Endocrine System PDF

Principles of Anatomy and Physiology 14th Edition CHAPTER 18 The Endocrine System Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Comparison of Control by the Nervous and Endocrine Systems  The n...

Principles of Anatomy and Physiology 14th Edition CHAPTER 18 The Endocrine System Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Comparison of Control by the Nervous and Endocrine Systems  The nervous and endocrine systems act together to coordinate all systems of the body.  The nervous system releases neurotransmitters; the endocrine system releases hormones.  Most hormones circulate through the blood and bind to receptors on “target cells.”  Neurotransmitters also bind to receptors on “target” cells. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Comparison of Control by the Nervous and Endocrine Systems Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Endocrine Glands  Exocrine glands secrete their products into ducts. None of these are hormones.  These glands include sudoriferous (sweat) glands, sebaceous (oil) glands, mucous glands, digestive glands and several other throughout the body. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Endocrine Glands  Endocrine glands secrete hormones. They do not have ducts and secrete their hormones directly into the interstitial fluid that surrounds them.  The hormones diffuse into the blood stream through capillaries and are carried to target cells throughout the body.  Endocrine glands include the pituitary, thyroid, parathyroid, adrenal and pineal glands. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Endocrine Glands Certain organs and tissues that are not part of the endocrine system also secrete hormones. These include the hypothalamus, thymus, pancreas, ovaries, testes, kidneys, stomach, liver, small intestine, skin, heart, adipose tissue and placenta. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Endocrine Glands Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hormone Activity  Hormones traveling throughout the body will only affect target cells that possess specific protein receptors.  Receptors are continually being synthesized and broken down.  Receptors may be down-regulated in the presence of high concentrations of hormone.  Receptors may be up-regulated in the presence of low concentrations of hormone. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hormone Activity Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hormone Activity Hormones that don’t circulate are local hormones (paracrines). Those that act on the same cell that secretes them are autocrines. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hormone Activity  Hormones are either lipid-soluble (steroid hormones, thyroid hormones, nitric oxide) or water-soluble (amine hormones, peptide and protein hormones, eicosanoid hormones).  Water-soluble hormones circulate freely in the plasma.  Lipid-soluble hormones circulate bound to transport proteins. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hormone Activity Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hormone Activity Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Mechanisms of Hormone Action Responses to the same hormone may vary depending on the hormone itself and the target cell. The response may be:  Synthesis of new molecules  Changing permeability of the cell membrane  Stimulating transport of a substance into or out of the cell  Altering the rate of metabolic actions  Causing contraction of smooth or cardiac muscle Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Mechanisms of Hormone Action Lipid-soluble hormones bind to receptors within target cells. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Mechanisms of Hormone Action Water-soluble hormones bind to receptors on the exterior surface of the target cell. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Mechanisms of Hormone Action How a target cell responds to a hormone is based on:  The hormone’s concentration in the blood  The number of hormone receptors on the target cell  Influences exerted by other hormones  Some hormones work more effectively when a second hormone is present to assist them (synergistic effect).  Some hormones oppose the action of others (antagonistic effect). Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Control of Hormone Secretion Hormones are secreted in short bursts when needed. Secretion is regulated by:  Signals from the nervous system  Chemical changes in the blood  Other hormones Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Control of Hormone Secretion Most hormone regulation is achieved via negative feedback. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Control of Hormone Secretion A few hormones operate via positive feedback. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Control of Hormone Secretion Interactions Animation: Hormonal Cycles You must be connected to the Internet and in Slideshow Mode to run this animation. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland The hypothalamus and pituitary gland work together to control other endocrine glands. They are connected by the infundibulum. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland  The anterior lobe (adenohypophysis) makes up 75% of the weight of the pituitary gland and secretes 7 hormones.  The posterior lobe (neurohypophysis) is made of neural tissue and releases two hormones made by the hypothalamus.  The hypothalamus secretes releasing and inhibiting hormones that control the release of hormones by the pituitary gland. They reach the pituitary gland via the hypophyseal portal system. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland The anterior pituitary gland secretes 7 hormones produced by 5 different types of cells. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Negative feedback loops control the secretions of thyrotrophs, gonadotrophs and corticotrophs. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland  Human growth hormone (hGH) is the most plentiful anterior pituitary hormone.  It is released in bursts every few hours by somatotrophs.  Their activity is controlled by two hypothalamic hormones: growth hormone-releasing hormone (GHRH) and growth hormone-inhibiting hormone (GHIH). Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland In summary, the anterior pituitary gland secretes human growth hormone (hGH), thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL), adrenocorticotropic hormone (ACTH) and melanocyte-stimulating hormone (MSH). Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland  The posterior pituitary gland does not synthesize any hormones, but stores and releases from axon terminals two hormones produced by the neurosecretory cells of the hypothalamus: oxytocin (OT) and anti- diuretic hormone (ADH).  Axons from the neurosecretory cells form the hypothalamohypophyseal tract. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland  The amount of antidiuretic hormone (ADH) secreted varies with blood osmotic pressure. Its function is to decrease urine output. Osmoreceptors (neurons) in the hypothalamus monitor blood osmotic pressure.  An increase in blood volume causes a decrease in ADH secretion.  A decrease in blood volume causes an increase in ADH secretion. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Hypothalamus and Pituitary Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland The thyroid gland is a butterfly-shaped gland located inferior to the larynx and anterior to the trachea. It has right and left lateral lobes connected by an isthmus. Some glands also have a pyramidal lobe projecting from the isthmus. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland  Follicular cells are stimulated by TSH to produce thyroxine (tetraiodothyronine, T4) and triiodothyronine (T3) known as thyroid hormones.  Parafollicular cells produce the hormone calcitonin to help regulate calcium homeostasis. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland T3 and T4 are synthesized and secreted in an 8 step process. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland Thyroid hormones:  Increase basal metabolic rate (BMR)  Help maintain normal body temperature  Stimulate protein synthesis  Increase the use of glucose and fatty acids for ATP production  Upregulate beta (β) receptors that attach to catecholamines  Work with hGH and insulin to accelerate body growth Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland Thyrotropin-releasing hormone (TRH) from the hypothalamus and thyroid- stimulating hormone (TSH) from the anterior pituitary stimulate synthesis and release of thyroid hormones in a 5 step process. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Thyroid Gland Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Parathyroid Glands Located on the posterior aspect of each lobe of the thyroid gland are 2 parathyroid glands (one inferior and one superior). Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Parathyroid Glands  Parathyroid glands contain 2 types of cells:  Chief cells (principal cells) that produce parathyroid hormone (PTH, parathormone)  Oxyphil cells whose function is not known in normal parathyroid glands but which secrete excess PTH in cases of parathyroid cancer Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Parathyroid Glands Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Parathyroid Glands Calcitonin produced by the thyroid gland works in conjunction with PTH and calcitriol to regulate calcium homeostasis. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Parathyroid Glands Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands The adrenal glands (suprarenal glands) are located on top of each kidney. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands The glands are divided into two regions: the outer cortex and the medial medulla. The glands are covered by a connective tissue capsule. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands The cortex is divided histologically into 3 regions:  The zona glomerulosa  The zona fasciculata  The zona reticularis Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands  The zona glomerulosa secretes hormones called mineralocorticoids used to regulate mineral homeostasis.  The zona fasciculata secretes hormones called glucocorticoids that affect glucose homeostasis.  The zona reticularis secretes weak androgens (hormones with masculinizing effects). Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands  Aldosterone is the major mineralocorticoid secreted by the adrenal gland. It helps regulate sodium and potassium homeostasis.  The renin-angiotensin-aldosterone (RAA) pathway controls secretion of aldosterone. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands Secretion of glucocorticoids (cortisol [hydrocortisone]-the most produced, cortisone and corticosterone) is regulated by negative feedback. They help control:  Protein breakdown  Glucose formation  Lipolysis  Resistance to stress  Inflammation  Immune responses Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands  The major androgen secreted by the adrenal cortex is dehydroepiandrosterone (DHEA). In males, after puberty the hormone testosterone is secreted in much larger quantities so DHEA has virtually no effect.  In females, DHEA and other adrenal androgens play a major role in promoting libido and are converted to estrogens. In menopausal women, all female estrogens come from adrenal androgens. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands  The adrenal medulla is stimulated by sympathetic preganglionic neurons of the autonomic nervous system (ANS).  Chromaffin cells secrete epinephrine (adrenaline) and norepinephrine (noradrenaline) both of which are involved in the fight-or-flight response. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Adrenal Glands Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pancreatic Islets The pancreas is both an endocrine and exocrine gland. It is located in the curve of the duodenum. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pancreatic Islets  Almost all of the exocrine cells of the pancreas are arranged in clusters called acini. These produce digestive enzymes that are delivered to the gastrointestinal tract through ducts.  Scattered among the acini are clusters of endocrine tissue called pancreatic islets (islets of Langerhans). Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pancreatic Islets Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pancreatic Islets The 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 Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pancreatic Islets Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pancreatic Islets Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pancreatic Islets Secretion of insulin and glucagon are controlled by negative feedback. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Ovaries and Testes  Gonads (ovaries and testes) produce gametes (oocytes and sperm respectively).  Ovaries produce two estrogens (estradiol and estrone), progesterone, relaxin and inhibin.  Testes produce testosterone. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Ovaries and Testes Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pineal Gland and Thymus  The pineal gland is attached to the roof of the third ventricle of the brain and secretes melatonin which helps to regulate the body’s biological clock.  The thymus is located behind the sternum between the lungs. It produces thymosin, thymic humoral factor (THF), thymic factor (TF) and thymopoietin, all of which promote maturation of the immune system’s T cells. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Pineal Gland and Thymus Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Other Endocrine Tissues and Organs, Eicosanoids, and Growth Factors Several tissues and organs which are not part of the endocrine system are able to produce hormones. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Other Endocrine Tissues and Organs, Eicosanoids, and Growth Factors Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Other Endocrine Tissues and Organs, Eicosanoids, and Growth Factors  Eicosanoids are locally-acting hormones derived from the 20-carbon fatty acid arachadonic acid.  Certain hormones stimulate cell growth and division. Several newly discovered hormones called growth factors are involved in tissue development, growth and repair. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Other Endocrine Tissues and Organs, Eicosanoids, and Growth Factors Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. The Stress Response  Eustress is helpful, everyday stress that prepares us to meet challenges.  Distress is any type of harmful stress that may be damaging.  The fight-or-flight response (first stage of the stress response) stimulates the body’s resources to prepare for immediate activity.  The resistance reaction is the second stage in the stress response and lasts longer than the fight-or-flight response. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. The Stress Response Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Development of the Endocrine System Glands of the endocrine system develop from all 3 primary germ layers. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Development of the Endocrine System Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Aging and the Endocrine System  Aging brings about changes in the levels of most hormones. Some increase while some decrease. In addition, levels of some hormones, like epinephrine and norepinephrine, remain the same.  Histologically, most endocrine glands reduce in size and contain increasingly more fibrous connective tissue with age. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Focus on Homeostasis Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Endocrine Disorders  There are many endocrine disorders. Some are more common than others.  Pituitary gigantism and acromegaly are caused by excess secretion of growth hormone.  Goiter is caused by a reduction in the production of thyroid hormone.  Graves disease (with associated exophthalmos) develops due to excess thyroid hormone.  Cushing’s syndrome is caused by excess secretion of glucocorticoids. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. Endocrine Disorders Copyright © 2014 John Wiley & Sons, Inc. All rights reserved. End of Chapter 18 Copyright 2014 John Wiley & Sons, Inc. All rights reserved. Reproduction or translation of this work beyond that permitted in section 117 of the 1976 United States Copyright Act without express permission of the copyright owner is unlawful. Request for further information should be addressed to the Permission Department, John Wiley & Sons, Inc. The purchaser may make back-up copies for his/her own use only and not for distribution or resale. The Publisher assumes no responsibility for errors, omissions, or damages caused by the use of these programs or from the use of the information herein. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved.