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133 Cards in this Set

  • Front
  • Back
Characteristics of Endocrine Tissue
all endocrine cells are EPITHELIAL CELLS

glands have NO DUCTS

Therefore considered EXOCRINE

glands lie in a large VASCULAR BED

product is a HORMONE

subject to FEEDBACK INHIBITION
Types of Hormones
modified amino acids

pure polypeptides / proteins

glycoproteins

steroids
modified amino acids Hormones
come from cells that have an eosinophilic non-granular cytoplasm

Ex: epinephrine, norepinephrine, thyroid hormones
pure polypeptides / proteins Hormones
come from serous cells w/ granular cytoplasm

RER produces the hormone, and then the Golgi packages it into secretory granules
glycoproteins Hormones
come from serous cells w/ granular cytoplasm

RER produces the hormone, hormone gets glycosylated, and then the Golgi packages it into secretory granules
steroids Hormones
cells that have large SER and foamy eosinophilic non-granular cytoplasm
Endocrine Factor
hormone travels thru the blood circulation

has its effect on a distant target organ
paracrine factor
hormone spreads thru the CT matrix w/o entering the blood stream

has its effect on a different tissue within vicinity
autocrine factor
receptors are located on the same gland that secreted the hormone

hormone may be secreted from the bottom of the cell, but the receptors are located at the top of the cell (polarity)
Membrane Receptors
Acted on by modified AA’s, polypeptides, proteins, glycoproteins Hormones

They increase levels of calcium, c-AMP, c-GMP when activated

This activates protein kinase

Types
Ligand-gated
Enzymatic
G-protein coupled
Ligand-gated ion channels
Type of Membrane Receptor

ligand (hormone) binds to the membrane receptor

Causes Calcium channels to open increasing levels inside

Activates protein kinase
Enzymatic / Catalytic receptors
Type of Membrane Receptor

Extracellular portion binds hormone

Intracellular portion is activated and is a Tyrosine Kinase
G-protein coupled receptors
Type of Membrane Receptor

Three types
Gs
Gi
Gp

All cleave GTP but activate/inactivate cAMP or cGMP to activate/inactivate a protein kinase
Gs
Type of G-protein coupled receptors

Cleaves GTP when stimulated by hormone

Activates Adenalyl Cyclase

Increases cAMP levels

Activates protein kinase
What receptor increases cAMP levels when activated
Gs-protein coupled receptor
Gi
Type of G-protein coupled receptors

Cleaves GTP when stimulated by hormone

Inactivates Adenalyl Cyclase

Decreases levels of cAMP

Causing inactivation of protein kinase
What receptor decreases levels of cAMP when activated
Gi-protein coupled receptors
Gp
Type of G-protein coupled receptors

Cleaves GTP when stimulated by hormone

Activates Phospholipase-C

Increases levels of cGMP

Causing activation of protein kinases
What receptor increases levels of cGMP when activated
Gp-protein coupled receptors
Cytoplasmic Receptors
Found within cell and not membrane-bounded extracellularly

Acted on by thyroid and steroid hormones because they are lipid soluble and can cross cell membrane

Stimulation results in activation of protein kinase to induce cascade
c-AMP-dependent Kinase
Activated when cAMP levels increase

Phosphorylates serine or threonin
c-GMP-dependent Kinase
Activated when cGMP levels increase

Phosphorylates serine or threonin
Ca++/Calmodulin-dependent Kinase
Activated when Calcium levels increase

Phosphorylates serine or threonin
Protein Kinase C
Activated when calcium, DAG or phosphotidylserine levels increase

Phosphorylates serine or threonin
Tyrosine Kinase
Only kinase that phosphorylates tyrosine residues (not serine or threonine)
Rathke's Pouch
Develops into Adenohypophysis of Pituitary gland

Pinches off from external ectoderm

Divides into:
Pars Tuberalis
Pars Distalis
Pars Intermedia
Residual Lumen
Pars Tuberalis
Portion of Adenohypophysis of Pituitary that is ectodermally derived from Rathke's Pouch

Wraps at top around Infundibulum
Pars Distalis
Portion of Adenohypophysis of Pituitary that is ectodermally derived from Rathke's Pouch

Anterior portion that swells
Pars Intermedia
Portion of Adenohypophysis of Pituitary that is ectodermally derived from Rathke's Pouch

Posterior portion that didn't develop
Residual Space
Portion of Adenohypophysis of Pituitary that is ectodermally derived from Rathke's Pouch

Residual space created when Hypophysis pinched off
Infundibulum
Develops into part of hypothalamus that controls hypophysis of Pituitary gland

Pinches off from neural ectoderm

Divides into:
Neural Stalk
Pars Nervosa
Neural Stalk
Neurohypophysis of Pituitary that is neurally derived from Hypothalamus to form part of Infundibulum

Thin stalk of neural tissue between true hypothalamus and Pars Nervosa that controls Adenohypophysis portion of Pituitary
Pars Nervosa
Neurohypophysis of Pituitary that is neurally derived from Hypothalamus to form part of Infundibulum

Swollen bulbous end that controls Adenohypophysis portion of Pituitary
Interglandular Cleft
Portion of pituitary where Pars Intermedia meets Pars Nervosa
Hypertrophy of Pituitary Gland
Due to pituitary's close vicinity to Optic Chiasm, hypertrophy puts pressure on it causing visual impairments like tunnel vision
Adenohypophysis
Part of Pituitary that is derived from ectodermal tissue called Rathke's Pouch
Neurohypophysis
Part of Pituitary that is derived from neural tissue called Infundibulum
What is the only organ in the body where both fenestrated and sinusoidal capillaries can be found
Pars Distalis of Pituitary gland
Cell Types in Pars Distalis
Chromophobes
-Non-staining inactive reserve cells

Chromophiles
-Staining active serous cells
Chromophobes
Non-staining inactive reserve cells of Pars Distalis

Comprises 50% of cells

Can be activated on deman to become secretory Chemophiles
Chromophile
Staining active serous cells of Pars Distalis

Produces protein hormones like GH, MSH, ACTH, Prolactin

Produces glycoprotein hormones like FSH, LH and Thyrotrophin

Types
Acidophiles
Basophiles
Acidophiles
Red staining active Chromophile cells of Pars Distalis

Makes up 3/4 of Chromophiles
Makes up 37% of Pars Distalis

Polyhedral shaped
Larger than Chromophobes
Smaller than Basophiles
Eosinophilic Serous granules located at top of cell

Types
Mammotroph cells
Somatotroph cells
Basophiles
Blue staining active Chromophile cells of Pars Distalis

Makes up 1/4 of Chromophiles
Makes up 13% of Pars Distalis

Largest cell of Pars Distalis
Irregular/Oval Shape
Grouped on outer edges of Pars Distalis
Stain with PAS

Types
Thyrotroph cells
Gonadotroph cells
Corticotroph cells
mammotroph Cell
Acidophile of Pars Distalis

Produces Prolactin

Large, irregular shaped granules

Cytoplasm stains with Erythrosin dye
What produces Prolactin
mammotroph Cell of Pituitary
Function of Prolactin
Produced by Mammotroph Cell

primary function is to induce the breasts to produce milk (not secrete it)

mitogenic hormone for ova & sperm

responsible for maternal behavior patterns like the instinct to breastfeed
Somatotroph Cell
Acidophile of Pars Distalis

Produces Somatotropin/ Growth Hormone

Granules are smaller and symmetrical

Stains with Orange-G dye
Function of Somatotrophin
AKA Growth Hormone

Produced by Somatotroph Cell

Mitogenic hormone for general growth and wound healing

Involved in longitudinal growth of long bones due to effect on epiphyseal growth plates
What occurs during under production of Growth Hormone
Dwarfism

affects mostly the growth of long bones

does not affect the flat bones

results in a person who has a normal-sized trunk but disproportionately short limbs
What occurs during over production of Growth Hormone
Gigantism

over-production of GH  Gigantism
results in the long bones being disproportionately too long, thin & brittle

bones of the trunk, pelvis, and head are not affected
What occurs if there is a tumor of Somatotroph cell
Acromegaly

if this occurs in adulthood after the epiphyseal plates have fused, height is not affected

But extra bone deposition occurs in hands, feet, mandible, zygoma, eyebrow ridge, occipital ridge
What produces Growth Hormone
Somatotroph cells in Pituitary
Thyrotroph Cell
Basophile

Produces Thyroid Stimulating Hormone (TSH)

cells are long & spindle-shaped

irregular small purple granules
Function of Thyroid Stimulating Hormone
TSH

Produced by Thyrotroph cells in Pituitary

induces the production & secretion of thyroid hormones
What produces TSH
Thyrotroph cells of Pituitary
Gonadotroph cells
Basophile

produces FHS & LH

round w/ medium blue granules
Function of Follicle Stimulating Hormone (FSH)
Produced by Gonadotroph cells

in males, hormones must present (with LH) simultaneously for the normal production of testosterone

in females, it induces growth of the ovarian follicle
Lutenizing Hormone (LH)
Produced by Gonadotroph cells

in males, hormones must present (with FSH) simultaneously for the normal production of testosterone

in females, it induces growth of the ovarian follicle
Corticotroph cells
Basophile

produce Adrenal Corticotropic Hormone (ACTH) & Melanocte Stimulating Hormone (MSH)

Has small red granules
Adrenal Corticotropic Hormone (ACTH)
Produced by Corticotroph cells

stimulates the adrenal cortex to secrete its steroid hormones

Homology to MSH to overactivity of ACTH causes skin to get darker as well
Melanocyte Stimulating Hormone (MSH)
Produced by Corticotroph cells

stimulates melanocytes to produce melanin resulting in darker skin
Function of Pars Tuberalis
conduit for the interconnecting veins

it guides the veins from the hypothalamus down to the Pars Distalis
Function of Pars Intermedia
Produces no hormones in humans

But in reptiles, produces MSH equivalent called Intermedin
Function of Pars Nervosa
grey matter neural tissue consisting of un-myelinated nerve fibers in a parallel arrangement

has large supporting Glial Cells called Pituicytes

has Herring Bodies that store hormone from hypothalamus like Oxytocin and ADH
Pituicytes
large supporting Glial Cells found in Pars Nervosa of Pituitary
Herring Bodies
dilated endings of Golgi Type-1 un-myelinated axons

contain storage granules of hormones produced in the hypothalamus like Oxytocin and ADH
Oxytocin
Produced by Hypothalamus
Stored by Pars Nervosa of Pituitary

induces smooth muscle contractions for labor and milk secretion (not production)
Anti-Diuretic Hormone
AKA Vasopressin

Produced by Hypothalamus
Stored by Pars Nervosa of Pituitary

Increases blood pressure by Increasing conservation of water and sodium in Collecting Ducts of nephron to decrease urine output
Thyroid gland capsule
dense irregular fibro-elastic CT
Thyroid gland stroma
areolar CT surrounded by fenestrated capillaries
Follicle
Basic Functional Unit of Thyroid

Mesodermal Origin

Consists of Simple Cuboidal epithelium
(becomes columnar when active)

Activated by TSH

Produce thyroglobulin, proteases, iodinases, and thyroid colloid
Thyroglobulin
Produced by Follicle cell of Thyroid

Carries protein that binds thryoid hormones until needed
Proteases
Produced by Follicle cell of Thyroid

Cleaves of Thyroglobulin when thyroid hormone is ready to be secreted
Iodinases
Produced by Follicle cell of Thyroid

Attaches iodine to Thyroid hormone precursor
Where is the entire body's reserve of iodine located
In thyroid gland

Requires it to activate thyroid hormone precursors
Iodinization of Thyroid Hormones
follicle cell picks up Tyrosine from blood

converts it into Thyronin

Thyronin gets iodinized to become T1

T1 gets released into Thryoid Colloid

T1 binds to Thyroglobulin and gets iodinized 3x

Becomes Thyroxine (T4)

T4 remains in Colloid till needed

Most potent form is T3
What are the concentrations of T3 and T4 the thyroid gland secretes?
90% T4 (inactive)

10% T3 (active)
T4
Thyroxin

Although,not potent form, it controls TSH in feedback loop for negative inhibition

Can be de-iodinized to make T3
Addison's Disease
autoimmune dz

Body produces antibodies to destroy adrenal cortex therefore no hormones produced

No mineralcorticoids causes loss of sodium, water and increase in potassium. Results in dehydration, and irregular cardiac rhythms

No glucocorticoids means low blood glucose levels
Cortisol cannot provide negative feedback of ACTH

Increased production of ACTH causes continued absorption of calcium leading to fragile bones
Excessive ACTH also causes darkening of skin due to similarity to MSH
Which cells are affected by T4
Cells that have enzyme called seleno-protein to remove iodine from T4 and make T3
Parafollicular Cells
AKA Clara cell

Other cell of Thyroid Gland

Endodermal from ultimobranchial body

Secretes Calcitonin in response to high plasma Calcium levels
Calcitonin
Secreted by Parafollicular Cells of Thyroid in response to high plasma Calcium levels

Inactivates target cell Osteoclasts to inhibit bone resorption

Indirectly results in stimulating Osteoblasts to deposit more Calcium in bone to decrease plasma Calcium levels
Parathyroid Gland Capsule
areolar fibro-elastic CT
Parathyroid Gland Stroma
reticular CT
Cell types of Parathyroid Gland
Dark Chief Cells
Pale Chief Cells
Oxyphil Cells

All the same cell, just different phases
Dark Chief Cell
Active storage cell of Parathryoid Gland

Smaller, darker nucleus
Cytoplasmic granules
Stores PTH
Pale Chief Cell
Active producer cell of Parathryoid Gland

Larger, lighter nucleus
Secretes PTH
No granules because PTH has already been secreted
Oxyphil Cell
Inactive reserve cell of Parathryoid Gland

Large, round, dark central nucleus
Pink, non granular cytoplasm
Can be activated on demand
Parathyroid Hormone
Produced by Parathyroid Gland

Secreted in response to low plasma Calcium levels

Inactivates target cell Osteoblasts to inhibit bone deposition

Indirectly stimulates Osteoclasts to resorb more Calcium out of bone to increase plasma calcium concentration

Stimulates insertion of Calcium pumps into DCT of nephron to increase resorption

Hydroxylation of Vit-D to 1,25-dihydroxy Vit-D in kidneys to increase absorption of Calcium from gut
Adrenal Gland Capsule
dense irregular fibro-elastic CT
Adrenal Cortex
Mesodermal Mesenchyme

Stimulated by ACTH

Three physiological layers that makes steroids like
Mineralcorticoids
Glucocorticoids
Androgens
Adrenal Medulla
Neural Crest derived

Consists of Golgi Type II motor ganglia synapsing on Chromaffin cells

Produces Catecholamines like
Epinephrine
Norepinephrine
Layers of Adrenal Cortex
Zona Glomerulosa
Zona Fasiculta
Zona Reticularis
Zona Glomerulosa
Comprises 10% of Adrenal Cortex

Consists of knots of columnar epithelium w/ fenestrated capillaries

Responds to sodium imbalance

Produces Mineralcorticoid like Aldosterone

Controlled by Angiotensin-2
Mineralcorticoid
Steroid hormone produced by Zona Glomerulosa of Adrenal Cortex

Ex: Aldosterone

It increases resorption of sodium by promoting synthesis of Sodium/Potassium ATPase pump in cell membrane of Collecting Ducts in nephrons

Under the control of Angiotensin-2 not ACTH
Zona Fasiculata
Comprises 70% of Adrenal Cortex

Consists of parallel cords of tall cuboidal epithelium w/ sinusoidal capillaries

Responds to glucose imbalance

Produces Glucocorticoids like Cortisone and Cortisol by cells called Spongiocytes

Controlled by ACTH
Spongiocytes
Cells of Zona Fasiculata of Adrenal Cortex

Produces Glucocorticoids in response to glucose imbalance

Controlled by ACTH
Zona Reticularis
Comprises 20% of Adrenal Cortex

Consists of networking cords of low cuboidal epithelium w/ sinusoidal capillaries

Produces Sex Androgens like Dehydroepiandrosterone and Androstenedine
Adrenal Gland
Cortex-Medullary system

Arteries enter cortex
Veins leave medulla

Encapsulated by dense irregular CT
Pineal Gland
developed from the epiphysis of the diencephalon

derived from grey matter of the brain

consists of big supporting glial cells called Pinealocytes

Affected by red-yellow wavelengths of light to change levels of Serotonin and Melatonin in the brain
Pinealocytes
big supporting glial cells of Pineal gland

involved in a sequential light-dependent enzymatic metabolism of Tryptophan to Serotonin to Melatonin

At night, Pinealocytes are always converting serotonin into melatonin, therefore more Melatonin is in brain

At day, Pinealocytes are stimulated to inhibit conversion of serotonin to melatonin, therefore more Serotonin is in brain
Chronic Elevated levels of Melatonin
Occurs during dark winters with shorter days

Males:
Less FSH and LH releasing hormones produced by hypothalamus, therefore less FSH and LH secretions by thryoid, causing less testosterone production

Ultimately, It decreases sperm production and sex drive

Females:
Less LH releasing hormone for hypothalamus, therefore less estrogen production causing no ovulation

Ultimately there is decreased fertility and sex drive
What controls Thyroid Hormone potency
Liver
It can convert T4 to T3 to increase hormonal effect
OR
It can convert T4 to Reverse-T3 to decrease hormonal effect
What controls Thyroid Hormone Secretions
Hypothalamus

It secretes Thyrotropin Releasing Hormone (TRH) which stimulates anterior pituitary to secrete TSH
Goiter
Enlargement of thyroid gland

Can appear in both hyper and hypo thyroid cases

Need TSH and T4 levels to diagnose
Hyperactive Thyroid
Too much TSH produced

Causes hypertrophy and hyperplasia of thyroid gland

Causes goiter

Characterized by increased metabolism therefore
Can't tolerate heat
Eat a lot
Skinny
And exophthalmos (bulging eyes)
Hypoactive Thyroid
Thyroid gland can stored hormone but it cannot secreted

Causes goiter

Characterized by decreased metabolism therefore they can't tolerate cold temperatures
T4 Feedback Loop
Negative Feedback

T4 inhibits hypothalamus from making TRH, therefore pituitary no longer activated and less T4 created from thyroid
AND
T4 inhibits Thyrotroph cells of Pituitary from making TSH therefore less T4 secreted from Thyroid
Grave's Disease
autoimmune dz

immune system produces antibodies that mimic TSH

stimulates the thyroid to grow more AND secrete more T4

T4 feeds back and inhibits the pituitary gland to lower secretion of TSH

**Goiter
**Hyperthyroidism
**Low TSH
What condition do you have if you have a goiter, hyperthyroidism but low TSH
Graves Disease or Thyroid Tumor

Graves:
Immune system makes mimic-TSH
It stimulates thyroid to grow (goiter)
It stimulates thyroid to secrete T4 (therefore hyperthryoidism)
T4 feeds back to Pituitary to inhibit production of TSH (low TSH)

Tumor:
Excessive growth of thryoid (goiter) causes increase production of T4 (hyperthyroidism) which feeds back to pituitary to inhibit production of TSH (low TSH)
Thyroid Tumor
Leads to excessive T4 production by Thryoid
T4 feeds back to Pituitary to inhibit production of TSH

**Goiter
**Hyperthyroidism
**Low TSH
adenoma of the pituitary gland
pituitary is unresponsive to negative feedback inhibition

Therefore continued to secrete TSH
TSH continues to stimulate thyroid to release T4

**Goiter
**Hyperthyroidism
**High TSH
What condition do you have when you have a goiter, hyperthyroidism and high TSH levels?
adenoma of the pituitary gland

Because pituitary is unresponsive to negative feedback, it continues to produce TSH (high TSH)

TSH continues to stimulate Thyroid gland (goiter)

Thyroid gland secretes T4 (high T4)
Cretinism
Iodine Deficiency

Thyroid gland cannot secrete T4 without iodine

Lack of T4 prevents pituitary and hypothalamus inhibition so you have increased TRH and TSH

**Goiter
**Hypothyroidism
**High TSH
What condition do you have when you have a goiter, hypothyroidism, and high TSH levels?
Iron deficiency

Lack of iron prevents production of T4 (hypothyroidism) therefore thyroid stores T3 (goiter)

Lack of T4 is sensed by hypothalamus which secretes TRH

TRH stimulates pituitary to secrete TSH (high TSH) which further stimulates thyroid gland
Hashimoto’s Thyroiditis
autoimmune dz

immune system produces antibodies against your own thyroid gland

short period of transient goiter & hyperthyroidism due to inflammatory response
BUT
eventually the thyroid gets destroyed and can't produce T4
decreased inhibition to the pituitary by T4 causes excess secretion of TSH

**No goiter
**Hypothyroidism
**High TSH
What condition do you have when you lack a goiter, hypothyroidism, and high TSH levels?
Hashimoto’s Thyroiditis

Antibodies attach thryoid gland destroying it (no goiter)
Therefore no T4 produced (Low T4)
But pituitary senses lack of T4 and produces TSH (high TSH)
What converts male hormone to female hormone
Aromatase enzyme
Androgen hormones
Produced by Adrenal Cortex

They are weak sex hormones

Testes has reductase enzyme to convert them to testosterone

Causes masculinization
Cortisol/Cortisone
Stress hormones produced by Adrenal Cortex in response to low blood glucose levels

Regulated by CRH from hypothalamus

Cortisol negative feedbacks hypothalamus and pituitary

Causes
Glyconeolysis (break down glycogen)
Gluconeogenesis (generate glucose)
Reduces Immune/Inflammatory Response
What regulates production of Glucocorticoids
Hypothalamus

It secretes corticotropin releasing hormone which stimulates pituitary to release ACTH which activates adrenal cortex
Aldosterone
Produced by Adrenal Cortex in response to low sodium levels

Promotes synthesis and insertion of sodium/potassium pumps in Collecting Ducts

Enhances sodium resorption
Enhances water retention indirectly by osmosis
Total effect = increases blood pressure

Regulated by Angiotensin-2 (but stimulated by ACTH)

Inhibited by Atrial Naturetic Peptide (ANP)
Cushing's Disease
Primary - Adrenal Cortex Tumor
Secondary - Pituitary problem causes excess ACTH

Causes excess production of steroid hormones, mainly Glucocorticoids

This increases blood glucose levels

Results in diabetes mellitus

Develops buffalo hump because of fat deposition and moon face with hyperpigmentation
What regulates blood glucose levels
Cortisol from Adrenal Cortex
Epinephrine from Adrenal Medulla
Glucagon from Pancreas a-cells
Insulin from Pancrea b-cells
Epinephrine
Secreted by Adrenal Medulla

Directly stimulates liver to induce glycogenolysis to increase blood glucose

Indirectly stimulates pancreatic a-cell to secrete glucagon
Glucagon
Secreted by Pancreatic a-cells in response to low blood glucose levels

It stimulates glycogenolysis and gluconeogenesis
Insulin
Secreted by Pancreated b-cell in response to high blood glucose levels

It regulated cellular metabolism to lower blood glucose levels
Insulin's affect on Hepatocytes
Inhibits glycogenolysis

Stimulates glycogenesis (production of glycogen)

Stimulates glycolysis (glucose metabolism by Kreb Cycle) therefore less glucose in blood
Insulin's affects on Myocytes
Inhibits glycogenolysis

Stimulates glycogenesis (production of glycogen)

Stimulates GLUT-4 insertion into cell membrane for greater glucose uptake
Insulin'e affect on Adipocytes
Inhibits lipolysis and gluconeogenesis

Stimulates fat storage

Stimulates GLUT-4 insertion into cell membrane for greater glucose uptake

Stimulates glycolysis (break down of glycogen for cell's use to store fat)
Type I Diabetes Mellitus
Autoimmune disease

antibodies destroy the pancreatic the β-cells

no insulin being made

Leads to permanent HYPER-glycemia
Type II Diabetes Mellitus
often associated w/ obesity

no insulin receptors responding to the insulin trying to bind

receptors may be either absent or defective
Somatostatin
Produced by delta-cells of Pancreas

Inhibits the pituitary gland from secreting Somatotrophin/Growth Hormone