Podcast
Questions and Answers
What type of hormone is mainly composed of polypeptide chains and is water-soluble?
What type of hormone is mainly composed of polypeptide chains and is water-soluble?
Which of the following is NOT a factor that affects the up-regulation or down-regulation of hormone receptors?
Which of the following is NOT a factor that affects the up-regulation or down-regulation of hormone receptors?
What mechanism allows steroid hormones to initiate transcription in the nucleus?
What mechanism allows steroid hormones to initiate transcription in the nucleus?
Which type of feedback system typically reduces hormone secretion when the desired effect is achieved?
Which type of feedback system typically reduces hormone secretion when the desired effect is achieved?
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Hormones act as first messengers in signal transduction. What is the role of second messengers in this process?
Hormones act as first messengers in signal transduction. What is the role of second messengers in this process?
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Which hormone classification typically ends with 'ol' or 'one'?
Which hormone classification typically ends with 'ol' or 'one'?
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What is the sequence of events that occurs after a water-soluble hormone attaches to a G-protein linked receptor?
What is the sequence of events that occurs after a water-soluble hormone attaches to a G-protein linked receptor?
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Which type of receptors do lipid-soluble hormones primarily attach to?
Which type of receptors do lipid-soluble hormones primarily attach to?
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What type of hormones are derived from tyrosine and tryptophan?
What type of hormones are derived from tyrosine and tryptophan?
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The sensitivity of a cell to a hormone can change based on the number of receptors present. What happens when there are too many circulating hormones?
The sensitivity of a cell to a hormone can change based on the number of receptors present. What happens when there are too many circulating hormones?
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What effect does the second messenger cAMP have within the cell?
What effect does the second messenger cAMP have within the cell?
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Which of the following hormone signaling mechanisms involves direct attachment to ion channels?
Which of the following hormone signaling mechanisms involves direct attachment to ion channels?
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What is the role of Janus kinase 2 (JAK2) in enzyme-linked receptor signaling?
What is the role of Janus kinase 2 (JAK2) in enzyme-linked receptor signaling?
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In signal transduction, what is the first messenger in the context of enzyme-linked receptors?
In signal transduction, what is the first messenger in the context of enzyme-linked receptors?
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Which hormone attachment leads to changes in membrane potential by directly opening ion channels?
Which hormone attachment leads to changes in membrane potential by directly opening ion channels?
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Where is the hypothalamus located in relation to the thalamus?
Where is the hypothalamus located in relation to the thalamus?
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What role do the nuclei in the hypothalamus serve?
What role do the nuclei in the hypothalamus serve?
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How does the hypothalamus maintain homeostasis?
How does the hypothalamus maintain homeostasis?
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Which of the following hormones is synthesized and released by the posterior pituitary gland?
Which of the following hormones is synthesized and released by the posterior pituitary gland?
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What happens if there is an injury to the hypothalamus?
What happens if there is an injury to the hypothalamus?
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What are the components of the pituitary gland?
What are the components of the pituitary gland?
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Which neurotransmitters play a role in the release of hormones from the posterior pituitary gland?
Which neurotransmitters play a role in the release of hormones from the posterior pituitary gland?
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What is often referred to as the master gland of the endocrine system?
What is often referred to as the master gland of the endocrine system?
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Where are the hormone-producing nuclei located within the hypothalamus?
Where are the hormone-producing nuclei located within the hypothalamus?
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What triggers the secretion of antidiuretic hormone (ADH) from the posterior pituitary?
What triggers the secretion of antidiuretic hormone (ADH) from the posterior pituitary?
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Which receptors does ADH bind to in smooth muscle to cause vasoconstriction?
Which receptors does ADH bind to in smooth muscle to cause vasoconstriction?
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What is a characteristic of the Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
What is a characteristic of the Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
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Which condition is associated with excess water loss and increased serum osmolality?
Which condition is associated with excess water loss and increased serum osmolality?
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What causes dilutional hyponatremia in SIADH?
What causes dilutional hyponatremia in SIADH?
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In Diabetes Insipidus, what leads to polyuria?
In Diabetes Insipidus, what leads to polyuria?
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Which type of Diabetes Insipidus is caused by renal tubular resistance to ADH?
Which type of Diabetes Insipidus is caused by renal tubular resistance to ADH?
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What symptom is likely when serum sodium levels drop to 120-130 mEq/L?
What symptom is likely when serum sodium levels drop to 120-130 mEq/L?
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Which of the following is NOT a cause of Diabetes Insipidus?
Which of the following is NOT a cause of Diabetes Insipidus?
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What condition is indicated by high ADH levels without appropriate feedback to the hypothalamus?
What condition is indicated by high ADH levels without appropriate feedback to the hypothalamus?
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Study Notes
Lecture Hall Timeline
- 1:30-2:15: PollEv questions and focused review
- 2:20-3:05: Meet with group, work on case/questions
- 3:05-3:15: Break
- 3:15-4:15: Review case/questions, submit assignment
- 4:20: Class end
Questions & Review
- A & P: Hormones, Hypothalamus, Pituitary (Anterior/Posterior), Adrenals (Cortex/Medulla), Thyroid, Parathyroid, Pineal
- Pathophysiology: DI & SIADH, Hyperthyroidism & thyroid storm, Cushing's & adrenal insufficiency, DKA/HHS
- Group work: Endocrine case
Hormones
- Chemical substance produced by specialized cells, transported to distant cells, exerting regulatory effects
- Structural categories: water-soluble or lipid-soluble
- Classified as: Peptide hormones, Amino acid hormones, Steroid hormones
- Peptide Hormone: Water-soluble polypeptide chains, bind onto effector cell receptors, inducing a cascade effect, ends with "in" or "ine"
- Amino Acid Hormone: Water-soluble, derived from tyrosine and tryptophan, enzymatic conversion, bind to receptors, ends with "in" or "ine"
- Steroid Hormone: Lipid-soluble, crosses effector cell membrane, binds to cytoplasmic receptor, passage into the nucleus, binding to DNA, initiating transcription, ends with "ol" or "one"
Hormone Regulation
- Hormone secretion patterns: Diurnal, Pulsatile & Circadian, Levels of circulating substrates
- Feedback systems: Negative & positive, Endocrine/Hormonal factors, Chemical/Humoral factors, Neural control
Hormone Receptors
- Sensitivity determined by receptor number, hormone affinity and conditions (pH, body temp)
- Can increase (up-regulation) or decrease (down-regulation) in response to hormone levels
- Diet, pH, temperature, and mutations can influence up/down-regulation
Hormone Signal Transduction
- Hormones are the first messengers
- Water-soluble hormones attach to plasma membrane receptors: G-protein linked receptors, ion channel receptors, enzyme-linked receptors
- Lipid-soluble hormones attach to: Plasma membrane receptors, Cytoplasmic receptors, Nuclear membrane receptors
G-Protein Linked Receptors
- Hormones attach to plasma membrane receptors
- Activated G-protein reacts with GTP
- GTP activates plasma membrane adenylyl cyclase enzyme
- Adenylyl cyclase converts ATP to cAMP, a second messenger
- cAMP activates protein kinase (PKA)
- PKA activates several intracellular enzymes
- Affects transcription results in synthesis of proteins, producing target cell response
Ion Channel Receptors
- Hormones/neurotransmitters open ion channels by direct attachment or attachment to g-protein linked channels
- Changes membrane potential
Enzyme Linked Receptors
- Hormone attachment activates several enzyme systems
- Example (Leptin): Leptin (first messenger) attaches to plasma membrane enzyme receptor; Janus kinase 2 (JAK2), a second messenger is phosphorylated, activated; signal transduction & activator (STAT) proteins are phosphorylated and activated, transcription of genes for protein synthesis, other enzyme systems are activated
Steroid Hormone Action
- Steroid hormone enters target cell
- Hormone binds to receptor, induces conformational change
- Hormone-receptor complex binds to DNA, induces start of transcription
- Amplification of signal occurs, many mRNAs are produced
- Each transcript further translated, amplifying the signal
Hypothalamus
- Located below thalamus, above midbrain (ventral diencephalon), connected to the pituitary gland
- Composed of nuclei (clusters of neuron cell bodies), axons connecting nervous and endocrine systems
- Nuclei produce hormones, hormone stimulating/inhibiting factors for transportation to pituitary gland
Hypothalamic Function
- Maintains homeostasis: temperature regulation, food & water intake, sexual behavior, daily cycles, emotional/stress responses, metabolism, growth
Pituitary Gland (Hypophysis)
- Pea-sized gland attached to hypothalamus
- Receives hormones for storage/release (from hypothalamus)
- Stimulatory/inhibitory factors, promote/inhibit synthesis/release of hormones
- Master gland controlling most other endocrine glands
- Partitioned into anterior and posterior portions
Posterior Pituitary (Neurohypophysis)
- Receives peptide hormones produced in hypothalamic nuclei
- Oxytocin & ADH/arginine-vasopressin are synthesized and packaged in vesicles with carrier proteins
- Vesicles move down pituitary stalk, stored in posterior pituitary gland
- Glutamate & GABA neurotransmitters can stimulate/inhibit hormone release
Posterior Pituitary Hormones
- Oxytocin: Stimulates uterus contraction, milk ejection, positive feedback mechanism
- ADH (Vasopressin): Formation/concentration of urine (facultative water reabsorption), response to increased blood osmolarity, regulates water reabsorption
Antidiuretic Hormone
- Antidiuretic hormone (ADH, or arginine vasopressin) regulates water reabsorption in the collecting tubules of the kidneys
- ADH secretion from the posterior pituitary triggered by increased serum osmolarity
- Binds to V2 receptors, stimulating aquaporin channels' translocation for water reabsorption in the renal distal tubules/collecting ducts
- Maintaining blood osmolarity
Hypothalamic-Pituitary Alterations
- SIADH: Excessive ADH, without appropriate feedback from hypothalamus; excess water retention, dilutional hyponatremia
- Diabetes Insipidus (DI): Deficient ADH; often caused by inadequate ADH, renal tubular collecting ducts' insensitivity or excessive fluid intake -Excessive water loss leads to increased serum osmolality, decreased urine output
Thyroid Gland
- Located in the anterior neck, lying over trachea
- Composed of right and left lobes, connected by isthmus
- Follicular cells surround follicular lumen, trapping iodine, synthesizing and storing thyroid hormones
- C cells secrete calcitonin
- Synthesis of thyroid hormones: Iodide absorbed from GIT, iodide travels into follicular cells and is converted to iodine, and then attached to thyroglobulin for T3 and T4 (with 2 iodine and 3 iodine respectively)
Thyroid Hormones
- T3 (triiodothyronine) is more biologically potent than T4 (thyroxine)
- T4 is converted to T3 peripherally in liver and kidneys
- Small amounts of T4 deiodinated to inactive reverse T3
- Thyroid hormones regulate many bodily functions
Secretion and Conversion of T4 & T3
- Hypothalamus releases TRH to pituitary
- Pituitary releases TSH to thyroid
- TSH triggers thyroid peroxidase to produce T3/T4
- 93% of T4 and 7% of T3 is used immediately
- Conversion of T4 to T3 in liver (60%)
Factors Affecting T3 to T4 Conversion
- Contributing factors: nutrients (iron, iodine, tyrosine), vitamins; inhibiting factors: stress, infection, toxins; factors to increase conversion T4 to T3 - selenium; zinc; factors to increase conversion T4 to RT3—Stress, trauma, low calorie diet, inflammation, certain medications
Functions of Thyroid Hormones
- Act via nuclear receptors in target cells
- Global metabolic and development effects
- T4 and T3 either diffuse or are carried through the lipid portion of the cell membrane or are carried through a transporter
- Hormones bind to mitochondrial and nuclear surfaces (T3 has highest affinity)
- Binding to receptors alters transcription of specific genes (suppresses or activates)
Functions of Thyroid Hormones (Metabolism)
- Increased gluconeogenesis /glucose hepatic production, available necessary amino acids, glycerol, specific enzymes
- Increased glycolysis/available free glucose,
- Increased proteolysis in muscle, amino acids available for gluconeogenesis, increased protein synthesis
- Increased lipolysis/triglyceride degradation in adipose tissue, glycerol and fatty acids, lipogenesis
Functions of Thyroid Hormones (Cardiovascular)
- Systemic arteriole dilation, decreased SVR/afterload
- Increased circulating blood volume/preload, dilated vessels, stimulates renin-angiotensin system
- Increases heart rate, regulating action potential duration and repolarization currents, and regulates genes in pacemaker cells
- Increases force of contraction
Feedback Mechanisms of the Hypothalamic Pituitary Axis (HPA)
- Increased levels of thyroid hormones signal the hypothalamus to stop secreting TSH.
- Most feedback systems are negative where increased levels of a substance inhibit further release of stimulating factors.
Alterations in Thyroid Function (Hyperthyroidism)
- Graves disease: Primary autoimmune; TSH-producing adenomas
- Goiter: Enlargement of thyroid gland; TSH-secreting pituitary adenoma can progress to thyroid storm.
Alterations in Thyroid Function (Thyroid Storm/Crisis)
- Sudden, dramatic increase in circulating thyroid hormones.
- May result from undiagnosed or poorly controlled hyperthyroidism, precipitated by stress, infection, surgery.
Thyroid Storm Diagnosis
- Includes measurements for thermoregulatory dysfunction, gastrointestinal-hepatic dysfunction, cardiovascular dysfunction, mental dysfunction etc.
The Adrenal Gland
- Anatomically associated with each kidney, sharing the same blood supply
- Two layers: cortex (3 layers of cells) and medulla.
Adrenal Cortex Hormones (Mineralocorticoids)
- Zona glomerulosa synthesizes and secretes mineralocorticoids—Regulated by the Renin-Angiotensin-Aldosterone system which responds to Na+ & H2O depletion or hyperkalemia
- Angiotensin II stimulates aldosterone secretion binds to receptors in distal renal nephrons epithelial cells and stimulates Na⁺ and water retention, K⁺ and H⁺ depletion
Adrenal Cortex Hormones (Glucocorticoids)
- Zona fasciculata synthesizes and secretes glucocorticoids which are stimulated by ACTH from the anterior pituitary.
- Effects: Metabolic, anti-inflammatory/immunosuppressive, and growth-suppressing.
Hormones of the Adrenal Medulla
- Chromaffin cells (pheochromocytes) store epinephrine and norepinephrine in secretory granules, working closely with the sympathetic nervous system to respond to stress
- Sympathetic preganglionic nerve fibers stimulated by stress to secrete acetylcholine
- Chromaffin cells depolarize, leading to exocytosis of granules, release of epinephrine and norepinephrine
- Catecholamines bind to alpha and beta receptors.
Adrenal Gland Vascular Supply
- Adrenal blood supply flows into cortical arteries then branches into capillary networks (cortex & medulla), draining into a central medullary vein.
- This arrangement exposes the medulla to high concentrations of glucocorticoids.
Effects of a & b Receptor Stimulation
- Activation of beta receptors increases myocardial force and rate of contraction, and may lead to arrhythmias.
- Activation of alpha receptors causes vasoconstriction
- Activation of beta receptors causes bronchial dilation and a decrease in airway resistance.
Stress Response
- Short-term stress: involves activation of sympathetic nervous system and adrenal medulla, resulting in increased heart rate, blood pressure, and release of catecholamines
- Prolonged stress: activates hypothalamic-pituitary-adrenal (HPA) axis, and involves the release of cortisol.
Adrenal Abnormalities (Cushing Syndrome/Disease)
- Cushing syndrome: Clinical manifestations from chronic exposure to high cortisol levels from various causes (e.g., pituitary tumor, exogenous corticosteroids)
- Symptoms/signs vary and can include changes in body shape and distribution of fat, high blood pressure, high blood sugar and susceptibility to infections
Cushing's Disease/Syndrome
- Possible causes: ACTH-dependent pituitary tumors (70%), adrenal tumors, unknown cause (15%); exogenous causes: taking medications containing corticosteroids (15%)
- Signs and symptoms of excess cortisol, (e.g., upper body obesity, buffalo hump, full moon face, thin extremeties, fragile skin bruising)
Adrenal Insufficiency
- Decrease of circulating cortisol and/or aldosterone, lack of stimulation from hypothalamus and pituitary gland
- Inability of adrenal glands to produce cortisol and aldosterone
- Causes include autoimmune disorders, tuberculosis, fungal infections.
- Symptoms include fatigue, postural dizziness, syncope etc, decreased libido, amenorrhea.
Insulin
- Secreted by beta cells in response to elevated blood glucose
- Stimulates liver to convert glucose to glycogen
- Promotes increased potassium levels in cells
- GLUT4 transporters are stored in cytoplasmic vesicles, and released into the cell membrane to allow glucose transport
Glucagon
- Secreted by alpha cells in response to low blood glucose
- Stimulates glycogenolysis in the liver release of glucose into the blood; used for energy.
- Promotes gluconeogenesis: the synthesis of glucose from non-carbohydrate sources
- Used for energy during periods of fasting.
Types of Diabetes
- Type 1: usually autoimmune, short history, acute onset, not typically overweight, rare, insulin deficiency, requires insulin at diagnosis, often random diagnosis
- Type 2: usually older age, insidious onset, often overweight, insulin resistance, common, diet and lifestyle change can reverse it
- Gestational: first detected during pregnancy, often overweight, insulin resistance, placental hormones, becoming more common, diet and lifestyle plus medications affecting growing baby, family history
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Description
Test your knowledge on hormones, their types, and how they interact with receptors in the body. This quiz covers water-soluble and lipid-soluble hormones, feedback mechanisms, and the role of second messengers in signal transduction. Answer questions about hormone actions, classifications, and regulatory mechanisms.