Chapter 16 The Endocrine System J.F. Thompson, Ph.D. & J.R. Schiller, Ph.D. & G.R. Pitts, Ph.D. Endocrine System: An Overview The body’s second homeostatic control system Uses hormones as control agents Hormones: chemical messengers released into the blood to regulate specific body functions Hormones are secreted by endocrine (ductless) glands and tissues Endocrinology: the scientific study of hormones and the endocrine organs Hormones Regulate: Volume & chemical composition of the extracellular fluid (ECF) Metabolism and energy balance Contraction of smooth and cardiac muscle fibers and many glandular secretions Homeostasis during normal and emergency conditions Some immune system activities Coordinated, sequential growth, development, and maturation Reproduction by regulating: gamete production fertilization nourishment of the embryo and fetus labor and delivery lactation for nourishment of the infant Nervous vs. Endocrine Systems rapid action potentials (nerve impulses) propagated via nerve fibers neurotransmitters released at specific effector(s) nerve impulses are brief (msecs/seconds), although control can be sustained response of effectors is of relatively short duration (seconds/minutes) slower hormones released into body fluids; circulated throughout the body in the blood all body cells exposed; only target cells with receptors respond hormones persist for seconds/hours/days responses of target cells may last seconds/hours/days, even weeks/months Endocrine versus Exocrine Glands All glands have extensive capillary blood supply form a discrete structure/organ Endocrine glands secrete hormones into surrounding tissue fluid by exocytosis and the blood transports them to target cells Exocrine glands secrete various compounds by exocytosis into a duct system Mixed glands both endocrine and exocrine functions Six Pure Endocrine Glands pineal pituitary thyroid parathyroid adrenal cortex/medulla thymus Other Endocrine System Components mixed glands: pancreas gonads: ovaries & testes other endocrine tissue: stomach and intestines skin and adipose tissue heart kidneys placenta neuroendocrine “organs”: Hypothalamus/Pituitary gland Types of Chemical Regulators Circulating hormones (endocrines): travel via the blood to reach all tissues, and may affect distant target cells Local hormones – diffuse into local interstitial fluid, reach and affect only local target cells paracrine - acts on target cells close to the site of release autocrine - acts on the same cell which secreted it for the various immune system local hormones, see Chapter 21 (cytokines, lymphokines, etc.) Circulating vs. Local Hormones Local hormone molecules are usually short lived, and inactivated quickly Circulating hormone molecules linger in the bloodstream, and exert their effects for minutes or hours inactivated by enzymes in the target tissues or in the bloodstream or in the liver; some hormones are also eliminated by the kidneys kidney or liver disease – may cause problems due to increased hormone levels The Chemistry of Hormones Two main chemical classes of circulating hormones: I. Amino acid based: amines - from single amino acids peptides – short sequences of amino acids proteins - long chains of amino acids II. Steroids: synthesized from cholesterol A third category exists, if local hormones are included: eicosanoids: synthesized from a cell membrane fatty acid (arachidonic acid) Mechanisms of Hormone Action Hormones may alter cell activities and metabolism by: Changing membrane permeability or membrane potential by opening or closing gated ion channels Synthesis of proteins, lipids, or carbohydrates or certain regulatory molecules within the cell Enzyme activation or deactivation Induction or suppression of secretory activities Stimulation of mitosis (and meiosis in the stem cells in the gonads) Second Messenger Systems Most amino acid, peptide and protein hormones: Are water soluble/lipid insoluble (hydrophilic) Cannot Need cross the cell membrane a second messenger to exert their effects Second Messenger Systems Since amino acid based hormones cannot enter cells, a 2nd messenger must convey the hormone signal to the inside of the cell (the hormone is the 1st messenger) Molecules that serve as second messengers include: cyclic AMP activates protein kinases cyclic GMP inactivates protein kinases IP3 (inositol triphosphate) Ca2+ ions released Ca2+ ions that may bind to calmodulin Cyclic AMP (cAMP) 1) Hormone A (excitatory) binds 1) Hormone B (inhibitory) binds membrane receptor, activating Gs its membrane receptor, 2) Gs stimulates adenylate cyclase (AC) activating Gi 3) AC forms cAMP from ATP 2) Gi inhibits adenylate cyclase 4) cAMP activates Protein Kinase A 3) Antagonistic control 5) PKA: activates/deactivates other enzymes; stimulates cell secretion; opens ion channels, etc. Second Messengers (cont.) Two second messengers may work together (e.g., IP3 & Ca2+) Twice as much activation Activate enzymes and trigger other intracellular activities Amplification by Hormones Hormones are in very low concentrations in body fluids They bind reversibly to target cell membrane receptors Second messengers initiate a cascade of events (a “snowball” effect) because they activate enzymes that act on other enzymes This cascade effect amplifies the effect of small quantities of hormone binding to cells Amplification: the Cascade Effect For instance, consider a single hormone molecule binding to a specific receptor on a cell surface It may activate 10 membrane proteins Each membrane protein may activate 10 adenylate cyclase enzymes to produce 1000 cAMP’s This produces a total of 100,000 second messengers in the cell which act on various cytoplasmic enzymes Each enzyme may then activate hundreds/thousands of other protein molecules Steroid Hormone Action Steroid hormones (derived from cholesterol) are lipid soluble and penetrate the cell membrane Bind to cytoplasmic receptors inside the cell Hormone-receptor (h-r) complex enters the nucleus, binds to a DNA receptor protein This causes transcription of certain genes, and thus produces specific proteins This direct gene activation is a slower process, but with longer lasting effects Target Cell Specificity Target cells have specific cell surface or cytoplasmic receptors which bind to a specific hormone A target cell has 2,000 to 100,000 receptors for each hormone to which they respond down-regulation: reduction in the number of receptors when a hormone is present in excess so target tissues become less sensitive up-regulation: increase in the number of receptors when hormone is deficient so that target tissues become more sensitive Hormone Interactions at Targets Permissveness: one hormone allows another hormone to cause an effect ex: thyroid hormone permits reproductive hormones to cause their effects on reproductive development Synergism: effect of two hormones acting together is greater than either acting alone ex: glucagon and epinephrine together cause more increase in blood glucose than either alone Antagonism: one hormone has an opposite effect to another hormone ex: glucagon elevates blood glucose, insulin lowers blood glucose Control of Hormone Release 1. Humoral Control/Autocontrol: levels of substances in the blood regulate the release of the hormone, e.g.: Ca2+ levels in blood regulate PTH release by the parathyroid gland Glucose levels in blood regulate insulin and glucagon release by the pancreatic islets Na+ and K+ levels in the blood regulate aldosterone release by the adrenal cortex Control of Hormone Release 2. Nervous System Control: neural input stimulates the release of specific hormones, e.g.: Sympathetic ANS stimulation of the adrenal glands cause them to release epinephrine and norepinephrine Nerve impulses from the hypothalamus cause oxytocin release from the posterior pituitary during labor or breast feeding Nerve impulses from hypothalamus cause ADH release from the posterior pituitary when water concentration of blood declines Control of Hormone Release 3. Hormonal Control: hormones stimulate the release of other hormones Neurohormones from the hypothalamus stimulate the anterior pituitary to release hormones which, in turn, stimulate the thyroid gland, the adrenal cortex, and the gonads, respectively, to release their hormones What To Know About Every Endocrine Organ For The Exam Name and location of each endocrine gland Names and acronyms of hormones secreted by each endocrine gland Chemical class of the hormone(s) (amine, peptide/protein, or steroid) Release mechanisms for the hormone(s) Antagonistic control to reduce the release of the hormone(s) Target tissues or cells for each hormone Major responses of the target tissues or cells to each hormone The Pituitary Gland Two structural components with different embryological origins Anterior Lobe Posterior Lobe (Adenohypophysis) (Neurohypophysis) “The Master Gland” The pituitary gland has two functional components Anterior pituitary Adenohypophysis Primarily glandular tissue Synthesizes protein hormones Posterior pituitary Neurohypophysis Primarily neuosecretory cells (their cell bodies in the hypothalamus) Secretes peptide hormones Some support/glial cells The Pituitary Gland Connected to the hypothalamus by the infundibulum Vascular linkage hypothalamus to the anterior pituitary two capillary beds – the hypophyseal portal system Nervous linkage hypothalamus to the posterior pituitary hypothalamic neuron axons Regulation of Pituitary Hormone Release Anterior pituitary hypothalamic releasing and inhibiting hormones/factors transported via blood in the hypophyseal portal system Posterior pituitary neuroendocrine release from neurosecretory cells hormones produced in hypothalamus and released from axon end bulbs in the posterior lobe Anterior Lobe / Adenohypophysis Growth Hormone = human growth hormone (hGH) Release stimulated by GHRH from the hypothalamus negative feedback regulation by low blood levels of GH inhibited by GHIH (somatostatin) from the hypothalamus Actions targets especially liver, muscle, bone, cartilage; also most tissues stimulates growth, mobilizes fats, elevates blood glucose (insulin antagonist) Anterior Lobe / Adenohypophysis Growth Hormone pathologies hyposecretion – pituitary dwarfism (normal trunk/limb proportions) hypersecretion • childhood – pituitary gigantism • adulthood - acromegaly Anterior Lobe / Adenohypophysis Thyroid Stimulating Hormone (TSH) Release stimulated by: • TRH from hypothalamus • indirectly by pregnancy and body temperature inhibited by negative feedback from the thyroid hormones and GHIH (somatostatin) Actions targets thyroid gland stimulates thyroid hormone release (T3 and T4) Anterior Lobe / Adenohypophysis Thyroid Stimulating Hormone (TSH) pathologies hyposecretion – hypothyroidism hypersecretion -- hyperthyroidism myxedema thyroid cretinsim exophthalmia Anterior Lobe / Adenohypophysis Adrenocorticotropic Hormone (ACTH) Release stimulated by corticotropin releasing hormone (CRH) from hypothalamus inhibited by negative feedback by glucocorticoids from adrenal gland (and by chronic use of therapeutic antiinflammatory steroids) Actions targets adrenal cortex stimulates release of glucocorticoids (and to a lesser degree -- gonadocorticoids, and mineralocorticoids) Anterior Lobe / Adenohypophysis Adrenocorticotropic Hormone (ACTH) pathologies hyposecretion – Addison’s Disease hypersecretion – Cushing’s Disease (pituitary tumor) hyperpigmentation Cushing’s Disease - edema Anterior Lobe / Adenohypophysis Follicle Stimulating Hormone (FSH) Release stimulated by gonadotropin releasing hormone (GnRH) from hypothalamus inhibited by negative feedback • estrogen and inhibin in females • testosterone and inhibin in males Actions targets ovaries and testes • female – stimulates ovarian follicle to mature – stimulates production of estrogen • male - stimulates sperm production Anterior Lobe / Adenohypophysis Luteinizing Hormone (LH) [Interstitial Cell Stimulating Hormone (ICSH) in males] Release stimulated by GnRH inhibited by negative feedback • estrogen and progesterone in females (except during LH surge) • testosterone in males Actions targets ovaries and testes stimulates • females - ovulation and production of estrogen and especially progesterone • males – production of androgens, e.g., testosterone Anterior Lobe / Adenohypophysis Prolactin Release stimulated by an unidentified Prolactin Releasing Hormone (PRH) from the hypothalamus enhanced by estrogens, birth control pills and breast feeding inhibited by: • dopamine = Prolactin Inhibiting Hormone (PIH) • lack of neural stimulation (no suckling) Actions targets breast secretory tissue stimulates milk production for lactation [Note: The seventh anterior pituitary hormone, Melanocyte Stimulating Hormone = MSH is of limited importance in humans.] Posterior Lobe / Neurohypophysis Oxytocin Release positive feedback • uterine stimulation (stretch) and suckling stimulate the hypothalamus to release oxytocin from the posterior pituitary • stimulates uterine contractions (labor) and milk letdown • increases feedback for more oxytocin release inhibited by lack of these stimuli Actions targets smooth muscle of the uterus and the breast stimulates uterine contractions and milk ejection/letdown Posterior Lobe / Neurohypophysis Antidiuretic Hormone (ADH) or Vasopressin Release stimulated by impulses from hypothalamus in response to: • increased osmolarity (dehydration) • decreased blood volume or blood pressure • stress inhibited by adequate hydration or ethanol ingestion Actions (1) targets kidney (ADH effect) • stimulates kidney tubule cells to reabsorb water • NaCl (salt) will be conserved passively to some degree (2) targets vascular smooth muscle to constrict • elevates blood pressure (vasopressin effect) Thyroid Gland Located in the anterior neck inferior to the larynx (“Adam’s apple”) Two lateral lobes connected by isthmus The largest pure endocrine gland in the body Has a rich blood supply Thyroid gland (continued) Structure Spherical follicles lined with cuboidal follicular cells site of production of thyroid hormones thyroxine (T4) (tetraiodo- thyronine) triiodothyronine (T3) amine hormones Parafollicular (C cells) between follicles produce calcitonin (thyrocalcitonin) a protein hormone The interior of the follicle contains the thyroid “colloid” which is the inactive storage form of thyroid hormones, called thyroglobulin. Thyroid Gland (continued) Thyroid Hormones thyroxine (T4) and triiodothyronine (T3) amine hormones – unusual in penetrating its target cells to bind with cytoplasmic receptors formed two from an amino acid (AA) – tyrosine linked tyrosines with iodine atoms covalently bound 4 iodine atoms - thyroxine (T4) = tetraiodothyronine 3 iodine atoms - triiodothyronine (T3) Thyroid Hormones (continued) Actions targets all tissues except adult brain, spleen, testes, uterus and thyroid gland carried in blood attached to a transport protein, only active when freed from the transport protein to diffuse into the tissues stimulates glucose metabolism increases basal metabolic rate increases body heat = thermogenesis important regulator of growth and development in conjunction with hGH Regulation decreased levels of thyroid hormones stimulate TRH and TSH hypothalamic TRH stimulates the anterior pituitary to release TSH which stimulates the thyroid to release thyroid hormones Thyroid Gland Pathologies Hypothyroidism* adults – myxedema infants – cretinism * lethargic, low metabolism, puffy eyes, easily chilled, mental impairment if due to lack of iodine, then a goiter - increased thyroid size short, thick body, mental retardation improper development Note: the defect may be in the pituitary gland or in the thyroid gland itself Thyroid Gland Pathologies Hyperthyroidism: Graves disease among others body produces autoantibodies which bind and stimulate the TSH receptor inappropriately stimulates excess thyroid hormone production causes elevated metabolic rate, sweating, rapid heartbeat, high blood pressure, nervousness, bulging eyes (exophthalmia) * Note: the defect may be in the pituitary gland or in the thyroid gland itself Thyroid Hormones (continued) (Thyro)Calcitonin A protein hormone Release from parafollicular (C) cells in thyroid tissue (between the follicles) triggered by elevated blood calcium levels Actions targets bones, primarily in childhood inhibits osteoclast activity (stops bone resorption) stimulates osteoblasts for calcium uptake and incorporation into hydroxyapatite in the bone matrix Net effect: decreases blood Ca2+ levels Parathyroid Glands Typically four small glands on the posterior surface of the thyroid gland Filled with chief (principal) cells which secrete parathyroid hormone (PTH or parathormone) Oxyphil cells – larger cells, function unknown PTH is a protein hormone Parathyroid Hormone (PTH) Release - negative feedback stimulated by low blood Ca2+ levels inhibited by high blood Ca2+ levels Targets: Bone: osteoclasts dissolve matrix liberating Ca2+ and PO4- ions Intestine: absorb Ca2+ and PO4ions Kidney: reabsorb Ca2+ and eliminate PO4- ions activates vitamin D to active vitamin D3 (calcitriol), enhances Ca2+ absorption at the intestine Net effect: elevates blood Ca2+ levels The Adrenal Glands Paired glands near the tops of the kidneys Two separate parts: adrenal medulla interior of the gland derived from nervous tissue – works with the sympathetic division of the ANS adrenal cortex exterior region of gland made up of three layers • zona glomerulosa • zona fasciculata • zona reticularis glandular epithelial tissue The Adrenal Cortex Multi-enzyme pathways convert cholesterol into the various steroid hormones Synthetic enzymes are organized in the layers of the cortex zona glomerulosa (outer) produces mineralocorticoids (aldosterone) controls homeostasis of electrolytes (ions) and water zona fasciculata (middle) produce glucocorticoids (cortisol) involved in glucose metabolism and overall metabolism zona reticularis (inner) produce male and female gonadocorticoids in small quantities insignificant contribution to reproductive functions Mineralocorticoids Regulate electrolyte (ion) levels, particularly Na+ and K+ movement of other ions (K+, H+, Cl-, HCO3- ,etc.) is linked to Na+ movement an electrostatic equilibrium must be maintained; therefore if certain positive ions are returned to the plasma, other positive ions must move into the urine or negative ions must move to the plasma to maintain the body fluid electrostatic (charge) equilibrium water follows Na+ and Cl- by osmosis play an important role in blood pressure regulation and regulation of acid-base balance Aldosterone the primary mineralocorticoid in humans causes Na+ and Cl- reabsorption into the blood plasma, by targeting the kidney, and causes K+ excretion into the urine water is conserved passively because it follows NaCl movement Control of Aldosterone Release Aldosterone release from the zona glomerulosa is regulated by: decreasing plasma levels of Na+ and increasing levels of K+ which trigger aldosterone release increasing plasma levels of Na+ and decreasing levels of K+ inhibit aldosterone release ACTH usually does not stimulate much mineralocorticoid release but at high levels, ACTH will stimulate aldosterone production The Renin-Angiotensin System The kidneys monitor Na+ levels If Na+ is low, special kidney cells release renin (enzyme) Renin catalyzes the formation of angiotensin I from angiotensinogen ACE (angiotensin converting enzyme) catalyzes formation of angiotensin II (hormone) AII has many functions stimulates aldosterone release from adrenal cortex increases Na+ reabsorption at the kidney potent vasoconstrictor stimulates thirst of lungs Atrial Natriuretic Peptide (ANP) Aldosterone is inhibited by Atrial Natriuretic Peptide (ANP) ANP is released from the heart’s atrial walls in response to: increase in blood pressure increased stretch of the atrial walls ANP actions increases Na+ excretion and K+ retention at the kidney inhibits aldosterone release and the renin-angiotensin system decreases blood pressure Glucocorticoids Influence cellular metabolism and respond to stress and inflammation Cortisol (hydrocortisone), cortisone, corticosterone Release (from the zona fasciculata) regulated by negative feedback stimulated by ACTH from the anterior pituitary negative feedback inhibition by increasing levels of glucocorticoids Actions targets most tissues promotes hyperglycemia (insulin antagonist) mobilizes fats for catabolism (energy production) mobilizes protein for catabolism (energy production) resistance to stress by providing nutrient building blocks depresses inflammatory response and immune system as a normal part of immune system regulation Gonadocorticoids Production by the adrenal cortex is relatively unimportant Produced in small amounts at the zona reticularis Both males and females produce small quantities of both androgens and estrogens, even before puberty androgens = male sex hormones primarily androstenedione - a precursor to testosterone estrogens The Adrenal Medulla A modified sympathetic ganglion in which the postganglionic neurons have become specialized neurosecretory cells Produces two very chemically similar amine hormones Stimulated by the sympathetic nervous system to release epiniphrine and norepinephrine (NE) into the bloodstream, targeting cells with NE receptors Causes brief excitatory responses the same responses as elicited by the sympathetic nervous system stimulation these circulating hormones bind to the same adrenergic receptors in target organs that are stimulated by the ANS Major Endocrine Glands The Adrenal Gland and Stress short term long term The Pancreas a soft, fragile organ in abdomen beneath the stomach a mixed gland with both exocrine and endocrine functions acinar cells (exocrine) secrete various digestive enzymes pancreatic islets [of Langerhans] (endocrine) produces protein hormones alpha cells secrete glucagon beta cells secrete insulin other endocrine cell types present in small numbers Glucagon from Alpha Cells Release – direct assesment of the blood glucose (humoral influence) triggered by hypoglycemia (decreased blood glucose levels) also stimulated by increased plasma levels of amino acids Actions primarily targets the liver increase release of glucose into blood (insulin antagonist) stimulates glycogenolysis (breakdown of glycogen to glucose) stimulates gluconeogenesis (synthesis of “new”glucose from amino acids, lipids and lactic acid) Insulin from Beta Cells Release - direct assesment of the blood glucose (humoral influence) triggered by hyperglycemia (increased blood glucose levels) triggered by increased levels of amino acids and fatty acids Actions targets most cells in the body (except nervous tissue) to increase glucose uptake increases glucose metabolism increases glycogen synthesis increases conversion of glucose to fat inhibits breakdown of glycogen and gluconeogenesis Insulin Pathologies - Diabetes Diabetes mellitus insulin problems result in sustained increased blood glucose levels physiological changes: polyuria - excessive urination and resulting dehydration polydypsia - excessive thirst polyphagia - excessive hunger despite hyperglycemia often, weight loss over time increased susceptibility to injuries and infections ketoacidosis - fat metabolism yields ketone bodies including acetone which can be smelled cardiovascular and neurological problems Types of Diabetes Mellitus Type I - insulin-dependent diabetes mellitus (IDDM) rapid onset of symptoms prior to age 15 [old name – “juvenile onset”] lack of insulin activity - insulin production problems beta cells destroyed by the immune system daily, frequent dosages of insulin Type II - non-insulin-dependent diabetes mellitus (NIDDM) [old name – “adult onset”] usually in overweight individuals some insulin is produced by islets but body cells do not respond adequately to the insulin – a lack of sensitivity insulin receptors do not respond to insulin management by diet and exercise or by oral antihyperglycemic drugs The Gonads Male – Testes Female – Ovaries A Preview of Chapters 27 & 28 The Ovarian Cycle Controlled by FSH and LH from the adenohypophysis The target organ is the ovary, which becomes responsive at puberty The ovary releases estrogens and progesterone in varying proportions depending on the mix of FSH and LH during the ~28 day cycle A midcycle pulse of LH triggers ovulation ovulation The Menstrual Cycle Is controlled by estrogens and progesterone from the ovary The target organ is the uterus, which becomes responsive at puberty The uterine lining increases in anticipation of the arrival of a developing embryo, if fertilization occurred at the right time during the ~28 day cycle If there is no pregnancy, the uterine lining will be sloughed producing a discharge of tissue and blood, the “menses” Pregnancy Placental human chorionic gonadotropin (hCG) provides the positive feedback loop between placenta and ovaries and the anterior pituitary during pregnancy Continued growth of the placenta in support of the developing embryo is controlled by estrogens and progesterone supplied by both the ovaries and the placenta Endocrine Control of Female Cycles The Testes Structure seminiferous tubules with interstitial cells between the tubules seminiferous tubules are the site of sperm production interstitial cells between the tubules secrete male hormones Brain-Testicular Axis in Males Anterior pituitary activity changes during puberty for males (and females) begins to secrete FSH, LH controlled by GnRH from hypothalamus LH stimulates the interstitial endocrinocytes results in testosterone production negative feedback regulates the levels FSH stimulates sustentacular cells to produce: androgen-binding protein (ABP) inhibin Testosterone and Other Androgens Secondary sex characteristics muscular and skeletal growth heavier, thicker muscle and bones in men than in women contributes to epiphyseal closure pubic, axillary, facial and chest hair patterns oil gland secretion laryngeal enlargement deepens the tone of voice Sexual functions male sexual behavior and aggression spermatogenesis sex drive in both male and female Metabolism - stimulates (“anabolic”) protein synthesis Other Endocrine Tissues Heart the atria walls have special endocrine cells that secrete Atrial Natriuretic Peptide (ANP) ANP increases urine output and inhibits Aldosterone release in response to increased blood volume GI tract enteroendocrine cells scattered through digestive tract several amine and protein hormones which function to increase or decrease GI secretions and motility Kidney secretes protein hormone Erythropoietin to target bone marrow for red blood cell (RBC) production secreted in response to low RBC numbers End Chapter 16