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Mahira Amirova
Associate Professor of Biochemistry Department.
Azerbaijan Medical State University
Year 2020
HORMONES
Classification of hormones by
structure
Detailed classification
Eucosanoids, cytokines
, TSH
Hormone-like substances:
, TSH
OPTIONS OF HORMONAL ACTION:Endocrine,
paracrine, autocrine action
Neurocrine action THROUGH
ENDORPHINES, ENCEPHALINES
Endorphins and encefalins
Positive and negative feed-back
mechanism of hormonal regulation
Positive freed-
back
Negative
feed-back
CONNECTION BETWEEN THE GLANDS:
SYNERGISM of hormones
Adrenalin
and
glucagon
are also
synergists
ANTAGONISM OF HORMONES
3.3-5.5 Mmol/L
ANTAGONISM of insulin and other
hormones
Insulin is the only
hormone lowering glucose
in the blood
CALCITRIOL, GC, ANDROGENS, ESTROGENS,
HESTAGENS act through cellular receptor
Distinction between water- and fat-soluble hormones mechanism of action
Membrane, membrane-intracellular, cytosolic
(intracellular) mechanism of action
Membrane-intracellular mechanism of
action
Membrane-intracellular mechanism
cAMP
Adenylate
cyclase
STEROID HORMONES ACTION
Steroid hormones affect transcription
and translation
Phosphodiesterase
ADENYLATE CYCLASE SYSTEM comprises 3 enzymes:
Adenylate cyclase, Proteinkinase A, Phosphodiestarase
1
2
3
Formation and breakdown of cAMP
3’5’-cAMP formation from ATP
cAMP
Adenylate
cyclase
PROTEINKINASE OF ADENYLATE-CYCLASE
SYSTEM
A
(adrenalin,
glucagon)
GUANYLATE-CYCLASE
GUANYLATE-CYCLASE
NO is formed from arginin and
stimulates cGMP formation
Statins and liberins
Releasing-hormones
(liberins)
Statins
Hormones of hypothalamus
Thalamic hormones
Melanoliberine
Melanostatine
Prolactoliberine
Prolactostatine
Thyroliberin
Gonadoliberin
Somatoliberin
Corticoliberin
ADH- VASOPRESSIN from neurohypophysis
affects collecting duct
VASOPRESSIN HYPERSECRETION
• PARHON syndrome leads to oedema, which
decreases electrolytes concentration in the
blood.
*Loose of feeling of thirst developes
*Urine density rises, urine becomes thick
VASOPRESSIN HYPOSECREHION
• At DIABETES INSIPIDUS urine density falls
below 1.008-1.001
*Diuresis icreases: hypostenuric polyuria
occurs.
*Blood osmotic pressure rises. It leads to
thirst and polydipsia.
Raises lipolysis, uptake of glucose and
β-cell regeneration
MSH. Lipotropin activates TAG-LIPASE
PANHYPOPITUITARISM: (total) pituitary-cerebral
cachexia: STH and GH
Pituitary cachexia
• Completely loss of
subcutaneous fat
GH stimulates the growth and development of
cells, tissues. Gigantism and dwarfism
Raise of GH after puberty.
Acromegaly: an enlargement of body parts
•
Lips gums tounge
The brow ridges, cheekbones, lower jaw, feet and hand increase in
size. Since the skeleton formation and bones calcification is over,
bones are strong and do not grow, therefore GH enlarges soft tissues,
Acromegaly
• enlargement of brush
• Diastema of
teeth: teeth
detach
from each other
Stress stimulates cortisol secretion
In the adrenal gland, mainly MR and
GC are produced
Cushing disease (ACTH raises)
Hyperpigmentation in Cushing disease
(cortisol raises)
Glucocorticoids (GC) affect muscle,
bone tissues on the gene level
EFFECTS OF Corticosteroids (mainly
GLUCOCORTICOIDS)
the extremities
In the torso (trunk)
cortisol
gluconeogenesis
MR
MR stimulates Na+ retention in the blood and K+ secretion into urine
HYPERALDOSTERONISM
Addison disease (Hypoaldesteronism)
: hyperpigmentation on gums
Hyposecretion of MC stimulates ACTH
secretiion
norm
atrophic
(Adrenalin)
(Noradrenalin)
Fight or flight
Vanillyl-mandelic acid is a last product of catecholamines
methabolism discharged with the urine
( )
EPIPHYSIS regulates circadian, daily rhythms and
adapts the body to the intensity of light
Melatonin is made from serotonin. It is
an antagonist of pituitary hormones
In the epiphysis are prodused:
• *SEROTONIN- synthesised from tryptophan, it is
5-hydroxytryptamine. Constricts arterioles and
rises BP. Promotes sensitivity to kinin-dependent
pain. Stimulates secretion of vasopressin into the
blood and causes antidiuretic effect.
*MELATONIN- darkness increases its synthesis,
while light reduces.
*ADRENOGLOMERULOTROPIN- stimulates
aldosteron secretion
*ANTY-HYPOTHALAMIC PEPTIDE
HYPERPINEALISM causes a
temporary inhibitory effect on
the pituitary and hypothalamus
HYPOPINEALISM in children:
*mental development is lagging
behind
*the limbs are short, the body is
relatively long
*the muscles are overdeveloped
located in front of the trachea
(larynx), behind the lungs
Thymosterin
Thymosin stimulates differentiation of
stem cells to T-helpers, T-killers etc.
Thymulin action
Congenital aplasia of thymus - Di-
George disease
The loss of cell or humoral immunitet is
observed in hypo- and aplasia of thymus, cleft
nose and palate are just visible signs of illness
Synthesis of thyroid hormones occurs
in 4 steps:
1) iodine activation
2)Production of MIT and DIT
3) synthesis of T3 or T4
4) secretion
TSH rises:
- iodine penetration into thyrocytes,
- iodization of tyrosine
- secretion of Thyroxine
4 steps of synthesis
Bloodstream
Graves disease: 1) Goiter (enlargement of thyroid
glands), 2)exophtalmos (protruding, bulging eyes
coming out of orbits), 3) palpitation – 3 main
signs. Temperature raises and patient is losing
weight
Mixoedema – hypothyroidism in adults:
swollen face (broad and puffy) and hands
They have a hoarse voice,
because their vocal cord glycoproteins are not updated.
ATP levels lowers along with temperature,
IN MYXOEDEMA:
• Temperature reduced as a result of basal
methabolism decrease
*Bradycardia occurs
*Subcutaneous adipose tissue accrues
*Absorption of glucose in intestine falls and
hypoglycemia occur.
* Catabolism of amino acids increased as they
supply energy instead of glucose
A CONGENITAL HYPOTHYROIDISM
slanting eyes
PRE-PROCALCITONIN - Calcitonin
PRE-PROPARATHYROID hormone PTH
Function of
bone destruction
HYPER-PARATHYROIDISM and
HYPOPARATHYROIDISM
When HYPER-PARATHYROIDISM , FIBROUS
OSTEO-CHONDRO-DYSTROPHY (
fragility of bones, fractures, false joints) occurs
When HYPOPARATHYROIDISM, SPASMOPHILIA
(LARYNGISM, ASPHYXIA) OCCURs IN the
CHILDREN.
Ca in blood decreases, but phosphates
increase.
Main hormones of pancreas
Insulin action on liver, fat and muscle
tissues
insulin - glucagon
After food intake
To set point (3.3-5.5)
When glucose
levels in the blood
fall below set
point,
And glucose levels raise to set
point
Diabetes type I and II
IDDM and IIDM
Insulin
receptors are
damaged
Ag connected with pancreas may destroy it and
cause IDDM- insulin dependent diabetes
mellitus
Ig
Ag
Some reasons of
LOW MOLECULAR WEIGHT PROTEINS
OF IMMUNE SYSTEM -CYTOKINES
DEPENDING ON THE TYPE OF CELLS,
produced in, CYTOKINES SORT INTO:
INTERLEUKINS (IL):
-proinflammatory
-anty-inflammatory
-regulators of cellular and humoral immunity
MONOKINEs
CHEMOKINES
INTERFERONS
colony-stimulating factors
Ag activated Interleukin formation
DEPENDING ON GROWTH STIMULATED CELLS,
CYTOKINES (colony-stimulating factors) SORT INTO:
• GRANULOCYTES CSF (stimulate neutrophils
growth)
*MONOCYTES CSF (stimulate macrofags)
*GRANULOCYTE-MONOCYTIC CSF
*ERYTHROPOETIN
*THROMBOPOETIN
THE MOST EFFECTIVE IS
α-INTERFERON
TUMOR NECROSIS FACTOR -TNF
SYNTHESIS OF EUCOSANOIDS
z

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