Degree in Biomedical Sciences General Biochemistry Hormones 2 Hormones • A specific chemical compound • Produced by a specific tissue of the body • Where it is released in the body fluids • And carried to a distant target tissue • Where it affects a pre-existing mechanism • And is effective in small amounts 3 Long Distance Communication: Hormones • Signal Chemicals • Made in endocrine cells • Transported via blood • Receptors on target cells 4 Long Distance Communication: Hormones 5 Paracrines and Autocrines • Local communication • Signal chemicals diffuse to target • Example: Cytokines • Autocrine–receptor on same cell • Paracrine–neighboring cells 6 Modes of Endocrine Related Control • Autocrine signalling – chemical message affects the cell that secrets it • Paracrine signalling – chemical message affects neighboring cell • Endocrine signalling – chemical message (hormone) secreted into the blood and acts on distant target organ • Neuroendocrine signalling – hormone secreted by neuron 7 Hormone Classification 1. Proteins and polypeptides • Large proteins • Small peptides • Glycoproteins 2. Lipids (steroids) • Cholesterol derivatives • Eicosanoids (fatty acid derivatives) 3. Amines (amino acid derivatives ) 8 Hormone Classification • Protein hormones • Unable to pass through the plasma membrane because of size and charge • Receptors must be located on the plasma membrane • Extracellular domain for interaction with hormone • Intracellular signalling system 9 Hormone Classification • Protein hormones (contd) • Range from 3 amino acids to hundreds of amino acids in size • Often produced as larger molecular weight precursors that are proteolytically cleaved to the active form of the hormone • Protein/peptide hormones are water soluble • Comprise the largest number of hormones, perhaps in thousands 10 Hormone Classification • Protein hormones (contd) • Examples • ACTH, GH, TSH, PRL, LH, Oxytocin, Vasopressin, PTH, Insulin, Glucagon 11 Hormone Classification Amine Hormones • Derived from the amino acid tyrosine • Small size • OH group • Benzine ring • Stored until secreted • Examples • Triiodothyronine (T3) • Thyroxine (T4) • Epinephrine • Norepinephrine 12 Hormone Classification • Steroid Hormones • Precursor: Cholesterol • Lipophilic • They are immediately released from the cell following synthesis • There are cytoplasmic or nuclear receptors on target cells 13 Hormone Classification • Steroid Hormones (contd) • Activate DNA for protein synthesis • Slower acting, longer half-life • Examples • Androgens, Estrogens, Progesterone, Glucocorticoids, Mineralocorticoids 14 Membrane Receptor Classes • G-protein-coupled • Ligand-gated channel • Receptor enzymes • Integrin 15 G-Protein Coupled Receptor 16 Receptor Locations • Cytosolic or Nuclear • Lipophilic ligand enters cell • Often activates genes • Slower response • Cell membrane • Lipophobic ligand can't enter cell • Hence they have outer surface receptor • Fast response 17 Cellular Mechanism of Hormone Action • Hormone receptors • Located in or on the plasma membrane or in the intracellular compartment of the target cell • Water-soluble hormones • 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 18 Cellular Mechanism of Hormone Action • Water-soluble hormones • Act as first messenger • They initiate signal transduction which involves a seconds messenger in a cascade fashion • Second messenger molecules • Calcium • Cyclic adenosine monophosphate (cAMP) • Cyclic guanosine monophosphate (cGMP) 19 Cellular Mechanism of Hormone Action • Lipid soluble hormones • Steroid hormones • Androgens, estrogens, progestins, glucocorticoids, and mineralocorticoids hormones • Diffuse across the plasma membrane • Bind to cytoplasmic or nuclear receptors • Activate • DNA polymerase • RNA transcription and translation 20 Mechanism of Lipid Soluble Hormones Action 1. A lipid soluble hormone diffuses from the blood, through the intestitial fluid into the cell 21 Mechanism of Lipid Soluble Hormones Action 2. The hormone will bind to a receptor and activate it 3. The receptor may be in the cytoplasm or the nucleus 22 Mechanism of Lipid Soluble Hormones Action 4. An activated receptor then alters gene expression, by either turning on or off transcription of a specific gene 23 Mechanism of Lipid Soluble Hormones Action 5. If the gene is turned off the protein for which it codes is not produced and some process do not occur 24 Mechanism of Lipid Soluble Hormones Action 6. If a new gene is turned on, a new protein is produced by protein synthesis 25 Mechanism of Lipid Soluble Hormones Action 7. The new protein alters the cell’s activity and causes the typical physiological response of that hormone 26 Mechanism of Water Soluble Hormones Action 1. A water soluble hormone diffuses from the blood, and binds to its receptor in the plasma membrane of the target cell 27 Mechanism of Water Soluble Hormones Action 2. The binding activates the G-protein which acts to turn on adenylate cyclase 28 Mechanism of Water Soluble Hormones Action 3. Adenylate cyclase converts ATP into cyclic AMP in the cytoplasm of the cell 29 Mechanism of Water Soluble Hormones Action 4. Cyclic AMP activates one or several protein kinases, which may be free in the cytoplasm or bound to the cell membrane 30 Mechanism of Water Soluble Hormones Action 5. Activated protein kinases phosphorylate one or several enzymes 31 Mechanism of Water Soluble Hormones Action 6. This causes some enzymes to become active and others to inactivate 32 Mechanism of Water Soluble Hormones Action 7. Enzymes activated by phosphorylation catalyse reactions that produce physiological responses 33 Mechanism of Water Soluble Hormones Action 8. Furthermore, phosphorylation by a protein kinase can inhibit certain enzyme, so that, some reaction no longer occur 34 Mechanism of Water Soluble Hormones Action 9. After a brief period of time, an enzyme called phosphodiesterase inactivates cAMP 35 Control of Endocrine Activity • The physiological effects of hormones depend largely on their concentration in blood and extracellular fluid • Almost inevitably, disease results when hormone concentrations are either too high or too low • Therefore, precise control over circulating concentrations of hormones is crucial 36 Control of Endocrine Activity • The concentration of hormones as seen by target cells is determined by three factors • Rate of production • Rate of delivery • Rate of degradation and elimination 37 Control of Endocrine Activity • Rate of production • Synthesis and secretion of hormones are the most highly regulated aspect of endocrine control • Such control is mediated by positive and negative feedback circuits 38 Control of Endocrine Activity • Rate of delivery • An example of this effect is blood flow to a target organ or group of target cells • High blood flow delivers more hormone than low blood flow 39 Control of Endocrine Activity • Rate of degradation and elimination • Hormones, like all biomolecules, have characteristic rates of decay, and are metabolised and excreted from the body through several routes 40 41 The Hypothalamus • Integrates functions that maintain chemical and temperature homeostasis • Controls the release of hormones from the anterior and posterior pituitary • Secretes substances that control the anterior pituitary gland • Releasing factors • Inhibiting factors 42 43 Hypophysiotopic hormones • Hypophysiotopic hormones is a hormone secreted by the hypothalamus that stimulates or inhibits the adenohypophysis portion of the pituitary gland 44 Hypophysiotopic Hormones • Corticotropic Releasing Hormone (CRH) • Released from the hypothalamus • It interacts with the pituitary to produce adrenocorticotropin hormones (ACTH) • Involved in the stress response 45 Hypophysiotopic Hormones • Growth Hormone Releasing Hormone (GHRH) • The hormone released from the hypothalamus • Causes the release of growth hormone from the pituitary gland 46 Hypophysiotopic Hormones • Growth Hormone Inhibitory Hormone (GHIH) • Also known as somatostatin • Delta cells of the pancreas, the stomach, and intestines also secrete it • Inhibits the release of GH and TSH • Suppresses the release of gastrointestinal and pancreatic hormones (glucagon and insulin) 47 Hypophysiotopic Hormones • Prolactin Releasing Hormone (PRH) • Originates in the hypothalamus • Stimulates the secretion of prolactin in the pituitary gland 48 Hypophysiotopic Hormones • Gonadotropin Releasing Hormone (GnRH) • Hormone made by the hypothalamus • GnRH causes the pituitary gland to make luteinising hormone (LH) and follicle stimulating hormone (FSH) • These hormones are involved in reproduction 49 Hypophysiotopic Hormones • Thyrotrophic Releasing (TRH) Hormone • Hormone released by the hypothalamus • Controls the release of thyroid stimulating hormone from the anterior pituitary 50 51 Pituitary Gland • Connected to the hypothalamus • Master gland of the endocrine system • Pituitary sits in a bone cavity called the sella turcica or “turkish saddle” 52 Pituitary Gland • The Pituitary Gland is divided into 2 areas which differ; • Structurally and functionally • Each area has separate types of hormone production 53 Structure of the Pituitary Gland • Two distinct lobes • Anterior pituitary • (adenohypophysis; pars distalis) • True endocrine tissue • Secretes classic hormones • Posterior pituitary • (neurohypophysis; pars nervosa) • Neural tissue • Secretes neurohormones 54 The Hypothalamic-Hypophyseal Portal System 55 Anterior Pituitary 56 Anterior Pituitary Hormones • Thyroid stimulating hormone (TSH) • Target – thyroid gland • Effect – triggers the release of thyroid hormones • Adrenocorticotropic hormone (ACTH) • Target – adrenal cortex • Effect – cells that produce steroid hormones 57 Anterior Pituitary Hormones • Luteinising hormone (LH) • Glycoprotein • Targets – follicle cells (females), interstitial cells of testes (males) • Effects – ovulation, formation of corpus luteum, secretion of progesterone (females), secretion of testosterone (males) 58 Anterior Pituitary Hormones • Follicle stimulating hormone (FSH) • Glycoprotein • Stimulates gametes • Effects – follicle development and estrogen secretion(females), sperm maturation (males) 59 Anterior Pituitary Hormones • Prolactin • Target - breast • Effect - breast development and milk production and involved in testicular function in males • Growth hormone • Target – all cells • Effect – stimulates growth in general and the skeletal system in particular 60 Posterior Pituitary • Antidiuretic Hormone (ADH) • Made in hypothalamus, secreted in posterior pituitary • Target – kidneys • Effect • Reabsorption of water (conserves water in the body) • Reduces urine volume • Dehydration of body stimulates osmoreceptors • High blood volume → less ADH and loss of water 61 Posterior Pituitary • Oxytocin • Synthesised in the cell bodies of hypothalamic neurons • Targets – reproductive organs • Effects – contraction of smooth muscles (labour contractions, milk ejection; ductus deferens, prostate gland – ejaculations) 62 Synthesis, storage, and release of posterior pituitary hormones 63 Thyroid Gland • • • • Butterfly shaped Two lobes connected by an isthmus Straddles the trachea Largest endocrine gland 64 The Thyroid Gland Trachea 65 Thyroid Gland 66 The Thyroid Hormones • Thyroxine (T4) • Triiodothyronine (T3) • Thyroid-Stimulating Hormone (TSH) 67 The Two Principal Thyroid Hormones 1. 2. Thyroxine (T4 ) Triiodothyronine (T3) • They are required for homeostasis of all cells • They influence cell differentiation, growth, and metabolism • They are considered the major metabolic hormones because they target virtually every tissue 68 Thyroid Hormone Biosynthesis 69 Thyroid Hormone Biosynthesis • Thyroid hormone synthesis includes the following steps: 1. Iodide (I-) trapping by the thyroid follicular cells 2. Diffusion of iodide to the apex of the cells 3. Transport of iodide into the colloid 70 Thyroid Hormone Biosynthesis 3. Oxidation of inorganic iodide to iodine and incorporation of iodine into tyrosine residues within thyroglobulin molecules in the colloid 4. Combination of two diiodotyrosine (DIT) molecules to form tetraiodothyronine (thyroxine, T4) or of monoiodotyrosine (MIT) with DIT to form triiodothyronine (T3) 71 Thyroid hormone biosynthesis 5. Uptake of thyroglobulin from the colloid into the follicular cell by endocytosis, fusion of the thyroglobulin with a lysosome, and proteolysis and release of T4, T3, DIT, and MIT 6. Release of T4 and T3 into the circulation 7. Deiodination of DIT and MIT to yield tyrosine • T3 is also formed from monodeiodination of T4 in the thyroid and in peripheral tissues 72 Secretion of thyroid hormones • Endocytosis of iodinated thyroglogulin from lumen into the cell • There is fusion of endocytic vesicles with primary lysosomes • Degradation of thyroglobulin in secondary lysosomes and liberating T3 and T4 into the circulation out of cell 73 Secretion of thyroid hormones • 70% of iodine bound by throglobulin is in the form MIT and DIT • After liberation from thyroglobulin these compounds are deiodinated by enzyme deionidase and tyrosine and iodide is returned to further utilisation 74 Transport of thyroid hormones by blood • Thyroid hormones are not very soluble in water (but are lipid soluble) • Thus, they are found in the circulation associated with binding proteins: • Thyroid Hormone-Binding Globulin (~70% of hormone) • Pre-albumin (transthyretin), (~15%) • Albumin (~15%) • Less than 1% of thyroid hormone is found free in the circulation • Only free and albumin bound thyroid hormone is biologically available to tissues 75 Feedback mechanism 76 Feedback Mechanism • The hypothalamus releases TRH, which acts on the anterior pituitary gland, TSH, or thyrotropin, a glycoprotein that binds to TSH receptors on the thyroid gland • This binding initiates thyroid activity, resulting both in hypertrophy and hyperplasia, as well as the production of thyroid hormones 77 Functions of thyroid hormones • Stimulate metabolic rate • Increasing number and size of mitochondria • Increasing enzymes in the metabolic chain • Resting metabolic rate may increase 100% with excess thyroid hormones or decrease by 50% with a deficiency • Important in growth and development particularly skeleton and nervous system 78 Effects of thyroid hormones • Foetal brain and skeletal maturation • Increase in basal metabolic rate • Inotropic and chronotropic effects on heart (increase contractility) • Stimulates gut motility • Increase bone turnover • Increase in serum glucose, decrease in serum cholesterol • Play role in thermal regulation 79 Iodinisation of Salt 1. Salt is universally and regularly consumed 2. It is inexpensive 3. The technology to iodinise salt is simple 4. There are many studies that support the effectiveness of iodinising salt 80 Parathyroid Gland • Four small glands located on the dorsal side of the thyroid gland • Produces parathyroid hormone • Responsible for monitoring plasma Ca2+ • Parathyroid Hormone (PTH) raises the level of calcium in the blood, decreases levels of blood phosphate • Partially antagonistic to calcitonin of thyroid gland 81 Actions of PTH • Increase [Ca2+], decrease [PO42-] • In bone • Osteoclastic reabsorption releases Ca2+ and PO42- • In kidney • Increased PO42- excretion • Increased Ca2+ reabsorption • Increased hydroxylation of vitamin D 82 Functions of Vitamin D • Calcitriol - 1,25 dihydroxy vitamin D3 (1,25(OH)2D3 is the active form of vitamin D • It stimulates absorption of Ca2+ from the intestines • In the kidney it decreases Ca2+ excretion • In the bone it increases bone mineralisation • In the small bowel it increases Ca2+ and PO42absorption 83 Calcitonin • Calcitonin is made by the parafollicular C cells of the thyroid gland • A large peptide "prohormone" is made and then cut down to the 32 amino acids calcitonin • Causes removal of Ca2+ from plasma to calcify new bone • Lowers plasma Ca2+ (opposes PTH) 84 Calcitonin 85 Parathyroid Function Testing • Serum calcium and phosphorus • Urine calcium • Serum alkaline phosphate • When ↑Ca, ↓Phosphorus • ↑Alk Phos in liver disease 86 The Adrenal Glands 87 Adrenal Gland Catacholamines (Epinephrine, Norepinephrine) Glucocorticoids Mineralocorticoids Weak androgens 88 The Adrenal Glands • The adrenal glands lie just above the kidneys • Divided into two main sub-organs • Adrenal cortex • Secretes the steroid hormones • Glucocorticoids • Mineralocorticoids • Androgens • Adrenal medulla • Secretes catecholamines • Adrenaline (epinephrine) • Noradrenaline (norepinephrine) 89 90 Zona Reticularis • Innermost zone – between the fasciculata and medulla • Primary secretion is androgens • Contribute to normal maturation • Dehydroepiandrosterone (DHEA) • Androgenic hormones exhibit approximately the same effects as the male sex hormone – testosterone 91 Zona Fasciculata • Middle zone – between the glomerulosa and reticularis • Primary secretion is glucocorticoids • Glucocorticoids are involved in increasing of blood glucose levels • However, they have additional effects in protein and fat metabolism • The naturally synthesised glucocorticoid of most importance is cortisol 92 Zona Fasciculata 2 • Glucocorticoids • Secreted by Zona Fasciculata of the Adrenal Cortex • Not stored – Rate of synthesis equals rate of release • Synthesised rhythmically • Controlled by irregular pulses of ACTH • Major pulses early in morning and after meals • Influenced by light 93 Zona Glomerulosa • Outermost zone – just below the adrenal capsule • Secretes mineralocorticoids • Mineralocorticoids are involved in regulation of electrolytes in ECF • The naturally synthesised mineralocorticoid of most importance is aldosterone 94 Hormones of the Adrenal Medulla • Adrenaline (epinephrine) • Noradrenaline (norepinephrine) • 80% of released catecholamines are epinephrine • Hormones are secreted and stored in the adrenal medulla and released in response to appropriate stimuli 95 Catecholamines • Molecules with a catechol nucleus and an ethylamine group attached in position 1 96 Synthesis of the Catecholamines from Tyrosine (Dihydroxyphenylalanine) 97 Synthesis of the Catecholamines 1. Tyrosine hydroxylase requires tetrahydrobiopterin as cofactor 2. The hydroxylation reaction generates DOPA (3,4dihydrophenylalanine) 3. DOPA decarboxylase converts DOPA to dopamine 4. Dopamine β-hydroxylase converts dopamine to norepinephrine 5. Phenylethanolamine N-methyltransferase converts norepinephrine to epinephrine 98 Metabolic Actions of Epinephrine • A central role of epinephrine is to increase the availability of metabolites for the intensive physical activity involved in the acute stress situation • Ways in which the release of glucose from the liver to the blood is increased by epinephrine • Breakdown of glycogen stores • Inhibition of glycogen synthesis • Stimulation of gluconeogenesis • Mobilisation of free fatty acids • Increased metabolic rate • O2 consumption increases 99