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CS&F - Endocrine System
Dr. Chase - 02/18/11
23
Medical
Professional
02/17/2011

Additional Medical Flashcards

 


 

Cards

Term
Define the term endocrine, and its variants: paracrine, juxtacrine and autocrine.
Definition

endocrine system - integrates corrdinates and controls body processes by chemical signals (hormones) that are released into the extracellular tissue spaces and carried by the vasculature to distant target cells (without the use of a duct system)

• as comp. to neural control mechanisms, typically long-lasting effects on target cells

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paracrine: endocrine secretion with localized dispersal in interstitial fluid or through short loops of blood vessels, (e.g. gastrin made by pyloric G cells reach target cells in the fundic glands)

[image]

juxtacrine: signaling molecule remains on the secreting cell's surface or adjacent extracellular matrix  and effects target cells when the cells make contact (e.g. in developmental tissue interactions)

 

autocrine: cells may produce molecules that act on themsleves or on cells of the same type (e.g. IGF)

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Term
Compare the functional morphology of endocrine cells whose hormone product is a polypeptide or protein vs. an endocrine cell whose produce is a steroid.
Definition

protein-producing cells: look very much like other protein producing cells (secretory granules, lots of rER), but granules are basal and near a capillary

 

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steroid producing cells: cells have large quatities of smooth ER and mitochondria often have tubular-shaped cristae (instead of the usual flat plate-like cristae) => cristae are round

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Term
Define the following terms relating to the anatomy of the pituitary gland: adenohypophysis
Definition
adenohypophysis = anterior pituitary gland, derived from the oral ectoderm (Rathke's pouch) and has three parts: pars distalis; pars tuberalis, and the pars intermedia
Term
Define the following terms relating to the anatomy of the pituitary gland: anterior lobe
Definition
anterior lobe == the same as the adenohypophysis; anterior pituitary gland, derived from the oral ectoderm (Rathke's pouch) and has three parts: pars distalis; pars tuberalis, and the pars intermedia
Term
Define the following terms relating to the anatomy of the pituitary gland: pars distalis
Definition

pars distalis - one of the three parts of the anterior lobe; the bulk of the anterior lobe;

acidophils: somatotropic and mammotropic cells

basophils: gonadotrpic, corticotropic, and thyrotropic cells

Term
Define the following terms relating to the anatomy of the pituitary gland: pars intermedia
Definition

pars intermedia - a part of the anterior pituitary; between the anterior and posterior pituitary

Express POMC -> MSH, γ-LPH, and β-endorphin

Term
Define the following terms relating to the anatomy of the pituitary gland: pars tuberalis
Definition

pars tuberalis - a part of the anterior pituitary that is a collar-like extension of the adenohypophysis that wraps around the infundibulum;

mostly secrete FSH and LH

Term
Define the following terms relating to the anatomy of the pituitary gland: neurohypophysis
Definition
neurohypophysis  - derived from the neuroectoderm of the 3rd ventricle; also called the posterior lobe of the pituitary gland
Term
Define the following terms relating to the anatomy of the pituitary gland: posterior lobe
Definition
posterior lobe = same as the neurohypophysis; derived from the neuroectoderm of the 3rd ventricle; also called the posterior lobe of the pituitary gland
Term
Define the following terms relating to the anatomy of the pituitary gland: pars nervosa
Definition
pars nervosa - posterior lobe of the pituiary; has neural tissue
Term
Define the following terms relating to the anatomy of the pituitary gland: infundibulum
Definition
infundibulum - connects the hypothalamus with the posterior pituitary, where hypothalamic inhibitory & releasing factors are discharged into the primary capillary plexus to perfuse the anterior pituitary
Term
Define the following terms relating to the anatomy of the pituitary gland: pituitary stalk
Definition

pituitary stalk - same as the infundibulum; connects the hypothalamus with the posterior pituitary, where hypothalamic inhibitory & releasing factors are discharged into the primary capillary plexus to perfuse the anterior pituitary

 

 

Term
Define the following terms relating to the anatomy of the pituitary gland: median eminence
Definition
median eminence: inferior boundary for the hypothalamus; a small swelling posterior to the infundibulum - atop the pituitary stalk
Term
Differentiate between adenohypophysis and neurohypophysis with regard to their unique embryonic origins, their histologic appearance, and their distinct cell populations.
Definition

embryonic origin: adenohypophysis is derived from the ectoderm of oropharynx (Rathke's pouch); neurohypophysis is derived from the neuroectoderm of the floor fo the 3rd ventricle--> neural tissue

 

histologic features: adenohypophysis (adeno == glandular); neurohypophysis has neural tissue

[image]

 

distinct cell populations:

adenohypophysis: since glandular, stains acidophilic (somatotropes, lactotropes), basophilic (corticotropes gonadotropes, thyrotropes), and chromophobic;

 

neurohypophysis: contains non-myelinated axons and nerve endings arising from cells in the hypothalamus

 

 

 

Term
Describe the location and function of the hypophyseal (hypothalamohypohyseal) portal system. Compare it with the blood supply of the pars nervosa.
Definition

hypophyseal portal system: Most of the anterior lobe is supplied indirectly via hypophysial portal veins

• primary capillary plexus: pars tuberalis, median eminence, & infundibulum supplied by the superior hypophysial arteries

• capillaries drain into hypophysial portal veins

hypophysial portal veins -> pars distalis of anterior lobe (also perfused by secondary capillary plexus)

• venous blood then drains to dural sinuses

 

pars nervosa: inferior hypophysial arteries supply a separate capillary plexus in neuohypophysis


 

pars nervosa vasculature:

[image]

Term
Identify and describe the secretory cells of the adenohypophysis based on their stain affinity, hormone(s) secreted, and modality of hypothalamic control.
Definition

(1) somatotropes (GH cells - acidophils) - produce growth hormone

(+) hypothalamic growth hromone-releasing hormone (GHRH), and by throid hormone and cortisol

(-) hypothalamic somatostatin

(2) Lactotropes (acidophils) - secrete prolactin

(+) hypothalamic TRH, and by other mediators relating to pregnancy & nursing

(-) hypothalamic dopamine

(3) corticotropes (ACTH cells - basophils) - produce proopiomelanocortin (POMC) -> ACTH, ϐ-lipotrophic hormone, melanocyte stimulating hormone, and ϐ- endorphin

(+) corticotropin-releasing hormone (CRH)

(4) gonadotropes (FSH & LH cells - basophils) - produce both, or one or the other

(+) gonadotropin-releasing hormone (GnRH)

(5) thyrotropes (TSH cells - basophils) - produce thyroid stimulating hormone (TSH)

(+) stimulated by hypothalamic thyroid-releasing hormone (TRH)

 

Note: difference between tropic and non-tropic hormones

 

Tropic hormones (target cells are OTHER endocrine glands)

- Adrenocorticotrphic hormone (ACTH)
- Thyroid stimulate (thyrotropic) hormone
(TSH, thyrotropin)
- Follicle-stimulating hormone (FSH)
- Luteinizing hormone (LH)

Non-tropic hormones (targets are not endocrine cells)

- Growth hormone (GH) and Prolactin (PRL)

Term
Describe the histological origin, secretion and control of oxytocin and antidiuretic hormone. Define Herring bodies.
Definition

Recall: hormones ADH and oxytocin are NOT produced in the posterior lobe, just released there; produced in hypothalamus, then released in posterior pituitary

 

Herring bodies: Secretory nerve endings have swellings that contain secretory vesicles containing either oxytocin or antidiuretic hormone (ADH) that are stored there until they are released

[image]

[image]

pars nervosa: arrows point to herring bodies


How to the hormones get to the herring bodies?

Non-myelinated axons and nerve endings arising from cells in hypothalamus are unusual for NOT terminating on neurons or other target cells; rather, they release hormones near a capillary network

 

 

ADH release is controlled primarily through hypothalamic osmoreceptors and feedback from sensory
bodies (carotid body, juxtaglomerular apparatus); ADH (arginine vasopressin) acts on distal convoluted tubule & principal cells of collecting ducts to reabsorb water

 

Oxytocin release - Sensory feedback from cervix, vagina and nipple; Oxytocin promotes smooth muscle contraction, especially uterine smooth muscle & myoepithelial cells of mammary gland (“milk letdown”)

 

 

 

Term

Describe the histologic features and function of the pineal gland.

[image]

Definition

[image]

pineal gland

 

Histologic features: (1) pinealocytes, arranged in clumps, ocgered by the fibrous tissue of the pia mater; (2) interstitial (glial) cells; (3) calcified deposits (brain sand), which inc. with age

 

Function of pineal gland: helps regulate daily body rhythm, such as sleep; responds to light & dark cycles via retinohypothalamic tract; produces melanin during dark cycles

 

 

Term
Describe the functional histology of the thyroid gland. Corelate the morphology of thyroid follicular cells with synthesis and storage of thyroglobulin, and reuptake and release of thyroxine (T4) and triiodothyronie (T3). Describe the steps in thyroid hormone production and secretion.
Definition

thyroid - has 2 lateral lobes, a connecting isthmus (+/- a pyramidal lobe)

 

[image]

thyroid follicles- spheres of cuboidal cells with a central mass of extracellular material ("colloid"), where the accumulation of the secretory product is stored

 

follicular cells- produce thyroid hormone (T3 and T4)--which regulate metabolism; and regulated by pituitary TSH

 

colloid -contains thyroglobulin, the precursor for active thyroid hormones

 

[image]

Thyroid hormone production:

(1) Thyroglobulin (precursor) is produced by follicular cells and excytosed into the follicle lumen

(2) Uptake of circulating iodine from blood by follicular cells, which is then oxidized to reactive iodine, then released to the follicle lumen

(3) trosine residues on thyroglobulin are iodinated

(4) Folding of thyroglobulin allows close proximity of iodinated tyrosines which are then coupled to form T4 & T3

(5) Stimulated by TSH, follicular cells endocytose thyroglobulin with coupled iodinated tyrosines by receptor-mediated endocytosis

(6) Endocytotic vesicles fuse with lysosomes & thyroglobulin is degraded by proteases, freeing T4 & T3

(7) Freed T4 & T3 cross the basal plasma membrane & enter the blood, where they are bound by thyroxin-binding protein, to other plasma proteins and a small amount is left free

Term

Describe the parafollicular cells/C-cells of the thyroid. Describe their location in the thyroid gland, their secretory product and its action and controls.

[image]

Definition

[image]

Parafollicular cells (C-cells) - interior to basal lamina but exterior to follicular cells  not exposed to follicle lumen; thus part of the follicle

 

Make calcitonin, wich lowers blood calcium levels by suppressing the action of osteoclasts (bone resorption) and promitng osteoid calcification; triggered by elevated Ca2+ levels

Term
Describe the location and histologic features and the main hormones secreted by each of the cortical zones of the adrenals. Compare the zones with respect to control of their secretion.
Definition

What gets sweeter as you go inside? The adrenal cortex: outer - salt regulation, middle - sugar regulation, inner - sex

[image]

zona glomerulosa - Outermost, round balls of cells
Secretes mineralocorticoids: aldosterone (salt regulation)
Regulated by renin-angiotensin-aldosterone system

[image]

zona fasciculate - Mid portion of cortex; cells arranged in long cords (‘fascicles’)
Secretes glucocorticoids: cortisol
Regulated by CRH-ACTH hypothalamic-pituitary system

[image]

zona reticularis - Innermost; arranged in a network of interconnected cords of cells (a ‘reticulum’)
Secrete gonadal hormones, mostly the weak
androgen dihydroepiandrosterone (DHEA) and some glucocorticoids
Regulated by CRH-ACTH

Term
Describe the functional histology of the adrenal medulla, including its blood supply.
Definition

[image]

blood supply of medulla: Medullary veins have more muscle in their media than most other veins, arranged longitudinally, contraction of which promotes increased movement of medullary blood into the circulation

 

Adrenal medulla - Arises from neural crest cells; can be thought of as a modified sympathetic ganglion

Structure:

Medullary (chromaffin) cells are modified neurons but secretory products enter bloodstream rather than directly contacting target cells
Secretory products:
-Catecholamines  - (EPI production is >> than NE)
-Chromogranins:  a family of proteins characteristic of neuroendocrine cells throughout the body

Cholinergic (ACh) stimulation by preganglionic fibers innervating chromaffin cells releases medullary hormones

**Ganglion cell neuron cell bodies are often present in the medulla

Term
Define diffuse or dispered neuroendocrine system and state the common morphologic features.
Definition
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