Endocrine System Quiz

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Questions and Answers

What distinguishes endocrine glands from exocrine glands?

  • Endocrine glands secrete products directly into body cavities.
  • Endocrine glands have a lower blood supply.
  • Exocrine glands secrete hormones into the bloodstream.
  • Endocrine glands lack ducts. (correct)

Which of the following statements about hormone concentration and effects is correct?

  • Hormones can have varying effects based on their concentration. (correct)
  • Hormones only activate pathways and do not inhibit them.
  • Hormonal effects are consistent regardless of concentration.
  • Hormones exert their effects only at high concentrations.

What characteristic about steroid hormones is true?

  • Steroid hormones must be synthesized continuously. (correct)
  • Steroid hormones can be secreted upon demand without synthesis.
  • Steroid hormones are stored in large quantities within cells.
  • Steroid hormones partially integrate into cell membranes and are not synthesized.

What role does melatonin play in human physiology?

<p>It synchronizes behavioral rhythms to darkness. (D)</p> Signup and view all the answers

Which statement best describes the response of target cells in endocrine communication?

<p>Target cells express necessary receptors to respond to hormonal signals. (C)</p> Signup and view all the answers

How does the endocrine system differ from neuronal communication?

<p>Hormones sent via blood travel longer distances than electrical signals. (B)</p> Signup and view all the answers

Why are thyroid diseases more prevalent in females?

<p>Sex hormones have a significant impact on thyroid function. (D)</p> Signup and view all the answers

What can be said about the effects of hormones in relation to their concentrations?

<p>Hormones can alter their effect significantly at different concentrations. (B)</p> Signup and view all the answers

What role does Pit-1 (POU1F1) play in the body?

<p>Regulates GH synthesis and somatotroph cell differentiation (D)</p> Signup and view all the answers

Which substance acts as a negative regulator of GH release?

<p>Somatostatin (C)</p> Signup and view all the answers

What is the function of GH in relation to metabolism?

<p>It regulates protein, fat, and carbohydrate metabolism. (C)</p> Signup and view all the answers

Which pathway is activated by the GH binding to its receptor?

<p>JAK-STAT and PLCγ-MAPK pathways (B)</p> Signup and view all the answers

How does GH affect insulin action?

<p>It antagonizes insulin action by promoting lipolysis. (B)</p> Signup and view all the answers

What is the primary effect of GH on hepatocytes?

<p>Stimulates IGF-1 secretion (D)</p> Signup and view all the answers

What type of receptor interaction occurs between IGFs and insulin?

<p>IGFs preferentially bind to their own receptors. (B)</p> Signup and view all the answers

Which proteins are activated following IGF-1 binding to its receptor?

<p>Akt, Ras/Raf, MEKs, and ERKs (C)</p> Signup and view all the answers

What type of feedback loop primarily regulates blood glucose levels in the body?

<p>Negative feedback loop (D)</p> Signup and view all the answers

Which gland is responsible for producing releasing hormones that signal the pituitary gland?

<p>Hypothalamus (D)</p> Signup and view all the answers

During childbirth, which hormone triggers uterine contractions through a positive feedback loop?

<p>Oxytocin (C)</p> Signup and view all the answers

Which of the following axes is primarily associated with the release of cortisol?

<p>Hypothalamic-Pituitary-Adrenal Axis (A)</p> Signup and view all the answers

Which hormone primarily regulates sleep patterns secreted at night?

<p>Melatonin (C)</p> Signup and view all the answers

The process of regulating metabolic processes and energy through thyroid hormones is governed by which axis?

<p>Hypothalamic-Pituitary-Thyroid Axis (A)</p> Signup and view all the answers

What is the role of the hypothalamus in endocrine feedback loops?

<p>It produces releasing hormones to regulate the pituitary gland. (B)</p> Signup and view all the answers

Which of the following hormones is involved in the regulation of growth and metabolic processes?

<p>Growth hormone (C)</p> Signup and view all the answers

What is the primary role of the deiodinases in the conversion of thyroid hormones?

<p>To remove iodine atoms from T4 (C)</p> Signup and view all the answers

Which thyroid hormone is primarily released by the thyroid gland into the bloodstream?

<p>T4 (A)</p> Signup and view all the answers

Which condition is most likely indicated in the 6-month-old baby with delayed development and low T3 and T4 levels?

<p>Potential mutation in TSH (A)</p> Signup and view all the answers

What immediate effect does T3 have compared to T4?

<p>T3 regulates metabolic rate more than T4 (C)</p> Signup and view all the answers

What could explain the obesity and pubertal delay observed in the 15-year-old girl from Case 7?

<p>Leptin or LEPR mutation (A)</p> Signup and view all the answers

Which of the following statements is true regarding T4 and T3?

<p>T4 is considered a prohormone (A)</p> Signup and view all the answers

What is the significance of iodine related to thyroid hormones?

<p>Geographic areas often lack iodine, impacting hormone production (A)</p> Signup and view all the answers

Which clinical feature is associated with an MCT8 defect phenotype?

<p>Lack of mental development (C)</p> Signup and view all the answers

What is the primary mechanism by which cancer cells contribute to hypercalcemia in malignancy?

<p>Release of parathyroid hormone-related protein (PTHrP) (A)</p> Signup and view all the answers

Which hormone is primarily responsible for guiding the development of male reproductive structures?

<p>Testosterone (C)</p> Signup and view all the answers

What is indicated by the presence of hypercalcemia in cancer patients?

<p>Association with poorer prognosis (B)</p> Signup and view all the answers

Which statement best defines genetic sex at fertilization?

<p>The chromosomal makeup of an individual (C)</p> Signup and view all the answers

What role does the Kiss 1 peptide play in the reproductive endocrine system?

<p>It stimulates the release of GnRH in a pulsatile manner (B)</p> Signup and view all the answers

What is the consequence of the absence of the SRY gene during sex differentiation?

<p>Development of ovaries (A)</p> Signup and view all the answers

How does parathyroid hormone-related protein (PTHrP) affect calcium levels in the body?

<p>It promotes calcium release from bones (B)</p> Signup and view all the answers

Which aspects make up phenotypic sex?

<p>Internal structures, external genitalia, and brain structures (B)</p> Signup and view all the answers

What does the GH peak after GHRH-arginine administration indicate?

<p>The GH axis is functioning properly. (B)</p> Signup and view all the answers

What is the underlying cause of hyperthyroidism in pregnancy-related Graves' disease?

<p>Overproduction of thyroid hormones due to TSHR activation. (D)</p> Signup and view all the answers

What condition is likely indicated by the low GH and IGF-1 levels in the 6-year-old girl?

<p>GHRH receptor mutation. (A)</p> Signup and view all the answers

What is a significant factor in the girl's severe growth failure with first-degree cousin parents?

<p>Genetic mutation due to consanguinity. (C)</p> Signup and view all the answers

What does a very high T3 level combined with normal TSH and T4 in a boy suggest?

<p>MCT8 mutation affecting thyroid hormone transport. (C)</p> Signup and view all the answers

Which symptom specifically indicates a potential IGF-1 defect in the boy with hearing impairment?

<p>Hearing impairment linked to cochlear cell production. (D)</p> Signup and view all the answers

What symptom did the young pregnant woman NOT exhibit related to her hyperthyroidism?

<p>High thyroid peroxidase antibodies. (B)</p> Signup and view all the answers

What role does GHRH-arginine play in evaluating GH function?

<p>It acts as a diagnostic test for the GH axis. (A)</p> Signup and view all the answers

Flashcards

Endocrine feedback loop

A system where a change in one hormone triggers a response that opposes the original change to maintain balance.

Negative feedback loop

A process where a change in a factor triggers a response to counter the initial change.

Positive feedback loop

A process accelerating a response.

Hypothalamus and pituitary gland

The master regulators of many hormone functions.

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Releasing hormones

Hormones that stimulate the pituitary gland to release its hormones.

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Endocrine axis

A series of glands working together.

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HPA axis

Regulates stress response.

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Circadian rhythms

Internal body clocks that regulate hormone release over a 24-hour cycle.

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Endocrine glands

Secrete hormones directly into the bloodstream or interstitial spaces, lacking ducts.

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Hormones

Chemical messengers that travel through the bloodstream, affecting target cells at very low concentrations.

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Hormone effects

Hormones may stimulate or inhibit (modulate) biological processes, depending on concentration, and effect varies based on concentration

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Steroid hormones

Hormones that cannot be stored, must be synthesized (created) constantly.

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Endocrine communication

Hormones are released into the bloodstream to reach target cells.

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Melatonin

Hormone associated with darkness, synchronizing the body's rhythm to darkness, often called 'sleep hormone' but for humans is associated with nighttime behaviors.

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Sex hormones

Hormones that primarily influence reproductive differences in males and females.

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Endocrine/Nervous Systems

Often work together to regulate body functions. Some neurons are endocrine cells.

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GH secretion regulation

Growth Hormone (GH) release is controlled by positive regulators (GHRH and ghrelin) and a negative regulator (somatostatin).

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GH metabolic effects

GH influences carbohydrate, lipid, and protein metabolism in various tissues, including adipocytes and skeletal muscle/liver. GH antagonizes insulin's action.

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Growth Hormone Receptor (GHR)

The GHR is a receptor that binds to GH and activates the JAK-STAT pathway, or potentially PLCγ-MAPK. The GHR is a dimer.

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IGF-1 and its role

Insulin-like Growth Factor 1 (IGF-1) is a hormone that mediates many of GH's effects. Its production is not solely dependent on GH. IGF-1 can bind to its own receptor of Insulin Receptor (IR)

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IGF-1 signaling pathway

IGF-1 binding to its receptor triggers downstream signaling pathways that involve phosphorylation and activation of proteins like Akt, Ras, Raf, MEKs, and ERKs.

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Somatotroph cell differentiation

Somatotroph cells are responsible for producing and secreting GH.

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Pulsatile secretion of GH

Growth Hormone (GH) is released in bursts or pulses throughout the day.

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GH and Hepatocytes

GH increases IGF-1 secretion in different organs, such as the liver, but those organs can also produce IGF-1 independently.

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T4

The inactive thyroid hormone, produced by the thyroid gland. It is a prohormone that converts into the more active form, T3, in peripheral tissues.

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T3

The active thyroid hormone that is converted from T4 in peripheral tissues. It has a direct and potent effect on metabolism, growth, and development.

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Deiodinases

Enzymes that catalyze the conversion of T4 to T3 by removing an iodine atom from T4.

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Peripheral tissues

Organs and tissues outside the thyroid gland where thyroid hormones are converted and exert their effects.

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Outer ring deiodinases

Special deiodinases that remove iodine atoms from the outermost ring of T4, leading to its conversion to T3.

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Type III deiodinases

Deiodinases involved in the breakdown of T4 and inactivation of T3, playing a crucial role in regulating thyroid hormone levels.

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Iodine Deficiency

A condition where the body lacks sufficient iodine, leading to thyroid hormone deficiency. It can affect growth, development, and metabolism.

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TSH mutation

A genetic alteration affecting the production or function of thyroid-stimulating hormone (TSH), potentially causing insufficient TSH activity.

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Hypercalcemia in Malignancy

A condition where cancer cells produce parathyroid hormone-related protein (PTHrP), leading to increased calcium release from bones and reduced calcium excretion by the kidneys, causing high blood calcium levels.

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PTHrP's Role in Hypercalcemia

PTHrP, produced by cancer cells, mimics the actions of parathyroid hormone (PTH), increasing bone calcium release and kidney calcium reabsorption, contributing to hypercalcemia in cancer patients.

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Hypercalcemia Prognosis

Hypercalcemia in cancer patients often indicates a poorer outlook (prognosis) and lower survival rates.

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What is phenotypic sex?

The physical characteristics that distinguish a person as male or female, influenced by genetic sex, gonadal sex, and hormone levels.

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What is genetic sex?

The chromosomal makeup (XX for female, XY for male) determined at fertilization, laying the foundation for sex development.

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Gonadal Sex Development

The development of ovaries (XX) or testes (XY) influenced by genes like SF1 and SRY, which regulate the expression of SOX9, a gene crucial for testis formation.

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Phenotypic Sex Development

The development of internal (urogenital) and external (genitalia, secondary sex characteristics) sex features influenced by gonadal hormones like testosterone, anti-Müllerian hormone (AMH), and dihydrotestosterone (DHT).

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Hormonal Control of GnRH Release

Kiss 1 peptide influences hypothalamic neurons to release GnRH in a pulsatile manner, stimulating luteinizing hormone (LH) release with higher pulse frequency and follicle-stimulating hormone (FSH) release with lower pulse frequency.

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GH peak after GHRH-arginine

Indicates a functional GH axis but a potential issue with IGF-1 production and function.

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Why is IGF-1 important for hearing?

IGF-1 plays a vital role in developing cochlear hair cells (essential for hearing) and protects them from damage (apoptosis).

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Pregnancy-Related Graves' Disease

A specific hyperthyroidism during pregnancy caused by antibodies mimicking TSH, leading to excessive T3 and T4 production.

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hCG and TSHR

hCG, a pregnancy hormone, can bind to TSHR, contributing to the hyperthyroid state in pregnancy-related Graves' disease.

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Mutation in GHRH Receptor

A genetic defect that impairs the pituitary gland's response to GHRH, leading to low GH and IGF-1 levels, resulting in growth failure.

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Incest and Growth Failure

The genetic relationship between parents (first-degree cousins) increases the likelihood of inheriting a recessive gene for growth disorders.

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MCT8 Mutation

A genetic defect affecting the transport of T3 into cells, leading to severe muscular hypotonia, decreased reflexes, and lack of mental development.

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High T3 with Normal T4

Suggests a problem with the transport or utilization of T3, rather than an issue with thyroid hormone production.

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Study Notes

Endocrinology Notes

  • Modern endocrinology encompasses various tissues and organs, including adipose tissue (leptin), gut, liver, and muscles, which possess endocrine functions.
  • Endocrine systems employ negative feedback loops. A change in a factor (e.g., blood glucose) triggers a response that counteracts the change (e.g., insulin lowering blood glucose). Positive feedback loops are less common, amplifying and accelerating responses (e.g., childbirth).
  • The hypothalamus and pituitary gland are central to many endocrine feedback loops. The hypothalamus produces releasing hormones, affecting pituitary hormone release which, in turn, controls other endocrine glands.
  • An endocrine axis consists of interconnected glands and tissues that regulate hormonal secretion, including the hypothalamus, pituitary, target gland, and feedback components.
  • Common endocrine axes are the HPA (Hypothalamic-Pituitary-Adrenal) axis (cortisol release), HPT (Hypothalamic-Pituitary-Thyroid) axis (thyroid hormones), HPG (Hypothalamic-Pituitary-Gonadal) axis (sex hormones), and the Hypothalamic-Pituitary-Growth axis (growth hormone).
  • Endocrine systems are affected by circadian rhythms, which influence the timing of hormone secretion. Factors like cortisol levels peak in the morning, whilst melatonin rises in the evening.
  • The Aschheim-Zondek pregnancy reaction is a classical test for pregnancy, involving injecting a patient's urine into immature female mice; the corresponding ovarian response reveals pregnancy.
  • The body receives signals from various sources, including neural, immune, endocrine, nutritional, environmental, and microbial factors.
  • hCG (human chorionic gonadotropin) is detected in the urine of pregnant individuals and is the basis of today's pregnancy tests; not pituitary-derived.
  • The Hypothalamic-Pituitary-Thyroid (HPT) axis begins in the hypothalamus, which releases TRH, triggering the anterior pituitary to secrete TSH, which stimulates thyroid hormone release.
  • hCG has a similar structure to hormones (TSH, LH, FSH), all with an alpha subunit and a distinct beta subunit.
  • Hormones are biochemical signaling compounds released into the bloodstream or interstitial space. They act over long distances, impacting target cells at very low concentrations. They exert long-term and immediate effects.
  • Endocrine glands lack ducts but utilize a rich blood supply for hormone secretion.
  • Endocrine glands contain precursor molecules or stored hormones (as in thyroid follicles) and others, like steroids, are synthesized continuously.
  • The hypothalamic-pituitary-thyroid (HPT) axis regulates metabolic processes and energy regulation.
  • Hormones influence numerous bodily functions, including metabolism, growth, protein synthesis, enzyme activity, and gene regulation. Dysregulation is associated with hyperfunction or hypofunction.
  • Hormones are found in the form of peptides, proteins, fatty acids, and cholesterol.
  • Neurons have receptors for hormones, and some endocrine cells have neurotransmitter receptors.
  • The nervous and endocrine systems often collaborate to regulate physiological functions.
  • The main difference between males and females in endocrinology is the reproductive system and sex hormones affecting various tissues.
  • Melatonin is a hormone associated with darkness and important for synchronizing rhythms and behaviors in darkness-active animals.
  • "New" endocrine organs produce hormones, including the heart (ANP), vitamin D from the skin and liver (hepcidin), stomach (ghrelin), adipose tissue (leptin), and myokines.
  • Irisin, once thought to increase exercise and counter adipose tissue, may not function similarly in humans as in mice (different FNDC5 effects).

Additional Topics

  • Hormone Analytics
  • Hormone multifaceted functions: body functions
  • Signal and information systems (i.e., nerve impulses/hormones)
  • Chemical structure of hormones
  • Important messages (1. Neurons have hormone receptors. 2. Endocrine cells have receptors for neurotransmitters and hormones.)
  • Endocrine axis: regulation overview

Hormones' Different Regulation Types

  • Hormonal: regulated by another hormone
  • Humoral: regulated by blood levels of something (e.g., calcium)
  • Neural: regulated by nerves

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