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Endocrinology
The study of endocrine glands/tissue, the hormones they release, and their effects on target tissues
Hormones
Are carried via the blood; regulate body metabolism, growth, and reproduction
Complementary or antagonistic
Target tissues are regulated by multiple hormones and downstream effects may be _______ or _______.
Physiological Range
"Sensitization" or "upregulation"
Pharmacological ranges
"Desensitization" or "downregulation"
Adrenal Medulla
(Amino Acid Derivatives) Epinephrine and Norepi are secreted by...
Pineal gland
Amino acid derivative; melatonin is derived from the...
Peptides and proteins
Hypothalamic & pituitary hormones; insulin and glucagon (pancreas); parathyroid hormone
Adrenal cortex
Corticosteroids are produced by the...
Gonads
Sex steroids are produced by the...
Hydrophilic hormones
_____ ______ interact with cell surface receptors at target tissues (all peptide &protein hormones; epi and Norepi)
Hydrophobic (or lipophilic) hormones
_____ _____ interact with intracellular receptors at target tissues (steroid or thyroid hormones)
Enzyme linked (RTKs)
_____ receptors act through intracellular 2nd messengers (cAMP, Ca2+, kinases)-insulin, growth factors
GPCRs
Act through intracellular 2nd messengers (cAMP, Ca2+, kinases)-epinephrine, norepi
Intracellular Receptors
Act as a transcription factor in the nucleus; steroids, thyroid hormones
Islets of Langerhans
_______ comprise the endocrine portion of the pancreas
Glucagon
Alpha cells secrete...
Insulin
Beta cells secrete...
Anabolism; catabolism
(Cellular metabolism) insulin-->_____
Glucagon -->___
Liver, skeletal muscles, adipocytes
Pancreatic hormone's target tissues: (3)
Anabolism
Uses amino acids, sugars, fatty acids etc to create proteins, polysaccharides , lipids, and nucleic acids
Catabolism
Uses energy containing nutrients like carbs, fats, and proteins that result in energy depleted CO2 H2O and NH3
Receptor Tyrosine Kinases (RTKs)
____ are the most prevalent type of enzyme-linked cell surface receptor; the insulin receptor for example
Kinases
Enzymes that phosphorylate proteins
Tyrosine kinases
Attach phosphate groups to tyrosine residues within proteins
Glucose uptake and anabolic reactions
The result of insulin receptor activation is...
Glycogen synthesis and fat storage
High levels of glucose results in increased production of insulin which increases...
Hepatocytes
Move glucose into liver cells when [glc]blood is high and out when [glc]blood is low
Skeletal muscle, cardiac muscle and adipose tissue
Insulin-responsive GLUT4 recruitment occurs only in...
[insulin]blood
When ____ increases, 95% of blood glucose is taken up by muscle and fat tissues
Decrease gluconeogenesis and increase glycogen synthesis
Major effect of insulin at the liver
Increase glycogenolysis and gluconeogenesis
Major effect of glucagon at the liver
[glucagon]blood; [insulin]blood
Exercise increases ____ and decreases ____
Anterior lobe
This part of the pituitary gland is involved in hormonal regulation by the hypothalamus
Posterior lobe
Part of the pituitary gland that is the neural extension of the hypothalamus
ADH and Oxytocin
The hypothalamus produces _____ and they are secreted by the posterior pituitary gland
Hypothalamo-hypophyseal tract
Supraoptic & paraventrical nuclei of the hypothalamus produce oxytocin and ADH which are transported down the...
Hypothalamo-hypophyseal portal system
Hypothalamic nerve endings secrete releasing and inhibiting hormones into a capillary/venue system known as...
Growth Hormone (GH)
Somatotropin; promotes tissue growth
Thyroid-stimulating hormone (TSH)
Promotes production of t3 and t4 in the thyroid
Adrenocorticotropic hormone (ACTH)
Promotes secretion of glucocorticoids in the adrenal cortex
Follicle-stimulating hormone (FSH) and Luteinizing hormone (LH)
The gonadotropic hormones; promotes gamete production & sex steroid secretion in the gonads
Prolactin (PRL)
Stimulates milk production in the mammary glands
Adrenal Medulla
What is stimulated by the sympathetic nervous system?
Adrenal Cortex
Has three zones: Zona glomerulosa (mineral corticoids), Zona fasciculata & Zona reticularis (glucocorticoids and sex steroids)
Increase
The sympathoadrenal effects of the Catecholamine hormones are generally an ________ in cardiac output and glycogenolysis and lipolysis etc
Intracellular secondary messengers (cAMP and Calcium)
Epinephrine released from the Adrenal Medulla mediates its effects at target tissues via activation of GPCR's that increase...
Beta adrenergic
cAMP works through what kind of receptors?
Alpha adrenergic
Ca2+ works through what kind of receptors?
Regulation of Na+ and K+
Mineralcorticoids are responsible for...
Aldesterone
Type of Mineralcorticoid that increases blood volume and pressure; balances electrolytes
Regulation of glucose and other metabolites
Glucocorticoids are responsible for...
Cortisol
Increases blood glucose levels by stimulating gluconeogenesis and inhibiting glucose utilization in the tissues; it also increases free fatty acid levels in the blood by stimulating lipolysis. Role in immune suppression and inhibition of inflammation
Sex Steroids
weak androgens that supplement gonadal hormones
Steroid Hormones
Synthesized from cholesterol and produced in the adrenal cortex; have hydrophobic fused-ring structures
Carrier Proteins
Steroid Hormones travel through the blood by binding to...
Intracellular nuclear hormone receptors
Steroid hormones bind to and activate _____ which then function as transcription factors
Negative Feedback
Hypothalamic-pituitary-adrenal axis shows that in times of stress, ________ occurs to cause a rise in Cortisol
T3 and T4
Secreted by the follicular cells of the Thyroid gland; regulates the body's metabolism, growth, and development; stimulated by TSH release from Anterior pituitary
Calcitonin
Secreted by parafollicular cells of the Thyroid gland; regulation of blood calcium levels
Hypothalamus, Anterior Pituitary gland, thyroid gland
_______ secretes TRH
_______ secretes TSH
_______ secretes T3 and T4
Thyroid follicular cells
Transports iodide from the blood into the colloid; Iodine is attached to tyrosine residues on thyroglobulin
T3 and T4
derivatives of tyrosine, hydrophobic, and its target tissues are the liver (glucose metabolism and gluconeogenesis) and skeletal muscle cells (promotes normal growth and development)
TBG (Thyroxine-binding globulin)
carrier protein for t4 in blood
Trophic effect, hormonal effect
A _____ will produce a growth of the thyroid while a _____ will produce t4 after TSH stimulation
Hypothyroid; hyperthyroid
decreased levels of t4 in blood; increased levels of t4 in blood
Iodine insufficiency
Endemic goiter is a result of ______. Low levels of circulating t4, no negative feedback, elevated TSH, trophic effect on thyroid gland-> goiter
Graves' disease
Toxic goiter is a result of ______. Hyperthyroid condition, autoantibodies mimic TSH effects at thyroid, excessive t4 in blood but autoantibodies circumvent normal negative feedback loop -> goiter
Actin and Myosin; calcium
All muscle contractions occur by sliding of thin and thick filaments called _____ and rely upon increases in intracellular ____.
Sarcomere
smallest contractable unit; striated in appearance; controlled by the somatic motor neurons
Pacemaker cells
automatic rhythmic action potentials and contractions; autonomic motor neurons
Smooth Muscle
no sarcomeres; no striated appearance; controlled by autonomic neurons
Muscle
bundle of fasciculi
fasciculus
bundle of muscle fibers
muscle fiber (myofiber)
muscle cell
myofibril
serially repeating sarcomeres
sarcolemma
plasma membrane of a muscle cell
sarcoplasm
cytoplasm of a muscle cell
sarcoplasmic reticulum
specialized endoplasmic reticulum of a muscle cell
Motor unit
comprised of a single motor neuron and all of the muscle fibers it innervates
Neuromuscular Junction
specialized synapse between the somatic motor neuron's nerve terminal and the motor end plate of the skeletal muscle cell
Excitation/Contraction coupling (E/C)
Transformation of electrical signal in muscle cell into tightening of sarcomeres is called...
T-tubules
Organization of the sarcolemma: _____ invaginate the myofibrils, are continuous with the sarcolemma
Sarcoplasmic Reticulum
Terminal cisternae are closely apposed to the T-tubules; The ____ surrounds myofibrils as a network of interconnected sarcotubules
DHPRs (dihydropyridine receptors)
Transverse tubule voltage gated calcium channel
RyRs (Ryanodine receptors)
Sarcoplasmic reticulum calcium release channel
Shorten
Sarcomeres ______ during muscle contraction without a change in length of their filaments
Z discs; A bands
shortening of myofibrils means movement of _____ closer to one another but the _____ maintain their length
Ca2+
Myosin heads will bind to actin only in the presence of _____
Power Stroke
The ______ causes the sliding of thin filaments across thick filaments
Autonomic and Somatic systems
The Peripheral Nervous system is made up of the ________.
Sympathetic and Parasympathetic systems
The autonomic system is made up of these two systems (arousing and calming)
CNS
brain and spinal cord
PNS
nerves and ganglia outside CNS
12; 31
How many pairs of cranial nerves are there?
How many pairs of spinal nerves are there?
Sensory and Motor fibers
Most nerves are "mixed" meaning that they are comprised of ______.
Autonomic
Central control: hypothalamus, brain stem, and spinal cord; regulation of cardiac muscle, smooth muscle and glands
Somatic
Central Control: frontal cortex and subcortical structures
Autonomic
has two neurons from CNS to effectors and has an excitatory or inhibitory nerve impulse on muscle
Somatic
has one neuron to effector and is excitatory only