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AS211 Endocrinology Lecture Notes1

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    Endocrinology

    Endocrinology is the study of hormones in terms of:

    Physiological roles (function);

    Cellular sources;

    Biosynthesis;

    Chemistry, storage and metabolism;

    Factors and mechanisms controlling hormone secretion;

    Cellular mechanisms of hormone action; and,

    Pathophysiology of endocrine system dysfunction.

    Hormones belong to a class of chemical messengers

    that are involved in integration of developmental

    events and coordination of physiological processes

    Endocrine glands release hormones into the

    immediate extracellular space ; the hormones then

    enter the circulatory system where they elicit

    responses in remote places

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    Homeostasis

    Homeostasis is the maintenance of a constant internal

    environment in the face of a changing externalenvironment

    Please note that this definition is relationalin that you

    have to mention both the internal and external

    environments

    Homeostasis has four critical elements:

    Sensors which detect changes in the internal (or

    external) environment;

    A communication network that relays information from

    one site to the other;

    A central integration and control system that defines

    set-points, measures the magnitude of deviations from

    the norm and issues out corrective signals; and,

    Effectors that carry out the instructions from the central

    control system.

    Why homeostasis?

    Cells of the body require specific conditions to function

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    Homeostasis

    How?

    Homeostasis is achieved through feedback (negative

    but sometimes positive) systems

    The example below illustrates a negative feedback

    loop where an endocrine tissue releases a hormone

    which upregulates a target tissue, the product of the

    target tissue downregulates the endocrine tissue

    Hormone

    Targettissue (+)

    Hormone

    Endocrinetissue (-)

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    Homeostasis

    Eg Ca2+ homeostasis

    AS211 Endocrinology Notes 4

    Parafollicular cells Calcitonin

    Parathormone

    Bone calcium

    Parathyroid gland

    Dietary intake

    Kidney/intestinal

    loss

    (Increased)

    (Decreased)

    Blood calcium

    Mobilises

    Stores

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    Hormoneclassification

    AS211 Endocrinology Notes 5

    Hormones

    Fatty acid

    derivatives-

    Eicosanoids

    Prostaglandins

    ProstacyclinsThromboxanes

    Leukotrienes

    Amino acid derivatives

    TyrosineT3 & T4Catecholamines

    (dopamine,

    norepinephrine,

    epinephrine )

    Tryptophan

    Serotonin

    Melatonin

    Glutamic acid

    Histamine

    Proteins and

    peptides Insulin

    TRH etc

    Steroids

    Corticosteroids Gonadal steroids

    Androgens

    (masculinising)

    testosterone

    Oestrogens

    (feminising)

    Oestradiol

    Progesterone

    Oestrone

    Progestins

    (progestagens)

    Progesterone

    Glucocorticoids

    (Carbohydrate

    metabolism)

    Cortisol

    Cortisone

    Corticosterone

    Mineralocorticoids

    (Electrolyte balance)

    Aldosterone

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    Hormoneclassification Peptide and protein hormones

    Range in size from 3 AA (thyrotropin releasinghormone) residues to complex proteins(gonadotropins)

    Linear chain e.g. angiotensin II

    May contain a ring structure e.g. ocytocin andvasopressin

    May have two chains linked by disulphide bridgese.g. insulin, thyrotropin (TSH) and the gonadotropins(LH and FSH)

    Inter- and intra-chain disulphide bridges may beimportant in defining conformation and functionality

    May be glycoproteins e.g. gonadotropins

    Some AA residues maybe modified

    posttranslationally through amidation, acetylation,cyclisation or sulfation

    Some derived from a prohormone which is cleavedto produce the functional form while others comefrom more complex preprohormones throughmultiple cleavages

    Regulated secretion synthesised-stored released

    Constitutive secretion synthesised and released

    Half life is usually a few minutes

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    Hormoneclassification Amino acid derivatives

    Tyrosine derivatives T3 and T4 (Long half-life typically days) Catecholamines (short half life minutes)

    Tryptophan derivatives Melatonin and serotonin

    Glutamic acid derivatives Histamines

    Steroid hormones Derived from cholesterol

    Rate limiting step is conversion of cholesterol topregnenolone

    Synthesised in steroidogenic tissues of the adrenalcortex (corticosteroids) and the gonads (gonadalsteroids)

    Some synthesised in multiple locations e.g. VitaminD3

    Long half life

    Eicosanoids

    Long chain unsaturated fatty acid derivatives Prostaglandins, prostacyclins, thromboxanes and

    leukotrienes

    Short half-life - seconds

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    Hormonedelivery

    AS211 Endocrinology Notes 8

    Endocrine

    Paracrine

    Autocrine

    Neuroendocrine

    Neurocrine

    Blood vessel

    Blood vessel

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    Generalmechanismsofaction

    Two major mechanisms 1st messenger 2nd messenger model of

    hormone action The hormone (1st messenger) interacts with a

    receptor on cell membrane eliciting release ofa 2nd messenger on the cytoplasmic side

    The 2nd

    messenger is usual a cyclic nucleotidesuch as cyclic adenosine monophosphate(cAMP) or cyclic guanosine monophosphate(cGMP).

    E.g. the protein hormones

    Action relatively short-lived

    Other first messengers interact with anintracellular receptor and alter geneexpression and protein synthesis

    E.g. steroid hormones

    Action more sustained

    There are some hormones that use both

    mechanisms or their modifications Hormone receptors serve a recognition

    function which is converted into an actionfunction

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    Hormone receptors Hormones regulate specific tissues

    Receptors provide specificity for hormone-cellinteraction

    Receptors can be components of the cellmembrane or may be cytosolic or nuclearelements

    Some hormones that are similar in structure

    may show (weak) overlap in action e.goxytocin and vasopressin

    Others stimulate many tissues e.g. insulin

    The implications are that action at individual

    tissues should be complemntary For example parathormone action leads to

    mobilisation of Ca2+ from bone, increaseduptake from the gut and reduced urinarylosses

    AS211 Endocrinology Notes 10

    Oxytocin Vasopressin

    Uterine smooth

    muscle contraction

    Renal tubular

    cAMP production

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    Extracellular hormone receptors

    Hormones interact with receptor leading to signaltransduction to cytoplasmic side of the membrane

    leading to activation of enzymes Most receptors are glycoproteins

    Receptor numbers Dynamic, change with cell cycle or state of cellular

    differentiation

    Depend on developmental or differentiation state

    Hormones may regulate the number of their ownreceptors (homospecific) or receptors for otherhormones (heterospecific)

    E.g. prolactin up-regulates prolactin receptors in the liverand other tissues

    Continued exposure to insulin down-regulates receptorsin lymphocytes

    Some responses depend on cell type e.g. receptors forangiotensin II

    TRH leads to release of TSH which in turn leads torelease of T3 and T4, the two thyroid hormones downregulate receptors for TRH in pituitary thyrotrophs

    Glucocorticoids increase TRH receptors

    Changes in receptor numbers prevents overstimulationof target tissues and

    Provide a mechanism by which hormones act insequence to modify response from other hormones e.g.FSH and LH act in a sequential manner LH receptorsinduced by FSH

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    Extracellular hormone receptors

    Receptor cooperativity and

    hormone action There are two events that govern the

    rate and magnitude of response

    Hormone binding and the coupling

    between the binding event and the firstbiochemical signal elicited

    The binding event can be:

    Non-cooperative

    Positively cooperative where initial

    binding of hormone to receptor increasesaffinity of other receptors to the hormone

    Negatively cooperative where the initialbinding of hormone to receptor reducesaffinity of other receptors to the hormonethereby desensitising cells to abnormalconcentration of hormone

    Affinity of insulin receptors decreases asoccupancy increases

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    Extracellular hormone receptors

    Spare receptors Maximal biological response is

    achieved when a small percentage ofreceptors are occupied, this increasessensitivity to low concentrations of

    circulating hormones Separate receptors for hormone

    action

    Glucagon and epinephrine stimulate

    glycogenolysis and release of glucoseby the liver using separate and distinctreceptors

    Both receptors activate hepaticadenylate cyclase

    The hormones are released underdifferent physiological circumstancesand their action is non-additive

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    Extracellular hormone receptors

    Receptor structure

    There are four classes of receptors Receptors that are also enzymes e.g. tyrosine

    protein kinases or guanylate cyclase

    Receptor channels

    Receptors that coupled to G (GTP-binding)proteins

    Receptors with unknown transductionmechanisms

    G protein coupled receptors are the mostcommon

    Contain recognition site for ligand (hormone)and site for specific G protein

    Receptors made up of single peptide (400-600AA residues)

    The N-terminus is extracellular and containssites for N-linked glycosylation

    The C-terminus is intracellular and has sites forphosphorylation by protein kinase

    The two termini are separated by 7 stretchesof 22-28 hydrophobic conserved residuesseparated by hydrophilic segments amultipass integral membrane protein

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    2nd messengers

    2nd messengers are the ones that effect a

    physiological response The most common are cyclic nucleotides such

    as cyclic adenosine monophosphate (cAMP)or guanosine monophosphate (cGMP) whoseformation is catalysed by adenylate cyclaseand guanylate cyclase , respectively

    Enzyme cleavage of cyclic ring leads toinactive 5AMP or 5GMP

    Each cyclic nucleotide combines with aspecific cyclic nucleotide-dependent proteinkinase

    The cAMP-dependent protein kinase is

    composed of a catalytic unit and a regulatoryunit

    Interaction with cAMP leads to release of anactive catalytic unit

    Cyclic nucleotides are rapidly metabolised(phosphodiesterases cleave cyclic bonds),while phosphoprotein phosphatasesdephosphorylate proteins so that conditionsreturn to basal level

    In some instances action of cAMP may begenomic through interaction with a cAMPresponsive element binding protein (CREB)

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    Receptor signal transduction

    Activation of adenylate cyclase is immediate

    The receptor and the enzyme may be coupledwith the binding event leading to conformationalchanges e.g. guanylate cyclase

    Or receptors may only gain affinity to the enzymeafter binding

    Signal transduction may involve monovalent and

    divalent cations as well as prostaglandin synthesis One or more regulatory proteins may be part of

    the transduction pathway e.g. guanylylnucleotide regulatory protein that exhibitsGTPase activity

    G proteins act as transducers Couple membrane bound receptors to effectors

    They are heterotrimers that dissociate to liberate anucleotide bound -subunit and a couplex of -and - subunits

    Receptor-G protein interaction may result indirect activation of membrane ion channels

    (depolarisation or hyperpolarisation leads toresponse)

    Other messengers include phosphoinositides,arachidonic acid, inositol triphosphate, diacylglycerol

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    Mechanism of action protein

    hormones

    AS211 Endocrinology Notes 17

    utside (N-terminus)

    side (C- terminus)

    Hormone

    Receptor

    Cell membrane

    Inactive G-protein (, , , subunits)

    Inactive adenylate cyclase

    1

    GTP

    2

    Hormone binds to receptor

    Hormone-receptor

    complex activates G-

    protein increasing

    affinity of-subunit to

    GTP

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    AS211 Endocrinology Notes 18

    GTP

    3

    Mechanism of action protein

    hormones

    Active adenylate cyclase

    ATPcAMP+Catalytic unit

    Regulatory unit

    Inactive cAMP dependentprotein kinase

    cAMP

    Regulatory unitCatalytic unit+ Active cAMP-dPK

    ProteinProtein-PO43-

    Cellular response

    Enzyme activation

    Muscle relaxation

    Nerve stimulation

    Hormone secretion

    etc

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    Multiple 2nd messengers

    AS211 Endocrinology Notes 19

    PLC

    PIP2

    DG

    PKC

    Ca2+

    Ca2+

    IP3

    ER

    Ca2+

    Cellular

    response

    Hormone

    Receptor

    G protein

    Key:PIP2 Phosphoinositol

    PLC Phospholipase

    DG Diacylglycerol

    IP3 Inositol triphosphate

    PKC Protein kinase C

    ER Endoplasmic reticulum

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    Mechanism of action - eicosanoids

    Prostaglandins sometimes act as second

    messengers or as hormones in their ownright

    They are produced in the cell membranemainly from arachidonic acid via the actionof phospholipase A2 (PLA2)

    Arachidonic acid formed from linolenic acidthrough elongation and desaturation inresponse to hormones and other stimuli

    Arachidonic acid is then converted tounstable endoperoxide intermediatesthrough the cyclooxygenase system

    Tissue specific enzymes then convert theintermediates into prostaglandin E2 (PGE2),PGF2, prostacylcin I2 or thromboxane A2

    In other tissues arachidonic acid isconverted to leukotrienes (action of 5-lipoxygenase)

    PGE2 and PCI2 stimulate adenylate cyclasewhile the mechanism of PGF2 is not clear

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    Mechanism of action - eicosanoids

    AS211 Endocrinology Notes 21

    IntracellularExtracellular Cell membrane

    Extrinsic

    stimuli

    (hormones,

    hypoxia, pH)

    Inactive

    phospholipase

    Active

    phospholipase

    Phospholipids

    Arachidonic acid

    Eicosanoid

    hormones

    Nucleotide

    cyclases

    Cyclic

    nucleotides

    Cellular

    response

    Humoral

    hormones

    Target cell

    Cellular

    response

    Nucleotide

    cyclases

    Cyclic

    nucleotides

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    Cytosolic hormone receptors Steroid and thyroid hormones attach to

    intracellular hormone receptors proteins in

    nature Mechanism by which they cross cell membrane is

    unknown simple diffusion?

    The steroid-receptor complex migrates to thenucleus where it interacts with specificchromosomal protein and DNA

    There is evidence that steroid hormones mayreach the nucleus and attach to unoccupiedreceptors within

    Binding of receptor-hormone complex tochromatin leads to derepression of specific DNAsequences and increased mRNA synthesis

    Each steroid has a specific receptor The receptors belong to a superfamily of zinc

    finger proteins

    The receptors are dimers; receptor complexed tonon-steroid binding heat shock protein

    Receptors bind ligands with high affinity andspecificity

    After binding specific ligand, the ligand-inducedtranscription factors influence gene-expressionvia specific DNA elements called hormone-responsive elements

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    Mechanism of action -steroids

    AS211 Endocrinology Notes 23

    eroid hormone

    Nucleus

    Cytoplasm

    Receptor

    Receptor-

    hormone

    complex

    Complex binds

    chromatinleading to

    transcription of

    mRNA

    Ribosomes

    translate

    new mRNA

    into protein

    Cellular

    response

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    Permissive action of hormones

    Permissive action is a situation where a hormone must be

    there for another hormone to exert its effects usually an

    action of steroid and thyroid hormones

    This happens through increasing receptors for the second

    hormone or modulating the amount of cyclic nucleotide

    dependent protein kinase thereby influencing response to

    hormones that act on the plasmalemma

    The steroid or thyroid hormone may increase synthesis of an

    inhibitor of another protein e.g. phosphoprotein

    phosphatase whose action antagonises cyclic nucelotide

    action

    Synergism on the other hand is a physiological response of a

    tissue to a combination of two hormones that greatly

    exceeds the sum of the individual hormones e.g. FSH has no

    detectable effect on enzyme activity of testicular interstitial

    cells and LH minimally stimulates such activity. In the

    presence of FSH the action of LH is greatly enhanced

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    AS211 Endocrinology Notes 25

    R

    AC

    Protein hormone

    cAMP

    Protein

    kinase

    Protein

    substrate

    Cellular

    response

    Membrane

    receptors

    Protein

    synthesis

    Calmodulin

    Ca2+

    Steroid

    receptors (R)

    DNA

    teroid hormone(S)

    [S-R]

    S+R

    mRNA

    Permissive action of hormones

    Cell membrane

    Nucleus

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    Stimulus-response coupling

    Membrane-mediated hormone action involves

    changes in transmembrane potential

    A cell is usually 60 90 mV negative on the inside

    which makes it electrically excitable

    It can be depolarised or hyperpolarised upon

    being stimulated

    Examples are stimulus-contraction and stimulus-

    secretion coupling Role of Ca2+

    Modulates adenylate cyclase and cyclic nucleotide

    diphosphoesterase activity

    Interacts with calcium dependent regulatory

    protein called calmodulin Calmodulin (CAM) is a 148 AA stringently

    conserved protein with Lsy115 being

    trimethylated postranscriptionally, it has 4 Ca2+

    binding sites with a high degree of homology (1-3;

    2-4) Binding of Ca2+ leads to conformational changes

    Only three sites required

    Role of CAM Regulate intracellular Ca2+, activate enzymes,

    control cellular filamentous organelle activity

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    Termination of hormone action

    Hormones that act on the plasmalemma are

    degraded in the blood by serum enzymes

    Decreased stimulation leads to lower production

    of cyclic nucelotide

    In the absence of further cyclic nucleotide

    production residual cyclic nucleotides destroyed

    by phosphodiesterase action

    Sometimes hormones that are bound to

    plasmalemma are taken into cell by endocytosis,

    either for destruction or for further intracellular

    action

    mRNA produced by hormones that act

    intracellularly is degraded

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    Structure of the hypothalamus

    The hypothalamus is the basal part of

    the diencephalon below the thalamus Forms walls and lower part of the third

    ventricle of the brain

    It includes the optic chiasm, tuber

    cinerum, infundibulum and mammillarybodies

    The tuber cinerum

    Part of the 3rd ventricle floor that extendsdownwards to the infundibulum

    The lower part (median eminence) ishighly vascularised

    The blood vessels drain into the pituitarystalk onward to the secondary plexus of

    the anterior pituitary This vascular link with pituitary is called

    the hypophysial portal system

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    Structure of the hypothalamus

    Hypothalamic nuclei Clusters of neurons that are symmetrically

    located around 3rd ventricle Supraoptic and paraventricular nuclei cell

    bodies whose axons extend into the medianeminence then the neurohypophysis

    Supraopticoparaventriculohypophysial tract

    Other groups include the ventromedial nuclei,arcuate nucleus, lateral tubal nuclei and thedorsomedial nuclei

    Endocrine hypothalamus Neurosecretory neurons secrete

    neurohormones (hypophysiotropic factors)

    that regulate adenohypophyseal function These are elements of the parvocellular

    neurosecretory system

    The magnocellular system include thesupraoptic and paraventricular neurons whichsecrete oxytocin and vasopressin

    Neurons of the parvocellular system convergetoward the pituitary stalk to form thetuberoinfundibular tract

    They abut on the endothelium of the primarynexus of the portal system of the medianeminence link with adenohypophysis

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    Structure of the hypothalamus

    The medial basal hypothalamus contains the

    hypohysiotropic area which extends from the

    median eminence upwards and forwards through

    the anterior hypothalamus to the suprachiasmatic

    region

    The endocrine hypothalamus linked to the CNS via

    other neuronal elements

    The information from CNS is delivered to

    parvocellular neurosecretory system to the

    pituitary portal system via the median eminence

    link between CNS and the peripheral endocrine

    system

    The hypophysial portal system is the vascular link

    between neurosecretory cells and the

    adenohypophysis

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    Hormones of the hypothalamus

    The hypothalamus secretes hypophysiotropic

    hormones these are stimulatory or inhibitoryfactors that control function of the pituitary

    It also secretes neurosecretions oxytocin and

    vasopressin (discussed under pituitary hormones)

    Thyrotropin releasing hormone (TRH)

    Stimulates release of thyroid stimulating hormone

    from the pituitary

    Composed of 3 AA residues pyroglutamic acid,

    histidine and proline

    The N-terminal amide is protected by cyclisation

    while the carboxy terminal is modified by amidation

    Synthesised in the medial part of the external layer

    of the median eminence

    Results from posttranslational cleavage of a larger

    prohormone

    The prohormone has several copies of the bioactivecompound which allows for amplification of

    hormone production

    Inactivated by a plasma petidase

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    Hormones of the hypothalamus

    Somatostatin (somatotropin-releaseinhibiting hormone; SRIH)

    Pituitary somatotropin release ispulsatile and is a result of interplaybetween two hormones of thehypothalamus a stimulatory factor

    and an inhibitory factor SRIH or SRIF is a tetra-decapeptide (14

    residues)

    Released from secretory granules ofthe hypothalamus

    Derived from a 28 residueprosomatostatin

    Functions

    Affects the brain and both the exocrine

    and endocrine pancreas and the gut apartfrom inhibiting somatotropin release

    Inhibition of somatotropin release isthrough direct action on somatotrophs

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    Somatocrinin (Somatotropin release factor;SRF)

    44 AA residues Shares sequence homologies to several gut

    peptides of the secretin-glucagon family

    The 1 to 29 peptide fragment has the samebioactivity as the entire compound

    Gonadotropin releasing hormone (GnRH) A decapeptide with similar structure across

    mammalian species

    GnRH arises from and secretion is controlledby extrahypothalamic part of the brain

    Its release is pulsatile

    Constant administration leads todesensitisation of process responsible forgonadotropin release

    The gonadotropins (LH & FSH) are synthesisedwithin the same gonadotroph afterstimulation by GnRH and modulation by

    gonadal hormones The frequency of the GnRH stimulus

    determines the proportions of LH and FSHwith a higher frequency promoting LHproduction while a lower frequency promotesFSH release

    AS211 Endocrinology Notes 33

    Hormones of the hypothalamus

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    Hormones of the hypothalamus

    Corticotropin-releasing hormone

    Stimulates adrenocorticotropic hormone (ACTH orcorticotropin) release from the pituitary

    Highly conserved 41 residue peptide

    Prolactin release-inhibiting hormone (PIF)

    Thought to be dopamine

    There is also a prolactin-releasing factor that is

    thought to be TRH

    Melanocyte stimulating hormone release-

    inhibiting factor

    Thought to be dopamine

    Release of hypophysiotropins usually follows a

    circadian rhythm

    The biological rhythm follows light cues with light

    acting as a zeitgeber (time-giver)

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    Feedback control of hypothalamus

    AS211 Endocrinology Notes 35

    Higher Brain Centres

    Hypothalamus

    Pituitary

    Adrenal cortex Gonads

    Ovary Testicles

    Thyroid

    ThyroxineTestosteroneOestradiolCortisol

    Target tissues

    Hypophysiotropic Hormones

    ACTH FSH LH TSH

    Long loopfeedback

    Short-loop

    feedback

    Autoinhibition

    (-)

    (-)

    (-)

    (-)

    (-)

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    The pituitary gland

    The pituitary is 0.5 to 1 g in weight

    It is recessed within the stella turcica of

    the sphenoid bone, beneath the

    hypothalamus near the optic chiasm

    Composed of tissues from 2 sources

    Adenohypophysis (glandular or epithilial

    hypophysis) is derived from an

    invagination of the oral ectorderm of the

    stomodeum (primitive mouth cavity)

    called Rathkes pouch

    Nuerohypophysis neural ectoderm of

    the floor of the forebrain

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    AS211 Endocrinology Notes 37

    The pituitary gland

    Adenohypophysis

    Pars distalis

    Pars tuberalis

    Pars intermedia

    Neurohypophysis

    Pars nervosa

    Infudibulum

    Anterior lobe

    Intermediate lobe

    Posterior lobe

    Neuro-intermediate lobe

    Median eminence

    Optic chiasm

    Pars tuberalis

    Pars distalisPars nervosa

    Pars intermedia

    Infundibular stem

    PosteriorAnterior

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    The pituitary gland

    Size of each lobe depends on ecologicalniche the animal spp. occupies Animals that change colour rapidly have a

    relatively large pars intermedia - MSHproduction

    Pars nervosa small in aquatic animals butrelatively large in land animals vasopressin

    production Hormonal output of the gland required for

    successful adaptation to niche

    Blood supply Superior and inferior hypophysial arteries

    Anterior and posterior branches of thesuperior hypophysial artery penetratehypophysial stalk as well as hypothalamus

    Pars distalis vascularised by hypophysial portalvessels that arise from capillary beds withinthe median eminence of the hypothalamusbrain pituitary axis

    Pars nervosa receives blood supply from theinferior hypophysial artery

    Adenohypophysial secretions released intoefferent portal veins to general circulation

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    The pars nervosa contains neuronal axon endings

    and pitiucytes

    There are some non-granulated non-secretory cells

    Cells of the pars distalis are classified based on

    affinity to various dyes into basophils, acidophils

    and chromophobes (See table below)

    Cell Type Hormone Staining

    characteristics

    Corticotroph ACTH (Corticotropin) B

    Thyrotroph TSH (Thyrotropin) B

    Gonadotroph

    FSH Gonadotroph FSH (Follitropin) B

    LH Gonadotroph LH (Lutropin) B

    Lactotroph

    (mammotroph)

    PRL (Prolactin) A

    Somatotroph STH (Somatotropin) A

    AS211 Endocrinology Notes 39

    The pituitary gland

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    Hormones of the pituitary

    The pituitary secretes 7 peptidehormones (FSH, LH, STH, TSH, ACTH, PRL

    & melanocyte stimulating hormone) and2 neurohypophysial peptide hormones(vasopressin and oxytocin) The later two are secreted by neurons of

    the neurohypophysis whose cell bodiesoriginate in the hypothalamus

    The hormones can be classified into 4groups based on structural similarityand evolutionary origin Somatotropin & prolactin

    Bear sequence similarity and are related toplacental lactogen (somatomammotropin)

    Thyrotropin, follitropin & lutropin Glycoproteins that are also related to

    chorionic gonadotropin (of placental origin)

    Melanotropin & corticotropin

    Sequence similarity and overlapping action Oxytocin & vasopressin

    Nuerohypophysial hormones that arestructurally related to each other

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    Somatotropin Prolactin

    Somatotropin (STH)

    Accounts for 4-10 % of weight ofanterior pituitary

    Circulates in plasma complexed to oneor more binding proteins

    Basal level in blood 1-5 ng ml-1

    Spontaneous episodes of STH releaseoccurs during 24 hr period

    Controlled by somatocrinin &

    somatostatin Polypeptide synthesised by acidophilic

    somatotrophs of the pars distalis

    Synthesised as a prohormone that iscleaved to yield a 191 AA protein with

    two internalS-S- bridges

    Shares 161 AA homology withplacental lactogen

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    Somatotropin Prolactin

    Somatotropin

    Role

    Protein anabolic hormone

    Enhances AA incorporation into

    protein

    Increases extracellular collagen

    deposition

    Affects ion balance

    Major effects mediated indirectly

    through IGFs released from the liver

    Major hormone that controls growth

    Deficiency leads to dwarfism

    (hypopituitary or Larons dwarfism)

    while over production leads to

    gigantism

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    Somatotropin Prolactin

    Prolactin (PRL) Hormone of maternity responsible for

    mammary growth, development andlactogenesis

    Works in concert with other hormones such asoestrogens, insulin, glucocorticoids,progesterone and somatotropin

    During pregnancy and early lactation PRL

    producing cells constitute 50 % ofacidophilesin anterior pituitary

    Production controlled by oestrogens thatcontrol PRL gene expression and increasenumber of secreting cells

    There is an increase in PRL secretion at

    puberty, progressive increase during pregnancyand a peak at term

    Luteotropic in some species in that itstimulates progesterone synthesis andsecretion

    Controls production of crop sac milk in pigeonsand doves, may also control testicular function

    Secretion episodic with nighttime surge, halflife 15 20 minutes

    Release also associated with nursing

    Controlled by PRL release inhibiting factor

    AS211 Endocrinology Notes 43

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    Glycoprotein hormones

    3 glycoprotein hormones from the anteriorpituitary Thyrotropin (Thyroid stimulating hormone

    TSH)

    Follicle stimulating hormone &

    Luteinising hormone

    Contain several covalently linkedcarbohydrate moieties at one or morepositions within their structure

    Composed of two chains & subunitsthat are independently synthesised

    The -subunits are the same for all three

    hormones within a species They are composed of 92 residues in humans

    (96 in other spp)

    They may have similar AA residues but the N-linked oligasaccharide may be different

    There 71 AA residues that are conservedacross spp.

    10 of the half-cystine residues are also highlyconserved with 5 disulphide bridges which areidentical across spp.

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    Glycoprotein hormones

    The -subunits are related but differ moresubstantially in AA sequences 110-111 residues in LH

    112-118 residues in TSH

    117-121 residues in LH/FSH

    145 residues in chorionic gonadotropin

    12 cysteine residues at highly conservedpositions (6 disulphide bridges similartertiary structure)

    Intersubunit contact similar acrosshormones but subunit to tissue contactdifferent hormone specificity (-subunit)

    Glycosylation of units is a posttranslationalevent Sugars include D-mannose, D-galactose, L-

    fucose, N-acetylneuraminic acid, D-glucosamine, N-acetylated-D-galactoseamine

    The -subunit contains 2 oligosaccharide units

    that are N-linked to asparagine residues May also contain O-sulphated hexosamine

    attached serine

    Carbohydrate moieties important for receptorsignal transduction

    AS211 Endocrinology Notes 45

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    Glycoprotein hormones

    Thyrotropin (thyroid stimulating

    hormone TSH) Stimulates production of thyroxine

    (T4) and triiodothyronine (T3)

    Synthesised by thyrotrophs of the parsdistalis

    Controlled through negative feedbackby T3 & T4

    Also plays role in metamorphosis(amphibians) & thermogenesis(mammals)

    Lutropin (Luteinising hormoneLH) Stimulates formation of corpora lutea

    & ovulation in the female

    Works in concert with FSH to stimulate

    interstitial cells of the Leydig testes &stimulates development of 2characteristics

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    Glycoprotein hormones

    Follitropin (Follicle stimulating

    hormone FSH) Increases follicular growth and

    spermatogenesis

    Stimulates the early stages of

    ovarian follicular growth and earlystages of spermatid maturation

    In males

    Increases LH receptor population

    Acts in concert with LH to stimulatespermatogenesis

    Stimulates synthesis of sertoli cellandrogen-binding protein

    In females

    Interacts with granulosa cells ofdeveloping follicle in cAMP mediatedmanner

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    Proopiomelanocortin corticotropin

    & melanocortin

    Share structural similarity Corticotropin (Adrenal cortical-

    stimulating hormone- ACTH or

    adrenocorticotropin) is synthesised

    corticotrophs of the pars distalis Melanocortin (Melanocyte stimulating

    hormone MSH) is synthesised by

    melanotrophs of the pars intermedia

    They are both derived fromproopiomelanocortin with enzymes in

    the pars distalis cleaving the ACTH

    sequence while those in the pars

    intermedia cleave the MSH sequence

    They cross stimulate (weakly though)

    each others target cells

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    Corticotropin 39 AA residues

    Secreted by basophils/chromophobes of parsdistalis

    Stimulates steroidogenic tissues of theadrenal cortex

    Major structural differences in ACTH acrossspecies are usually found in residues 24 to 33with some species only differing the residues31 & 33

    Stimulates cortisol and corticosterone whichare involved in carbohydrate metabolism

    Melanocortin 13 AA residues

    Secreted by cells in the pars intermedia

    SharesMet-Glu-His-Phe-Arg-Trp-Gly-sequence with ACTH

    Responsible for coloration in most vetebrates Pars intermedia absent in humans but present

    in animals that need to change color

    AS211 Endocrinology Notes 49

    Proopiomelanocortin corticotropin

    & melanocortin

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    Neurohypophysial hormones

    2 nonapeptides oxytocin and vasopressin which

    are separately synthesised in neurohypophysialneurons whose cell bodies are located in pairedparaventricular (oxytocin) or supraoptic (presso-)nuclei of the hypothalamus

    Part of group of 12 related peptides found in theanimal kingdom

    4 related to vasopressin 8 related to oxytocin

    Differ on position 3, 4 & 8 which affects activityand affinity

    Derived from the prohormones preoxyphysin andprepressophysin

    Vesicles containing hormones travel byaxoplasmic flow to axon terminal in the parsnervosa

    Hormones linked to other proteins Oxyphysin for oxytocin

    Pressophysin for vasopressin Hormone transport

    Consist of nine AA residues folded into a ringthrough a disulphide bridge linking position 1 and6 leaving a tripeptide side chain

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    Neurohypophysial hormones

    AS211 Endocrinology Notes 51

    Oxytocin Arginine vasopressin

    Tyr

    Ile

    Glu

    Agn

    Cys

    Pro

    Glycinamide

    Leu

    Cys 1

    3

    5

    2

    4

    7

    6

    9

    8

    Phe

    Arg (Lys in pigs)

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    Neurohypophysial hormones

    AS211 Endocrinology Notes 52

    Oxytocin Plays transitory role

    Milk release (letdown)

    Uterine contraction

    Vascular smooth muscle action

    vasodilation and vasoconstriction Maternal behaviour

    Mating behaviour

    Feeding behaviour

    Vaospressin Osmoregulation

    Blood volume pressure regulation

    Promotes movement of water and Na+ions across membranes of the distal

    tubule Contraction and relaxation of some

    smooth muscles

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    Calcium homeostasis

    Ca2+ is a very important mineral Blood clotting

    In concert with Na+ and K+ in creatingtransmembrane potential

    Signal transduction

    Stimulus secretion/ stimulus responsecoupling

    3 hormones Parathyroid hormone (parathormone)

    Calcitonin

    1.25-dihydroxyvitamin D3

    Parathormone (PTH) Synthesised as preproPTH (115 AA) which

    is cleaved to proPTH (90 AA) and then toPTH (84 AA) in parathyroid gland

    Deletion of the 2 AA at the N-terminusleads to loss of functionality

    2 mechanisms of action One leads to cAMP formation

    The other leads to IP3/DG formation

    Two separate G proteins involved

    Action mediated by Vit D3

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    Calcium homeostasis

    PTH Secreted through vesicular exocytosis

    Controlled by circulating levels of Ca2+

    Major roles Bone mineral metabolism

    Renal reabsorption of Ca2+

    Renal excretion of PO43-

    Intestinal absorption of Ca2+

    Control of Vitamin D3 synthesis

    Calcitonin 32 AA withS S bridge between AA1

    and 7

    Prolinamide carboxyterminal group Controlled by circulating levels of Ca2+

    The c-terminal prolinamide, thedisulphide bridge and the entire 32 AArequired for action

    Calctonin receptor can bind to different Gproteins depending on cell cycle leadingto different responses in different tissues

    Calcitonin receptor and PTH receptorrelated and unique

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    Ca2+ Homeostasis

    Calcitonin

    Secreted by parafollicular cells of thethyroid gland

    Major roles are Bone mineral metabolism

    Control of satiety

    Vitamin D3 regulation Vitamin D3

    Synthesised in the skin in the presence ofsunlight through a photo-isomerisationstep followed by thermal-isomerisation

    Major roles Intestine Ca2+ absorption and translocation

    of PO43-

    Bone mineralisation

    Kidney tubular reabsorption of Ca2+

    Pregnancy

    Controlled by blood PO43- levels thatreduce activity of 1--hydroxylase whileCa2+ increases it

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    Ca2+ Homeostasis

    Vit D3 Interacts with target tissue nuclear

    receptors to activate transcriptionaland translational events

    Lag time of 2 hours to showeffects

    Proteins induced include Ca2+

    binding protein

    Ca2+

    channels activated in a non-genomic manner

    Receptor family features

    Ligand-binding domain at c-terminus

    DNA-binding domain the middle Variable n-terminus that helps select

    between potentially responsive genes

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    Vitamin D synthesis

    AS211 Endocrinology Notes 57

    Sunlight

    Skin surface

    Epidermis

    Dermis

    7-dehydrocholesterol (from liver)

    Previtamin D3

    Cholecalciferol

    (Vitamin D3)

    Luminsterol3Tachysterol

    Thermal isomerisation

    Photoisomerisation

    Binding proteinsBinding protein-

    cholecalciferol

    Systemic circulation

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    The endocrine pancreas

    Composed of islets of tissue dispersedamong the much larger exocrine

    pancreas

    Islets of Langerhans (described 1869)

    Constitute 1 2 % of pancreatic mass Four key cell types

    cells (glucagon); cells (insulin); D cells

    (somatostatin) & F cells (pancreatic

    polypeptide)

    All involved in glucose homeostasis (&

    a lot of other things)

    Glucose homeostasis involves a push

    pull system that controls glucose flux

    in an out of extracellular space

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    Insulin

    Dominant metabolic regulator

    Deficiency leads to runaway glucoseproduction, lipolysis, ketogenesis,proteolysis !

    Excess leads to hypoglycemia, brain

    failure ! Polypeptide with two chains; A (21 AA

    with 6 to 11 intrachain disulphidebridge) & B(30 AA). The two are linkedthrough 2 interchain bridges

    Interspecies differences at A (8, 9 & 10)and B (30)

    Differences do not reduce potency butmay antigenic in some individuals

    Derived from proinsulin where the twochains are linked through connectingpeptide

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    Insulin

    Proinsulin derived from a precursor

    The c-terminus and connecting

    peptide of these precursors highly

    variable linked to evolution of

    insulin like growth factors Complexed with Zn in islet cells

    Degraded in liver and kidney with a

    half-life of 5 minutes

    Hepatic glutathione insulindehydrogenase disrupts hormone into

    separate chains that are then degraded

    independently

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    Insulin

    Physiological role The only hormone that lowers blood

    glucose levels

    Promptly released from islets inresponse to elevated glucose levels

    Interacts with several tissue typeshepatic, muscle, adipose (why?)

    Enhances uptake of glucose by cells

    Activates glycogen synthetase lead toglycogen synthesis in the liver

    In adipose tissue glucose uptake leadsto increased catabolism of sugar toglycerol

    Stimulates active transport of glucose& AA in muscle cells

    Protein synthesis enhanced Plays role in K+ homeostasis through

    increased uptake

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    Insulin

    Mechanism of action Insulin receptor

    2 subunits & 2 subunits held

    together by inter and intrachain

    disulphide bridges

    All units glycosylated

    has the insulin binding domain

    (outside) while the is

    transmembrane with the c-terminus

    having a tyrosine kinase domain

    Insulin binding activates

    autophosphorylation of subunit to

    produce an active tyrosine kinase

    Complex is deactivated byinternalisation of ligand bound

    receptor receptor recycled

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    Insulin

    AS211 Endocrinology Notes 63

    TP

    TYR- PROTEIN

    P

    P

    ADP

    P-TYR-PROTEIN

    Insulin

    action

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    Insulin

    Second messengers

    Intrinsic tyrosine kinase activity

    May be via Ca2+

    Other second messengers

    suspected including inositol glycansand diacylglycerol

    Glycogen formation controlled by

    glycogen synthetase

    Dephosphorylated active

    Glycogenolysis hepatic

    phosphorylase

    Phosphorylated active

    Insulin may act by maintaining

    dephosphorylated state of both

    enzymes Why?

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    Glucagon

    Single chain polypeptide (29 AA

    residues)

    Similar to secretin, gastric inhibitory

    peptide and vasoactive intestinal

    peptide Derived from large preprecursor that

    undergoes several posttranslational

    modification

    Similar among mammals, in birdsresidue 28 (asparagine) is replaced

    with serine while in ducks an

    additional residue is also substituted

    (serine with threonine at position 16)

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    Other pancreatic hormones

    Somatostatin Control of glucagon and insulin release

    mediated by electrical potential andother peptides including somatostatin

    Local paracrine role given juxtapositionof D cells to and cells

    Derived from a prohormone

    Also controls GIT function andmovement of nutrients from the gut

    Pancreatic polypeptide

    36 AA, variable sequence across spp Functions not clearly elucidated

    Lowers liver glycogen and stimulateslipolysis

    Produced from F cells and participatein reciprocal control of secretions ofendocrine pancreas

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    Hormones of the GIT

    Many hormones of the GIT fall under

    families of related hormones that shareoverlapping structure and function

    Primarily concerned with digestion andmovement of food products in the GIT

    Synthesised from a system of clear(enterochromaffin, argyrophil, orargentaffin) cells

    These are the dispersed endocrinesystem since cells are scattered fromstomach to colon

    Together with pancreatic secretionscalled gastroenteropancreatic hormones

    Why dispersed?

    Hormone release regulated by integratedsampling of contents

    One surface of enterochromaffin like cellis in contact with luminal contents

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    Hormones of the GIT

    Families

    Gastrin gastrins (!), cholecystokinins(CCK)

    Secretin secretin, glucagon,vasoactive intestinal peptide (VIP),gastric inhibitory peptide (GIP)

    Others motilin, somatostatin,substance P, neurotensin etc

    Gastrin The five c-terminal amino acids of

    gastrin & CCK are the same andconstitute the biologically activefragment

    The terminus is amidated

    Overlapping action of hormones

    Minimum active fragment is the last 4AA

    Amino terminus influences potencyand specificity

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    Hormones of the GIT

    Gastrin

    Four molecular forms

    Preprogastrin which is not found in

    circulation

    Big gastrin (gastrin-34, orprograstrin); Little gastrin (gastrin-

    17, physiologically active); Mini-

    gastrin (gastrin-14, may be

    degradation product) Secretin

    Secretin (27 AA) is similar to

    glucagon (29 AA) in 14 positions

    Similar to VIP and GIP

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    Hormones of the GIT

    Physiological roles

    Stimulate secretion of enzymes

    necessary for digestion

    Regulates acid or base secretion for

    pH regulation

    Regulates peristaltic movement of

    digesta gut motility

    Stimulate release of hormones from

    the pancreas Satiety signals to the CNS affects

    feeding behaviour)

    Released in response to specific

    chemical stimuli

    H+ ions, certain AA, FFAs and sugars

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    Hormones of the GIT

    Gastrin

    Released from antral mucosa of thestomach and also from the duodenalmucosa

    Primary stimulus from secretion is food

    Peptide fragments, AAs, FFAs

    Somatostatin and VIP producing cells locatedin close proximity paracrine control

    Stimulates HCl and pepsinogen secretion,lower oesophageal sphincter pressure,relaxation of pyloric sphincter, pancreatic

    enzyme secretion etc

    Secretin

    Released in response to acid in the upperduodenum

    Stimulates bicarbonate (HCO3-

    ) releasefrom pancreas

    Potentiates CCK in stimulating pancreaticenzyme secretion

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    Hormones of the GIT

    CCK

    Causes contraction and emptying of the gallbladder in response to presence of food (esplipids) in duodenum

    Release of pancreatic enzymes

    33 AA but can exist in other forms

    7th carboxyterminus AA is sulfated

    Inhibition of gastric emptying Potentiation of secretin induced bicarbonate

    secretion

    GIP 43 AA

    Inhibits gastric acid secretion and is insulinotropic

    Activates lipoprotein lipase (adipose tissues),inhibits glucagon induced lipolysis and potentiatesinsulin-induced incorporation of FFA to TAGs

    VIP Entire 28 AA required for action

    Well conserved in animals

    Mediates the descending relaxation component ofperistalsis

    Relaxes a variety of smooth muscles

    Vasodilatory and hypotensive

    Also has neurocrine action

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    Thyroid hormones

    Functional components of the thyroid gland arethe individual thyroid follicles cuboidal epithelium arranged as a single layer

    surrounding a lumen that contains colloid material

    Clear cells found in thyroid are a source ofcalcitonin

    Follicular cells synthesise a protein calledthyroglobulin Released into colloid space through vesicular

    exocytosis

    Thyroglobulin is a substrate for tyrosine iodination

    Endocrine stimuli lead to follicular cells engulfing

    colloid material phagocytosis The colloid in endocytotic vesicles degraded to

    yield thyroid hormones that enter extracellularspace

    Release also controlled by sympathetic neurons allow for rapid short-term alteration in rate of

    hormone secretion

    Thyroid hormones are covalently complexed toiodide

    Iodine not readily available in terrestrialenvironments so cellular mechanisms haveevolved for uptake of iodine

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    Thyroid hormones

    Cells able to trap iodide and transport it againstan electrical gradient

    A Na+ - I- cotransport is inserted into thebasolateral membrane of the thyrocyte - 2 activetransport system (for more on this visithttp://edrv.endojournals.org/cgi/content/full/24/

    1/48) activity dependent on the Na+ gradient created by

    the Na+/K+ - ATPase

    aka sodium-iodide symporter or solute carrier family 5

    member 5 (a member of the sodium/solute symporterfamily)

    2 Na+ ions for every I-

    The iodide is converted to an oxidised species bya peroxidase species incorporated into tyrosyl groups of

    thyroglobulin to produce monoiodotyrosyls anddiiodotyrosyls

    the iodinated tyrosyls undergo oxidative couplingto produce T4 and a smaller amount of T3 in colloidspace

    http://edrv.endojournals.org/cgi/content/full/24/1/48http://edrv.endojournals.org/cgi/content/full/24/1/48http://edrv.endojournals.org/cgi/content/full/24/1/48http://edrv.endojournals.org/cgi/content/full/24/1/48http://edrv.endojournals.org/cgi/content/full/24/1/48
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    Thyroid hormones

    The thyroglobulin gets engulfed & digestedto yield free T4 and T3 which diffusethrough basolateral membranes

    Unused iodinated tyrosyls are deiodinated& recycled within the cell

    Secretion regulated through action orthyrotropin (TSH) &TRH

    T4 is the dominant form which seems toserve some function in somedevelopmental stages & feedback control

    on the hypothalamus T3 seems to be the more biologically active

    The hormones are water-insoluble & aretransported attached to specific bindingproteins in plasma & cytosol nuclearreceptors

    In plasma thyroxin binding prealbumin& thyroxin binding globulin TBPA a homotetramer with 2 T4 binding

    sites

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    Thyroid hormones

    Blood vesselIodine

    NIS

    I-TG synthesis

    TGI

    Follicular lumen(colloid space)

    Oxidative coupling

    DIT

    DIT DITMIT

    T4 T3

    T4, T3

    Endocytosis

    Colloid droplet

    2 lysosome

    LysosomeT4, T3

    Iodotyrosines

    Deiodinase

    Recycle

    GlucoseTSH

    Pentose cycle

    ATPcAMP

    Peroxide generatingsystem

    Peroxidase

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    Thyroid horomonesPhysiological

    roles

    Thyroid hormones influence manybodily functions direct & permissive actions

    exert effects in almost all body tissuesthroughout the life of an individual

    Growth and development secretion of somatotropin reduced in the

    absence of thyroid hormones

    Required for both production andsystemic effects of somatotropin

    stimulate differentiation through actionon hyalorunidase acticity

    play major role in mammary gland growth

    and development together with prolactin required for normal growth of the brain

    stimulates nerve growth factorbiosynthesis

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    Thyroid hormones

    Thermogenesis stimulate mitochondrial oxygen consumption &

    ATP production

    20 40 % of this consumed through Na+ activetransport & heat generation homoetherms

    T3 induced increase in Na+/K+ ATPase due to

    increase in enzyme sites enzyme controlled at transcriptional, translational

    and posttranslational levels

    Diet and TH function diet induced thermogenesis result from higher T3

    circulation

    fasting leads to reduced hepatic T3 receptors response variable

    possibly couples feed restriction with reduction infrequency and severity of age-related illnesses

    Permissive actions required for action of other hormones

    exert action at genome level inducing synthesis ofvarious proteins which are substrates in the actionof other hormones

    synergy with glucocorticoids in enhancingsynthesis of STH

    Enhance STH function in the brain

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    Summary

    List if thyroid hormone functions Feedback inhibition of pituitary TSH secretion

    Permissive action to other hormones lipolytic response of adipose tissue to other

    hormones

    required for STH & prolactin function & synthesis

    Increase activity of sympathoadrenal system

    Regulate basal metabolic rate increase mitochondrial oxidative

    phosphorylation

    Required for hepatic conversion of carotenes

    to Vitamin A Bone & nervous system growth and

    maturation

    Increase intestinal glucose uptake

    Increase red blood cell Ca2+ ATPase activity

    Induce enzyme synthesis Induce synthesis of proteins other than

    enzymes

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    Thyroid hormones mechanism of

    action

    Analogous to action of steroid

    hormones

    Thyroid receptors are intranuclearproteins (ligand-activated transcription

    factors) with domains for binding T3,

    DNA & forming homo- or

    heterodimers with other proteins Two receptor types1, 1 & 2 with

    2 inhibiting the transcriptional effects

    of the other three

    Also act on a number of cellularreceptor sites including plasmalemma,

    mitochondria etc

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    Hormones of the adrenal glands

    Epinephrine & norepinephrine are

    hormones of the chromaffin tissue of theadrenal glands & sympathetic neurons,respectively

    similar in structure and biological actionreferred to as the sympathoadrenal system

    both sympathetic neurons and chromaffintissue are structural and functionalcomponents of the autonomic nervoussystem (ANS)

    the parasympathetic system is concerned

    with the vegetative or resting states of thebody GIT motility, digestion, storage of nutrients etc

    the sympathetic system is concerned withmore active states of the body includingmanaging stress Flight or fight

    enhance blood flow to brain and muscle,shunting blood away from skin, digestive tract,kidney

    increased force and rate of heartbeat

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    Adrenal chromaffin tissue

    Adrenal gland composed of tissuesfrom two distinct embryonic cellulartypes chromaffin tissues (catecholamine

    synthesis) derived from neural crest

    steroidogenic tissue derived frommesoderm

    in mammals chromaffin form themedulla surrounded by thesteroidogenic cortex

    Within chromaffin tissue there are twocellular types adrenaline (A) and noradrenaline (N)

    storing cells

    Contain granules composed of

    catecholamines, adenine nucleotides(mainly ATP), proteins and lipids

    The A cells contain more glycoproteins

    Ratio of cells differs with species

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    Synthesis, chemistry & storage

    Phenylalanine

    Tyrosine

    Dihydroxyphenylalanine (DOPA)

    Dopamine

    Norepinephrine(primary amine)

    Epinephrine

    (N-methylated secondary amine)

    Phenylalanine hydroxylase

    Tyrosine hydroxylase (rate limiting step)

    L-aromatic amino acid decarboxylase

    Dopamine -hydroxylase (DBH)

    Phenylethanolamine N-methyltransferase

    (PNMT)

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    Synthesis, storage, chemistry

    Synthesis Pathways seem to be identical in all tissues that

    express them

    Number of steps depend on terminal product tobe secreted

    In species where chromaffin tissues are separated

    from steroidogenic tissue the main product is NEbut in mammals the main product is E

    Storage catecholamines stored within granules wherein

    they are complexed with ATP, a specific proteincalled chromagranin and DBH (enzyme)

    Storage vesicles released through Ca

    2+

    -dependentstimulus-secretion coupling with all contents ofvesicles released through vesicular exocytosis

    Metabolism two enzymes catecholamine-o-

    methyltransferase (COMT) & monoamine oxidase(MAO) allow for rapid removal of catecholamines

    from circulation and synaptic cleft lead to production of normetanephrine sulfate or

    glucuronide & metanephrine sulfate ofglucuronide

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    Mechanism of action

    Receptors

    two types in sympathoadrenalsystem adrenergic & choligernic

    Adrenergic recptors two types that differ in response to

    different sympathetic amines & adrenoceptors

    AR has the following potency

    ranking Epinephrine >norepinephrine > isoproterenol (ISO)

    responsible for smooth musclecontraction

    AR ISO > E > NE

    smooth muscle relaxation

    Lead to up to 9 different subfamilieslocated in different tissues

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    Adrenoceptor signal transduction

    AdenylateCyclase

    Phospholipase C

    Phosphoinositides

    1221

    IP3 & DG

    Cellular response

    ATP cAMP

    (-)(+) (+)

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    Lipolytic action

    Adenylate

    Cyclase

    ATP cAMP

    Inactive hormonesensitive lipase

    Active hormonesensitive lipase

    TAGsFFAs &

    Glycerol

    Epinephrine

    receptor

    ACTH

    receptor

    Blood

    Adipocyte

    membrane

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    Functions

    Function modulated by gonadal steroids,adrenal steroids and thyroid hormones

    Maintain constancy of internalenvironment

    Activated in anticipation of events that

    might adversely affect the individual Response to stress

    Role in intermediary metabolism Carbohydrate metabolism

    E stimulates hepatic glycogenolysis, muscle lactic

    acid production, hepatic gluconeogeneis, inhibitsinsulin secretion while increasing glucagonsecretion, stimulate numerous processes thatelevate blood glucose levels

    Fat metabolism stimulate lipolysis

    FFAs used as energy source (glucose sparingaction) & as a source of glucose

    Protein metabolism reduced proteolysis

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    Functions

    Thermogenesis both shivering and non-shivering

    (chemical) thermogenesis

    Cardiovascular system increase force and rate of heartbeat

    Blood shunted from skin, kidney, mucosa,connective tissue to areas of higherdemand

    spleen capsule contracted to increaseerythrocytes in circulation higheroxygen uptake

    Reduced clotting time

    Respiratory system

    Increased respiratory volume throughrelaxation of bronchial muscles

    Stress response

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    Adrenal steroid hormones

    synthesis & chemistry

    Cholesterol (27 C) is the precursor of allsteroid hormones

    A 6 C fragment is cleaved from the side

    chain in mitochondria to produce a 21 Csubstance (pregnenolone) which is movedto endoplasmic reticulum

    Key enzymes - desmolase system(cytochrome P450scc)

    Several key intermediates lead to formationof steroid hormones

    3 groups Glucocorticoids e.g. cortisol

    Mineralocorticoids e.g. aldosterone

    Androgens

    Presence of a double bond betweenposition 4 & 5 & presence of a keto groupat 3 of A ring essential for biological activityof adrenal steroids

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    Synthesis

    http://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.htmlhttp://themedicalbiochemistrypage.org/steroid-hormones.html
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    Adrenal steroids

    Control of synthesis adrenal glucocorticoids controlled by

    andrenocorticotropin (ACTH), aldosterone

    controlled by the renin-angiotensinsystem

    Physiological roles Glucocorticoids

    Intermediary metabolism Carbohydrate, lipid and protein metabolism

    increase synthesis of enzymes involved ingluconeogenesis

    anabolic to the liver, catabolic to skeletal muscle& adipocytes

    excessive production antagonistic to insulin

    permissive action required for function of sympathoadrenal system

    necessary for catecholamin synthesis anddecrease their degradation

    Permit lipolytic activity of catecholamines

    Permissive action also helps maintain bodytemperature

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    Adrenal steroids

    Glucocorticoids

    Reproduction

    involved in process of parturition

    required for lactogenesis in some species

    Nervous system

    normal development of CNS in the foetus

    structural integrity of the adult brain

    Anti-inflammatory and

    immunosuppressive inhibit inflammatory & allergic reactions

    in doses higher than physiological

    Negatively affects immunity

    The general adaptation syndrome

    modulates response to stress

    Ranking & population control in

    gregarious species

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    Adrenal steroids

    Aldosterone

    Regulates Na+ homeostasis and indirectly

    volume homeostasis

    essential for life (cf parathormone)

    Na+/K+ homeostasis

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    The gonadal steroids - synthesis

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    Gonadal steroids - Functions

    In adult males production of gonadal

    steroids is generally uniform while it is

    cyclic in females Organisational roles

    testosterone responsible for organisation

    of internal & external genitalia &

    differentiation of the brain into the male

    type

    Activational roles

    associated with acute release of pituitary

    gonadotropins & sexual behaviours

    associated with reproductive processes

    Reversible, repeatable and not associated

    with any particular phase of development

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    Gonadal steroids

    Activational roles

    Control of gonadotropin secretion

    via receptors in the preoptic area infemales

    constant in males leading to constant

    GnRH production

    aggressive behaviour (androgens),mood & the menstrual cycle,

    gender identification, puberty etc

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    Gonadal steroids (Androgens)

    Primary locus of action Physiological response

    Prepubertal

    Accessory glands Wolffian duct differentiation & growth

    External genitalia Growth & differentiation (scrotum &

    penis)

    Pubertal

    Skeletal muscle Masculine body growth & physique

    (Na+, K+ & H2O retention)

    Bone Epiphyseal closure (Ca2+, SO4-2, PO4-3

    retention)

    Vocal cords Voice change

    Skin Hair growth (in some areas) & loss

    (forehead), sebaceous gland growth

    Testis Sertoli cell maturation & androgen

    binding protein synthesis,

    spermatogenesis

    External genitalia Penile and scrotal growthAccessory glands Growth & maturation of accessory

    glands

    Central nervous system Libido increased

    Hypothalamo-pituitary

    axis

    Inhibition of LH secretion

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    Gonadal steroids ovarian steroids

    Primary site of action Physiological action

    Oestradiol

    CNS Maintains libido & sexual

    behaviour

    Pituitary Feedback effects on gonadotropin

    secretion, increase pituitary TRH &GnRH recptor number, increases

    oxytocin production

    Ovary Required for ovum maturation

    Vagina Causes proliferation &

    cornification of the mucosa

    Oviducts Growth & maturation in prep forgamete transport

    Uterus

    Cervix Increases mucus secretion

    Endometrium Increases blood flow,

    prostaglandin biosynthesis,

    oxytocin receptors at term,

    decidualisation response

    Myometrium Synthesis of contractile smooth

    muscle proteins, increase

    sensitivity to oxytocin

    Mammary glands Fat accretion, ductule & stromal

    growth & development

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    Ovarian steroids

    Primary site of action Physiological action

    Oestradiol

    Skin Induces sebaceous gland secretion,

    stimulates axillary and pubic hair growth

    General body effects Causes H2O and Na+ retention, weight gain

    & female type fat distribution, maintains

    bone mineral deposition

    Liver Causes hepatic angiotensinogen & thyroid-

    binding globulin production

    Blood Decreases blood cholesterol production

    Progesterone

    CNS Increases sexual receptivity, sometimes

    inhibits gonadotropin release

    Oviducts Causes growth and development for gametetransport

    Uterus

    Endometrium Stimulates growth & devt in prep for

    pregnancy, decreases oestrogen receptor

    number

    Cervix Increases mucus consistency

    Myometrium Anti-oestrogen effects, maintenance of

    pregnancy

    Vagina Inhibits oestrogen-induced vaginal

    cornification

    Mammary glands Inhibits prepartum lactogenesis

    General body effects Rise in basal metabolic rate (thermogenesis)

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    Hormones of the pineal gland


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