is benign tumor of pituitary glands that releases too much GH
      • also caused by overproduction of hypothalamus hormone GHRH
      • most commonly affects middle aged adults and can result in illness and premature death
      • symptoms: enlarged hands and feet, protruding brow and chin, and enlarged internal organs
      • disease is hard to diagnose in early stages
      • frequently missed for many years due to slow progression
      • if pituitary produced too much GH during childhood, the person will be taller than normal
      • called pituitary gigantism, which is very rare, and some of the tallest people on record have this condition
  21. Hormone insensitivity: Type 2 diabetes
    • sometimes, the body makes enough hormones, but body cells do not respond
    • can be due to missing or defective hormone receptors
    • body cells became resistant to normal concentration of hormone, and don't respond to it
    • Type 2 diabetes
      • characterized by hyperglycemia
      • body cells that don't respond to normal amounts of insulin
      • resulting inability of pancreas to produce enough insulin
      • high amounts of free fatty acids and glucose in blood
      • high plasma levels of insulin and glucose lead to metabolic syndrome and type 2 diabetes
      • type 2 diabetes can be controlled by improving diet, increasing levels of activity, and sometimes medication
    • gestational diabetes
      • form of diabetes that affects pregnant women
      • no known single cause
      • hormones produced during pregnancy reduce ability of cells in pregnant woman's body to respond to insulin
      • results in high blood glucose concentrations
  22. Hormones as medicines
    • hormone-replacement therapy
    • most commonly prescribed hormones are estrogens and synthetic progesterone
    • progestin used to prolong pregnancy in women to have experienced miscarriage due to premature drop in progesterone levels
  23. Epinephrine
    • anti inflammatory effect on immune system
      • used to treat anaphylaxis
      • sudden and severe allergic reaction that involved entire body
      • histamine causes blood vessels to dilate
      • lowers blood pressure, and fluid leaks from bloodstream into tissues
      • can cause difficulty breathing
  24. Anabolic androgenic steroids
    • synthetic androgens have many medical uses
      • used to stimulate bone growth and appetite
      • induce puberty in boys
      • treat muscle-wasting conditions in patients
    • promotes protein synthesis and growth of muscle tissue and other tissues
    • blocks effects of stress hormone cortisol, so breakdown of muscle is greatly reduced
  25. Anabolic steroid abuse
    • used in sport and bodybuilding to increase muscle size and strength to gain competitive edge or to assist in recovery from injury
    • steroids used to gain competitive advantage are forbidden by rules in many sports
    • hearth risks can be produced by long term use or excessive doses of anabolic steroids
    • most side effects are dose dependent
      • most common side effects: increase in bad cholesterol, and decrease in good cholesterol
      • acne is common among anabolic steroid users
      • more testosterone is produced, which leads to more oil being produced
    • teenage boys who take anabolic steroids are more likely to be involved in sports that depend on weight and shape
    • have higher rates of disordered eating, drug abuse, and have poorer attitude towards health
    • steroids may prematurely stop lengthening of bones (stunted growth) 
    • accelerated bone maturation, increased acne outbreaks, and premature sexual development

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