Four ways cells communicate:
Gap Junctions: Pores in cell membrane allow signaling chemicals to move between cells.
Neurotransmitters: Released from neurons to travel across a gap to a second cell.
Paracrine Hormones: Chemicals secreted into tissue fluids (interstitial fluid) affecting nearby cells.
Hormones: Chemical messengers that travel in the bloodstream.
Nervous System:
Uses both electrical and chemical communication.
Fast response (1 - 10 ms), specific effects on fewer cells.
Endocrine System:
Uses only chemical communication.
Slow response (hormone release takes seconds to days), widespread effects on the whole body.
Hormones as neurotransmitters:
Examples: Norepinephrine (NE), cholecystokinin, thyrotropin-releasing hormone, dopamine, and ADH.
Neuroendocrine Cells: Neurons that act like glands, releasing hormones such as oxytocin, ADH, and catecholamines.
Overlapping effects: Both systems can signal to each other, e.g., NE and glucagon in liver glycogen hydrolysis.
Exocrine Glands: Secrete products into a duct leading to epithelial surfaces (skin or digestive tract).
Endocrine Glands: Secrete hormones into surrounding fluid that diffuse into capillary blood.
Endocrine Glands Include: Pituitary, thyroid, parathyroid, adrenal, pineal glands, among others.
Receptors: Hormones affect specific target tissues that possess specific receptors.
Receptors Dynamics: Constantly synthesized and broken down.
Down-regulation: Example: insulin resistance.
Up-regulation: Increased receptor availability.
Circulating Hormones: Travel throughout the body in blood.
Local Hormones: Act locally as paracrine (neighboring cells) or autocrine (same cell).
Lipid-Soluble Hormones: Bind with receptors inside target cells.
Examples: Steroids (cortisol, estrogens), thyroid hormones (T3 and T4).
Water-Soluble Hormones: Bind to receptors on plasma membranes, activating G proteins activating adenylate cyclase, producing cAMP, which activates kinases and enzymes.
Permissive Effect: One hormone enhances the action of another.
Synergistic Effect: Two hormones work together for a greater effect.
Antagonistic Effect: Two hormones oppose each other.
Hormonal regulation involves feedback mechanisms to maintain homeostasis:
Negative Feedback: Most common regulatory mechanism.
Positive Feedback: Example: oxytocin and prolactin during childbirth.
Role of Hypothalamus: Major link between nervous and endocrine systems.
Produces hormones that are stored and released by the posterior pituitary (e.g., oxytocin, ADH).
Releasing Hormones from Hypothalamus:
TRH (Thyrotropin-Releasing Hormone) → TSH (Thyroid-Stimulating Hormone)
GnRH (Gonadotropin-Releasing Hormone) → FSH and LH (Follicle- and Luteinizing Hormones)
Inhibitory Hormones:
GHIH (Somatostatin) → inhibits hGH, gland and hormone regulation.
Functions of Thyroid Hormones:
Increase basal metabolic rate (BMR), stimulate protein synthesis, and regulate development.
Calcitonin (from C cells) helps lower blood calcium levels.
Disorders:
Hypothyroidism/managing symptoms and disorders like goiter due to iodine deficiency.
Insulin: Lowers blood sugar by triggering cells to absorb glucose, enhances fat synthesis.
Glucagon: Raises blood sugar by converting glycogen to glucose; acts on liver cells.
Diabetes Mellitus Types:
Type I: Insulin-dependent, autoimmune destruction of beta cells.
Type II: Insulin resistance; risk factors include genetics, age, and obesity.
Adrenal Cortex: Produces corticosteroids:
Mineralocorticoids: Aldosterone increases Na+ retention.
Glucocorticoids: Cortisol manages stress responses.
Adrenal Medulla: Produces epinephrine and norepinephrine, influencing fight-or-flight responses.
Eustress vs. Distress: Positive versus harmful stress.
Stress Mechanisms: Counteract stress through increased secretion of hormones like cortisol, hGH; can lead to muscle wasting and immune suppression upon prolonged exposure.