Chapter 20: Endocrine System 20-1 Endocrine Glands The endocrine system is made of glands and tissues that secrete hormones. Hormones are chemicals that influence metabolism of cells, the growth and development of body parts, and homeostasis. Hormones can be classified as peptides or steroids. 20-2 There is a close association between the endocrine and nervous systems. Hormone secretion is usually controlled by either negative feedback or antagonistic hormones that oppose each other’s actions, and results in maintenance of a bodily substance or function within normal limits. 20-3 The endocrine system 20-4 Hypothalamus and Pituitary Gland The hypothalamus regulates the internal environment through the autonomic system and also controls the secretions of the pituitary gland. The pituitary has two portions: the anterior pituitary and the posterior pituitary. 20-5 Posterior Pituitary The posterior pituitary stores and releases the antidiuretic hormone (ADH) and oxytocin produced by the hypothalamus. ADH is secreted during dehydration and causes more water to be reabsorbed by the kidneys; the secretion of ADH is regulated by negative feedback. Oxytocin causes uterine contractions and milk release, and is controlled by positive feedback. 20-6 Anterior Pituitary The hypothalamus controls the anterior pituitary by producing hypothalamicreleasing hormones and hypothalamicinhibiting hormones. The anterior pituitary produces six hormones. Three of these six hormones have an effect on other endocrine glands: 1) Thyroid-stimulating hormone (TSH) stimulates the thyroid to produce thyroid hormones; 20-7 2) adrenocorticotropic hormone (ACTH) stimulates the adrenal cortex to produce cortisol; 3) the gonadotropic hormones (FSH and LH) stimulate the gonads to produce sex cells and hormones. In these three instances, the blood level of the last hormone exerts negative feedback control over the secretion of the first two hormones. 20-8 20-9 The next three anterior pituitary hormones do not effect other endocrine glands. After childbirth, prolactin (PRL) causes mammary glands to produce milk. Growth hormone (GH) promotes skeletal and muscular growth. Melanocyte-stimulating hormone (MSH) causes skin color changes in fishes, amphibians, and reptiles. 20-10 Hypothalamus and the pituitary 20-11 Effects of Growth Hormone The quantity of GH is greatest during childhood and adolescence; GH promotes bone and muscle growth. Pituitary dwarfism results from too little GH during childhood. Giants result from too much growth hormone during childhood. If growth hormone is overproduced in an adult, it causes acromegaly. 20-12 Effect of growth hormone 20-13 Acromegaly 20-14 Thyroid and Parathyroid Glands The thyroid gland is a large gland located in the neck, where it is attached to the trachea just below the larynx. The four parathyroid glands are embedded in the posterior surface of the thyroid gland. 20-15 Thyroid Gland The thyroid gland requires iodine to produce thyroxine (T4) which contains four iodine atoms, and triiodothyronine (T3) which contains three iodine atoms. Thyroid hormones increase the metabolic rate, and stimulate all body cells to metabolize and use energy at a faster rate. 20-16 Effects of Thyroid Hormones If iodine is lacking in the diet, a simple goiter develops. Use of iodized salt helps prevent simple goiters. Hypothyroidism in childhood produces cretinism; in adulthood it causes myxedema. If the thyroid is overactive (Grave’s disease) an exophthalmic goiter develops. 20-17 Simple goiter 20-18 Cretinism 20-19 Calcitonin The thyroid gland also produces calcitonin, which helps lower the blood calcium level when it is too high. The primary effect of calcitonin is to bring about the deposit of calcium in the bones; it does this by temporarily reducing the activity and number of osteoclasts. When the blood level of calcium is returned to normal, the release of calcitonin is inhibited. 20-20 Parathyroid Glands Parathyroid glands secrete parathyroid hormone (PTH), which raises the blood calcium when it is insufficient, and decreases the blood phosphate level. PTH acts by stimulating the activity of osteoclasts, thus releasing calcium from bone, and stimulates the reabsorption of calcium by the kidneys and intestine. Insufficient parathyroid hormone will cause serious loss of blood calcium and cause tetany. 20-21 Regulation of blood calcium level 20-22 Adrenal Glands Adrenal glands sit atop the kidneys and have an inner adrenal medulla and an outer adrenal cortex. The hypothalamus uses ACTH-releasing hormone to control the anterior pituitary’s secretion of ACTH that stimulates the adrenal cortex. The hypothalamus regulates the medulla by direct nerve impulses. 20-23 The adrenal medulla secretes epinephrine and norepinephrine, which bring about responses we associate with emergency situations. On a long-term basis, the adrenal cortex produces glucocorticoids similar to cortisone and mineralocorticoids to regulate salt and water balance. The adrenal cortex also secretes both male and female sex hormones in both sexes. 20-24 Adrenal glands 20-25 Glucocorticoids Cortisol promotes breakdown of muscle proteins to amino acids; the liver then breaks the amino acids into glucose. Cortisol also promotes metabolism of fatty acids rather than carbohydrates, which spares glucose. Both actions raise the blood glucose level. High levels of blood glucocorticoids can suppress immune system function. 20-26 Mineralocorticoids Aldosterone causes the kidneys to reabsorb sodium ions (Na+) and excrete potassium ions (K+). When blood sodium levels and blood pressure are low, the kidneys secrete renin; the effect of the renin-angiotensinaldosterone system is to raise blood pressure. The hormone atrial natriuretic hormone produced by the heart inhibits the secretion of aldosterone, thus reducing blood pressure. 20-27 Regulation of blood pressure and volume 20-28 Malfunction of the Adrenal Cortex Addison disease develops when the adrenal cortex hyposecetes hormones. A bronzing of the skin follows low levels of cortisol, and mild infection can lead to death; aldosterone is also hyposecreted, and dehydration can result. Cushing syndrome develops when the adrenal cortex hypersecretes cortisol. The trunk and face become round; too much aldosterone results in fluid retention. 20-29 Addison disease 20-30 Cushing syndrome 20-31 Pancreas The pancreas is between the kidneys and the duodenum and provides digestive juices and endocrine functions. Pancreatic islets secrete insulin, which lowers the blood glucose level, and glucagon, which has the opposite effect, together regulating the glucose level in the blood. 20-32 Regulation of blood glucose level 20-33 Diabetes Mellitus The most common illness due to hormonal imbalance is diabetes mellitus. Diabetes is due to the failure of the pancreas to produce insulin or the inability of the body cells to take it up. Hyperglycemia symptoms develop, and glucose appears in the urine. Diabetes is diagnosed using a glucose tolerance test. 20-34 Glucose tolerance test 20-35 Type I diabetes mellitus occurs when the pancreas does not produce insulin and the patient requires insulin injections. Most people with diabetes have Type II diabetes mellitus where the pancreas produces insulin but the body cells do not respond. Both types lead to long-term serious complications. 20-36 Other Endocrine Glands Testes and Ovaries Testes, located in the scrotum, produce the male hormone testosterone. Ovaries in the female produce estrogens and progesterone. Secretions from the gonads are controlled by the anterior pituitary hormones. These sex hormones maintain the sex organs and secondary sex characteristics. 20-37 The effects of anabolic steroid use 20-38 Thymus Gland The thymus under the sternum produces thymosins that stimulate T lymphocyte production and maturation. The thymus decreases in size with age and becomes fatty. There is hope that thymosins can be injected into AIDS or cancer patients where they would enhance T lymphocyte function. 20-39 Pineal Gland The pineal gland in the brain produces melatonin which is involved in circadian rhythms and the timing of development of the reproductive organs. Children whose pineal gland has been destroyed due to a brain tumor experience early puberty. 20-40 Hormones from Other Tissues Leptin Adipose tissue (fat) produces leptin that acts on the hypothalamus where it signals satiety—that the individual feels “full” and has had enough to eat. It is possible that obese people have ineffective leptin due to a genetic mutation or that their cells lack adequate leptin receptors. 20-41 Growth Factors A number of different types of organs and cells produce peptide growth factors, which stimulate cell division and growth: granulocyte and macrophage colonystimulating factor to fight infection, platelet-derived growth factor for wound healing, epidermal growth factor and nerve growth factor, both for wound healing, and tumor angiogenesis factor that causes blood vessels to grow near tumor cells. 20-42 Prostaglandins Prostaglandins are produced within cells from arachidonate, a fatty acid. Prostaglandins act close to where they are produced. They cause uterine muscle contraction and are involved in the pain of menstrual cramps; aspirin is effective against the pain by countering prostaglandins. 20-43 Chemical Signals A chemical signal is any substance that affects cell metabolism or behavior of the individual. Chemical signals can be used between body parts, between cells, and between individual organisms (pheromones). Underarm secretions may be slightly attractive and may be involved in synchronizing the menstrual cycles of women who live together. 20-44 Chemical signals 20-45 The Action of Hormones Steroid hormones enter the nucleus and combine with a receptor protein, and the hormone-receptor complex attaches to DNA and activates certain genes. Transcription and translation lead to protein synthesis. Peptide hormones are usually received by a hormone receptor protein located in the plasma membrane. 20-46 Action of a steroid hormone 20-47 Most often the reception of a peptide hormone leads to activation of an enzyme that changes ATP to cyclic AMP (cAMP). cAMP, as a second messenger, then activates an enzyme cascade. Calcium is also a common second messenger. Hormones work in small quantities because their effect is amplified by enzymes. 20-48 Action of a peptide hormone 20-49 Chapter Summary Hormones are chemical signals that affect the activity of target glands or tissues. Endocrine glands are ductless and distribute hormones by the bloodstream. The hypothalamus is a part of the brain that controls the functioning of the pituitary gland. 20-50 The anterior pituitary produces several hormones, some of which control other endocrine glands. Growth hormone is produced by the anterior pituitary; giants are due to overproduction of growth hormone during childhood, and pituitary dwarfs are due to underproduction of growth hormone. The thyroid produces two hormones that speed metabolism and another hormone that lowers the blood calcium level. 20-51 The distinct parathyroid glands produce a hormone that raises blood calcium level. Adrenal glands produce hormones that help us respond to stress. Malfunction of the adrenal cortex leads to the symptoms of Addison disease and Cushing disease. The pancreas secretes hormones that regulate the blood glucose level. 20-52 Diabetes mellitus occurs when cells are unable to take up glucose and it spills over into the urine. The gonads produce sex hormones that control secondary sex characteristics. Many other tissues, although not traditionally considered endocrine glands, secrete hormones. Hormones influence the metabolism of their target cells. 20-53