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    Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

    CHAPTER 50

    Endocrine Systems

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    All the endocrine glands and other organs with hormone-

    secreting cells

    Heart

    Adrenal glands (medulla and cortex)

    Thyroid

    Pineal

    Parathyroids

    Pancreas

    Stomach and small intestine

    Adipose tissue

    Liver and kidneys

    Ovaries (in females)

    Anterior pituitary gland

    Posterior pituitary gland

    Hypothalamus

    Cortex

    Medulla (not visible)

    Testes (in males)

    Endocrine system

    Figure 50.1

    Different organs and glands secrete

    different types of hormones

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    Hormones - chemical signals produced by endocrine cells

    -travel through the blood stream and act on their target cells

    Endocrine system

    Endocrine cells

    Target cells

    hormone

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    Endocrine system

    Amines

    Proteins/peptides

    : water soluble (except thyroid hormone)

    => unable to cross plasma membrane

    => signal through cell surface receptor

    Hormones - chemical signals produced by endocrine cells

    -travel through the blood stream and act on their target cells

    Amines or

    proteins/peptide

    3 types of hormones

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    Endocrine system

    Steroids

    : lipid soluble => cross plasma membrane => bind to either cytosolic or

    nuclear receptor

    Hormones - chemical signals produced by endocrine cells

    -travel through the blood stream and act on their target cells

    3 types of hormones

    Amines

    Proteins/peptides

    : water soluble (except thyroid hormone)

    => unable to cross plasma membrane

    => signal through cell surface receptor

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    Endocrine system

    Steroids

    : lipid soluble => cross plasma membrane => bind to either cytosolic or

    nuclear receptor

    Hormones - chemical signals produced by endocrine cells

    -travel through the blood stream and act on their target cells

    3 types of hormones

    Amines

    Proteins/peptides

    : water soluble (except thyroid hormone)

    => unable to cross plasma membrane

    => signal through cell surface receptor

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    Endocrine system

    Function in

    - Metabolism

    - Mineral Balance

    - Growth and Differentiation

    - Reproduction

    - Response to stress

    Hormones - chemical signals produced by endocrine cells

    -travel through the blood stream and act on their target cells

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    ! Only cells having the proper receptors can respond to a hormone

    ! Hormones activate only specific cells

    ! Hormone interacts noncovalently and reversibly with the receptor

    " Prevents cell from being permanently stimulated

    8

    Endocrine system

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    Endocrine system

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    Link between Endocrine system and Nerve system

    To venous

    circulation

    Pituitary

    Posterior pituitary gland

    Portal veins

    Capillaries

    Hypothalamus ()

    Hypothalamus

    Hypothalamic nuclei

    1) make neurohormones

    Infundibular

    stalk

    Arterial blood

    supply

    Anterior

    pituitarygland

    ()

    3) Travel through portal vein

    to anterior pituitary gland

    2) Neurohormones are released from axo

    of hypothalamic neurons into capillaries

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    Link between Endocrine system and Nerve system

    To venous

    circulation

    Pituitary

    Posterior pituitary gland

    Portal veins

    Capillaries

    Hypothalamus ()

    Hypothalamus

    Hypothalamic nuclei

    1) make neurohormones

    2) Neurones secrete neurohormo into capillaries

    Infundibular

    stalk

    Arterial blood

    supply

    Anterior

    pituitarygland

    ()

    3) Travel through portal vein

    to anterior pituitary gland

    4) Anterior pituitary gland synthesize several hormones

    5) Secrete into the circulation hormones

    neurohormones

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    Link between Endocrine system and Nerve system

    To venous

    circulation

    Pituitary

    Posterior pituitary gland

    Portal veins

    Capillaries

    Hypothalamus ()

    Hypothalamus

    Hypothalamic nuclei

    1) make neurohormones

    2) Neurones secrete neurohormo into capillaries

    Infundibular

    stalk

    Arterial blood

    supply

    Anterior

    pituitarygland

    ()

    3) Travel through portal vein

    to anterior pituitary gland

    4) Anterior pituitary gland synthesize several hormones

    5) Secrete into the circulation hormones

    neurohormones

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    Hormonal Control of Metabolism and Energy Balance

    e.g., Thyroid hormone ()

    !Increase Glucose metabolism

    !Increase in heat production

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    Hormonal Control of Metabolism and Energy Balance

    14

    -

    Hypothalamus

    TRH

    TSH

    Thyroid

    Anterior

    pituitarygland

    Normal levels

    of T4and T3

    T4 and T3

    inhibit TRH secretion

    as well as expression

    of TRH precursor

    negative

    feedback

    1) TRH (thyrotropin -releasing hormone)

    Is released from hypothalamus

    2) TSH (thyroid-stimulating hormone)

    Is released from anterior pituitary gland

    3) T4 and T3 (thyroid hormones)

    is released from thyroid

    Keeping balance

    e.g., Thyroid hormone () Fig 50.6

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    Diseases caused by too little or too much Thyroid Hormone

    15

    Hypothyroidism

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    16

    -

    Hypothalamus

    TRH

    TSH

    Thyroid

    Anterior

    pituitarygland

    Normal levels

    of T4and T3

    T4 and T3

    inhibit TRH secretion

    as well as expression

    of TRH precursor

    negative

    feedback

    1) Decrease in TSH (thyroid-stimulating hormone)

    2) Decrease in T4 and T3 (thyroid hormones)

    -most common cause of hypothyroidism

    => Weight gain, sensation of coldness

    Keeping balance

    Hypothyroidism :Low T3, T4

    Diseases caused by too little or too much Thyroid Hormone

    Fig 50.6

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    17

    -

    Hypothalamus

    TRH

    TSH

    Thyroid

    Anterior

    pituitary

    gland

    Normal levels

    of T4and T3

    T4 and T3

    inhibit TRH secretion

    as well as expressionof TRH precursor

    negative

    feedback

    Increase in TSH (thyroid-stimulating hormone)

    Thyroid cells are destroyed by immune cells

    => Decrease in T4 and T3 (thyroid hormones)

    Hypothyroidism

    e.g., Hashimotos thyroiditis :autoimmune disease

    Promote the abnormal growth of thyroid : Goit

    Diseases caused by too little or too much Thyroid Hormone

    Fig 50.6

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    Hyperthyroidism(overactive thyroid gland)

    Graves disease: - autoimmune disease

    -caused by hyperthyroidism

    Causes: Production of antibodies against TSH receptor present on Thyroid

    follicular cells

    => constitutively active

    receptor (TSH receptor is always active)

    => Excessive production of T3 T4

    => weight loss, heat intolerance

    Protruding eyeballs

    Diseases caused by too little or too much Thyroid Hormone

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    19

    Hypothalamus

    Thyroid

    Anterior

    pituitarygland

    4)Excess TRH

    5)Excess TSH & overstimulation

    of thyroid

    1) Reduced iodine intake

    2) Low T4and T3due to lack of

    iodine

    3) Reduced

    negativefeedback

    6)Enlarged

    thyroid

    Diet can affect production of thyroid hormone :

    Iodine is required for T4, T3 production

    Diseases caused by too little or too much Thyroid Hormone

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    Glucose Homeostasis

    PancreasSmall intestine

    Pancreatic

    islets of Langerhans

    :spherical clusters of

    endocrine cells

    Beta cells

    produce

    insulin

    Alpha cells

    produce

    glucagon

    glucagon

    Insulin

    =>Produced in pancreas

    Two hormones involved in Glc Homeostasis

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    Glucose Homeostasis

    PancreasSmall intestine

    Pancreatic

    islets of Langerhans

    :spherical clusters of

    endocrine cells

    Beta cells

    produce

    insulin

    Alpha cells

    produce

    glucagon

    glucagon

    Insulin

    =>Produced in pancreas

    Two hormones involved in Glc Homeostasis

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    Glucose Homeostasis

    Homeostasis : bodys tendency to maintain relatively constant internal condition

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    Glucose Homeostasis

    3) insulin stimulate

    glucose uptake

    into cells

    (mainly in adipose orskeletal muscle

    Cells)

    1) Glucose level

    Increases above normal

    (eating)

    Normal blood

    glucose level

    2) Stimulate secretion of

    insulin from Pancreas

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    Glucose

    molecule

    Insulin

    receptor

    Without insulin

    GLUT (glucose transporter)

    Glucose Homeostasis

    3) insulin stimulate

    glucose uptakeinto cells

    (mainly in adipose or

    skeletal muscle

    Cells- express glucose

    transporter GLUT)

    1) Glucose level

    Increases above normal

    (eating)

    2) Stimulate secretion of

    insulin from Pancreas

    Most of GLUTs are

    located membrane bound

    vesicles inside the cells

    And only a few are

    present in plasms

    membrane.

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    Glucose Homeostasis

    3) insulin stimulate

    glucose uptake

    into cells

    (mainly in adipose orskeletal muscle

    Cells)

    1) Glucose level

    Increases above normal

    (eating)

    2) Stimulate secretion of

    insulin from Pancreas

    Insulin

    receptor

    With insulin

    Insulin

    Insulin stimulate movement

    Of these GLUT to the plasma

    Membrane

    => Increased glc uptake

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    Glucose Homeostasis

    3) insulin stimulate

    glucose uptake

    into cells

    (mainly in adipose orskeletal muscle

    Cells)

    4)Blood glucose

    level decreases.

    1) Glucose level

    Increases above normal

    (eating)

    Normal blood

    glucose level

    2) Stimulate secretion of

    insulin from Pancreas

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    Glucose Homeostasis

    Liver

    4)Blood glucose

    level increases.

    1) Glucose level

    decreases above normal

    (fasting)

    Normal blood

    glucose level

    2) glucose-monitoring

    regions in the hypothalamus

    stimulate production of

    glucagon from Pancreas

    3) High Glucagon

    Glycogen Noncarbo

    hydrates

    Glucose

    Glucose

    glycogenolysis

    Gluconeogenesis

    (generation of

    Glc)

    3)Glucagon stimulates

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    Glucose Homeostasis

    When blood glucose

    level increases.

    Normal bloodglucose level

    When blood glucose

    level decreases.

    Insulin from pancreas

    Glucagon from pancreas

    Blood glucoselevel increases.

    Blood glucose

    level decreases.

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    Glucose Homeostasis

    When blood glucose

    level increases.

    Normal bloodglucose level

    When blood glucose

    level decreases.

    Insulin from pancreas

    Glucagon from pancreas

    Blood glucoselevel increases.

    Blood glucose

    level decreases.

    What happens if this system doesnt work?

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    Diabetes

    ! Type 1 Diabetes mellitus (T1DM)

    ! Type 2 Diabetes mellitus (T2DM)

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    Diabetes

    ! Type 1 Diabetes mellitus (T1DM)

    " Autoimmune disease where immune system destroyes beta cells =>can not produce insulin

    when blood glc increases => no insulin production => accumulation of

    Glc in blood

    " Also calledjuvenile diabetes(usually diagnosed in children and

    Young adults)

    " Treated by administration of insulin

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    Diabetes

    ! Type 1 Diabetes mellitus (T1DM)

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    Diabetes

    ! Type 2 Diabetes mellitus (T2DM)

    Most common form of diabetes

    2) Diminished Glc uptake

    1) Insulin cant signal

    to Glucose transporter

    1) Pancreas do not produce enough insulin (but not by the attack of immune cells)

    2) cells of the body lose much of their ability to respond to insulin

    Insulin resistance

    Constant high blood Glc level

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    Diabetes

    ! Type 2 Diabetes mellitus (T2DM)

    Many life style factors are important in development of Type 2diabetes

    : High level of Physical activity

    Healthy diet

    Keeping normal weight

    no smoking

    => 89% lower chance to get

    type II diabetes

    Obesity is cause for over than 1/2 of type II diabetes

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    Diabetes

    Type 2 Diabetes mellitus (T2DM)

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    Control of growth and differentiation

    anterior

    pituitary

    Produces Growth hormone (GH)

    Produces IGF1 (insulin like growth factor-1)

    Liver

    Elongation of bonesduring puberty

    Gonadal hormone

    : seal growth plate( )

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    2

    When a person develop a tumor

    causing the production of

    excessive GH during childhood

    -> becomes very tall -> Pituitary giant

    Control of growth and differentiation

    If a person develop a tumor

    causing the production of

    excessive GH after puberty,

    -> develops a condition called

    Acromegaly (enlargement and thickening of feet and hands)

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    3

    low amount of GH produced => Short stature

    Can be treated by injection of GH

    e.g, Lionel (Leo) Messi

    Control of growth and differentiation

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    4

    Stress Hormone

    1. Increase heart rate to maximize blood pumping

    2. Maximize oxygen intake3. Increase production of glucose to provide

    energy to muscle cells

    4. Increase alertness

    Stress

    Cortisol

    (a member of glucocorticoids)

    Adrenal

    cortex

    Anterior

    pitutiary

    Hypothalamus

    ACTH

    released into

    blood

    Secete Releasing

    factor

    Acute stress (Table 50.3)

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    5

    Stress Hormone

    1. Lower immune systems

    2. Slow down thinking

    3. Create blood sugar imbalances4. Raise your blood pressure

    5. Weaken muscle tissue

    6. Decrease bone density

    7. Craving for sweets and carbohydrate

    8. Increase fat to stomach areas

    Stress

    Cortisol

    (a member of glucocorticoids)

    Adrenal

    cortex

    Anterior

    pitutiary

    Hypothalamus

    ACTH

    released into

    dlood

    Secete Releasing

    factor

    Exposure to Chronic stress