Source: http://www.mhhe.com/biosci/genbio/rjbiology/ELOs/ELO49.html

Chapter 49 Outline

TWO SYSTEMS REGULATE HOMEOSTASIS

	Nervous System Control
		Axons release neurotransmitters into synaptic cleft
		Neurotransmitters bind to receptor proteins on membrane of postsynaptic cell

	Endocrine Control
		Comprised of ductless endocrine organs	fig 49.1
			Cells secrete chemical messengers called hormones
			Hormones transmitted through circulatory system
		All cells exposed to hormones , only target cells respond
			Possess receptor proteins for particular hormone
			Example:  epithelial cells in uterus respond to estradiol

INTERACTIONS BETWEEN NEURAL AND ENDOCRINE REGULATION

	Secretory Activity of Endocrine Gland Often Controlled by Nervous System
		Include adrenal medulla, posterior pituitary and pineal glands
		Glands are derived from neural ectoderm
		Major Site for Neural Regulation Is the Anterior Pituitary Gland
			Hypothalamus controls hormonal secretions of anterior pituitary
			Anterior pituitary in turn regulates other endocrine glands

	Other Hormone Activity Is Independent of Neural Control
		Example:  release of insulin by pancreas and aldosterone by adrenal cortex
		Stimulated by increases in blood concentrations of glucose and potassium respectively

CHEMICAL MESSENGERS IN ENDOCRINE CONTROL

	Chemical Categories of Hormones
		Peptide hormones are chains of amino acids joined by peptide bonds	fig 49.2a
			Includes insulin, all hormones released by anterior and posterior pituitary
			Some are glycoproteins:  proteins connected to carbohydrates
				Follicle-stimulating hormone, luteinizing hormone
				Released by anterior pituitary, regulate gonads
		Steroid hormones	fig 49.2b
			Lipids derived from cholesterol
			Sex steroids secreted by gonads; include androgens, estrogens, progestins
			Corticosteroids secreted by adrenal cortex; include cortisol, aldosterone
		Amino acid derivatives not otherwise related
			Catecholamines are derived from tyrosine
				Secreted by adrenal medulla
				Include epinephrine and norepinephrine
			Thyroxine from the thyroid gland is also derived from tyrosine
			Melatonin from the pineal gland is synthesized from tryptophan
		Some chemical messengers function as hormones and neurotransmitters
			Norepinephrine released in sympathetic division of autonomic nervous system
			Also a hormone produced by adrenal medulla
			Suggest that neural and endocrine control share evolutionary origin

	Endocrine, Paracrine and Autocrine Regulation
		Endocrine gland may function only to produce hormones
			Hormone secreting cells clustered in that gland
			Examples: pituitary, thyroid, adrenal glands	fig 49.3
		Endocrine glands may have non-endocrine functions
			Gonads also produce gametes
			Brain, stomach, liver, kidneys and heart also release minor hormones
		Paracrine regulators:  intercellular regulatory molecules that exert very local effects
			Affect cells in vicinity of release
			Degrade too rapidly to effect more distant cells
			Example:  endothelial cells release nitric oxide
				Relax surrounding smooth muscle
				Causes vasodilation
			Example:  prostaglandins
		Autocrine regulation has extreme local effect
			Regulator molecule acts on same cell that secretes it
			Regulatory molecules control rate of own release
		Intrinsic regulation superimposed by extrinsic control	fig 49.4

THE MECHANISM OF HORMONE ACTION

	Hormones That Enter Cells	fig 49.5
		Steroid hormones are lipid-soluble, diffuse through target cell plasma membrane
			Hormones bind to receptors
				Most bind to cytoplasmic receptors when in cytoplasm of target cell and complex moves into nucleus
				In others, receptor is in nucleus, hormone must enter first
			Complex binds to DNA in nucleus, initiates transcription of specific genes
			Resulting messenger RNA directs synthesis of proteins
			May be enzymes that alter metabolism of target cell
		Thyroxine is also lipid soluble and enters cytoplasm of target cells
			Has no effect of its own on target cell
			Cytoplasmic enzyme removes one iodine forming triiodothyronine (T3)
			T3 enters nucleus and binds to receptor protein
			Complex then stimulates production of messenger RNA

	Hormones That Do Not Enter Cells
		Polar molecules cannot cross plasma membrane of target cells
		Include peptide hormones, catecholamines, epinephrine, norepinephrine
			Bind to receptor molecules on outer surface of plasma membrane
			Triggers events within cell cytoplasm
			Uses intermediates called second messenger if hormone is first messenger	fig 49.6
			Binding is reversible and usually brief
				Dissociates from receptor after second messenger activated
				May be carried by blood to another target cell
				Eventually degraded by enzymes in the liver

	Second Messengers in Action:  How Epinephrine Works
		Epinephrine binds to a- and฿-adrenergic receptors each activates a different system
		The cyclic AMP (adenosine monophosphate) second messenger system
			First system described in early 1960s
			Epinephrine binds to ฿-adrenergic receptors on liver cell membrane	fig 49.7
				Binding to receptor causes one G protein subunit to dissociate from other two
				Released subunit diffuses within plasma membrane
				Encounters adenylyl cyclase, normally inactive membrane-bound enzyme
				G protein subunit activates adenylyl cyclase
				Activated adenyl cyclase produces cAMP from ATP
				cAMP leaves inner surface of membrane, diffuses within cytoplasm
				Binds and activates protein kinase-A
				Protein kinase-A adds phosphate groups to specific cellular proteins
			Proteins phosphorylated by protein kinase-A vary by cell type
				Variation results in diverse effects of epinephrin on different tissues
				Liver cells:  activates phosphorylase, converts glycogen to glucose	fig 49.7
				Cardiac muscle cells:  activates proteins that cause heart to beat faster, harder
		The IP3/Ca++ second messenger system
			Epinephrine binds to a-adrenergic receptors
			Works through a different G protein
			Activates another membrane-bound enzyme, phospholipase C	fig 49.8
				Cleaves certain membrane phospholipids
				Produces second messenger inositol triphosphate (IP3)
				Diffuses from membrane into cytoplasm, binds to receptors on surface of endoplasmic reticulum
					ER accumulates Ca++ by actively transporting it out of cytoplasm
					Other pumps transport Ca++ from cytoplasm to extracellular fluid
					Very steep concentration gradient between cytoplasm and inside of ER
					Another steep gradient between cytoplasm and extracellular fluid
				IP3 binds to receptors on ER, stimulates it to release Ca++
				Ca++ may also enter cytoplasm through opened membrane calcium channels
				Ca++ in cytoplasm binds to calmodulin, has regulatory functions like cAMP
				Calmodulin activates a different protein kinase to phosphorylate a different set of proteins
		Advantage of multiple second messenger systems
			Example:  antagonistic actions of epinephrin and insulin on liver cells
			Epinephrine uses cAMP as second messenger to convert glycogen to glucose
			Insulin promotes conversion of glucose to glycogen
			Thus, insulin cannot use cAMP as second messenger
			Insulin may in part utilize IP3/Ca++ second messenger system

THE MAJOR ENDOCRINE GLANDS AND THEIR HORMONES

	Endocrine System Composed of Ten Major Organs	tbl 49.1

	The Posterior Pituitary Gland
		Pituitary gland is located in brain, below the hypothalamus	fig 49.9
		Produces nine major hormones
		Composed of two independently functioning glands
			Posterior pituitary derived from outgrowth of brain, retains neural connections
			Anterior pituitary derived from outgrowth of epithelium lining mouth
		Secretions of the posterior pituitary
			Antidiuretic hormone (ADH) = vasopressin	fig 49.10
				Regulates kidney water retention
				Damage or alcohol causes excessive urination
			Oxytocin
				Peptide hormone composed of nine amino acids
				Stimulates contraction of smooth muscles around mammary glands
				Initiates milk release with suckling
				Stimulates uterine contraction during childbirth
			Both hormones synthesized inside neuron cells in hypothalamus
				Transported down axons to synapses in pituitary
				Stored in axon terminals
				Released into blood stream with nerve stimulus

	The Anterior Pituitary Gland
		Initially associated with growth disorders
			Surgical removal corrects acromegaly	fig 49.11
			Tumors cause gigantism	fig 49.12
			Gigantism caused by excessive secretion of growth hormone (GH) in growing child
			Causes acromegaly when skeletal growth plates are sealed in adults
			Deficiency in childhood causes pituitary dwarfism
		Pituitary actually synthesizes the hormones it secretes	fig 49.13
			Many stimulate growth of target organ, including other endocrine glands
			Are called tropic hormones
		Summary of hormones secreted by anterior pituitary
			Growth hormone (GH or somatotropin)
				Promotes growth directly
				Stimulates liver to secrete hormones that promote growth of muscle and bone
			Adrenocorticotropic hormone (ACTH or corticotropin)
				Stimulates adrenal gland to produce corticosteroid hormones
				Corticosteroid actions
					Regulate production of glucose from fat
					Regulate balance of sodium and potassium in the blood
					Contribute to non-reproductive male secondary sex characteristics
Thyroid-stimulating hormone (TSH)
				Stimulates thyroid to produce thyroid hormone (thyroxin)
				Thyroxin stimulates oxidative respiration
			Luteinizing hormone (LH)
				Plays an important role in the female menstrual cycle
				Stimulates testes to produce testosterone
				Testosterone initiates, maintains secondary sex characteristics
			Follicle-stimulating hormone (FSH)
				Significant in the female menstrual cycle
				Stimulates cells in testes, regulates sperm development
				FSH and LH are both gonadotropins
			Prolactin (PRL):  stimulates breasts to produce milk
			Melanocyte-stimulating hormone (MSH)
				Stimulates epidermal color changes in reptiles and amphibians
				No known function in mammals
		Hypothalamic control of anterior pituitary gland secretion
			Control is via hormones not nerve impulses
			Neurons in hypothalamus secrete releasing factors
				Carried by blood directly to anterior pituitary	fig 49.14
				Transported inside short blood vessels that connect two beds of capillaries 
				One bed in hypothalamus, other in anterior pituitary
			Each releasing factor is specific for one tropic hormone
				Thyrotropin releasing hormone (TRH) stimulates release of TSH
				Corticotropin releasing hormone (CRH) stimulates release of ACTH
				Gonadotropin releasing hormone (GnRH) stimulates FSH and LH
			Also secretes hormones that inhibit release of certain anterior pituitary hormones
				Somatostatin inhibits secretion of GH
				Prolactin inhibiting hormone (PIH) inhibits secretion of prolactin
				Melanotropin inhibiting hormone (MIH) inhibits secretion of MSH
				Travel in blood from hypothalamus directly to anterior pituitary
		Negative feedback control of anterior pituitary gland secretions
			Hypothalamus no longer considered to be "master gland"
				Adrenal medulla and pancreas not controlled by this system
				Hypothalamus and anterior pituitary are themselves controlled by hormones
			End hormones feed back to regulate glands that control their release	fig 49.15
			Example:  hormonal control of thyroid gland
				TRH stimulates anterior pituitary to secrete TSH
				TSH stimulates tyroid to release thyroxine
				Thyroxine acts on many target organs including
					Hypothalamus to inhibits TRH secretion
					Anterior pituitary to inhibit TRH secretion 
			This is an example of negative feedback inhibition
			Example:  insufficient dietary iodine
				Thyroid cannot produce thyroxine which contains iodine
				Blood thyroxine levels very low
				Less feedback inhibition to hypothalamus and anterior pituitary
				Causes increased secretion of TRH and TSH
				Stimulates thyroid to grow, but without iodine still no thyroxine
				Causes an enlarged thyroid, a goiter	fig 49.16

	The Thyroid Gland:  A Metabolic Thermostat
		Located in front of the neck
		Produces thyroxine
			Stimulates oxidative respiration, helps set body's metabolic rate
			In children, promotes growth and stimulates maturation of nervous system
				Children with under active thyroids have stunted growth, mental retardation
				Condition called cretinism
			Can supplement with oral thyroxine
		Produces calcitonin
			If blood Ca++ is too high, calcitonin stimulates its uptake into bones
			Lowers its level in the blood	fig 49.17

	The Parathyroid Glands:  Regulators of Blood Ca++ Levels
		Four small glands attached to thyroid
		Produces parathyroid hormone (PTH)
			One of two hormones absolutely essential for survival
			Synthesized and released when Ca++ levels in blood get low
				Ca++ required for muscle contraction
				Extreme low levels cause muscle spasms
			Cause osteoclasts to dissolve bone with subsequent Ca++ release	fig 49.17
			Reabsorbs calcium from urine
			Activates vitamin D to absorb Ca++ from intestine
			Vitamin D deficiency causes rickets, poor bone formation

	The Adrenal Glands:  Two Glands in One
		Adrenal glands located above each kidney
			Composed of inner adrenal medulla 
			Composed of outer adrenal cortex
		The adrenal medulla:  emergency warning siren
			With stress medulla produces epinephrine and norepinephrine
			Stimulates alarm response similar to sympathetic division of autonomic nervous system, but more prolonged
			Responses:   increased blood sugar, faster heartbeat, increased blood pressure, dilated blood vessels in skeletal muscles, increased blood flow to heart and lungs
			Extension of fight or flight response
		The adrenal cortex:  homeostasis of glucose and Na+
			Produces cortisol (hydrocortisone)
				Maintains glucose homeostasis, thus called glucocorticoids
				Stimulate breakdown of muscle proteins into amino acids, carried to liver
					Stimulates liver to produce enzymes to convert amino acids to glucose, gluconeogenesis
					Important during fasting
				Modulate some aspects of the immune response
				Reduces inflammation
			Produces aldosterone
				Acts on kidney to promote uptake of Na+
					Na+ needed for nerve conduction, blood pressure
					Prevents excess loss of Na+ and thus water from the urine
					Loss of salt and water causes fall in blood pressure
				Promotes excretion of K+ in urine
				Second hormone necessary for survival

	The Pancreas:  Regulating Energy Balance
		Located behind the stomach, connected to duodenum by pancreatic duct
		Also secretes bicarbonate ions and various digestive enzymes
			Though to be just exocrine until clusters of cells identified
			Called islets of Langerhans	fig 49.18
		Diabetes mellitus results from pancreas damage
		Insulin produced by islets of Langerhans
			Type I:  lack  insulin secreting cells
				Treated with insulin injections
				Insulin used to come from animals, 
				Now use human insulin from genetically engineered bacteria
			Type II:  too few receptors in target tissue
				Insulin levels normal or high
				Must control diet and exercise
		Islets produce two hormones, interact to regulate glucose	fig 49.19
			Eating increases blood glucose levels
			Beta cells produce insulin
			Insulin promotes cellular uptake of glucose
		Glucagon produced by islet alpha cells when glucose levels fall
			Acts antagonistically to insulin
			Promotes hydrolysis of glycogen in liver and fat in adipose tissue

	Other Endocrine Glands
		Ovaries and testes
			Produce sex hormones  
				Estrogen, progesterone regulate menstrual cycle
				Testosterone promote protein synthesis
		Gastrointestinal tract:  secretes hormones involved in food digestion
		Pineal gland		fig 47.24
			Secretes melatonin
			Function in humans not well understood
			May be involved in inhibition of reproductive system
			Called third eye, responds to light in fish, amphibians and reptiles
			Released in response to darkness, may be involved with daily biorhythms
			Implicated in mood disorders like winter depression
		Atrial natriuretic hormone (ANH) is a small peptide made in heart
			Stimulates kidney to excrete salt and water in urine
			Antagonistic to aldosterone
		Erythropoietin
			Secreted by kidneys
Stimulates bone marrow to produce red blood cells
		Skin secretes vitamin D
			Vitamin D secreted into extracellular fluid, carried to intestine
			Intestine stimulates absorption of calcium

Source: http://www.mhhe.com/biosci/genbio/rjbiology/ELOs/ELO49.html