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228 Cards in this Set

  • Front
  • Back
What does hormones never do?
Initiate cellular responses -- they only modulate -speed up or slow down
What does hormones help the body do?
1. maintain homeostasis
2. adapt to change
3. perform coordinated complex processes
Whats the difference between exocrine and endocrine?
exocine - secreted into a luman (gland and goes to a specific place)
endocrine- secreted into the blood
At what concentration does hormones circulate in the blood?
very small concentration
What is a primary endocrine gland?
Its main function is to secrete hormones
What hormones are made in the adrenal cortex? medulla?
Cortex -- 1. cortisol, androgens, aldosterone

Medulla - epi and nor
What hormones does the placenta secrete?
1. human chorionic gonadotropin
2. estogen
3. progesterone
4. human placental lactogen
Hormones of the thyroid?
1. T3 2. T4 3. Calcitonin
What are the 3 main groups of hormones?
1. amino 2. peptide 3. steroid
What is the order of organelles that hormones travel to become active?
Starts as pre-pro then goes to ER to become pro. then to golgi to become active then goes into secretory vessicals
What is inside the secretory vessicle?
both the hormone and the copeptide (what was bound to it as pro hormone
What AA are amino acid hormones derived from?
Tyrosine
Whats another name for amine hormones?
catecholamines
tyrosine hydroxylase -
converts tyrosine to DOPA -(this is the rate limiting step to make Epi)
PNMT-
coverts NE to E
What 2 peptide hormones bind to proteins in the blood?
GH and IGF
What amine hormone needs to be bound to a protein?
Thyroid hormones -t3 and t4
Where is the first enzymatic step to make steroid hormone?
in the mitochondria
What are the rate limiting steps to make steroid hormones?
1. transport of cholesterol into the mito
2. activity of P450 that catalyzes conversion of cholesterol into pregnenolone
Give an example of a glucocorticord, mineralocorticoid, androgen that is secreted from the adrenal cortex?
glucocorticord-- cortisol
mineralocorticoid--aldosterone
androgen --DHEA and androstendione
What causes receptor down regulation?
a chonic exposure to a high level of the hormone leads to a lowered max response --diabeties type 2
Where are catecholamines (amine hormones) released from?
neurons and adrenal medulla
What is the pathway from Tyrosine to E with enzymes
Tyrosine (tyrosine hydroxylase) DOPA, DA, NE (PNMT) E
What 3 catecholamines are stored in secretory vessicles?
DA, NE, E
What are secretory vessicles secreted in response to:?
Secetogogues that increase intracellular Ca
What proteins bind to Thyroid hormones?
thyroxine binding globulin and albumin
Where is the first step to make steroid hormones from cholesterol?
in the mitochondria
What are the rate limiting steps in the formation of steroid hormones?
1. cholesterol transport to mitochondira
2. activity of P450 - catalyzes conversion of cholesterol to pregnenolone
What does enzyme P450 do?
converts cholesterol into pregnenolone
Where does the rest of the steps of steroid synthesis take place?
in the mitochondia or smooth ER
cholesterol esterase-
what removes the cholesterol from the LDL
What is the purpose of the signal peptide?
to send the protein to the ER
What is steroidogenesis controlled by?
trophic hormones that bind G proteins coupled receptors
What tissues produces steroids? and what steroids?
adrenal cortex -- aldosterone, cortisol, DHEA
gonads-- testosterone and estradiol
Glucocorticoids- example and what they do
cortisol - increase glucose levels
mineralocorticolds
Aldosterone -enhance water and NaCl reabsorption
What is weaker DHEA or testosterone?
DHEA
What is the main estrogen?
estradiol
What is a weak estrogen secreted by placenta?
estriol
What type of hormones are stored?
Peptide and amine -- thyroid and steroid diffuse out of cell after synthesis
How does thyroid and steroid mostly circulate in the blood?
binded to the plasma binding globulins
What is actually measured when measuring hormone concentration?
the free H --what is maintained at a set point
What serves as a reservior for the steroid and thyroid hormones?
H:BG
What 2 things must be working to have a hormone response?
receptor and hormone
Sensitivity of a hormone -defined as
[H] that creates the half max response
A more sensitive receptor would shift to the ___
Left -- less hormone needed to create the same response
Which way does receptor down regulaton shift the hormone concentration Hormone effect graph"?
decreases the hormone effect -- so shifts it down
Receptor sensitivity may change due to __ and shift the graph__ in the case of diametes
1. genetics 2. inhibitors 3. activators
shifts graph to the right -requires more hormone for the same response
How does receptor down regulation work?
The chronic exposure to the target hormone decreases the number of receptors on the cell
What type of hormones lead to generation of second messengers like cAMP, cGMP, Ca++, activation of kinases leading to P of proteins?
Both peptide and catacholamines
What hormones are in blood attached to binding proteins?
all steroid, thyroid and GH
What 3 major tissues/organs make and store energy?
liver, muscle, fat
intermediary metabolism-
sum of anabolism and catabolism
Anabolism -When does anabolism occur?
build up of moleculesduring the absorptive phase -- requires energy
Catabolism - when?
the break down of larger molecules - releases energy --during post absorptive phase or fasting
glycogenesis -
Glucose to glycogen
Where does gluconeogensis happen?
liver and sometimes kidney
What 3 tissues participate in intermediary metabolism?
liver, muscle and fat
What does lipolysis start with and then produce?
TG --> Glycerol 3P and 2 FA
What is ketogensis? where does it happen?
FFA to Ketones in liver
Where is insulin produced?
Beta cells in pancreas
What hormone levels increase when fasting?
glucagon, epi, GH, and cortisol -- all act to increase blood glucose
Fasting causes what in respect to innervation of liver and adipose tissue?
Increases the activity of the sympathetic nerves in liver and adipose
What is the storage form of fat muscle, and liver tissue?
fat- fat
muscle - muscle glycogen
liver- glycogen
When is the absorptive phase?
Lasts 4 hours after eating
What are the insulin opposing hormones? and where are they produced
GH (anterior pit), cortisol (adrenal cortex), epi (adrenal medulla), and glucagon (pan - alpha cells)
What is the main energy source ffor all cells during absorptive phase?
Glucose
What dictates the metabolic events during absorptive phase?
Insulin
What are 3 effects of insulin?
1. decreases sympathetic activity
2. increases digestion
3. stimulates anabolic events in liver, muscle, and fat
What tissues are insulin dependent?
muscle and fat - requires GLUT 4
What GLUT does the liver have? How does glucose in liver still depend on insulin?
Liver =GLUT2
Insulin still increases the glucose uptake in liver by increasing glucose kinase (glucose --> G6P
Why is the increased activity of glucose kinase help to bring more glucose into the cell?
Lowers the concentration of glucose so more will flow in
What is excess glucose changed into in the liver? - where does it travel and then what is it changed into ?
VLDL - exported to the blood and then hydrolyzed into monoglycerides and FFA
VLDL is hydrolyzed to what? by what? and where?
VLDL changed into FFA and monoglycerides by LPL at the adipocyte capillaries
After the formation of FFA where do they go? and form/
FFA then enters the adipocyte and combine with glycerol phosphate to form fat
When the fat cells uptakes excess glucose what forms?
fat --TG
What is the final location of absorbed triglycerides in plasma chylomicrons?
follow the same path as VLDL and goes to form fat (TG) in adipocytes
What is LPL activated by and when?
Insulin the absorptive phase (4 hours after eating)
What is the path of absorbed amino acids?
go to make new protein

stored energy as protein in muscle
What does LPL do?
strips a TG from the VLDL and then breaks it down into FFA and 2 glycerols
What carries the TGs from the liver to the fat cells?
VLDL and chylomicrons
Post absorptive phase-when? enzymes?
Between meals - decreased insulin and increased glucagon, GH, epi, and cortisol
How does the body maintain glucose levels?
by gluconeogensis and having non CNS cells use FFA and ketones-- glucose sparing
What can be used as energy for CNS?
ketones and glucose -- FFA can not cross the blood brain barrier
What is glucagons main target?
the liver
How does the 4 insulin antagonist hormones work together?
each hormone works on a different pathway
Why is cortisol needed?
to upregulate uptake of epi
FFA are turned into what in the post absorptive phase? where?
Ketone bodies in the liver
What is the final product of glycogen break down in skeletal? why/
lactic acid or pyruvate -- because no G6Pase -- an enzyme in glycolysis
TG is broken down in to? by what? where?
TG - FFA and glycerol3P Hormone sensitive lipase - in the fat cell
What inhibits HSL?
insulin
What is limited at the start of fasting?
protein catabolism -- strategy the body uses to withstand a long fast
What is the cause of cushions syndrome?
increased cortisol
Diabetes Mellitus --
a condition which insulin production 1 or function 2 is imparied
What is an effect of diabetes?
hungry cells because the glucose cant be taken in - so high blood glucose
What are some symptoms of diabetes?
polyuria, polyphagia, polydepisa, weight loss, blurry vision, numbness,
Type 1 diabetes-
due to beta cell destruction by auto immune disease - normal or super sensitive insulin function
Type 1.5 diabetes-
delayed onset of type 1
Type 2 diabetes-
insulin insensitivity-receptor problem, genetics, obesity, normal or high insulin levels in plasma, leads to beta cell exhaustion
Gestational diabetes0
pregnant women - like type 2 insulin resistance
If you have a GH secreting hormone what effect on blood glucose?
increases it
Does cushings syndrome cause higher or lower blood glucose?
Cushings = cortisol secreting tumor =higher blood glucose
What is one mandated activity for diabetes patients? Why?
excercise - contraction of skeletal muscle can stimulate translocation of vesicles with GLUT4 to plasma membrane -feeds into the same pathway as insulin
What diabetic symptoms could excercise aleaveate?
problems due to hyperglycemia
What is the pathway that excercise feeds into called?
Contraction induced signals
How does our body control food intake and weight? where?
through central integrating center located in hypothalamus
Short term control of weight and food intake includes-
ghrelin - from stomach stimulates hunger center in hypothalamus
What hormones stimulate the satiety center as short term control?
glucose, insulin, and gut hormones
How does the body do long term control of body weight and food intake?
fat inhibits appetite by secreting leptin
What does CRH inhibit? What is CRH?
CRH is from the hypothalamus and stimulates the secretion of ACTH- adrenocorticotropic hormone --CRH inhibits the hunger center
What nervous system does fasting stimulate? eating
Eating- parasympathic - rest and digest
Fasting sympathic
Where is the hypothalamus, posterior pituitary, and anterior pituitiary derivered from?
hypothalamus - embryonic brain tissue
posterior pituitary-embryonic brain tissue
anterior pituitiary-roof of the mouth
What tissue types is the pituritary a hybrid of?
endocrine tissue (anterior) and neural (posterior)
How does the anterior pituitary receive the releasing hormones from the hypothalamus?
through the hypothalamic pituitary portal system --hormones released from hypo and travel to median eminence, travel through capillaries to AP
How does the posterior receive blood?
directly arterial blood supply
At what concentrations are the hypothalamus hormone levels in portal vessel? systemic circulation?
portal - pM to nM
systemic - not dectable
What is the only pituitary hormone under chronin inhibition? how are others controlled
prolactin others by negative feedbakc
What increases the size of the target tissue of anterier pituitary hormones?
if you increase the AP hormones
Sheehan's syndrome --
blockage in the hypothalamic portal vessel from mother who just delivered baby -lots of blood loss vessel collapse
Why does prolactin only have negative feed back?
because DA goes straight to prolactin - no intermediate
Sheehans syndrome would do what to the anteteior pituitary levels?
decrease all except prolactin
Primary disfunction of homeostatic hormonal regulation --
happens with the target h
Tertiary disfunction?
Secondary/
Happens with hypothalamus
2- anterier pituitary
What is the posterier pituitary composed of?
axons and terminals of neurons that are originiated from the SON and PVN --the cell bodys (somas) are in hypothalamus
Where are posterior pituitary hormones released? stored? created?
directly into venous circulation -stored in the posterier pit - created in the hypothalamus
What are SON and PVN?
Dendrites in the hypothalamus responding to stimulus
What hormones are made in posterier?
ADH and oxytocin
What is the infundibulum?
Connects the hypothalamus to pituitary. - where the axons to the pp are found
What does oxytocin do?
stimulats smooth muscle growth and modulates the activity of many neurons - helps facilitate species propagation
What does the release of PP hormones require?
an Action potential in the hypothalus to get release
How many effects can the hypothalamic pituitary axis produce from 1 signal?
Same signal can stimulate secretion from both PP and AP through 2 distinctly different pathways ex- oxytocin and prolactin
What needs to happen to get milk synthesis and ejection?
Anterior P - stops producing DA because its inhibitory so more prolactin is now there -- PP - neurons signal to secrete more oxytocine
What type of hormone is somatostain?
PEPTIDE
What is the only nonpeptide regulatory protein?
DA
What are the 3 pillars that are involved in balancing physiology? how?
1. thyroid- metabolic rate
2. adrenal - restores homeostasis after physiological stress
3. sex - development and maintance
Where is thyroid? what is beside it/
beside trachea - just below larnx - contains 4 parathyroid glands
what does the parathyroid do/
secrete PTH- increases plasma Ca and decreases PO4
Where is the site of thyroid hormone synthesis?
a single layer of follicular cells that surround a pool of colloid --hormones made in the lumen of the follicular cell
When the thyroid is hyperactive what happens?
the colloid increases and you get a goiter
What are the 3 steps in TH synthesis?
1. addition of I to tyrosine residues in thyroglobulin in luman
2. coupling to make TH on thyroglobulin
3. cleaving TH from thyroglobulin and send it back to the follicular cell
Where is thyroglobulin (TG) made? and then sent to?
made in the follicular cell and then sent to the follicular cell lumen wo I can bind to it
How does I get into the follicular cell? what type of transporter?
I comes from the circulation - and then is symported with Na in a 2ndary active transporter
What is a 2ndary active transporter-
doesnt directly use ATP - uses the energy from some other process
What does the conjugation of I into tyrosine residues of TG produce?
MIT - monoiodotyrosine or DIT - diiodontyrosine
How does MIT or DIT produce T3 or T4?
Either MIT and DIT form T3 or 2 DIT form T4
How are T3 and T4 secreted back into the follicular cell?
with the TG still attached
Which is stronger T3 or T4? What is secreted more? whos half life is longer?
T3 - much more potent
T4 is secreted more
T4 lasts longer
What converts T4 to T3? where?
deiodinase in the liver and target cells
Where are Thyroid receptors found?
in most cells in the body
What does TH do?
1. increase BMR main function
2. increase sympathetic responses - beta adrenergic responses - increases epi so increased heart rate
What are THs required for?
neuron development and function --formation of nerve terminals and synpases
--increases GH secretions
-normal reproduction in adults
--proper nerve/muscle reflexes
--normal recognition
Would plasma TSH levels of a subject with inactive thyroid receptors be higher or lower?
higher - because your taking away the negative feedback
What is the most obvious thing that indicates a thyroid dysfunction?
a goiter -but a goiter could be caused by something else too
When does a goiter form?
When chronically stimulated by TSH/TSH like substances - the thyroid glands (coloid) increases
hyperplasia- define - what does it cause
increase in the number of cells
causes a goiter
What does colliod droplets contain in follicular cell?
T3 or T4 with bound TG
How does TH increase BMR?
by stimulating moblization of energy substrates, O2 consumption, and Na/K ATPase activity
What could hyperthyroidism be caused by?
A TSH secreting tumor
Grave's Disease -
presence of immunoglobulins that bind and activate TSH receptors -which leads to high TH and then lower levels of actual TSH but still have goiter b/c of immunoglobins
What does a thryrotrope do/
produces TSH
What is a cause of hypothyroidism?
death of thyrotropes -- you cant make TSH so thyroid atrophys without stimulation
Does chronic I deficiency result in a goiter?
Yes - Low TH removes neg feedback and increases TSH
What can thyroiditis cause? lead to?
causes slow or rapid inflammation of the thyroid gland -- eventually hypothyridism
What is another name for hyperthyroidism?
Thyrotoxicosis
What are some symptoms of hyperthyroidism?
exopthalmos (grave's diease--eyes) fine tremor,tachycardia, weight loss, heat intolenance
symptoms of hypothyroidism-
cretinism for congenitial deficiency, growth stunt, cold intoleance, bradycardia, weight gain
What is the effect of defective TH receptors?
cannot activate TH receptors on TSH or TRH - so increase in TH and increase in TSH -- but you would have the symptoms of hypo because TH cant do anything bc of defective receptors
What secretes catacholamines? What are they?
sympathetic nervous system and adrenal medulla -- epi and nor
What does the adrenal cortex secrete? function?
cortisol - increase blood glucose, anti inflam, anti immune and anti stress
What is the adrenal gland a hybrid of?
endocrine cortex and neural medulla
Where is the adrenal glands?
superior pole of the kidney
How is blood supplied to the adrenal glands/
1st to the cortex (outside) then medulla
What kind of nerves are supplied to the medulla?
modified ganglion of the sympathetic nervous system
What are the different layers of the adrenal cortex glands and what do they secrete?
OUTER
1.Zona glomeralosa- Aldosterone
2.Zona fasciculate - Cortisol and androgens
3. Zona Reticularis - androgens(DHEA) and cortisol
INNER
What do all things secreted from cortex have in common?
All steroid hormones
What does the medulla secrete
amine hormones - Epi and Nor the catachoamines
What is the rate limiting step of forming Epi/
Tyrosine to DOPA by tyrosine hydrolase
What happens with DHEA levels with aging?
they decrease - some take as antiaging supplement
What are adrenal steriods derived from? rate limiting step?
cholesterol = conversion of cholesterol to prenenolone by P450 located in inner mit membranne
What do both epi and cortisol protect the body from?
stress - maintain plasma glu levels
What does cortisol do normally? at high levels?
maintains glu levels by gluconeogensis and lipolysis
high levels -- stimulates protein breakdown
Why give pregnant women who are goin to have a premie a cortisol shot?
to stimulate lung maturation---surfactant production
What is the active form of cortisone?
hydrocortisone
When is cortisol levels the highest? how does the pattern change when stressed? a ACTH secreting tumor?
when you first wake = stressed =same pattern but highre

ACTH tumor - flat line
What are some therapeutic uses of cortisol?
1. bee stings
2. arthritis
3. prevent rejection of organ transplant
Why would you have hyposection of cortisol?
autoimmune destruction of adrenal cortex -- loss of both aldosterone and cortisol
Addison's Disease -
destruction of adrenal cortex - hypotension, hypoglycemia, fatigue, and weakness
What causes impaired cortisol secretion?
congenital adrenal hyperplasia -- cant convert cholesterol to cortisol
Cushings syndrome caused by? symptoms?
caused by - hypersection of cortisol - hypertension, muscle weakness, immunosuppressive,
What does high concentrations of cortisol do?
stimulates protein degradation and inhibits bone formation and stimulates bone resorption (can lead to osteoprosis
What molecules could causes a growth stunt?
high glucocorticoids
What is congenital adrenal hyperplasia?
A definciency in 21 alpha OHase which changes cholesterol to cortisol - so the ACTH increases which increases DHEA
What hormones increase during stress?
Aldsterone- retain Na
,ADH - retain h20
GH- mobilze stored energy
epi and nor -pain killing
glucagone- increase blood glucose
What hormones decrease during stree?
insulin and reproductive
What are the primary reproductive organs? another name? What happens here?
gonads -ovaries and testes - gametogeneisis and steroid hormone production
What are accessory reproductive organs?
duct systems and related secretory glands - gamete transport or storage -- can be internal or external genetials
What are the major steroids from testes and ovaries?
testosterone and estradiol
What tissues secrete estrogens?
ovaries, fat, and placent
What tissues secrete testosterone?
testes and non gonadal tissue
What is more potent that testosterone? the enzyme?
DHT formed from testosterone by 5alpha reductase
What converts testosterone to estradiol?
armatase
Name the cell types in meiosis in males in order
Spermatogonium, Primary spermatocyte, Secondary spermatocyte, spermatids, sperm
How long does it take to make 1 sperm from the begininng?
60 days
At what cell stage does the sperm become haploid?
Spermatid
What happens at puberty to signal spermatogenesis?
awakening of the hypothalamic axis - anterior pit secretes GH and enlarges testes
How many sperm do you get out of spermatogenesis?
4
What are women born with? at what stage are that arrested? When are they arrested until
A fixed number of oocytes arrected at prophase 1 until puberty
What is the first phase of spermogenisis?
mitosis
At birth how many oocytes? puberty?
400,000 and continuely die off 200,000
What stage is an ovulated egg in?
Secondary oocyte arrested at metaphase 2
When can nondisjunction happen?
during M1 or M2
Name the disorder
XO
21 tri
XXY
XO - Turners syndrome
21 tri - downs syndrome
XXY - Kleinefelts
XO -
female but no 2ndary sex characterists and will not go through puberty
XXY -
Kleinefelts - functioning male but infertile
When does sex determination happen/
5-10 weeks
-Thalidomide-
sold to prevent morning sickness-but it produced teratogen a exogenous chemical that can disrupt a growing fetus - no arms
Sex differentiation involves -
transformation of mullerian ducts (female) or wolffian(male) ducts to either male or female
How does males break the female default?
by producing SRY gene on the Y chromosome
What does SRY od? what is it/
formation of testes through the wolffian duct -- its is a transcription factor that breaks M cycle
testes secrete-- and they do?
testosterone and MIH - together inhibit female and stimulate formation of male
What is testosterone to by? and then what does it do?
testosterone to DHT by 5alpha reductase -- induces differentiation of urogenital sinus to male
What binds to androgen receptors?
both T and MIH
What is the main hormone that is responsible for forming male external genitalia?
DHT
What causes the testes to decend?
Testosterone
What causes androgen insensitivity?
defective androgen receptors - neither T or DHT can activate the receptors --still has SRY
What will form with androgen insensitivity?
the testes b/c you still have SRY and the hormones from testes will be secreted but will have no function
What hormones will still have function in androgen insensitivity?
MIH - so no internal gental b/c you have MIH which stops female and no DHT or test functioning
What inhibits LH?
Testosterone