Sunday, May 20, 2012

ENDOCRINOLOGY: The World of Hormones

Have you ever wondered how our body achieves internal equilibrium or homeostasis? What system is responsible for regulating organs and organ systems? And how is it possible to maintain such balance?

  
Balance is important in all aspects of life. In the human body, the existence and maintenance of a constant environment with respect to functions and the composition of fluids and tissues (known as homeostasis) depends on the regulation of the organs and systems.  The nervous and endocrine systems are the two major systems responsible for that regulation. Today, we’ll focus on the ENDOCRINE SYSTEM.

The word endocrine is derived from the Greek words endo and krino meaning “within” and to “separate.” This means that intercellular chemical signals  (molecules released from one location that move to another location to produce a response) are produced within and secreted from endocrine glands, but  they have effects at locations that are distinct or away from the glands that secrete them.

These chemical signals referred to above are called hormones, derived from the Greek word hormon which means to “set into motion”. Hormones act on tissues at another site in the body to influence their activity in a specific way. Only certain tissues, called target tissues, can respond to a certain type of hormone.

When we deal with the endocrine glands and the hormones they secrete, we are basically talking about Endocrinology. Endocrinology is the study of the biosynthesis, storage, chemistry and functions of hormones and the endocrine glands that are responsible for producing or secreting them; Endocrinology is a world all about HORMONES. Interesting, isn’t?

Hormones regulate a lot of processes in our body. Since endocrinology deals with hormones, let me introduce you to them: 

The PITUITARY GLAND located at the inferior aspect of the brain is divided into anterior and posterior lobes. The anterior lobe secretes growth hormone (GH) which affects growth of bones and muscles, influences protein, lipid, carbohydrate and calcium metabolism. Prolactin affects mammary glands to stimulate milk production. Thyroid-stimulating hormone stimulated thyroid hormone production. Adrenocorticotropic hormone (ACTH) stimulates the adrenal cortex to produce steroids. Follicle-stimulating hormone stimulates ovaries to develop follicles and secrete estrogen of stimulates testes to develop seminiferous tubules and perform spermatogenesis. Luteinizing hormone stimulates ovaries to initiate ovulation and produce progesterone in females or stimulates testes to secrete testosterone in males. The posterior lobe secrete oxytocin stimulates uterine and mammary gland contractions and antidiuretic hormone (ADH) acts on the distal renal tubule to increase water reabsorption.


Figure 1 The Pituitary Gland Hormones and their Target Tissues
                                    


The THYROID GLAND, a butterfly shaped gland located in the neck behind the trachea produces three hormones: T3 and T4 regulate cellular metabolic activity. Thyrocalcitonin tones down or lowers calcium level in the body.

PARATHYROID GLANDS, usually four glands, surround the posterior thyroid tissue secrete parathormone which raises blood calcium levels by increasing calcium resorption fro kidneys, intestines and bones.

ADRENAL GLANDS located at the upper poles of both kidneys contain two distinct types of endocrine tissue: ADRENAL MEDULLA produces the epinephrine or adrenalin which prepares the body for fight-or-flight response by converting glycogen to glucose. Norepinephrine, another hormone secreted by the adrenal medulla produces effects similar to epinephrine. The ADRENAL CORTEX secretes mineralocorticoids which increase sodium reabsorption and potassium loss, glucocorticoids increase blood glucose and decrease protein synthesis and the adrenal sex hormones govern the development of certain secondary sex characteristics.

The PANCREAS, a slender elongated organ lying horizontally in the posterior abdomen behind the stomach has both endocrine and exocrine functions. Its endocrine functions are controlled by the alpha, beta, and delta cells of the islets of Langerhans.

GONADS consist of ovaries and testes, whose involved primarily in reproduction.


Figure 2 The Major Endocrine Glands and Their Locations in the Human Body
                                                           


In order to maintain balance within the body, a healthy endocrine glands, properly functioning blood supply to move hormones through the body to their target tissues, receptor sites on the target cells for the hormones to do their work and a feedback system to control how and when these hormones are produced and used are all key ingredients. Disruption in that system can cause major problems that may require medical intervention.






References:
Seeley, R. et al. Essentials of Anatomy and Physiology 5th ed. McGraw-Hill Companies, Inc. New York, 2005. page 278
Hargrove-Huttel, Ray. Medical-Surgical Nursing 4th ed. Lippincott Williams and Wilkins, Philadelphia, 2005. pages 217-220
images from www.google.com
 

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