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Introduction to Endocrinology
         Dr. Jehad Al-Shuneigat
Endocrinology is the study of hormones, their receptors and
the intracellular signaling pathways they initiate.
• Endocrine glands are ductless secret hormones to
bloodstream
• Hormones are chemical messengers secreted into blood or
extracellular fluid by one cell that affect the functioning of other
cells.
• The major glands of the endocrine system are the pituitary,
pancreas, thyroid, parathyroids, adrenals, pineal, and the
reproductive organs (ovaries and testes).

• Hormone functions: reproduction and sexual differentiation;
development and growth; maintenance of the internal
environment; and regulation of metabolism and nutrient supply.

•A single hormone may affect more than one of these functions
and each function may be controlled by several hormones.
Chemical signaling

Depending on the distance between the secreting and
  target cells, chemical messengers can be classified as

1- Endocrine action: the hormone is distributed in blood
   and binds to distant target cells. (neuroendocrine:
   neurons produce both neurotransmitter and hormone
   (eg. epinephrine))
2- Paracrine action: (Para: near) the hormone acts locally
   by diffusing from its source to target cells in the
   neighboring cells within a tissue or organ without
   entering blood.
3- Autocrine action: the hormone acts on the same cell
   that produced it.
Chemical classification of hormones
Chemically hormones are grouped into three classes:
1-Steroid hormones: synthesized from cholesterol and are
  categorized in the human into six different classes or families
  that include:
Progestins (C-21) (Progesterone), Gluco-corticoids (C-21)
  (Cortisol), Mineralo-corticoids (C-21) (Aldosterone),
  Androgens (C-19) (Testosterone), Estrogens (C-18)
  (Estradiol), and vitamin D.
Steroid hormones affect carbohydrate metabolism salt and
  water balance, and reproductive function.
2-Amines hormones: are hormones derived from tyrosine
  including catecholamine hormones and thyroid hormones.
• Catecholamine hormones include epinephrine,
  norepinephrine and dopamine.
• The thyroid hormones-thyroxin and triiodothyronine-each
  have two fused molecule of tyrosine. Thyroxin has four
  iodine atoms attached to the amino rings while
  triiodothyronine has three iodine atoms.
3-Peptides and proteins hormones: are the most numerous
  hormones, they range in size from just three to over 200
  amino acids.
• Some hormones, such as insulin which is regarded as a small
  protein, are made up of two sub-units joined by disulfide bonds
  between two cysteine molecules whilst the glycoprotein
  hormones of the anterior pituitary gland are not only made up
  of two protein sub-units but also have complex sugar moieties
  attached. Most peptide hormones are water-soluble.

• In peptides and proteins hormones they are synthesized on
  the ribosomes of granular endoplasmic reticulum as larger
  proteins known as preprohormones, which are then cleaved to
  prohormones by proteolytic enzymes in the granular
  endoplasmic reticulum.
• The prohormone is then packaged into secretory vesicles by
  the Golgi apparatus which is cleaved to active hormone.
Typical synthesis and secretion of peptide hormones
In some cells, the calcium that causes exocytosis is released from the
endoplasmic reticulum by action of a second messenger rather than
entering from the extracellular fluid
Control of Hormone Secretion
1. Neural
The adrenal medulla is directly stimulated by the
  sympathetic nervous system. Epinephrine and NE
  reinforce the actions of the sympathetic nervous
  system.
2. Hormonal
Occurs when hormones from one endocrine gland
  stimulate the secretion of hormones from another
  endocrine gland. These routes of secretion are
  usually controlled in a negative feedback manner.
3. Humoral
Occurs when substances other than hormones control
  the secretion of endocrine glands.
E.g. Insulin secretion by the pancreas is determined
  by several factors. Rise in glucose and amino acids
  after a meal triggers insulin secretion.
• Feedback control
• For the hormones that are regulated by the pituitary gland, a
  signal is sent from the hypothalamus to the pituitary gland in
  the form of a "releasing hormone," which stimulates the
  pituitary to secrete a "stimulating hormone" into the
  circulation. The stimulating hormone then signals the target
  gland to secrete its hormone. As the level of this hormone
  rises in the circulation, the hypothalamus and the pituitary
  gland shut down secretion of the releasing hormone and the
  stimulating hormone, which in turn slows the secretion by the
  target gland.
• Example: Thyrotropin releasing hormone (TRH) produced by
  the hypothalamus stimulate the release of thyrotropin-
  stimulating hormone (TSH produced by anterior pituitary
  gland) which stimulate the release of thyroid hormones.
• On the other hand, high level of thyroid hormones inhibit
  production and secretion of both TRH and TSH. Decreased
  production of thyroid hormone results in increased TRH
  secretion and thus increased thyroid hormone secretion.
An example of a feedback loop
          generic                particular example: thyroid hormone

• A certain item in the         • Thyroxine (thyroid hormone)
  blood decreases
• A certain area of the brain   • Hypothalamus
  senses this decrease
• A certain hormone is
  released                      • TRF from the hypothalamus
• This hormone stimulates
  the release of another        • TSH from anterior pituitary
  hormone
• This other hormone            • Thyroxine from the thyroid
  stimulates the release of       (TSH has caused cleavage
  the hormone which was           of thryroglobulin into
  sensed to be decreased          thyroxine)
  in the first place, causing
  it to be increased to
  desired level
• Hormone synthesis, storage, secretion and
   transport
1- Synthesis
A-Most protein and peptide hormones require the
   transcription of a single gene and then translation on
   ribosome in the rough endoplasmic reticulum.
B-The synthesis of steroid hormones occurs in the
   mitochondria and rough endoplasmic reticulum requires
   the presence of specific enzymes that convert
   cholesterol into the appropriate steroid.

2- Storage
• Protein or peptide hormone-secreting cells store the
   newly synthesized hormone in small vesicles or
   secretory granules inside the cell membrane. On the
   other hand steroid producing hormone cells do not store
   steroid hormone but synthesis hormone for secretion as
   required.
3- Secretion
• The cell requires some stimulus before the stored
   prohormone is activated and released. The stimulation
   may be hormonal and usually involve a change in
   permeability of the cell to Ca2+ ions. The metal ions are
   required for interaction between the vesicle and plasma
   membranes and for the activation of enzymes,
   microfilaments and microtubules.
• Prohormone contain some amino acids that are
   important for folding of the polypeptide hormone.
• Before the release of hormones these amino acids are
   cleaved and the prohormones are converted to active
   hormones.
• The mode of secretion from the cell is called exocytosis
4- Transport of hormones in the circulation
• Steroid and thyroid hormones are less soluble in aqueous solution
   (hydrophobic) than protein and peptide hormones (hydrophilic) and
   over 90% circulate in blood as complexes bound to specific plasma
   globulins or albumin and a more specific transport protein, such as
   steroid hormone binding globulin (SHBG) and thyroid hormone-
   binding globulin (TBG).
• Free hormone (unbound) is the biologically active and not the
   bound hormone. Bound hormones are not available for diffusion in
   to cells and thus can't affect the target organ or tissue.
• Bound and free hormones are in equilibrium.
• Therefore, bound hormone act as a storage of free hormone and it
  regulates the amount of free hormones available for diffusion into
  tissues.
• it has been suggested that the specific binding globulins may
  interact with membrane receptors and that hormone binding to the
  globulins initiates a signal transduction pathway.
• The rates of metabolism of hormones in the circulation vary but
  generally speaking the half life (t½) of catecholamines from the
  adrenal medulla is in the order of seconds, minutes for protein and
  peptide hormones and hours for steroid and thyroid hormones.
Neuroendocrine interactions
• How the endocrine and nervous system linked?
• Hypothalamus connects these two important
  communication systems. The hypothalamus is a
  group of tiny nuclei that lie along the base of the
  brain near the pituitary gland. The hypothalamus
  controls the pituitary gland by secreting hormones
  which control the secretion of many endocrine
  glands (as stated above), and this gives the
  hypothalamus a great deal of control over many
  body functions.
• Moreover, all endocrine glands are innervated by
  autonomic nerves and these may directly control
  their endocrine function and/or regulate blood flow
  (and hence function) within the gland. Hormones, in
  turn, may affect central nervous system functions
  such as mood, anxiety and behavior.
Example,
Thyrotropin
-releasing hormone
produced by
hypothalamus
stimulating pituitary
gland to secrete
Thyrotropin
-stimulating
hormone or TSH.
That stimulate the
thyroid gland.
The physiologic effects of hormones depend largely
  on their concentration in blood and extracellular
  fluid.
The concentration of hormone as seen by target cells
  is determined by three factors:
1- Rate of production: regulated by positive and
  negative feedback circuits.
2- Rate of delivery: An example of this effect is blood
  flow to a target organ or group of target cells - high
  blood flow delivers more hormone than low blood
  flow.
3- Rate of degradation and elimination: most of
  hormone is cleared by liver and kidneys. Only a
  small fraction is removed by target tissue through
  enzymatic degradation.
• Spare receptors
• In most systems the maximum biological response is
  achieved at concentrations of hormone lower than required to
  occupy all of the receptors on the cell. For examples insulin
  stimulates maximum glucose oxidation in adipocytes with
  only 2-3% of receptors bound. Because hormones are
  normally present at very low concentrations only small
  receptors are occupied and it is enough to produce maximum
  effect. And when hormone is at high concentrations all
  receptors are occupied but without any extra effect. Spare
  receptors are receptors which exist in excess of those
  required to produce a full effect therefore a maximum
  response can be reached with only 2-3% receptor bonded to
  hormones. The greater the proportion of spare receptors, the
  more sensitive the target cell to the hormone
• The effectors can be mobile, rapidly moving from one
  receptor molecule to another so the more receptors the more
  it can activate. Beside that the effecter has more
  opportunities to find and activate a receptor.
• Agonists are molecules that bind the receptor
  and induce all the post-receptor events that lead
  to a biologic effect. In other words, they act like
  the "normal" hormone, although perhaps more
  or less potently
• Antagonists are molecules that bind the
  receptor and block binding of the agonist, but fail
  to trigger intracellular signaling events
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1 introduction endocrinology

  • 1. Introduction to Endocrinology Dr. Jehad Al-Shuneigat
  • 2. Endocrinology is the study of hormones, their receptors and the intracellular signaling pathways they initiate. • Endocrine glands are ductless secret hormones to bloodstream • Hormones are chemical messengers secreted into blood or extracellular fluid by one cell that affect the functioning of other cells. • The major glands of the endocrine system are the pituitary, pancreas, thyroid, parathyroids, adrenals, pineal, and the reproductive organs (ovaries and testes). • Hormone functions: reproduction and sexual differentiation; development and growth; maintenance of the internal environment; and regulation of metabolism and nutrient supply. •A single hormone may affect more than one of these functions and each function may be controlled by several hormones.
  • 3.
  • 4. Chemical signaling Depending on the distance between the secreting and target cells, chemical messengers can be classified as 1- Endocrine action: the hormone is distributed in blood and binds to distant target cells. (neuroendocrine: neurons produce both neurotransmitter and hormone (eg. epinephrine)) 2- Paracrine action: (Para: near) the hormone acts locally by diffusing from its source to target cells in the neighboring cells within a tissue or organ without entering blood. 3- Autocrine action: the hormone acts on the same cell that produced it.
  • 5.
  • 6. Chemical classification of hormones Chemically hormones are grouped into three classes: 1-Steroid hormones: synthesized from cholesterol and are categorized in the human into six different classes or families that include: Progestins (C-21) (Progesterone), Gluco-corticoids (C-21) (Cortisol), Mineralo-corticoids (C-21) (Aldosterone), Androgens (C-19) (Testosterone), Estrogens (C-18) (Estradiol), and vitamin D. Steroid hormones affect carbohydrate metabolism salt and water balance, and reproductive function. 2-Amines hormones: are hormones derived from tyrosine including catecholamine hormones and thyroid hormones. • Catecholamine hormones include epinephrine, norepinephrine and dopamine. • The thyroid hormones-thyroxin and triiodothyronine-each have two fused molecule of tyrosine. Thyroxin has four iodine atoms attached to the amino rings while triiodothyronine has three iodine atoms.
  • 7.
  • 8. 3-Peptides and proteins hormones: are the most numerous hormones, they range in size from just three to over 200 amino acids. • Some hormones, such as insulin which is regarded as a small protein, are made up of two sub-units joined by disulfide bonds between two cysteine molecules whilst the glycoprotein hormones of the anterior pituitary gland are not only made up of two protein sub-units but also have complex sugar moieties attached. Most peptide hormones are water-soluble. • In peptides and proteins hormones they are synthesized on the ribosomes of granular endoplasmic reticulum as larger proteins known as preprohormones, which are then cleaved to prohormones by proteolytic enzymes in the granular endoplasmic reticulum. • The prohormone is then packaged into secretory vesicles by the Golgi apparatus which is cleaved to active hormone.
  • 9. Typical synthesis and secretion of peptide hormones In some cells, the calcium that causes exocytosis is released from the endoplasmic reticulum by action of a second messenger rather than entering from the extracellular fluid
  • 10.
  • 11. Control of Hormone Secretion 1. Neural The adrenal medulla is directly stimulated by the sympathetic nervous system. Epinephrine and NE reinforce the actions of the sympathetic nervous system. 2. Hormonal Occurs when hormones from one endocrine gland stimulate the secretion of hormones from another endocrine gland. These routes of secretion are usually controlled in a negative feedback manner. 3. Humoral Occurs when substances other than hormones control the secretion of endocrine glands. E.g. Insulin secretion by the pancreas is determined by several factors. Rise in glucose and amino acids after a meal triggers insulin secretion.
  • 12. • Feedback control • For the hormones that are regulated by the pituitary gland, a signal is sent from the hypothalamus to the pituitary gland in the form of a "releasing hormone," which stimulates the pituitary to secrete a "stimulating hormone" into the circulation. The stimulating hormone then signals the target gland to secrete its hormone. As the level of this hormone rises in the circulation, the hypothalamus and the pituitary gland shut down secretion of the releasing hormone and the stimulating hormone, which in turn slows the secretion by the target gland. • Example: Thyrotropin releasing hormone (TRH) produced by the hypothalamus stimulate the release of thyrotropin- stimulating hormone (TSH produced by anterior pituitary gland) which stimulate the release of thyroid hormones. • On the other hand, high level of thyroid hormones inhibit production and secretion of both TRH and TSH. Decreased production of thyroid hormone results in increased TRH secretion and thus increased thyroid hormone secretion.
  • 13. An example of a feedback loop generic particular example: thyroid hormone • A certain item in the • Thyroxine (thyroid hormone) blood decreases • A certain area of the brain • Hypothalamus senses this decrease • A certain hormone is released • TRF from the hypothalamus • This hormone stimulates the release of another • TSH from anterior pituitary hormone • This other hormone • Thyroxine from the thyroid stimulates the release of (TSH has caused cleavage the hormone which was of thryroglobulin into sensed to be decreased thyroxine) in the first place, causing it to be increased to desired level
  • 14. • Hormone synthesis, storage, secretion and transport 1- Synthesis A-Most protein and peptide hormones require the transcription of a single gene and then translation on ribosome in the rough endoplasmic reticulum. B-The synthesis of steroid hormones occurs in the mitochondria and rough endoplasmic reticulum requires the presence of specific enzymes that convert cholesterol into the appropriate steroid. 2- Storage • Protein or peptide hormone-secreting cells store the newly synthesized hormone in small vesicles or secretory granules inside the cell membrane. On the other hand steroid producing hormone cells do not store steroid hormone but synthesis hormone for secretion as required.
  • 15. 3- Secretion • The cell requires some stimulus before the stored prohormone is activated and released. The stimulation may be hormonal and usually involve a change in permeability of the cell to Ca2+ ions. The metal ions are required for interaction between the vesicle and plasma membranes and for the activation of enzymes, microfilaments and microtubules. • Prohormone contain some amino acids that are important for folding of the polypeptide hormone. • Before the release of hormones these amino acids are cleaved and the prohormones are converted to active hormones. • The mode of secretion from the cell is called exocytosis
  • 16. 4- Transport of hormones in the circulation • Steroid and thyroid hormones are less soluble in aqueous solution (hydrophobic) than protein and peptide hormones (hydrophilic) and over 90% circulate in blood as complexes bound to specific plasma globulins or albumin and a more specific transport protein, such as steroid hormone binding globulin (SHBG) and thyroid hormone- binding globulin (TBG). • Free hormone (unbound) is the biologically active and not the bound hormone. Bound hormones are not available for diffusion in to cells and thus can't affect the target organ or tissue. • Bound and free hormones are in equilibrium. • Therefore, bound hormone act as a storage of free hormone and it regulates the amount of free hormones available for diffusion into tissues. • it has been suggested that the specific binding globulins may interact with membrane receptors and that hormone binding to the globulins initiates a signal transduction pathway. • The rates of metabolism of hormones in the circulation vary but generally speaking the half life (t½) of catecholamines from the adrenal medulla is in the order of seconds, minutes for protein and peptide hormones and hours for steroid and thyroid hormones.
  • 17. Neuroendocrine interactions • How the endocrine and nervous system linked? • Hypothalamus connects these two important communication systems. The hypothalamus is a group of tiny nuclei that lie along the base of the brain near the pituitary gland. The hypothalamus controls the pituitary gland by secreting hormones which control the secretion of many endocrine glands (as stated above), and this gives the hypothalamus a great deal of control over many body functions. • Moreover, all endocrine glands are innervated by autonomic nerves and these may directly control their endocrine function and/or regulate blood flow (and hence function) within the gland. Hormones, in turn, may affect central nervous system functions such as mood, anxiety and behavior.
  • 18. Example, Thyrotropin -releasing hormone produced by hypothalamus stimulating pituitary gland to secrete Thyrotropin -stimulating hormone or TSH. That stimulate the thyroid gland.
  • 19. The physiologic effects of hormones depend largely on their concentration in blood and extracellular fluid. The concentration of hormone as seen by target cells is determined by three factors: 1- Rate of production: regulated by positive and negative feedback circuits. 2- Rate of delivery: An example of this effect is blood flow to a target organ or group of target cells - high blood flow delivers more hormone than low blood flow. 3- Rate of degradation and elimination: most of hormone is cleared by liver and kidneys. Only a small fraction is removed by target tissue through enzymatic degradation.
  • 20. • Spare receptors • In most systems the maximum biological response is achieved at concentrations of hormone lower than required to occupy all of the receptors on the cell. For examples insulin stimulates maximum glucose oxidation in adipocytes with only 2-3% of receptors bound. Because hormones are normally present at very low concentrations only small receptors are occupied and it is enough to produce maximum effect. And when hormone is at high concentrations all receptors are occupied but without any extra effect. Spare receptors are receptors which exist in excess of those required to produce a full effect therefore a maximum response can be reached with only 2-3% receptor bonded to hormones. The greater the proportion of spare receptors, the more sensitive the target cell to the hormone • The effectors can be mobile, rapidly moving from one receptor molecule to another so the more receptors the more it can activate. Beside that the effecter has more opportunities to find and activate a receptor.
  • 21. • Agonists are molecules that bind the receptor and induce all the post-receptor events that lead to a biologic effect. In other words, they act like the "normal" hormone, although perhaps more or less potently • Antagonists are molecules that bind the receptor and block binding of the agonist, but fail to trigger intracellular signaling events