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Endocrinology
the study of hormones and disorders associated with abnormalities of these hormones
Hormone
secreted directly into the bloodstream for purpose of maintaining circulatory status and homeostasis
Down-Regulation
inhibition/suppression of the normal response of an organ or system
Desensitization
exposure of receptors to high concentration of hormones may decrease number of surface receptors
Specificity Spill-Over
hormones having strong affinity levels for their own receptors as well as weak affinity for receptors of another hormone
ex: aldosterone & cortisol (both from adrenal cortex)
Somatotropin
growth hormone
most abundant hormone made by anterior pituitary
Endocrine hormones
hormone synthesized in one location & released into blood; affects a distant site
Paracrine hormones
hormone synthesized in endocrine cells & released into paracrine space (interstitial cell space); acts on neighboring cells
Autocrine hormones
hormone synthesized by endocrine cells & bind to receptors of the same cell they originate from
Juxtacrine hormones
hormone synthesized by endocrine cells & acts on adjacent cells by direct cell-to-cell contact
Exocrine hormones
hormone synthesized by endocrine cells & released into gut to aid in digestion (CCK/gastrin/secretin)
Neuroendocrine hormones
hormone synthesized by CNS & released into blood; affect a distant site
on the cell surface or in the cytoplasm of cell
Target cells have receptors where on the cell that bind to hormones?
Steroids, Polypeptides, Amine
Hormones can be classified into 3 basic chemical types:
lipid based
water insoluble
chemical structure & solubility of steroids
protein based
water soluble
chemical structure & solubility of polypeptide
derived from amino acid tyrosine
can be water insoluble or solube
chemical structure & solubility of amine
cholesterol
Steroid hormones are lipid based are derived from
inside the cell; lipids can easily diffuse through the phospholipid membrane and enter the nucleus
Where is the receptor for steroid hormones located?
on the surface of cell; cannot diffuse through the cell like lipids can
Where is the receptor for polypeptide hormones located?
steriod hormones
After synthesis:
- bind to carrier molecule
- travel to their site of action
- diffuse through cell membrane & bind to receptors of cytoplasm
- enters nucleus where it undergoes replication/transcription/translation
- make proteins
- causes change

long half-life (2hrs) (take longer for action to occur)
Do steroid hormones have long or short half-life?
peptides or glycoprotein
Protein hormones are either (2)
polypeptide hormones
- bind to receptor on surface of cell
- adenylate cyclase is activated and produces cAMP (cyclic AMP)
- cAMP activates proteins/enzymes in cell

short half-life (enzyme already present in cell, just need to be activated)
Do polypeptide hormones have long or short half-life?
tyrosine
What amino acid are amine hormones derived from?
catecholamines (epinephrine, norepinephrine, dopamine)
Amine hormones share properties from both steroid and polypeptide hormones.
What are the protein-like amine hormones?
thyroid T4 (thyroxin) and T3 (triiodothyronine)
Amine hormones share properties from both steroid and polypeptide hormones.
What are the steroid-like amine hormones?
Nuclear receptors and Membrane receptors
two major classes of hormone receptors
Nuclear receptors
G protein family
- consists of guanine nucleotide-binding protein
- adenylate cyclase catalyzes formation of cAMP
- cAMP activates enzyme which regulate intracellular proteins
- requires primary & secondary messenger
primary = hormone
secondary = cAMP
What is the primary and secondary messenger?
Membrane receptors
Protein kinases
- contain tyrosine kinase activity
- phosphorylation rxn occurs
- can stimulate or depress enzyme activity
positive feedback mechanism
function of hormone A results in increase in hormone B
- original stimulus is promoted
negative feedback mechanism
concentration of hormone B can cause decrease in hormone A
- action is opposite of stimulus
1. act directly to change hormone itself
2. cause a change in a related physiological response
3. occur indirectly via another hormone
Negative feedback can exhibit 3 main actions:
positive feedback
Positive or Negative
T3/T4 is too low = thyroid releases more T3/T4
negative feedback
Positive or Negative
T3/T4 is too high = thyroid releases less T3/T4
primary: target endocrine gland
secondary: anterior pituitary
tertiary: hypothalamus
What are the primary, secondary, and tertiary hormone regulation mechanisms?
immunoassay
the most common methodology used to measure hormones
both sensitive and specific
Why are immunoassay the most common method to measure hormones?
competitive and noncompetitive
two types of immunoassay techniques
competitive immunoassay
labeled ag with a known quantity competes with pt ag for ab sites & forms hormone-ab complex
indirectly proportional
In a competitive immunoassay, the amt of analyte is __________ proportional to signal that is read
sandwich immunoassay
pt ag binds to antibody fixed onto solid phase; the second ab is labeled with a detector and binds to antigen-antibody complex
directly proportional
In a immunometric (sandwich) immunoassay, the amt of analyte is __________ proportional to signal that is read
general factors that affect hormone release & measurement
biorhythms
stress
autonomy
protein binding
heterogeneity
assay limitations
biorhythms
general factors that affect hormone release & measurement:
circadian/diurnal, may have to take multiple measurements throughout the day
stress
general factors that affect hormone release & measurement:
increases ACTH (controls cortisol) and growth hormone
autonomy
general factors that affect hormone release & measurement:
hormones acting from something other than what normally controls like (e.g. tumor)
protein binding
general factors that affect hormone release & measurement:
some hormones are bound, some are not
- bound form may not be biologically active / free unbound hormone is
heterogeneity
general factors that affect hormone release & measurement:
hormones can circulate in blood as multiple distinct immunological forms (intact vs fragments)
- immunoassay only recognize specific forms
assay limitations
general factors that affect hormone release & measurement:
some assays are not sensitive enough to differentiate low ranges from normal
- antiserum can cross-react with other hormone (overestimation)