Hormones and Their Mechanisms

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Questions and Answers

What type of hormone is epinephrine classified as?

  • Peptide/protein
  • Lipid soluble
  • Intracellular
  • Water-soluble (correct)

Where are the receptors for water-soluble hormones located?

  • In the cell nucleus
  • On the intracellular membranes
  • In the cytoplasm
  • On the cell surface or plasma membrane (correct)

Which second messenger is associated primarily with ADH's action?

  • Inositol-triphosphate (IP3)
  • Diacylglycerol (DAG)
  • cAMP (cyclic adenosine monophosphate) (correct)
  • Tyrosine kinase

What is the primary mechanism of action for lipid-soluble hormones?

<p>They diffuse through the membrane and bind to intracellular receptors (A)</p> Signup and view all the answers

Which one of the following hormones utilizes the second messenger inositol-triphosphate (IP3)?

<p>Catecholamines (α receptors) (D)</p> Signup and view all the answers

Which class of hormone typically binds to receptors on the cell surface?

<p>Peptide/protein hormones (B)</p> Signup and view all the answers

What outcome occurs when a second messenger is activated in a target cell?

<p>Activates or deactivates enzyme activity (C)</p> Signup and view all the answers

Which hormone is secreted from the pituitary and acts through tyrosine kinase?

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

What is a characteristic symptom of prolactin excess?

<p>Osteoporosis in females (C)</p> Signup and view all the answers

How does ACTH influence the adrenal cortex?

<p>Increases cellularity and vascularity (D)</p> Signup and view all the answers

What is the half-life of adrenocorticotrophic hormone (ACTH)?

<p>5-15 minutes (C)</p> Signup and view all the answers

Which hormone primarily regulates the release of ACTH?

<p>Corticotropin-releasing hormone (CRH) (D)</p> Signup and view all the answers

What is a possible cause of excess ACTH production?

<p>Pituitary tumors that secrete ACTH (C)</p> Signup and view all the answers

Which factor does NOT stimulate ACTH release?

<p>High cortisol levels (B)</p> Signup and view all the answers

What effect does corticotropin releasing hormone have on the pituitary?

<p>Stimulates ACTH secretion (C)</p> Signup and view all the answers

What effect does ACTH have on skin pigmentation?

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

What is NOT a symptom of prolactin excess?

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

Which hormone released by the anterior lobe of the pituitary stimulates the release of thyroid-stimulating hormone?

<p>Thyrotropin releasing hormone (D)</p> Signup and view all the answers

What is the primary role of somatostatin in relation to the pituitary gland?

<p>Inhibits GH secretion (A)</p> Signup and view all the answers

What type of connection exists between the hypothalamus and the posterior pituitary?

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

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

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

What effect does prolactin inhibiting hormone have on the pituitary?

<p>Inhibits PRL secretion (D)</p> Signup and view all the answers

Which hormone is responsible for stimulating both luteinizing hormone and follicle-stimulating hormone secretion?

<p>Gonadotropin releasing hormone (A)</p> Signup and view all the answers

What is the primary difference between the anterior and posterior lobes of the pituitary gland?

<p>The anterior lobe synthesizes hormones, while the posterior lobe stores hormones. (B)</p> Signup and view all the answers

Which hormone accounts for about 95 percent of all glucocorticoid activity?

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

What is the primary role of cortisol in carbohydrate metabolism?

<p>Causes hyperglycemia through anti-insulin actions (D)</p> Signup and view all the answers

What effect does cortisol have on protein stores in the body?

<p>Reduces protein stores in all cells except liver (D)</p> Signup and view all the answers

What is the primary effect of cortisol on fat metabolism?

<p>Enhances fat mobilization and ketone body formation (D)</p> Signup and view all the answers

Which enzyme converts cortisol to cortisone in the body?

<p>11β-Hydroxysteroid dehydrogenase (Type 1) (C)</p> Signup and view all the answers

What percentage of cortisol in plasma typically binds to cortisol-binding globulin?

<p>90 to 95 percent (A)</p> Signup and view all the answers

Which of the following hormones requires cortisol for its calorigenic effects?

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

What is the half-life of cortisol?

<p>60-90 minutes (C)</p> Signup and view all the answers

Which condition is associated with increased secretion of angiotensinogen?

<p>Cushing's syndrome (B)</p> Signup and view all the answers

What is a key characteristic of Addison's disease?

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

What is the primary cause of primary adrenal insufficiency?

<p>Tuberculosis or autoantibodies (B)</p> Signup and view all the answers

What symptom is a result of cortisol deficiency?

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

Which hormone accounts for about 90 percent of all mineralocorticoid activity?

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

Which of the following is a symptom of adrenal insufficiency?

<p>Severe gastrointestinal upset (D)</p> Signup and view all the answers

What change in the central nervous system can occur due to excess cortisol?

<p>Rapid EEG rhythm (C)</p> Signup and view all the answers

What defines an Addisonian crisis?

<p>Circulatory collapse due to stress (C)</p> Signup and view all the answers

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Study Notes

Hormones and Their Receptors

  • Hormones can be classified as water-soluble or lipid-soluble.
  • Water-soluble hormones (e.g., amine epinephrine, peptide/protein hormones) bind to receptors on cell surfaces.
  • Lipid-soluble hormones (e.g., thyroid hormones, steroids, Vitamin D) have receptors located intracellularly.

Mechanism of Action of Hormones

  • Water-soluble hormones do not cross the lipid bilayer and bind to surface receptors.
  • Binding activates membrane-bound enzymes, producing second messengers (e.g., cAMP).
  • Second messengers alter cell functions by activating or deactivating various enzymes.

Second Messenger Systems

  • Receptors for water-soluble hormones found on the plasma membrane are coupled to second messenger systems.
  • Key second messengers include:
    • cAMP: involved with hormones like ADH (V2 receptor), LH, FSH, TSH, ACTH, PTH, calcitonin, glucagon, catecholamines (β receptors).
    • Tyrosine Kinase: involved with oxytocin, growth hormone, prolactin, insulin, and erythropoietin.
    • Inositol-triphosphate (IP3), diacylglycerol (DAG), and calcium: involved with GnRH, TRH, catecholamines (α receptors), angiotensin II, and ADH (V1 receptor).

Hypothalamic Hormones and Their Effects

  • Corticotropin-releasing hormone (CRH): Stimulates ACTH secretion.
  • Thyrotropin-releasing hormone (TRH): Stimulates TSH secretion.
  • Growth hormone-releasing hormone (GHRH): Stimulates GH secretion.
  • Somatostatin: Inhibits GH secretion.
  • Gonadotropin-releasing hormone (GnRH): Stimulates LH and FSH secretion.
  • Prolactin-releasing hormone (PRH): Stimulates PRL secretion.
  • Prolactin-inhibiting hormone (Dopamine): Inhibits PRL secretion.

Hypothalamus and Posterior Pituitary Connection

  • Neural connections exist between the hypothalamus and posterior pituitary.
  • Posterior pituitary stores and releases hormones (ADH and oxytocin) produced by the hypothalamus.
  • Anterior lobe synthesizes hormones that regulate other endocrine glands.

Hormones of the Pituitary Gland

  • Posterior Lobe: Antidiuretic hormone (ADH) and Oxytocin.
  • Anterior Lobe:
    • Adrenocorticotropic hormone (ACTH)
    • Growth hormone (GH)
    • Thyroid-stimulating hormone (TSH)
    • Follicle-stimulating hormone (FSH)
    • Luteinizing hormone (LH)
    • Prolactin (PRL).
  • Prolactin excess due to pituitary tumors may cause:
    • Infertility, amenorrhoea, galactorrhoea, impotence, loss of libido in males, and osteoporosis in females.
  • ACTH:
    • Peptide hormone with a half-life of 5-15 minutes.
    • Regulated by CRH with negative feedback from ACTH and cortisol.
    • Released in response to stress and exhibits a diurnal rhythm.

Effects of ACTH

  • Trophic effect leading to increased cellularity and cortisol secretion from the adrenal cortex.
  • Increases adrenal cortex responsiveness to ACTH.
  • May cause skin pigmentation effects similar to MSH.

Adrenal Cortex Hormones

  • Mineralocorticoids: Primarily Aldosterone.
  • Glucocorticoids: Primarily Cortisol (95% of glucocorticoid activity).
  • Sex Hormones: Androgens.

Cortisol Function and Disorders

  • Essential for life, released in response to ACTH.
  • Causes hyperglycemia and enhances protein catabolism.
  • Increases fatty acid mobilization; provides permissive effects for catecholamines and glucagon.
  • Deficiency leads to Addison's disease, causing hyponatremia, hypotension, hyperkalemia, and weight loss.

Aldosterone

  • Main mineralocorticoid responsible for sodium retention and potassium excretion.
  • Essential for life and accounts for 90% of mineralocorticoid activity.

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