Lecture 5.1 - Introduction to the endocrine system and the endocrine pancreas
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Questions and Answers

Which of the following hormones is released from the stomach wall when it is empty?

  • Ghrelin (correct)
  • PYY
  • Glucagon
  • Insulin
  • What is the primary function of the arcuate nucleus in the hypothalamus?

  • Regulation of blood pressure
  • Regulation of appetite and satiety (correct)
  • Control of body temperature
  • Regulation of thirst
  • What is the effect of ghrelin on the excitatory primary neurones in the arcuate nucleus?

  • Stimulates appetite (correct)
  • Inhibits appetite
  • Stimulates satiety
  • Has no effect
  • What is the effect of PYY on the excitatory primary neurones in the arcuate nucleus?

    <p>Inhibits appetite</p> Signup and view all the answers

    What is the primary function of pro-opiomelanocortin (POMC) in the arcuate nucleus?

    <p>Promotes satiety</p> Signup and view all the answers

    What is the effect of filling the stomach on ghrelin release?

    <p>Inhibits ghrelin release</p> Signup and view all the answers

    What is the primary function of the glucocorticoids in the adrenal cortex?

    <p>Regulation of blood sugar levels</p> Signup and view all the answers

    What is the effect of insulin on glucose uptake in cells?

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

    What is the primary function of glucagon in glucose regulation?

    <p>Stimulates glucose release from storage</p> Signup and view all the answers

    What is the net effect of energy intake exceeding energy expenditure?

    <p>Energy stores increase</p> Signup and view all the answers

    What is the primary function of leptin in the regulation of appetite?

    <p>Suppressing appetite by inhibiting excitatory neurons and stimulating inhibitory neurons</p> Signup and view all the answers

    What is the approximate percentage of endocrine tissue in the pancreas?

    <p>1-2%</p> Signup and view all the answers

    What is the primary function of the exocrine pancreas?

    <p>Secretion of enzymes involved in the digestion of lipids, carbohydrates, and proteins</p> Signup and view all the answers

    What is the effect of amylin on glucagon secretion?

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

    What is the embryological origin of the pancreas?

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

    What is the primary function of the receptor in homeostasis?

    <p>To detect changes in the environment and send signals to the control centre</p> Signup and view all the answers

    What is the effect of insulin on appetite?

    <p>Suppresses appetite</p> Signup and view all the answers

    How do endocrine hormones typically travel in the body?

    <p>Through the bloodstream</p> Signup and view all the answers

    What is the role of UCP (uncoupling proteins) in the regulation of energy balance?

    <p>Energy is dissipated as heat</p> Signup and view all the answers

    What is the primary mechanism of controlling hormone secretion?

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

    What is the term for the resistance to the effects of leptin in obese individuals?

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

    What is the characteristic of hormone concentrations in the blood?

    <p>They are very low</p> Signup and view all the answers

    What is the function of the effector in homeostasis?

    <p>To cause a change in response to the control centre's output</p> Signup and view all the answers

    What is the characteristic of peptide and amine hormones in terms of transportation in the blood?

    <p>They are water-soluble</p> Signup and view all the answers

    What is the function of the control centre in homeostasis?

    <p>To determine the reference set point and produce an output signal</p> Signup and view all the answers

    What is the process that inactivates hormones in the body?

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

    Study Notes

    Steroid Hormones and Energy Balance

    • C21 steroids: corticosteroids (glucocorticoids, e.g., cortisol, and mineralocorticoids, e.g., aldosterone) and progestins (e.g., progesterone from ovaries)
    • C19 steroids: androgens (e.g., testosterone from testes)
    • C18 steroids: oestrogens (e.g., oestradiol from ovaries)

    Hormone Action

    • Hormones act by binding to receptors on or in target cells
    • Magnitude of response depends on: hormone concentration, receptor number, hormone-receptor affinity, and signal amplification
    • If hormone cannot cross membrane, it binds to cell surface receptor, activates second messenger pathway, and exerts metabolic effects

    Mechanism of Action of Steroid Hormones

    • Steroid hormones bind to receptors in target cells, leading to changes in gene expression and protein synthesis

    Control of Energy Balance

    • Energy balance: energy intake = expenditure (stable body weight), energy intake > expenditure (increased energy stores), energy expenditure > intake (decreased energy stores)
    • Appetite control centre: hypothalamus, containing clusters of neurons (nuclei), including the arcuate nucleus

    Control of Appetite

    • Arcuate nucleus contains two types of neurons: primary (sense glucose, fatty acids, and hormones) and secondary (integrate signals for feeding behavior)
    • Primary neurons: stimulatory (excitatory, containing NPY and AgRP) and inhibitory (containing POMC, alpha-MSH, and beta-endorphin)
    • Ghrelin: released from stomach wall when empty, stimulates appetite, and inhibited by stomach distension
    • PYY (Peptide tyrosine tyrosine): released from ileum and colon in response to feeding, inhibits appetite, and signals satiety

    Hormonal Signals

    • Leptin: released from fat cells, suppresses appetite, and stimulates POMC neurons in the arcuate nucleus
    • Insulin: suppresses appetite by similar mechanism as leptin
    • Amylin: secreted by pancreatic beta cells, suppresses appetite, decreases glucagon secretion, and slows gastric emptying

    Other Players and Therapeutics

    • Large intestine: oxyntomodulin, GLP-1
    • Small intestine: cholecystokinin, GIP
    • Adipose: adiponectin, resistin, visfatin
    • Pancreas: PP (Pancreatic polypeptide)

    Integration of Energy Balance

    • Leptin: discovery, role in energy balance, and response to injection in leptin-deficient individuals

    Pancreas

    • Anatomy: retro-peritoneal gland, majority exocrine, highly vascular and innervated
    • Development: embryological origin from the foregut, similar to the brain
    • Exocrine function: 98-99% secretion of enzymes for digestion of lipids, carbohydrates, and proteins
    • Endocrine function: 1-2% of pancreatic mass, hormone production

    Homeostasis

    • Control centre: hypothalamus, determines reference set point
    • Receptor: sensors detect changes in the environment
    • Effector: agents cause change
    • Feedback: output affects the control centre

    Endocrine Hormones

    • Definition: chemical signals produced in endocrine glands or tissues that travel in the bloodstream to cause an effect on other tissues
    • Release: from endocrine glands, travel in blood stream, interact with receptors, and cause coordinated responses

    Glands of the Endocrine System

    • Endocrine tissue: pancreas, thyroid, adrenal glands, etc.
    • Biologically active chemical: hormones produced by endocrine glands
    • Transport: in blood stream
    • Target cells: receptors and response
    • Inactivation: metabolism of hormone causes inactivation

    Control of Hormone Secretion

    • Rate of secretion usually controlled by negative feedback: change in parameter regulated by the hormone or concentration of hormone itself or another hormone

    Hormone Concentrations

    • Hormones circulate in very low concentrations (e.g., thyroxine 10-30 pmol/L)

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    Description

    Learn about the classification of steroid hormones, including C21, C19, and C18 steroids, and understand how hormones act on target cells.

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