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SOMAPL1A

The Endocrine System

Questions:
All 109

OBJ 2663 — Vocabulary

23 questions — Define the medical vocabulary components related to the endocrine system.

OBJ 2664 — Endocrine vs Nervous

7 questions — Identify the similarities between the endocrine and nervous system.

OBJ 2665 — Hormone Classes

8 questions — Communicate the major chemical classes of hormones.

OBJ 2666 — Hormonal Action

9 questions — Identify the general mechanisms of hormonal action.

OBJ 2667 — Endocrine Control

8 questions — Communicate how endocrine organs are controlled.

OBJ 2668 — Glands & Hormones

13 questions — Communicate the location, hormones, and functions of all major endocrine glands.

OBJ 2669 — Hormone Interactions

7 questions — Communicate how hormones interact to produce coordinated physiological responses.

OBJ 2670 — Hormones & Growth

7 questions — Identify the hormones that are especially important to normal growth.

OBJ 2671 — Stress Response

8 questions — Communicate how the endocrine system responds to stress.

OBJ 2672 — Abnormal Production

7 questions — Communicate the results of abnormal hormone production or abnormal responses.

OBJ 2673 — Behavior & Aging

7 questions — Describe the effects of hormones on behavior and aging.

OBJ 2674 — System Integrations

5 questions — Communicate the functional relationships between the endocrine system and other body systems.

★ Final Score — SOMAPL1A

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The Endocrine System

Martini, Ober, Bartholomew — Essentials of Anatomy & Physiology (Pearson, 2013) · Chapter 10

SOMAPL1AOBJ 2663–267412 Lesson Steps
2663
Medical Vocabulary — The Endocrine System
Define the medical vocabulary components related to the endocrine system.

Word Roots & Meanings

Chapter 10 of Martini lists 23 vocabulary roots. Each root maps to a clinical or anatomical term used throughout the endocrine system. The test will ask you to connect a root to its meaning and to the term it generates.

Root / PrefixMeaningExample Term & Connection
ad-to or towardAdrenal — glands located toward (on top of) the kidneys
androsmanAndrogen — male sex hormones (testosterone is the most important)
angeionvesselAngiotensin — hormone that stretches (constricts) blood vessels, raising blood pressure
corpusbodyCorpus luteum — the “yellow body” that forms from follicular cells after ovulation and secretes estrogens and progestins
diabetesto pass throughDiabetes — conditions defined by excessive urine production (fluid “passes through” without adequate retention)
dioureinto urinateDiuresis — increased urine production
erythrosredErythropoietin — hormone that stimulates production of red blood cells
infundibulumfunnelInfundibulum — the funnel-shaped stalk connecting the pituitary gland to the hypothalamus
insipidustastelessDiabetes insipidus — urine is dilute and tasteless (no glucose), unlike the sweet urine of diabetes mellitus
krineinto secreteEndocrine — “endo” (within) + “krinein” (to secrete) = secreting internally into the bloodstream
lacmilkProlactin — “pro” (before) + “lac” (milk) = hormone that stimulates milk production
mellitumhoneyDiabetes mellitus — urine is sweet due to glucose overflow when blood glucose exceeds kidney reabsorption capacity
natriumsodiumNatriuretic — promoting sodium excretion in urine (ANP is natriuretic)
okytokos-swift birthOxytocin — stimulates uterine contractions during labor and delivery
ouresismaking waterPolyuria — making excessive amounts of urine
parabeyond / besideParathyroid — glands embedded beside (in the posterior surface of) the thyroid
poiesismakingErythropoietin — “making red” (stimulates red blood cell production); thrombopoietin — “making clots” (stimulates platelet production)
pro-beforeProlactin — “before milk” — prepares mammary glands for milk production
reneskidneysSuprarenal — “supra” (above) + “renes” (kidneys) = alternate name for adrenal glands
synergiaworking togetherSynergistic — hormones working together for a combined effect greater than either alone
teineinto stretchAngiotensin — “vessel stretching” hormone that constricts blood vessels to raise blood pressure
thyreosan oblong shieldThyroid — the thyroid cartilage of the larynx is shield-shaped; the thyroid gland lies just inferior to it
troposturningGonadotropins — hormones that “turn on” the gonads (FSH and LH)
⚠ Common Confusion — Krinein vs TeineinKrinein = to SECRETE (endocrine). Teinein = to STRETCH (angiotensin). These two roots are frequently swapped in distractors. Endocrine does NOT mean “to stretch within.”
2664
Endocrine vs Nervous System — Similarities
Identify the similarities between the endocrine and nervous system.

The Core Analogy

Nervous System = Telephone Company

Carries specific messages from one specific location to another. Effects are short-lived. Ideal for crisis management—leaping away from a speeding bus.

Endocrine System = Postal Service

Hormones are like addressed letters distributed by the bloodstream. Effects are slow to appear but persist for days. Ideal for long-term regulation of metabolism, growth, and development.

What Is a Hormone?

A hormone is a chemical messenger released in one tissue and transported by the bloodstream to reach target cells in other tissues. Target cells possess specific receptors to “read” the message. Cells without the receptor ignore the hormone entirely—like bulk mail read only by those interested.

Four Shared Features

  • Both release chemicals that bind to specific receptors on target cells.
  • Both share chemical messengers—norepinephrine and epinephrine are hormones when released into the bloodstream and neurotransmitters when released across synapses.
  • Both are regulated mainly by negative feedback control mechanisms.
  • Both coordinate and regulate cell, tissue, organ, and system activities to maintain homeostasis.
Endocrine StrengthA single circulating hormone can alter metabolic activities in multiple tissues and organs simultaneously, continuously, 24 hours a day throughout life. Example: hormones maintain body water content and electrolyte levels within normal limits at all times.
2665
Chemical Classes of Hormones
Communicate the major chemical classes of hormones.
Three Classes — Structure Determines MechanismKnow each class, its examples, its solubility, and where its receptor is located. Solubility determines receptor location, which determines the entire mechanism of action.

1. Amino Acid Derivatives

Small molecules structurally similar to amino acids. Examples: epinephrine, norepinephrine, thyroid hormones (T3 and T4), melatonin. Structurally the simplest hormones.

2. Peptide Hormones

Chains of amino acids ranging from short polypeptides to small proteins. This is the largest class of hormones. Examples: ADH, oxytocin, growth hormone, prolactin, FSH, LH, TSH, ACTH, insulin, glucagon. Includes all hormones secreted by the hypothalamus, pituitary gland, heart, kidneys, thymus, digestive tract, and pancreas. Not lipid soluble—cannot cross the plasma membrane.

3. Lipid Derivatives

Steroid Hormones

Structurally similar to cholesterol. Released by reproductive organs and adrenal glands. Insoluble in water—bound to transport proteins in blood. Can diffuse through the lipid bilayer of the plasma membrane.

Eicosanoids

Derived from the 20-carbon fatty acid arachidonic acid. Include the prostaglandins. Coordinate local cellular activities and affect enzymatic processes (e.g., blood clotting) in extracellular fluids.

⚠ Solubility Rules — Exam CriticalPeptide hormones are NOT lipid soluble → receptor on plasma membrane surface → need a second messenger (e.g., cAMP). Steroid and thyroid hormones ARE lipid soluble → cross the membrane → receptor inside the cell (cytoplasm or nucleus). This single rule governs the entire mechanism of action question family.
2666
Mechanisms of Hormonal Action
Identify the general mechanisms of hormonal action.

Target Cell Sensitivity

The presence or absence of a specific receptor determines whether a cell responds. Without the receptor, the hormone is ignored regardless of concentration. Hormones alter cellular operations by changing the identities, activities, locations, or quantities of important enzymes and structural proteins.

Mechanism A — Plasma Membrane Receptors (Nonsteroidal Hormones)

Used by epinephrine, norepinephrine, peptide hormones, and eicosanoids. These bind to receptor proteins on the plasma membrane surface (outer for peptides/E/NE; inner for eicosanoids).

1
Hormone (first messenger) binds to its receptor at the membrane surface.
2
Binding activates a G protein (enzyme complex coupled to the membrane receptor).
3
Activated G protein stimulates adenylate cyclase, which converts ATP to cyclic-AMP (cAMP)—the second messenger.
4
cAMP activates kinase enzymes, which phosphorylate proteins—opening ion channels, activating or inhibiting enzymes. Net result: change in cell metabolic activity.
5
Phosphodiesterase (PDE) inactivates cAMP by converting it to AMP, keeping the effect short-lived.

Other second messengers include calcium ions and cyclic-GMP. Roughly 80 percent of prescription drugs target receptors coupled to G proteins.

Mechanism B — Intracellular Receptors (Steroid & Thyroid Hormones)

Steroid hormones diffuse through the lipid bilayer → bind to receptors in the cytoplasm or nucleus → hormone-receptor complex activates or inactivates specific genes → alters mRNA transcription rate → changes the structure or function of the cell. Example: testosterone stimulates production of enzymes and structural proteins in skeletal muscle.

Thyroid hormones cross the membrane via a transport mechanism → bind to receptors in the nucleus or on mitochondria. Nuclear binding activates genes and changes enzyme production. Mitochondrial binding increases the rate of ATP production.

Hormone Half-Life

A freely circulating hormone (not bound to a transport protein) remains functional for less than one hour—sometimes as little as two minutes. Steroid and thyroid hormones remain in circulation much longer because they are bound to transport proteins. As free hormone is removed, bound hormone releases to replace it.

2667
Control of Endocrine Organs
Communicate how endocrine organs are controlled.

Primary Mechanism: Negative Feedback

A stimulus triggers hormone production whose direct or indirect effects reduce the intensity of the original stimulus.

Three Types of Stimuli That Trigger Hormone Secretion

Humoral Stimuli

Changes in extracellular fluid composition. Example: falling blood calcium → PTH released → calcium rises → PTH stops.

Hormonal Stimuli

Changes in circulating hormone levels. One hormone triggers another. Example: hypothalamus → anterior pituitary → thyroid.

Neural Stimuli

Neurotransmitter arrives at a neuroglandular junction. Example: sympathetic nerves → adrenal medulla → epinephrine.

The Hypothalamus — Highest Level of Endocrine Control

The hypothalamus links the nervous and endocrine systems. It controls endocrine activity in three ways:

1
Acts as an endocrine organ itself. Hypothalamic neurons synthesize ADH and oxytocin, which are transported along axons to the posterior pituitary and released into the bloodstream.
2
Secretes regulatory hormones into the hypophyseal portal system. Releasing hormones (RH) stimulate anterior pituitary secretion. Inhibiting hormones (IH) prevent it.
3
Direct sympathetic innervation of the adrenal medullae via preganglionic fibers. When the sympathetic division activates, the adrenal medullae release epinephrine and norepinephrine.

The Hypophyseal Portal System

Regulatory hormones from the hypothalamus enter a capillary network near the infundibulum. These capillaries unite into portal veins that descend to the anterior pituitary and form a second capillary network. This portal system ensures all blood entering the portal vessels reaches anterior pituitary target cells before returning to general circulation—delivering regulatory hormones in concentrated form without systemic dilution.

Portal System Naming RulePortal systems are named after their DESTINATION. Hypophyseal = pituitary. The hypophyseal portal system delivers hypothalamic hormones to the anterior pituitary.
2668
Endocrine Glands, Locations, Hormones & Functions
Communicate the location, hormones, and functions of: pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pineal gland, pancreas, kidneys, heart, thymus gland, testes, ovaries, and adipose tissues.
12 Glands/Tissues — Master TableFor each: know location, specific hormones, targets, and effects. This is the largest objective in the section.

Pituitary Gland (Hypophysis)

Location: Sella turcica of the sphenoid bone; hangs beneath the hypothalamus via the infundibulum. All nine hormones are peptides using cAMP as second messenger.

LobeHormoneTargetEffect
AnteriorTSH (thyrotropin)Thyroid glandTriggers thyroid hormone release. Controlled by TRH.
AnteriorACTH (corticotropin)Adrenal cortexStimulates glucocorticoid release. Controlled by CRH.
AnteriorFSHOvaries / TestesFemales: follicle/egg development, estrogen secretion. Males: sperm maturation via nurse cells.
AnteriorLH (ICSH in males)Ovaries / TestesFemales: ovulation, corpus luteum, progestin secretion. Males: testosterone from interstitial cells.
AnteriorPRL (prolactin)Mammary glandsMammary gland development and milk production.
AnteriorGH (somatotropin)All cellsCell growth and protein synthesis. Liver releases somatomedins (IGFs). Also: glucose-sparing effect via lipid mobilization.
AnteriorMSHMelanocytesIncreases melanin production. Virtually nonfunctional in healthy adults; active in fetal development, young children, pregnant women.
PosteriorADH (vasopressin)KidneysDecreases water loss in urine; causes vasoconstriction. Released when blood osmolarity rises or blood volume/pressure falls. Inhibited by alcohol.
PosteriorOXT (oxytocin)Uterus, mammary glands; sperm duct, prostateFemales: uterine contractions during labor, milk let-down reflex. Males: smooth muscle contractions in sperm duct and prostate during emission.
⚠ Posterior Pituitary DistinctionThe posterior pituitary does NOT produce ADH or oxytocin. They are synthesized by hypothalamic neurons, transported down axons through the infundibulum, and stored in the posterior pituitary until released. It is a storage and release site only.

Thyroid Gland

Location: Anterior to trachea, just inferior to thyroid cartilage. Two lobes connected by the isthmus. Contains thyroid follicles—spheres lined by simple cuboidal epithelium with colloid storing hormones (more than a week’s supply). Requires iodine for hormone synthesis.

Cell TypeHormoneEffect
Follicular epithelial cellsThyroxine (T4) — 90% of secretions; Triiodothyronine (T3) — more potentCalorigenic effect: increases metabolic rate and oxygen consumption → more heat. Essential for normal skeletal, muscular, and nervous system development in children.
C cells (parafollicular)Calcitonin (CT)Lowers blood calcium: inhibits osteoclasts, stimulates calcium excretion by kidneys. Most important during childhood. Control is independent of hypothalamus/pituitary.

Parathyroid Glands

Location: Two tiny pairs embedded in the posterior surfaces of the thyroid gland.

Cell TypeHormoneEffect
Chief cellsParathyroid hormone (PTH)Raises blood calcium — OPPOSITE of calcitonin: stimulates osteoclasts, inhibits osteoblasts, reduces urinary calcium excretion. Also stimulates kidneys to produce calcitriol → promotes calcium absorption from digestive tract.
⚠ Calcitonin vs PTH — Direction MattersCalcitonin = released when Ca2+ is HIGH → lowers it. PTH = released when Ca2+ is LOW → raises it. Both act on bone and kidneys but in opposite directions. PTH is the dominant life-critical regulator—low calcium causes convulsions.

Adrenal Glands

Location: Yellow, pyramid-shaped glands on the superior border of each kidney. Two distinct regions:

Region / ZoneHormonesEffect
Cortex — Zona glomerulosa (outer)Mineralocorticoids (aldosterone)Retains sodium and water; promotes potassium excretion. Increases blood volume/pressure. Triggered by low Na+, low blood volume, high K+, or angiotensin II.
Cortex — Zona fasciculata (middle)Glucocorticoids (cortisol, corticosterone, cortisone)Speeds glucose synthesis and glycogen formation in liver. Skeletal muscle releases amino acids; adipose releases fatty acids. Glucose-sparing effect. Anti-inflammatory. Controlled by ACTH.
Cortex — Zona reticularis (inner)AndrogensSmall quantities; significance unclear in normal amounts.
MedullaEpinephrine (75–80%) and NorepinephrineMobilizes glycogen and fat reserves; increases glucose availability and muscle ATP; increases heart rate and force. Effects peak at 30 seconds, linger for minutes. Controlled by sympathetic innervation.
Clinical — Corticosteroids Are VitalIf adrenal glands are destroyed or removed, the individual will die unless corticosteroids are administered. These hormones affect too many metabolic processes to survive without them.

Pineal Gland

Location: Posterior portion of the roof of the third ventricle.

Melatonin — lowest during daylight, highest at night. Three proposed functions: (1) inhibits reproductive function (slows maturation of sperm, ova, reproductive organs); (2) antioxidant protecting CNS neurons from free radicals; (3) establishes circadian rhythms. Increased melatonin in winter darkness may cause seasonal affective disorder (SAD).

Pancreas

Location: J-shaped loop between stomach and proximal small intestine. Endocrine cells form pancreatic islets (islets of Langerhans)—only ~1% of all pancreatic cells.

Cell TypeHormoneReleased WhenEffect
Beta cellsInsulinBlood glucose RISESStimulates glucose transport into cells; promotes glucose utilization, amino acid absorption, protein synthesis, triglyceride synthesis, glycogen formation. Exceptions: neurons, RBCs, kidney tubule epithelium, and intestinal epithelium lack insulin receptors.
Alpha cellsGlucagonBlood glucose FALLSGlycogen → glucose (liver/muscle); fat → fatty acids (adipose); amino acids → glucose (liver). All actions raise blood glucose.

Normal blood glucose: 70–110 mg/dL. Parasympathetic stimulation enhances insulin release; sympathetic stimulation inhibits insulin and promotes glucagon.

Kidneys, Heart, Thymus, Gonads, Adipose

OrganHormone(s)TriggerEffect
KidneysEPO (erythropoietin)Low oxygen in kidney tissueStimulates red blood cell production by red bone marrow → increases blood volume and oxygen delivery.
KidneysCalcitriol (steroid)PTH; requires vitamin D3Stimulates Ca2+ and PO43− absorption from digestive tract. Vitamin D3 synthesized in skin or from diet → liver → kidneys → calcitriol.
KidneysRenin (enzyme)Declining blood volume/pressureStarts renin-angiotensin system → angiotensin II → stimulates aldosterone and ADH → restricts salt/water loss → raises blood pressure and stimulates thirst.
HeartANP (atrial natriuretic peptide)Excessive blood volume stretches right atriumOpposes angiotensin II: promotes sodium and water loss at kidneys; inhibits renin, ADH, and aldosterone. Reduces blood volume and pressure.
ThymusThymosinsOngoingDevelopment and maintenance of normal immune defenses. Max size (~40g) just before puberty; atrophies thereafter. By age 50: <12g.
Testes (interstitial cells)Androgens (testosterone)LH (ICSH) stimulationSperm production, male reproductive tract maintenance, secondary sex characteristics, protein synthesis, muscle growth, CNS development.
Testes (nurse cells)InhibinFSH stimulationInhibits FSH secretion — negative feedback maintaining normal sperm production.
Ovaries (follicle cells)Estrogens; InhibinFSH stimulationEstrogens: egg maturation, uterine lining growth, female secondary sex characteristics. Inhibin: suppresses FSH.
Ovaries (corpus luteum)Estrogens + Progestins (progesterone)After ovulationProgesterone: accelerates fertilized egg movement through uterine tubes; prepares uterus for embryo implantation; mammary gland enlargement.
Adipose tissueLeptin (peptide)After eatingBinds hypothalamic neurons → satiation, appetite suppression. Must be present for normal GnRH and gonadotropin levels — very low body fat disrupts menstruation and fertility.
2669
Hormone Interactions
Communicate how hormones interact to produce coordinated physiological responses.

Extracellular fluids contain a mixture of hormones whose concentrations change daily and hourly. When a cell receives instructions from two hormones simultaneously, four outcomes are possible:

Interaction TypeDefinitionExample
AntagonisticTwo hormones have opposing effects; net result is the balance between them.PTH vs calcitonin (blood calcium). Insulin vs glucagon (blood glucose).
Synergistic (Additive)Two hormones working together produce a result greater than either alone—sometimes greater than the sum of individual effects.GH + glucocorticoids → glucose-sparing effect greater than either hormone alone.
PermissiveOne hormone must be present for a second to produce its effects. The first does not produce the effect itself—it enables the second.Epinephrine has no apparent effect on energy consumption UNLESS thyroid hormones are present at normal concentrations.
IntegrativeTwo hormones produce different but complementary results in a tissue or organ—coordinating diverse physiological systems.Calcitriol promotes Ca2+ absorption from the gut; PTH promotes Ca2+ release from bone. Different actions, same goal: maintain calcium homeostasis.
Clinical Relevance — Leptin and FertilityLeptin must be present for normal GnRH and gonadotropin synthesis. This explains why: (1) thin girls enter puberty relatively late; (2) increasing body fat can improve fertility; (3) women stop menstruating when body fat drops very low (extreme athletes, eating disorders).
2670
Hormones Especially Important to Normal Growth
Identify the hormones that are especially important to normal growth and discuss their roles.

Normal growth requires cooperation among several endocrine organs. Six hormones are especially important:

HormoneRole in GrowthConsequence of Absence
Growth Hormone (GH)Stimulates cell growth and protein synthesis, especially in children. Supports muscular and skeletal development. Acts primarily via somatomedins (IGFs) released from the liver. In adults: maintains blood glucose and mobilizes lipid reserves.Undersecretion → pituitary dwarfism. Oversecretion before puberty → gigantism. Oversecretion after puberty → acromegaly. An adult with GH deficiency but normal thyroxine, insulin, and glucocorticoids will have no significant physiological problems.
Thyroid HormonesRequired for normal growth throughout development.Absent in first year → nervous system fails to develop normally → mental retardation (cretinism). Declining before puberty → skeletal development stops.
InsulinEnables passage of glucose and amino acids across plasma membranes. Growing cells need both fuel and building materials.Without insulin → cells cannot access nutrients → growth fails regardless of other hormone levels.
PTH and CalcitriolPromote calcium absorption for building bone matrix.Without adequate levels → bones enlarge but are poorly mineralized, weak, flexible. In children: rickets—limb bones bend under body weight.
Reproductive HormonesAndrogens and estrogens affect osteoblast activity, drive sex-specific growth spurts at puberty, and cause closure of epiphyseal cartilages (ending further height increase). Androgens stimulate protein synthesis and muscle growth in males.Sex-related differences in skeletal proportions and secondary sex characteristics arise from different target profiles of androgens vs estrogens.
2671
Endocrine Response to Stress — General Adaptation Syndrome
Communicate how the endocrine system responds to stress.
3 Sequential PhasesAll stress-causing factors—physical, emotional, environmental, metabolic—produce the SAME basic GAS pattern. Know the dominant hormones, key events, and triggers for each phase.

Definition of Stress

Any condition that threatens homeostasis: (1) physical (illness, injury); (2) emotional (depression, anxiety); (3) environmental (extreme heat/cold); (4) metabolic (acute starvation).

Phase 1 — Alarm Phase (“Fight or Flight”)

Dominant hormone: Epinephrine (adrenal medulla), driven by general sympathetic activation. Immediate, short-term response.

  • Increases mental alertness and energy use by all cells
  • Mobilizes glycogen and lipid reserves
  • Changes circulation patterns (shunts blood to active muscles, heart, brain)
  • Reduces digestive activity and urine production
  • Increases sweat gland secretion, heart rate, and respiratory rate

Phase 2 — Resistance Phase

Dominant hormones: Glucocorticoids (cortisol, corticosterone). Begins if stress lasts longer than a few hours. Lipid reserves sufficient for weeks to months.

  • Mobilizes remaining energy reserves: lipids from adipose, amino acids from skeletal muscle
  • Conserves glucose: peripheral tissues (except neural) break down lipids for energy
  • Elevates blood glucose: liver synthesizes glucose from amino acids, lipids, other carbohydrates
  • Maintains blood volume: conservation of salts and water; loss of potassium and hydrogen ions

Also involved: growth hormone, glucagon, mineralocorticoids (with ADH), and the renin-angiotensin system.

Why Glucose Is Spared for NeuronsUnder normal conditions, glucose is the ONLY energy substrate neurons can use—they cannot metabolize fatty acids or amino acids for ATP. All peripheral tissues shift to lipid catabolism to preserve glucose for neural function.

Phase 3 — Exhaustion Phase

When resistance ends, homeostatic regulation breaks down. Without immediate corrective actions, failure of one or more organ systems is fatal. Signs of collapse:

  • Exhaustion of lipid reserves
  • Cumulative structural or functional damage to vital organs
  • Inability to produce glucocorticoids
  • Failure of electrolyte balance
⚠ Dominant Hormones by PhaseAlarm = EPINEPHRINE (fast, sympathetic). Resistance = GLUCOCORTICOIDS (sustained, long-term metabolic shift). Exhaustion = no dominant hormone—the system has failed.
2672
Results of Abnormal Hormone Production
Communicate the results of abnormal hormone production or abnormal responses.

Endocrine disorders fall into two categories: inadequate hormonal effects (hyposecretion, or normal secretion but defective receptor) and excessive hormonal effects (hypersecretion, or normal secretion but hypersensitive receptor).

DisorderCauseKey Features
Diabetes InsipidusPosterior pituitary fails to release adequate ADH, OR kidneys fail to respond to ADH.Massive urine output (polyuria); constant thirst (polydipsia). Severe cases: up to 10 L/day → fatal dehydration. Urine is dilute (insipidus = tasteless).
Diabetes MellitusType 1: Inadequate insulin production (beta cells destroyed). Type 2: Normal/elevated insulin but peripheral cells no longer respond (insulin resistance).Blood glucose overwhelms kidney reabsorption → glucose in urine (glycosuria) → excessive urine (polyuria). Type 1: juvenile-onset, requires insulin therapy. Type 2: maturity-onset, associated with obesity, managed with diet/weight loss/oral agents.
AcromegalyGH overproduction AFTER puberty (epiphyseal cartilages fused).Cartilaginous areas and bone shapes enlarge. Broad facial features, enlarged lower jaw, hands, feet. Cannot grow taller.
Pituitary DwarfismGH undersecretion before puberty.Bones do not elongate normally → short stature with normal proportions.
GigantismGH oversecretion BEFORE puberty (epiphyseal cartilages still open).Bones elongate dramatically → abnormally tall stature.
CretinismThyroid hormone insufficiency in infancy.Inadequate skeletal and nervous system development; metabolic rate up to 40% below normal; mental retardation if untreated.
GoiterInadequate dietary iodine → cannot synthesize T3/T4 → TSH stimulation continues → follicles distend.Enlarged thyroid gland; can interfere with breathing and swallowing.
Addison DiseaseHyposecretion of corticosteroids (especially glucocorticoids).Cannot mobilize energy reserves or maintain blood glucose. Skin pigment changes: elevated ACTH (structurally similar to MSH) stimulates melanocytes.
Cushing DiseaseHypersecretion of glucocorticoids.Excessive lipid mobilization and redistribution: adipose accumulates in cheeks (“moon face”) and base of neck (“buffalo hump”). Protein breakdown, muscle wasting.
MyxedemaHyposecretion of thyroid hormones in adults.Subcutaneous swelling, hair loss, dry skin, low body temperature, muscle weakness, slowed reflexes.
HypogonadismAbnormally low gonadotropin production (FSH and LH).Children will not undergo sexual maturation. Adults cannot produce functional sperm or ova.
⚠ Cushing vs Addison — OppositesCushing = glucocorticoid EXCESS (moon face, buffalo hump). Addison = glucocorticoid DEFICIENCY (skin pigmentation, energy failure). Do not confuse hyper- vs hypo-.
2673
Effects of Hormones on Behavior and Aging
Describe the effects of hormones on behavior and aging.

Hormones and Behavior

Brain regions that affect behavior are sensitive to hormonal stimulation. Even normal changes in circulating hormone levels produce behavioral changes.

Precocious (premature) puberty—sex hormones produced as early as age 5 or 6: the child develops adult secondary sex characteristics AND becomes aggressive and assertive. This demonstrates that teenage behaviors attributed to peer pressure can have a direct physiological basis in sex hormones acting on the CNS.

In adults, changes in circulating hormone mixture can significantly affect intellectual capabilities, memory, learning, and emotional states.

Seasonal Affective Disorder (SAD)—increased melatonin secretion during prolonged winter darkness at high latitudes. Characterized by changes in mood, eating habits, and sleeping patterns.

Hormones and Aging

The endocrine system undergoes relatively few functional changes with age compared to other systems.

ChangeDetail
Most dramatic declineConcentration of reproductive hormones (testosterone, estrogens, progestins). Drives most age-related skeletal and reproductive changes.
Unchanged with ageTSH, thyroid hormones, ADH, PTH, prolactin, and glucocorticoids remain within normal limits.
Reduced tissue responsivenessSome tissues become less responsive to stimulation. Elderly secrete less GH and insulin after a carbohydrate-rich meal. Peripheral tissues become less responsive to glucocorticoids and ADH.
Downstream consequencesReduced GH and other tropic hormones → reductions in bone density and muscle mass (sarcopenia, osteoporosis).
2674
Functional Relationships — Endocrine and Other Systems
Communicate the functional relationships between the endocrine system and other body systems.

The endocrine system provides long-term regulation and adjustment of homeostatic mechanisms that affect all body functions. For every organ system, the endocrine system adjusts metabolic rates, substrate utilization, and regulates growth and development.

SystemEndocrine → That SystemThat System → Endocrine
IntegumentarySex hormones stimulate sebaceous glands, influence hair growth, fat distribution, and apocrine sweat glands. PRL stimulates mammary gland development. Adrenal hormones alter dermal blood flow. MSH stimulates melanocyte activity.Protects superficial endocrine organs. Epidermis synthesizes vitamin D3 (precursor to calcitriol).
SkeletalSkeletal growth regulated by GH, thyroid hormones, and reproductive hormones. Calcium mobilization regulated by PTH and calcitonin. Sex hormones speed growth at puberty, close epiphyseal cartilages, and help maintain bone mass in adults.Protects endocrine organs in brain (cranium), chest (rib cage), and pelvic cavity (pelvic girdle).
MuscularHormones adjust muscle metabolism, energy production, and growth. Regulate calcium and phosphate levels. GH and testosterone speed skeletal muscle growth.Skeletal muscles provide mechanical protection for some endocrine organs.
NervousHormones affect neural metabolism and brain development. Regulate fluid and electrolyte balance. Reproductive hormones influence CNS development and behaviors.Hypothalamus directly controls pituitary secretions and indirectly controls other endocrine organs. Controls adrenal medullae via sympathetic innervation. Secretes ADH and oxytocin.
CardiovascularEpinephrine, NE, and other hormones increase cardiac output and blood pressure. Aldosterone and ADH regulate blood volume. ANP reduces blood volume and pressure.Bloodstream distributes all hormones to their target cells. Heart produces ANP.
Lymphatic / ImmuneGlucocorticoids have anti-inflammatory effects; suppress immune responses. Thymosins develop and maintain immune defenses.Thymus is itself an endocrine organ (thymosins).
ReproductiveLH and FSH from anterior pituitary drive gonadal function. Testosterone, estrogens, and progestins govern all aspects of reproductive anatomy, function, and behavior.Testes and ovaries are endocrine organs producing androgens, estrogens, progestins, and inhibin. During pregnancy, the placenta functions as a temporary endocrine organ.
The Big PictureThe endocrine system is the body’s long-term coordinator. While the nervous system handles second-to-second crisis responses, the endocrine system maintains the metabolic environment in which every other body system operates—from how fast cells burn fuel, to how strong bones are, to whether reproduction is possible.
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