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55 Cards in this Set

  • Front
  • Back
Hormone
Chemical messenger molecule-->peptide,steroid,thyronine,amine in structure which carries signals from one part of the body to another.
Peptide hormones
-tripeptides(TRH)
-decapeptide(GnRH)
-proteins(GH,PRL)
-glycoproteins(FSH,LH,TSH,hCG)
Steroid hormones
-Adrenal cortex
-Gonadal
-Placental
-Kidney(vit D metabolites)
Amino-acid derived hormones
-T3 and T4 from tyrosine
-catecholamines:adrenaline/norad from adrenal medulla(from tyrosine)
-melatonin from pineal gland(from tryptamine0
Gut is
an endocrine organ in a sense
What cells have endocrinological function in gut?
Enterochromaffin cells
Name some hormones released from gut.
-Gastrin
-Secretin
-Pancreatic polypeptide
-VIP
-somatostatin
Endocrine organ in brain other than pituitary
Hypothalamus
Kidney is an endocrine organ because it
releases 1,25 (OH)2 Vit D-for Ca2+
& also EPO and Renin.
Heart releases
ANP for fluid balance and heart function
Liver produces
IGF-1-related to growth
Endothelial cells release
-NO
-Endothelins
-PGI2
Fat cells release
Leptin and TNF alpha + adiponectin
Tumours may produce
Many hormones and PTHrP
Also cytokines
part of paracrine and autocrine system.
Cytokines
Locally active products(usually peptides) of cells-may have distant effects e.g : TNF alpha,interferons,ILs
Autocrine system
-Cell products acting back on cell of origin
paracrine system
cell products act on neighbouring cells
What regulates Insulin and glucagon?
Glucose
What regulates PTH and calcitonin ?
Ca2+ levels in blood
What regulates ANP and vasopressin?
Blood volume
What regulates vasopressin(ADH) ?
Osmolality
What are the neural control of hormone secretion?
-Hypothalamus releasing factors
-Inhibitory factors
-Symp and para. NS
Synthesis of peptide hormones?
-Precursor pre-pro-hormone synth. on ribosomes on RER
-N-terminal signal peptide quickly cleaved off to produce pro-hormone
-Pro-hormone enz. processed in Golgi & in storage granules to form mature hormone product
-processing of precursor is tissue-specific.
Often several biol. active products are formed from a single precursor.
True
POMC produces in
Ant. pituitary
ACTH is produced by a process that generates several other hormones.Name them
MSH,endorphin,enk.
Steroid hormones made when
REQUIRED. (from cholesterol)
Adrenal catecholamines stored in
Secretory granules and released by exocytosis.
Thyroid hormones stored for
Months.
FSH in males act on
Sertoli cells(produce inhibin)
LH in males act on
Leydig cells(produce T)
What are the inhibitory factors in hormonal control of testis?
-T
-inhibin
LH in FEMALES act on
theca cells --> androgens
FSH in females act on
Granulosa cells to produce Oestrogen and Inhibin
GH acts on liver to produce
IGF-1 which stimulates release of SOMATOSTATIN which itself inhibits Ant. pituitary
Somatostatin has a
-ve influence on production of GH.
WHat acts on pituitary to release ACTH?
CRF from hypoth.
Aldosterone causes
-Increased Na+ and decreased K+
-Increased renal blood flow
Both INHIBITS renin production.
Metabolism of circulating hormone into active forms
-Ang 1 into Ang 2 in plasma
-T into DHT in target tissues via 5 alpha reductase
-T to oestradiol in tissues
-40 % of T4 into T3
Mechanism of Peptide and A.A derived hormones.
-Interact with surface receptor--> PLC activation-->PIP2 breakdown-->IP3(Ca2+ mobilisation) & DAG(PKC activation)
-Interact with surface receptor -->tyrosine kinase activation--> activation of intracR phosphorylation cascade(insulin)
Mechanism of steroid hormones(and thyroid)
-Interaction with cytosolic(steroids) receptor--> nuclear translocation-->activation of transcritpion-->mRNA-->new pz synthesis
-interaction of nuclear receptor(thyroid hormones)-->activ. of transcrip.-->mRNA-->pz synth.
Assay of hormones
-bioassay
-Radioimmunoassay
-Protein binding assay
-ELISA
Catecholamines and most peptides are
UNBOUND.
Steroids and thyroid hormones are bound to
Proteins synth. in liver
Bound hormone is
INACTIVE
Hormone levels determined by :-
-Basal secretion
-Pulsatile secretion
-Diurnal rhythm
-Response to stimulation/suppression of individual hormones.
Dx. of disease process by hormone measurement:-
-Hormone itself(total or free)
-Assay of 2 hormones(T4/T3)
-Assay of 2 hormones(T4/TSH,cortisol/ACTH,oestrogen/FSH)
Stimulation test
-give GnRH and observe FSH/LH rise
-give TRH and observe TSH/PRL rise
-ACTH->cortisol rise
Suppression test
-Do GTT and GH does down
-give dexamethasone -->cortisol down
Measurement of binding pz/
SHBG
What are the 3 types of abnormal hormonal states?
-Excessive hormone production
-Deficient hormone production
-Hormone resistant states.
E.gs of hormone excess states:-
-Acromegaly:GH excess
-Thyrotoxicosis:T4/T3 excess
-Cushings syndrome: cortisol x's
-Phaeochromocytoma'adrenaline x's
-Hyperparathyroidism: PTH x's
E.gs of hormone deficiency states:
-Addison's disease: cortisol def.
-Hypothyroidism:T4/T3 def.
-Type 1 diabetes: insulin def.
-Amenorrhea:FSH def./PRL x's
Egs of hormone RESISTANT states :
-androgen insentivity syndrome
-pseudohypoparathyroidism
-type 2 diabetes
-POS(w insulin resistance)