Endocrine System Anatomy and Physiology
Functions of the
Endocrine System
Despite the huge
variety of hormones, there are really only two mechanisms by which hormones
trigger changes in cells.
1.
Water equilibrium. The endocrine system
controls water equilibrium by regulating the solute concentration of the blood.
2.
Growth, metabolism, and tissue maturation. The endocrine system
controls the growth of many tissues, like the bone and muscle, and the degree of
metabolism of various tissues, which aids in the maintenance of the normal body
temperature and normal mental functions. Maturation of tissues, which appears
in the development of adult features and adult behavior, are also determined by
the endocrine system.
3.
Heart rate and blood pressure management. The endocrine system
assists in managing the heart rate and blood pressure and aids in preparing the
body for physical motion.
4.
Immune system control. The endocrine system helps regulate the
production and functions of immune cells.
5.
Reproductive function controls. The endocrine system
regulates the development and the functions of the reproductive systems in
males and females.
6.
Uterine contractions and milk release. The endocrine system
controls uterine contractions throughout the delivery of the newborn and stimulates
milk release from the breasts in lactating females.
7.
Ion management. The endocrine system regulates Na+, K+, and Ca2+ concentrations
in the blood.
8.
Blood glucose regulator. The endocrine system controls blood glucose levels and other
nutrient levels in the blood.
9.
Direct gene activation. Being lipid-soluble molecules, the
steroid hormones can diffuse through plasma membranes of their target cells;
once inside, the steroid hormone enters the nucleus and binds to a specific
receptor protein there; then, the hormone-receptor complex binds to specific
sites on the cell’s DNA, activating certain genes to transcribe messenger RNA;
the mRNA then is translated in the cytoplasm, resulting in the synthesis of new
proteins.
10. Second messenger
system. Water-soluble,
nonsteroidal hormones-protein, and peptide hormones- are unable to enter the
target cells, so instead, they bind to receptors situated on the target cell’s
plasma membrane and utilize a second messenger system.
Anatomy of the
Endocrine System
Compared to other
organs of the body, the organs of the endocrine system are small and
unimpressive, however, functionally the endocrine organs are very impressive,
and when their role in maintaining body homeostasis is considered, they are
true giants.
Hypothalamus
The major endocrine
organs of the body include the pituitary, thyroid, parathyroid, adrenal, pineal
and thymus glands, the pancreas, and the gonads.
- Hypothalamus. The hypothalamus, which
is part of the nervous system, is also considered as a major endocrine
organ because it produces several hormones. It is an important autonomic
nervous system and endocrine control center of the brain located inferior
to the thalamus.
- Mixed
functions. Although
the function of some hormone-producing glands is purely endocrine, the
function of others (pancreas and gonads) is mixed- both endocrine and
exocrine.
Pituitary Gland
The pituitary gland is
approximately the size of a pea.
- Location. The pituitary gland hangs
by a stalk from the inferior surface of the hypothalamus of the brain,
where it is snugly surrounded by the “Turk’s saddle” of the sphenoid bone.
- Lobes. It has two functional
lobes- the anterior pituitary (glandular tissue) and the posterior
pituitary (nervous tissue).
Hormones of the
Anterior Pituitary
There are several
hormones of the anterior pituitary hormones that affect many body organs.
- Growth
hormone (GH). Growth
hormone is a general metabolic hormone, however, its major effects
are directed to the growth of skeletal muscles and long bones of the body; it is a protein-sparing and anabolic
hormone that causes amino acids to be built into proteins and stimulates
most target cells to grow in size and divide.
- Prolactin
(PRL). Prolactin
is a protein hormone structurally similar to growth hormone; its only
known target in humans is the breast because, after childbirth, it
stimulates and maintains milk production by the mother’s breast.
- Adrenocorticotropic
hormone (ACTH).
ACTH regulates the endocrine activity of the cortex portion of the adrenal
gland.
- Thyroid-stimulating
hormone (TSH). TSH,
also called thyrotropin hormone influences the growth and activity of the
thyroid gland.
- Gonadotropic
hormones. The
gonadotropic hormones regulate the hormonal activity of gonads (ovaries
and testes).
- Follicles-stimulating
hormone (FSH). FSH
stimulates follicle development in the ovaries; as the follicles mature,
they produce estrogen and eggs that are readied for ovulation; in men,
FSH stimulates sperm development by the testes.
- Luteinizing
hormone (LH). LH
triggers ovulation of an egg from the ovary and causes the ruptured
follicle to produce progesterone and some estrogen; in men, LH stimulates
testosterone production by the interstitial cells of the testes.
Hormones of the
Posterior Pituitary
The posterior
pituitary is not an endocrine gland in the strict sense because it does not
make the peptide hormones it releases, but it simply acts as a storage area for
hormones made by hypothalamic neurons.
- Oxytocin. Oxytocin is released in
significant amount only during childbirth and in nursing women; it
stimulates powerful contractions of the uterine muscle during labor, during sexual relations, and during breastfeeding and also causes milk
ejection (let-down reflex) in a nursing woman.
- Antidiuretic
hormone (ADH). ADH
causes the kidneys to reabsorb more water from the forming of urine; as a
result, urine volume decreases and blood volume increases; in larger
amounts, ADH also increases blood pressure by causing constriction of the
arterioles, so it is sometimes referred to as vasopressin.
Thyroid Gland
The thyroid gland is a
hormone-producing gland that is familiar to most people primarily because many
obese individuals blame their overweight condition on their “glands” (thyroid).
- Location. The thyroid gland is
located at the base of the throat, just inferior to the Adam’s apple,
where it is easily palpated during a physical examination.
- Lobes. It is a fairly large
gland consisting of two lobes joined by a central mass, or isthmus.
- Composition. Internally, the thyroid
gland is composed of hollow structures called follicles, which
store a sticky colloidal material.
- Types
of thyroid hormones. Thyroid
hormone often referred to as the body’s major metabolic hormone, is
actually two active, iodine-containing hormones, thyroxine or T4,
and triiodothyronine or T3.
- Thyroxine. Thyroxine is the major
hormone secreted by the thyroid follicles.
- Triiodothyronine. Most triiodothyronine is
formed at the target tissues by conversion of the thyroxine to triiodothyronine.
- Function. Thyroid hormone controls
the rate at which glucose is “burned” oxidized, and converted to body heat
and chemical energy; it is also important for normal tissue growth and
development.
- Calcitonin. Calcitonin decreases
blood calcium levels by causing calcium to be deposited in the bones;
calcitonin is made by the so-called parafollicular cells found
in the connective tissues between the follicles.
Parathyroid Glands
The parathyroid glands are mostly tiny
masses of glandular tissue.
- Location. The parathyroid glands
are located on the posterior surface of the thyroid gland.
- Parathormone. The parathyroids
secrete parathyroid hormone (PTH) or parathormone, which
is the most important regulator of calcium ion homeostasis of the blood;
PTH is a hypercalcemic hormone (that is, it acts to
increase blood levels of calcium), whereas calcitonin is a hypocalcemic
hormone.; PTH also stimulates the kidneys and intestines to absorb more
calcium.
Adrenal Glands
Although the adrenal
gland looks like a single organ, it is structurally and functionally two
endocrine organs in one.
Hormones of the Adrenal Cortex
The adrenal cortex
produces three major groups of steroid hormones, which are collectively
called corticosteroids– mineralocorticoids, glucocorticoids, and
sex hormones.
- Mineralocorticoids. The mineralocorticoids,
primarily aldosterone, are produced by the outermost adrenal
cortex cell layer; mineralocorticoids are important in regulating the
mineral (or salt) content of the blood, particularly the concentrations of
sodium and potassium ions and they also help in regulating the water
and electrolyte balance in the body.
- Renin. Renin, am enzyme produced
by the kidneys when the blood pressure drops, also cause the release of
aldosterone by triggering a series of reactions that form angiotensin
II, a potent stimulator of aldosterone release.
- Atrial
natriuretic peptide (ANP). ANP prevents aldosterone release, its goal being
to reduce blood volume and blood pressure.
- Glucocorticoids. The middle cortical layer
mainly produces glucocorticoids, which include cortisone and cortisol;
glucocorticoids promote normal cell metabolism and help the body to resist
long-term stressors, primarily by increasing blood glucose levels, thus it
is said to be a hyperglycemic hormone; it also reduce pain and inflammation by inhibiting some pain-causing
molecules called prostaglandins.
- Sex
hormones. Both
male and female sex hormones are produced by the adrenal cortex throughout
life in relatively small amounts; although the bulk of sex hormones
produced by the innermost cortex layer are androgens (male sex hormones), some estrogens (female
sex hormones), are also formed.
Hormones of the
Adrenal Medulla
The adrenal medulla,
like the posterior pituitary, develops from a knot of nervous tissue.
- Catecholamines. When the medulla is
stimulated by sympathetic nervous system neurons, its cells release two
similar hormones, epinephrine, also called adrenaline, and norepinephrine (noradrenaline),
into the bloodstream; collectively, these hormones are referred to as
catecholamines.
- Function. Basically, the
Catecholamines increase heart rate, blood pressure, and blood glucose
levels and dilate the small passageways of the lungs; the catecholamines of the
adrenal medulla prepare the body to cope with a brief or short-term
stressful situation and cause the so-called alarm stage of
the stress response.
Pancreatic Islets
The pancreas, located
close to the stomach in the abdominal
cavity, is a mixed gland.
- Islets
of Langerhans.The
islets of Langerhans also called pancreatic islets, are little masses of
hormone-producing tissue that are scattered among the enzyme-producing
acinar tissue of the pancreas.
- Hormones. Two important hormones
produced by the islet cells are insulin and glucagon.
- Islet
cells. Islet
cells act as fuel sensors, secreting insulin and glucagon appropriately
during fed and fasting states.
- Beta
cells. High
levels of glucose in the blood stimulate the release of insulin from the
beta cells of the islets.
- Alpha
cells. Glucagon’s
release by the alpha cells of the islets is stimulated by low blood
glucose levels.
- Insulin. Insulin acts on just
about all the body cells and increases their ability to transport glucose
across their plasma membranes; because insulin sweeps glucose out of the
blood, its effect is said to be hypoglycemic.
- Glucagon. Glucagon acts as an
antagonist of insulin; that is, it helps to regulate blood glucose levels
but in a way opposite that of insulin; its action is basically hyperglycemic and
its primary target organ is the liver, which it stimulates to break down
stored glycogen into glucose and release the glucose into the blood.
Pineal Gland
The pineal gland, also
called the pineal body, is a small cone-shaped gland.
- Location. The pineal gland hangs
from the roof of the third ventricle of the brain.
- Melatonin. Melatonin is the only
hormone that appears to be secreted in substantial amounts by the pineal
gland; the levels of melatonin rise and fall during the course of the day
and night; peak levels occur at night and make us drowsy as melatonin is
believed to be the “sleep trigger” that plays an important
role in establishing the body’s day-night cycle.
Thymus Gland
The thymus gland is large in
infants and children and decreases in size throughout adulthood.
- Location. The thymus gland is
located in the upper thorax, posterior to the sternum.
- Thymosin. The thymus produces a
hormone called thymosin and others that appear to be essential for normal
development of a special group of white blood cells (T-lymphocytes, or T cells) and the immune
response.
Gonads
The female and male
gonads produce sex hormones that are identical to those produced by adrenal
cortex cells; the major difference are the source and relative amount produced.
Hormones of the
Ovaries
The female gonads or
ovaries are a pair of almond-sized organs.
- Location. The female gonads are
located in the pelvic cavity.
- Steroid
hormones. Besides
producing female sex cells, ovaries produce two groups of steroid
hormones, estrogen, and progesterone.
- Estrogen. Alone, the estrogens are
responsible for the development of sex characteristics in women at
puberty; acting with progesterone, estrogens promote breast development
and cyclic changes in the uterine lining (menstrual cycle).
- Progesterone. Progesterone acts with estrogen
to bring about the menstrual cycle; during pregnancy, it quiets the
muscles of the uterus so that an implanted embryo will not be aborted and
helps prepare breast tissue for lactation.
Hormones of the Testes
The testes of the male
are paired oval organs in a sac.
- Location. The testes are suspended
in a sac, the scrotum, outside the pelvic cavity.
- Male
sex hormones. In
addition to male sex cells, or sperm, the testes also produce male sex
hormones, or androgens, of which testosterone is
the most important.
- Testosterone. At puberty, testosterone
promotes the growth and maturation of the reproductive system organs to
prepare the young man for reproduction; it also causes the male’s
secondary sex characteristics to appear and stimulates male sex drive; Testosterone
is also necessary for the continuous production of sperm.
Other
Hormone-Producing Tissues and Organs
Besides the major
endocrine organs, pockets of hormone-producing cells are found in fatty tissue
and in the walls of the small intestine, stomach, kidneys, and heart- organs
whose chief functions have little to do with hormone production.
Placenta
The placenta is a remarkable
organ formed temporarily in the uterus of pregnant women.
- Function. In addition to its roles
as the respiratory, excretory, and nutrition delivery systems for the
fetus, it also produces several proteins and steroid hormones that help to
maintain the pregnancy and pave the way for delivery of the baby.
- Human chorionic
gonadotropin. During
very early pregnancy, a hormone called human chorionic gonadotropin (hCG)
is produced by the developing embryo and then by the fetal part of the
placenta; hCG stimulates the ovaries to continue producing estrogen and
progesterone so that the lining of the uterus is not sloughed off in the
menses.
- Human
placental lactogen (hPL). hPL works cooperatively with estrogen and
progesterone in preparing the breasts for lactation.
- Relaxin. Relaxin, another
placental hormone, causes the mother’s pelvic ligaments and the pubic
symphysis to relax and become more flexible, which eases birth passage.
Physiology of the
Endocrine System
Although hormones have
widespread effects, the major processes they control are reproduction, growth,
and development; mobilizing the body’s defenses against stressors; maintaining
electrolyte, water, and nutrient balance of the blood; and regulating cellular
metabolism and energy balance.
The Chemistry of
Hormones
The key to the
incredible power of the endocrine glands is the hormones they produce and
secrete.
- Hormones. Hormones may be defined
as chemical substances that are secreted by endocrine cells into the
extracellular fluids and regulate the metabolic activity of other cells in
the body.
- Classification. Although many different
hormones are produced, nearly all of them can be classified chemically as
either amino acid-based molecules (including proteins,
peptides, and amines) or steroids.
- Steroid
hormones. Steroid
hormones (made from cholesterol) include the sex hormones made
by the gonads and hormones produced by the adrenal cortex.
- Amino
acid-based hormones. All
the others are nonsteroidal amino acid derivatives.
Mechanisms of Hormone
Action
Although the
blood-borne hormones circulate to all the organs of the body, a given hormone
affects only certain tissue cells or organs.
- Target
cells. For
a target cell to respond to the hormone, specific protein receptors must
be present on its plasma membrane or in its interior to which that hormone
can attach; only when this binding occurs can the hormone influence the
workings of cells.
- Function
of hormones. The
hormones bring about their effects on, the body cells primarily by
altering cellular activity- that is, by increasing or decreasing the rate
of a normal, or usual, metabolic process rather than stimulating a new
one.
- Changes
in hormone binding. The
precise changes that follow hormone binding depend on the specific hormone
and the target cell type, but typically one or more of the following
occurs:
1.
Changes in plasma membrane permeability or electrical state.
2.
Synthesis of protein or certain regulatory molecules (such as
enzymes) in the cell.’
3.
Activation or inactivation of enzymes.
4.
Stimulation of mitosis.
5.
Promotion of secretory activity.
Control of Hormone
Release
What prompts the
endocrine glands to release or not release their hormones?
- Negative
feedback mechanisms. Negative
feedback mechanisms are the chief means of regulating blood levels of
nearly all hormones.
- Endocrine
gland stimuli. The
stimuli that activate the endocrine organs fall into three major
categories- hormonal, humoral, and neural.
- Hormonal
stimuli. The
most common stimulus is a hormonal stimulus, in which the endocrine organs
are prodded into action by other hormones; for example, hypothalamic
hormones stimulate the anterior pituitary gland to secrete its hormones,
and many anterior pituitary hormones stimulate other endocrine organs to
release their hormones into the blood.
- Humoral
stimuli. Changing
blood levels of certain ions and nutrients may also stimulate hormone
release, and this is referred to as humoral stimuli; for example, the
release of parathyroid hormone (PTH) by cells of the parathyroid glands is
prompted by decreasing blood calcium levels.
- Neural
stimuli. In
isolated cases, nerve fibers stimulate hormone release, and the target
cells are said to respond to neural stimuli; a classic example is
sympathetic nervous system stimulation of the adrenal medulla to release
norepinephrine and epinephrine during periods of stress.
Practice Quiz:
Endocrine System Anatomy and Physiology
1. The following are
the functions of the endocrine system, except?
A. Regulates immune
system
B. Controls reproductive function
C. Regulate heart rate and blood pressure
D. Water balance
E. Direct blood flow
1. Answer:
E. Direct blood flow
ADVERTISEMENTS
- E. This is a function of the
peripheral circulation wherein the system directs blood to tissues when
increased blood flow is required to maintain homeostasis.
- A: The endocrine system
helps control the production and function of the immune cells.
- B: The endocrine system
helps controls the development and functions of the reproductive systems
in males and females.
- C: The endocrine system helps
regulate heart rate and blood pressure and helps prepare the body for
physical exertion.
- D: The endocrine system
regulates water balance by controlling the solute concentration of the
blood.
2. The primary
function of T3 and T4 is to:
A. Reduce blood
glucose levels
B. Release
calcitonin
C. Regulate bone
growth
D. Increase
metabolic rate
2. Answer:
D. Increase metabolic rate
- D: T3
and T4 are
released throughout the body to direct the body’s metabolism. They
stimulate all cells within the body to increase metabolic rate.
- A: Insulin lowers
blood glucose levels, and promotes the formation of glycogen.
- B: Calcitonin is a hormone that the
C-cells in the thyroid gland produces and release. It opposes the
action of the parathyroid hormone, helping to regulate the blood’s calcium
and phosphate levels.
- C: Body growth is controlled
by growth hormone (GH), produced by the anterior
pituitary gland.
3. Antidiuretic
hormone and oxytocin are stored and
released by the:
A. Adrenal cortex
B. Posterior pituitary
gland
C. Thyroid gland
D. Pineal gland
3. Answer: B.
Posterior pituitary gland
- B: The posterior
pituitary gland releases two hormones (antidiuretic hormone
and oxytocin).
- A: The two major hormones produced
by the adrenal cortex are the mineralocorticoids and
the glucocorticoids.
- C: The Thyroid gland is
involved in the production of the hormones T3 (triiodothyronine) and T4
(thyroxine).
- D: The main hormone produced and
secreted by the pineal gland is melatonin.
4. Which hormone
stimulates the male testes to produce sperm and stimulates the development of
the follicle in the female on a monthly cycle.
A. Luteinizing hormone
B. Somatostatin
C.
Follicle-stimulating hormone
D. Thymosin
4. Answer: C.
Follicle-stimulating hormone
- C: Follicle-stimulating
hormone stimulates
the growth of ovarian follicles in the ovary in females and acts on the
Sertoli cells of the testes to stimulate sperm production
(spermatogenesis) in males.
- A: Luteinizing
hormone. For women, the hormone stimulates the ovaries to
produce oestradiol. For men, it stimulates the production of
testosterone from Leydig cells in the testes
- B: The primary function of somatostatin is
to inhibit the production of other hormones and also prevent the unnatural
rapid reproduction of cells (such as those in tumors).
- D: Thymosin enhances the ability of the
immune system to function.
5. A client with a
history of hypertension is admitted due
to primary hyperaldosteronism. This diagnosis indicates that the client’s hypertension is caused by
excessive hormone secretion from which gland?
A. Pancreas
B. Adrenal cortex
C. Thymus gland
D. Adrenal medulla
5. Answer: B. Adrenal
cortex
- B: Excessive aldosterone
secretion in the adrenal cortex is responsible for
the client’s hypertension.
- A: Pancreas secretes hormones
involved in glucose metabolism.
- C: Thymus
gland secretes
thymosin, which stimulates the development of disease-fighting T
cells.
- D: Adrenal medulla secretes
the catecholamines (epinephrine and norepinephrine).
6. The
mineralocorticoids produced by the adrenal glands are produced within the?
A. Parafollicular
cells
B. Zona
reticularis
C. Zona
glomerulosa
D. Zona
fasciculata
6. Answer:
C. Zona glomerulosa
- C: The zona
glomerulosa is responsible for synthesis of aldosterone as
well as some other corticosteroids such as glucocorticoid.
- A: Calcitonin is produced by
the parafollicular cells found in the connective
tissues between the follicles.
- B&D: Zona
reticularis acts
in collaboration with the Zona fasciculata and is
primarily involved in the synthesis as well as secretion of different sex
hormones that work as a substitute for gonadal hormones.
7. Which of the
following glands is both an endocrine gland and an exocrine gland, except?
A. Pancreas
B. Kidney
C. Gonads
D. Pituitary gland
7. Answer: D.
Pituitary gland
- D: Pituitary gland has only an endocrine
component.
- A,
B, and C: Endocrine
component of glands with both an endocrine and an exocrine function. These
include the pancreas, kidney, and gonads.
8. Which of the
following is not true with melatonin?
A. Melatonin induces
heat loss, reduces arousal and related brain activity and delays production of
cortisol.
B. It helps
regulate biological rhythms such as sleep and wake cycles.
C. The secretion of
melatonin is inhibited by darkness and triggered by light.
D. The pineal gland
produces and secretes the hormone.
8. Answer: C. The
secretion of melatonin is inhibited by darkness and triggered by light.
- C: Light exposure resets
the circadian rhythm of melatonin and acutely inhibits melatonin synthesis
while the secretion of melatonin is triggered by darkness.
9. Part of the
effect of growth hormone is influenced by a group of protein chemical signals
called:
A. Somatomedin-C.
B. Gonadotropins
C. Prostaglandin
D. Prolactin
9. Answer:
A. Somatomedin-C.
- A: Somatomedin C also
called, insulin-like growth factor 1 (IGF-1), is
a protein that plays an important role in childhood growth and
continues to have anabolic effects in adults.
- B: Gonadotropins are hormones that bind to
membrane-bound receptors on the cells of the gonads.
- C: Prostaglandins play
an important role in regulating smooth muscle contraction and
inflammation.
- D: Prolactin helps promote the development
of the breast during pregnancy and stimulates the production of milk in
the breast following pregnancy.
10. A client arrived
at the emergency department with a possible diagnosis of hyperparathyroidism.
The nurse anticipates
which serum electrolytes finding would be
abnormal? Select all that apply
A. Sodium
B. Calcium
C. Chloride
D. Potassium
E. Phosphorus
10. Answer: B.
Calcium, E. Phosphorus
- B
& E: A
client with a parathormone deficiency has abnormal calcium and
phosphorus values because parathormone regulates these two
electrolytes.
- A,
C, & D: Potassium, chloride, sodium have no effect on a parathyroid
hormone deficiency
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