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    Anatomy and Physiology, Seventh Edition

    Rod R. Seeley

    Idaho State University

    Trent D. Stephens

    Idaho State University

    Philip Tate

    Phoenix College

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

    *See PowerPoint Image Slides for all figures and tables pre-inserted into PowerPoint without notes.

    Chapter 17

    Lecture Outline*

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    Chapter 17

    Functional Organization of

    Endocrine System

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    General Characteristics Glands that secrete chemical

    signals (hormones) intocirculatory system

    Hormone characteristics

    Produced in small quantities

    Secreted into intercellularspace

    Transported some distancein circulatory system

    Acts on target tissueselsewhere in body

    Regulate activities of body

    structures Ligands: more general term for

    chemical signals

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    Regulation of

    Activities:

    Comparison of

    Endocrine andNervous Systems

    Endocrine: amplitude modulated signals.

    Amount of hormone determines strengthof signal

    Onset within minutes of secretion ofhormone

    Nervous: frequency-modulated signals.

    Frequency of action potentials producedby neurons determines strength of signal.

    Onset within milliseconds

    Two systems actually inseparable

    Nervous system secretesneurohormones into circulatory system

    Nervous system uses neurotransmittersand neuromodulators as ligands

    Some parts of endocrine systeminnervated directly by nervous system

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    Intercellular Chemical Signals

    Hormones: type of intercellular signal. Produced by cells

    of endocrine glands, enter circulatory system, and affectdistant cells; e.g., estrogen

    Autocrine: released by cells and have a local effect onsame cell type from which chemical signals released; e.g.,

    prostaglandin

    Paracrine: released by cells and affect other cell typeslocally without being transported in blood; e.g.,somatostatin

    Pheromones: secreted into environment and modifybehavior and physiology; e.g., sex pheromones

    Neurohormone: produced by neurons and function likehormones; e.g., oxytocin

    Neurotransmitter orneuromodulator: produced byneurons and secreted into extracellular spaces by

    presynaptic nerve terminals; travels short distances;

    influences postsynaptic cells; e.g., acetylcholine.

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    Control of Secretion Rate

    Most hormones controlled by negative feedbacksystems

    Most hormones are not secreted at constant rate,

    but their secretion is regulated by three differentmethods

    1. The action of a substance other than a hormone on anendocrine gland.

    2. Neural control of endocrine gland.3. Control of secretory activity of one endocrine gland

    by hormone or neurohormone secreted by anotherendocrine gland

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    1. Humoral stimulus: Action of Substance

    Other Than Hormone An increased blood glucose

    concentration stimulatesincreased insulin secretion fromthe pancreas

    Insulin increases glucose uptakeby tissues, which decreasesblood glucose levels.

    Autonomic nervous system alsoinfluences insulin secretion

    Hypocalcemia stimulates PTHsecretion from parathyroids

    Hypersecretion stimulatescalcitonin from parafollicularcells

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    2. Nervous System Regulation

    Stimuli such as stress orexercise activate thesympathetic division of theautonomic nervous system

    Sympathetic neurons stimulate

    the release of epinephrine andsmaller amounts ofnorepinephrine from the adrenalmedulla. Epinephrine andnorepinephrine prepare thebody to respond to stressfulconditions.

    Once the stressful stimuli areremoved, less epinephrine isreleased as a result of decreasedstimulation from the autonomicnervous system.

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    3. Hormonal Regulation

    Secretion of tropichomones from hypotha-

    lamus stimulates secre-

    tion of anterior pituitary

    homrones.

    Example shows TRH

    (thyrotropic releasing

    hormone) from hypotha-

    lamus stimulating secre-

    tion of TSH from anteriorpituitary.

    Note: TSH itself is a

    tropic hormone in that it

    stimulates T3/T4 secretion.

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    Positive and Negative Feedback

    POSITIVE

    During the menstrual cycle, beforeovulation, small amounts ofestrogen are secreted from theovary.

    Estrogen stimulates the release ofgonadotropin-releasing hormone

    (GnRH) from the hypothalamusand luteinizing hormone (LH)from the anterior pituitary

    GnRH also stimulates the releaseof LH from the anterior pituitary

    LH causes the release of additional

    estrogen from the ovary. TheGnRH and LH levels in the bloodincrease because of this positive-feedback effect.

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    Positive and Negative Feedback

    NEGATIVE

    During the menstrual cycle,after ovulation, the ovarybegins to secreteprogesterone in response toLH.

    Progesterone inhibits therelease of GnRH from thehypothalamus and LH fromthe anterior pituitary.

    Decreased GnRH releasefrom the hypothalamus

    reduces LH secretion fromthe anterior pituitary. GnRHand LH levels in the blooddecrease because of thisnegative-feedback effect.

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    Changes in Hormone Secretion

    Through Time

    a) Chronic hormone regulation.Maintenance of relativelyconstant concentration ofhormone. Thyroid hormone.

    b) Acute hormone regulation.Epinephrine in response tostress.

    c) Cyclic hormone regulation.Female reproductive

    hormones.

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    Transport and

    Distribution Hormones dissolve in blood plasma andare transported in free form or arereversibly bound to plasma proteins

    Free form can diffuse from plasma intointerstitial fluid and affect cells

    As concentration of free hormonemolecules increase, more hormonesmolecules diffuse from capillaries intointerstitial spaces to bind to target cells

    Lipid soluble hormones diffuse throughcapillary cells. Water soluble hormonesdiffuse through pores in capillaries calledfenestrae.

    A large decrease in plasma proteinconcentration can result in loss of a

    hormone from the blood because freehormones are rapidly eliminated fromcirculation through kidney or liver

    Hormones are distributed quickly becausethey circulate in the blood

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    Metabolism and Excretion

    Half-life: The length oftime it takes for half adose of substance to beeliminated fromcirculatory system

    Long half-life: regulate

    activities that remain ata constant rate throughtime. Usually lipidsoluble and travel inplasma attached toproteins

    Short half-life: water-soluble hormones asproteins, epinephrine,norepinephrine. Have arapid onset and shortduration

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    Hormone (Ligand) Interaction with Target

    Tissues

    Portion of molecule where ligandbinds is called binding site.

    If the molecule is a receptor (like ina cell membrane) the binding site iscalled a receptor site

    Ligand/receptor site is specific; e.g.,epinephrine cannot bind to thereceptor site for insulin.

    The purpose of binding to targettissue is to elicit a response by thetarget cell.

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    Down-

    Regulation

    Normally, receptor molecules aredegraded and replaced on aregular basis.

    Down-regulation Rate at which receptors are

    synthesized decreases in some cellsafter the cells are exposed to aligand.

    Combination of ligands andreceptors can increase the rate at

    which receptor molecules aredegraded. This combined form istaken into the cell by phagocytosisand then broken down.

    Tissues that exhibit down-regulation are adapted to short-term increases in hormoneconcentration.

    Tissues that respond to hormonesmaintained at constant levelsnormally do not exhibit down-

    regulation.

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    Up-Regulation

    Some stimulus causes increasein synthesis of receptors for ahormone, thus increasessensitivity to that hormone

    For example, FSH stimulationof the ovary causes an increaseof LH receptors. Ovarian cellsare now more sensitive to LH,even if the concentration of LHdoes not change. This causes

    ovulation.

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    Membrane-Bound Receptors

    Receptor: integral proteins with

    receptor site at extracellular surface.Interact with ligands that cannot passthrough the plasma membrane.

    Ligands

    Water-soluble or large-molecular-

    weight hormones. Attachment ofligand causes intracellular reaction.

    Large proteins, glycoproteins,polypeptides; smaller moleculeslike epinephrine andnorepinephrine

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    Intracellular Receptors

    Receptors: in the cytoplasm or

    in the nucleus Ligands

    Lipid soluble andrelatively small molecules;

    pass through the plasma

    membrane. React either with enzymesin the cytoplasm or withDNA to causetranscription andtranslation

    Thyroid hormones,testosterone, estrogen,

    progesterone, aldosterone,and cortisol

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    Membrane-Bound Receptors

    Proteins or glycoproteins that have polypeptide chainsfolded to cross cell membrane several times

    Ligand binds reversibly to receptor site on receptorprotein

    Three different results of ligand binding

    1. Alteration of membrane permeability. Example:acetylcholine

    2. Activation of G proteins associated with themembrane, causes production of intracellular mediatorsuch as cyclicAMP, leads to activation of intracellularenzymes. Example: LH

    3. Receptors linked to intracellular enzymes throughintracellular mediators. Mediators alter activity ofintracellular enzymes. Examples: nitric oxide,cyclicGMP, Ca ions.

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    Intracellular Receptors

    Proteins in cytoplasm or nucleus

    Hormones bind with intracellular receptor andreceptor-hormone complex activate certain genes,causes transcription of mRNA and translation.These proteins (enzymes) produce the response of

    the target cell to the hormone Latent period of several hours because time is

    required to produce mRNA and protein

    Processes limited by breakdown of receptor-

    hormone complex Estrogen and testosterone produce different

    proteins in cells that cause the differing secondarysexual characteristics of females and males.

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    Anatomy and Physiology, Seventh Edition

    Rod R. Seeley

    Idaho State University

    Trent D. Stephens

    Idaho State University

    Philip Tate

    Phoenix College

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

    *See PowerPoint Image Slides for all figures and tables pre-inserted into PowerPoint without notes.

    Chapter 18

    Lecture Outline*

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    Endocrine System Functions

    Metabolism and tissue maturation

    Ion regulation

    Water balance Immune system regulation

    Heart rate and blood pressure regulation

    Control of blood glucose and other nutrients

    Control of reproductive functions Uterine contractions and milk release

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    Pituitary Gland and

    Hypothalamus Where nervous and

    endocrine systems interact

    Hypothalamus regulatessecretions of anterior

    pituitary Posterior pituitary is an

    extension of thehypothalamus

    Anterior pituitary produces

    nine major hormones that Regulate body functions

    Regulate the secretions ofother endocrine glands

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    Pituitary Gland Structure

    Posterior pituitary(neurohypophysis): extension

    of the nervous system via the

    infundibulum

    Secretes neurohormones

    Anterior pituitary(adenohypophysis)

    Consists of three areas with

    indistinct boundaries: pars

    distalis, pars intermedia, pars

    tuberalis

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    Hypothalamus, Anterior Pituitary, and Target Tissues

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    Releasing and Inhibiting Hormones

    Tropins ortropic hormones: hormones that regulate the hormone secretionsof target endocrine tissues. All anterior pituitary hormones are tropins.

    Releasing hormones secreted by the hypothalamus: GHRH. Growth hormone-releasing hormone. Causes the anterior

    pituitary to release growth hormone.

    TRH. Thyroid-releasing hormone. Causes the anterior pituitary torelease thyroid-stimulating hormone (TSH).

    CRH. Corticotropin-releasing hormone. Causes anterior pituitary to

    produce adrenocorticotropic hormone (ACTH) GnRH. Gonadotropin-releasing hormone. Causes anterior pituitary toproduce FSH (follicle stimulating hormone) and LH (luteinizinghormone).

    PRH. Prolactin-releasing hormone. Causes the anterior pituitary torelease prolactin.

    Inhibiting hormones:

    GHIH. Growth hormone-inhibiting hormone, somatostatin. Causesthe anterior pituitary to decrease release of growth hormone.

    PIH. Prolactin-inhibiting hormone. Causes the anterior pituitary todecrease release of prolactin.

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    Hypothalamus, Posterior Pituitary and Target

    Tissues

    Hypothalamic neurons

    syntheisze ADH and

    oxytocin.

    Latter hormones travel

    to post. pituitary via

    axons of hypothalamic

    neurons.

    ADH and oxytocin

    enter circulation in post.pituitary.

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    Hormones of Posterior Pituitary: ADH

    Antidiuretic hormone (ADH). Also called vasopressin.

    A. Osmoreceptors (specialized neurons of

    hypothalamus monitor changes in intercellular

    osmolality (relative concentrations of electrolytes and

    water). If the concentration of electrolytes increases

    or if the concentration of water decreases, then ADHsecretion is stimulated.

    B. Baroreceptors (specialized neurons found in walls of

    atria of heart, large veins, carotid arteries, aortic arch)

    sense changes in blood pressure (BP). If BPdecreases, then ADH secretion is stimulated.

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    Control of ADH Secretion

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    Control of Oxytocin Secretion

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    Anterior Pituitary Hormones

    Growth hormone (GH) or somatotropin

    Thyroid-stimulating hormone (TSH)

    Adrenocorticotropic hormone (ACTH)

    Melanocyte-stimulating hormone(MSH)

    Beta endorphins

    Lipotropins

    Luteinizing hormone (LH)

    Follicle-stimulating hormone (FSH)

    Prolactin

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    Growth Hormone (GH or somatotropin)

    Stimulates uptake of amino acids; proteinsynthesis; growth in most tissues.

    Stimulates breakdown of fats to be used as

    an energy source but stimulates synthesis ofglycogen: glucose sparing

    Promotes bone and cartilage growth

    Regulates blood levels of nutrients after ameal and during periods of fasting

    Stimulates glucose synthesis by liver

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    Figure 16.6

    Metabolic Action of Growth

    Hormone

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    Growth Hormone Stimulation:functions in

    regulating growth, tissue maintenance, metabolismGHRHfrom hypothalamus causes release of

    Growth hormonefrom anterior pituitary effects

    Target tissues: most tissues of the body

    Direct effect: GH binds to receptors on cells and causeschanges within the cells. Increased lipolysis and decreaseduse of glucose for energy

    Indirect effect: causes liver and skeletal muscle to produce

    somatomedins; e.g., insulinlike growth factors (IGFs) Insulinlike growth factors: bind to receptors on

    membranes of target cells. Stimulate growth incartilage, bone; increased synthesis of proteins inskeletal muscle.

    l i f G S i

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    Regulation of GH Secretion1. Stress and decreased glucose

    levels increase release of GHRH

    and decrease release of GHIH.

    2. GHRH and GHIN travel via

    thehypothalamohypophyseal

    portal system to ant. pituitary

    3. Increased GHRH and reduced

    GHIH act on AP and result inincreased GH secretion.

    4. GH acts on target tissues.

    5. Increasing GH levels have neg

    feedback effect on hypothala.

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    Growth Hormone: Inhibition

    Hypothalamus produces growth hormone inhibitinghormone (GHIH = somatostatin)

    Inhibits production of GH by anterior pituitary.

    GHRH secretion in response to low blood glucose, stress,increase in certain a.a.

    GHIH secretions in response to high blood glucose.

    Peak GH levels during deep sleep; levels lower at other

    times of day. Hyposecretion of GH may result in dwarfism

    Hypersecretion may result ingiantism oracromegaly de-

    pending on ossification of epiphyseal plates

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    TSH and Thyroid Hormones

    TRH from hypothalamus causes the release

    ofTSHfrom anterior pituitary which

    causes secretion and storage of hormonesT3 and T4 from and within the thyroid gland

    TSH increases activity of phospholipasethat opens Ca2+ channels, increasing Ca2+concentration in cells of the thyroid gland

    T3 and T4 inhibit TRH and TSH secretion

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    Adrenocorticotrophic Hormone (ACTH)

    CRH from hypothalamus causes release of

    ACTH from anterior pituitary which

    Causes cortisol secretion from the adrenalcortex (a glucocorticoid from the zonafasciculata)

    Causes aldosterone secretion from theadrenal cortex (a mineralocorticoid from

    the zona glomerulosa) Binds directly to melanocytes of the skin;

    causes increase in production of melanin.

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    Melanocyte Stimulating Hormone,

    Endorphins, and Lipotropins ACTH, MSH, endorphins and lipotropins all derived

    from the same large precursor molecule when stimulated

    by CRH

    MSH causes melanocytes to produce more melanin

    Endorphins act as an analgesic; produced during times of

    stress.

    Lipotropins cause adipose cells to catabolize fat

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    Th id

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    Thyroid

    Gland One of largest endocrine glands; Highly

    vascular. Iodine enters follicular cells by activetransport. Only gland that stores hormone.

    Histology Composed offollicles: follicular cells

    surrounding thyroglobulin/thyroidhormones

    Parafollicular cells: between follicles

    Physiology

    Follicular cells secrete thyroglobulin intolumen of follicle. Iodine and a.a. tyrosinenecessary for production of T3 and T4.Hormones stored here attached to thethyroglobulin then absorbed into follicular

    cells; hormones disattached fromthyroglobulin and released into circulation.

    Parafollicular cells. Secrete calcitoninwhich reduces [Ca2+] in body fluids whenCa levels are elevated.

    Bi th i f Th id

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    Biosynthesis of Thyroid

    Hormones

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    Thyroid Hormones Produced by follicular cells

    Triiodothyronine orT3-less produced Tetraiodothyronine orT4 orthyroxine-more

    99.6% of thyroxine in the blood is bound to thyroxine-binding globulin (TBG) from the liver. Rest is free.

    TBG has a higher affinity for T4 than for T3; amt of freeunbound T3 in plasma is 10xs greater than free T4.

    Only free thyroxine and T3 can enter cells; bound-thyroxine serves as a reservoir of this hormone

    33-40% of T4 converted to T3 in cells: T3 more potent

    Bind with intracellular receptormolecules and initiatenew protein synthesis

    Increase rate of glucose, fat, protein metabolism inmany tissues thus increasing body temperature

    Normal growth of many tissues dependent on presence

    of thyroid hormones.

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    Effects of T3 and T4

    1. Maintain normal rate of metabolism.

    2. Increase the rate at which glucose, fat, and protein are meta-bolized.

    3. Increase the activity of Na+-K+ pump which increases body

    temperature.

    4. Can alter the number and activity of mitochondria resulting in

    greater ATP synthesis and heat production.

    5. Normal growth and maturation of bone, hair, teeth, c.t., and

    nervous tissue require thyroid hormone.

    6. Both T3 and T4 play a permissive role for GH and GH does not

    have its normal effect on tissues if T3 and T4 are lacking.7. See Table 18.4 for effects of hypo- and hypersecretion

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    Regulation of T3 and T4 Secretion

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    Regulation of Calcitonin Secretion

    Produced by parafollicular cells

    Secretion triggered by high Ca2+

    concentration in blood; acts to decreaseCa2+ concentration

    Primary target tissue: bone. Decreases

    osteoclast activity, lengthens life span

    of osteoblasts.

    P th id Gl d

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    Parathyroid Glands Embedded in thyroid

    Two glands on each side Secrete PTH: target tissues arebone, kidneys and intestines.

    Increases blood calcium andphosphate levels

    Stimulates osteoclasts

    Promotes calcium reabsorption bykidneys and PO4 excretion

    Increases synthesis of vitamin Dwhich, in turn, increases absorptionof Ca and PO4 by intestines. Netloss of PO4 under influence of

    PTH. Regulation depends on calcium

    levels.

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    Figure 16.11

    Effects of Parathyroid Hormone

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    Adrenal Glands

    Near superior poles ofkidneys; retroperitoneal

    Inner medulla; outercortex

    Medulla: formed fromneural crest; sympathetic.Secretes epinephrine andnorepinephrine

    Cortex: three zones from

    superficial to deep Zona glomerulosa

    Zona fasciculata

    Zona reticularis

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    H f Ad l C

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    Hormones of Adrenal Cortex

    Mineralocorticoids: Zona glomerulosa

    Aldosterone produced in greatest amounts. Increasesrate of sodium reabsorption by kidneys increasingsodium blood levels

    Glucocorticoids: Zona fasciculata

    Cortisol is major hormone. Increases fat and proteinbreakdown, increases glucose synthesis, decreasesinflammatory response

    Androgens: Zona reticularis

    Weak androgens secreted then converted to testosteroneby peripheral tissues. Stimulate pubic and axillary hairgrowth and sexual drive in females

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    Regulation of Cortisol Secretion

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    Figure 16.15

    Stress and the Adrenal Gland

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    Pancreas

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    Pancreas

    Located along small intestine and

    stomach; retroperitoneal Exocrine gland

    Produces pancreatic digestive

    juices

    Endocrine gland

    Consists of pancreatic islets

    Composed of

    Alpha cells; secrete glucagon

    Beta cells; secrete insulin

    Delta cells; secrete somatostatin

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    A 29-amino-acid polypeptide hormone that is a

    potent hyperglycemic agent

    Its major target is the liver, where it promotes: Glycogenolysis the breakdown of glycogen to

    glucose

    Gluconeogenesissynthesis of glucose from lactic acid

    and noncarbohydrates Release of glucose to the blood from liver cells

    Glucagon

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    Target tissue is the liver, adipose tissue, muscle,and satiety center of hypothalamus

    A 51-amino-acid protein consisting of two amino

    acid chains linked by disulfide bonds

    Synthesized as part of proinsulin and then excised

    by enzymes, releasing functional insulin

    Insulin:

    Lowers blood glucose levels Enhances transport of glucose into body cells

    Counters metabolic activity that would enhance blood

    glucose levels

    Insulin

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    Figure 16.18

    Diabetes Mellitus (DM)

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    Regulation of Insulin Secretion

    Regulation of Blood Nutrient Levels

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    Regulation of Blood Nutrient Levels

    Regulation of Blood Nutrient Levels

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    g

    During Exercise

    Hormones of the Reproductive System

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    Hormones of the Reproductive System

    Male: Testes

    Testosterone

    Regulates production of sperm

    cells and development and

    maintenance of male

    reproductive organs and

    secondary sex characteristics

    Inhibin

    Inhibits FSH secretion

    Female: Ovaries

    Estrogen and Progesterone

    Uterine and mammary glanddevelopment and function,external genitalia structure,

    secondary sex characteristics,menstrual cycle

    Inhibin

    Inhibits FSH secretion

    Relaxin

    Increases flexibility ofsymphysis pubis

    Pineal Body

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    Pineal Body

    In epithalamus; produces melatonin and arginine

    vasotocin

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    Effects of Aging on

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    Effects of Aging on

    Endocrine System

    Gradual decrease in secretory activity of some glands

    GH as people age except in people who exercise regularly

    Melatonin

    Thyroid hormones Kidneys secrete less renin

    Familial tendency to develop type II diabetes