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Semester 2: Advanced Endocrinology

  • Hormones: classification, chemical properties, hormonal effects and regulation

    Hormones: classification, chemical properties, hormonal effects and regulation
    • Classification of Hormones

      Hormones can be classified based on several criteria including chemistry and function. The primary classifications include: 1. Peptide Hormones - composed of amino acids, including insulin and glucagon. 2. Steroid Hormones - derived from cholesterol, including cortisol and sex hormones. 3. Amino Acid Derivatives - derived from single amino acids, including thyroid hormones and catecholamines.

    • Chemical Properties of Hormones

      Hormones exhibit diverse chemical properties based on their structure. Peptide hormones are usually water-soluble and circulate freely in the blood. Steroid hormones are lipid-soluble and require carrier proteins to travel in the bloodstream. This affects their mechanism of action and half-life in circulation.

    • Hormonal Effects

      Hormones exert a wide range of effects on target tissues. Examples include: 1. Metabolic regulation - insulin lowers blood glucose while glucagon raises it. 2. Growth and development - growth hormone stimulates growth processes. 3. Stress response - cortisol regulates metabolism and immune response during stress.

    • Regulation of Hormone Secretion

      Hormonal regulation involves complex feedback mechanisms. 1. Negative feedback - a high level of a hormone inhibits its further secretion, e.g., thyroid hormones suppress TSH production. 2. Positive feedback - a hormone promotes its own secretion, e.g., oxytocin during childbirth. 3. Neuroendocrine regulation - the nervous system influences hormone release under stress or other stimuli.

  • Receptors: cell surface and intracellular receptors including G-protein coupled and pharmacological receptors

    Receptors: cell surface and intracellular receptors including G-protein coupled and pharmacological receptors
    • Introduction to Receptors

      Receptors are proteins that detect and respond to external signals. They play a crucial role in cellular communication and signal transduction.

    • Types of Receptors

      Receptors are broadly classified into two categories: cell surface receptors and intracellular receptors.

    • Cell Surface Receptors

      These receptors are located on the plasma membrane of cells. They bind to extracellular ligands and initiate signal transduction pathways.

    • Intracellular Receptors

      These receptors are located within the cell, usually in the cytoplasm or nucleus. They bind to ligands that can cross the plasma membrane, such as steroid hormones.

    • G-Protein Coupled Receptors (GPCRs)

      GPCRs are a large family of cell surface receptors that play a crucial role in transducing extracellular signals. They activate intracellular G-proteins, leading to various physiological responses.

    • Pharmacological Receptors

      These receptors interact with drugs and other pharmacological agents. Understanding their function is key in drug design and therapeutic interventions.

    • Signaling Pathways

      Different receptors activate various signaling pathways, impacting cellular responses like growth, metabolism, and apoptosis.

    • Conclusion

      Receptors are vital for cell communication. Their types and mechanisms greatly influence pharmacology and biochemistry.

  • Second messenger systems: Ca2+, cAMP, cGMP, DAG, IP3

    Second messenger systems in endocrinology
    • Introduction to second messengers

      Second messengers are intracellular signaling molecules that mediate cellular responses to hormones and other extracellular signals. They play a critical role in signal transduction pathways.

    • Calcium ions (Ca2+)

      Calcium ions serve as a vital second messenger in various signaling pathways. They are involved in muscle contraction, neurotransmitter release, and other cellular processes. The increase in intracellular Ca2+ levels often results from the activation of phospholipase C or specific ion channels.

    • Cyclic AMP (cAMP)

      cAMP is a key second messenger generated from ATP by the action of adenylyl cyclase. It activates protein kinase A (PKA), which phosphorylates various target proteins, leading to diverse physiological effects, such as glucose metabolism regulation and gene expression.

    • Cyclic GMP (cGMP)

      cGMP is synthesized from GTP by guanylyl cyclase and functions in smooth muscle relaxation, platelet aggregation, and neuronal signaling. It activates protein kinase G (PKG) and modulates ion channels.

    • Diacylglycerol (DAG)

      DAG is produced by the hydrolysis of phospholipids and works alongside IP3 to activate protein kinase C (PKC). It plays a role in regulating cellular processes like proliferation and differentiation.

    • Inositol trisphosphate (IP3)

      IP3 is produced from phosphatidylinositol 4,5-bisphosphate (PIP2) by phospholipase C. It facilitates the release of Ca2+ from the endoplasmic reticulum, linking membrane receptors to intracellular responses.

    • Integration and cross-talk of second messenger systems

      Second messenger systems can interact and influence each other, leading to complex signaling networks. Understanding these interactions is crucial for unraveling the mechanisms of various hormonal responses.

  • Steroid hormones and glycoprotein hormones: chemical nature, mechanism of action

    Steroid hormones and glycoprotein hormones: chemical nature, mechanism of action
    • Chemical Nature of Steroid Hormones

      Steroid hormones are lipophilic molecules derived from cholesterol. They include hormones such as cortisol, aldosterone, testosterone, and estrogen. Their structure consists of four fused carbon rings, and they can easily pass through cell membranes due to their lipid solubility.

    • Chemical Nature of Glycoprotein Hormones

      Glycoprotein hormones are composed of proteins that have carbohydrate moieties. Examples include luteinizing hormone, follicle-stimulating hormone, and thyroid-stimulating hormone. These hormones typically have complex structures that influence their stability and receptor interaction.

    • Mechanism of Action of Steroid Hormones

      Steroid hormones exert their effects by passing through the cell membrane and binding to specific intracellular receptors. This hormone-receptor complex then translocates to the nucleus, where it binds to DNA and regulates gene expression, leading to changes in protein synthesis.

    • Mechanism of Action of Glycoprotein Hormones

      Glycoprotein hormones act through membrane-bound receptors, which are linked to intracellular signaling pathways. Upon hormone binding, these receptors often activate second messenger systems, such as cyclic AMP, leading to a cascade of intracellular events that result in physiological responses.

  • Endocrine glands: hypothalamus, pituitary, thyroid, parathyroid, adrenal, pineal, pancreas, gastrointestinal hormones, sex hormones

    Endocrine Glands
    • Hypothalamus

      The hypothalamus is a small region located at the base of the brain that plays a crucial role in the endocrine system. It regulates various bodily functions through hormone secretion and controls the pituitary gland. It produces releasing and inhibiting hormones that affect anterior pituitary hormone release.

    • Pituitary Gland

      Often referred to as the master gland, the pituitary gland is divided into anterior and posterior sections. The anterior pituitary secretes hormones such as growth hormone, prolactin, and adrenocorticotropic hormone. The posterior pituitary stores and releases oxytocin and vasopressin, produced by the hypothalamus.

    • Thyroid Gland

      The thyroid gland, located in the neck, produces thyroid hormones including thyroxine (T4) and triiodothyronine (T3) which regulate metabolism, energy generation, and overall growth. It is crucial for proper development and function of many bodily systems.

    • Parathyroid Glands

      These small glands are situated behind the thyroid and are responsible for regulating calcium levels in the blood through the secretion of parathyroid hormone (PTH). PTH increases calcium levels by promoting calcium release from bones and increasing intestinal absorption.

    • Adrenal Glands

      The adrenal glands are located on top of each kidney and consist of the cortex and medulla. The adrenal cortex produces corticosteroids such as cortisol and aldosterone, while the adrenal medulla secretes catecholamines like adrenaline, which are involved in the stress response.

    • Pineal Gland

      The pineal gland, situated deep in the brain, is primarily responsible for the secretion of melatonin, which regulates sleep and circadian rhythms. It is sensitive to light and dark cycles, influencing reproductive hormones and seasonal biological rhythms.

    • Pancreas

      The pancreas has both endocrine and exocrine functions. Its endocrine component produces insulin and glucagon, which are vital for glucose metabolism and maintaining blood sugar levels. Insulin lowers blood sugar, while glucagon raises it.

    • Gastrointestinal Hormones

      Gastrointestinal hormones include gastrin, secretin, and cholecystokinin. They regulate digestive processes by stimulating digestive juices, regulating appetite, and enhancing gut motility.

    • Sex Hormones

      Sex hormones, including estrogens, progesterone, and testosterone, are produced in the gonads and play key roles in sexual development and reproduction. They regulate reproductive cycles, secondary sexual characteristics, and influence various physiological processes.

  • Dysfunction and pathophysiology of endocrine glands, laboratory diagnosis, ELISA and PCR techniques

    Dysfunction and Pathophysiology of Endocrine Glands, Laboratory Diagnosis, ELISA and PCR Techniques
    • Dysfunction of Endocrine Glands

      Endocrine glands can become dysfunctional due to various factors including inflammation, infection, genetic mutations, and neoplasia. Common dysfunctions include hypersecretion and hyposecretion of hormones, which can lead to conditions like hyperthyroidism, hypothyroidism, Cushing's syndrome, and Addison's disease.

    • Pathophysiology of Endocrine Disorders

      The pathophysiology of endocrine disorders often involves dysfunction in hormone signaling pathways, receptor sensitivities, or feedback mechanisms. For instance, in diabetes mellitus, the pancreas fails to produce adequate insulin or cells become resistant to insulin action, disrupting glucose homeostasis.

    • Laboratory Diagnosis of Endocrine Disorders

      Laboratory diagnosis involves measuring hormone levels through blood, urine, or tissue samples. Imbalances can indicate dysfunction of specific glands. Tests might include serum hormone assays, stimulation tests, and suppression tests to confirm diagnoses.

    • ELISA Technique

      Enzyme-Linked Immunosorbent Assay (ELISA) is a commonly used laboratory technique to detect and quantify proteins, hormones, or antibodies in biological samples. In endocrine studies, it assists in measuring hormone levels with high specificity and sensitivity.

    • PCR Technique

      Polymerase Chain Reaction (PCR) is a molecular biology technique used to amplify DNA sequences. In endocrinology, PCR can detect genetic mutations associated with endocrine disorders, allowing for precise diagnosis and monitoring of conditions.

Advanced Endocrinology

M.Sc. Medical Biochemistry

Advanced Endocrinology

II

Tamil Nadu State Council for Higher Education

Core VI

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