BIO 225 - Endocrine System I-IV

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1

what is the relationship between animal size and animal cell number? what does this relationship illustrate?

as animal size increase, animal cell number increases

the endocrine system is necessary for effective communication across millions/trillions of cells

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2

what are 4 kinds of cell signaling?

  1. direct cell signaling via gap junctions

  2. autocrine/paracrine signaling

  3. endocrine signaling

  4. neural signaling

<ol><li><p>direct cell signaling via gap junctions</p></li><li><p>autocrine/paracrine signaling</p></li><li><p>endocrine signaling</p></li><li><p>neural signaling</p></li></ol>
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3

describe autocrine/paracrine cell-to-cell communication

  • secretory cell - various

  • target cell - various

  • signal type - chemical

  • max signaling distance - short

  • transport between cells - interstitial fluid (fluid between cells)

  • speed - rapid

  • duration of response - short

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4

describe nervous cell-to-cell communication

  • secretory cell - neural

  • target cell - neuron, muscle, adipose, endocrine, exocrine

  • signal type - chemical and electrical

  • max signaling distance - can be long intracellularly, short across synapse

  • transport between cells - synapse

  • speed - rapid

  • duration of response - short

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5

describe endocrine cell-to-cell communication

  • secretory cell - endocrine

  • target cell - various

  • signal type - chemical

  • max signaling distance - long

  • transport between cells - circulatory fluids

  • speed - slower

  • duration of response - longer

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6

describe inter-individual cell-to-cell communication

  • secretory cell - exocrine and various epithelial cells

  • target cell - sensory and neural

  • signal type - chemical

  • max signaling distance - very long

  • transport between cells - external environment

  • speed - various

  • duration of response - various

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7

what is the difference between autocrine/paracrine signaling and endocrine signaling?

  • autocrine/paracrine signaling is when a cell sends a messenger out and it affects a nearby target cell (or the cell itself, for autocrine)

  • endocrine signaling is when a cell sends a messenger (hormone) out and it affects a multitude of target cells, as hormones can travel through blood and lymph, and has a variety of effects

<ul><li><p>autocrine/paracrine signaling is when a cell sends a messenger out and it affects a nearby target cell (or the cell itself, for autocrine)</p></li><li><p>endocrine signaling is when a cell sends a messenger (hormone) out and it affects a multitude of target cells, as hormones can travel through blood and lymph, and has a variety of effects</p></li></ul>
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8

what is the classical definition of hormones?

a chemical substance produced by specialized organs called endocrine glands and transported through the bloodstream to other tissues, where they act to elicit a specific physiological response

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9

what is the difference between exocrine and endocrine glands?

  • exocrine glands secrete substances to the external environment, have ducts, and are poorly vascularized

    • ex. sebaceous glands, lacrimal glands, etc.

  • endocrine glands secrete substances to the internal environment, don’t have ducts, and are highly vascularized

    • ex. pineal, pituitary, etc.

<ul><li><p><mark data-color="yellow">exocrine glands</mark> secrete substances to the external environment, have ducts, and are poorly vascularized</p><ul><li><p><mark data-color="blue">ex. sebaceous glands, lacrimal glands, etc</mark>.</p></li></ul></li><li><p>endocrine glands secrete substances to the internal environment, don’t have ducts, and are highly vascularized</p><ul><li><p><mark data-color="blue">ex. pineal, pituitary, etc.</mark></p></li></ul></li></ul>
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10

what is an important point about the gut mentioned in lecture?

the gut is a part of the ‘external environment’

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11

what can be issues regarding hormones and their functions?

  • too much of a hormone

  • not enough of a hormone

  • malfunctioning hormone receptors (not sensitive enough or too sensitive)

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12

describe cushing’s syndrome symptoms

  • occurs from adrenal or pituitary abnormalities, ACTH-dependent or ACTH-independent

  • high BP

  • round “moon” face

  • abdominal obesity and thin extremities

  • thin skin and stretch marks

  • fat pad between shoulder blades

  • hirsutism (hair in places it’s not supposed to be)

<ul><li><p>occurs from <mark data-color="blue">adrenal or pituitary abnormalities</mark>, <mark data-color="yellow">ACTH-dependent</mark> or <mark data-color="yellow">ACTH-independent</mark></p></li><li><p>high BP</p></li><li><p>round “moon” face</p></li><li><p>abdominal obesity and thin extremities</p></li><li><p>thin skin and stretch marks</p></li><li><p>fat pad between shoulder blades</p></li><li><p>hirsutism (hair in places it’s not supposed to be)</p></li></ul>
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13

describe addison’s disease symptoms

  • rare autoimmune disease associated with high plasma ACTH concentration, loss of negative feedback

  • fatigue and muscle weakness

  • lower back pain

  • low BP

  • hyperpigmentation around joints (could be because of similarities between cortisol and melanin)

  • anxiety and depression

<ul><li><p>rare autoimmune disease associated with <mark data-color="blue">high plasma ACTH concentration</mark>, loss of negative feedback</p></li><li><p>fatigue and muscle weakness</p></li><li><p>lower back pain</p></li><li><p>low BP</p></li><li><p>hyperpigmentation around joints (could be because of similarities between cortisol and melanin)</p></li><li><p>anxiety and depression</p></li></ul>
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14

describe graves disease symptoms

  • ophthalmopathy

  • insomnia

  • hand tremors

  • hyperactivity

  • hyperhidrosis

<ul><li><p>ophthalmopathy</p></li><li><p>insomnia</p></li><li><p>hand tremors</p></li><li><p>hyperactivity</p></li><li><p>hyperhidrosis</p></li></ul>
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15

what is the broad definition of hormones?

chemical substances released by one cell which act on another cell

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16

what is the reason for having two definitions for hormones?

the classical definition proved to be too specific, and didn’t include chemical messengers that aren’t produced by specialized cells, like IGF-1, or only work locally

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17

how are hormones divided into groups?

based on hydrophobicity

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18

describe hydrophilic messengers

  • storage - intracellular vesicles

  • secretion - exocytosis

  • transport - dissolved into extracellular fluids

  • receptor - transmembrane

  • effects - rapid

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19

describe hydrophobic messengers

  • storage - synthesized on demand

  • secretion - diffusion across membrane

  • transport - dissolved in extracellular fluids for short distances, bound to carrier proteins for long distances

  • receptor - intracellular or transmembrane

  • effects - slower or rapid

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20

what are the three types of hormones/chemical messengers covered in this course?

peptides, steroids, and amines

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21

describe peptide/protein hormones

  • hydrophilic, soluble in aqueous solutions and travels to target cell dissolved in extracellular fluid

  • bind to transmembrane receptors and start signal transduction

  • rapid effects on target cell

  • relatively large

  • name typically ends in -in

<ul><li><p><mark data-color="blue">hydrophilic</mark>, soluble in aqueous solutions and <mark data-color="blue">travels to target cell dissolved in extracellular fluid</mark></p></li><li><p>bind to <mark data-color="blue">transmembrane receptors</mark> and start <mark data-color="blue">signal transduction</mark></p></li><li><p><mark data-color="blue">rapid effects</mark> on target cell</p></li><li><p>relatively <mark data-color="blue">large</mark></p></li><li><p>name typically ends in <mark data-color="yellow">-in</mark></p></li></ul>
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22

describe peptide hormone production and release

  • preprohormones are synthesized in the rough ER

  • the pre- portion (signal sequence) is cleaved off in the rough ER

  • the prohormone goes to the Golgi apparatus, which may or may not modify it, and then is packaged into a vesicle to be released

    • the pro- portion is cleaved from the hormone, which activates the hormone

<ul><li><p><mark data-color="yellow">preprohormones</mark> are synthesized in the <mark data-color="blue">rough ER</mark></p></li><li><p>the <mark data-color="blue">pre- portion (</mark><mark data-color="yellow">signal sequence</mark><mark data-color="blue">) is cleaved off</mark> in the rough ER</p></li><li><p>the <mark data-color="yellow">prohormone </mark>goes to the Golgi apparatus, which may or may not modify it, and then is packaged into a vesicle to be released</p><ul><li><p>the <mark data-color="blue">pro- portion is cleaved from the hormone,</mark> which activates the hormone</p></li></ul></li></ul>
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23

what is actually released into extracellular fluid during peptide hormone release?

active hormone and a peptide fragment

<p>active hormone and a peptide fragment</p>
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24

describe amine hormones

  • possess an amine group (-NH2)

    • ex. ACh, dopamine, norepinephrine, serotonin, histamine, thyroid hormones

    • name typically ends in -ine

    • sometimes called biogenic amines

  • some can act as neurotransmitters, hormones, or both

  • hydrophilic (except for thyroid hormones)

  • have diverse effects

<ul><li><p>possess an <mark data-color="blue">amine group (-NH2)</mark></p><ul><li><p>ex. ACh, dopamine, norepinephrine, serotonin, histamine, thyroid hormones</p></li><li><p>name typically ends in <mark data-color="yellow">-ine</mark></p></li><li><p>sometimes called bi<mark data-color="yellow">ogenic amines</mark></p></li></ul></li><li><p>some can act as neurotransmitters, hormones, or both</p></li><li><p><mark data-color="blue">hydrophilic </mark>(except for thyroid hormones)</p></li><li><p>have <mark data-color="blue">diverse effects</mark></p></li></ul>
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25

describe steroid hormones

  • derived from cholesterol and synthesized by smooth ER or mitochondria

  • three classes of steroid hormones:

    • mineralocorticoids like aldosterone (electrolyte balance)

    • glucocorticoids like cortisol (stress hormones)

    • reproductive hormones like testosterone (sex-specific characteristics)

  • hydrophobic, made on demand and can diffuse through plasma membrane, can’t be stored

  • transported to target cell via carrier proteins (albumin)

  • bind to intracellular or transmembrane receptors (usually intracellular)

  • name typically ends in -one

<ul><li><p><mark data-color="blue">derived from cholesterol</mark> and synthesized by <mark data-color="blue">smooth ER or mitochondria</mark></p></li><li><p>three classes of steroid hormones:</p><ul><li><p><mark data-color="yellow">mineralocorticoids </mark>like <mark data-color="yellow">aldosterone </mark>(electrolyte balance)</p></li><li><p><mark data-color="yellow">glucocorticoids </mark>like <mark data-color="yellow">cortisol </mark>(stress hormones)</p></li><li><p>reproductive hormones like <mark data-color="yellow">testosterone </mark>(sex-specific characteristics)</p></li></ul></li><li><p><mark data-color="blue">hydrophobic</mark>, made on demand and <mark data-color="blue">can diffuse through plasma membrane</mark>, can’t be stored</p></li><li><p>transported to target cell <mark data-color="blue">via carrier proteins</mark> (<mark data-color="yellow">albumin</mark>)</p></li><li><p>bind to intracellular or transmembrane receptors (<mark data-color="blue">usually intracellular</mark>)</p></li><li><p>name typically ends in <mark data-color="yellow">-one</mark></p></li></ul>
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26

how are steroids transported through the blood and allowed to enter the target cell?

  • the messenger concentration moves from high to low towards the target cell, with most messengers bound to carrier proteins

  • free messengers enter the target cell, decreasing the concentration of free messengers and prompting bound messengers to dissociate, allowing them to enter the target cell as well

<ul><li><p>the messenger concentration moves from high to low towards the target cell, with <mark data-color="blue">most messengers bound to carrier proteins</mark></p></li><li><p>free messengers enter the target cell, decreasing the concentration of free messengers and <mark data-color="blue">prompting bound messengers to dissociate</mark>, allowing them to enter the target cell as well</p></li></ul>
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27

describe the genomic effect for steroids

  • the steroid will diffuse through the cellular membrane and bind to an intracellular receptor, forming a steroid-receptor complex

  • the complex will bind to DNA and affect gene transcription

  • slow effects

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28

what steroid is an exemption from the genomic effect pathway?

cortisol has rapid, non-genomic effects

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29

what are receptors?

  • they exist on target cells, either in the membrane or inside the cell

  • they change shape/conformation which bound by the ligand

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30

what are ligands?

  • chemical messengers that bind to receptors

  • hormone can be aka as natural ligand

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31

what are agonists?

ligands that bind to and activate receptors, not necessarily the natural ligand

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32

what are antagonists?

ligands that bind to and don’t activate receptors, they prevent ligand binding

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33

what will increase a cellular response, in terms of ligands and receptors?

more free ligands or receptors will increase a cellular response

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34

what is the law of mass action?

receptors can become saturated at high levels and the associated response is maximal

<p>receptors can become saturated at high levels and the associated response is maximal</p>
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35

what is the effect of receptor concentration on maximal response?

larger receptor concentration allows for a larger maximal response

<p>larger receptor concentration allows for a larger maximal response</p>
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36

what is the effect of receptor affinity on rate of receptor response?

high-affinity receptors reach receptor saturation at a faster rate

<p>high-affinity receptors reach receptor saturation at a faster rate </p>
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37

what is the connection between Kd values and receptor affinity?

a lower Kd value corresponds to a high receptor affinity

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38

the response of a cell to a particular chemical messenger is determined by the:

  1. The ligand-binding domain and the functional domain

  2. ligand-binding domain

  3. transmembrane domain

  4. functional domains

  5. chemical messenger itself

  1. ligand-binding domain

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39

what are some ways to inactivate the ligand-receptor complex?

  • remove the ligand

  • degrade the ligand

  • remove the L-R complex entirely

  • inactivate the receptor via phosphorylation

  • inactivate the signal transduction pathway

<ul><li><p>remove the ligand</p></li><li><p>degrade the ligand</p></li><li><p>remove the L-R complex entirely</p></li><li><p>inactivate the receptor via <mark data-color="yellow">phosphorylation</mark></p></li><li><p>inactivate the signal transduction pathway</p></li></ul>
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40

describe ligand-receptor interactions

  • isoreceptor hypothesis: a ligand can bind to more than one type of receptor with different target cells and different responses

  • a single cell may have receptors for many different ligands

  • receptors can accept many different but related ligands

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41

describe intracellular receptors

  • used for steroids

  • the ligand will diffuse through the cell and bind to the receptor in the cytoplasm/nucleus

  • the L-R complex binds to specific DNA sequences and regulates the transcription of target genes (increases/decreases production of specific mRNA)

<ul><li><p>used for steroids</p></li><li><p>the ligand will <mark data-color="blue">diffuse through the cell</mark> and <mark data-color="blue">bind to the receptor</mark> in the cytoplasm/nucleus </p></li><li><p>the L-R complex binds to specific DNA sequences and <mark data-color="blue">regulates the transcription of target genes</mark> (increases/decreases production of specific mRNA)</p></li></ul>
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42

describe receptor-enzyme proteins

  • aka enzyme-associated receptors

  • this receptor is an enzyme/catalyst on its own, composed of a ligand-binding site for hormones and a catalytic site inside the cell

  • three types: guanylate cyclase, tyrosine kinase, serine/threonine kinase

  • has a large effect due to amplification

<ul><li><p>aka <mark data-color="yellow">enzyme-associated receptors</mark></p></li><li><p>this receptor is an enzyme/catalyst on its own, composed of a <mark data-color="blue">ligand-binding site for hormones </mark>and a <mark data-color="blue">catalytic site inside the cell</mark></p></li><li><p>three types: <mark data-color="yellow">guanylate cyclase, tyrosine kinase, serine/threonine kinase</mark></p></li><li><p>has a large effect due to <mark data-color="yellow">amplification</mark></p></li></ul>
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43

describe how guanylate cyclase receptors work

  • ligand binds to the receptor, changing its conformation

  • the activated receptor converts GTP to cGMP, which binds to PKG

  • activated PKG phosphorylates proteins on serine or threonine residue, creating a cascade

<ul><li><p><mark data-color="blue">ligand binds to the receptor</mark>, changing its conformation</p></li><li><p>the activated receptor converts <mark data-color="blue">GTP to cGMP</mark>, which binds to PKG</p></li><li><p><mark data-color="blue">activated PKG phosphorylates proteins on serine or threonine residue</mark>, creating a cascade</p></li></ul>
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44

describe how tyrosine kinase receptors work

  • they always require two receptors, will dimerize when a ligand binds

  • these two connected receptors will autophosphorylate

  • phosphorylated receptors interact with protein kinases, which then activate Ras protein (on a timer)

  • activated Ras has GTP instead of GDP, and eventually will autodephosphorylate

  • Ras switches between active and inactive forms depending on the system needs

<ul><li><p>they always <mark data-color="blue">require two receptors, will dimerize</mark> when a ligand binds</p></li><li><p>these two connected <mark data-color="blue">receptors will autophosphorylate</mark></p></li><li><p>phosphorylated receptors interact with protein kinases, which then <mark data-color="blue">activate Ras protein </mark>(on a timer)</p></li><li><p>activated <mark data-color="blue">Ras has GTP instead of GDP</mark>, and eventually will autodephosphorylate</p></li><li><p>Ras switches between active and inactive forms depending on the system needs</p></li></ul>
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45

describe how serine/threonine kinase receptors work

  • when a ligand binds to the Type I receptor, the receptor dimerizes (splits into two parts) with Type I and Type II

  • Type II receptor phosphorylates the Type I receptor to activate it

  • activated Type I phosphorylates SMAD protein, which when activated, enters the nucleus and regulates gene expression

<ul><li><p>when a <mark data-color="blue">ligand binds to the Type I receptor</mark>, the receptor dimerizes (splits into two parts) with Type I and Type II</p></li><li><p><mark data-color="blue">Type II receptor phosphorylates the Type I </mark>receptor to activate it</p></li><li><p>activated Type I <mark data-color="blue">phosphorylates SMAD protein</mark>, which when activated, <mark data-color="blue">enters the nucleus and regulates gene expression</mark></p></li></ul>
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46

describe g-protein coupled receptors

  • they have a binding site for ligands and a g subunit on the inside of the cell

  • when the protein is activated, the g-protein converts GDP to GTP, activating adenylate cyclase

  • activated adenylate cyclase converts ATP to cAMP

  • cAMP binds to PKA, which then causes it to activate and cause effects within the cell

<ul><li><p>they have a <mark data-color="blue">binding site for ligands</mark> and a <mark data-color="blue">g subunit on the inside</mark> of the cell</p></li><li><p>when the protein is activated, the <mark data-color="blue">g-protein converts GDP to GTP</mark>, activating adenylate cyclase</p></li><li><p>activated <mark data-color="blue">adenylate cyclase converts ATP to cAMP</mark></p></li><li><p><mark data-color="blue">cAMP binds to PKA,</mark> which then causes it to activate and cause effects within the cell</p></li></ul>
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47

G-protein coupled receptors are a diverse family with which common feature?

  1. They are activated when the alpha-subunit binds to the Beta and Gamma-subunits

  2. They are activated when GTP is released from the G protein

  3. They are activated when a kinase molecule phosphorylates them

  4. They are activated when GTP binds to the G protein

  1. They are activated when GTP binds to the G protein

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48

which of the following is NOT a second messenger utilized by G proteins?

  1. Ca2+

  2. cGMP

  3. phosphatidyl inositol

  4. Na+

  1. Na+

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49

how does the hypothalamus communicate with the anterior pituitary gland?

the anterior pituitary receives blood with neurohormones from the hypothalamus via the hypothalamic-pituitary portal system, and then the anterior pituitary releases tropic hormones to the target cells

<p>the <mark data-color="blue">anterior pituitary receives blood with neurohormones</mark> from the hypothalamus via the <mark data-color="yellow">hypothalamic-pituitary portal system</mark>, and then the <mark data-color="blue">anterior pituitary releases tropic hormones</mark> to the target cells</p>
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50

what are the hormones associated with the anterior pituitary?

growth hormone, prolactin, thyroid-stimulating hormone, adrenocorticotropic hormone, follicle stimulating hormone, and luteinizing hormone

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51

how can you know which hormones are released from the hypothalamus?

they’re either releasing hormones or inhibiting hormones

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52

what are the hypothalamic hormones for growth hormone?

growth hormone releasing hormone (GHRH) and growth hormone inhibiting hormone (GHIH) or somatostatin

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53

what is the target for growth hormone and what are the effects?

many tissues are targeted

GH promotes growth

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54

what are the hypothalamic hormones for prolactin?

prolactin releasing hormone (PRH) and prolactin inhibiting hormone (PIH) or dopamine, TRH can also stimulate prolactin secretion

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55

what is the target for prolactin and what are the effects?

breast tissue

promotes milk production

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56

what is the hypothalamic hormone for thyroid-stimulating hormone?

thyroid-releasing hormone

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57

what is the target for thyroid-stimulating hormone and what are the effects?

thyroid

stimulates release of T3 and T4 (thyroid hormones)

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58

what are the hypothalamic hormones for adrenocorticotropic hormone?

corticotropin releasing hormone (CRH) and somatostatin/GHIH

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59

what is the target for adrenocorticotropic hormone and what are the effects?

adrenal cortex

stimulates cortisol release

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60

what is the hypothalamic hormone for follicle stimulating hormone and luteinizing hormone?

gonadotropin releasing hormone (GnRH)

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61

what is the target for follicle stimulating hormone and luteinizing hormone and what are the effects?

gonads

FSH stimulates gamete production (sperm/egg) and LH stimulates androgen, estrogen, and progestin production

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62

what conditions are associated with oversecretion of GH?

gigantism (if increased GH in early life) and acromegaly (increased GH later in life)

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63

what is a condition associated with lack of GH?

dwarfism

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64

what is the somatomedin hypothesis?

GH targets tissues (especially liver) which then release insulin-like growth factors (IGFs) that cause somatic growth

somatic tissues targeted by GH will also make their own IGFs, causing themselves to grow (paracrine/autocrine signaling)

<p>GH targets tissues (especially liver) which then release <mark data-color="yellow">insulin-like growth factors (IGFs) </mark>that cause somatic growth</p><p>somatic tissues targeted by GH will also make their own IGFs, causing themselves to grow (paracrine/autocrine signaling)</p>
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65

describe prolactin effects

  • in mammals: it stimulates mammary glands to produce milk, also plays an important role in promoting maternal behavior through effects on the brain

  • it’s made in all vertebrates because it has many possible actions:

    • osmoregulation

    • reproduction, can inhibit GH secretion

    • development, considered a tadpole growth hormone

    • metabolism, affecting lipids and glycogen

    • hair growth in skin, skin pigmentation, etc.

    • behavioral effects

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66

describe the effects of thyroxine (thyroid hormone)

thyroid affects metabolism, involved in digestion, heart and muscle function, brain development, and maintenance of bones

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67

what is cretinism?

a condition caused by insufficient thyroid hormone (iodine deficiency) during fetal/neonatal development, characterized by severe mental retardation and growth defects

<p>a condition caused by insufficient thyroid hormone (iodine deficiency) during fetal/neonatal development, characterized by severe mental retardation and growth defects</p>
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68

describe the hypothalamus-pituitary-thyroid axis as it relates to an example of temperature regulation

  • cold stimulus from sensory neuron signals hypothalamus to secrete thyrotropin-releasing hormone (TRH)

  • TRH causes the anterior pituitary to secrete thyroid-stimulating hormone (TSH)

  • the thyroid secretes T3 and T4, targeting body tissues to increase metabolism

<ul><li><p>cold stimulus from sensory neuron signals <mark data-color="blue">hypothalamus to secrete thyrotropin-releasing hormone (TRH)</mark></p></li><li><p>TRH causes the <mark data-color="blue">anterior pituitary to secrete thyroid-stimulating hormone (TSH)</mark></p></li><li><p>the <mark data-color="blue">thyroid secretes T3 and T4,</mark> targeting body tissues to increase metabolism</p></li></ul>
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69

what hormones is the posterior pituitary related to?

vasopressin and oxytocin

<p>vasopressin and oxytocin</p>
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70

how is posterior pituitary communication different from that of the anterior pituitary?

  • it’s directly connected to the hypothalamus

  • neurosecretory cells from the hypothalamus release neurohormones into the posterior pituitary blood supply

  • posterior pituitary blood supply carries hormones to their target cells

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71

how does vasopressin work?

  • it controls blood pressure, similar in structure to oxytocin

  • vasopressin affects G-protein receptors in the kidneys

    • ATP converts to cAMP via adenylate cyclase, and cAMP activates protein kinase A

    • PKA causes phosphorylation of preformed vesicles, fusing it with the cell membrane and inserting aquaporins

<ul><li><p>it <mark data-color="blue">controls blood pressure</mark>, similar in structure to oxytocin</p></li><li><p>vasopressin affects G-protein receptors in the kidneys</p><ul><li><p>ATP converts to cAMP via adenylate cyclase, and cAMP activates protein kinase A</p></li><li><p><mark data-color="blue">PKA causes phosphorylation of preformed vesicles</mark>, fusing it with the cell membrane and <mark data-color="blue">inserting aquaporins</mark></p></li></ul></li></ul>
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72

how is the cytoskeleton involved in vasopressin intracellular actions?

the cytoskeleton acts as internal structure that allows for movement of preformed vesicles to the cell membrane (similar to filaments within the axon allowing retrograde and anterograde transport)

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73

what is the function of aquaporins on the cell membrane of kidney cells activated by vasopressin?

aquaporins allow for reabsorption of water from urine made in the kidneys, increasing blood pressure

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74

which anterior pituitary hormone is considered a second order feedback hormone?

prolactin

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75

what is the pancreas?

an endocrine and exocrine organ located near the small intestine

<p>an endocrine and exocrine organ located near the small intestine</p>
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76

what do exocrine glands in the pancreas do?

they produce pancreatic enzymes and sodium bicarbonate, both excreted by the pancreatic duct

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77

what do endocrine glands in the pancreas do?

they produce insulin and glucagon, both for glucose regulation

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78

what is insulin?

  • a hormone that lowers blood glucose levels under hyperglycemia

  • it promotes glycogenesis and lipogenesis

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79

what is glucagon?

  • a hormone that raises blood glucose levels under hypoglycemia

  • it promotes glycogenolysis, lipolysis, and gluconeogenesis

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80

which cells in the pancreas are endocrine?

islet of langerhans cells, alpha cells make glucagon and beta cells make insulin

<p>islet of langerhans cells, alpha cells make glucagon and beta cells make insulin</p>
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81

which cells in the pancreas are exocrine?

acinar cells

<p>acinar cells</p>
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82

what is produced from delta cells in the pancreas?

somatostatin, an inhibitory hormone

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83

what are some other hormones produced in the pancreas?

gastrin, vasoactive intestinal peptide (VIP)

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84

what is the range of healthy blood sugar?

70 mg/dL to 100 mg/dL

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85

how do insulin and glucagon work together?

their actions are antagonistic, both regulate homeostatic blood glucose levels

<p>their actions are antagonistic, both regulate homeostatic blood glucose levels</p>
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86

what is additivity?

when two hormones work in the same way on the same target

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87

what is synergism?

when two or more hormones work together to increase target cell response much more than expected by additivity

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88

what are three pathways that can regulate insulin secretion?

  1. increase in blood glucose prompts the pancreas to secrete insulin

  2. glucose receptors in the digestive tract will release CCK, which targets the pancreas to secrete insulin

  3. stretch receptors in the digestive tract send information to an integrating center, which targets the pancreas to secrete insulin (feed forward)

<ol><li><p><mark data-color="blue">increase in blood glucose</mark> prompts the pancreas to secrete insulin</p></li><li><p><mark data-color="blue">glucose receptors in the digestive tract</mark> will release CCK, which targets the pancreas to secrete insulin</p></li><li><p><mark data-color="blue">stretch receptors in the digestive tract</mark> send information to an integrating center, which targets the pancreas to secrete insulin (feed forward)</p></li></ol>
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89

describe diabetes mellitus type 1

  • aka insulin-dependent diabetes, child-onset diabetes, etc.

  • loss of beta cells of the pancreas, little or no insulin produced

  • causes: autoimmunity, trauma or substances that damage the pancreas (radiation, surgical removal, etc.), some are idiopathic (unknown cause)

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90

what are symptoms of type 1 diabetes?

  • whole body is effected: chronic vascular diseases, affects heart, lungs, eyes, skin, etc.

  • diabetic coma (hyperglycemic or hypoglycemic)

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91

describe a hyperglycemic diabetic coma

  • heavy breathing, low pH (about 7.1)

  • results from not taking insulin

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92

describe a hypoglycemic diabetic coma

  • normal breathing, hypothermia present

  • results from taking too much insulin

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93

describe treatments for type 1 diabetes

  • strict control of diet/metabolism

  • therapies like insulin replacement therapy, insulin agonists like Trulicity

  • research into transplantation of pancreas (or just islet cells), vaccinations

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94

describe type 2 diabetes

  • aka non-insulin-dependent diabetes mellitus

  • caused by insulin resistance, deficiency in response of beta cells in pancreas to glucose

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95

what are some characteristics of type 2 diabetes?

  • insensitive to endogenous insulin

  • correlates with excess abdominal fat

  • inflated fat cells and over-nourished liver/muscle cells

  • hyperplasia of pancreatic beta cells (usually seen postmortem)

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96

list some complications with type 2 diabetes

heart disease, stroke, kidney disease, eye problems, diabetic neuropathy and nerve damage (esp in feet), depression

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97

what are natural methods of treating type 2 diabetes?

lifestyle changes, more exercise, controlled diet

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98

describe the HPA axis

corticotropin-releasing hormone (CRH) —> adrenocorticotropic hormone (ACTH) —> cortisol from adrenal cortex

<p>corticotropin-releasing hormone (CRH) —&gt; adrenocorticotropic hormone (ACTH) —&gt; cortisol from adrenal cortex</p>
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99

briefly describe the adrenal gland

  • medulla (inside) - produces catecholamines, epinephrine and norepinephrine

  • cortex (outside) - corticosteroids secreted from here, cortisol, aldosterone, androgens, etc.

<ul><li><p><mark data-color="yellow">medulla (inside)</mark> - produces catecholamines, epinephrine and norepinephrine</p></li><li><p><mark data-color="yellow">cortex (outside)</mark> - corticosteroids secreted from here, cortisol, aldosterone, androgens, etc.</p></li></ul>
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100

what cells produce catecholamines in the adrenal gland?

chromaffin cells

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