The Endocrine System

Thyroid Gland Found at the base of the throat Consists of two lobes and a connecting isthmus Produces two hormones Thyroid hormone Calcitonin

Thyroid Gland Figure 9.6

Thyroid Hormone Major metabolic hormone Composed of two active iodine-containing hormones Thyroxine (T4) – secreted by thyroid follicles Triiodothyronine (T3) – conversion of T4 at target tissues

Calcitonin (Thyroid Gland) Decreases blood calcium levels by causing its deposition on bone Antagonistic to parathyroid hormone Produced by C (parafollicular) cells Figure 9.9

Parathyroid Glands Tiny masses on the posterior of the thyroid Secrete parathyroid hormone Stimulate osterclasts to remove calcium from bone Stimulate the kidneys and intestine to absorb more calcium Raise calcium levels in the blood

Adrenal Glands Two glands Cortex – outer glandular region in three layers Medulla – inner neural tissue region Sits on top of the kidneys

Hormones of the Adrenal Cortex Mineralocorticoids (mainly aldosterone) Produced in outer adrenal cortex Regulate mineral content in blood, water, and electrolyte balance Target organ is the kidney Production stimulated by renin and aldosterone Production inhibited by atrial natriuretic peptide

Hormones of the Adrenal Cortex Figure 9.10

Hormones of the Adrenal Cortex Glucocorticoids (including cortisone and cortisol) Produced in the middle layer of the adrenal cortex Promote normal cell metabolism Help resist long-term stressors Released in response to increased blood levels of ACTH

Hormones of the Adrenal Cortex Sex hormones Produced in the inner layer of the adrenal cortex Androgens (male) and some estrogen (female)

Hormones of the Adrenal Medulla Produces two similar hormones (catecholamines) Epinephrine Norepinephrine These hormones prepare the body to deal with short-term stress

Roles of the Hypothalamus and Adrenal Glands in the Stress Response Figure 9.12

Pancreatic Islets The pancreas is a mixed gland The islets of the pancreas produce hormones Insulin – allows glucose to cross plasma membranes into cells from beta cells Glucagon – allows glucose to enter the blood from alpha cells These hormones are antagonists that maintain blood sugar homeostasis

Pancreatic Islets Figure 9.13

Pancreatic Hormones and Blood Sugar Figure 9.14

Pineal Gland Found on the third ventricle of the brain Secretes melatonin Helps establish the body’s wake and sleep cycles May have other as-yet-unsubstantiated functions

Thymus Located posterior to the sternum Largest in infants and children Produces thymosin Matures some types of white blood cells Important in developing the immune system

Hormones of the Ovaries Estrogens Produced by Graafian follicles or the placenta Stimulates the development of secondary female characteristics Matures female reproductive organs Helps prepare the uterus to receive a fertilized egg Helps maintain pregnancy Prepares the breasts to produce milk

Hormones of the Ovaries Progesterone Produced by the corpus luteum Acts with estrogen to bring about the menstrual cycle Helps in the implantation of an embryo in the uterus

Hormones of the Testes Interstitial cells of testes are hormone-producing Produce several androgens Testosterone is the most important androgen Responsible for adult male secondary sex characteristics Promotes growth and maturation of male reproductive system Required for sperm cell production

Other Hormone-Producing Tissues and Organs Parts of the small intestine Parts of the stomach Kidneys Heart Many other areas have scattered endocrine cells

Endocrine Function of the Placenta Produces hormones that maintain the pregnancy Some hormones play a part in the delivery of the baby Produces HCG in addition to estrogen, progesterone, and other hormones

Developmental Aspects of the Endocrine System Most endocrine organs operate smoothly until old age Menopause is brought about by lack of efficiency of the ovaries Problems associated with reduced estrogen are common Growth hormone production declines with age Many endocrine glands decrease output with age

Growth Hormone Hypersecretion- Gigantism Hyposecretion-Dwarfism Abnormal, proportional increase in the length of long bones. Hyposecretion-Dwarfism -slow bone growth & closing of epiphyseal plates before normal height is reached; Treatment = oral GH therapy.

Acromegaly- Hypersecretion of GH (Not proportional growth) Acromegaly = Bones of hands, feet, cheeks, and jaw thicken; b. Soft tissues also grow.

Addison’s Disease- Adrenal Cortex hyposecretion of Adrenal Cortex hormones due to autoimmunity or disease (TB). Symptoms: mental lethargy, anorexia, nausea, vomiting, weight loss, hypoglycemia, muscle weakness, increased K+, decreased Na+, low BP, dehydration, arrhythmias, cardiac arrest, increased skin pigmentation.

Cushing’s Syndrome hypersecretion of AC hormones due to pituitary tumor or steroid administration. Symptoms: redistribution of fat, thin limbs due to wasting of muscles (i.e. protein catabolism), "moon face", "buffalo hump", "beer belly", stretch marks, bruises, poor wound healing, hyperglycemia, osteoporosis, weakness, hypertension, increased susceptibility to infection, decreased resistance to stress, mood swings. Usual cause: administration of steroids (i.e. prednisone) for transplant patients, asthma, and chronic inflammatory disorders.

Goiter low thyroid hormones due to iodine deficiency. a. No thyroid hormones inhibit pituitary release of TSH; b. Thyroid is overstimulated and enlarges, but still functions below normal levels.

Graves Disease An autoimmune disorder that causes growth of thyroid and hypersecretion of thyroid hormones, with no negative feedback. a. enlarged thyroid (2-3x larger); b. peculiar edema of the eyes (bulging); c. increased metabolic rate, heat intolerance, increased sweating, weight loss, insomnia, tremor, and nervousness. d. treatment = surgical removal, use of radioisotopes to destroy some of the thyroid. and anti-thyroid drugs to block synthesis of the hormones.

Cretinism Cretinism = hyposecretion of T3/T4 during fetal life and infancy. a. dwarfism & mental retardation; b. prevention = newborn testing; c. treatment = oral thyroid therapy.

Myxedema Thyroid hyposecretion during adulthood. a. edema, slow heart rate, low body temp, dry hair & skin, muscular weakness, lethargy, weight gain; b. Oral thyroid hormones reduce symptoms.

Parathyroid Hormone Imbalance If blood calcium levels fall too low, neurons become extremely irritable and overactive. They deliver impulses to muscles at a rapid rate that they go into tetany, uncontrollable spasms, which can be fatal.

Diabetes Mellitus Type I Symptoms (3 poly's): polyuria, polydypsia, polyphagia, also acidosis. Two types: Type I absolute insulin deficiency, with insulin administration. Patients < 20 years; autoimmune disorder where β-cells are destroyed; Hyperglycemia results. Cells can't use glucose so fat is broken down, releasing ketone bodies, causing ketoacidosis, lowering blood pH, and causing death. Complications include Atherosclerosis, CV disease, IHD, PVD, gangrene, blindness due to cataracts (lens) and retinal vascular disease; renal failure. Treatments artificial pancreas that detects fall in glucose levels and automatically releases insulin; transplant of pancreas or Beta cells.

Type II Diabetes patients > 40 years, overweight, hypertension, Problem is usually with receptors on target cells; Controlled by diet, exercise, and weight loss;

ADH Imbalances 1. Diabetes insipidus = hyposecretion of ADH from posterior pituitary a. diuresis, dehydration, thirst; b. ADH in nasal spray.