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62 Cards in this Set

  • Front
  • Back
What is a paracrine hormone?
hormone acts on an adjacent cells via interstitial fluid
What is an autocrine hormone?
cell releases a hormone that acts on itself (the same cell)
3 major classes of hormones
peptides, steroids, amino acid/arachidonic acid derivatives
What class of hormones require transporters in the blood?
steroid hormones and thyroid hormones
Insulin uses what type of receptor?
tyrosine kinase
What do cAMP, DAG, IP3, and Calcium have in common?
they are all second messengers in receptor mediated reactions
G-protein receptors are commonly found where?
on the cell surface (plasma membrane)
What type of receptors do steroid and thyroid hormones use?
intracellular receptors (to regulate gene transcription via HRE)
Most hormones use what type of feedback system?
negative
If there are low levels of T3/T4 in a normal person, what will happen to TRH levels?
increase due to loss of negative feedback
3 parts of the anterior pituitary
pars distalis, intermedia, tuberalis
2 parts of the posterior pituitary
infundibulum, pars nervosa
What part of the posterior pituitary contains the median eminence?
infundibulum
Anterior pituitary is derived from ...
oral ectoderm (Rathke's Pouch)
Posterior pituitary is derived from ...
neuro-ectoderm (floor of 3rd ventricle)
Blood supply to the pituitary gland
superior and inferior hypophyseal arteries (from internal carotid)
What type of capillaries are found in the hypophyseal portal system?
fenestrated capillaries
Thyroid hormones exert negative feedback on what 2 hormones?
TRH (from hypothalamus) and TSH (from anterior pituitary)
6 hormones from anterior pituitary
GH, FSH, LH, TSH, ACTH, prolactin
What are tropic hormones?
hormones that regulate other hormones (ACTH, FSH, LH, TSH)
5 cell types of the anterior pituitary (pars distalis)
Somatotropes, corticotropes, thyrotropes, lactotropes, gonadotropes
TRH from hypothalamus stimulates what 2 hormones from the anterior pituitary?
TSH and prolactin
How does the hypothalamus control prolactin secretion form the anterior pituitary?
hypothalamus secretes dopamine to inhibit prolactin
2 acidophilic cells of the anterior pituitary
somatotropes and lactotropes
3 basophilic cells of the anterior pituitary
thyrotropes, gonadotropes, corticotropes
Corticotropes produce what hormone?
POMC, which is cleaved into ACTH and B-LPH
What type of cells are found in the posterior pituitary?
neurosecretory neuron axons with cell bodies in the hypothalamic nuclei (supraoptic and paraventricular). also pituicytes, fibroblasts, and mast cells
Are the axons in the posterior pituitary myelinated?
No
ADH binds to what receptors in the urinary system?
V2 receptors in DCT and collecting ducts
Oxytocin leads to contraction of ...
uterine smooth muscle and myoepithelial cells of the mammary gland
A patient is urinating 20 L of urine each day. Administration of vasopressin does not resolve the issue. What is the diagnosis? What is occurring in this patient most likely?
nephrogenic diabetes insipidus. mutation in the aquaporin gene or mutated V2 receptors
A patient is excreting extremely concentrated urine. What type of drug may we want to give him?
a V2 receptor antagonist (Conivaptan) will block the excess ADH seen in SIADH
6 tropic hormones from the hypothalamus
GnRH, GHRH, GHIH (somatostatin), PIH (dopamine), TRH, CRH. (tropic= regulates other hormones)
A patient is having difficulty sleeping. Where might we expect a lesion in the brain?
pineal gland makes melatonin to regulate circadian rhythm
Melatonin has what effect on GnRH?
melatonin inhibits GnRH = less FSH/LH
Thyroid gland is derived from ...
pharynx and thyroglossal duct
2 cell types of the thyroid gland
follicular and parafollicular cells
Hormones made by the thyroid gland
T2, T3, T4, Calcitonin
Steps of thyroid hormone formation.
1) Synthesis of thyroglobulin. 2) Colloid intake and oxidation of Iodine. 3) Iodination of thyroglobulin. 4) Coupling of MIT/DIT to form T3/T4. 5) Release of hormones into blood
What is the NIS transporter?
Na/Iodine ATP dependent co-transport pump to put them both into the cell
What is pendrin?
Cl/Iodine exchanger on the apical cell membrane. puts iodine out of the cell and into the follicular space (colloid)
Once iodine has entered the colloid, what happens to it?
TPO (thyroid peroxidase) oxidizes it and adds it to the thyroglobulin to form MIT/DIT units
What is megalin?
thryoglobulin receptor to put it back into the thyroid cell
Describe the lysosomal pathway of thyroglobulin resorption.
thyroglobulin is endocytosed and degraded by proteases, releasing T3/T4
Which cells of the parathyroid gland make PTH?
chief cells
PTH function
increase calcium and phosphate levels of the blood
PTH uses what type of receptor?
G-protein
PTH has what effect on calcium excretion by the kidney?
PTH conserves calcium by decreasing urine calcium content
PTH has what effect on phosphate excretion by the kidney?
increases phosphate excretion
Adrenal cortex is derived from ...
mesodermal mesenchyme
Adrenal medulla is derived from ...
neural crest
3 zones of the adrenal cortex and the primary hormone that it makes
glomerulosa (aldosterone), fasciculata (cortisol), reticularis (androgens)
What are the cells in the adrenal medulla that make norepinephrine/epinephrine?
chromaffin cells
Adrenal medulla innervation
pre-ganglionic sympathetics
What is the function of the drug reserpine?
prevents high catecholamine levels by preventing them from entering the vesicles that they will be released in
Conversion of norepinephrine into epinephrine is stimulated by which hormone?
cortisol
Function of Angiotensin-Converting Enzyme
convert angiotensin 1 into angiotensin 2
Function of renin
convert angiotensinogen into angiotensin 1
What directly stimulates aldosterone release from the zona glomerulosa?
angiotensin 2
Cortisol has what effect on blood-glucose levels?
increases (promotes gluconeogenesis and glycogen breakdown)
Administration of high levels of CRH will lead to hypertrophy of what part of the adrenal gland?
zona fasiculata (CRH > ACTH > Cortisol production). also reticularis has some response to this
How does cholesterol move through the blood?
in LDLs or VLDLs (or HDLs)