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109 Cards in this Set

  • Front
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__________-hormone induces more of its own receptors in target cells
A good example is insulin
Upregulation
__________- often due to chronic conditions-
Ex chronic high blood glucose, will have chronic high insulin
Eventually will develop "target tissue resistance"

Exposed to high levels of a hormone on a chronic basis, will develop a resistance (no advantage to this, someone with some sort of disorder)
Desensitization
_________ - Eat a good meal, blood glucose levels rise, insulin is released, the more insulin released the more receptors that are incorporated into the membrane for that insulin
Initially a positive feedback loop at least initially

Eventually glucose levels will fall, as it is taken into cells for energy as the levels fall the insulin levels will fall too
Upregulation
Priming effect/________
Upregulation
Desensitization/_______
Down regulation
Many of our hormones are ______/_______ based.
peptide/protein
As a rule ___ are not able to penetrate the cell membrane.
peptides
___ - protein hormone will bind to a receptor and bind to a g protein
And when activated will do something (trigger a cellular response) : trigger enzyme reactions, open a protein channel
2nd messenger system
____ do not enter the cell, they must bind to some kind of membrane receptor and must trigger a cellular response via a 2nd messenger system by either activating a ____ or a ____
peptide hormones
g protein
tyrosine kinase
Instead of g protein, a ____ - still 2nd messenger, still a response
tyrosine kinase
____ is a much slower process - take several days, or months

Use ____ for long term maintenance
Steroid Hormones
____ - quick cellular response, seconds to minutes
Peptides
____ - (travel through bloodstream) like peptides can often enter the cell without benefit of a membrane receptor
Steroid Hormones
Steroid Hormone Steps
Once in cytoplasm, they must bind to a cytoplasmic receptor
No 2nd messenger system with steriods
Once bound by a cytoplasmic receptor, that SH can enter the nucleus, bind to the DNA and
that will produce the cell response, (trigger the production of a new protein)
pre-pro-insulin -> ____ -> ____
pro-insulin
insulin
Protein hormones often undergo modifications,
Either in ____ in ____ or after
secretory packaging
vesicles
Anytime you see pre-… or pre-pro-… = non active/inactive form of protein hormone
Only active without any _____
prefixes
Often cleave off a section and it becomes ____
Typically the piece being chopped off, not only allows it to be inactive, but seems to increase _____ makes it more _____.
active
"shelf life"
stable
_____- 4 ringed structure
All derived from the molecule cholesterol
Steroids
____- Long term maintenance hormones (long process)
Reproductive structures
Triggers puberty
Steroids
Need hormonal control over heart - need to be a ____ hormone,
Need to be sitting one minute and treadmill the next, need to adjust quickly
Not take months to do it

Also blood glucose, get hungry every day, multiple times a day need to constantly maintain on a hourly etc basis
Protein
1. Most hormones have ____ ____ tissues.
2. Most biological processes are influenced by ____ hormones.
multiple target
multiple
Thyroid hormone in general is a metabolism _____
increaser
(Epinephrine - bound to same receptors as norepinephrine - beta and alpha receptors)

(If both are activated at the same together the sum is greater than the ___)

Two or more hormones can act on a single process to _____ the effect.
parts
increase
Can have two hormones that have _____ affects - push it in _____ directions
antagonistic
opposite
Hormone _____ - an example of a positive feedback protein hormone, released in response to a full term labor, triggers uterine contractions - both continue to go higher and higher
oxytocin
Dotted line shows when things working normally a ____ _____ system to lower glucose levels back to normal
Almost all hormones act in a _____ _____ cycle/capacity to push that parameter/cell response into the normal range
negative feedback
negative feedback
_____ is the controller of the anterior pituitary gland
Hypothalamus
The _____ produces and secretes several hormones if directed by the hypothalamus.

The _____ makes a list, make these and I will tell you when to release them
anterior pituitary

hypothalamus
The _____ does not synthesize, just receives from the hypothalamus, basically just a storage site. These hormones will be released but not necessarily directed by the hypothalamus.
posterior pituitary
_____ has a direct nervous connection to the posterior lobe
hypothalamus
typical 3 hormone sequence
Hypothalamus - receives a stimulus

H released a hormone, and tells anterior to release a hormone

And a 3rd endocrine gland will release a hormone

Finally lands in right spot and a cellular response is started
____ - target tissue is the adrenal cortex, the outer layer of the adrenal gland, causes the adrenal cortex to release its hormone.
ACTH
Blood vessel pathway is the hypothalamic ____ ____ system
pituitary portal
_____ - land on the thyroid gland and trigger thyroid hormone production, ultimately triggers an increase in metabolism but a couple steps removed
TSH
____ - typically at very low levels, target tissue in females is mammary glands, trigger gland development and milk production, start to see it somewhere in the 2nd trimester and continue to stay elevated as long as she is producing milk.
Males - very low levels, not very clear what it does, in fish think to ____.
Prolactin
osmoregulate
____ - generic name for a multitude of hormones, triggers growth and increase in metabolism, especially in children/ before they have reached adult size.
Acts ____
Growth Hormone
permissively
____ - Increasing skeletal bone production, increasing muscle cell production, growth and development and metabolic synthesis in multiple organs and tissues
Growth Hormone
6 hormones that Ant. Pit. Produces,

All ____ based hormones

None are going to be released unless they get a signal from the ____
FSH, LH, Growth Hormone, TSH, Prolactin, ACTH
Protein
hypothalamus
___ & ___ - both of these target tissues are reproductive organs
In males ___ will land on the testes and trigger sperm production.
___ will land on the testes and trigger testosterone production.

In females ___ will land on the ovaries and trigger egg production.
___ will land on the ovaries and trigger estrogen/estrodiol production.
FSH & LH
FSH, LH
FSH, LH
In males oncee past puberty etc, ___ and ___ stays at fairly constant levels, testosterone stays at same level, until death or repro problems

In females different, ___ and ___ have specific spikes/increases and then drop down to very minimal levels, both cycle until it runs out - ___
FSH & LH
FSH & LH
menopause
RH = ___
releasing hormone
____, Stimulate Growth hormone release from the anterior pituitary
GHRH
___ = ____
Inhibit growth hormone, as we reach our adult size and need less growth hormone this increases
(Does not increase to the point of decreasing metabolism, unless you have a disorder)
ss- somatostatin
TRH - ___
Thyroid Releasing Hormore
TSH - ____
Thyroid stimulating hormone
___ ____ disorder is very common
Thyroid releasing
___ - typically only present if a female is getting ready or producing milk
Most of the time it is inhibited by DA, Dopamine
But there is a PRH, ____ ____ ____ on that occasion it needs to be released
prolactin
prolactin releasing hormone
CRH - ____ ____ ____
corticoid releasing hormone
____, Starts increasing at puberty and helps trigger puberty
GnRH
____ - stimulates adrenal cortex gland
ACTH
____, In females rises and falls in cyclical pattern once puberty hits, eventually ovaries run out of follicles, and the hormones go higher and higher to try to force an egg to release.
GnRH
Hypothalamus Hormones
GnRH, GHRH, SS, TRH, DA, CRH
____ -> FSH & LH
____ or ____ -> Growth Hormone
____ -> TSH
____ -> Prolactin
____ -> ACTH
GnRH
GHRH, SS
TRH
DA
CRH
____ ____ - increase of adrenal secretions -
Increase of aldosterone and cortisol
More glucose -
Higher BP, because "holding onto everything", but not increased energy
More susceptible to swelling, fluid buildup in the lungs, have this extra volume
That they cannot get rid of
Cushings disease
____ ____ - is where adrenal gland disfunction that have decreased amount of adrenal hormones, low aldosterone and low cortisol
Suffers have lower levels of blood glucose, salt-water imbalance problems
Aldosterone helps me hold onto sodium and therefore hold onto water, so low levels have a tendency to increase urine output and therefore have lower blood volume and therefore
Have decreased blood pressure so more tired and less energy
Fairly well controlled because whenever there are decreased levels, simply give them some more
Addisons disease
____ ____
Secretes epinephrine, acts similarly to norepinephrine
Increase activity in times of stress, elicit that flight or fight response, muscle interaction/innervation

2 distinct cell types
Inner medulla
____ - steroid hormone
Often referred to as a stress hormone, emotional stress, physical stress/injury
Main function to help me use glucose more efficiently

(in times of stress increased cortisol levels increase the amount of blood glucose, but extended periods of increased blood glucose is not good)
cortisol
____ ____
Releases Aldosterone - ____ hormone
outer cortex
steroid
____- primarily responsibly for sodium and potassium balance extracellulary
Sodium reabsorption and does potassium secretion(leaving the body)
Aldosterone
*Rule - wherever sodium goes ____ follows

(body is trying to maintain ____ balance by moving sodium and the ____ is following osmotically)
water
water
water
____ ____ produce hormones that have multiple targets and are
metabolic increasers
thyroid gland
____ ____ - little tiny paired glands
Synth and secrete pth
Triggered to be released by low level of calcium in the blood (monitoring blood calcium levels)
Parathyroid gland
1,25 … A type of ____
Most calcium supplements have calcium plus ____
Vit D helps trigger increased calcium absorption by the intestine

(3rd leg, intestine help to pull out as much calcium as possible)
vitamin D
____ does several things in response to low levels of calcium in the blood

Increased resorption (stealing calcium from the bone, and putting in the blood)
If pth is present, allow the kidneys to increase reabsorption - pull the calcium back in the body and less calcium in the urine
Between less calcium dumping and stealing calcium from the bone, should be able to raise the blood calcium levels to "normal"
Pth
____ - from c cells of the thyroid gland

Triggered to release when blood calcium levels are high

Same 2 target tissues, bone and kidney
Increased plasma calcium will
Decrease bone resorption and
Decrease calcium reabsorption by the kidneys (let it go in the urine)
calcitonin
____ ____- calcium stealer
Parathyroid hormone
____ - help to put calcium into the bone, increasing bone mass
Other helpers: insulin, growth hormone, estrogen and testosterone
(Females as they age lose estrogen, more likely to develop ____)
Calcitonin
osteoporosis
____ hormones for calcium levels in blood
Antagonistic
____- steal calcium
osteoclasts
____ - build bone, help calcium deposit onto bone and strengthen it
Osteoblasts
____- particularly influential in fetal growth
Preferentially absorb glucose from mom
Insulin
Even though growth hormone levels decrease at adulthood but

____ remain constant
Growth factors
____ and ____ affect growth
Testosterone and estrogen
Lots of hormones have ____ hormones to keep things in balance
antagonistic
____ ____ from the ____ ____
Target tissue is bone, muscles, lots of tissues, higher in conc. as a child versus grown adult
Growth hormone
anterior pituitary
Bones will grow in length during childhood, but at or near puberty they will stop growing
There is a ____ ____ that will close or seal, this prevents growth hormone from triggering any further growth. Literally seal up and get rid of ____ ____ ____
growth plate
growth hormone receptors
____ - bulging eyes, increased heart rate and increased bp - can lead to an increased intraocular pressure (increased fluid buildup in the eyes)
Hyperthyroidism
____ - could remove a portion of the thyroid gland, or the whole gland or give you radioactive iodine (milkshake!) - no other place in the body to use iodine so it preferentially go there and radiates it
Hyperthyroidism
____ is easily fixed - synthetic thyroid - synthyroid
Hypothyroidism
____ ____ from the ____ ____
Target tissue is bone, muscles, lots of tissues, higher in conc. as a child versus grown adult
Growth hormone
anterior pituitary
Bones will grow in length during childhood, but at or near puberty they will stop growing
There is a ____ ____ that will close or seal, this prevents growth hormone from triggering any further growth. Literally seal up and get rid of ____ ____ ____
growth plate
growth hormone receptors
____ - bulging eyes, increased heart rate and increased bp - can lead to an increased intraocular pressure (increased fluid buildup in the eyes)
Hyperthyroidism
____ - could remove a portion of the thyroid gland, or the whole gland or give you radioactive iodine (milkshake!) - no other place in the body to use iodine so it preferentially go there and radiates it
Hyperthyroidism
____ is easily fixed - synthetic thyroid - synthyroid
Hypothyroidism
Englarged ____ = guiter, need stick to walk

____ due to low iodine levels

Primary issue because thyroid gland is not working right (because no iodine present in diet)
thyroid
Hypothyroidism
Thyroid hormone is a ____ ____

Thyroid disorders are relatively common!
We have iodine in salt but in 3rd world countries there is not this so are not able to produce the ____ and ____
metabolic increaser
t3
t4
Tsh is triggered to be released by _____
TRH
No ____ = thryroid hormone is not being produced
Low ____, ____ = low metabolic hormone

Symptoms = (5)
iodine
t3, t4
tired, low energy, low heart rate, low metabolic rate, overweight
Every single hormone in the anterior pituitary hormone is ____
____ _____= when it lands on its target tissue it causes it to increase in size over time or enlarge its target tissue
trophic
trophic hormone
High levels of ____ (and ____) over time is triggering thyroid gland to get bigger and bigger over time.
tsh (trh)
Can have hyperthyroidism or hypo w/o the ____
Seems to have a genetic component
More common in ____
Mom could have hyper and you get hypo - generally a thyroid disfunction Could ____ ____ and ____ hypo when young and hyper when old …
antibodies
females
swing
back
forth
____ ____ = inherited (senior bushes have this george and laura)
Also causes a guiter (thyroid gland enlargement)
But not due to lack of iodine
graves disease
graves symptoms
have guiter, but increased metabolic rate, increased heart rate, do not want to sleep, anxious, tend to lose weight
graves - ____ ____ - land on the thyroid gland, their target tissue, land on the tsh receptors and trigger the thryoid to crank out t3 and t4
thyroid antibodies
____ - interior is a semifluid gel stuff called a colloid
Where stuff is synthesized
follicles
Lining the interior of the follicle is ____ ____
Take up the thyroid hormone that was produced in the follicle
follicular cells
Exterior cells are w/in thyroid gland but outside the ____
____ produce another protein based hormone - calcitonin
Calcitonin helps us maintain blood calcium levels
Its ____ hormone is parathryoid hormone (PTH)
follicle
c-cells
antagonistic
____ ____, have my response now will turn it off
negative feedback
Connection between endocrine and nervous system - can see it with ____
epinephrine
the organ secreting the hormone, that’s causing the problem then that’s a ____.
primary problem
Therefore is a ____, the dysfunctional organ is not directly causing symptoms
secondary problem
choices are primary and secondary, no such thing as a ____
tertiary problem
big 3 step endocrine process -
Hypothalamus - CRH
Anterior Pituitary - ACTH
Adrenal Cortex - Cortisol
Low levels are due to ____,
High levels is the next ____ ____ is not functioning properly.
negative feedback
endocrine gland
"down"
Follicular Sequence Question
One follicular cell
Colloid on inside and blood vessel on the outside
Sequence of events question!
In order to produce thyroid hormone need iodide (get from salt)
Take iodide and transport it into the cell, cotransported with sodium to maintain balance
Iodide is then transported into the colloid/center, just a diffusion process - down a concentration gradient
TG (thyrogobulin) an antibody, helps stabilize thryoid molecule as its made in the colloid, sequestering it in a non-active form
Transport thryogobulin into the colloid
Sit in the colloid, Iodide is attached to thyroid hormone in 1 of 2 ways (2 forms of thyroid hormone)
T3 or t4 with 3 or 4 iodides attached, t4 is produced in much larger amounts, t4 is an inactive form
While t3 is active
Attach iodide to the tyrosine, either 3 or 4 and attach these to the thyrogobulin
At this point endocytosis, can sequester the newly formed t3 or t4 attached to the thyrogobulin in vesicles
Wait on trigger, tsh coming from the pituitary
When tsh lands on the follicular cell it triggers the release of t3 and t4
Have to disengage from the thyrogobulin, disengage and release into the bloodstream
T3 is active and t4 is inactive until it binds to specific receptor cell
Posterior Pituitary Hormones
(stores does not produce)
Oxytocin
Vasopressin (ADH)
Adrenal Cortex Hormones -
Cortisol
Androgen
Aldosterone
Adrenal Medulla Hormones -
Epinephrine
Norepinephrine