Pancreatic Hormones and Clinical Manifestations Quiz
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Questions and Answers

During which stage of the general adaptation syndrome does the body exhibit an increased resistance to stressors?

  • Stage of resistance (correct)
  • Stage of exhaustion
  • Stage of adaptation
  • Alarm reaction
  • Which hormone interaction is exemplified by one hormone enhancing the response to a second hormone?

  • Permissive effects (correct)
  • Mixed effects
  • Synergistic effects
  • Antagonistic effects
  • What type of effects can result from the simultaneous action of epinephrine and norepinephrine?

  • Permissive effects
  • Antagonistic effects
  • Synergistic effects (correct)
  • Neutral effects
  • In the context of hormone interactions, which term describes the relationship between parathyroid hormone (PTH) and calcitonin?

    <p>Antagonistic effects</p> Signup and view all the answers

    What is the long-term effect of sustained high levels of insulin on target cells?

    <p>Down-regulation</p> Signup and view all the answers

    Eicosanoids are signaling molecules that act in a _________ manner to influence neighboring cells.

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

    Which type of hormones penetrate the plasma membrane and bind to intracellular receptors?

    <p>Hydrophobic hormones</p> Signup and view all the answers

    What is the mode of action for hydrophilic hormones that use cAMP as a second messenger?

    <p>Phosphorylate Myosin</p> Signup and view all the answers

    Which hormone effect involves increasing the rate of aerobic respiration and protein synthesis?

    <p>Thyroid Hormone</p> Signup and view all the answers

    What is the role of Na+-K+ ATPase in response to thyroid hormone?

    <p>Increases heat generation</p> Signup and view all the answers

    Which type of hormones need to bind to cell-surface receptors?

    <p>Hydrophilic hormones</p> Signup and view all the answers

    Which protein is activated by Gq protein in the G-coupled protein examples given?

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

    Which hormone is secreted when blood glucose is low and acts on liver cells to release glycogen, increasing blood sugar levels?

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

    What is the primary function of insulin secreted by beta cells in the pancreas after a meal?

    <p>Stimulates glucose uptake</p> Signup and view all the answers

    Which hormone is responsible for inhibiting growth hormone (GH) secretion after a meal?

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

    What is the primary function of hyperglycemic hormones in the body?

    <p>Raise blood glucose levels</p> Signup and view all the answers

    Which organ releases atrial natriuretic peptide to help decrease blood volume and blood pressure?

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

    What is the primary function of erythropoietin produced by the kidneys?

    <p>Produce red blood cells</p> Signup and view all the answers

    Which hormones are categorized as fat-soluble steroids derived from cholesterol?

    <p>Sex steroids and Corticosteroids</p> Signup and view all the answers

    Which hormones are derived from amino acids and catecholamines?

    <p>Norepinephrine, dopamine, epinephrine</p> Signup and view all the answers

    Which class of hormones includes eicosanoids derived from polyunsaturated fatty acids?

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

    What type of hormones act as chemical messengers that travel in the bloodstream?

    <p>Endocrine hormones</p> Signup and view all the answers

    In cell communication, which mechanism involves signaling chemicals moving from cell to cell through pores in the cell membrane?

    <p>Gap junctions allowing direct cell-to-cell signaling</p> Signup and view all the answers

    Which type of glands secrete their products through a duct onto an open surface or organ cavity?

    <p>Exocrine glands</p> Signup and view all the answers

    What is the primary function of eicosanoids in cell signaling?

    <p>Act intracellularly to alter target cell metabolism</p> Signup and view all the answers

    Which component of the endocrine system is responsible for producing hormones such as thyroid hormones and melatonin?

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

    What distinguishes endocrine glands from exocrine glands in terms of their secretions?

    <p>Endocrine glands have ducts to release products onto surfaces.</p> Signup and view all the answers

    What is the precursor molecule that is converted to proinsulin in the endoplasmic reticulum?

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

    Which hormone is synthesized from tryptophan instead of tyrosine?

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

    In the synthesis of thyroid hormone, what mineral is required?

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

    Which cells absorb iodine from the blood and synthesize thyroglobulin to form T3 and T4?

    <p>Follicular cells</p> Signup and view all the answers

    What is the composition of T3 (triiodothyronine)?

    <p>Combination of DIT and MIT</p> Signup and view all the answers

    How are hydrophilic protein hormones typically transported in the bloodstream?

    <p>As free, unbound molecules</p> Signup and view all the answers

    What is the primary mode of action for hydrophobic hormones such as estrogen, T3, and aldosterone?

    <p>Bind to cytoplasmic receptors and activate metabolic pathways</p> Signup and view all the answers

    Which organelle is directly affected by thyroid hormone (TH) binding to its receptors?

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

    What is the primary function of cAMP in the mode of action of hydrophilic hormones like epinephrine?

    <p>Produce metabolic reactions</p> Signup and view all the answers

    In the G-coupled protein examples given, which protein is responsible for increasing intracellular calcium levels in smooth muscle cells?

    <p>Inositol trisphosphate (IP3)</p> Signup and view all the answers

    What is the main effect of alpha-2 G-coupled protein on adenylyl cyclase (AC) activity?

    <p>Inhibits AC to decrease cAMP levels</p> Signup and view all the answers

    Which mitochondria-associated process is directly influenced by thyroid hormone binding to its receptors?

    <p>ATP synthesis</p> Signup and view all the answers

    Which hormone promotes tissue growth by enhancing amino acid transport into cells and increasing protein synthesis?

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

    Where does somatotropin stimulate the liver to produce IGF-I and II, leading to protein synthesis?

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

    Which hormone, secreted by the posterior pituitary gland, targets the kidneys to reduce urine and retain water?

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

    What is the primary function of melatonin produced by the pineal gland at night?

    <p>Regulate sleep patterns</p> Signup and view all the answers

    Which gland becomes less active after puberty and secretes hormones that regulate T-lymphocyte development?

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

    Which hormone released by the thyroid gland promotes calcium deposition and antagonizes parathyroid hormone?

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

    What is the primary function of aldosterone produced by the adrenal cortex?

    <p>Controls electrolyte balance</p> Signup and view all the answers

    Which stage of the general adaptation syndrome is characterized by protein breakdown, muscle wasting, and loss of glucose homeostasis?

    <p>Stage of Exhaustion</p> Signup and view all the answers

    In which disorder does a tumor or lesion destroy a gland leading to inadequate hormone release?

    <p>Hyposecretion disorder</p> Signup and view all the answers

    Which chemical messenger diffuses from the adrenal medulla to the cortex?

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

    What is the primary function of Prostacyclin produced by cyclooxygenase?

    <p>Inhibits blood clotting and vasoconstriction</p> Signup and view all the answers

    Which disorder results in low metabolic rate, weight gain, bradycardia, and constipation?

    <p>Thyroid Gland Disorders</p> Signup and view all the answers

    What characterizes congenital hypothyroidism in infants?

    <p>Low temperature and lethargy</p> Signup and view all the answers

    How do hydrophobic hormones like estrogen and T3 typically enter a cell to bind to their receptors?

    <p>Directly penetrate the plasma membrane</p> Signup and view all the answers

    What is the composition of T4 (thyroxine)?

    <p>Two DIT molecules</p> Signup and view all the answers

    Which organelle is primarily targeted by thyroid hormone (TH) to increase the rate of aerobic respiration and protein synthesis?

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

    Which hormone requires the mineral iodine for its synthesis?

    <p>Thyroid hormone</p> Signup and view all the answers

    What is the primary mode of action for hydrophilic hormones such as epinephrine that utilize cAMP as a second messenger?

    <p>Activate adenylate cyclase to produce cAMP</p> Signup and view all the answers

    What is the primary storage form of thyroid hormone in the follicular cells?

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

    Which hormones are classified as hydrophobic and require transport proteins for circulation?

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

    Which second messenger is typically activated in hydrophilic hormone modes of action, promoting metabolic reactions such as synthesis and secretion?

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

    When hydrophilic hormones like epinephrine bind to cellsurface receptors, what is the immediate downstream effect in the mode of action?

    <p>Activation of adenylate cyclase</p> Signup and view all the answers

    What is the primary function of C-peptide in insulin formation?

    <p>Acts as a storage form of insulin</p> Signup and view all the answers

    In the context of hydrophilic hormone action, which molecule serves as a common intermediate for activating kinases and enzymes?

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

    Which organelle plays a key role in the conversion of proinsulin to insulin?

    <p>Golgi complex</p> Signup and view all the answers

    Which clinical manifestation is associated with excess cortisol secretion in Cushing syndrome?

    <p>Increased appetite and weight gain</p> Signup and view all the answers

    What is a common symptom of hyperparathyroidism due to excess parathyroid hormone (PTH) secretion?

    <p>Weak, fragile, and deformed bones</p> Signup and view all the answers

    What characterizes the role of insulin in diabetes mellitus type II?

    <p>Enhances target cell sensitivity to insulin</p> Signup and view all the answers

    In what disorder is hypoglycemia a common symptom due to excess insulin secretion?

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

    What is the main effect of adrenal androgen hypersecretion in adrenogenital syndrome?

    <p>Feminizing effects in women</p> Signup and view all the answers

    Which hormone imbalance results from inadequate secretion of parathyroid hormone (PTH)?

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

    What is the primary role of gap junctions in cell communication?

    <p>Allow signaling chemicals to move from cell to cell</p> Signup and view all the answers

    In endocrine glands, how are the secretions delivered compared to exocrine glands?

    <p>Directly into the bloodstream without ducts</p> Signup and view all the answers

    What characterizes the action of paracrine hormones?

    <p>Released into interstitial fluid to affect nearby cells</p> Signup and view all the answers

    What distinguishes target cells from other cell types in the body?

    <p>Absorb and respond to specific hormones</p> Signup and view all the answers

    How do eicosanoids primarily influence neighboring cells?

    <p>By binding to intracellular receptors</p> Signup and view all the answers

    Which mechanism is involved in cell communication when neurotransmitters are released from neurons?

    <p>Traveling across synapses to reach adjacent cells</p> Signup and view all the answers

    Which organ releases atrial natriuretic peptide to help decrease blood volume and blood pressure?

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

    Which hormone is responsible for stimulating glycogenolysis, fat catabolism, and promoting the absorption of amino acids for gluconeogenesis?

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

    What is the primary function of hepcidin in the bloodstream?

    <p>Inhibits iron absorption</p> Signup and view all the answers

    Which type of hormones are derived from cholesterol and have functional groups attached to a 4-ringed steroid backbone?

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

    What is the primary function of pancreatic polypeptide secreted by F cells in the pancreas?

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

    Which hormone, when secreted, raises blood glucose levels by acting on liver cells to release glycogen?

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

    What does somatostatin secreted by delta (d) cells do when there is a rise in blood glucose and amino acids after a meal?

    <p>Inhibits insulin and glucagon secretion</p> Signup and view all the answers

    Which organ produces 15% of erythropoietin, stimulating bone marrow to produce red blood cells?

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

    What is the precursor molecule that converts into proinsulin in the golgi complex?

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

    Which hormone is synthesized from tryptophan instead of tyrosine?

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

    What mineral is required for the synthesis of thyroid hormone?

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

    Which molecules form T3 and T4 in the synthesis of thyroid hormone?

    <p>MIT and DIT</p> Signup and view all the answers

    Which type of hormones are transported in the bloodstream bound to transport proteins?

    <p>Steroids and thyroid hormones</p> Signup and view all the answers

    What is the composition of Thyroxine (T4) in terms of MIT and DIT molecules?

    <p>DIT and MIT</p> Signup and view all the answers

    What is the primary role of somatotropin secreted by the anterior pituitary gland?

    <p>Stimulates liver to produce IGF-I and II for protein synthesis</p> Signup and view all the answers

    During childhood and adolescence, what specific growth process does growth hormone stimulate?

    <p>Bone, cartilage, and muscle growth</p> Signup and view all the answers

    In adulthood, how does growth hormone primarily affect bone structure?

    <p>Enhances bone thickening and remodeling</p> Signup and view all the answers

    What is the primary function of oxytocin released by the posterior pituitary gland?

    <p>Promotes uterine contractions and milk ejection</p> Signup and view all the answers

    Which hormone is predominantly secreted by the pineal gland and plays a role in regulating sleep-wake cycles?

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

    Where is the thymus located in the body?

    <p>Superior to the heart</p> Signup and view all the answers

    Which layer of the adrenal cortex produces glucocorticoids like cortisol that affect metabolism?

    <p>Zona fasciculata (middle)</p> Signup and view all the answers

    What is the primary effect of catecholamines released by the adrenal medulla on metabolic rate?

    <p>(Increase in metabolic rate)</p> Signup and view all the answers

    "Pheochromocytomas" are tumors derived from which cells in the adrenal medulla?

    <p>&quot;Chromaffin cells&quot;</p> Signup and view all the answers

    "Calcitonin" produced by parafollicular "C" cells primarily affects which of the following?

    <p>(Antagonizes parathyroid hormone to decrease blood calcium)</p> Signup and view all the answers

    What is the primary role of histamine from mast cells in connective tissue?

    <p>Causing relaxation of blood vessel smooth muscle</p> Signup and view all the answers

    Which chemical messenger from the adrenal medulla diffuses to the cortex?

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

    What is the main function of Prostacyclin produced by cyclooxygenase?

    <p>Inhibits blood clotting and vasoconstriction</p> Signup and view all the answers

    Which disorder results in abnormal bone development, lethargy, and brain damage in infants?

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

    What happens in acromegaly due to hypersecretion of growth hormones?

    <p>Thickening of bones and soft tissues</p> Signup and view all the answers

    What is the primary function of Thromboxanes produced by cyclooxygenase?

    <p>Stimulate vasoconstriction and clotting</p> Signup and view all the answers

    What is the long-term effect of sustained high levels of cortisol on the immune system?

    <p>Depressed immune function</p> Signup and view all the answers

    What characterizes the role of ACTH during the Stage of Resistance in stress response?

    <p>Stimulates fat and protein breakdown</p> Signup and view all the answers

    How do Leukotrienes influence allergic and inflammatory reactions?

    <p>Induce allergic and inflammatory reactions</p> Signup and view all the answers

    What is the primary effect of aldosterone during the Alarm Reaction stage?

    <p>Retention of sodium and water</p> Signup and view all the answers

    What distinguishes the speed of the response between the nervous and endocrine systems?

    <p>Nervous system reacts quickly, while the endocrine system reacts slowly.</p> Signup and view all the answers

    How do the nervous and endocrine systems differ in their area of effect?

    <p>Nervous system has targeted and specific effects, while the endocrine system has general, widespread effects.</p> Signup and view all the answers

    What controls homeostasis mechanisms and some endocrine functions?

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

    Which chemical functions as both a hormone and a neurotransmitter?

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

    What is the primary function of ACTH (Adrenocorticotropic Hormone)?

    <p>Regulates response to stress and stimulates adrenal cortex</p> Signup and view all the answers

    Which hormone stimulates production of egg or sperm cells?

    <p>FSH (Follicle Stimulating Hormone)</p> Signup and view all the answers

    Which hormone mainly stimulates hormone production in females?

    <p>LH (Luteinizing Hormone)</p> Signup and view all the answers

    Where are hormone receptors located for hydrophobic hormones like estrogen, T3, and aldosterone?

    <p>In the nucleus</p> Signup and view all the answers

    Which hormone mode of action involves binding to cell-surface receptors?

    <p>Thyroid hormone</p> Signup and view all the answers

    What is the primary effect of thyroid hormone (TH) binding to receptors on ribosomes and chromatin?

    <p>Enhances protein synthesis</p> Signup and view all the answers

    Which second messenger is activated by hydrophilic hormones like epinephrine?

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

    What is the downstream effect of activation by alpha 1 G-coupled protein on proteins/enzymes?

    <p>Phosphorylation of proteins/enzymes</p> Signup and view all the answers

    Which organelle is targeted by alpha 2 G-coupled protein to inhibit adenylate cyclase activity?

    <p>Plasma membrane</p> Signup and view all the answers

    Study Notes

    Hormone Receptors and Action

    • Hormone receptors are located on the plasma membrane, mitochondria, other organelles, or in the nucleus
    • There are thousands of receptors for a given hormone, which binding turns metabolic pathways on or off
    • Hydrophobic hormones (e.g. Estrogen, T3, Aldosterone) penetrate the plasma membrane and bind to intracellular receptors
    • Hydrophilic hormones (e.g. Epinephrine) must bind to cell surface receptors

    Thyroid Hormone Effects

    • Thyroid hormone (TH) binds to receptors on:
      • Mitochondria: increases rate of aerobic respiration
      • Ribosomes and chromatin: stimulates protein synthesis
      • Na+-K+ ATPase: generates heat

    Hydrophilic Hormones: Mode of Action

    • cAMP as a second messenger:
      1. Hormone binding activates G(s) protein
      2. Activates adenylate cyclase
      3. Produces cAMP
      4. Activates kinases
      5. Activates enzymes
      6. Metabolic reactions: synthesis, secretion, and change in membrane potentials
    • Other second messengers:
      • G-coupled proteins: may use different second messengers in different tissues
      • Examples: alpha 1, alpha 2, IP3, DAG, PKC, calmodulin, MLCK, and myosin

    Endocrine System Overview

    • Hormones: chemical messengers secreted into the bloodstream, stimulating a response in another tissue or organ
    • Target cells: have receptors for the hormone
    • Endocrine glands: produce hormones
    • Endocrine system: includes endocrine organs (e.g. thyroid, pineal), hormone-producing cells in organs (e.g. brain, heart, small intestine)

    Endocrine vs. Exocrine Glands

    • Endocrine glands: secrete products directly into the bloodstream, no ducts
    • Exocrine glands: secrete products through a duct and onto an open surface or organ cavity

    Pancreas

    • Both an exocrine and endocrine gland
    • Endocrine tissue: clusters of endocrine cells called "Islets of Langerhans"
    • Four types of cells that secrete different hormones:
      • Alpha (α) cells: glucagon
      • Beta (β) cells: insulin
      • Delta (δ) cells: somatostatin
      • F cells: pancreatic polypeptide

    Pancreatic Hormones

    • Insulin:
      • Secreted after a meal with carbohydrates that raise glucose blood levels
      • Stimulates glucose and amino acid uptake
      • Promotes nutrient storage effect (promotes glycogenesis and lipogenesis)
      • Antagonizes glucagon
    • Glucagon:
      • Secreted when blood glucose is low
      • Acts on liver cells to release glycogen
      • Increases blood sugar
      • Stimulates glycogenolysis, fat catabolism, and promotes absorption of amino acids for gluconeogenesis
    • Somatostatin:
      • Secreted with a rise in blood glucose and amino acids after a meal
      • Inhibits GH secretion
      • Paracrine secretion: inhibits secretion of insulin and glucagon by α and β cells

    Endocrine Functions of Other Organs

    • Heart: atrial natriuretic peptide released with an increase in blood pressure
    • Skin: helps produce vitamin D3
    • Liver:
      • 15% of erythropoietin (stimulates bone marrow)
      • Angiotensinogen (a prohormone) precursor of angiotensin II
      • Source of IGF-I (works with GH)
      • Converts vitamin D3 to calcidiol
      • Hepcidin: inhibits intestinal absorption of iron into the bloodstream
    • Kidneys:
      • Produces 85% of erythropoietin
      • Renin converts angiotensinogen to angiotensin I
      • Converts calcidiol to calcitriol (active form of vitamin D)
    • Stomach and small intestines: 10 enteric hormones coordinate digestive motility and secretion
    • Placenta: secretes estrogen, progesterone, and others regulate pregnancy, stimulate development of the fetus and mammary glands

    Hormone Synthesis

    • Steroid hormones: synthesized from cholesterol
    • Peptides and glycoproteins: synthesized in the RER, further modified in the Golgi complex
    • Monoamines: synthesized from tyrosine (except melatonin, which is synthesized from tryptophan)

    Hormone Transport

    • Hydrophilic hormones: transported in the bloodstream, unbound, and water-soluble
    • Steroid hormones: must bind to transport proteins for transport, prolonging half-life
    • Transport proteins in blood plasma: albumin, thyroxine-binding globulin (TGB), and transcortin

    Adrenal Gland

    • Cortex: three zones, each producing different hormones
      • Zona glomerulosa: mineralocorticoids (e.g. aldosterone)
      • Zona fasciculata: glucocorticoids (e.g. cortisol)
      • Zona reticularis: sex hormones (e.g. androgens and estrogens)
    • Medulla: chromaffin cells producing catecholamines (e.g. epinephrine and norepinephrine)

    Stress and Adaptation

    • General adaptation syndrome: the body's response to stress
    • Three stages:
      1. Alarm reaction
      2. Stage of resistance
      3. Stage of exhaustion

    Paracrine Secretions

    • Chemical messengers that diffuse short distances and stimulate nearby cells
    • Examples:
      • Histamine from mast cells in connective tissue
      • Nitric oxide from endothelium of blood vessels
      • Somatostatin from delta cells
      • Catecholamines from adrenal medulla

    Eicosanoids

    • Paracrine secretions derived from arachidonic acid
    • Examples:
      • Leukotrienes: mediate allergic and inflammatory reactions
      • Prostacyclin: inhibits blood clotting and vasoconstriction
      • Thromboxanes: stimulate vasoconstriction and clotting
      • Prostaglandins: diverse effects, including relaxation of smooth muscle and stimulation of relaxation of blood vessels

    Endocrine Disorders

    • Too much or too little hormone

    • Variations in hormone concentration and target cell sensitivity

    • Examples:

      • Hyposecretion: inadequate hormone release
      • Hypersecretion: excessive hormone release
      • Pituitary disorders: hypersecretion of growth hormones
      • Thyroid gland disorders: congenital hypothyroidism, endemic goiter, toxic goiter, and hypothyroidism### Hormone Synthesis and Transport
    • Insulin formation: preproinsulin is converted to proinsulin in the RER, and then split into insulin and C peptide in the Golgi complex.

    • Monoamine synthesis: all are synthesized from tyrosine, except melatonin, which is synthesized from tryptophan.

    • Thyroid hormone synthesis: composed of two tyrosine molecules, requires a mineral, iodine.

    • T3 and T4 synthesis: follicular cells absorb I- from blood, store in lumen as I-, synthesize thyroglobulin, and store in lumen containing tyrosine.

    • TSH stimulates follicular cells to remove T3 and T4 from thyroglobulin for release into plasma.

    • Hormone transport: monoamines and peptides are hydrophilic, transported in the bloodstream as a water-soluble form.

    • Steroids and thyroid hormone are hydrophobic, must bind to transport proteins for transport.

    Endocrine System Overview

    • Hypothalamus and pituitary gland: other endocrine glands, hormones, and their actions.
    • Stress and adaptation: eicosanoids and paracrine signaling.
    • Endocrine disorders: too much or too little hormone.

    Endocrine System Components

    • Hormone: a chemical messenger secreted into the bloodstream, stimulating a response in another tissue or organ.
    • Target cells: have receptors for the hormone.
    • Endocrine glands: produce hormones.
    • Endocrine system: endocrine organs, hormone-producing cells in organs.

    Endocrine vs. Exocrine Glands

    • Exocrine glands: secrete their products through a duct and onto an open surface or organ cavity.
    • Endocrine glands: secrete their products directly into the bloodstream, no ducts.

    Nervous vs. Endocrine System

    • Endocrine system: endocrine organs, hormone-producing cells in organs.
    • Nervous system: brain, spinal cord, and peripheral nerves.

    Pancreas

    • Is both exocrine and endocrine.
    • Endocrine tissue: clusters of endocrine cells called "Islets of Langerhans".
    • Islets include 4 types of cells that secrete different hormones:
      • Alpha (a) cells: glucagon.
      • Beta (b) cells: insulin.
      • Delta (d) cells: somatostatin.
      • F cells: pancreatic polypeptide.

    Pancreatic Hormones

    • Insulin: secreted after a meal, stimulates glucose and amino acid uptake, and nutrient storage.
    • Glucagon: secreted when blood glucose is low, acts on liver cells to release glycogen, and increases blood sugar.
    • Somatostatin: secreted with a rise in blood glucose and amino acids, inhibits GH, and paracrine secretion inhibits insulin and glucagon.

    Endocrine Functions of Other Organs

    • Heart: atrial natriuretic peptide, released with an increase in BP.
    • Skin: helps produce D3.
    • Liver: 15% of erythropoietin, angiotensinogen, and IGF-I.
    • Kidneys: 85% of erythropoietin, renin, and calcidiol.
    • Stomach and small intestines: 10 enteric hormones, coordinate digestive motility and secretion.
    • Placenta: secretes estrogen, progesterone, and others, regulates pregnancy, and stimulates development of the fetus and mammary glands.

    Hormone Classification

    • Fat-soluble: steroids, derived from cholesterol.
    • Water-soluble: peptides and glycoproteins, and monoamines.
    • Steroids: sex steroids, corticosteroids, and calcitriol.
    • Peptides and glycoproteins: OT, ADH, and most of the anterior pituitary hormones.
    • Monoamines: catecholamines, and thyroid hormones.

    Oxytocin and ADH

    • Oxytocin: causes uterine contractions and milk ejection.
    • ADH: targets kidneys, increases water retention, and reduces urine.

    Growth Hormone and Aging

    • Childhood and adolescence: bone, cartilage, and muscle growth.
    • Adulthood: increase osteoblastic activity, and appositional growth affecting bone thickening and remodeling.
    • Blood concentration: higher during deep sleep, after high protein meals, and after vigorous exercise.

    Posterior Pituitary Hormones

    • ADH: targets kidneys, increases water retention, and reduces urine.
    • Oxytocin: causes uterine contractions and milk ejection.

    Pineal Gland

    • Produces serotonin by day, and converts it to melatonin at night.
    • Melatonin: suppresses in SAD, and increases in PMS.

    Thymus

    • Located in the mediastinum, superior to the heart.
    • Involution after puberty.
    • Secretes hormones that regulate development and later activation of T-lymphocytes.

    Thyroid Gland

    • Anatomy: largest endocrine gland, high rate of blood flow.
    • Thyroid hormones: T3 and T4, produced by thyroid follicles, and stimulate the body's metabolic rate.

    Parathyroid Glands

    • Produce parathyroid hormone, which increases blood Ca2+ levels.

    Adrenal Gland

    • Adrenal cortex: produces corticosteroids, and adrenaline.
    • Adrenal medulla: produces catecholamines.

    Adrenal Cortex

    • Zona glomerulosa: produces mineralocorticoids, and aldosterone.
    • Zona fasciculata: produces glucocorticoids, and cortisol.
    • Zona reticularis: produces sex hormones.

    Adrenal Medulla

    • Produces catecholamines, and stimulates the sympathetic nervous system.
    • Increases alertness, anxiety, or fear.

    Endocrine Disorders

    • Hyposecretion: inadequate hormone release, leading to various disorders such as diabetes insipidus, and thyrotoxicosis.
    • Hypersecretion: excessive hormone release, leading to various disorders such as acromegaly, and Cushing's syndrome.

    Endocrine Disorders

    • Thyroid gland disorders: congenital hypothyroidism, myxedema, endemic goiter, toxic goiter, and hyperthyroidism.
    • Parathyroid disorders: hypoparathyroidism, and hyperparathyroidism.
    • Adrenal disorders: Cushing's syndrome, and adrenogenital syndrome.
    • Diabetes mellitus: signs and symptoms, types, and pathology.
    • Hyperinsulinism: causes, and symptoms.

    Endocrine System Pathology

    • Acute pathology: cells cannot absorb glucose, rely on fat and proteins.
    • Chronic pathology: chronic hyperglycemia leads to neuropathy, and cardiovascular damage.### Communication in Nervous and Endocrine Systems
    • Nervous system uses both electrical and chemical signals, while endocrine system uses only chemical signals
    • Nervous system reacts quickly (1-10 msec) and stops quickly, while endocrine system reacts slowly (seconds or days) and effects may persist for weeks
    • Nervous system adapts quickly to long-term stimuli, while endocrine system response persists
    • Nervous system has targeted and specific effects on one organ, while endocrine system has general and widespread effects on many organs

    Overlapping Functions

    • Some chemicals function as both hormones and neurotransmitters (NE, cholecystokinin, thyrotropin-releasing hormone, dopamine, and ADH)
    • Some hormones are secreted by neuroendocrine cells (neurons) like oxytocin and catecholamines
    • Both systems have overlapping effects on same target cells (NE and glucagon cause glycogenolysis in liver)
    • Systems can regulate each other (neurons can trigger hormone secretion, and hormones can stimulate or inhibit neurons)

    Hypothalamus and Pituitary Gland

    Hypothalamus

    • Regulates homeostasis mechanisms and some endocrine functions
    • Shaped like a flattened funnel and forms floor and walls of third ventricle

    Pituitary Gland

    • Suspended from hypothalamus by stalk (infundibulum) and housed in sella turcica of sphenoid bone
    • Diameter of 1.3 cm
    • Anterior pituitary (adenohypophysis) arises from hypophyseal pouch (outgrowth of pharynx)
    • Posterior pituitary (neurohypophysis) arises from brain

    Embryonic Development and Histology of Pituitary Gland

    Pituitary Gland Anatomy and Hormones

    • Anterior pituitary hormones: FSH, LH, TSH, ACTH, PRL, and GH
    • Posterior pituitary hormones: oxytocin and ADH

    Control of Pituitary

    • Anterior lobe control: releasing hormones and inhibiting hormones of hypothalamus
    • Posterior lobe control: neuroendocrine reflexes (hormone release in response to nervous system signals)

    Feedback from Target Organs

    • Negative feedback: target organ hormone levels inhibit release of tropic hormones
    • Positive feedback: stretching of uterus triggers OT release, causing more contraction and stretching of uterus, until delivery

    Pituitary Hormones - Anterior Lobe

    • Tropic hormones target other endocrine glands
    • FSH targets gonads
    • LH mainly stimulates hormone production in females and testosterone secretion in males
    • TSH stimulates growth of thyroid and secretion of thyroid hormones
    • ACTH regulates response to stress and stimulates adrenal cortex to secrete corticosteroids
    • PRL stimulates milk synthesis in females and LH sensitivity and testosterone secretion in males
    • GH (growth hormone) affects growth and metabolism

    Hormone Receptors

    • Located on plasma membrane, mitochondria, other organelles, or in nucleus
    • Thousands of receptors for a given hormone, binding turns metabolic pathways on or off

    Hormone Mode of Action

    • Hydrophobic hormones (estrogen, T3, aldosterone) penetrate plasma membrane and bind to intracellular receptors
    • Hydrophilic hormones (epinephrine) bind to cell surface receptors

    Thyroid Hormone Effects

    • TH binds to receptors on mitochondria, increasing rate of aerobic respiration
    • TH binds to receptors on ribosomes and chromatin, increasing protein synthesis
    • TH stimulates production of Na+-K+ ATPase, generating heat

    Hydrophilic Hormones: Mode of Action

    • Use cAMP as a second messenger (epinephrine)
    • Hormone binding activates G(s) protein, which activates adenylate cyclase, producing cAMP
    • cAMP activates kinases, which activate enzymes, leading to metabolic reactions

    Hydrophilic Hormones: Mode of Action (Cont.)

    • Other second messengers: G-coupled proteins, alpha 1 and alpha 2
    • Alpha 1 uses Gq, PLC, PIP2, DAG, PKC, and IP3
    • Alpha 2 uses Gi, inhibiting adenylate cyclase, decreasing cAMP and PKA

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    Test your knowledge on pancreatic hormones and clinical manifestations related to catecholamines secretion. Learn about the functions of different types of cells in the endocrine tissue of the pancreas.

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