Hormones and Signal Transduction
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Questions and Answers

What type of hormone is mainly composed of polypeptide chains and is water-soluble?

  • Amino Acid Hormone
  • Steroid Hormone
  • Peptide Hormone (correct)
  • Lipid Hormone
  • Which of the following is NOT a factor that affects the up-regulation or down-regulation of hormone receptors?

  • Time of day (correct)
  • Genetic mutation
  • Diet
  • Body temperature
  • What mechanism allows steroid hormones to initiate transcription in the nucleus?

  • Diffusing through the cell membrane (correct)
  • Inducing a cascade effect
  • Directly interacting with DNA
  • Binding to surface cell receptors
  • Which type of feedback system typically reduces hormone secretion when the desired effect is achieved?

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

    Hormones act as first messengers in signal transduction. What is the role of second messengers in this process?

    <p>They relay signals within the cell. (D)</p> Signup and view all the answers

    Which hormone classification typically ends with 'ol' or 'one'?

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

    What is the sequence of events that occurs after a water-soluble hormone attaches to a G-protein linked receptor?

    <p>G-protein is activated, followed by activation of adenylyl cyclase. (C)</p> Signup and view all the answers

    Which type of receptors do lipid-soluble hormones primarily attach to?

    <p>Cytoplasmic receptors (B)</p> Signup and view all the answers

    What type of hormones are derived from tyrosine and tryptophan?

    <p>Amino Acid Hormones (D)</p> Signup and view all the answers

    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?

    <p>Receptor down-regulation occurs. (A)</p> Signup and view all the answers

    What effect does the second messenger cAMP have within the cell?

    <p>It activates protein kinase A (PKA) to influence metabolic pathways. (A)</p> Signup and view all the answers

    Which of the following hormone signaling mechanisms involves direct attachment to ion channels?

    <p>Ion channel receptors (C)</p> Signup and view all the answers

    What is the role of Janus kinase 2 (JAK2) in enzyme-linked receptor signaling?

    <p>It is phosphorylated and activated as a second messenger. (C)</p> Signup and view all the answers

    In signal transduction, what is the first messenger in the context of enzyme-linked receptors?

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

    Which hormone attachment leads to changes in membrane potential by directly opening ion channels?

    <p>Neurotransmitters (B)</p> Signup and view all the answers

    Where is the hypothalamus located in relation to the thalamus?

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

    What role do the nuclei in the hypothalamus serve?

    <p>They produce and store hormones. (B)</p> Signup and view all the answers

    How does the hypothalamus maintain homeostasis?

    <p>By managing temperature, food intake, and emotional responses. (D)</p> Signup and view all the answers

    Which of the following hormones is synthesized and released by the posterior pituitary gland?

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

    What happens if there is an injury to the hypothalamus?

    <p>It can disrupt temperature regulation. (A)</p> Signup and view all the answers

    What are the components of the pituitary gland?

    <p>Posterior and anterior portions (B)</p> Signup and view all the answers

    Which neurotransmitters play a role in the release of hormones from the posterior pituitary gland?

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

    What is often referred to as the master gland of the endocrine system?

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

    Where are the hormone-producing nuclei located within the hypothalamus?

    <p>At the base of the brain, near the pituitary gland (B)</p> Signup and view all the answers

    What triggers the secretion of antidiuretic hormone (ADH) from the posterior pituitary?

    <p>Increased serum osmolarity (A)</p> Signup and view all the answers

    Which receptors does ADH bind to in smooth muscle to cause vasoconstriction?

    <p>V1 receptors (A)</p> Signup and view all the answers

    What is a characteristic of the Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

    <p>High circulating ADH levels (D)</p> Signup and view all the answers

    Which condition is associated with excess water loss and increased serum osmolality?

    <p>Diabetes Insipidus (DI) (A)</p> Signup and view all the answers

    What causes dilutional hyponatremia in SIADH?

    <p>Excessive water retention (A)</p> Signup and view all the answers

    In Diabetes Insipidus, what leads to polyuria?

    <p>Insufficient ADH production (C)</p> Signup and view all the answers

    Which type of Diabetes Insipidus is caused by renal tubular resistance to ADH?

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

    What symptom is likely when serum sodium levels drop to 120-130 mEq/L?

    <p>Nausea and abdominal cramps (B)</p> Signup and view all the answers

    Which of the following is NOT a cause of Diabetes Insipidus?

    <p>Increased concentrations of vasopressin (D)</p> Signup and view all the answers

    What condition is indicated by high ADH levels without appropriate feedback to the hypothalamus?

    <p>Syndrome of Inappropriate Antidiuretic Hormone (SIADH) (A)</p> Signup and view all the answers

    Flashcards

    Hormone Definition

    A chemical substance produced by specialized cells, transported to distant cells to regulate them.

    Hormone Types

    Hormones are classified as peptide, amino acid, or steroid.

    Peptide Hormone

    Water-soluble hormones that bind to receptors on effector cells and initiate a cellular cascade effect.

    Steroid Hormone

    Lipid-soluble hormones that pass through cell membranes, bind to cytoplasmic receptors, affect DNA, and initiate gene transcription.

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    Hormone Regulation

    Hormone secretion is controlled by patterns (diurnal, pulsatile), substrate levels, and feedback loops (negative and positive).

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    Hormone Receptor Sensitivity

    Cell responsiveness to a hormone is determined by the number and affinity of its receptors; these can change (up- or down-regulate).

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    First Messengers

    Hormones that carry messages from outside the cell to the interior.

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    Hormone Signal Transduction

    The process by which hormones transmit signals within a cell, causing cellular responses.

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    Water-soluble hormones receptor type

    Water-soluble hormones bind to plasma membrane receptors, including G-protein linked receptors, ion channel receptors, and enzyme-linked receptors.

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    Lipid-soluble hormones receptor type

    Lipid-soluble hormones bind to intracellular receptors, including cytoplasmic and nuclear membrane receptors.

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    G-protein linked receptor function

    Hormone attachment to a G-protein-linked receptor activates a cascade of events, including enzyme activation, second messenger production, and ultimately protein synthesis.

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    Second messenger in G-protein linked receptor pathway

    Cyclic AMP (cAMP) is a second messenger in the G-protein-linked receptor pathway, activating protein kinase (PKA).

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    Ion channel receptor function

    Hormones/neurotransmitters directly or indirectly binding to ion channels, change the membrane's potential through opening or closing.

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    Enzyme-linked receptor example

    Leptin binds to an enzyme-linked receptor triggering a signaling pathway involving JAK2 and STAT proteins to activate gene transcription and protein synthesis

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    Hypothalamus location

    The hypothalamus is positioned below the thalamus, above the midbrain, and interconnected with the pituitary gland.

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    Hypothalamus function

    The hypothalamus controls various bodily functions and links the nervous system to the endocrine system through its connections to the pituitary gland.

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    Hypothalamic Nuclei

    Clusters of neuron cell bodies in the hypothalamus that produce hormones or hormone-stimulating/inhibiting factors, influencing the pituitary gland.

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    Pituitary Gland

    A pea-sized gland at the base of the brain, attached to the hypothalamus, often referred to as the 'master gland' because it controls the activities of other endocrine glands.

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    Posterior Pituitary

    The posterior portion of the pituitary gland that stores and releases hormones produced by the hypothalamus, namely oxytocin and antidiuretic hormone (ADH).

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    Oxytocin

    A hormone produced by the hypothalamus and stored in the posterior pituitary, involved in social bonding, childbirth, and milk production.

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    Antidiuretic Hormone (ADH)

    A hormone produced by the hypothalamus and stored in the posterior pituitary, responsible for regulating water balance and blood pressure.

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    Hormone Release Regulation

    The release of hormones from the posterior pituitary is controlled by neurotransmitters like glutamate and GABA, which stimulate or inhibit the process.

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    Hypothalamus-Pituitary Connection

    The hypothalamus and pituitary gland work together, with the hypothalamus producing hormones that are stored and released by the pituitary, influencing the endocrine system.

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    ADH Function

    Antidiuretic hormone (ADH) regulates water reabsorption in the collecting tubules of the kidneys, helping to maintain blood osmolarity.

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    ADH Secretion Trigger

    Increased serum osmolarity (high blood salt levels) is detected by osmoreceptors in the hypothalamus, triggering ADH release from the posterior pituitary.

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    ADH Receptor Action

    ADH binds to V1 receptors in smooth muscle, causing vasoconstriction and increased blood pressure. ADH binds to V2 receptors in the kidneys, stimulating aquaporin channels to transport water back into the blood.

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    SIADH

    Syndrome of Inappropriate Antidiuretic Hormone (SIADH) is characterized by high circulating ADH levels with no appropriate feedback to the hypothalamus, resulting in water retention and dilutional hyponatremia.

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    SIADH Causes

    SIADH can be caused by hypothalamic/pituitary disruption, ectopic ADH production by tumors, or mutations leading to V2 receptor over-activation.

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    SIADH Symptoms

    SIADH can cause hyponatremia and symptoms like thirst, lethargy, confusion, nausea, vomiting, muscle cramps, and seizures.

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    Diabetes Insipidus (DI)

    Diabetes Insipidus (DI) is characterized by insufficient circulating ADH, leading to excessive water loss and hyperosmolar urine.

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    DI Types

    DI can be neurogenic (caused by inadequate ADH production) or nephrogenic (caused by renal tubular insensitivity to ADH).

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    DI Symptoms

    DI symptoms include excessive urination (polyuria), excessive thirst (polydipsia), and dehydration due to water loss.

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    Dipsogenic DI

    Dipsogenic DI is caused by excessive water intake, diluting the blood below the ADH threshold, leading to excessive water loss through urine.

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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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    Endocrine Student Notes PDF

    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.

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