Hormones. The Endocrine System. Strictly Endocrine Glands. Other Tissues/ organs that secrete hormones. Specialist: Endocrinologist

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The Endocrine System Hormones Hormones released in one part of the body, regulate activity of cells in another part of the body A single hormone can initiate many different cellular responses in different cells Specialist: Endocrinologist Some act within seconds, most within several minutes, some take hours or days to onset of action. Duration of action can be seconds to days Strictly Endocrine Glands Pineal - melatonin Pituitary hgh, FSH, LH, TSH, Thyroid T3, T4 Parathyroid - PTH Adrenal Aldosterone, Cortisol, Androgens, Epinephrine, Norepinephrine Other Tissues/ organs that secrete hormones Some tissues or organs are not strictly endocrine glands and have other functions, in addition to secreting hormones. Hypothalamus Thymus Pancreas Ovaries Testes Kidneys Stomach Liver Small intestine Skin Heart Adipose placenta 1

Endocrine Glands are highly vascularized Chemical Classes of Hormones Endocrine glands are very vascularized Gland cells secrete product into interstitial fluid Hormone diffuses into the blood which carries the hormone all over body Only cells with receptors for that hormone will react with an action Lipid Soluble: bind to receptors inside target cells Steroids Aldosterone, cortisol, androgens Adrenal cortex Calcitriol - Kidneys Testosterone - Testes Estrogen, Progesterone Ovaries Thyroid T3 (triiodothyronine) T4 (thyroxine) Gas Nitric Oxide Water Soluble: bind to receptors on target cell surface Amines Catecholamines: epinephrine, norepinephrine, dopamine - adrenal medulla Melatonin - pineal gland Histamine mast cells in CT Serotonin platelets Peptides & Proteins Many, including: all hypothalamic releasing and inhibiting hormones; all pituitary hormones, such as oxytocin, ADH, FSH, LH, TSH, ACTH, HGH, MSH; insulin, glucagon, somatostatin, Eicosanoids Eg Prostaglandins, Leukotrienes Peptides, Amines, Steroids Hormone Receptors Lipid soluble hormones, like steroids & thyroid hormone, bind to receptors within the cell. They affect cell functions by entering the nucleus and directly altering gene expression Water soluble peptides or amines bind to receptors on the surface of cells Lipid soluble hormones diffuse into the cell and bind receptors inside the cell Water soluble hormones activate plasma membrane receptors, which elicit second messengers that activate various enzymes inside the cells 2

Water soluble hormones & 2 nd messengers: camp Water soluble hormones bind to surface receptors, that activate a G protein. The G protein, then activates an enzyme, Adenylate cyclase. Adenylate cyclase catalyzes conversion of ATP into the 2nd messenger, camp (cyclic AMP) camp activates the enzyme, protein kinase, which can phosphorylate (add a phosphate) various proteins to activate them & produce a cellular action eg glycogen breakdown Water soluble hormones & 2 nd messengers: DAG & ip3 Another example of a 2 nd messenger. Activated G protein can then activate a different enzyme, Phospholipase C (PLC) PLC can activate both 2 nd messengers, DAG & ip3 Binding of a single epinephrine molecule can activate 100 G proteins Each adenyl cyclate can produce 1000 camp Control of Hormone secretion Hypothalamus Hormone secrection is controlled by signals from the nervous system chemical changes in blood Other hormones Negative feedback Main link between the nervous and endocrine systems 3

Hypothalamic Neurosecretory cells Releasing and Inhibiting Hormones enter the Pituitary The hypothalamic neurons secrete their releasing and inhibiting hormones into a capillary network on the infundibulum, or pituitary stalk. This capillary plexus is connected to a second capillary network on the anterior pituitary by the hypophyseal portal vein. The posterior pituitary has a separate capillary network. Neurons in the hypothalamus are called Neurosecretory cells. They secrete releasing hormones, such as PRH, Prolactin Releasing Hormone, or TRH, Thyroid Releasing Hormone. They also secrete inhibiting hormones, such as, PIH, Prolactin Inhibiting Hormone. Releasing hormones exert their effects on the cells of the pituitary and cause them to release pituitary hormones into the blood. Anterior Pituitary Hormones Releasing hormones are secreted by neurons of the hypothalamus. They travel through the portal blood to stimulate anterior pituitary cells. Anterior pituitary endocrine cells produce the pituitary hormones: Somatotrophs produce human growth hormone (hgh) Lactotrophs produce Prolactin (PRL) Corticotrophs secrete adrenocorticotropic hormone (ACTH) & melanocyte stimulating hormone (MSH) Thyrotrophs secrete thryroidstimulating hormone (TSH) Gonadotrophs synthesize follicle stimulating hormone (FSH) & luteinizing hormone (LH) Posterior Pituitary: ADH, Oxytocin Hormones of the posterior pituitary are released directly from neurons that originate in the hypothalamus. The neurosecretory cells make Anti Diuretic Hormone (ADH) and Oxytocin. They release them into the blood from their axon terminals when stimulated to do so. 4

All Pituitary Hormones Feedback Control of Pituitary Hormones The pituitary and hypothalamus have receptors for each of the hormones produced. When blood levels of these hormones rise above a certain amount, the hypothalamus and pituitary will stop producing releasing hormones or pituitary hormones. This is called negative feedback. Human Growth Hormone stimulates synthesis of Insulin Like Growth Factor (IGF) hgh is most plentiful anterior pituitary hormone. When pituitary secretes hgh, it stimulates the liver and other tissues to synthesize and secrete the protein hormone, IGF, insulin-like growth. IGF is also called somatomedin METABOLISM Stimulates growth by increasing uptake of amino acids & speeding up protein synthesis Decreases breakdown of proteins into AAs for ATP production Enhances lipolysis to use FA for ATP synthesis, while decreasing glucose uptake and stimulating liver to release glucose (keeps blood sugar high) EFFECTS In children promotes growth of skeleton and skeletal muscles In adults maintains muscle and bone mass, promotes tissue healing and repair IGF 5

Hypoglycemia stimulates GHRH Low glucose (hypoglycemia) stimulates hypothalamus to release GHRH GHRH stimulates pituitary to secrete hgh hgh stimulates IGF Hyperglycemia stimulates GHRIH High IGF-1 or high blood glucose, stimulates the hypothalamus to secrete growth hormone inhibiting hormone (GHRIH), also known as somatostatin (SRIF) GHRIH inhibits pituitary secretion of hgh Low IGF slows glycogen breakdown in the liver & glucose enters the bloodstream more slowly Below cricoid cartilage of larynx Made up of spherical sacs called thyroid follicles Thyroid Follicles Follicular cells change shape from cuboidal when inactive to columnar when actively producing thyroid hormones, T4 (Thyroxine) & T3 TRH, THS, T3, T4 THYROID Follicular cells surround a lumen filled with sticky fluid colloid, of thyroglobulin and iodine Parafollicular cells or C cells produce calcitonin 6

Synthesis of T4 & T3, Iodide & TGB 1. follicular cells actively trap iodide ions from blood into cytosol Coupling & Secretion of T3 & T4 2. Follicular cells synthesize thyroglobulin (TGB), which contains tyrosine, in RoughER, modify in golgi, package into secretory vesicles, release into lumen of follicle 3. Iodide must be oxidized (remove electron) to iodine by Thyroid peroxidase, TPO 4. Iodine can bind to tyrosine, making MIT, monoiodotyrosine or DIT, diiodotyrosine MIT or DIT will couple, joining into T3 or T4 Droplets of colloid re-enter the follicular cell by pinocytosis. Lysosomes break down thyroglobulin, cleaving off T3 & T4 Lipid soluble T3 & T4 diffuse out of follicular cell into blood Transport proteins: TBG T4 to T4 conversion Most body cells have receptors for thyroid hormone T4 is converted to the more potent, T3 in the body tissues by deiodinase enzymes More than 99% of T3&T4 combine with TBG, thyroxine binding globulin, a transport protein that carries thyroid hormone 60% of this conversion occurs in the liver 7

Thyroid hormone targets & effects Thyroid Feedback inhibition Increases basal metabolic rate ie rate of ATP production by mitochondria Uses glucose and fatty acids for metabolism Increases lipolysis and reduces cholesterol Increases protein synthesis Increases synthesis of Na/ K/ATPase pumps Upregulates beta receptors, thus increases effects of Epi & NE The hypothalamus and pituitary glands will detect elevated amounts of T3 and T4 They will reduce production of TRH & TSH Thyroid detailed summary Parafollicular cells CALCITONIN 8

C cells/ parafollicular cells Elevated blood Ca2+ stimulates cells in between the follicles, called C cells or parafollicular cells These cells secrete the hormone, calcitonin Calcitonin decreases Ca and phosphates in blood by inhibiting osteoclasts PTH Increases blood Ca2+ & Mg2+ PARATHYROID Accelerates uptake of Ca & phosphate by bone Parathyroid Parathyroid hormone functions Decreased Ca2+ levels stimulate parathyroid chief cells to secrete PTH, parathyroid hormone Oxyphil cells function unknown Major regulator of Ca, Mg, HPO 4 2- (phosphate) PTH increases activity of osteoclasts ie breakdown & release of Ca, HPO 4 2- from bone PTH acts on kidney to increase reabsorption of Ca, Mg into blood excrete HPO42- into urine Make calcitriol ie active vitamin D Vitamin D increases absorption of Ca, Mg2+, & HPO42- from intestines 9

Adrenal Cortex 80-90% Adrenal Cortex has 3 zones: Zona glomerulosa secretes mineralcorticoids which affect mineral homeostasis, mainly aldosterone Cortex = Aldosterone, Cortisol, DHEA; Medulla = Epi, NE ADRENALS Zona fasiculata secretes glucocorticoids, which affect glucose homeostasis, mainly cortisol Zona reticularis, secretes weak androgens, DHEA Mineralcorticoid: Aldosterone Glucocorticoid: Cortisol Zona fasiculata secretes 1. cortisol (95%), also known as hydrocortisone 2. cortisone, and 3. Corticosterone Increase in blood K +, or Angiotensin II (from RAA) causes adrenal cortex to release aldosterone Aldosterone causes: Increased Na/K pumps causes: Reaborption of Na (thus water if adh is present) Excretion of K+ Excretion of H+ prevents acidosis of the blood Low cortisol, stimulates hypothalamus to secrete CRH. CRH or low glucose, physical trauma, stress, IL1 from macrophages, causes pituitary to secrete ACTH 10

Cortisol Raises Blood Glucose Cortisol effects - Immune & stress GLUCONEOGENESIS, especially by liver Protein breakdown of muscle liberates amino acids for making glucose Fat breakdown. FA used for energy. Glycerol backbone used for gluconeogenesis Inhibition of glucose uptake by muscle and adipose cells Cortisol has many mechanisms to survive stress trauma, blood loss, temp extremes, infection: Raises blood sugar to make ATP, Depresses all immune responses Antiinflammatory inhibits WBCs to slow wound healing, which involves inflammation Sensitizes blood vessels to vasoconstriction - Raises blood pressure (good if bleeding) Androgens: DHEA DHEA is a weak androgen. In children, DHEA contributes to pre-pubertal growth spurt, growth of axillary and pubic hair In males, such a small amount is secreted, so there are few effects In females, promotes libido, & is converted into estrogens by other tissues. After menopause, when ovarian secretion of estrogen ceases, all estrogen comes from conversion of adrenal androgens Adrenal Medulla: Epi, NE A modified sympathetic ganglion. Chromaffin cells make 80% epinephrine(epi) and 20% norepinephrine (NE) Under stress, hypothalamus stimulates sympathetic preganglionic neurons that innervate chromaffin cells to secrete E, NE Flight or Fight increase HR, contractility, thus CO & BP. Increased blood to muscles & liver Dilate airways, now can run!! 11

Endocrine Pancreas = ilslets Islets of Langerhans Glucagon, Insulin, Somatostatin, Pancreatic Peptide PANCREAS α-cells (17%) secrete Glucagon β-cells (70%) secrete insulin δ-cells 7% secrete somatostatin F cells secrete pancreatic polypeptide Glucagon & Insulin Islets of Langerhans Glucagon When blood glucose is low, α- cells (17%) secrete Glucagon. Makes LIVER break down glycogen into glucose, raising blood sugar. Insulin When blood glucose is high, β- cells (70%) secrete insulin which inserts GLUT transporter into many cells to be able to absorb glucose. Increases: conversion of glucose to glycogen, uptake of amino acids, synthesis of fatty acids Ovaries & Testes GONADS ORGANS THAT PRODUCE GAMETES 12

Ovaries Produce estrogen and progesterone Produce inhibin inhibits FSH Along with placenta, produces relaxin in pregnancy Testes Testes produce testosterone Descent of testes before birth Regulates production of sperm Male secondary sex characteristics (beard growth, deep voice) Inhibin inhibits FSH Pineal The pineal gland secretes melatonin from its pinealocytes, changing in response to light. Melatonin is derived from serotonin, which is derived from the amino acid, tryptophan Melatonin secretion Visual input (darkness) from the retina in eyes stimulates the suprachiasmatic nucleus in the hypothalamus The suprachiasmatic nucleus stimulates sympathetic neurons of the superior cervical ganglion. Stimulates pinealocytes to secrete melatonin. Melatonin increases tenfold during sleep. Melatonin is a potent antioxidant, that counteracts free radicals. Higher levels in children. Causes atrophy of gonads. 13

Thymus Produces: thymosin, thymic humoral factor (THF), thymic factor (TF) & thymopoietin. Immature T-cells, or lymphoid precursors, do not have a T- cell receptor when then enter the Thymus Interaction between lymphoid precursors and thymic cells, cause them to express a T cell receptor and differentiate into either naïve CD4 or naïve CD-8 cells by the time they exit the thymus. T cells also develop selftolerance in Thymus Eicosanoids (20 carbons) Cell membranes contain phospholipids. A 20-carbon fatty acid, called Arachidonic Acid can be clipped off from a membrane phospholipid. Depending on the enzyme (COX or LOX) that acts on arachidonic acid, it will mainly produce either prostaglandins or leukotrienes. Eicosanoid Actions Stress Leukotrienes stimulate WBC chemotaxis & inflammmation Thromboxane(TX), a modified prostaglandin, constricts blood vessels and activate platelets Prostaglandins have many actions: smooth muscle contraction, glandular secretion, blood flow, platelet function, respiration, nerve transmission Bind to receptors on target cells and stimulate or inhibit synthesis of second messengers. Breakdown quickly so are only in blood a short time and in small quantities 14

Stress 2 Stress 3 15