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</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.</p> Signup and view all the answers

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

    <p>Steroid Hormone</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.</p> Signup and view all the answers

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

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

    What type of hormones are derived from tyrosine and tryptophan?

    <p>Amino Acid Hormones</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.</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.</p> Signup and view all the answers

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

    <p>Ion channel receptors</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.</p> Signup and view all the answers

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

    <p>Leptin</p> Signup and view all the answers

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

    <p>Neurotransmitters</p> Signup and view all the answers

    Where is the hypothalamus located in relation to the thalamus?

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

    What role do the nuclei in the hypothalamus serve?

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

    How does the hypothalamus maintain homeostasis?

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

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

    <p>Oxytocin</p> Signup and view all the answers

    What happens if there is an injury to the hypothalamus?

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

    What are the components of the pituitary gland?

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

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

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

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

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

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

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

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

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

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

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

    What causes dilutional hyponatremia in SIADH?

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

    In Diabetes Insipidus, what leads to polyuria?

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

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

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

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

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

    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.

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