ENDOCRINE SYSTEM AND DISORDERS BIO 238 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Introduction Endocrine system provides slow, long lasting coordination of body functions It consists of glands and tissues that secrete hormones Hormones are transported by blood to other tissues and organs Hormones only affect target cells • Cells that possess specific receptors for the hormone • Hormone receptors can be located on the plasma membrane or inside the cell Non-target cells have no receptors and are unaffected by hormones Mechanisms of Hormone Action • Hormones affect target cells by altering their metabolic activities • There are two types of hormones that produce different effects on target cells • Steroid hormones • Non-steroid hormones • Steroid and Steroidlike Hormones • Lipid soluble hormones that pass through the plasma membrane • Bind to receptors in the nucleus • Act upon the DNA in the nucleus • Cause production of mRNA that exits the nucleus • Lead to the production of specific proteins, usually enzymes • Nonsteroid Hormones • Usually proteins or peptides that are not fat soluble • Relies on two messengers to produce an effect • First messenger (hormone) binds to the plasma membrane • Binding triggers the release of membrane enzymes that lead to cAMP (second messenger) formation • cAMP activates other enzymes that can change cell function Prostaglandins • Called local, or tissue, hormones • They exert control over the cells near where they are produced • They are produced by cells in nearly every organ • They can increase or decrease cAMP levels • Can modify effects of nonsteroid hormones Actions: • Promote inflammation, with pain and fever • Constrict or dilate blood vessels • Promote blood clotting • Promote excretion of water of electrolytes by kidneys Control of Hormone Production • Hormone secretion is tightly regulated to avoid • Hyposecretion • Hypersecretion • Glands are activated by different stimuli • Another hormone • A chemical product of a hormone • Neural impulses • Stimuli can either stimulate or inhibit secretion • Hormone secretion is regulated by negative feedback • A hormone secreted when the concentration of a substance is too low • The hormone causes body cells to bring the substance level back to normal • Once normal levels are reached, hormone secretion and concentration decreases • Negative feedback keeps hormones levels in the blood relatively stable PITUITARY GLAND Attached to the hypothalamus by a short stalk Resides in and is protected by the sella turcica of the sphenoid bone Consists of two parts with different functions • Anterior lobe • Posterior lobe Control of the Anterior Lobe • Regulated by releasing hormones from the hypothalamus • Hypophyseal portal veins carry hormones from hypothalamus into anterior lobe • There is a releasing hormone for each hormone made by the anterior lobe • Some releasing hormones promote and others inhibit hormone production • Production of releasing hormones is regulated by negative feedback Control of the Posterior Lobe • Controlled by neural impulses that travel down neurosecretory neuron axons from hypothalamus to the posterior lobe • Axons to release hormones into the posterior lobe then into blood ANTERIOR LOBE HORMONES Growth hormone (GH) • Stimulates the division and growth of body cells • Promotes synthesis of proteins and other biological molecules • Increases available energy for producing these molecules • Most abundant during growth years • Secretion is regulated by two hypothalamic releasing hormones • GH-releasing hormone (GHRH) stimulates GH secretion • GHRH production is triggered by strenuous exercise, hypoglycemia, excess amino acids • GH-inhibiting hormone (GHIH) inhibits GH secretion • GHIH production is triggered by hyperglycemia • Disorders • Giantism is caused by excess GH during growing years • Extremely tall • Acromegaly is caused by excess GH after growth years • Only bones of hands, face, and feet continue to grow • Hypopituitary dwarfism is caused by too little GH during growth years • Well proportioned body parts but small in stature Thyroid-Stimulating Hormone (TSH) • Stimulates the thyroid gland to produce thyroid hormone • Secretion is regulated thyrotropin-releasing hormone (TRH) from hypothalamus • Low blood thyroid hormone levels cause TRH to be released • TRH causes production of TSH • High thyroid hormone levels inhibit TRH, which decreases TSH release Adrenocorticotropic Hormone (ACTH) • Controls secretion of hormones by the cortical portion of the adrenal cortex • Secretion controlled by corticotropin releasing hormone (CRH) that works by negative feedback • Excess stress can cause excess ACTH production Gonadotropins • There are two types of gonadotropins • Follicle-stimulating hormone (FSH) • Luteinizing hormone (LH) • Secretion is caused by gonadotropin releasing hormone (GnRH) from the hypothalamus • FSH functions • Females: promotes development of ovarian follicles • Males: promotes sperm production • LH functions • Females: stimulates ovulation and progesterone production • Males: stimulates testosterone production Prolactin • Initiates and maintains milk production by mammary glands after child birth • Secretion regulated by prolactin releasing hormone and prolactin inhibiting hormone from the hypothalamus POSTERIOR LOBE HORMONES Hormones are produced by neurons in the hypothalamus Two types of hormones are released from the posterior lobe • Antidiuretic hormone (ADH) • Oxytocin Antidiuretic Hormone (ADH) • Regulates the presence of aquaporins in the distal tubule and collecting ducts of the nephron • Promotes water reabsorption by the kidneys to reduce water volume in urine • Helps regulate blood volume and blood pressure • Secretion regulated by neurons that monitor water concentration in blood • Decrease in water concentration of blood causes ADH secretion to increase • Increase in water concentration of blood causes ADH secretion to decrease Disorders • Diabetes insipidus is caused by severe hyposecretion of ADH • Produces large volume of dilute urine • Afflicted person must drink water constantly and is always thirsty Oxytocin • Stimulates and strengthens contraction of smooth muscle of the uterus during labor • Causes milk ejection due to infant suckling • Secretion is controlled by positive feedback THYROID GLAND Located below the larynx Two lobes connected by and anterior isthmus Thyroxine (T4) and T3 • Iodine is necessary for production in the thyroid • Functions • Increase metabolic rate • Promote protein synthesis • Enhance neuron function Effects of insufficient levels of T3 and T4 • Moderately low: chronic fatigue • Very low: impaired mental and physical growth and development Secretion is stimulated by TSH Disorders • Exophthalmic goiter (Grave’s disease) is due to hypersecretion of T4 and T3 • Autoimmune disorder resulting in excessive TSH production • Symptoms • Restlessness • Increased metabolic rate with weight loss • Bulging eyes due to tissue swelling • Simple goiter • Enlargement of thyroid gland due to iodine deficiency • Thyroid hormones cannot be produced • Thyroid enlarges in an attempt to make more hormones • Prevented by adding iodine to diet • Cretinism • Severe deficiency of T4 and T3 in infancy • Causes severe mental and physical retardation • • • • Stunted growth Abnormal bone formation Mental retardation Sluggishness • Myxedema • Severe T4 and T3 deficiency in adults • Symptoms • • • • • Sluggishness Weight gain Weakness Dry skin Facial puffiness Calcitonin • Another hormone produced by the thyroid gland • Lowers blood calcium by stimulating calcium deposition by osteoblasts in bones PARATHYROID GLANDS Small glands on posterior surface of the thyroid gland Two glands on each lobe Parathyroid Hormone (PTH) • Increases the concentration of blood calcium levels three ways • Promotes calcium removal from bones by osteoclasts and inhibiting calcium deposition by osteoblasts • Inhibits excretion of calcium by kidneys • Promotes calcium absorption into blood by the intestine Disorders • Hypoparathyroidism is causes a severe drop in blood calcium levels • Impairs neural and muscular activity • Causes cardiac arrest and sudden death • Tetanic contraction of skeletal muscles may cause breathing to cease • Hyperparathyroidism is causes too much calcium to be removed from bones and abnormally high blood calcium levels • Soft, weak bones prone to fracture • Excess calcium can lead to kidney stones or deposits elsewhere in body ADRENAL GLANDS 2 adrenal glands, one atop each kidney Glands consist of two portions • Inner adrenal medulla • Outer adrenal cortex Hormones of Adrenal Medulla • Secretes epinephrine and norepinephrine • Regulated by sympathetic division of the autonomic nervous system • Secreted during times of stress • Hormone effects • Decrease blood flow to viscera and skin • Increase in blood flow to skeletal muscles, lungs, and nervous systems • Increase blood glucose levels • Increase rate of cellular respiration Hormones of the Adrenal Cortex • Aldosterone, a mineralocorticoid • Functions • Regulates electrolyte concentration in body fluids • Maintain blood volume and blood pressure • Effects • Causes kidneys to retain Na+ (and negative ions) and excrete K+ • Causes water to be reabsorbed by osmosis • Secretion is stimulated by • Decrease in Na+ • Increase in K+ • Decrease in blood pressure Cortisol, a glucocorticoid • Secretion caused by ACTH stimulation • Glucocorticoids exert negative feedback control on ACTH • Effects • Maintain blood glucose levels by changing noncarbohydrates into glucose • Respond to stress by making more glucose available to body cells • Reduce inflammation but reduce immune reactions Androgens, male sex hormones • Male effects: development of male sex organs, minor effect in adults • Female effects: female sex drive • Overproduction in both sexes cause exaggerated male characterizations Disorders • Cushing’s syndrome is due to hypersecretion by adrenal cortex • Due to tumors in cortex or excess ACTH • Symptoms • High blood pressure • High blood glucose level • Protein loss • Osteoporosis • Fat accumulation on trunk • Fatigue • Edema • Decreased immunity • Full, round face • Addison’s disease is due to severe hypersecretion by the adrenal cortex • Symptoms • Low blood pressure • Low blood glucose and sodium • Increase in blood potassium • Dehydration • Muscle weakness • Increased skin pigmentation • Without treatment, death occurs in days PANCREAS Elongated organ posterior to the stomach Exocrine functions • Secrete digestive enzymes • Carried by pancreatic duct into small intestine Endocrine function • Islets of Langerhans secrete three hormones • Glucagon • Insulin • Somatostatin Glucagon • Increases blood glucose concentration when it drops too low, even when carbohydrates are depleted • Causes liver to convert glycogen to glucose • Helps convert non-carbohydrates to glucose • Blood glucose controls secretion by negative feedback • Low blood glucose stimulates secretion • High blood glucose inhibits secretion Insulin • Decreases blood glucose concentration when it gets too high • Aids glucose uptake by body cells, where it can be used for energy • Causes the liver to form glycogen for glucose storage • Insulin may also promote amino acid uptake • Blood glucose concentration controls secretion by negative feedback • Low blood glucose inhibits secretion • High blood glucose stimulates secretion Disorders • Diabetes mellitus is caused by hyposecretion of insulin • Symptoms include high blood glucose levels and acidosis, due to use of fats for energy • Two common types of diabetes • Type 1 diabetes • Type 2 diabetes • Type 1, or insulin-dependent, diabetes • Appears in persons below 20 years and lasts a lifetime • Insulin injections are required at regular intervals • Type 2, or noninsulin-dependent, diabetes • Appears later in life (over 40) and in obese individuals • Controlled by diet and medication • Hypoglycemia is due to excessive insulin production causing excessively low blood glucose levels • Symptoms include • • • • • Acute fatigue Weakness Increased irritability Restlessness Insulin-triggered coma Please note that due to differing operating systems, some animations will not appear until the presentation is viewed in Presentation Mode (Slide Show view). 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GONADS Gonads are sex glands • Females: ovaries • Produce ova and sex hormones • Males: testes • Produce sperm and sex hormones Female Hormones • Ovaries • Located in pelvic cavity • Small, almond shaped • Activate at puberty in response to FSH and LH • FSH and LH interact in a 28-day ovarian cycle • Estrogens, primary female sex hormone • Secreted by developing ovarian follicles • Functions • Development and maturation of female sex organs • Secondary sex characteristics • Maintain uterine lining during pregnancy • Progesterone • Secreted by an empty follicle after ovulation • Functions • Prepare uterus for receiving an embryo • Maintains pregnancy • Prepares mammary glands for milk production Male Hormone • Testes • Paired, ovoid organs located in scrotum • Interstitial cells secrete testosterone • Testosterone, male sex hormone • Functions • Development and maturation of male sex organs • Secondary sex characteristics • Male sex drive OTHER ENDOCRINE GLANDS AND TISSUES Other glands and tissues in the body can also secrete hormones • • • • Pineal gland Thymus gland Small glands of stomach and small intestine Placenta Pineal Gland • Small, cone-shaped gland within the brain • Secretes melatonin • Melatonin functions • Controls onset of puberty by controlling gonadotropic hormones • Regulates wake-sleep cycles (circadian rhythms): makes the body sleepy • When exposed to light, melatonin production is reduced • At night, melatonin production is increased Thymus • Located in the mediastinum • Large in infants but gets smaller with age • Functions • Crucial role in development of immunity • Produces thymosin, which aid t lymphocyte maturation