Chapter 16 - Endocrine system

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Transcription:

Chapter 16 - Endocrine system I. Overview Nervous control is fast but short-lived Hormonal control is slow and lasts a long time A. Organs: hypothalamus, pituitary (hypophysis), thyroid, parathyroid, adrenal, pineal, thymus 1. Other organs have more than one role: pancreas, testis, ovary B. Chemistry of hormones: 2 main classes 1. Amino acid-based: most hormones fall into this category 2. Steroids: all synthesized from cholesterol C. Target cell specificity: hormones circulate throughout body, but only affect cells that have receptors for that hormone 1. Up-regulation: cell may produce more receptors to become more sensitive 2. Down-regulation: cell may decrease number of receptors D. Mechanism of hormone action 1. Cell effects: not all cells do everything listed below a. Membrane permeability changes: example: ions b. Protein synthesis: example: enzymes, collagen c. Enzyme activity: activate or deactivate d. Secretory activity: change the activity level of glands e. Cell division: increase the rate of mitosis 2. 2 nd messenger system: cyclic AMP (camp) is the 2nd messenger

a. Sequence of steps: 1) 1 st messenger: is the hormone 2) G protein 3) Active G protein 4) Adenylate cyclase 5) Cyclic AMP (camp) activates protein kinase which in turn activates or deactivates some enzyme 3. Direct gene activation a. Steroids: easily diffuse through membrane b. Steroids: bind to intracellular receptor c. Hormone/receptor complex 4. Control of hormone release 5. Endocrine gland stimuli: glands are controlled by three different stimuli types

a. Hormonal: a releasing or inhibiting hormone controls the gland b. Humoral: the level of something in the body fluids controls the gland c. Neural: the nervous system can cause hormone release E. Specific organs Defined: RH=releasing hormone, IH=inhibiting hormone Defined: tropic hormones are those that control other endocrine organs 1. Pituitary (hypophysis): attached by stalk (infundibulum) to the inferior side of the brain a. 2 main lobes: each releases several hormones 1) Anterior lobe (adenohypophysis) a) Growth hormone (GH) b) Thyroid stimulating hormone (TSH) c) Adrenocorticotropic hormone (ACTH) d) Gonadotropins e) Prolactin: 2) Posterior lobe (neurohypophysis) a) ADH (antidiuretic hormone) b) Oxytocin: stimulates contraction of smooth muscle in uterus and breast

2. Flowchart of pituitary control: 3. Thyroid: overlies the trachea, and is inferior to the larynx 4. Parathyroid glands: usually 4, hidden in the posterior thyroid gland

5. Adrenal (suprarenal) glands: located in the fat above each kidney a. Adrenal cortex: three layers 1) Zona glomerulosa: mineralocorticoids - ion balance 2) Zona fasciculate: glucocorticoids - metabolic hormones 3) Zona reticularis: glucocorticoids and gonadocorticoids b. Adrenal medulla: catecholamines 6. Pancreas: pancreatic islets (Langerhan's) are the endocrine part

a. alpha cells: release glucagon which increases blood glucose b. beta cells: produce insulin which decreases blood glucose c. Diabetes 1) Type I: insulin dependent, formerly juvenile onset 2) Type II: non-insulin dependent, formerly adult onset 7. Pineal gland: tiny gland hanging from the roof of the 3rd ventricle a. Melatonin: is the main hormone b. Peak levels: at night makes us sleepy c. Receives impulses: from visual pathways d. Bright light: inhibits melatonin release e. Antigonadotropic 8. Thymus: deep to the sternum II. General adaptation syndrome (GAS): the opposite of homeostasis; gear the body up to counteract stress A. Terminology 1. Eustress: true stress, where a small amount is good 2. Distress: destructive stress, which is harmful; lowers the immune response B. Stressor: any stress that initiates GAS (bacteria, bleeding, emotions) 1. Stress stimulates hypothalamus: initiates GAS through 2 pathways

a. Alarm reaction: sympathetic stimulation of the body and adrenal medulla 1) Initial reaction to stressor 2) Fight/flight: activated by the nervous system 3) Alarm reaction effects on organ systems a) Heart: b) Brain: c) Skeletal muscle: d) Lungs: e) Skin: f) Urinary: g) Digestive: h) Spleen contracts: forces extra blood into general circulation i) Liver: breaks down glycogen into glucose for quick energy j) Adrenal medulla: sympathetic stimulation to the adrenal medulla prolongs the alarm response b. Resistance reaction: due to anterior pituitary and adrenal cortex hormones 1) CRH ACTH aldosterone: uptake Na+ to maintain fluid/ion balance (at the expense of K+) 2) TRH TSH TH: increases carbohydrate catabolism 3) GHRH GH: increases fat catabolism

C. Exhaustion: occurs if alarm and resistance fail to counteract stressor 1. Main cause: loss of extracellular K+ (due to excess aldosterone) 2. Cells then lose intracellular K +