HLTAP301A ANATOMY & PHYSIOLOGY PART 1 – OVERVIEW OF THE ENDOCRINE SYSTEM Along with the nervous system, the endocrine system co-ordinates and directs the activity of the body’s cells. The nervous system is the ‘rapid response’ part of the body, using electrical impulses to generate messages, whereas the endocrine system uses chemical messages (called hormones) which are released into the blood and transported to the appropriate parts of the body. Major processes controlled by hormones are: Reproduction Growth and development Mobilising body defenses Maintaining water, electrolyte and nutrient balances of the blood Regulation of cellular metabolism and energy balance The organs of the endocrine system collectively weigh only 1kg and are scattered around the body. Hormones are the product of the endocrine system almost all of them are either amino acid-based molecules (proteins, peptides, etc.) or steroids (mostly produced by either the ovaries or the testes, or the adrenal cortex). Prostaglandins are a ‘local’ hormone made from lipids within the cellular plasma membrane, and thus almost form a very small ‘subcategory’. Hormones circulate throughout the body in the blood but they only affect a certain cell type or organ – this is called the target cell or target organ. In order for the target cell to respond to a particular hormone, specific protein receptors must be present, so that that hormone can attach and thus influence the workings of a cell. There are really only two ways that hormones trigger changes in cells. Steroids act on cells in the following manner: They diffuse through the plasma membrane of the target cell; once inside, the steroid hormone enters the nucleus; and binds to a specific protein receptor to form a complex. this complex binds to certain sites on the cell’s DNA (Deoxyribonucleic Acid) which activates certain genes to tell the messenger RNA (Ribonucleic Acid) to synthesize a new protein within the cytoplasm of the cell. Non-Steroidal Hormones cannot enter the target cells and so 19/3/16 they bind to receptors on the target cell’s plasma membrane. this sets off a series of reactions that activates an enzyme which starts a reaction that produces a second messenger molecule that effects the target cell’s functions so that something occurs – i.e. glycogen breakdown. 1 of 4 LECTURE 8 HLTAP301A ANATOMY & PHYSIOLOGY What prompts the endocrine system to release their hormones or not? Usually negative feedback mechanisms trigger hormonal secretions as a result of some internal or external stimulus. Rising hormonal levels in the blood then inhibit further hormone releases even as the hormones are promoting a response within the target cells or organs. There are three major categories of stimuli that activates the endocrine system – hormonal, humoral or neural: Hormonal is the most common stimulus – for example the hypothalamus secretes hormones that stimulate the anterior pituitary gland to secrete hormones that then stimulate other endocrine glands to secrete hormones that cause an effect on the body. Humoral refers to body fluids (blood, bile, saliva, etc.) – for example, if blood calcium levels are low, the parathyroid glands release parathyroid hormone (PTH), thus causing blood calcium levels to rise which then ends the stimulus to release PTH. Neural stimuli is relatively rare (compared to the two others) and occurs when nerve fibers stimulate a hormonal release. The Sympathetic Nervous System stimulates the adrenal medulla to release EPH and nor-EPH during periods of stress. Organs of the Endocrine System The major endocrine organs are: Pituitary gland Thyroid gland Parathyroid glands Adrenal glands Pancreatic Islets Thymus Pineal gland Gonads Hypothalamus (part of both the endocrine & nervous systems) There are two types of glands – endocrine and exocrine. Endocrine glands are ductless glands that empty their hormonal products directly into the blood. Exocrine glands have ducts that carry their secretions to a specific site, such as the pancreas and the gonads. The pituitary gland hangs by a stalk inferior to the hypothalamus and has two functional lobes – the anterior portion is comprised of glandular tissue and the posterior lobe is nervous tissue. The anterior lobe of the pituitary gland produces 6 hormones (refer table in text book). Two (growth hormone and prolactin) exert their influence on nonendocrine targets. 19/3/16 2 of 4 LECTURE 8 HLTAP301A ANATOMY & PHYSIOLOGY The other four are topic hormones, which means they stimulate their target organs (which are also endocrine glands) to secret their hormones which then exert an effect on other body organs or tissues. For example - follicle stimulating hormone (FSH) stimulated follicle development in the ovaries, which, as they mature, produces estrogen and eggs are readied for ovulation. Hyposecretion of FSH results in sterility, whereas hypersecretion can result in multiple births. Growth hormone is a general metabolic hormone whose major effects are directed to the growth of skeletal muscles and long bones. Hyposecretion can result in pituitary dwarfism, where the individual has normal body proportions but reaches a maximum height of 1.2m (4 feet) tall. Hypersecretion can result in gigantism – the opposite effect where the individual still has normal body proportions but they can reach a height of 2.4m – 2.7 m (8-9 feet) tall. Hypersecretion after long bone growth is completed results in acromegaly – a condition where the facial bones (particularly the nose and lower jaw), hands and feet are enlarged. The pituitary gland was considered the ‘master’ gland because it controls so many of the other endocrine glands. However, the true master of the endocrine system is the hypothalamus, which is the major integrating link between the nervous and endocrine systems. The hypothalamus releases at least nine different hormones, several of which control the release mechanisms of the pituitary gland. It also produces oxytocin and ADH which are stored in the posterior pituitary gland. Oxytocin stimulates the uterus during labour and causes the letdown reflex when breast feeding. Antidiuretic Hormone (ADH) is discussed when we explore the urinary system. Thyroid and Parathyroid Glands – the thyroid gland is located at the base of the throat inferior to the Adam’s apple and secretes two hormones that contain iodine, the major one being thyroxine. Thyroid hormones control the rate at which glucose is ‘burned’ or oxidized and converted to chemical energy and body heat. Enlargement of the thyroid gland is the result of a diet deficient in iodine and ends up as a condition called a goiter. The second important product is thryocalcitonin which helps to maintain the Ca2 levels within the blood along with PTH, which is secreted by the parathryoid gland located on the posterior surface of the thyroid gland. PTH is a hypercalcemic hormone (increases blood levels of calcium), whereas calcitonin is a hypocalcemic (decreased blood calcium levels). The adrenal glands are similar to the pituitary gland, in that they are actually two organs in one. It has glandular tissue (the adrenal cortex) and neural tissue (the adrenal medulla). The medulla is enclosed by the cortex which has three layers of cells. The adrenal cortex produces three types of steroid hormones which are collectively called corticosteroids. The adrenal medulla produces epinephrine and norepinephrine, which was discussed in detail in the nervous system. 19/3/16 3 of 4 LECTURE 8 HLTAP301A ANATOMY & PHYSIOLOGY The Pancreas is a mixed gland. The pancreatic islets (once called the islets of langerhans) are little parts of hormone producing tissue scattered among the enzyme-producing tissue of the pancreas. The exocrine part of the pancreas secretes pancreatic juice into the small intestine via the pancreatic duct. The endocrine part (the pancreatic islets) produce insulin and glucagon which both help to regulate the amount of glucose (sugar) in the blood. If blood glucose levels are high, the beta cells of the pancreatic islets secrete insulin which stimulates the liver to take glucose out of the blood and store it as glycogen. As the blood sugar levels decline to a specific point, the stimulus for insulin release diminishes (insulin’s effect is hypoglycemic). When blood sugar levels drop (ie. if you skip a meal) the alpha cells of the pancreatic islets release glucagon into the blood – it’s target is the liver which is stimulated to break down glycogen stores into glucose which is then released into the blood (glucagon’s effect is hyperglycemic). Refer to diagram in text book. The Pineal Gland mostly secretes melatonin which is known as the ‘sleep trigger’. Melatonin is also believed to be linked to delaying sexual maturity until physical maturity is reached. The Thymus Gland secretes thymosin, which is very important to the immune response. The Gonads - female gonads are the ovaries which produce estrogens and progesterone – two hormones that work together in a cyclic manner that we call the menstrual cycle. Male gonads are the testes which produce androgens (male sex hormones) of which testosterone is the major one. Testosterone is necessary for the continuous production of sperm. Hyposecretion of gonadal hormones results in sterility in both males and females. 19/3/16 4 of 4 LECTURE 8