Introduction to Endocrinology Flashcards

1
Q

What are essentials of the endocrine system

A

glands that secrete hormones through blood that have actions on organs

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2
Q

Characteristics of hormones

A

Rates and rhythyms of secretion

  • circadian/diurnal
  • pulsatile
  • cyclic
  • patterns that are determined by substrate

operate in feedback systems to maintain homeostasis

affect cells with appropriate receptor

excreted by kidney or metabolized by liver and then excreted from kidney

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3
Q

Endocrine components

A
Hypothalamus
Pituitary gland
Pineal gland
Thyroid gland
Parathyroid gland
Adrenal
Pancreas
Ovaries
Testies
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4
Q

Hormone types (characterized by)

A

Function

  • autocrine = act on itself
  • paracrine = act in a region
  • endocrine = communicate over a distance

Structure

  • Proteins/polypeptides
  • Steroids
  • Amine
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5
Q

What is an example of a continuous pattern

A

Little variation in serum level

- Thyroxine (T4)

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6
Q

What is an example of a intermittent pattern

A
Circadian
- Gonadotropins
- Cortisol
Cyclic
- Estrogen
- Progesterone
- LH
-FSH
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7
Q

What is an example of a fluctuating pattern

A

Responsive to external stimuli or changes homeostasis

  • Insulin
  • Glucagon
  • Aldosterone
  • ADH
  • PTH
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8
Q

Protein/Polypeptide Hormone Summary

A

Def: MOST hormones in the body!

Char:
-  Insulin, growth hormone, prolactin
-  Water soluble
- circulate in free (unbound forms)
- short- half life
•  Insulin – 3-5 minutes prior to catabolism

MOA:
- Synthesized in the endoplasmic reticulum of originator
cell
- Travels to the Golgi apparatus
- Repackaged into vesicles
- Attach to receptor on target cell surface
- Initiating a secondary messenger system

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9
Q

Steroid Hormone Summary

A

Def: Lipids - derived from cholesterol

Char:
• Primarily circulate bound to carrier or binding proteins
- Free hormone signal target cells
• Travels to receptor inside the target cell – primary
messenger
- Located cytoplasm or nucleus
- Affects transcription and translation of protein
• Ex. Adrenal androgens (progesterone and estrogen) and
cortisol
• Free cortisol rises in liver disease

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10
Q

Amine Hormone Summary

A

Def: Derivatives of single amino acid (tyrosine)

Char:
• Fast and slow acting

Types:
Thyroid
- Slow acting with long half life
- Steady state
- Acts at nuclear level
- Examples:
* Thyroxine (T4)
* Triiodothyronine (T3) 

Catacholamines

  • Fast acting with short half life
  • bind to cell surface
  • emergent response
  • Examples:
  • Epinephrine
  • Norepinephrine
  • Dopamine
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11
Q

What determines a hormone effect

A
  • Number of hormone molecules
  • Number of hormone receptors
  • Binding affinity between hormone and receptor
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12
Q

What is up-regulation

A

Low concentrations of hormone increase the number of
receptors per target cell
• Example:
- pregnancy the cells of the uterus develop more receptors for oxytocin
- ultimately lead to more uterine muscle contraction during labor

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13
Q

What is down-regulation

A

High concentrations of hormone decrease the number of
receptors per target cell
• Example:
- increase of blood glucose causes the pancreas to increase the production of insulin
- the liver decreases the number of receptors to insulin

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14
Q

What is Hypothalamic-pituitary axis (HPA)

A

Hypothalamus tells pituitary gland to release hormones that affect most endocrine systems

  • Thyroid gland
  • adrenal gland
  • gonads
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15
Q

What are the cell types in the Pituitary gland

A
thyrotroph
somatroph
gonadotroph
corticotroph
lactotroph
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16
Q

What is the hypothalamic-pituitary portal circulation

A

Allows hormones from hypothalamus to reach anterior pituitary:
• Rapidly
• High concentrations
• Preserves pulsatile output

17
Q

What hormones are released from the posterior lobe of the pituitary gland

A

Vasopressin

Oxytocin

18
Q

What are stimulation/provocation tests used for

A

assess hypoactive hormone function

19
Q

What are suppression tests used for

A

assess hyperactive hormone function

20
Q

What is thyroid-stimulating hormone

A

glycoprotein hormone synthesized in thyrotroph cells in anterior pituitary
- cause secretion of T3 and T4

21
Q

What do the thyroids do

A

synthesize

  • T3
  • T4
22
Q

What do adrenals do

A
synthesize
- catacholamines
glucocorticoids
mineralcorticoids
androgens
estrogens
23
Q

adrenocorticotropic hormone tests

A

plasma cortisol
plasma ACTH
ACTH provacation/stimulation test
dexamethasone suppression test

24
Q

What are conditions associated with adrenals

A
Hypofunction
•  Addison’s Disease 
•  Low ACTH
Hyperfunction
•  Cushing’s Disease 
•  Androgens
•  Aldosterone
•  Catacholamines
•  pheochromocytoma
25
Q

What does the pancreas do

A

Endocrine

  • insulin
  • glucagon

alpha cells = glucagon
beta cells = insulin
delta cells = somatostatin

26
Q

What does parathyroid do

A

Maintains tight control of serum calcium levels and in turn phosphorus ion

27
Q

What does Pineal gland do

A

Monitors circadian rhythm and sleep/wake cycle
Produces Melatonin
Melatonin induces drowsiness and core body temperature

28
Q

What are common endocrine disorders

A
  • Obesity
  • Over-weight
  • T2DM
  • Thyroid Disease
  • Hyperlipidemia
  • Erectile dysfunction
  • Infertility
  • Gynecomastia
  • Osteoporosis
  • PCOS
  • Hirsutism
Less common
•  Parathyroid Disorders
•  Adrenal Disorders
•  Hyperprolactinemia
•  Growth pattern disturbances
•  Puberty disorders
29
Q

What are common symptoms endocrine dysfunction

A

Bodysize/shape
– Short, tall, weight loss / gain
Metaboliceffects
– Fatigue, weakness, appetite / thirst, urinary changes
Localeffects
– Swelling, HA, visual changes, exophthalmos
Reproduction/sexual
– Libido, impotence, fertility, puberty, breast changes
Skin
– Hair, pigment, moisture, sweating