Endocrine system consists of endocrine glands that secrete ____
Hormones
Endocrine response is broken into two responses
Endocrine
Neuro-endocrine
Neuroendocrine is typically ___ onset
Rapid
Endocrine response is typically ___ onset
Slower
Hormones are defined as
Chemical messengers
Protein hormones
>100 amino acid chains
biogenic amines
<100 amino acids
Steroid hormones
Small lipid molecules
Plasma membrane
Permeable to lipid hormones
Biogenic and protein hormone receptors are found
On the cell membrane
Thyroid hormone action is ____
At the nucleus
Feedback loops in endocrine
Self-Regulate
Something stimulates the hormone release
That hormone has self regulating effects
Hormone feedback loops are comparable to
Maintaining traveling speed while driving
When deviating from homeostasis, this causes:
Hormone release
When blood sugar increases
Insulin is released
Insulin drives sugar into cells
Causing insulin production to diminish
Positive feedback:
Pushes a system away from its set point by producing a change in the same direction
Oxytocin is ____ feedback
Positive feedback;
The more oxytocin is present, the harder uterine contractions
are which causes more stretching of the cervix, which releases more oxytocin
In hypothalamus releasing factors:
Stimulate the pituitary to release hormones, which stimulate responses that ultimately give negative feedback to stop hormone release
The hypothalamus
Master endocrine controller
The pituitary gland
Middle man
Releasing hormones
Stimulate pituitary gland to release hormone
Inhibiting hormones
Stop releasing hormones
Anterior pituitary
Produces its own hormones
Adenohypophysis
Anterior pituitary
Oxytocin and ADH
Produced in hypothalamus, stored in posterior pituitary
Neurohypophysis
Posterior pituitary
Pituitary gland lives
behind optic chiasm
Pituitary tumors cause
Peripheral vision loss
Infundibulum
Contains neurons that innervates posterior pituitary
Cavernous sinus drains
behind pituitary
Cranial nerves 3,4,5,6
Pass by pituitary
Cranial nerve deficits can be caused by
Pituitary tumors
Pituitary gland
Hypophysis
(adeno anterior
Neuro posterior)
Anterior pituitary
7 hormones
Posterior pituitary
2 hormones
Tropic hormones
Hormones that target other organs
Portal systems
Vein goes to structure, then to another vein
Big portal systems
Hypothalamo-hypophyseal portal system
Hypothalamic releasing hormones
Dont have to travel far
Hypothalamic tropic hormones
Have to travel far
TRH
Thyroid releasing hormone
CTRH
Corticotropic releasing hormone produces ACTH
Somatostatin
...
Dopamine
...
Adrenocorticotropic hormone
...
Thyroid releasing hormone
...
Prolactin
...
Folical stimulating hormone
...
Growth hormone
released by Growth hormone releasing hormone
Thryotropic cells
secrete thyrotropin or TSH under the influence of TRH from the hypothalamus
TSH
Acts on the thyroid gland to stimulate the secretion of thyroid hormone
Gonadotropic cells
Produce gonadotropins
Gonadotropins
Hormones that act on the gonads
Secretion of gonadotropins is controlled by
Growth hormone releasing hormone
Interstitial cell stimulating hormone
Same thing as leutenizing hormone, but in males
GH stimulates g
growth and mitosis primarily on boens and skeletal muscles
Insulin like growth factor
IGF I and II are produced in the liver
IGF acts on epihphyseal plates to stimulate
lengthening of bones
Beta lipotropin is a precursor to other hormones
Primarily beta endorphin and MSH
MSH
Melanocyte stimulating hormone
MSH is secreted by
intermediate lobe (anterior) pituitary after exposure to UV light
MSH stimulates
melanin production and distribution of melanocytes
Prolactin is also
Dopamine
ACTH affects
Adrenal cortex
Adrenal cortex
Gives negative feedback when aldosterone, sex hormones are released
Growth hormone
Somatomedins
Thyroxine
Released by thyroid gland
FSH & LH
NEgative feedback loops by estrogen and
Prolactin
lactation
Beta LPH
Not gonna cover it much
Posterior pituitary
Stores and secretes ADH, Oxytocin, connected to hypothalamus, made up of axons as well as gland
Anterior pituitary
Not a direct connection to hypothalamus which is why releasing hormones are required
ADH
Maintains BP by retaining volume
Decreased volume or pressure stimulates
ADH
If osmolality is high
ADH is released
Oxytocin
Also called the bonding hormone
Oxytocin
Stimulates ejection of milk and contraction of uterine walll
This hormone plays a role in social bonding
Oxytocin
Low oxytocin
Makes you an A-hole
Thyroid
Lives below thyroid cartilage
The thyroid has ___ lobes
two lobes on each side of trachea
Thyroid contains two distinct cell types
Follicular cells and parafollicular cells
Follicular cells
Produce thyroid hormone
Thyroid hormones produce
Thyroxine, T3, T4
Parafollicular cells
Produce calcitonin
Thyroxine
Sometimes referred to as a combination of T3 & T4
Thyroid follicles
Simple cuboidal cells filled with thyroglobulin, protein liquid
Under influence of TSH
Follicular cells will convert TG and release it into the blood
TG
Thyroglobulin
Hypothalamic-pituitary-thyroid axis
Hypothalamus detects decrease TH in blood, or very low temperature
TRH Stimulates anterior pituitary to release TSH
Increased levels of TH prevent release of TRH and TSH
Follicular cells reduce or stop production of TH
TRH stimulates
Anterior pituitary to release TSH
TSH Stimulates
Follicular cells of thyroid to convert TG into TH
Increased levels of TH
Cause negative feedback on the hypothalamus and ant pit, preventing release of TRH and TSH
When determining if thyroid is functioning properly
TSH is measured to see where body is in relation to feedback loops
TSH and TRH should be
Correlated
TSH and thyroxine should be
Inversely related
stimulating and end hormone should be
inverse
Releasing hormone and end hormone should be
correlated
Parafollicular cells are also called C cells
Because of their involvement with calcitonin
Calcitonin helps
regulate calcium levels
When calcium levels are elevated
C cells secrete calcitonin
Procalcitonin is produced
In setting of acute bacterial infection
Procalcitonin is
An acute phase reactant and can be measured to help determine sepsis
Parathyroid
Apple seed sized glands
Parathyroid is fed by
Thyroid artery
Thyroid artery
branches off of carotid artery
Parathyroid regulates calcium and is found
On the back of the thyroid gland
Parathyroid gland consists of two types of cells
Oxyphil cells
Chief cells
Parathyroid hormone
Inversely related to calcium
When calcium is low
Parathyroid is high
When calcium is high
Parathyroid is low
Parathyroid hormone works in 3 ways
Stimulate resorption of bone
Stimulates kidneys to activate
vitamin D
Stimulates the reabsorption of calcium by kidneys
Calcium and phosphate have ____ relationship
Inverse
Phosphate levels increase in kidney disease, causing
low calcium,
Low calcium stimulates
Parathyroid gland
Phoslow
Medication that lowers phosphates to prevent bone resorption and weakening
Parathyroid glands are:
Calcium thermostat
Extracellular calcium sensing receptor
CaSR
CaSR is found mostly
on parathyroid cells
PTH
ParaThyroid Hormone
PTH ^
Ca v
Ca ^
PTH v
PTH does not involve
Pituitary
Calcitonin
Has calcium sensing receptor on its cells
Voshteks sign
Tap face, facial spasm
Trosseau's
Low calcium, causes arm spasm w/BP cuff increase
Hypercalcemia
More common than hypo
Cancers produce ectopic PTH related
peptide, triggers receptors in bone to increase ca
Adrenal gland AKA
Suprarenal gland
Adrenal gland size and shape of
fortune cookie
Outer cortex of adrenal gland
Cortex
Inner adrenal
Medulla
Adrenal cortex produces more than 25 different corticosteroid in response to
stimulation from ACTH
Corticosteroid hormones are
Stress hormones
Adrenal cortex has 3 regions
Outer Zona Glomerulosa
Middle Zona Fasciculata
Inner Zone Retiuclaris
Glomerulosa
Thinnest layer of adrenal cortex
GLomerulosa produces
Aldosterone
Aldosterone stimulates
Retention of Na, secretion of K by kidneys
RAAS system
main method of regulating BP
Zona Fasciulata produces glucocorticoids
Min
Mineralcorticoid
Aldosterone
Glucocorticoid
Cortisol
Cortisol affects
Blood Sugar
Aldosterone has no effect on
Blood sugar
Gonadocorticoids
Androgen precursors
Inner layer
sex hormone layer
Salt, stress, sex
Outer glomerulosa
Corticosteroid
Gonadocorticoid
Androgens are responsible for
Secondary sex characteristics
Adrenal medulla
innermost part of adrenal gland
Adrenal medulla
innervated directly by sympathetic nervous system
Sympathetic nervous system
Can fire big levels quickly, but not maintain
Hormones prolong the
sympathetic response
Sympathetic nervous system stimulates chromaffin cells directly
Chromaffin cells directly secrete epi/norepi
Make card labeling adrena gland layers
Capsule
Glomerulose
Fasciulata
Reticularis
medulla
Pancreas
...
Adrenal gland
Controlled by hypothalamus through release of
LH
From pituitary gonadotropin mostly reticularis
FSH
From pituitary gonadotropin mostly reticularis
Zona Glomerulosa
Controlled by kidney, to regulate BP
Middle fasciculata
Under control of sympathetic nervous system
CRH triggers ACTH which
triggers fasciulata,
Pancreas
GI organ, main job to digest sugar and fat
Pancreas secretes
Amylase and Lipase
Secretion of Amylase and Lipase
Exocrine enzymes
Islands in the pancreas
A
B
Pancreas 6" long, LUQ,
curvy tail
99% of pancrease made of
acinar cells
Pancreatic islet ceclls
...
Main ducts of pancreas
Main duct dumps enzymes into gallbladder
Accessory ducts
...
Pancreatitis
Pancreas digests itself if enzymes leak out of ducts
Blood from pancreatic islets
Drains by hepatic portal vein
Hormones from pancreatic islets
Drain straight into the liver
Alpha cells
20% of islet cells, produces glucagon, raises blood sugar
Beta cells
70% of cells, produces insulin, lowers blood sugar
Delta cells
10% of cells, secretes somatostatin, plays an important role in GI motility, counter hormone of growth hormone
Synthetic glucagon
dumps glycogen stores in liver to increase blood sugar
70-110mg/dL
Normal glucose
Eat snickers, drink coke
Sugar goes up, osmolality increases, islet cells dump insulin, sugar is pushed into cells,
High glycemic index food,
Drops sugar due to big insulin dump forcing sugar into cells, paradoxical lowering
This paradoxical low blood sugar is counteracted by
Glycogen stores releasing to increase blood sugar
Somatostatin
Growth hormone inhibiting hormone,
Inhibits GH, TSH,
PRL,Gastrin, insulin, glucagon, helps digestion
Gastrin
Helps make stomach acid
Pineal gland is in the
Epithalamus
Pineal gland
Produces melatonin
Melatonin
Stimulated by darkness and inhibited by light
Increased melatonin
makes you sleepy
Thymus located
Deep in sternum, just anterior to aortic arch
Thymus most active in
children
At puberty
Thymus begins to involute and is replacced by adipose tissue
Thymopoetin
Produced by thymus
Thymosin
produced by thymus
Kidneys produce two hormones
Calcitriol
Erythropoetin
Renin
calcitriol
Stimulated by PTH when calcium levels are low, increase absorption of caclium
Erythropoetin
Stimulated during times of hypoxemia, increases production of RBS in marrow
Renin
Stimulated by lower BP, activates angiotensin, which stimulates aldosterone production by adrenal cortex which results in sodium and water retention
Heart produces hormone calledd
Atrial Natriuretic Peptide (ANP)
ANP
Released in response to increased blood volume or pressure in right atrium
ANP stimulates
the kidneys to increase excretion of water and sodium
When the right atrium gets stretched this peptide is released
ANP
ANP does the opposite of
Aldosterone
BNP
Released in atria and brain
ANP vs BNP
ANP released in atria only
BNP released in atria and brain
When heart muscle is stretched
BNP is released
RAAS System
makes you retain sodium and water
Counter hormone to RAAS system
ANP/BNP
Renin causes release
of angiotensin II
Angiotensinogen causes release of
Angiotensin I
ACE
Converts angiotensin I to II
Major activity of GI hormones
Promote digestion
Gastrin
Stimulates stomach acid
Motilin
Causes chruning
Gastric inhibition polypeptide
...
cholecystokinin
stimulates release of exocrine pancreatic enzymes and release of gall bladder contents
Fatty acids and amino acids in small intestine releases
cholecystokinin
Food in stomach releases
gastrin
Acid pH in small intestin releases
secretin
Secretion peaks prior to feeding and diminishes with gastric filling
Ghrelin
Increases with fasting
Motillin
Secretion peaks prior to feeding and diminishes with gastric filling
Gastric inhibitory peptide
Gastric inhibitory peptide
Weight loss meds
Ghrelin
Makes you feel hungry
GIP
Gastric inhibitory peptide
GIP effects
feels satiated
Gonades produce
Gametes
Ovaries produce two hormones
Estrogen
Progesterone
Testes produce
Testosterone
Obaries and testes both produce
Inhibin
Inhibin inhibits
FSH