Endocrine System
The endocrine system is a complex network of glands and organs that regulate and coordinate various physiological processes in the human body. It plays a crucial role in maintaining homeostasis, which is the body's internal balance. The system primarily functions through the secretion of hormones, chemical messengers that are released into the bloodstream and act on specific target cells or organs.
Hormones are chemical messengers (alternatively called secretagogues) that are produced by endocrine glands and transported via the bloodstream to target organs or tissues, where they exert their effects by binding to specific receptors. The feedback system plays a critical role in regulating hormone secretion to maintain homeostasis in the body. The feedback system is classified as either positive or negative feedback.
The major components of the endocrine system include the hypothalamus, pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pancreas, ovaries (in females), and testes (in males). Each of these structures produces and releases specific hormones that have distinct effects on different target tissues.
The hypothalamus, located in the brain, acts as a control center for the endocrine system. It produces releasing hormones that stimulate or inhibit hormone production in the pituitary gland. The pituitary gland, often referred to as the "master gland," is divided into two parts: the anterior pituitary and the posterior pituitary. The anterior pituitary releases hormones such as growth hormone, thyroid-stimulating hormone, adrenocorticotropic hormone, follicle-stimulating hormone, luteinizing hormone, and prolactin. The posterior pituitary stores and releases antidiuretic hormone and oxytocin, which are produced by the hypothalamus.
The thyroid gland, located in the neck, produces hormones essential for regulating metabolism, growth, and development. It secretes thyroxine (T4) and triiodothyronine (T3), which influence the metabolism of every cell in the body. The parathyroid glands, four small structures located behind the thyroid gland, produce parathyroid hormone, which helps regulate calcium and phosphorus levels in the blood.
The adrenal glands, situated on top of the kidneys, secrete several hormones that are crucial for stress response, metabolism, and fluid balance. The outer region of the adrenal glands, known as the adrenal cortex, produces hormones such as cortisol, aldosterone, and androgens. The inner region, called the adrenal medulla, releases adrenaline and noradrenaline, which play a role in the body's response to stress.
The pancreas, located behind the stomach, has both endocrine and exocrine functions. The endocrine cells within the pancreas, known as the islets of Langerhans, produce hormones such as insulin and glucagon. Insulin helps lower blood sugar levels, while glucagon raises blood sugar levels, maintaining a delicate balance.
In females, the ovaries produce estrogen and progesterone, which regulate the menstrual cycle and are involved in reproduction. In males, the testes produce testosterone, which is responsible for the development of male characteristics and sperm production.
Figure 187: Major endocrine glands and hormones
Feedback
Negative feedback is the most common type of feedback system that regulates hormone secretion. In negative feedback, the hormone secretion is regulated by the opposing action of another hormone, which inhibits or decreases the secretion of the initial hormone. The goal of negative feedback is to maintain the levels of hormones within a narrow range, preventing either deficiency or excess. For example, the hypothalamus-pituitary-thyroid axis regulates the secretion of thyroid hormone. In this axis, the hypothalamus secretes thyrotropin-releasing hormone (TRH), which stimulates the pituitary gland to release thyroid-stimulating hormone (TSH). TSH, in turn, stimulates the thyroid gland to produce and secrete thyroid hormone (T3 and T4). As the levels of thyroid hormone increase, they inhibit the secretion of TSH and TRH (inhibition represented by blunt ended arrows), reducing the secretion of thyroid hormone. When the levels of thyroid hormone decrease, the negative feedback mechanism is reversed, and TSH and TRH secretion increases, leading to the production of more thyroid hormone.
Positive feedback is a less common type of feedback system that amplifies the initial hormone secretion. In positive feedback, the hormone secretion is increased in response to the initial stimulus, leading to a cascade of events that amplify the initial response. The goal of positive feedback is to rapidly increase hormone secretion to achieve a physiological response. An example of positive feedback is the menstrual cycle. In the menstrual cycle, the hypothalamus secretes gonadotropin-releasing hormone (GnRH), which stimulates the pituitary gland to release follicle-stimulating hormone (FSH) and luteinizing hormone (LH). FSH and LH stimulate the growth and maturation of ovarian follicles, leading to an increase in estrogen secretion. As estrogen levels increase, they stimulate the secretion of GnRH, FSH, and LH, leading to an increase in estrogen secretion (stimulation represented by pointed arrows). This positive feedback loop continues until a threshold level of estrogen is reached, leading to a surge of LH that triggers ovulation.
Figure 188: Positive feedback (blue, left), negative feedback (red, right)
Activation Systems
The second messenger system and the direct activation system are two different mechanisms by which cells can transmit signals and activate cellular responses using a ligand (hormone) as a stimulus.
Second Messenger System
In the second messenger system water-soluble hormones bind to a cell surface receptors, which activates an intracellular signaling pathway. The binding of the ligand to the receptor triggers the activation of a second messenger molecule, such as cyclic adenosine monophosphate (cAMP), in the cytoplasm. Second messengers can amplify the initial signal, as a single ligand-receptor complex can activate multiple second messenger molecules, also called the signal cascade, which in turn activate downstream effectors. Second messenger systems can activate multiple signaling pathways simultaneously, leading to diverse cellular responses. cAMP, calcium ions (Ca2+), inositol trisphosphate (IP3), and diacylglycerol (DAG) are some examples of second messengers.
Figure 189: Second messenger activation of water-soluble hormones, OpenStax
Direct Activation System
Direct activation involves the direct binding of a lipid-soluble hormone, like steroids, to an intracellular receptor located in the cytoplasm or nucleus of the target cell. Upon hormone binding, the hormone-receptor complex translocates into the nucleus and directly interacts with specific DNA sequences called hormone response elements (HREs). The hormone-receptor complex binding to HREs regulates the transcription of specific genes, leading to changes in mRNA synthesis and subsequent protein production. Direct activation is highly specific, as the hormone-receptor complex binds to specific DNA sequences and regulates the expression of specific genes. Steroid hormones, such as cortisol, estrogen, and testosterone, typically employ direct activation.
The second messenger system relies on the production or release of intracellular second messengers, which then transmit signals and activate cellular responses, while the direct activation system involves direct conformational bindings to initiate intracellular signaling pathways. Both systems play important roles in cell signaling and contribute to various physiological processes in the body.
Figure 190: Direct activation through lipid-soluble hormones, OpenStax
Hormone Stimulus
Hormones are released in response to different stimuli, which can be classified into three types: humoral, neural, and hormonal.
· A humoral stimulus is a type of hormone stimulus that is triggered by changes in the levels of certain ions or nutrients in the blood. The endocrine gland senses these changes and responds by releasing the appropriate hormone to maintain homeostasis. For example, the parathyroid gland releases parathyroid hormone (PTH) in response to a decrease in the levels of calcium ions in the blood. PTH acts on the bones and kidneys to increase calcium reabsorption and release, respectively, thereby restoring the calcium ion levels to normal.
· A neural stimulus is a type of hormone stimulus that is triggered by neural activity. Certain stimuli such as stress, fear, or excitement can activate the sympathetic nervous system, which in turn stimulates the release of hormones such as adrenaline and noradrenaline from the adrenal gland. These hormones increase heart rate, blood pressure, and respiratory rate, preparing the body for a "fight or flight" response.
· A hormonal stimulus is a type of hormone stimulus that is triggered by the release of other hormones. Most hormones are stimulated into action by other hormones. For example, the hypothalamus in the brain releases a hormone called corticotropin-releasing hormone (CRH) in response to stress. This hormone then stimulates the anterior pituitary gland to release adrenocorticotropic hormone (ACTH), which in turn stimulates the adrenal gland to release cortisol. Cortisol helps the body cope with stress by increasing blood sugar levels, suppressing the immune system, and mobilizing energy reserves.
The three hormone stimuli are humoral, neural, and hormonal. Humoral stimuli are triggered by changes in the levels of certain ions or nutrients in the blood, neural stimuli are triggered by neural activity, and hormonal stimuli are triggered by the release of other hormones.
Major Endocrine Glands
The major glands of the endocrine system include the pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pancreas, ovaries (in females), and testes (in males). Each gland produces and secretes specific hormones that regulate different functions in the body.
· The pituitary gland, located at the base of the brain, is often referred to as the "master gland" because it controls the activity of many other glands in the body. It produces and secretes hormones such as growth hormone, prolactin, thyroid-stimulating hormone, adrenocorticotropic hormone, follicle-stimulating hormone, and luteinizing hormone. There are two major lobes of the pituitary, the anterior lobe (adenohypophysis) and the posterior lobe (neurohypophysis).
· The thyroid gland, located in the neck, produces hormones that regulate metabolism and energy production. The parathyroid glands, located on the back of the thyroid gland, produce hormones that regulate calcium and phosphorus levels in the body.
· The adrenal glands, located on top of the kidneys, produce hormones such as adrenaline and cortisol, which regulate the body's response to stress and help maintain blood pressure and blood sugar levels.
· The pancreas produces hormones such as insulin and glucagon, which regulate blood sugar levels. Insulin helps lower blood sugar levels, while glucagon helps raise blood sugar levels.
· The ovaries in females produce estrogen and progesterone, which regulate reproductive functions and help maintain bone density. The testes in males produce testosterone, which regulates reproductive functions and helps maintain muscle mass and bone density.
The endocrine system also includes other endocrine tissues and minor endocrine glands that produce hormones, such as the hypothalamus, thymus gland, and adipose tissue.
· The hypothalamus, located in the brain, produces hormones that regulate the pituitary gland and control various bodily functions such as body temperature, hunger, and thirst.
· The thymus gland, located in the chest, produces hormones that help regulate the immune system.
· Adipose tissue, or fat cells, produce many different hormones such as leptin, which helps regulate appetite and metabolism.
· The stomach produces hormones that promote hunger called ghrelin, which is an antagonist to leptin.
The endocrine system plays a vital role in regulating various physiological functions in the body, including growth and development, metabolism, reproduction, and stress response. Hormonal imbalances or dysfunctions can lead to various health conditions such as diabetes, thyroid disorders, and infertility.
Figure 191: Major endocrine glands
Hormones
The pituitary gland is a small, pea-sized gland located at the base of the brain. It is considered the "master gland" because it controls the secretion of hormones from other glands in the body. The pituitary gland is divided into two parts: the anterior pituitary and the posterior pituitary. The anterior pituitary produces and releases several hormones, while the posterior pituitary stores and releases two hormones that are produced by the hypothalamus.
Anterior Pituitary Hormone Axes
There are seven hormones created and released from the anterior pituitary; Growth Hormone, Adrenocorticotropic Hormone, Thyroid-Stimulating Hormone, Follicle-Stimulating Hormone, Luteinizing Hormone, Prolactin, and a less understood hormone called Melanocyte-Stimulating Hormone.
Growth Hormone
Growth Hormone (GH) is controlled by the hypothalamus, specifically the release of growth hormone-releasing hormone (GHRH) and somatostatin. GH stimulates growth, cell reproduction, and regeneration in humans and animals. It also promotes protein synthesis and increases fat metabolism.
Altered levels of secretion of growth hormone (GH) can lead to distinct conditions known as pituitary dwarfism and gigantism, respectively. These conditions arise due to abnormalities in the functioning of the pituitary gland, which is responsible for producing and releasing GH.
Hyposecretion of GH, or pituitary dwarfism, occurs when the pituitary gland fails to produce sufficient amounts of GH. This deficiency typically arises during childhood and affects the individual's overall growth and development. Children with pituitary dwarfism have slower growth rates compared to their peers and generally have a short stature. However, their body proportions are usually normal, and their intelligence is not affected. Pituitary dwarfism can be caused by congenital defects, genetic mutations, damage to the pituitary gland, or certain medical conditions.
Hypersecretion of GH, or gigantism, occurs when there is an excessive production of GH during childhood, before the closure of the growth plates. This condition leads to uncontrolled and accelerated growth, resulting in an abnormally tall stature. Gigantism is often caused by a non-cancerous tumor called pituitary adenoma, which develops in the pituitary gland and stimulates the excessive production of GH. The condition is characterized by rapid growth, increased height, enlarged hands and feet, thickened facial features, and joint problems. In addition to physical changes, individuals with gigantism may also experience metabolic and cardiovascular complications.
It's important to note that when hypersecretion of GH occurs after the growth plates have closed (which happens during puberty), it leads to a different condition known as acromegaly. Acromegaly is characterized by the enlargement of certain body parts, such as the hands, feet, nose, and jaw, but it does not result in increased height like gigantism.
Figure 192: Growth hormone target tissues
Adrenocorticotropic Hormone
Adrenocorticotropic Hormone (ACTH) is produced in response to corticotropin-releasing hormone (CRH) from the hypothalamus. ACTH stimulates the cortex of the adrenal glands to produce cortisol, which is a steroid hormone that regulates the body's response to stress.
Hyposecretion and hyperexcretion of cortisol refer to the conditions where cortisol levels in the body are abnormally low or high, respectively.
Hypoexcretion of cortisol, also known as hypocortisolism or adrenal insufficiency, occurs when the adrenal glands do not produce enough cortisol. Primary adrenal insufficiency (Addison's disease): This condition arises when the adrenal glands themselves are damaged or dysfunctional, leading to reduced cortisol production. This can be caused by autoimmune disorders, infections, tumors, or genetic factors. Symptoms of Addison's disease include fatigue, weight loss, low blood pressure, darkening of the skin, and salt cravings.
Hyperexcretion of cortisol, also known as hypercortisolism or Cushing's syndrome, occurs when there is an excessive production or exposure to cortisol in the body. Adrenal Cushing's syndrome: This condition is caused by a tumor in the adrenal glands, leading to the overproduction of cortisol. The tumor can be benign (adenoma) or malignant (adrenal carcinoma). Symptoms may include weight gain, particularly around the face and abdomen, high blood pressure, muscle weakness, thinning of the skin, and mood changes.
Figure 193: ACTH target tissues, Campos-Rodríguez
Thyroid-Stimulating Hormone
Thyroid-Stimulating Hormone (TSH) is produced in response to thyrotropin-releasing hormone (TRH) from the hypothalamus. TSH stimulates the thyroid gland to produce thyroid hormones, which regulate metabolism, growth, and development.
The thyroid gland is a butterfly-shaped endocrine gland located in the neck, just below the Adam's apple. The thyroid gland plays a crucial role in regulating various metabolic processes in the body through the production of thyroid hormones.
The thyroid gland produces two major hormones: thyroxine (T4) and triiodothyronine (T3). These hormones are made from the amino acid tyrosine and contain iodine atoms. T3 and T4 are made using the combination of two precursor molecules T1 and T2. The production and secretion of these hormones are controlled by thyroid-stimulating hormone, which is produced by the pituitary gland.
· Thyroxine (T4) the most abundant thyroid hormone produced (roughly 90% of thyroid hormone) by the thyroid gland. It is synthesized and secreted by the follicular cells of the thyroid gland in response to TSH stimulation. T4 is a prohormone and must be converted to T3 before it becomes active. The conversion of T4 to T3 occurs mainly in the liver and other peripheral tissues.
· Triiodothyronine (T3) is the active form of thyroid hormone, and it is more potent than T4. T3 is also synthesized and secreted by the follicular cells of the thyroid gland, but in smaller quantities compared to T4. T3 is produced through the enzymatic removal of one iodine atom from T4. T3 is responsible for most of the metabolic effects of thyroid hormones, including increasing the basal metabolic rate, regulating body temperature, and stimulating protein synthesis.
o Regulation of Metabolism: Thyroid hormones increase the basal metabolic rate, which is the amount of energy the body needs to function at rest. They also regulate the metabolism of carbohydrates, fats, and proteins, and help in the conversion of food into energy.
o Growth and Development: Thyroid hormones are essential for normal growth and development, especially in the brain and the skeletal system. They are required for the maturation of the nervous system, and they stimulate bone growth and remodeling.
o Thermoregulation: Thyroid hormones regulate body temperature by increasing heat production and reducing heat loss.
o Cardiovascular Function: Thyroid hormones affect cardiovascular function by regulating heart rate, cardiac output, and blood pressure.
o Reproductive Function: Thyroid hormones play a role in the regulation of reproductive function, including the menstrual cycle in women and the production of sperm in men.
The thyroid gland can be affected by several disorders, including:
· Hypothyroidism: This is a condition where the thyroid gland does not produce enough thyroid hormones. Symptoms include fatigue, weight gain, cold intolerance, and dry skin.
· Hyperthyroidism: This is a condition where the thyroid gland produces too much thyroid hormone. Symptoms include weight loss, increased appetite, heat intolerance, and palpitations.
· Goiter: This is an enlargement of the thyroid gland, usually caused by a lack of iodine in the diet.
· Thyroid Cancer: This is a relatively rare type of cancer that develops in the thyroid gland. Symptoms include a lump or nodule in the neck, difficulty swallowing, and hoarseness.
The thyroid gland and its hormones play a critical role in regulating various metabolic processes in the body. Thyroid hormones affect growth and development, metabolism, thermoregulation, cardiovascular function, and reproductive function.
Figure 194: Thyroid hormone axis
Follicle-Stimulating Hormone
Follicle-Stimulating Hormone (FSH) is produced in response to gonadotropin-releasing hormone (GnRH) from the hypothalamus. In females, FSH stimulates the growth and maturation of ovarian follicles, which produce estrogen. In males, FSH stimulates the production of sperm in the testes.
Luteinizing Hormone
Luteinizing Hormone (LH) is also produced in response to GnRH from the hypothalamus. In females, LH triggers ovulation and the production of progesterone by the corpus luteum. In males, LH stimulates the production of testosterone by the testes.
Figure 195: Gonadotropic hormones (FSH and LH) and female response, Stevenson
Prolactin
Prolactin (Prl) is produced in response to prolactin-releasing hormone (PRH) and dopamine from the hypothalamus. Prl stimulates milk production in the mammary glands of lactating females. Prl also regulates both male and female libido. High levels of prolactin have been shown to cause erectile dysfunction. Prl may have many other effects that are still under investigation such as, affecting the menstrual cycle, weight gain, insulin suppressing, increased nutrient absorption during pregnancy, and many others.
Figure 196: Prolactin affects during lactation
Melanocyte-stimulating hormone
Melanocyte-stimulating hormone (MSH) is a hormone produced by the intermediate tissue between anterior and posterior pituitary glands that regulates the production of melanin, a pigment that gives color to the skin, hair, and eyes. MSH is part of the pro-opiomelanocortin (POMC) family of peptides and is derived from the same precursor molecule as adrenocorticotropic hormone (ACTH) and beta-endorphin.
Posterior Pituitary Hormones Axes
Oxytocin
Oxytocin is a hormone that is primarily produced in the hypothalamus and secreted by the posterior pituitary gland. It plays a crucial role in a variety of physiological processes in the human body, particularly in reproductive and social behavior. In this essay, we will explore the various roles of oxytocin in human anatomy and physiology. It stimulates uterine contractions during childbirth and milk ejection during breastfeeding. Oxytocin is also involved in social bonding and attachment.
· Reproductive function: Oxytocin plays a crucial role in the female reproductive system. During childbirth, oxytocin stimulates uterine contractions, which helps in the expulsion of the fetus. In males oxytocin is involved in the regulation of sperm transport.
· Milk Production: Oxytocin facilitates lactation by promoting the ejection of milk from the mammary glands. In males.
· Pair Bonding and social behavior: Oxytocin is often referred to as the "love hormone" because it plays a crucial role in social bonding and attachment. It promotes social behavior by enhancing trust, empathy, and generosity, and it helps to reduce anxiety and stress in social situations. Oxytocin also plays a role in romantic attachment by promoting bonding between partners. Oxytocin is released during physical contact and sexual climax.
· Stress and anxiety regulation: Oxytocin has been found to reduce anxiety and stress levels in humans. It does this by regulating the activity of the hypothalamic-pituitary-adrenal (HPA) axis, which is the body's stress response system. Oxytocin reduces the activity of the HPA axis by inhibiting the release of stress hormones such as cortisol.
· Cardiovascular function: Oxytocin plays a role in regulating cardiovascular function in humans. It helps to lower blood pressure and reduce the risk of heart disease. Oxytocin also has vasodilatory effects, which means that it helps to widen blood vessels, improving blood flow and reducing the risk of cardiovascular disease.
· Appetite regulation: Oxytocin plays a role in regulating appetite and food intake in humans. Studies have found that oxytocin reduces food intake by reducing the activation of the reward system in the brain. It also helps to regulate glucose metabolism, which is important for maintaining healthy body weight.
· Pain regulation: Oxytocin has been found to have pain-relieving effects in humans. It does this by reducing the perception of pain and increasing pain tolerance. Oxytocin also has anti-inflammatory effects, which can help to reduce pain and inflammation in the body.
Antidiuretic Hormone
Antidiuretic Hormone (ADH) – ADH, formally called vasopressin, is also produced by the hypothalamus and stored in the posterior pituitary. It regulates water balance in the body by decreasing urine output and increasing water reabsorption in the kidneys. ADH also constricts blood vessels, which can raise blood pressure. ADH, also known as vasopressin, originally named for affects during atrial contraction.
· Regulation of Body Fluids: One of the primary functions of ADH is to regulate the body's fluid balance. It is secreted by the hypothalamus and released into the bloodstream by the posterior pituitary gland. ADH acts on the kidneys to increase the reabsorption of water, which leads to a decrease in urine production and an increase in blood volume. This action helps to maintain the body's water balance, preventing dehydration and other imbalances.
· Blood Pressure Regulation: ADH also plays a critical role in regulating blood pressure. By increasing water retention, ADH can increase blood volume, which can lead to an increase in blood pressure. Additionally, ADH can act as a vasoconstrictor, which means it causes blood vessels to narrow, increasing peripheral resistance and blood pressure. Together, these actions help to maintain stable blood pressure levels in the body.
· Osmoregulation: ADH helps to maintain osmotic balance in the body. Osmotic balance refers to the balance of solutes (such as electrolytes) in bodily fluids. When the concentration of solutes in the body becomes too high, the body can become dehydrated. ADH helps to regulate this by increasing water retention in the kidneys, reducing urine output, and increasing blood volume.
· Stress Response: ADH plays a role in the body's response to stress. When the body is under stress, such as during exercise or in response to a stressful situation, ADH is released to help maintain blood pressure and fluid balance. This response helps to ensure that the body has the necessary resources to respond to the stressor effectively.
· Regulation of Body Temperature: ADH also plays a role in regulating body temperature. When body temperature rises, ADH is released, leading to increased water reabsorption and decreased urine output. This response helps to reduce water loss and maintain body temperature.
Other Endocrine Glands/Tissues and Hormones
Pineal Gland
The pineal gland is a small, pinecone-shaped gland located deep within the brain. It produces a hormone called melatonin. Melatonin is primarily involved in regulating the sleep-wake cycle (circadian rhythm) and promoting sleep. The production of melatonin is influenced by the amount of light exposure received by the eyes. In the absence of light, such as during nighttime, the pineal gland releases melatonin, which induces drowsiness and helps regulate the body's internal clock. In addition to its role in sleep regulation, melatonin is also thought to have antioxidant and immune-modulating properties.
Figure 197: Medial view of the brain showing pineal gland
Thyroid and Parathyroid Glands
Calcitonin is another hormone released from the thyroid and acts as an antagonist of the parathyroid hormone being released from the one to six small glands on the posterior side of the thyroid called the parathyroid.
· Calcitonin is a hormone produced by the thyroid gland that helps to lower blood calcium levels. When blood calcium levels are too high, the thyroid gland releases calcitonin into the bloodstream. Calcitonin acts on the bones, where it inhibits the activity of osteoclasts, the cells responsible for breaking down bone tissue. By inhibiting osteoclast activity, calcitonin reduces the amount of calcium that is released into the bloodstream from bone tissue. Calcitonin also enhances the uptake of calcium by the bones, further reducing the amount of calcium in the bloodstream. Additionally, calcitonin decreases calcium absorption in the gut and increases calcium excretion by the kidneys, further lowering blood calcium levels.
Figure 198: Calcium balance, OpenStax
· Parathyroid hormone (PTH) is a hormone produced by the parathyroid glands that helps to raise blood calcium levels. When blood calcium levels are too low, the parathyroid glands release PTH into the bloodstream. PTH acts on several organs to increase the amount of calcium in the bloodstream. In the bones, PTH stimulates osteoclast activity, which increases the amount of calcium released into the bloodstream from bone tissue. PTH also enhances the absorption of calcium in the gut, allowing more calcium to enter the bloodstream. Additionally, PTH decreases calcium excretion by the kidneys, further increasing blood calcium levels.
The regulation of calcitonin and PTH is tightly controlled by a negative feedback loop. When blood calcium levels are high, calcitonin is released to lower them, while PTH is inhibited. When blood calcium levels are low, PTH is released to raise them, while calcitonin is inhibited. This feedback loop ensures that blood calcium levels are kept within a narrow range to support optimal bodily functions.
Figure 199: Parathyroid function
Heart Hormones
The heart produces two important hormones known as atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP). These hormones are released by specialized cells in the atria and ventricles of the heart in response to stretching of the cardiac walls. ANP and BNP play a crucial role in regulating blood pressure and fluid balance in the body. They act by promoting the excretion of Na+ and water by the kidneys, thereby reducing blood volume and blood pressure.
Thymus Hormones
The thymus gland produces a hormone called thymosin, along with other thymic hormones. Thymosin plays a key role in the development and maturation of T-lymphocytes, which are essential for immune function. It helps in the differentiation of T-cells in the thymus and aids in their migration to other lymphatic organs, where they participate in immune responses.
Stomach Hormones
The stomach produces several hormones involved in the regulation of digestion and appetite. Some of the important hormones produced by the stomach include gastrin, ghrelin, and somatostatin.
· Gastrin stimulates the secretion of gastric acid and promotes the movement of food through the digestive tract.
· Ghrelin is known as the "hunger hormone" as it stimulates appetite and food intake.
· Somatostatin, on the other hand, inhibits the release of gastric acid and other digestive enzymes.
Adrenal Cortex Hormones
The adrenal cortex is the outermost layer of the adrenal gland, located above the kidneys. It is responsible for the production and secretion of steroid hormones. The cortex can be divided into three zones based on their anatomical and functional differences: the zona glomerulosa, zona fasciculata, and zona reticularis.
· The zona glomerulosa is the outermost layer of the adrenal cortex and is responsible for the production of mineralocorticoids, primarily aldosterone. Aldosterone plays a crucial role in the regulation of blood pressure and electrolyte balance. It acts on the distal tubules and collecting ducts of the kidneys to increase the reabsorption of Na+ ions and excretion of potassium ions. The regulation of aldosterone production is primarily controlled by the renin-angiotensin-aldosterone system (RAAS), which is activated in response to low blood pressure or low blood volume.
· The zona fasciculata is the middle layer of the adrenal cortex and is responsible for the production of glucocorticoids, primarily cortisol. Cortisol plays a role in the regulation of metabolism, immune function, and stress response. It stimulates gluconeogenesis, the process by which glucose is synthesized from non-carbohydrate sources, such as amino acids and fatty acids. It also has anti-inflammatory effects and suppresses the immune system. Cortisol production is regulated by the hypothalamic-pituitary-adrenal (HPA) axis. The hypothalamus secretes corticotropin-releasing hormone (CRH), which stimulates the anterior pituitary gland to release ACTH. ACTH then stimulates the adrenal cortex to produce cortisol.
· The zona reticularis is the innermost layer of the adrenal cortex and is responsible for the production of androgens, primarily dehydroepiandrosterone (DHEA). Androgens are male sex hormones, but they are also produced in females and play a role in the development of secondary sexual characteristics. In addition, DHEA can be converted to estrogen and testosterone in peripheral tissues. Androgen production in the adrenal cortex is regulated by ACTH from the pituitary gland, as well as by local factors within the adrenal gland itself.
Figure 200: Adrenal cortex RAAS
Adrenal Medulla Hormones
The adrenal medulla is the inner part of the adrenal glands, located on top of the kidneys. It produces hormones called catecholamines, primarily adrenaline (epinephrine) and noradrenaline (norepinephrine). These hormones are released in response to stress or danger and play a vital role in the body's "fight or flight" response. Adrenaline and noradrenaline increase heart rate, blood pressure, and blood glucose levels, preparing the body for immediate action by redirecting blood flow to vital organs, increasing energy availability, and enhancing overall alertness.
Liver Hormones
The liver is a vital organ involved in numerous metabolic processes and produces several important hormones and signaling molecules. Some of the significant hormones produced by the liver are insulin-like growth factor 1 (IGF-1) and angiotensinogen.
· IGF-1 (Insulin-Like Growth Factor) plays a crucial role in promoting growth during childhood and adolescence by stimulating cell growth and division in various tissues. It also has anabolic effects, promoting protein synthesis and tissue repair.
· Angiotensinogen is a precursor protein involved in the renin-angiotensin-aldosterone system (RAAS). Angiotensinogen is released into the bloodstream and, upon conversion by renin, leads to the production of angiotensin II. Angiotensin II is a potent vasoconstrictor that raises blood pressure and stimulates the release of aldosterone from the adrenal glands. Aldosterone, in turn, promotes Na+ reabsorption and potassium excretion in the kidneys, helping to regulate blood pressure and electrolyte balance.
Kidney Hormones
The kidneys produce various hormones involved in the regulation of blood pressure, red blood cell production, and calcium metabolism. The most well-known kidney hormones are erythropoietin (EPO), renin, and calcitriol.
· Erythropoietin stimulates the production of red blood cells in the bone marrow, playing a crucial role in maintaining adequate oxygen-carrying capacity.
· Renin is involved in regulating blood pressure by initiating a series of hormonal reactions known as the renin-angiotensin-aldosterone system (RAAS).
· Calcitriol is the active form of vitamin D and helps regulate calcium and phosphate levels in the body.
Pancreas Hormones
The pancreas produces several hormones involved in the regulation of blood glucose levels. The main hormones produced by the pancreas are insulin and glucagon.
· Insulin is released by beta cells and helps lower blood glucose levels by facilitating the uptake of glucose into cells, promoting its storage as glycogen in the liver and muscles, and inhibiting the release of glucose from the liver.
· Glucagon, produced by alpha cells, has the opposite effect and increases blood glucose levels by stimulating the breakdown of glycogen into glucose and promoting glucose production in the liver.
Adipose Hormones
Adipose tissue, which is primarily responsible for storing energy in the form of fat, produces many hormones called adipokines. Some notable adipokines include leptin, adiponectin, and resistin.
· Leptin acts on the hypothalamus to regulate appetite and energy expenditure, providing feedback on energy stores in the body.
· Adiponectin plays a role in insulin sensitivity, lipid metabolism, and anti-inflammatory processes.
· Resistin, though its exact function is still being studied, is thought to be involved in insulin resistance and inflammation.
Sex Hormones
Apart from estrogen and progesterone in females and testosterone in males, it's important to note that both males and females produce small amounts of the opposite sex hormones. For instance, females produce small amounts of testosterone in the ovaries, while males produce small amounts of estrogen in the testes. These hormones contribute to various aspects of overall health and functioning in both sexes.
Ovaries Hormones
The ovaries are the female reproductive organs responsible for producing eggs and releasing hormones involved in the menstrual cycle and pregnancy. The two main hormones produced by the ovaries are estrogen and progesterone.
· The ovaries produce estrogen, primarily in the form of estradiol. Estrogen plays a crucial role in the development and maintenance of female reproductive structures, such as the uterus, fallopian tubes, and breasts. It also promotes the growth and maturation of ovarian follicles, which are structures that contain developing eggs. Additionally, estrogen influences secondary sexual characteristics, such as breast development, body shape, and the growth of pubic and underarm hair.
· Progesterone is mainly produced by the ovaries after ovulation. Its primary function is to prepare the uterus for pregnancy and support early pregnancy if fertilization occurs. Progesterone helps to thicken and maintain the uterine lining, making it suitable for implantation of a fertilized egg. If pregnancy does not occur, progesterone levels drop, leading to the shedding of the uterine lining during menstruation.
Testes Hormones
The testes are the male reproductive organs responsible for sperm production and the synthesis of male sex hormones known as androgens, with testosterone being the most important androgen.
Testosterone is produced by specialized cells called Leydig cells within the testes. It plays a crucial role in the development and maintenance of male reproductive tissues, including the testes, prostate gland, and seminal vesicles. Testosterone is responsible for the development of secondary sexual characteristics in males, such as facial and body hair growth, deepening of the voice, and muscle mass development. It also plays a role in regulating libido (sex drive) and sperm production.
Overview
The endocrine system is a complex network of glands and organs that produce and secrete hormones, which regulate various physiological functions in the body. Hormones act as chemical messengers, transported through the bloodstream to target cells and tissues where they bind to specific receptors and trigger a response. Hormone secretion is regulated by feedback mechanisms, which can be either negative or positive.
Negative feedback is the most common type of feedback system in hormone regulation. It involves the opposing action of another hormone that inhibits or decreases the secretion of the initial hormone. This mechanism aims to maintain hormone levels within a narrow range to prevent deficiency or excess. An example of negative feedback is the hypothalamus-pituitary-thyroid axis, where the hypothalamus secretes thyrotropin-releasing hormone (TRH) to stimulate the pituitary gland to release thyroid-stimulating hormone (TSH). TSH then stimulates the thyroid gland to produce and secrete thyroid hormone (T3 and T4). As the levels of thyroid hormone increase, they inhibit the secretion of TSH and TRH, reducing the secretion of thyroid hormone. When the levels of thyroid hormone decrease, the negative feedback mechanism is reversed, leading to increased TSH and TRH secretion and more production of thyroid hormone.
Positive feedback is a less common type of feedback system that amplifies the initial hormone secretion. It involves an increase in hormone secretion in response to the initial stimulus, leading to a cascade of events that amplify the initial response. Positive feedback aims to rapidly increase hormone secretion to achieve a physiological response. An example of positive feedback is the menstrual cycle, where the hypothalamus secretes gonadotropin-releasing hormone (GnRH) to stimulate the pituitary gland to release follicle-stimulating hormone (FSH) and luteinizing hormone (LH). FSH and LH stimulate the growth and maturation of ovarian follicles, leading to an increase in estrogen secretion. As estrogen levels increase, they stimulate the secretion of GnRH, FSH, and LH, further increasing estrogen secretion. This positive feedback loop continues until a threshold level of estrogen is reached, triggering ovulation.
Hormones are released in response to different stimuli: humoral, neural, and hormonal. Humoral stimuli are triggered by changes in the levels of certain ions or nutrients in the blood. Neural stimuli are triggered by neural activity, such as stress or excitement, activating the sympathetic nervous system and leading to hormone release. Hormonal stimuli occur when the release of one hormone stimulates the release of another hormone. For example, the hypothalamus releases corticotropin-releasing hormone (CRH) in response to stress, which stimulates the anterior pituitary gland to release adrenocorticotropic hormone (ACTH), triggering the release of cortisol from the adrenal glands.
The major endocrine glands include the pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pancreas, ovaries (in females), and testes (in males). Each gland produces and secretes specific hormones that regulate different functions in the body. The pituitary gland, often referred to as the "master gland," controls the activity of other glands and produces hormones such as growth hormone, adrenocorticotropic hormone, thyroid-stimulating hormone, follicle-stimulating hormone, luteinizing hormone, and prolactin. The thyroid gland produces hormones that regulate metabolism, while the adrenal glands produce hormones that regulate the body's response to stress. The pancreas produces insulin and glucagon to regulate blood sugar levels. The ovaries produce estrogen and progesterone in females, while the testes produce testosterone in males.