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3/26/2014 1 The Endocrine System 1 Controls many body functions exerts control by releasing special chemical substances into the blood called hormones Hormones affect other endocrine glands or body systems Derives its name from the fact that various glands release hormones directly into the blood, which in turn transports the hormones to target tissues via ducts. The Endocrine System 2 Exocrine glands - transport their hormones to target tissues via ducts. Endocrine Emergencies: from common: Diabetes to the unusual: Thyrotoxicosis

The Endocrine System - Union High Schooluhs.twpunionschools.org/subsites/spiotrowski/documents/7...The Endocrine System 11 •Pancreas –a key gland located in the folds of the duodenum

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3/26/2014

1

The Endocrine System 1

• Controls many body

functions

– exerts control by

releasing special

chemical substances into

the blood called

hormones

– Hormones affect other

endocrine glands or body

systems

• Derives its name from

the fact that various

glands release

hormones directly into

the blood, which in turn

transports the

hormones to target

tissues via ducts.

The Endocrine System 2

• Exocrine glands -

transport their

hormones to target

tissues via ducts.

• Endocrine

Emergencies:

– from common:

• Diabetes

• to the unusual:

– Thyrotoxicosis

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2

Overview of the endocrine system

The Endocrine System 3

• Consists of several

glands located in

various parts of the

body.

• Pituitary gland: a small

gland located on a stalk

hanging from the base of the

brain -

• AKA “The Master Gland”

– Primary function is to

control other glands.

– Produces many

hormones.

– Secretion is controlled by

the hypothalamus in the

base of the brain.

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3

Hypothalamus/pituitary gland

The Endocrine System 4

• The Pituitary Gland is

divided into 2 areas,

which differ

– structurally and

functionally

– each area has

separate types of

hormone production.

• The two segments are:

– Posterior Pituitary:

• produces oxytocin

and antidiuretic

hormone (ADH) -

Neurosecretory

– Anterior Pituitary:

• produces thyroid-

stimulating hormone

(TSH)

• growth hormone (GH)

• adrenocorticotropin

(ACTH)

• follicle-stimulating

hormone (FSH)

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4

Posterior pituitary

Summary of pituitary activity

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5

The Endocrine System 5

• And even more…

– luteinizing hormone

(LH)

– prolactin

• Let’s go over these

one at a time...

• Posterior Pituitary

– Oxytocin (the

natural form of

pitocin)

• stimulates gravid

uterus

• causes “let down”

of milk from the

breast.

– ADH (vasopressin)

causes the kidney to

retain water.

The Endocrine System 6

• Anterior Pituitary

– Primarily regulates

other endocrine

glands

– rarely a factor in

endocrinological

emergencies

– TSH stimulates the

thyroid gland to

release its

hormones, thus

metabolic rate

• Anterior Pituitary…

– Growth hormone

(GH)

• glucose usage

• consumption of

fats as an energy

source

– ACTH stimulates the

adrenal cortex to

release its hormones

– FSH & LH stimulates

maturation & release

of eggs from ovary.

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6

The Endocrine System 7

• The Thyroid Gland

– lies in the anterior

neck just below the

larynyx.

– Two lobes, located

on either side of the

trachea, connected

by a narrow band of

tissue called the

isthmus.

– Sacs inside the

gland contain colloid

• Within the colloid are

the thyroid hormones:

– thyroxine (T4)

– triiodothyronine (T3)

• When stimulated

(by TSH or by

cold), these are

released into the

circulatory system

and the

metabolic rate.

– “C” cells within the

thyroid produce the

hormone calcitonin.

The thyroid gland

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7

The Endocrine System 8

• Calcitonin, when

released, lowers the

amount of calcium in

the blood.

• Inadequate levels of

thyroid hormones =

hypothyroidism, or

Myxedema.

• Myxedema symptoms:

– Facial bloating

– weakness

– cold intolerance

– lethargy

– altered mental

status

– oily skin and hair

– TX: replacement of

thyroid hormone.

The Endocrine System 9

• Increased thyroid

hormone release

causes

hyperthyroidism,

commonly called

Graves’ disease.

– Signs and

symptoms:

• insomnia, fatigue

• tachycardia

• hypertension

• heat intolerance

• weight loss

– Long term

hyperthyroidism:

• Exophthalmos

– bulging of the

eyeballs

– In severe cases -

a medical

emergency called

thyrotoxicosis

can result.

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Thyroid hormone affects metabolic

rate

Disorders are common

The Endocrine System 10 • Parathyroid Glands

– small, pea-shaped

glands, located in the

neck near the thyroid

– usually 4 - number can

vary

– regulate the level of

calcium in the body

– produce parathyroid

hormone - level of

calcium in blood

– Hypocalcemia can

result if parathyroids

are removed or

destroyed.

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The Endocrine System 11

• Pancreas

– a key gland located in

the folds of the

duodenum

– has both endocrine and

exocrine functions

– secretes several key

digestive enzymes

• Islets of Langerhans

– specialized tissues in

which the endocrine

functions of the

pancreas occurs

– include 3 types of

cells:

• alpha ( )

• beta ()

• delta ()

– each secretes an

important hormone.

Pancreas is an endocrine and exocrine

gland

99% of tissue

A cells- glucagon

B cells- insulin

D cells- somatostatin

F cells- pancreatic

polypeptide

Responds to eating or fasting

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The Endocrine System-12 alpha

• Alpha () cells

release glucagon,

essential for

controlling blood

glucose levels.

• When blood glucose

levels fall, cells

the amount of

glucagon in the blood .

• The surge of glucagon

stimulates the liver to

release glucose stores

(from glycogen and

additional storage

sites).

• Also, glucagon

stimulates the liver to

manufacture glucose -

gluconeogenesis.

The Endocrine System- 12 Beta/Delta

• Beta Cells () release

insulin (antagonistic to

glucagon).

• Insulin the rate at

which various body

cells take up glucose.

Thus, insulin lowers

the blood glucose

level.

• Insulin is rapidly

broken down by the

liver and must be

secreted constantly.

• Delta Cells ()

produce somatostatin,

which inhibits both

glucagon and insulin.

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The Endocrine System 13

• Adrenal Glands

– 2 small glands that sit

atop both kidneys.

– Each has 2 divisions,

each with different

functions.

• the Adrenal Medulla

secretes the

catecholamine

hormones

norepinephrine and

epinephrine (closely

related to the

sympathetic

component of the

autonomic nervous

system).

Location, blood supply, histology of

adrenal glands

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12

The Endocrine System 14

• The Adrenal Cortex

secretes 3 classes of

hormones, all steroid

hormones:

– gluticocorticoids

– mineralocorticoids

– androgenic hormones

• One at a time…

– gluticocorticoids:

– accounts for 95% of

adrenal cortex

hormone production

– the level of glucose

in the blood

– Released in response to

stress, injury, or

serious infection - like

the hormones from the

adrenal medulla.

The Endocrine System 15

• Mineralocorticoids:

– work to regulate the

concentration of

potassium and sodium

in the body.

• Prolonged in

adrenal cortex

hormone results in

Cushing’s Disease.

• Signs & Symptoms of

Cushing’s Disease:

– in blood sugar levels

– unusual body fat

distribution

– rapid mood swings

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13

The Endocrine System 16

• And - if there is an

in mineralocorticoids

as well

– A serious electolyte

imbalance will occur

due to the potassium

excretion by the

kidney, which results

in hypokalemia.

• Sodium can also be

retained by the kidney,

resulting in

hyponatremia.

– Causes:

• dysrhythmias

• coma

• death

– usually results from a

tumor.

The Endocrine System 17

• Gonads and Ovaries:

– the endocrine glands

associated with human

reproduction.

– Female ovaries

produce eggs

– Male gonads produce

sperm

• both have endocrine

functions.

• Ovaries:

– located in the

abdominal cavity

adjacent to the uterus.

– Under the control of

LH and FSH from the

anterior pituitary they

manufacture

• estrogen

• protesterone

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14

The Endocrine System 18

• Estrogen and

Progesterone have

several functions,

including sexual

development and

preparation of the

uterus for implantation

of the egg.

• Testes:

– located in the scrotum

– produce sperm for

reproduction

– manufacture

testosterone -

• promotes male growth

and masculinization

– Controlled by anterior

pituitary hormones

FSH and LH.

The Endocrine System 19

• Endocrine

Emergencies:

• Diabetes Mellitus

– one of the most

common diseases in

North America.

– insulin secretion by

the Beta () cells of

the islets of

Langerhans in the

pancreas.

• Complications of

Diabetes:

– contributes to heart

disease

– stroke

– kidney disease

– blindness

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The Endocrine System 20

• Pathophysiology of

Diabetes:

• Glucose Metabolism

– Glucose (dextrose) is a

simple sugar required

by the body to produce

energy.

– Sugars, or

carbohydrates, are 1 of

3 major food sources

used by the body.

• The other 2 major

food sources are

– proteins

– fats

• Most sugars in the

human diet are

complex and must be

broken down into

simple sugars:

glucose, galactose and

fructose - before use.

The Endocrine System 21

• Breakdown of sugars

is carried out by

enzymes in the gastro

intestinal system.

– As simple sugars, these

are absorbed from the

GI system into the

body.

– More than 95% enter

the body as glucose.

• To be converted into

energy, glucose must

first be transmitted

through the cell

membrane. BUT - the

glucose molecule is

large and doesn’t

readily diffuse through

the cell membrane.

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The Endocrine System 22

• Glucose must pass

into the cell by

binding to a special

carrier protein on the

cell’s surface.

– Facilitated diffusion -

doesn’t use energy.

The carrier protein

binds with the glucose

and carries it into the

cell.

• The rate at which

glucose can enter the

cell is dependent upon

insulin levels.

– Insulin serves as the

messenger - travels via

blood to target tissues.

– Combines with specific

membrane.

Summary

• Endocrine organs are distributed over the body

• Some are regulated by hypothalamus and

pituitary, some by negative feedback

• Exert effects by releasing hormones that

activate specific cells

• Abnormal levels of hormone secretion or

activity can cause complex disorders