The Important Endocrine Glands and Their Hormones A. The Pituitary Hormones

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Lecture 6

2. The Important Endocrine Glands and Their Hormones


A. The pituitary hormones
• anatomy of the pituitary gland and its relation to the
hypothalamus
 anterior lobe
 intermediate lobe
 posterior lobe
 pituitary stalk
 supraoptic neucleus
 paraventricular nucleus
 hypothalamus-pituitary portal system
 short portal system
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• Regulation of pituitary hormone secretion by the


hypothalamus
 secretion of posterior pituitary hormones: a typical
neuroendocrine regulatory mechanism
 secretion of anterior pituitary hormones: a typical
endocrine regulatory mechanism
 important releasing/inhibiting hormones produced
in hypothalamus:
- Corticotropin-releasing hormone (CRH)
- Thyrotropin-releasing hormone (TRH)
- Gonadotropin-releasing hormone (GnRH)
- Growth-hormone-releasing hormone (GHRH)
- Prolactin-releasing hormone (PRH)
- Prolactin-inhibitory hormone (PIH)
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• Posterior pituitary hormones


 Antidiuretic hormone (ADH, vasppressin)
- chemistry: 9 amino acid peptide, produced
primarily by supraoptic nucleus and small
amount by paraventricular nucleus
- actions:
1) water retention by the kidney 
urine volume and  ECF
2) vasoconstriction (in large amounts)
- regulation/stimuli:
1) blood (or ECF) osmolality/osmoreceptors
2) blood volume
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3) others: alcohol, nicotine, barbiturates, etc.


- abnormality: diabetes insipidus
 Oxytocin
- chemistry: 9 amino acid peptide, produced
primarily by paraventricular nucleus and small
amount by supraoptic nucleus
- actions: 1) regulating breast milk release
2) contraction of pregnant uterus
- regulation/stimuli:
suckling by a nursing infant
crying sounds from a baby
fear and stress inhibit release
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• anterior pituitary hormones


Growth hormone
Prolactin
Thyroid-stimulating hormone
Adrenocorticotrophic hormone
Folicle-stimulating hormone
Luteinizing hormone
 Growth hormone (GH)
- chemistry:191 peptide
- actions: see Fig.13-7
- regulation/stimuli:
Growth hormone releasing hormone (GHRH)
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Growth hormone inhibitory hormone


(somatostadin)
other stimuli:
deep sleep
low blood glucose
stress
amino acids (arginine)
- abnormality:
dwarfism
gigantism (acromegaly)
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B. The Thyroid Hormones


The main hormones secreted by the thyroid gland are
iodinated derivatives of thyroxine (T4) and
triiodothyronine (T3).
• Synthesis and secretion of thyroid hormones
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• Regulation of thyroid synthesis


and secretion - hypothalamic-
pituitary-thyroid axis
Hypothalamus  TRH 
anterior pituitary  TSH 
thyroid  T3 & T4  negative
feedback on the hypothalamus
and the anterior pituitary
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• Thyroid hormone transport and metabolism - T3 and


T4 are carried by thyroxine-binding globulin and
albumin
• Effects of thyroid hormones on metabolic processes
 Metabolic rate: increased BMR
 Calorogenic: increased heat production (oxidative
metabolism)
 Sympathomimetic: Fight or Flight
 Cardiovascular: increased heart rate and
contractions
 Growth: essential for normal growth of skeletal
system (permissive or synergistic with GH, insulin-
like growth factors), CNS, ANS
 Nervous system: development and maturation
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• Disorders of thyroid function


 Hypothyroidism
- Myxedema - Hypothyroidism occurring in
adulthood. Clinical features include lethargy, cold
intolerance, decreased sweating, bradycardia,
tongue enlargement, and non-pitting edema of
the skin due to infiltration of the subcutaneous
tissues by metachromatic proteoglycans.

Myxedema causing
puffiness of the face in
an adult with
hypothyroidism.
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- cretinism: A type of mental retardation and


bodily malformation caused by severe,
uncorrected thyroid deficiency in infancy and
early childhood.
 Hyperthroidism
- Grave’s disease: Grave’s disease is an
autoimmune disease in which the immune
system produces antibodies which stimulate
the TSH receptors of the thyroid gland,
resulting in overproduction of thyroid
hormones. Symptoms: increased pulse rate,
increased sweating, heat intolerance, hair
loss, inflammation of the eyes, swelling of
the tissues around the eyes, and protrusion
of the eyes.
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- Goiter: an enlargement of the thyroid gland,


often resulting from the deficiency of iodine in
the diet (simple goiter) or other causes of
hyperthytoidism
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C. The Adrenal Glands
• Adrenal medulla
• Adrenal cortex
Three specific zones and each produces a specific
class of steroid hormone
Zona glomerulosa - mineralocorticoids
Zona fasciculata - glucocorticoids
Zona reticularis - androgens
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 glucocorticoids (cortisol)
- regulation of glucocorticoid secretion
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- physiological effects of glucocorticoids:


liver: increases gluconeogenesis
increases glycogen synthesis
skeletal muscle:
dcreases protein synthesis
increases protein degradation
decreases glucose uptake
adipose tissue:
decreases glucose uptake
increases lipid mobilization
the permissive actions
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effects on blood vessels and blood cells:


enhances responsiveness of blood vessels
increases neutrophils, RBC and plateletes
decreases eosinophils and basophils
- pharmacological effects of glucocorticoids
anti-inflammatory effects
immunosuppressive effects
 mineralocorticoids (aldosterone)
- regulation of mineralocorticoid secretion
- effects of mineralocorticoids:
 ECF   blood volume  BP & CO
increases excretion of potassium
retains more sodium
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• abnormalities of adrenal cortex function


 excess secretion of glucocorticoids
- Cushing’s syndrome:
redistribution of fat
Hypertention
increased susceptibility to infection
osteoporosis
 adrenal insufficiency
- Addison’s disease:
low plasma Na+, high plasma K+
low blood pressure
muscle weakness
vomiting, dehydration
low blood sugar
excess pigmentation of skin
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D. The Endocrine Pancreas


• Islets of Langerhans

• Insulin
 synthesis and
secretion of insulin
- a double-chain
peptide hormone
with 51 aa
- beta cells
- derived from
proinsulin, a large
precursor
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 regulation of its synthesis and secretion


- stimulators:
increased blood glucose
amino acids
fatty acids
glucose-dependent insulinotropic peptide (GIP)
acetylcholine (parasympathetic activity)
glucagon-like peptide 1 (GLP-1)
- inhibitors:
somatostatin
epinephrine
norepinephrine
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 metabolic effects of insulin


- carbohydrate metabolism
- lipid metabolism
- protein metabolism
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• Glucagon
 synthesis and secretion of glucagon
- a single-chain peptide hormone with 29 aa alpha
cells
- derived from proglucagon, a large precursor
 regulation of its synthesis and secretion
- stimulators:
low blood glucose
amino acids
acetylcholine
epinephrine
norepinephrine
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- inhibitors:
fatty acids
Somatostatin
insulin
 metabolic effects of glucagon (opposite to insulin)
- carbohydrate metabolism
- lipid metabolism
- protein metabolism
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• Metabolic regulation by pancreatic hormones: the fed


state vs the fasted states
Fed state Fasted state
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• Diabetes Mellitus
 Type I, insulin-dependent diabetes mellitus
- Insulin deficiency
- More during adolescence
- Auto-immune disease
 Type II, non-insulin-dependent diabetes mellitus
- Lake of insulin response at the target tissues
(insulin resistance)
- More in obese people but obese is not the cause
- Strong genetic component
Lecture 6

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