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Pathophysiology
Endocrine System
52
Biology
Undergraduate 1
04/12/2008

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Term
Endocrine cells are___
Definition
glandular and release secretions into the ECF
Term
What are glands of the endocrine system?
Definition
  • hypothalamus
  • pituitary gland
  • thyroid gland
  • pancreas
  • thymus
  • gonads
Term
Endocrine glands release ____
Definition
hormones
Term
There are no ___ involved in the release of hormones
Definition

ducts

Term
What are hormones?
Definition

organic molecules and chemical messengers

Term
hormones are released in one tissue and ____
Definition
transported in the bloodstream to reach specific cells in other tissues
Term
each hormone has ___ that are_____ 
Definition

target cells

specific and respond accordingly

Term
___ have receptors that can "read" hormonal messages
Definition
Target cells
Term
hormones regulate ____
Definition
 a number of functions in the body, e.g., digestion, reproduction
Term
hormone function is closely linked to ______
Definition
nervous system function and the immune system
Term
a hormone can exert various effects _____
Definition
on different tissues, e.g., estradiol.
Term
a ___can be regulated by several hormones.
Definition
single function
Term
_____ takes place between cells
Definition

Paracrine action

Term
Hormones act ___ where concentrations are relatively high
Definition
locally
Term
____ occur within cells from where they were produced, e.g., insulin.

 

Definition
Autocrine action
Term
_____ occurs between hormones bound on plasma membrane of cells and receptors of adjoining cells.
Definition
Juxtacrine secretion
Term
What are two types of cell receptors?
Definition

(i) cell surface receptors

(ii) intracellular nuclear receptors.

Term

What are characteristics of Cell surface receptors?

Definition
  • water-soluble
  •  the hormone is the first messenger; binds with a second messenger that appears within the cytoplasm
  • The second messenger acts as an enzyme activator.
Term
What are characteristics of  Intracellular receptors?
Definition
  • lipid-soluble
  • cross cell membranes of target cells directly
  • The receptors are in the cytoplasm and bind with the hormone.
  • The bound-hormone then moves to the nucleus where a response occurs.
Term

____ cross the cell membrane by diffusion or by a carrier mechanism.

Definition
Thyroid hormones
Term

Explain Thyroid hormone diffusion.

Definition
  • Once inside the cell cytoplasm, these hormones bind to receptors within the nucleus and on the mitochondria.
  • The hormone-receptor complexes in the nucleus activate specific genes.
  • Thyroid hormones bound to mitochondria increase the mitochondria's rates of ATP production.
Term
Describe control of hormone levels.
Definition
  • Hormones have specific rates and rhythms of secretion, e.g., diurnal, or cyclic. 
  • Thyroid hormone requires days for its full effect to take place.
  • Hormones operate within a feedback system, either positive or negative.
Term
In ____, the hormone increases steadily until a required level is reached
Definition
positive feedback
Term
With ___, if a hormone level increases to a certain level, it triggers its own decrease.
Definition
Negative feedback:
Term
For negative feedback, the feedback is a _____
Definition

regulatory mechanism and preserves homeostasis.

Term

 Where are Thyroids located? 

Definition
 two lobes on either side of the trachea.
Term

Describe Thryoids and their functions:

Definition
  • are composed of follicles;
  • control rates of metabolic processes throughout the body such as
    • protein, fat and carbohydrate metabolism
    • metabolic rate of cells;
    • body heat production.
Term
Follicles are cells that surround substances called ___
Definition
colloids
Term
Follicular cells synthesize a globular protein called ___ and secrete it into the colloid
Definition
thyroglobulin
Term
Each thyroglobulin molecule contains the amino acid ___ which is the building block of thyroid hormones
Definition
tyrosine
Term
___ absorbed in the diet is transported from the digestive tract by blood.
Definition
Iodide
Term
_______ to form the thyroid hormones
Definition
Iodine ions bind tyrosine
Term
____ is known as tetraiodothyronine, or,T4 (four iodide ions). .
Definition
Thyroxine
Term
______, or T3, has three iodide ions
Definition
Triiodothronine
Term
What three glands are involved in thyroid hormone secretion: 
Definition
  • hypothalamus
  • pituitary
  • thyroid.
Term
____ in the hypothalamus initiates release of TSH.
Definition
TRH (thyrotropin releasing hormone)
Term
____ in pituitary leads to release of ______ in thyroid gland.
Definition
  1. TSH (thyroid stimulating hormone)
  2. TH (thyroid hormone)

TRH (hypothalamus) à TSH  (pituitary) à TH (thyroid gland)

Term

What are the functions of TSH?

Definition

(i) It causes TH to be released from thyroids

(ii) causes iodide uptake

(iii) increases thyroid hormone synthesis

(iv) increases prostaglandin by thyroid gland.
Term
if TH is secreted by thyroid, it suppresses TSH and TRH production. This lowers TH production and is a _____.
Definition
negative feedback
Term
The inadequate production of thyroid hormones is called _____
Definition
hypothyroidism
Term
Hypothyroidism produces ___ in infants (inadequate skeletal and nervous development) and in later childhood retards growth and mental development.
Definition
cretinism
Term
___ occurs when thyroid hormones are produced in excessive amounts
Definition

hyperthyroidism 

Term
Describe symptoms of hyperthyroidism.
Definition
Metabolic rate climbs, and skin becomes flushed and moist with perspiration.
Term

Hyperthyroidism occurs due to ___

Definition
increase in level of circulating T 3 and T 4 ( i.e.,TH) with heat intolerance.
Term

What are two causes of why there is excessive TH?

Definition

(i) Graves disease

(ii) toxic multilocular goiter

Term

Describe Graves Disease

Definition
  • autoimmune disease;
  • abnormal stimuli of thyroid by thyroid stimulating antibodies;
  • normal regulatory mechanism is overridden by abnormal immunological mechanism;
  • may be associated with myasthenia gravis or pernicious anemia
Term

___ results from diffuse thyroid enlargement

Definition
goiter
Term
___ results from fibroblasts becoming activated behind the eyeballs
Definition
ophthalmopathy (protruding eye balls)
Term
Describe Pathology
Definition
T lymphocytes become sensitized to antigens within thyroid gland;
Term
Sensitized T lymphocytes stimulate ___ to synthesize antibodies to these antigens
Definition
B lymphocytes
Term
Describe Antibodies
Definition
  • are known as thyroid stimulating immunoglobulins
  • bind to TSH receptors in follicular cells and stimulate them to release TH
  • are not under feedback control system.
Term
In Graves disease the ____ is disrupted because the thyroid releases large amounts of thyroid hormones (TH) and will not stop.
Definition
homeostatic mechanism
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