ENDOCRINE SYSTEM. TWO GREAT CONTROLLING SYSTEMS Nervous System................ Endocrine System.
Endocrine system - USMF · 2019-03-04 · •The endocrine system acts with nervous system to...
Transcript of Endocrine system - USMF · 2019-03-04 · •The endocrine system acts with nervous system to...
Endocrine system1. General data on endocrine glands
2. Morphofunctional characteristics
of the endocrine glands
a) Pituitary gland
b) Epiphysis
c) Thyroid gland
d) Parathyroid glands
e) Thymus
f) Adrenal glands
g) Pancreas
h) gonads
3. Organogenesis of the endocrine
system
Lecturer: PhD, professor Tamara
Hacina
Characteristics of the endocrine
system
•The endocrine system functions in the regulation
of body activities.
•It acts through chemical messengers called
hormones that influence growth, development,
metabolic activities.
•Its action is measured in minutes, hours, or weeks
& is more generalized than the action of the
nervous system.
The endocrine system• The endocrine system comprises a group of
ductless glands that secrete chemical messenger substances, called hormones, into the bloodstream.
• Hormones are responsible for the long-term regulation of many bodily functions.
• The endocrine system includes the pituitary, thyroid, parathyroid, thymus and adrenalglands, and the pancreas and gonads (ovaries and testes).
Common features of the endocrine
glands
• Superior blood-supply: fenestrated
capillaries,on at least one side
• Ductless glands
• Cells organized in “chunks”: blocks,
islands, plates, cords
• Epithelial in origin (an or two
exceptions)
• Polihedral cells with round nucleus
• Plentifull organelle content (indicates
synthesis)
• The endocrine system acts with nervous system to
coordinate the body's activities.
• Both systems enable cells to communicate with others by
using chemical messengers.
• The endocrine system uses chemical messengers
called hormones that are transported by the circulatory
system (blood). They act on target cells that may be
anywhere in the body.
• The endocrine system is slower than the nervous system
because hormones must travel through the circulatory
system to reach their target.
• Target cells have receptors that are specific to the
signaling molecules. The binding of hormones to the
receptors on or within the target cell produces a
response by the target cell.
HormonesHormones are:
chemical messengers
mostly proteins, amines
(small molecules derived
from amino acids) or
steroids
secreted by endocrine
glands (glands without
ducts)
carried in bloodstream
to target organs
change the way in which
cells function
target specific
Groups of hormones :
1. Amono acid derivatives:
epinephrine, norepinephrine,
thyroxine
2. Small peptides: encephalin,
vasopressin, TRH
3. Proteins: nerve growth factor,
insulin, parathormone, TSH, EGF
4. Steroids: cortisol, progesterone,
testosterone, estradial.
Chemical Classificaton of Hormones
• Steroid Hormones:
– Lipid soluble
– Diffuse through cell
membranes
– Endocrine organs
• Adrenal cortex
• Ovaries
• Testes
• Placenta
Receptors for steroid
hormones are found in
the cell’s cytoplasm or
in its nucleus
• Nonsteroid Hormones:
– Not lipid soluble
– Received by receptors
external to the cell
membrane
– Endocrine organs
• Thyroid gland
• Parathyroid gland
• Adrenal medulla
• Pituitary gland
• pancreas
Receptors for nonsteroid
hormones are located on the
cell membrane
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Mechanisms of
hormone
release
(a) Humoral: in response to changing levels of ions or nutrients in the blood
(b) Neural: stimulation by nerves
(c) Hormonal: stimulation received from other hormones
Hypothalamus
Pituitary gland (hypophysis)
Pineal body
The endocrine and
nervous systems are so
closely associated that
they are collectively
called the neuroendocrine
system.
The main control center is
the hypothalamus, also
known as the “master
switchboard”.
Suspended from the
hypothalamus by a stalk
is the pituitary gland.
The hypothalamus sends
messages to the pituitary
gland, in turn, releases
hormones that regulate
body functions.
Pineal GlandThe pineal gland was called the "third eye" by ancient people. It was
thought to have mystical powers.
The pineal does contain a complete map of the visual field of the eyes,
and it plays several significant roles in human functioning.
It is the center for the production of the hormone melatonin.
It regulates daily body rhythms, most notably the day/night cycle,
prevents jet lag, is implicated in seasonal affective disorder, coordinates
fertility, and allows for deep restful sleep patterns.
The pineal gland or in its Latin and anatomical name "epiphysis
cerebri", is a tiny bean-size brain organ or "gland" which is connected
to the brain and nervous systems through a complex network of
bidirectional links.
The "pineal master gland" acts as a true "director of the hormonal
orchestra" in the course of growth, puberty, fertility and aging.
The Pineal Gland• At the end of a short stalk on the roof of the diencephalon
• Pinealocytes with dense calcium particles
• Can be seen on x-ray (because of Ca++)
• Melatonin helps regulate the cardium rhythm
– The biological clock of the diurnal (night/day) rhythm
– Complicated feedback via retina’s visual input
Hypothalamus (general)
• Connection to pituitary:
– Neuronal to POSTERIOR
PITUITARY
– Endocrine to ANTERIOR
PITUITARY
• RH = Pituitary
releasing hormones
• RIH = Pituitary
release inhibiting
hormones
Neurosecretory Cells
1. Specialized neurons
– Synthesize and
secrete hormones
2. Extend from
HYPOTHALAMUS
to POSTERIOR
PITUITARY
Neurosecretory cells in Hypothalamus
• Nuclei synthesize and
secrete hormones
• Neuronal connection to
POSTERIOR pituitary
• Antidiuretic Hormone
(ADH), Oxytocin
Posterior Pituitary Hormones• Manufactured in
Hypothalamus, released from Post. Pit.
• Oxytocin
– Target = smooth ms. Uterus and Breast (&brain)
– Function = labor and delivery, milk ejection,(pair bonding)
• ADH (Vasopressin AVP)
– Target = kidneys
– Function = water reabsorption
Pituitary
Gland
The pituitary gland, which is located in the center of the skull, just
behind the bridge of the nose, is about the size of a pea.
It is an important link between the nervous system and the
endocrine system and releases many hormones which affect growth,
sexual development, metabolism and the system of reproduction.
The "hypothalamus" is a tiny cluster of brain cells just above the
pituitary gland, which transmits messages from the body to the
brain.
The pituitary gland has two distinct parts, the anterior and the
posterior lobes, each of which releases different hormones which
affect bone growth and regulate activity in other glands.
This gland was once believed to be the main controlling gland of the
body, but we now know that, it is subservient to a master gland
called the hypothalamus, which is the needed link between the
pituitary gland and the brain.
This "master gland" is really a way station between the body and
the brain and sorts out messages going to and from the brain.
It responds to the body through the pituitary gland, which is
suspended just below it.
It sometimes replies by nerve impulses and sometimes with needed
hormones. The pituitary gland then makes hormones of its own in
answer to the body's needs.
Pituitary gland
MASTER GLAND
• Anterior and
posterior portions
• Posterior
connected to
hypothalamus by
infundibulum
• Anterior
connected via
blood stream
The pituitary gland is:• a pea-sized structure located at the base of the
brain.
• an extension of the hypothalamus.
• consists of an anterior lobe and a posterior lobe.
• produces hormones that control other glands and
many body functions.
Releasing hormones
(factors) of hypothalamus
Secreted like neurotransmitters from neuronal axons into capillaries and veins to anterior pituitary (adenohypophysis)
TRH (thyroid releasing hormone) -turns on TSH
CRH (corticotropin releasing hormone)- turns on ACTH
GnRH (gonadotropin releasing hormone) - turns on FSH and LH
PRF (prolactin releasing hormone) -turns on PR
GHRH (growth hormone releasing hormone) - turns on GH
Inhibiting hormones of hypothalmus
PIF (prolactin inhibiting factor) -----turns off PRL
GH (growth hormone) inhibiting hormone ---turns off GH
The hypothalamus controls secretion
of hormones which in their turn control
the secretion of hormones by the thyroid
gland, the adrenal cortex and gonads:
in this way the brain controls these
endocrine glands
From the
posterior
pituitary
(neuro-
hypophysis)
• ADH (antidiuretic hormone or vasopressin) stimulates the kidneys to
reclaim more water from the urine, raises blood pressure.
• Oxytocin prompts contraction of smooth muscle in reproductive tracts,
in females initiating labor and ejection of milk from breasts.
Two divisions:
• Anterior pituitary(adenohypophysis)
• Posterior pituitary(neurohypophysis)
Sits in hypophyseal fossa: depression in sella turcica
of sphenoid bone
Pituitary secretes 9 hormones
The Pituitary
1. TSH
2. ACTH
3. FSH
4. LH
5. GH
6. PRL
7. MSH
8. ADH (antidiuretic hormone), or vasopressin
9. Oxytocin
_________________________________________________________________
The first four are “tropic”
hormones, they regulate the
function of other hormones________
The pituitary gland
ANTERIOR
LOBE
POSTERIOR
LOBE
Thyroid stimulating
hormone
Adrenocorticotropic
hormone
Gonadotropic
hormones (FSH &
LH)
Growth hormone
Prolactin
Antidiuretic
hormone
Oxytocin
Anterior pituitary gland
Gland Principle hormones Action
Anterior
pituitary
Thyroid stimulating hormone
(TSH)
Regulates thyroid gland
Adrenocortico tropic hormone
(ACTH)
Regulates adrenal cortex
Gonadotropic hormones
Follicle stimulating
hormone (FSH)
Luteinising hormone (LH)
Regulates gonads
Growth hormone (GH) Regulates growth in children
Prolactin Regulates milk production
Posterior pituitary gland
Gland Principle
hormones
Action
Posterior pituitary
gland
Antidiuretic hormone
(ADH)
Regulates water
reabsorption from
kidneys
Oxytocin Allows milk
letdown/suckling reflex
Initiates labor
Maternal behaviour
Simmonds disease, also known as anterior
pituitary hypofunction, is lack secretion of
pituitary hormones, lesions of pituitary or
hypothalamus involve the endocrine function in
pituitary gland. when the pituitary had
destroyed, may produce the performance of
endocrine gland hypofunction, the mainly
involvement of the gland is sex gland, thyroid
and adrenal cortex.
Thyroid GlandThe thyroid gland is shaped like a butterfly
and usually weighs less than one ounce.
The thyroid cartilage covers the larynx and
produces the prominence on the neck known
as the "Adam's Apple".
The thyroid gland controls the rate at which
the body produces energy from nutrients.
If the body does not get enough iodine, the
thyroid gland cannot produce a proper
amount of hormones for this conversion
process.
The result can be a goiter, an enlargement of
the thyroid gland.
In some parts of the world, iodine is so
scarce that most of the population have
goiters.
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• Thyroid is composed of spherical follicles
– Follicle cells: produce thyroglobulin, the precursor of
thryoid hormone (thyroxin)
– Colloid lumen is of thyroglobulin
– Parafollicular “C” cells: produce calcitonin
1. Cretinism (in infancy) – dwarfs, retarded
- hypothyroidism
2. Myxedema (in adults) – swelling, slowness
- hypothyroidism
3. Regular Goiter – too little iodine yields
pituitary response
4. Toxic Goiter – TSH overproduction
Malfunctions of Thyroid gland
Parathyroid Glands• There are four
parathyroid glands, which are located behind the thyroid.
• The sole purpose of the gland is to regulate the calcium level in our bodies within a very narrow range in which our muscular and nervous systems can function properly.
Thyroid & parathyroid glands
Gland Principle
hormones
Action
Thyroid Thyroxine Stimulates
metabolism/releases
glucose
Calcitonin Lowers blood calcium
Parathyroid Parathyroid hormone Raises calcium levels
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Adrenal (suprarenal) glands(“suprarenal” means on top of the kidney)
• Each is really two endocrine glands
– Adrenal cortex (outer)
– Adrenal medulla (inner)
• Unrelated chemicals but all help with extreme situations
Adrenal glandGland Principle
hormones
Action
Adrenal cortex Mineralocorticoids e.g.
aldosterone
Sodium metabolism
Glucocorticoids e.g.
cortisol
Stress response/glucose
metabolism
Gonadocorticoids e.g.
testosterone
Secondary sexual
characteristics
Adrenal medulla Adrenaline
(epinephrine) Fight or flight response
Noradrenaline
(norepinephrine)
Adrenal GlandAdrenal cortex
Secretes lipid-based steroid
hormones, called
“corticosteroids”
MINERALOCORTICOIDS
Aldosterone is the main one
GLUCOCORTICOIDS
Cortisol (hydrocortisone)
is the main one
Adrenal medulla
Secretes epinephrine and
norepinephrine
Aldosterone, the main
mineralocorticoid
• Secreted by adrenal cortex in response to a decline in either blood volume or blood pressure (e.g. severe hemorrhage)
– Is terminal hormone in renin-angiotensin mechanism
• Prompts distal and collecting tubules in kidney to reabsorb more sodium
– Water passively follows
– Blood volume thus increases
Cortisol, the most important glucocorticoid
• It is essential for life
• Helps the body deal with stressful situations within minutes
– Physical: trauma, surgery, exercise
– Psychological: anxiety, depression, crowding
– Physiological: fasting, hypoglycemia, fever, infection
• Regulates or supports a variety of important cardiovascular,
metabolic, immunologic, and homeostatic functions including
water balance
People with adrenal insufficiency: these stresses can cause
hypotension, shock and death: must give glucocorticoids, eg for
surgery or if have infection, etc.
Adrenal medulla
• Part of autonomic nervous system
• Spherical chromaffin cells are modified postganglionic sympathetic neurons
– Secrete epinephrine and norepinephrine
– Amine hormones
– Fight, flight, fright
• Vesicles store the hormones
Pathology of
Adrenal gland
Cushing’s syndrome:
Usually caused by an
ACTH-secreting
pituitary tumor, rarely
by tumor of adrenal
cortex, iatrogenic
Addison’s
disease
Hyposecretion
(under
secretion) of
adrenal cortex
Usually involves
cortisol and
aldosterone: low
blood glucose
and sodium,
severe
dehydration,
fatigue, loss of
appetite,
abdominal pain
Note the
generalised skin
pigmentation but
ispecially the
deposition in the
palmer skin, nails
& gums.
The pancreas
• Endocrine tissue in the pancreas (the islets of Langerhans) secrete hormones that regulate the blood sugar level.
Ilets of
Langerhans
Pancreas
Pancreas • The Pancreas has
two main
functions:
• to produce
pancreatic
endocrine
hormones, which
help regulate
many aspects of
our metabolism,
and
• to produce
pancreatic
digestive enzymes.
Located slightly behind the stomach
• Insulin: reduces blood glucose
– Facilitates glucose transport into the
cells
– Promotes glycogenesis
– Inhibits gluconeogenesis
• Glucagon: increases blood glucose
• When low plasma
glucose levels occur, the
catecholamines are
released to accelerate
lypolysis.
• Triglycerides are
reduced to free fatty
acids by lipase which is
activated by:
– Cortisol
– Epinephrine
– Norepinephrine
– Growth Hormone
• Glucose must not only be
delivered to the cells, it
must also be taken up by
them. That job relies on
insulin.
• Exercise may enhance
insulin’s binding to
receptors on the muscle
fiber.
• Up-regulation (receptors)
occurs with insulin after 4
weeks of exercise to
increase its sensitivity
(diabetic importance).
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The PancreasExocrine and endocrine
cells
• Acinar cells (forming
most of the pancreas)
– Exocrine function
– Secrete digestive
enzymes
• Islet cells (of
Langerhans)
– Endocrine function
ThymusThe thymus is a gland that forms part of the immune
system.
It is situated in the upper part of the chest, behind the
breastbone, and is made up of two lobes that join in front
of the trachea.
Each lobe is made of lymphoid tissue, consisting of tightly
packed white blood cells and fat.
The thymus enlarges from about the 12th week of
gestation until puberty, when it begins to shrink.
Its function is to transform lymphocytes (white blood cells
developed in the bone marrow) into T-cells (cells developed
in the thymus).
These cells are then transported to various lymph glands,
where they play an important part in fighting infections
and disease.
Swelling of lymph glands and fever are a signal that
immune cells are multiplying to fight off invaders of the
body: bacteria, fungi, viruses or parasites.
Gonads Female ovariesMale testes
Gland Principle hormones Action
Male gonads
The testes
Testosterone Male secondary sexual
characteristics
Female gonads
The ovaries
Oestrogen
(estrogen)
Progesterone
• Female secondary sexual
characteristics
• Development of the
endometrium
• Maintenance of endometrium
Testes
The scrotum is a sac that hangs under the penis and holds the testes.
It is divided internally into two halves by a membrane; each half containing a testis.
It has an outer layer of thin, wrinkled skin over a layer of tissue which contains muscle.
The testicle lies inside the scrotum and produces as many as 12 trillion sperm in a male's
lifetime, about 400 million of which are ejaculated in one average intercourse.
Each sperm takes about seventy-two days to mature and its maturity is overseen by a
complex interaction of hormones.
The scrotum has a built-in thermostat, which keeps the sperm at the correct temperature.
It may be surprising that the
testicles should lie in such a
vulnerable place, outside the body,
but it is too hot inside.
The sperm production needs a
temperature which is three to five
degrees below body temperature.
If it becomes too cool on the
outside, the scrotum will contract
to bring the testes closer the body
for warmth.
Ovaries
The
ovaries
produce a
female
hormone,
called
estrogen,
and store
female sex
cells, or
“ova.”
The Gonads (testes and ovaries) main source of the steroid sex hormones
• Testes– Interstitial cells secrete androgens
– Primary androgen is testosterone
• Maintains secondary sex characteristics
• Helps promote sperm formation
• Ovaries– Androgens secreted by thecal folliculi
• Directly converted to estrogens by follicular granulosa cells
– Granulosa cells also produce progesterone
– Corpus luteum also secretes estrogen and progesterone
Regulation of the ovarian
and menstrual cycles
• The ovarian cycle (the monthly sequence of changes that take place in the ovaries) is regulated by the pituitary hormones follicle stimulating hormone(FSH) and luteinising hormone (LH).
• The menstrual cycle (the monthly sequence of changes that take place in the uterus) is regulated by the ovarian hormones estrogen and progesterone.
• Both cycles are regulated by complex feedback processes.
Hormonal action on the female reproductive organs
Progesterone Luteinising
hormone (LH)
Estrogen Follicle
stimulating
hormone (FSH)
Ovarian hormone
(corpus luteum)
Target –
endometrium
Role –
maintenance of
endometrium
Predominant in
second part of
cycle
Anterior pituitary
hormone
Target – corpus
luteum
Roles – ovulation,
maintenance
of corpus
luteum
Predominant in
second part of
cycle
Ovarian hormone
(ovarian follicle)
Target –
endometrium
Role – repair of
endometrium after
menstruation
Predominant in
first part of cycle
Anterior pituitary
hormone
Target – ovarian
follicle
Role –
maturation of
ovarian
follicle
Predominant in
first part of
cycle
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Endocrine cells in various organs continued
• The heart: atrial natriuretic peptide (ANP)
– Stimulates kidney to secrete more salt
– Thereby decreases excess blood volume, high BP and high blood sodium concentration
• GI tract & derivatives: Diffuse neuroendocrine system (DNES)
• The placenta secretes steroid and protein hormones
– Estrogens, progesterone
– CRH
– HCG
• The kidneys
– Juxtaglomerular cells secrete renin
• Renin indirectly signals adrenal cortex to secrete aldosterone
– Erythropoietin: signals bone marrow to increase RBC production
• The skin
– Modified cholesterol with uv exposure becomes Vitamin D precursor
– Vitamin D necessary for calcium metabolism: signals intestine to absorb CA++
Pathology• Pituitary
– Gigantism –too much GH in childhood
– Acromegaly – too much GH in adulthood
– Pituitary dwarfs – too little GH in childhood
– Diabetes insipidus - too much ADH
• Pancreas– Diabetes mellitus – one type of insulin (not enough)
• Thyroid– Hyperthyroidism, commonest is Grave’s disease (autoimmune)
– Hypothyroidism• In childhood leads to cretinism
• Endemic goiter from insufficient iodine in diet
• Adult hypothyroidism (myxedema): autoimmune