Chapter 20 Mechanisms of Hormonal Regulation Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. Endocrine System Functions Differentiation of the reproductive and central nervous systems in the developing fetus Stimulation of sequential growth and development during childhood and adolescence Coordination of the male and female reproductive systems Maintenance of an optimal internal environment Initiation of corrective and adaptive responses when emergency demands occur Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 2 Hormones General characteristics Specific rates and rhythms of secretion • Diurnal, pulsatile and cyclic, and patterns depending on circulating substances Operate within feedback systems Affect only cells with appropriate receptors The liver inactivates hormones, rendering the hormones more water soluble for renal excretion OR hormones are excreted by kidneys directly Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 3 The Endocrine System Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 4 Regulation of Hormone Release Hormones are released: In response to an alteration in the cellular environment To maintain a regulated level of certain substances or other hormones Hormones are regulated by chemical, hormonal, or neural factors Negative feedback Positive feedback Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 5 Feedback Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 6 Hormone Transport Hormones are released into the circulatory system by endocrine glands Water-soluble hormones circulate in free, unbound forms Lipid soluble hormones are primarily circulating bound to a carrier Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 7 Cellular Mechanism of Hormone Action Target cell Up-regulation Down-regulation Low concentrations of hormone increase the number of receptors per cell High concentrations of hormone decrease the number of receptors Hormone effects Direct effects Permissive effects Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 8 Cellular Mechanism of Hormone Action Hormone receptors Water-soluble hormones Located in or on the plasma membrane or in the intracellular compartment of target cell High molecular weight Cannot diffuse across the plasma membrane Lipid-soluble hormones Easily diffuse across the plasma membrane and bind to cytosolic or nuclear receptors Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 9 Cellular Mechanism of Hormone Action Water-soluble hormones First messenger Signal transduction Second-messenger molecules • Calcium • Cyclic adenosine monophosphate (cAMP) • Cyclic guanosine monophosphate (cGMP) Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 10 Cellular Mechanism of Hormone Action Lipid-soluble hormones Steroid hormones • Androgens, estrogens, progestins, glucocorticoids, mineralocorticoids, thyroid Diffuse across the plasma membrane • Bind to cytoplasmic or nuclear receptors Activate • RNA polymerase • DNA transcription and translation Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 11 Structure and Function of the Endocrine Glands Hypothalamic-pituitary axis Hypothalamus Pituitary gland • Anterior pituitary (adenohypophysis) • Posterior pituitary (neurohypophysis) Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 12 The Pituitary Gland Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 13 Posterior Pituitary Hormones Synthesized with binding proteins in supraoptic and paraventricular nuclei of the hypothalamus Secreted by the posterior pituitary Antidiuretic hormone (ADH, formerly called vasopressin) • Controls plasma osmolality Oxytocin • Uterine contractions and milk ejection in lactating women • Suggested: reduces the brain’s responsiveness to stressful stimuli, especially in the pregnant and postpartum states Treatment of anxiety disorders and autism being explored Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 14 Posterior Pituitary Hormones Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 15 Anterior Pituitary Hormones Adrenocorticotropic hormone Melanocyte-stimulating hormone Growth hormone Prolactin Thyroid-stimulating hormone Luteinizing hormone Follicle-stimulating hormone β-lipotropin β-endorphins Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 16 Anterior Pituitary Hormones Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 17 Thyroid and Parathyroid Glands Thyroid gland Two lobes lateral to the trachea Isthmus Follicles (follicle cells surrounding colloid) Parafollicular cells (C cells) • Secrete calcitonin Regulation of thyroid hormone secretion • Thyrotropin-releasing hormone and thyroid-stimulating hormone Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 18 Thyroid and Parathyroid Glands Thyroid hormones 90% T4 and 10% T3 Bound to thyroxine-binding globulin, thyroxinebinding prealbumin, or albumin Affect growth and maturation of tissues, cell metabolism, heat production, and oxygen consumption Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 19 Thyroid and Parathyroid Glands Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 20 Thyroid and Parathyroid Glands Parathyroid glands Small glands located behind the upper and lower poles of the thyroid gland Produce parathyroid hormone • Regulator of serum calcium • Antagonist of calcitonin Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 21 Parathyroid Glands Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 22 Endocrine Pancreas The pancreas is both an endocrine (producing hormones glucagon, insulin) and an exocrine gland (producing digestive enzymes) Houses the islets of Langerhans Secretion of glucagon and insulin Cells • Alpha—glucagon • Beta—insulin • Delta—somatostatin and gastrin • F cells—pancreatic polypeptide Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 23 Endocrine Pancreas Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 24 Endocrine Pancreas Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 25 Endocrine Pancreas Insulin Regulated by chemical, hormonal, neural mechanisms Synthesized from proinsulin Secretion promoted by increased blood glucose levels Facilitates rate of glucose uptake into body’s cells • Sensitivity of the insulin receptor is a key component in maintaining normal cellular function (insulin resistance) Facilitates the intracellular transport of potassium Anabolic hormone • Synthesis of proteins, lipids, and nucleic acids Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 26 Endocrine Pancreas Glucagon Insulin antagonist Secretion promoted by decreased blood glucose levels Stimulates glycogenolysis, gluconeogenesis, and lipolysis Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 27 Endocrine Pancreas Somatostatin Produced by delta cells of the pancreas Little is known • In animal studies found to be involved in the regulation of alpha cell and beta cell function • May inhibit glucagon and insulin secretion • May prevent excess secretion of insulin Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 28 Endocrine Pancreas Gastrin Likely controls the secretion of glucagon Grehlin Stimulates GH secretion Controls appetite Regulation of insulin sensitivity Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 29 Endocrine Pancreas Pancreatic polypeptide Released by F cells in response to hypoglycemia and protein-rich meals Signals satiety Inhibits gallbladder contraction and exocrine pancreas secretion Increases gastric acid secretion Frequently increased in pancreatic tumors and in diabetes Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 30 Endocrine Pancreas Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 31 Adrenal Glands Adrenal cortex 80% of an adrenal gland’s total weight Zona glomerulosa Zona fasciculata Zona reticularis Adrenal medulla Innervated by the sympathetic and parasympathetic nervous systems Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 32 Adrenal Glands Adrenal cortex Stimulated by adrenocorticotropic hormone (ACTH) Glucocorticoid hormones • Direct effects on carbohydrate metabolism • Anti-inflammatory, growth-suppressing effects • Influence awareness and sleep habits • Most potent naturally occurring glucocorticoid is cortisol Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 33 Adrenal Glands Adrenal cortex Mineralocorticoid hormones • Affect ion transport by epithelial cells Increase the activity of the sodium pump of the epithelial cells Cause sodium retention and potassium and hydrogen loss • Most potent naturally occurring mineralocorticoid is aldosterone Regulated by the renin-angiotensin-aldosterone system Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 34 Aldosterone Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 35 Adrenal Glands Adrenal cortex Adrenal estrogens and androgens • Estrogen secretion by the adrenal cortex is minimal • The adrenal cortex secretes weak androgens Androgens converted by peripheral tissues to stronger androgens such as testosterone Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 36 Adrenal Glands Adrenal medulla Chromaffin cells (pheochromocytes) • Chromaffin cells secrete the catecholamines epinephrine (majority) and norepinephrine Release of catecholamines has been characterized as a “fight or flight” response Catecholamines promote hyperglycemia Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 37 Catecholamines Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 38 Neuroendocrine Response to Stress The endocrine system reacts with the nervous system to respond to stressors The stress response also involves the immune system Influenced by corticotropin-releasing hormone from the hypothalamus Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 39 Tests of Endocrine Function Radioimmunoassay Enzyme-linked immunosorbent assay (ELISA) Bioassay Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 40 Aging and the Endocrine System Endocrine changes: consequence or cause? Thyroid gland Parathyroid glands Glandular atrophy, fibrosis, nodularity, and increased inflammatory infiltrates Related to alterations in calcium balance • Inadequate intake, malabsorption, or renal changes Adrenal glands Decreased clearance of cortisol Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 41