ch0576: the biology of disease-dr richard n. ranson
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Endocrine Disorders 1. Goiter. CH0576: The Biology of Disease-Dr Richard N. Ranson. Historical Perspectives 1: the first endocrine experiment. A. A. Berthold 1849 – Concluded that testes secreted something that conditioned blood. Historical Perspectives 2: “Sexual Rejuvenation”. - PowerPoint PPT PresentationTRANSCRIPT
CH0576: The Biology of Disease-Dr Richard N. Ranson
Endocrine Disorders 1.
Goiter
Historical Perspectives 1: the first endocrine experiment
A. A. Berthold 1849 – Concluded that testes secreted something that
conditioned blood
Historical Perspectives 2: “Sexual Rejuvenation”
Hormone replacement therapy
1889- Charles Brown-Sequard Extract of Testes dissolved in H2O
Steroid Hormones Lipid
Soluble
Placebo effect
Intuitive observations
Basic definitions:
Endocrinology: • Hormones• Receptors
• Signalling pathways
• Diseases/pathophysiology
Hormone: (hormon = to excite or get moving):
• Molecule secreted from endocrine cells that regulates activity of target cells
Location of Endocrine
Glands
Young, T-Cells
Other hormone secreting cells located in:
• Kidneys• Stomach e.g. Gastrin• Liver• Small Intestine• Heart e.g. ANP• Skin• Adipose Tissue• Placenta e.g. Progesterone
Leptin
Leptin
Decreased Appetite signal
Hormone synthesis:
Fig 7.3-Silverthorn
Catecholamine, Peptide and thyroid hormones
Enzyme
Post-translational modification
C-peptideUsed as measure of insulin production
Hormone release - Local or circulating.
Effects: Mins to hrs Rapid inactivation● Example Local Hormone NO (Nitric Oxide) – Blood Vessel
endothelial cells
● Acts on Smooth muscle – Vasodilatation
● Viagra enhances NO effects – Role in penile erection
Fig 18.2 Tortora & Derrickson
Importance of receptors:For hormone to be active ‘Target cell’ must express
specific receptor
Hormone excess Homeostasis Hormone deficient
Down-regulation Up-regulation
Receptor Blocking
E.g. RU486 (mifepristone) – Induces Abortion
Blocks progesterone receptorsPrevents uterine conditions
embryo nurturing
Hyperinsulinemia - diabetes
Types of Hormones 1: Water Soluble hormones
Norepinephrine
Amines Peptides & Proteins Eicosanoids
Adrenal medulla
Pineal Gland
All Cell Types Except RBC
Local HormonesVarious effects
e.g. vasodilatation
Vasopressin
Posterior Pituitary
Urine Output
Insulin
Pancreas
Increased Glucose uptake
Blood Glucose
Types of Hormones 2: Lipid Soluble Hormones
Testosterone Steroid Hormones
Nitric Oxide - Endothelial Cells
Testes, Adrenal Cortex
Thyroid HormonesThyroid Gland
Progesterone, Oestrogen (Ovaries)
HRT-Oral administration-cross intestinal lining
Transport of Hormones in BloodWater soluble circulate in blood plasma in ‘free’ form
Lipid Soluble bound to transport proteins (synthesized in liver)
● Makes lipid hormones ‘water soluble’
● Increases half life of hormone by protecting from enzyme degradation
● 0.1-10% hormone is unbound – “Free fraction” – leaves blood to react with cells
Mechanisms of Hormone Action 1. Steroid and thyroid hormone receptors
Fig 7.7 From Silverthorn
Mechanisms of Hormone action 2; Water soluble hormones
NE, ACTH, FSH, LH etc.
Activates Protein Kinases
Fig 9.1. E.N. Marieb.
The Major Endocrine Organs in adults 1 The Pituitary Gland 1.
Posterior
Fig 20-8 McCance
The Major Endocrine Organs 1 The Pituitary Gland 2- Pituitary-hypothalamo relationship
Anterior Posterior
. CRH, GnRH
The Major endocrine glands 2. The Pineal gland
Decreased Light
Melanopsin
Melatonin
Circulation
BrainstemBody target
cells
Metabolic rate
Promotes Sleep
Pinealocytes
Antioxidant?
The Major endocrine glands 3. : The thyroid gland
Colloid
Iodine
TYr
T3, triiodothyronineT4, thyroxine
Lack of Iodine in Diet (seafood) results in goiter
Stimulate metabolic rateIncrease protein synthesis etc.
The Major endocrine glands 4. : The Parathyroid gland 1.
The Major endocrine glands 4. : The Parathyroid gland 2.
PTH
The Major endocrine glands 5. : The Pancreas
The Major endocrine glands 5. : The Pancreas cont…
Raises Blood Glucose
Lowers Blood Glucose
Paracrine-inhibits glucagon & Insulin
Pathophysiology- Diabetes Mellitus
Inhibits SOM, gallbladder contraction
The Major endocrine glands 6. : The Adrenal gland 1
The Major endocrine glands 6. : The Adrenal gland 2
Promotes GluconeogenesisAnti-inflammatory
Immunosuppressive (transplants)
Metabolism
Adr, NA
Stress & Exercise
● Increased HR
● Increased CO
● Blood to Muscles
● Dilate Airways
Cortisol
The Major endocrine glands 7. : The Gonads
Ovary
TestisInhibin – Inhibits FSH from Anterior Pituitary (negative feedback)
Estrogens & Progesterone
Relaxin
Testosterone
Dilates uterine cervix
● Stimulates testis descent
● Regulates spermatogenesis
● Male 20 Sex Characteristics
● Menstrual Cycle● Maintain pregnancy & Prep Mammary glands● Female 20 Sex Characteristics
ReferencesHadley, M.C. & Levine J.E. (2007). Endocrinology. 6th Edit, Pearson International.
McCance, K. L. & Huether, S. E. (2006). Pathophysiology. (The Biologic Basis for Disease in Adults and Children). 5th Edit. Elsevier Mosby.
Marieb, E. N. (2009) Essentials of Human Anatomy & Physiology. 9th Edit, Pearson International
Purves, D et al (2008). Neuroscience. 4th Edit. Sinauer.
Tortora G. J. & Derrickson B.(2006). Principles of Anatomy and Physiology. 11th Edit, Wiley.
Unglaub Silverthorn D. (2007) Human Physiology (An integrated approach), 4th Edit, Pearson International.