Endocrinology: Steroid Hormones and Regulation

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Questions and Answers

What is the primary precursor for steroid hormone synthesis?

  • Progesterone
  • Corticosterone
  • Testosterone
  • Cholesterol (correct)

Which of the following hormones is classified as a glucocorticoid?

  • Cortisol (correct)
  • Progesterone
  • Aldosterone
  • Testosterone

What type of hormone does the zona glomerulosa primarily secrete?

  • Gonadal steroids
  • Mineralocorticoids (correct)
  • Glucocorticoids
  • Androgens

Which enzyme is essential for glucocorticoid activity?

<p>11beta-hydroxylase (A)</p> Signup and view all the answers

What stimulates the production of cortisol in the adrenal cortex?

<p>Adrenocorticotrophic hormone (ACTH) (B)</p> Signup and view all the answers

Which of the following describes the function of aldosterone?

<p>Increases sodium and water retention (D)</p> Signup and view all the answers

Where are the receptors for ACTH located in cortisol regulation?

<p>Cortical cells of the adrenal cortex (A)</p> Signup and view all the answers

Which hormone is primarily secreted by the adrenal medulla?

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

Which hormone primarily increases during fasting and contributes to metabolic effects?

<p>Growth Hormone (GH) (D)</p> Signup and view all the answers

What is the role of Growth Hormone (GH) during moderate exercise?

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

During which conditions does GH play a critical role?

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

What happens to insulin and IGF-I levels during fasting?

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

What are immediate energy sources for muscle activity?

<p>ATP and Phosphocreatine (PCr) (A)</p> Signup and view all the answers

Which pathway provides glucose in the fastest manner during anaerobic activity?

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

What effect does Growth Hormone have on muscle mass?

<p>It preserves muscle mass (D)</p> Signup and view all the answers

What triggers the secretion of Growth Hormone Releasing Hormone (GHRH)?

<p>High amino acids and low glucose levels (C)</p> Signup and view all the answers

What is the primary role of gluconeogenesis during fasting?

<p>To maintain blood glucose levels (A)</p> Signup and view all the answers

Which hormone levels decrease significantly during fasting?

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

What substance primarily provides energy for the central nervous system during prolonged fasting?

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

During the transition from fasting to starvation, what metabolic shift occurs?

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

Which of the following is a precursor for gluconeogenesis?

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

What triggers increased glucagon secretion during fasting?

<p>Low blood glucose levels (C)</p> Signup and view all the answers

Which metabolic process occurs in the liver during starvation to provide energy?

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

What happens to protein reserves during prolonged fasting?

<p>They are broken down for gluconeogenesis (A)</p> Signup and view all the answers

What is the primary role of glucagon during prolonged exercise?

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

Which hormone decreases in concentration during prolonged exercise?

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

What is the 'Cori cycle' primarily involved in?

<p>Conversion of lactate to glucose (A)</p> Signup and view all the answers

Which energy source is primarily utilized during prolonged exercise?

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

What process does insulin inhibit to regulate energy production?

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

What is the fate of lactate produced by type IIb muscle fibers?

<p>It is converted by other muscle fibers to pyruvate (D)</p> Signup and view all the answers

During fasting, which process occurs to provide energy?

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

What role does cortisol play in the metabolism during exercise?

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

What type of energy production becomes critical when muscle glycogen is depleted during exercise?

<p>Fatty acid oxidation (A)</p> Signup and view all the answers

What effect does Growth Hormone have on muscle tissue?

<p>Stimulates amino acid uptake (D)</p> Signup and view all the answers

Which component is primarily involved in the mobilization of fatty acids during prolonged exercise?

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

How does Growth Hormone affect glucose metabolism?

<p>Increases gluconeogenesis in the liver (A)</p> Signup and view all the answers

What is one of the primary roles of glucocorticoids?

<p>Increase resistance to stress (A)</p> Signup and view all the answers

Which mechanism is NOT a function of Growth Hormone?

<p>Stimulates fat storage (A)</p> Signup and view all the answers

In terms of metabolic actions, how does Growth Hormone act?

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

What happens to blood glucose levels in a growing individual under the influence of Growth Hormone?

<p>Blood glucose levels increase (D)</p> Signup and view all the answers

What is a major effect of decreased glucose uptake in adipose tissue due to Growth Hormone?

<p>Increased blood glucose levels (D)</p> Signup and view all the answers

What role does lipolysis play in the effects of Growth Hormone?

<p>Supports blood glucose maintenance (D)</p> Signup and view all the answers

Which effect is associated with glucocorticoids regarding inflammatory responses?

<p>Reduces response to inflammatory stimuli (D)</p> Signup and view all the answers

How does starvation induce hypoglycemia?

<p>Supplies inadequate substrate for gluconeogenesis (C)</p> Signup and view all the answers

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Study Notes

Secretion of Steroid Hormones

  • Steroid hormones are synthesized from cholesterol.
  • The adrenal cortex is divided into three zones, each producing specific hormones.
  • The zona glomerulosa produces aldosterone - a mineralocorticoid.
  • The zona fasciculata and zona reticularis produce cortisol and corticosterone - glucocorticoids.
  • The adrenal medulla secretes adrenaline and noradrenaline.

Regulation of Glucocorticoids

  • Glucocorticoids are regulated by the hypothalamic-pituitary-adrenal (HPA) axis.
  • Corticotrophin-releasing hormone (CRH) from the hypothalamus stimulates the release of adrenocorticotrophic hormone (ACTH) from the anterior pituitary gland.
  • ACTH binds to melanocortin type 2 receptors (MC2-R) on adrenal cortical cells.
  • ACTH stimulates the production of cortisol by increasing cholesterol uptake, trafficking, and the expression of key enzymes like P-450ssc and P-450c11.

Effects of Cortisol

  • Cortisol plays a crucial role in stress response and energy metabolism.
  • Its actions include increasing glucose output from the liver and promoting catabolism in peripheral tissues like muscle and adipose tissue.
  • Cortisol is also required for normal vascular reactivity and water excretion.

Growth Hormone and Metabolism

  • Growth hormone (GH) is a major determinant of growth, promoting cell growth and bone elongation.
  • GH has metabolic effects that are distinct from its growth-promoting actions, impacting muscle, adipose tissue, and liver.
  • GH stimulates protein synthesis, decreases protein breakdown, and increases lipolysis.
  • GH is critical for maintaining muscle mass and helps maintain blood glucose levels during starvation and exercise.

Exercise and Energy

  • Muscle energy utilization is dependent on the intensity and duration of the exercise.
  • During moderate exercise, GH stimulates lipolysis to provide alternative energy sources.
  • During intense exercise, the body relies on stored glycogen, glucose, and fat for energy.
  • Lactate produced during anaerobic exercise is used by other muscle fibers as an energy source and is also converted back to glucose by the liver.

Eating, Fasting, and Starvation

  • Ingestion of a meal stimulates the release of insulin, which promotes energy storage in the form of glycogen, protein, and fat.
  • Insulin inhibits lipolysis by suppressing hormone-sensitive lipase (HSL).
  • Fasting leads to a decrease in insulin and an increase in glucagon, triggering glycogenolysis, gluconeogenesis, and lipolysis to maintain energy levels.
  • During prolonged starvation, the body shifts from gluconeogenesis to ketogenesis, utilizing fatty acids as the main energy source.
  • Ketone bodies are produced in the liver from fatty acids and become an alternative fuel source for the brain and other tissues during prolonged starvation.

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