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Endocrine System and Hormone Physiology

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  • Pineal gland function

    Produces serotonin by day and converts it to melatonin at night to regulate circadian rhythm. Melatonin may regulate puberty timing and is increased in Seasonal Affective Disorder.
  • Thymus gland role

    Located in the mediastinum above the heart, it shrinks after puberty and secretes hormones that regulate T-cell development.
  • Parathyroid hormone (PTH) effect

    Released in response to low blood calcium levels and increases calcium concentration in the blood.
  • Pancreas endocrine vs exocrine function

    2% of pancreas cells (islets) produce hormones like insulin and glucagon; 98% produce digestive enzymes (exocrine).
  • Insulin secretion triggers and effects

    Secreted by β cells after meals with carbohydrates/proteins; stimulates glucose and amino acid uptake and antagonizes glucagon.
  • Glucagon secretion and function

    Secreted by α cells during fasting or low carbohydrate intake; stimulates glycogen breakdown and fat catabolism, antagonizing insulin.
  • Symptoms of diabetes mellitus

    Polyuria, polydipsia, polyphagia, hyperglycemia, glycosuria, ketonuria, and osmotic diuresis due to insulin hyposecretion.
  • Type I diabetes mellitus characteristics

    Autoimmune destruction of β cells, usually diagnosed around age 12, requires insulin injections and blood glucose monitoring.
  • Type II diabetes mellitus characteristics

    Due to insulin resistance; risk factors include heredity, age over 40, and obesity; treated with diet, exercise, and oral medications.
  • Long-term diabetes complications

    Vascular damage causing heart and kidney disease, retinal damage leading to blindness, and poor wound healing possibly causing amputations.
  • Hyperinsulinism causes and symptoms

    Caused by excess insulin injection or pancreatic tumor; leads to hypoglycemia, weakness, hunger, anxiety, sweating, and increased heart rate.
  • Gestational diabetes features

    Occurs during pregnancy due to placental hormones deactivating insulin receptors; reverses after birth but increases type II diabetes risk.
  • Gonadal hormone functions

    Ovaries secrete estrogens and progesterone for female reproductive development; testes produce androgens for male reproductive system and sperm production.
  • Heart endocrine function

    Produces atrial natriuretic peptide (ANP) in response to increased blood pressure, which decreases blood volume and pressure.
  • Hormone chemical nature

    Most hormones are protein-based and water-soluble; steroid hormones are lipid-soluble.
  • Lipid-soluble hormone mode of action

    Penetrate plasma membrane, bind intracellular receptors, enter nucleus, and initiate gene transcription for protein synthesis.
  • Water-soluble hormone mode of action

    Bind to cell-surface receptors and activate second messenger systems to trigger cellular responses.
  • Hormone clearance mechanisms

    Hormones are degraded by liver and kidneys, excreted in bile or urine; metabolic clearance rate and half-life determine removal speed.
  • Up-regulation and down-regulation of hormone receptors

    Up-regulation increases receptor density and sensitivity; down-regulation decreases receptor density and response to hormones.
  • Negative feedback control of pituitary hormones

    Target organ hormones inhibit hypothalamus and pituitary to regulate hormone secretion and maintain homeostasis.
  • General Adaptation Syndrome stages

    Body's response to stress occurs in alarm (mobilize resources), resistance (cope with stressor), and exhaustion (reserves depleted) phases.
  • Paracrine secretions

    Chemical messengers that act locally on nearby cells, e.g., histamine causes vasodilation during allergies.
  • Eicosanoids functions

    Mediate allergic and inflammatory reactions, regulate smooth muscle contraction, clotting, and sensitize neurons to pain.
  • Examples of anti-inflammatory drugs

    Non-steroidal: aspirin, ibuprofen; Steroidal: prednisone; they inhibit eicosanoid pathways to reduce inflammation.