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1.AnIntroductiontoEndocrinology

Apr 03, 2018

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    KOMUNIKASI ANTAR

    SEL-SEL

    PENGANTAR KULIAH

    ENDOKRINOLOGI

    SMT IV-A FK UWKS 2006

    Paul S. Poli

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    What is endocrinology?

    Endocrinology =

    Intercellular Chemical Communication

    Endocrinology is about communication

    systems & information transfer.

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    What are endocrine systems for?

    Endocrine Functions

    Maintain Internal Homeostasis

    Support Cell Growth

    Coordinate Development

    Coordinate Reproduction

    Facilitate Responses to External Stimuli

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    What are the elements of an

    endocrine system?

    Sender= Sending Cell

    Signal= Hormone

    Nondestructive Medium = Serum & Hormone Binders

    Selective Receiver= Receptor Protein

    Transducer= Transducer Proteins & 2 Messengers

    Amplifier= Transducer/Effector Enzymes

    Effector= Effector Proteins

    Response = Cellular Response (2 Hormones)

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    What is a hormone?

    A molecule that functions as a message within an organism;

    its only function is to convey information.

    Because of this function, physical descriptions of a chemical

    thought to be a hormone are not adequate to indicate the

    molecule's physiological role. A molecule is a hormone only

    when described in the context of its role in a biologicalcommunication system. Definition of a hormone requires

    testing of that molecule in a biological response system,

    running a bioassay.

    Ultimately, the existence of endocrinology is dependent on

    the existence & use of bioassays. (This is also true for

    pharmacology & toxicology.)

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    What kinds of hormone are there?

    Known Hormonal Classes

    Proteins & peptides

    Lipids (steroids, eicosanoids)

    Amino acid derived

    (thyronines, neurotransmitters)

    Gases (NO, CO)

    chem.pdx.edu/~wamserc/ChemWorkshops/ gifs/W25_1.gif

    website.lineone.net/~dave.cushman/

    epinephrine.gif

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    What is a hormone receptor?

    Hormone Receptors are cellular proteins

    that bind with high affinity to hormones & are

    altered in shape & function by binding; they

    exist in limited numbers.

    Binding to hormone is noncovalent &

    reversible.

    Hormone binding will alter binding to other

    cellular proteins & may activate any receptor

    protein enzyme actions.

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    What are the main types of receptors?

    Membrane Receptors

    Imbedded in target cell membrane; integral proteins/glycoproteins; penetrate through membrane

    For protein & charged hormones (peptides orneurotransmitters)

    3 major groups: Serpentine = 7 transmembranedomains, Growth factor/cytokine = 1 transmembranedomain, Ion channels

    Nuclear Receptors

    Nuclear proteins that usually act in pairs & bind to

    specific Hormone Recognition Elements (HREs) =sequences on the DNA in the promoter regions oftarget genes

    For small, hydrophobic molecules (steroids, thyroidhormones)

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    What are transducers?Transducers are proteins that convert the

    information in hormonal signals into chemicalsignals understood by cellular machinery.

    They change their shape & activity when theyinteract directly with protein-hormone complexes.

    Usually enzymes or nucleotide binding proteins,they produce 2nd messengers, or change theactivity of other proteins by covalently modifyingthem (adding or removing phosphate, lipid groups,

    acetate, or methyl groups), or they interact withother proteins that do these things.

    They begin amplifying the energy content of the

    original hormone signals.

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    How many kinds of

    transducers are there?

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    What are effectors?

    Effectors are the enzymes & otherproteins that convert the transduced

    hormonal signal into biochemicalchanges that generate the cellular

    response to hormone binding.

    Usually amplify the signal further &

    allow cellular work to be done: cellmotion, growth, division, altered

    metabolism, secretion, depolarization,

    etc.

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    What are feedback systems?

    Feedbacks Generate Control Loops

    Negative

    These maintain hormonal balance & are often linkedto homeostatic processes.

    If the multiplicative effect of the several links in a

    control loop is negative, the entire control loop isnegative.

    Positive

    These cause physiologic changes in the systeminvolved.

    If the multiplicative effect of the several links in acontrol loop is positive, the entire control loop is

    positive.

    --+

    ++

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    How dynamic are these systems?Hormone, receptor, transducer & effector levelsvary with time. Some change over short terms,

    others over long terms.

    Levels also vary with developmental stage,gender, & health status.

    www.antiaging.com/images/ testosterone_decline.gif

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    Can single cells make or sense morethan one hormone at a time?

    Yes, cells can make multiple hormones, even ofdiffering chemical classes, & they can sensemultiple signals -- & integrate them -- all at once.

    Examples:

    Ovarian granulosa cells make inhibin (protein),estradiol (steroid), & androstenedione (steroid)during the follicular phase of the ovarian cycle. Atthe same time they respond to FSH & growth factors(proteins), estradiol (steroid), & thyroxine (amino

    acid derivative), along with other hormones.

    Anterior pituitary gonadotropes respond to LHRH(peptide) & inhibin (protein), estradiol, testosterone,progesterone, & glucocorticoids (steroids) while

    they make both FSH & LH (proteins).

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    How do hormone levels vary?

    Hormone levels rise & fall due to synthesis ofhormone & due to degradation & clearance ofhormone. Target cell binding accounts for onlya small fraction of removal of hormone fromcirculation.

    In addition to hormone levels changing,targetcell receptor, transducer, & effector levels canalso change with age, sex, & physiological ordevelopmental state. These also vary amongcell types giving rise to tissue differences inhormone sensitivity.

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    What is the classical

    endocrine system?

    We now know that

    nearly every tissuesecretes chemical

    signals that act as

    hormones, heart,

    immune cells, stomach,intestines, bone cells,

    liver, skin, glial cells,

    etc.

    www.cushin s-hel .com/ ima es/endocrine.

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    a248.e.akamai.net/.../pubs/mmanual_home/ illus/i144_1.gifwww.cushings-help.com/ anterior-pituitary.gif

    Structural Relationships:

    Hypothalamus & Pituitary

    Modified from R. Guillemin & R. Burgus (1972)

    The hormones of the hypothalamus, Sci Am 227:24-33.

    Modified from R. Guillemin & R. Burgus (1972)

    The hormones of the hypothalamus, Sci Am 227:24-33.

    Hormone A Hypop Hypoth alamic Regulator(s) Hormo nal Functio n(s)

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    What are the regulary products of

    the hypothalamus?

    Hormone A

    c

    r

    o

    n

    y

    m

    Hypop

    hysia l

    Cell

    Type

    Hypoth alamic Regulator(s) Hormo nal Functio n(s)

    Corticotropin,

    Adrenocortic

    otropin

    A

    C

    T

    H

    Cortic

    otrope

    +Corticotropin Releasing Hormone,

    Corticoliberin (CRH); + Interleukin 1 ; -

    Glucocortical Steroids (via CRH); +

    Vasopressin; + PACAP

    Stimulates glucocorticoid production by

    adrenal fasiculata & reticularis

    Thyrotropin,

    Thyroid

    Stimulating

    Hormone

    T

    S

    H

    Thyrot

    rope

    -Thyroxine (T4); +Thyroid Releasing Hormone,

    Thyroliberin (TRH); -Somatostatin (SS)

    Stimulates thyroxine production by thyroid

    Prolactin,

    Mammotropin, Luteotropin

    P

    RL

    Lactot

    rope;Mamm

    otrope

    -Dopamine; + TRH; - SS; + Estrogens; +

    Oxytocin

    Stimulates milk synthesis by secretory

    epithelium of breast; supports corpus luteumfunction

    Somatotropin

    , Growth

    Hormone

    G

    H

    Somat

    otrope

    + Growth Hormone Releasing Hormone,

    Somatoliberin (GHRH); - SS; + PACAP

    Stimulates somatic growth, supports

    intermediary metabolism

    Follitropin,

    Follicle

    StimulatingHormone

    F

    S

    H

    Gona

    dotro

    pe

    + Gonadotropin Releasing Hormone,

    Luteinizing Hormone Releasing Hormone,

    Gonadoliberin (GnRH, LHRH); - Inhibin; - Sexsteroids (via LHRH)

    Supports growth of ovarian follicles &

    estradiol production; Supports Sertoli cell

    function & spermatogenesis

    Lutropin,

    Luteinizing

    Hormone

    L

    H

    Gona

    dotro

    pe

    + GnRH (LHRH); - Sex steroids (via LHRH in &

    ); + Estradiol in near midcycle

    Supports late follicular development,

    ovulation, & corpus luteum function

    (especially progesterone synthesis); Supports

    testosterone synthesis, Leydig cell

    Melanotropin,

    Melanocyte

    Stimulating

    Hormone

    M

    S

    H

    Melan

    otrope

    + CRH Supports dispersal & synthesis of pigment in

    melanocytes; may alter adrenal response to

    ACTH

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    Where do these come from?

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    How is the thyroid controlled?

    Kenneth L. Campbell, 1997.

    All rights reserved.

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    How is the adrenal cortex

    controlled?

    Kenneth L. Campbell, 1997. All rights reserved.

    Th d l/ t i

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    The adrenal/stress axis& blood pressure

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    How is growth hormone

    controlled?

    Kenneth L. Campbell, 1997. All rights reserved.

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    Pancreatic endocrine physiology

    After meals gl cose

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    After meals glucose

    from liver is mainly

    stored as glycogen in

    liver & muscle & as fat

    in fat cells. When more

    energy is needed

    between meals,

    glycogen, fat & protein

    (last) are broken down

    & liver uses the parts to

    make glucose.

    Hormones (insulin,

    glucagon, adrenalin,

    cortisol) signal the

    change from storage to

    synthesis.

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    H C t l th

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    Glucagon acts on liver tostimulate glucose production& release, & on fat to causefat breakdown.Glucagon

    rises when glucose falls.

    Adrenaline, cortisol, &

    growth hormonealso

    make blood glucoserise. Butinsulin-like-

    growth factor I acts

    like insulin.

    Pancreas

    Hormones Control theGlucose Balance

    Insulin acts on body cells

    to allow them to take incirculating glucose.Insulin levels rise whenglucose rises.

    InsulinGlucagon

    Islets of Langerhans

    http://medlib.med.utah.edu/WebPath/jpeg4/ENDO039.jpg

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    Body Mass

    Homeostasis:

    Our New

    Understanding

    www.garvan.org.au/library/ images/jpg/adipocytes.jpg

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    The satiety axis

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    A Little More About the CentralPlayers

    C

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    Calcium Homeostasis

    H th d t ll d?

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    How are the gonads controlled?

    LH

    Kenneth L. Campbell, 1997. All rights reserved.

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    How are the gonads controlled? FSH

    Kenneth L. Campbell, 1997. All rights reserved.

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    How is prolactin controlled?

    Kenneth L. Campbell, 1997. All rights reserved.

    What questions remain open?

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    Examples:

    Molecular discovery Exploration of molecular interactions Definition of the genetics of endocrine

    molecules & their interactions Description of dynamics & kinetics of

    cellular interactions Impacts of environmental variables on

    molecular or cellular interactions Impacts of toxicants on molecular or

    cellular interactions Discovery & exploration of chemical

    modifiers of the endocrine system

    What questions remain open?

    Wh t i li ti i l d?

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    Genomics, Proteomics, Transgenics,

    Pharmacology, Toxicology, Clinical &

    Veterinary Medicine, Nursing,Diagnostics, Forensics, Epidemiology,

    Statistics, Biomedical Engineering,

    Informatics, Basic EndocrineResearch

    What specializations are involved?

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    Communication among cells & organisms &between organisms & their environment isabsolutely central to life & reproduction. Whilemany of the basics of endocrine communication areknown, we are continually surprised by newfindings that revise our existing knowledge. Many,of the details of endocrine molecular biology,genetics, cell biology, & development remain to bedefined. As one of the most dynamic & central ofthe biomedical sciences for practitioners,paramedical professions, & basic scientists,endocrinology will continue to be a vital science formany years to come.

    Conclusions: