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*started here on 03/01/11 at 11AM.
*started here on 03/01/11 at 11AM.
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==Endocrine control mechanisms==
==Endocrine control mechanisms==
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**Used to say: small size but we don't use this any more b/c of gut and adipose, etc.
**Used to say: small size but we don't use this any more b/c of gut and adipose, etc.
*This list is true, but there are some organs that are composite so they may have additional features (like the pancreas has ducts b/c it has another fxn).
*This list is true, but there are some organs that are composite so they may have additional features (like the pancreas has ducts b/c it has another fxn).
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===Endocrine map===
===Endocrine map===
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**Amines, peptides, and proteins travel free
**Amines, peptides, and proteins travel free
**Steroids, and thryoid hormones travel bound
**Steroids, and thryoid hormones travel bound
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***This makes sense because steroids and thyroids are structurally very similar.
 
*There are exceptions:
*There are exceptions:
**Insulin like growth factors are proteins but have specific binding proteins.
**Insulin like growth factors are proteins but have specific binding proteins.
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===Peripheral transformation===
===Peripheral transformation===
*Most of the thyroid production is T4, but the active molecule is T3.
*Most of the thyroid production is T4, but the active molecule is T3.
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**So one of the iodides must get ripped off to make it active.
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**So one of the iodines must get ripped off to make it active.
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*Testosterone is active
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*TEstosterone is active
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**Can be converted to dihydrotest via '''5 alpha reductase''' that has separate, important roles (DHT).
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**Can be converted to dihydrotest via 5 alpha reductase that has separate, important roles (DHT).
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*DHT associated with male pattern baldness
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*DHT associated with Male pattern baldness
**Propecia converts test to dht
**Propecia converts test to dht
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**Bad for pregnant women: ambiguous genitalia, and dev issues for female baby
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**Bad for pregnant women: ambiguous genitalia, and dev issues for male baby
===Endocrine diseases===
===Endocrine diseases===
*Causes:
*Causes:
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**Lack of hromones (enzyme or gene missing)
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**Lack of hromones (enzyme or gen missing)
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**Lack of receptor
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**lack of receptor
**Too much hormone
**Too much hormone
**Lack of control mechanism
**Lack of control mechanism
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===Endocrine control systems===
===Endocrine control systems===
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*Hypothalamus -> TRH -> ant pit (thyrotrope) -> TSH -> thyroid (follicular cells) -> t3, t4 -> repress TSH release at the ant pit (thyrotropes).
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*Ant pit -> tsh -> thyroid -> t3, t4 -> repress tsh release at the ant pit.
**Neg feedback
**Neg feedback
*Suckling at nipple -> neuro signal -> brain -> post pit -> oxytocin -> milk ejecation at breast -> more suckling
*Suckling at nipple -> neuro signal -> brain -> post pit -> oxytocin -> milk ejecation at breast -> more suckling
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*Second ab can bring in radioactivity or color or enzyme
*Second ab can bring in radioactivity or color or enzyme
*These diagnostics are highly automated.
*These diagnostics are highly automated.
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*'''The sandwhich assay can asses biological functioning levels of the signal.'''
 
===Assays in diagnostic medicine - problems===
===Assays in diagnostic medicine - problems===
*Assays may not be comparable across locations b/c of different protocols, storage methods, biological variability, temporal differences in hormone production.
*Assays may not be comparable across locations b/c of different protocols, storage methods, biological variability, temporal differences in hormone production.
*Pharma can change them, too, via contraception, etc.
*Pharma can change them, too, via contraception, etc.
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*Arginine can cause a child to dump the pit's reservoir of growth homrone, but even that response is variable among people.
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*Arginin can cause a child to dump the pit's reservoir of growth homrone, but even that response is variable among people.
==Pituitary gland==
==Pituitary gland==
*Controls: growth, metabolism, reproduction, stress response, lactation
*Controls: growth, metabolism, reproduction, stress response, lactation
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*Used to be called the master gland
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*Used to be called the mastergland
**Not really true b/c brain regulates the pit
**Not really true b/c brain regulates the pit
**But the pit does control many other organs
**But the pit does control many other organs
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===DEvelopment===
===DEvelopment===
*Many pit diseases have their origin in dysfunctional development.
*Many pit diseases have their origin in dysfunctional development.
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*The pit is a composite gland
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*The pit is a composit gland
**Comes from the developing ventral brain
**Comes from the developing ventral brain
**Comes from the rahke's pouch in the roof of the developing mouth
**Comes from the rahke's pouch in the roof of the developing mouth
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*The pituitary gland has two origins (oral ectoderm and neuoectoderm)
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*Two origins: both ectodermal
*Oral ectoderm
*Oral ectoderm
**Generates the adenohypophysis
**Generates the adenohypophysis
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**Forms three sections:
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**Forms two sections:
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***pars tuberalis  
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**pars tuberalis  
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***pars distalis (anterior lobe) and  
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**pars distalis (anterior lobe) and  
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***pars intermedia (intermediate lobe)
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**pars intermedia (intermediate lobe)
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****Very small in humans
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***Very small in humans
*Neurohypophysis
*Neurohypophysis
**Three parts:
**Three parts:
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*Any cell that makes one of these have names
*Any cell that makes one of these have names
*GH
*GH
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**
*PRL
*PRL
*ACTH
*ACTH
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*stopped here on 03/01/11 at 12PM.
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*stopped here on 03/01/11 at 12PM
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*started here on 03/02/11 at 11AM.
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*He skipped some slides on vasopressin and such.
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===Diagnosis of endocrine diseases===
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*Have to look for the signals in the pathway axis.
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*Determine what is high or low and what receptors are present or not.
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*Look at the results (short stature, etc.) and work through the pathway.
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===Treatment of endocrine diseases===
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*Ask yourself if the hormone or receptor can be bypassed by intervening downstream.
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*If the final receptor is missing then you're in a tough place.
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===Post-pit associated diseases===
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====Diabetes insipidus====
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*This is a disease of lack of action.
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*When vasopressin doesn't work at the kidney, you get diabetes insipidus.
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*Increased thirst (polydipsia) and urination (polyuria).
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*Central DI: mutated gene so hormone isn't made.
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**Tx with pills or nasal sprays to replace the AVP.
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*Peripheral DI: mutation in receptor or a problem with aquaporin such that kidney doesn't work
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**Give drug that increases kidney tubule sensitivity to AVP
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**Harder to treat than central DI.
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====Syndrome of inappropriate ADH secretion (SIADH)====
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*Over secretion of ADH
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*Can be caused by anaesthetics, drugs, tumors, smoking.
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*Can be mild to severe
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**Severe -> coma and death
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*Tx:
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**Mild: control water intake
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**severe: kill some kidney function and thus induce the opposite disease
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***This is a common trend in endocrine disorders: fix one extreme by making the pt in the other extreme (which can be treated)
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*Moved on to [[Adrenal gland]] on 03/02/11 at 11:11AM.
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