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Major endocrine glands and location within the body
Cranial: pituitary, pineal, hypothalamus Thoracic: thyroid, parathyroid, thymus Abdominal: adrenal (suprarenal) & pancreas Abdominopelvic: gonads [testis (m) & ovary (f)]
Endocrine gland
Secrete their products (hormones) into the extracellular space (ECF, blood, etc)
Water-soluble hormone mechanism of action
cAMP 2nd messenger system 1. Hormone (peptide, glyolipid, etc) binds receptor 2. Associated g-protein complex activated 3. Activated g-protein activates adenylate cyclase 4. Adenylate cyclase converts ATP to cAMP 5. cAMP activates protein kinases 6. Kinase triggers downstream respo…
Lipid-soluble hormone mechanism of action
Acts on gene expression; diffuses through P.M.; hormone complex 1. Steroid hormone diffuses through lipid membrane into intracellular space 2. Binds an intracellular receptor (either cytosolic or nuclear) 3. Once transported into the nucleus, the hormone-receptor complex binds specif…
Three types of endocrine gland stimuli
1. Humoral 2. Neural 3. Hormonal
Humoral stimulus
Release induced by altered levels of important ions/nutrients. E.g. Low Ca2+--> PTH release by parathyroid gland --> Osteoclasts degrade matrix --> Blood Ca levels increase
Neural stimulus
Induced by AP from a neuron e.g. AP in pre-ganglionic symp fibers to adrenal medulla --> Medulla cells secrete norep/epi
Hormonal stimulus
Release caused by another hormone (tropic hormone) e.g. Hormones from hypothalamus travel through hypothalamic-hypophyseal portal system to anterior pituitary and induce release of hormones by anterior pituitary (which act on other glands)
Nerve bundles in hypothalamus that synth oxytocin & ADH
Supraoptic nucleus: ADH Paraventricular nucleus: oxytocin
Posterior lobe mass % of pituitary
Posterior lobe is ~25% of pituitary mass
Hormone release from posterior pituitary
1. Hypothalamic neurons synthesize oxytocin/ADH. 2. Oxytocin & ADH are transported down the axons of the hypothalamic-hypophyseal tract to the posterior pituitary 3. Oxytocin/ADH stored in axon terminals in P.P. 4. When associated hypothalamic neurons fire, APs arriving @ terminals c…
Hormone release from anterior pituitary
1. When stimulated, hypothalamic neurons secrete RH/IHs into primary capillary plexus 2. Hypothalamic hormones travel through portal veins to A.P. where they stimulate release of hormones made in the A.P. 3. In response, the A.P. secretes hormones into the secondary capillary plexus whi…
Anterior lobe mass %
Anterior lobe is ~75% of pituitary mass
7 hormones secreted by A.P.
GH, TSH, ACTH, FSH, LH, PRL, & MSH
Oxytocin: type of molecule, storage location, and site of synthesis
Peptide, mostly from paraventricular nucleus of hypothalamus and stored in P.P.
ADH: what type of molecule and site of synthesis
Peptide, mostly from neurons in supraoptic nucleus of hypothalamus and stored in P.P.
Growth hormone (GH): type of molecule and site of synthesis/storage
Protein produced by somatotropic cells; release stimulated by growth hormone releasing hormone (GHRH)
TSH: type of molecule and site of synthesis
Glycoprotein produced by thyrotropic cells
ACTH: type of molecule and site of synthesis
Peptide produced by corticotropic cells
FSH: type of molecule and site of synthesis
Glycoprotein produced by gonadotropic cells
LH: type of molecule and site of synthesis
Glycoprotein produced by gonadotropic cells; release stimulated by GnRH
PRL: type of molecule and site of synthesis
Protein produced by prolactin cells
Oxytocin: target organ & effects
Uterus: initiates labor; stimulates uterine contractions Breast: initiates milk ejection
ADH: target organ & effects
Kidneys: Stimulates kidney tubule cells to reabsorb water
GH: target organ & effects
Liver, muscle, bone, cartilage, and other tissues: anabolic hormone; stimulates somatic growth; mobilizes fats; spares glucose Growth-promoting effects mediated by IGFs
TSH: target organ & effects
Thyroid gland: stimulates thyroid gland to release thyroid hormone
ACTH: target organ & effects
Adrenal cortex: promotes release of glucocorticoids and androgens (mineralocorticoids to a lesser extent)
FSH: target organ & effects
Ovaries/Testes: Follicle maturation and estrogen production in females; sperm production in males
LH: target organ & effects
Ovaries and testes: triggers ovulation and stimulates estrogen/progesterone production in females; promotes testosterone production in males
Prolactin: target organ & effects
Breast secretory tissue: promotes lactation
Oxytocin: effects of hypo/hypersecretion
Unknown
ADH: effects of hypo/hypersecreti
Hypo: Diabetes insipidus Hyper: syndrome of inappropriate ADH secretion
GH: effects of hypo/hypersecretio
Hypo: pituitary dwarfism in children Hyper: Gigantism in children; acromegaly in adults
TSH: effects of hypo/hypersecreti
Hypo: cretinism in children; myxedema in adults Hyper: hyperthyroidism; effects similar to those of Grave's disease
ACTH: effects of hypo/hypersecreti
Hypo: Rare Hyper: Cushing's disease
FSH: effects of hypo/hypersecretio
Hypo: failure of sexual maturation Hyper: Nothing remarkable
LH: effects of hypo/hypersecretio
Hypo: failure of sexual maturation Hyper: Nothing remarkable
PRL: effects of hypo/hypersecretio
Hypo: poor milk production in nursing women Hyper: Galactorrhea; censation of menses in females; impotence in males
Regulation of thyroid hormone secretion
TRH secreted by hypothalamus --> stimulates TSH release by A.P. --> stimulates thyroid hormone release from thyroid gland --> T.H.s act on target cells & also inhibit release of TRH/TSH by the hypothalamus and A.P., respectively
Anatomy of the thyroid gland
Two lobes (separated by isthmus); lies on trachea; hyoid bone and thyroid cartilage located superior to gland; gland is VERY vascularized
Hormones produced by thyroid gland
T3, T4, & calcitonin
Thyroid histology
Gland composed of large, hollow, spherical follicles filled with colloid. Follicular cells produce T3/T4; parafollicular cells produce calcitonin
T3/T4 formation
Know that idodine is attached to tyrosine in colloid, forming DIT/MIT (which are linked to form T3/T4)
Goiter & Grave's disease
Goiter: enlarged thyroid Grave's disease: causes exophthalmos
Parathyroid glands
located on posterior aspect of thyroid; usually 4 parathyroid glands; Chief cells secrete PTH; oxyphil cell f(x) still unknown
Effects of PTH on bone, kidneys
Hypocalcemia --> PTH release --> increased calcium reabsorbtion in kidney tubule and increased osteoclast activity --> increased blood calcium
4 layers of adrenal gland, hormones secreted, and associated region
Cortex: Zona glomerulosa - aldosterone Zona fasciculata - cortisol Zona reticularis - androgens Medulla: Medulla - epinephrine & norepinephrine
FFF
Effects result of epi/norep release from adrenal medulla
Mineralcorticoids (chiefly aldosterone): site of synthesis and target organ and effects
Zona glomerulosa (cortex) Kidneys: increase blood Na & decrease blood K --> increase in BV/BP because water reabsorption accompanies Na retention
Glucocorticoids (chiefly cortisol): site of synthesis and target organ and effects
Zona fasciulata (middle) - cortex Body cells: promotes gluconeogenesis and hyperglycemia; depress inflammatory and immune resonses
Gonadocorticoids (primarily androgens)
Zona reticularis - cortex Insignificant effects in males In females: contributes to libido, development of pubic/axillary hair/estrogen source post-menopause
Catecholamines (epi/norep): site of synthesis and target organ and effects
Adrenal medulla Sympathetic NS target organs: mimic symp nervous system activation; increased HR/metabolic rate/BP(by promoting vasocontriction)
Mineralcorticoids (chiefly aldosterone): effects of hypo/hypersecretio
Hyper: Aldosteronism Hypo: Addison's disease
Liver/muscle response to insulin deficiency, resulting conditions, and associated signs/symptoms
...
Glucorticoids (chiefly cortisol): effects of hypo/hypersecreti
Hyper: Cushing's syndrome ("buffalo hump") Hypo: Addison's disease
Gonadocorticoids (chiefly androgens): effects of hypo/hypersecretio
Hyper: Masculization of females Hypo: No effects known
Catecholamines (norep/epi): effects of hypo/hypersecretio
Hyper: Prolonged FFF; hypertension Hypo: unimportant
Stress and the adrenal gland: short-term stress response
Medulla causes increase in HR, BP, metabolic rate and bronchial dilation
Stress and the adrenal gland: long-term response
Mineralocorticoids from cortex cause Na/H2O retention, BV/BP increase Glucocorticoids from cortex cause increase in blood glucose and immune system suppression
Pancreatic islet
alpha cells (1-a) - produce glucagon beta cells (1-b) - produce insulin Pancreatic acinar cells (2) - exocrine
Diabetes mellitus I & II
I is insulin dependent II is insulin non-dependent
Liver response to insulin deficiency, resulting conditions, and associated signs/symptoms
Response: Glycogenolysis Resulting conditions: hyperglycemia in blood; glycosuria and diuresis in urine Signs/symptoms: polyuria, polydipsia, polyphagia
Liver/muscle response to insulin deficiency, resulting conditions, and associated signs/symptoms
Organ/tissue response: glycogenolysis Resulting conditions: hyperglycemia in blood; glycosuria and diuresis in urine Signs/symptoms: polyuria, polydipsia, polyphagia
Liver/fat resulting conditions and signs/symptoms associated with insulin deficiency
Resulting conditions: limidemia & ketoacidosis in blood; ketonuria in urine Signs & symptoms: acetone breath, hyperpnea, nausea, vomiting, abdominal pain, cardiac irregularities, CNS deppression/coma
Source of gastrin?
Mucosa of stomach
Source of ghrelin?
Mucosa of stomach
Source of secretin?
Mucosa of duodenum (of small intestine)
Source of CCK?
Mucosa of duodenum
Source of ANP and effect?
In atria of the heart and f(x) to decrease BP
Source of EPO, effect, and production stimulus?
From kidney and f(x) to stimulate the production of RBC in response to increased O2 demands
Source of cholecalciferol (provitamin d3)?
Skin (epidermal cells)
Exocrine gland mode of action and gland examples
Secrete their products into ducts (sweeat, salivary, digestive glands)
Endocrine system f(x)s
Regulate internal environment Regulate metabolism/energy balance Regulate muscular contraction & secretion by glands Maintain homeostasis Vital role in: growth, development, and reproduction
Two classes of hormones and precursors
Water-soluble: amines, peptides, proteins, or glycoproteins (A.A. precursor) Fat-soluble: steroid/steroid-like substances synthesized from cholesterol
Pituitary gland (hypophysis) called the ___
Master gland
ADH inhibited by what?
Alcohol
Thyroid gland weight
~1 oz
colloid
clear, viscous glycoprotein that stores t3/t4
parafollicular cells
synthesize calcitonin
thyroid hormone synthesis and transport
synthesized from iodine and tyrosine within thyroglobulin transported mostly by thyroxine-binding protein
t3/t4 affect every organ except?
brain (adult), spleen, testes, uterus, thyroid gland
t3/t4 major ___ hormone and f(x)s
metabolic regulate lipid(downreg)/protein (upreg) metabolism increase rate of protein synth increase the rate @which energy is released from carbs accelerate growth/devel stimulate n.s. activity
ant pit "structure"
enclosed by dense collagenous CT and consists of mostly epi tissue
five types of ant pit cells
somatotrophs lactotrophs corticotrophs thryotrophs gonadotrophs
somatotrophs
HGH (eff non-endocrine)
Lactotrophs
PRL (eff-non endo)
corticotrophs
ACTH & MSH (tropins)
thyrotrophs
TSH
Gonadotrophs
FSH/LH (tropins)
Grave's symp
increased metabolic rate restlessness overeating weightloss overeating: increased hr/temp exophthalamus
cretinism
hyperthyroidism in children abnormal bone dev low temp retarded mental dev
myxedema
hyperthyroidism in adults
calcitonin
lowers blood ca inhibits osteoclasts and increases ca excretion by kidneys
melatonin precursor
serotonin
thymus gland location
mediastinum
hormones that affect t-cell production
thymosin thymopoietins
cells that produce androgens
interstitial cells
cells that produce inhibin
sustenacular cells
cells that produce estrogens/inhibin in f
follicular cells
cells that produce progestins/relaxin
corpus luteum
relaxin effects
loosens pubic symphysis and relaxes cervical muscles during childbirth
hematocrit
% of ___ in blood
physio blood ph
7.35-7.45
physio blood temp
98.7
physio blood volume
5-6
blood component splits
RBCs - 45% Plasma - 55% Leukocytes - <1%
water % of plasma volume
90%
plasma proteins % of plasma and f(x)
8% maintain water balance in blood and tissues
globulins % of plasma proteins and f(x)
transport/immune f(x)
alpha/beta globulin f(x)
transport
gamma globulin
antibodies
fibrinogen % of plasma proteins and f(x)
4% and blood clot f(x)
nonprotein nitrogenous substances
urea/nh3 etc in plasma
plasma made wehere
trabeculae of epiphyses
what gives rbc flexibility and what % o2/co2 & Hb
anucleated; spectrin; 97% hb and 3% co2/o2; biconcave
Hb structure
globin (2 alpha and beta chains) and four heme groups
RBC formation
hemocytoblast -->proerythroblast (day 1) -->basophilic erythroblast (early - day 2; ribosome synthesis) --> polychromatic erythroblast (day 3; late; hemoglobin accumulation) -->orthochromatic erythroblast (normoblast; day 4; Hb accum)--> reticulocyte (nuc ejection; days 5-7) --> erythrocy…
Total WBC count
4800-11000
Granulocyte types
neutrophils, basophils, eosinophils
agranulocyte types
lymphocytes & monocytes
abundance of immune cell types in blood
neutro 40-70% eosino 4% baso 1% lympho 20-45% mono 4-8%
leukopenia
abnormally low wbc
leukemias q
cancerous condition ^wbcs
mononucleosis
kissing disorder (viral is epstein-barr virus)
RBC diameter, count per microliter, production, and life span
4-6mil d:5-7 LS: 100-120 days
luekocyte count per microliter
4800-11000
neutrophil nucleus type and f(x)
multilobed & phagocytize bacteria
eosinophil nuc type/f(x)
biloped nuc & role inallergy/asthma
basophil nuc type & f(x)
histamine release contain heperin
lymphocyte f(x)
mount immune response
monocyte f(x)
phagocytosis
platelets contents, stain color, concentration, lifespan, and function
grunlated, deep purple, 250-500k, D;4-5 days; ls: 5-10 days
Platelet formation
Hematopoietic stem cell (hemocytoblast) --> megakaryoblast (stage I megakaryocyte) --> megakaryocyte (stage II/III) --> megakaryocyte (stage IV) --> platelets
kidney hormones involved in blood
thrombopoetin and erythropoetin
clotting process
tear in vascular tissue platelet plug formation platelets release chemicals that promote adhesion of more platelets fibrin forms mesh (coag)
clotting factors
13
activates extrinsic clotting pathway
factor 3 (tissue factor)
regulate vit k
2,7,9,10 (all produced in liver)
deficiency = hemophilia
factor VIII
clotting phases
post i.p./e.p.: ph 1: form of prothrombin activator (thromboplastin) ph 2: prothrombin to thrombin via thromboplastin ph3: fibrinogen (soluble) to fibrin (insol polymer) via thrombin ph4: thrombin forms crosslinked mesh
rbc antigens and associated antibodies
A/B:none B: anti-A A: anti-B O: none
universal donor
O
universal recipient
AB
administered when complications with blood type during 2nd pregnancy
RhoGam

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