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ENDOCRINE SYSTEM
Ms. Sapna
Assistant professor
Pharmacology
CONTENTS
I. GLANDS
II. EXOCRINE GLANDS
III.ENDOCRINE GLANDS
IV.HETEROCRINE GLANDS
V. HORMONES:
VI.ANTERIOR PITUITARY
VII.INTERMEDIATE LOBE
VIII.POSTERIOR PITUITARY:
IX.PANCREAS
GLANDS:
An organ which secretes
particular chemical
substances for use in the
body or for discharge into
the surroundings.
There are three types
of glands in our body:
 Endocrine glands
 Exocrine glands
 Heterocrine glands
EXOCRINE
GLANDS
Exocrine glands are glands that secrete
their products into ducts
EXAMPLE:
 Sweat glands
 Salivary glands
 Mammary glands
 Stomach
 Liver
ENDOCRINE GLANDS
Glands that secrete their product (hormones)
directly into the blood rather than through a
duct
EXAMPLE:
 Pituitary gland
 Pancreas
 Thyroid gland
 Adrenal glands
HETEROCRINE
GLANDS
These are glands that perform both exocrine
and endocrine functions. For example
pancreas
ENDOCRINE
SYSTEM
Consists of glands and
Group of capillaries
which
Facilitates diffusion of
hormones to
Bloodstream
They are commonly referred as
the ductless glands, because
the hormones secreted directly
into bloodstream
Endocrine system
continue…
It consists of a number of
glands:
Pituitary gland
Thyroid gland
Parathyroid gland
Adrenal gland
Pancreases
Thymus gland
PITUITARY
GLAND:
pituitary gland
continue…
The pituitary gland consists of:
1. Adenohyphophysis: - Anterior lobe. It is influenced by
hormones which come from the hypothalamus.
2. Neurohypophysis: - Posterior lobe. It is influenced by
neurons which convey hormones directly from
hypothalamic nuclei for storage of posterior lobe
HORMONES:
Anterior lobe:
Growth hormone (GH)
Prolactin
Thyroid stimulating hormone (TSH)
Adrenocorticotrophic hormone
(ACTH)
Follicle stimulating hormone (FSH)
Luteinizing hormone
(LH) Intermediate lobe:
 A and B melanocyte stimulating
hormone
Posterior lobe:
1. Vasopressin (ADH)
ANTERIOR
PITUITARY
GROWTH HORMONE (GH):
Action of growth hormone
1. Stimulating of growth of bones, cartilage and
connective tissue:
Somatomedins are
synthesized in the liver, in
response to stimulation by
the GH
The effects of GH on
skeletal growth are
mediated by
somatomedins
action of GH
continue…
2. Effect on Protein and Mineral
Metabolism:
On protein metabolism: GH is protein
anabolic hormone.
On mineral metabolism:
 Increase calcium
absorption from GIT
 Decrease sodium,
potassium, calcium and
phosphorous
excretion from kidney
action of GH
continue…
3. Effect on carbohydrate and fat
metabolism:
On carbohydrate-
GH is diabetogenic,
because it produce
hyperglycemia
On fat metabolism-
GH has catabolic effect
i.e. Increases
mobilization of fats from
CONTROL OF GROWTH HORMONE
The releaseof GH is primary under the control of two
hypothalamic hormones:
 GH releasing hormone
GH inhibiting
hormone Stimuli
increases GH
Secretions by stimulating GHRH
release. E.g. during
exercise and stress
Stimulidecrease GH secretion by release
of GHIH also called
Somatostatin
DISEASES RELATED TO GROWTH
HORMONE
1. Gigantism: It is due to overproduction
of GH
during
adolescence.
It is characterized:
Tallstature
Large hand and feet.
diseases
continue…
Acromegaly: It is due excessive
secretion of GH during
adulthood
It is characterized by:
 Broad, thick nose
 Thickening of the skin
 Prominent brow
 Pronathism: elongation
and widening of the
mandible
diseases
continue…
3. Dwarfism: Deficiency of GH
secretion.
 Shortness of stature
 Small genitalia
 Delicate extremities.
Hormones of anterior pituitary
continue…
2. Prolactin:
Actions of prolactin:
Prolactin plays an
important role in the
development of the
mammary gland and
in milk synthesis.
prolactin
continue…
Control of prolactin
secretion:
A. Stimulating factors:
They act via
stimulating Prolactin
releasing factor.
e.g. Exercise,
emotional stress,
pregnancy and
continue
…
B. Inhibitory factors:
which is released by
the hypothalamus
inhibits prolactin
secretion from the
anterior pituitary
Dopamine may be the
main prolactin inhibiting
factor.
Hormones of anterior pituitary
continue…
3.Thyroid-stimulating hormone(TSH)
:
It stimulates the thyroid gland to
produce:
 Thyroxin (T4), and
 Triiodothyronine (T3)
Hormones of anterior pituitary
continue…
4. ADRENOCORTICOTROPHIC
HORMONE(ACTH):
It is secreted by the anterior pituitary
gland.
It is often
produced in
response to
biological stress.
Its principal
effects are
increased
production and
Hormones of anterior pituitary
continue…
5. FOLLICLE STIMULATING
HORMONE(FSH):
 It is synthesized and
secreted by anterior
pituitary gland
 FSH regulates the
development, growth,
pubertal maturation and
reproductive processes
of the body
Hormones of anterior pituitary
continue…
6. LUTEINIZING HORMONE(LH):
 It is a hormone produced by the anterior
pituitary gland.
 In females, an acute rise of
LH triggers ovulation and
development of
the corpus luteum
 In males, it stimulates
the production of
testosterone
INTERMEDIATE
LOBE
intermediate lobe
continue…
HORMONES OF INTERMEDIATE
LOBE:
It secretes:
 α melanocyte stimulating hormone
 β melanocyte stimulating hormone
Function:
They stimulate the production
of melanin by melanocytes
in skin and hair
 MSH signals to the brain have
effects on appetite.
POSTERIOR
PITUITARY:
HORMONES OF POSTERIOR
PITUITARY:
A. Anti-diuretic hormone (ADH)
/vasopressin:
 It is a hypothalamic hormone synthesized in
the cells of the supra optic nucleus
 ADH is stored in the posterior pituitary
ADH
continue…
Functions of ADH:
Its two primary functions-
 To retain water in the
body
 To constrict blood
vessel.
DISEASES RELATED TO ADH:
 Diabetes Insipidus:
It is a condition characterized
by-
 Excessive thirst
 Excretion of large
amounts of severely
diluted urine
diseases
continue…
 Polyuria:
It is the excessive or
abnormally large production
of urine
(at least 2.5 or 3L /in adults)
Hormones of posterior pituitary
continue…
B. OXYTOCIN: -
 Oxytocin is synthesized in the
hypothalamus
 Stored in the posterior lobe of pituitary
gland
oxytocin
continue…
Action of oxytocin:
 Oxytocin stimulates contraction of
mammary gland to produce milk.
 Stimulate
contraction of the
smooth muscles of
the uterus
THYROID
GLAND
Each lobe is about 5cm long, 3cm wide and 2cmthick.
The thyroid gland is a butterfly-shaped organ.
The thyroid gland is found in the neck, below the thyroid cartilage
(which forms “Adam’s apple”).
It secretes throxine hormone also called T4
The thyroid also produces calcitonin, which plays arole in calcium
homeostasis.
Thyroid gland
continue…
ANATOMY OF THE THYROID GLAND: -
 The thyroid gland is situated in the neck in
front of the larynx and trachea
 It weighs about 25g
 It looks like butterfly in shape
 Consisting of two lobes
 The lobes are
joined by a
narrow isthmus
THYROID
HORMONES
 Triiodothyronine (T3):
It affects almost every physiological process in the
body:
 Growth and development,
 Metabolism,
 Body temperature, and
 Heart rate
 Thyroxin (T4):
 Controls development and maturation
 Excess thyroxin results rapid development
 Deficiency of thyroxin results in delayed
development
hormones
continue…
 Calcitonin: It is a hormone secreted by the C
cells of the thyroid gland
Its main actions are :
 to increase bone calcium
 to decrease blood
calcium levels
Calcitonin opposes the effects of parathyroid
hormone, which acts to increase the blood
level of calcium.
Thyroid gland
continue…
Thyroid is not
absolutely essential
for life,
but its removal in adults leads
to :
 Poor resistance to cold
 Mental and physical slowing.
and in children’s:
 Mental retardation
 Dwarfism
REGULATION OF THYROID
SECRETION
Thyroid stimulating hormone (TSH) controls the
regulation of thyroid hormones.
The release of TSH by
the anterior lobe of the
pituitary,
is regulated by the
hypothalamus via negative
feedback mechanism.
It is a reaction that causes a decrease
in function. It occurs in
response to some kind of
stimulus.
DISEASES RELATED TO THYROID
GLAND
1. GOITER: -
Any enlargement of the thyroid gland is called
goiter Caused by iodine deficiency.
Characteristic features: -
Swelling in the neck
Breathing difficulties
Cough
Hoarseness
Swallowing difficulties
diseases
continue…
2. HYPOTHYROIDISM: -
It is the condition resulting from reduced circulating levels
of T3 and T4.
Characteristic features: -
Goiter
Puffiness of face with
Periorbital swelling
Loss of scalp hairs
Ptosis, i.e., drooping
of upper eyelid.
Dry, thickened, rough and yellow skin
diseases
continue…
3. HYPERTHYROIDISM/GRAVES DISEASE: -
It is the condition resulting from increased circulating
level of T3 and T4
Characteristic features: -
Moderate
enlargement of
thyroid gland
Exophthalmos(Lid retraction)
PARATHYROID
GLANDS
 In humans there
are 4 parathyroid
glands
 Parathyroid glands
are
essential for life,
as their removal can
cause death from
asphyxia
FUNCTION OF PARATHYROID
HORMONE
 Parathyroid glands contains chief cells which
secrete
parathyroid hormone.
 The main function
of parathyroid
hormone is to
increase the blood
calcium level
DISEASES RELATED TO PARATHYROID
GLAND
1.RICKETS:
 It is a disease
characterized mainly by
bone deformities in
young children’s
 The disease of children
sets
in about 6th month of life
Characteristic features: -
 Deformed bones
 Thick wrist and ankles
 Retarded growth
diseases
continue…
2. OSTEOMALACIA: -
This is due to
inadequate absorption
of calcium
due to deficiency of Vitamin
D and Calcium in the diet
The disease is limited to
females, usually appears after
multiple
pregnancies and lactation.
diseases continue…
• 3. HYPERPARATHYROIDISM: -
• Excessive secretion of parathyroid hormone.
• Characteristic features: -
 Formation of renal calculi
 Polyuria
 Polydipsia
 Anorexia
 Muscle weakness
 General fatigue
 Calcification of soft tissue
PANCREAS
ANATOMY OF
PANCREASES
There are approximately 0.5 to 1.5 million Islets of
Langerhans There are four types of cells:
70-80% beta- cells secrete Insulin
15-20%, alpha –cells secrete Glucagon
1-8% delta- cells secrete
Somatostatin and gastrin
1-2% f- cells. These cells secrete
pancreatic polypeptide which
decreases the absorption of food
from the GIT
PANCREATIC
HORMONES
1. INSULIN:
Actions:
 On carbohydrate metabolism:
 Insulin increases the
glucose entry into most
of body cells
 Insulin produce hypoglycemia
 On protein metabolism:
 Insulin promotes amino-acid uptake
 It decrease protein breakdown
 It promotes protein synthesis especially in
muscles
DISEASES RELATED TO INSULIN: -
DIABETES MELLITUS
It is a group of metabolic
diseases in which there are high
blood sugar over a prolonged
period.
This high blood sugar
produces
the symptoms of
 frequent urination,
 increased thirst, and
 increased hunger.
hormones
continue…
2. GLUCAGON: -
Glucagon act mostly on the liver and adipose tissues
where it antagonizes the actions of insulin
 Stimulate glycogenolysis
 Promotes gluconeogenesis
hormones
continue…
3. SOMATOSTATIN:
A hormone that is widely distributed throughout the body,
especially in the hypothalamus and pancreas
Action:
 It regulates the endocrine and
Nervous system functions
ADRENAL
GLANDS
 There are two adrenal
glands,
 About 4 cm long and 3 cm
thick
 It has two parts:
 outer part is cortex and
 the inner part is medulla.
adrenal glands
continue…
1. ADRENAL CORTEX:
-
It produces three
hormones:
 Glucocorticoids
 Mineralocorticoids
 Sex hormones
(androgens)
These are collectively
called as
adrenocorticoids
adrenal cortex
continue…
A. Glucocorticoids: -
 Cortisol, corticosterone and
cortisone are the main
Glucocorticoids
 They are essential for life,
regulating metabolism and
stress
 They are high in between 4 to 8
am
 Lowest between midnight and 3
am
glucocorticoids
continue…
Effects:
 Gluconeogenesis (formation of new
sugar)
Lipolysis (breakdown of
triglycerides into fatty acids and
glycerol for
energy production).
In pathology and pharmacology:
Have an anti-inflammatory action.
Suppress the immune response.
Suppress the response of tissue to
injury.
Delay wound healing.
adrenal glands
continue…
B. Mineralocorticoids
(aldosterone): -
Aldosterone is the
main
mineralocorticoids
 It maintains
Water and electrolyte balance
adrenal glands
continue…
C. Sex hormones: -
 Androgens are the main sex
hormones
 They contribute to the onset of
puberty
DISORDERS OF ADRENAL CORTEX
1. Cushing’s syndrome: -
It is caused due to hyper secretion of
glucocorticoids
Characteristic features:
 Pain in face, neck and abdomen
 Pathological fractures
 Diminished protein synthesis
 Suppression of growth
 Hypertension
 Menstrual disturbance
 Peptic ulcers
disorders of adrenal cortex
2. Conn’s syndrome: -
This is due to excessive secretion of
mineralocorticoids.
It is usually caused
by tumor affecting
only one adrenal
gland
disorders of adrenal cortex
3. Addison’s disease:
 It is due to hypo secretion of glucocorticoids and
mineralocorticoids
 Caused by autoimmune disease
Effects:
Muscle weakness.
Vomiting and diarrhea.
Tiredness.
Mental confusion.
Low blood volume.
Hypotension.
Loss of body hairs in women.
adrenal glands
continue…
2. ADRENAL MEDULLA: -
It is surrounded by the
cortex
It produces two hormones
 adrenaline and
 noradrenaline.
adrenal medulla
continue…
Adrenaline and noradrenaline:
 Noradrenaline and adrenaline are released into the
blood
 They are structurally very similar and have similar
effects
 Together they potentiate by:
 Increasing heart rate
 Increasing blood pressure
 Increasing metabolic rate
 Dilating the pupils
DISORDERS OF ADRENAL MEDULLA: -
The effects of excess
adrenaline and noradrenaline
are: -
 Hypertension
 Hyperglycemia
 Raised metabolic rate
 Nervousness
 Headache
THYMUS
GLAND
Thymus is located in the anterior part of the upper
mediastinum
 At birth it weighs 10-12 gms
 During childhood and adolescence 20-30 gms
 During old age it weighs 3-6 gms
thymus gland
continue…
Functions:-
It initiates and maintain T-
lymphocytes
HORMONE : -
Thymosin:-
It is required for
the development
of
T-lymphocytes for cell
mediated immunity
ENDOCRINE SYSTEM.pptx

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ENDOCRINE SYSTEM.pptx

  • 1. ENDOCRINE SYSTEM Ms. Sapna Assistant professor Pharmacology
  • 2. CONTENTS I. GLANDS II. EXOCRINE GLANDS III.ENDOCRINE GLANDS IV.HETEROCRINE GLANDS V. HORMONES: VI.ANTERIOR PITUITARY VII.INTERMEDIATE LOBE VIII.POSTERIOR PITUITARY: IX.PANCREAS
  • 3. GLANDS: An organ which secretes particular chemical substances for use in the body or for discharge into the surroundings. There are three types of glands in our body:  Endocrine glands  Exocrine glands  Heterocrine glands
  • 4. EXOCRINE GLANDS Exocrine glands are glands that secrete their products into ducts EXAMPLE:  Sweat glands  Salivary glands  Mammary glands  Stomach  Liver
  • 5. ENDOCRINE GLANDS Glands that secrete their product (hormones) directly into the blood rather than through a duct EXAMPLE:  Pituitary gland  Pancreas  Thyroid gland  Adrenal glands
  • 6. HETEROCRINE GLANDS These are glands that perform both exocrine and endocrine functions. For example pancreas
  • 7. ENDOCRINE SYSTEM Consists of glands and Group of capillaries which Facilitates diffusion of hormones to Bloodstream They are commonly referred as the ductless glands, because the hormones secreted directly into bloodstream
  • 8. Endocrine system continue… It consists of a number of glands: Pituitary gland Thyroid gland Parathyroid gland Adrenal gland Pancreases Thymus gland
  • 10. pituitary gland continue… The pituitary gland consists of: 1. Adenohyphophysis: - Anterior lobe. It is influenced by hormones which come from the hypothalamus. 2. Neurohypophysis: - Posterior lobe. It is influenced by neurons which convey hormones directly from hypothalamic nuclei for storage of posterior lobe
  • 11. HORMONES: Anterior lobe: Growth hormone (GH) Prolactin Thyroid stimulating hormone (TSH) Adrenocorticotrophic hormone (ACTH) Follicle stimulating hormone (FSH) Luteinizing hormone (LH) Intermediate lobe:  A and B melanocyte stimulating hormone Posterior lobe: 1. Vasopressin (ADH)
  • 13. GROWTH HORMONE (GH): Action of growth hormone 1. Stimulating of growth of bones, cartilage and connective tissue: Somatomedins are synthesized in the liver, in response to stimulation by the GH The effects of GH on skeletal growth are mediated by somatomedins
  • 14. action of GH continue… 2. Effect on Protein and Mineral Metabolism: On protein metabolism: GH is protein anabolic hormone. On mineral metabolism:  Increase calcium absorption from GIT  Decrease sodium, potassium, calcium and phosphorous excretion from kidney
  • 15. action of GH continue… 3. Effect on carbohydrate and fat metabolism: On carbohydrate- GH is diabetogenic, because it produce hyperglycemia On fat metabolism- GH has catabolic effect i.e. Increases mobilization of fats from
  • 16. CONTROL OF GROWTH HORMONE The releaseof GH is primary under the control of two hypothalamic hormones:  GH releasing hormone GH inhibiting hormone Stimuli increases GH Secretions by stimulating GHRH release. E.g. during exercise and stress Stimulidecrease GH secretion by release of GHIH also called Somatostatin
  • 17. DISEASES RELATED TO GROWTH HORMONE 1. Gigantism: It is due to overproduction of GH during adolescence. It is characterized: Tallstature Large hand and feet.
  • 18. diseases continue… Acromegaly: It is due excessive secretion of GH during adulthood It is characterized by:  Broad, thick nose  Thickening of the skin  Prominent brow  Pronathism: elongation and widening of the mandible
  • 19. diseases continue… 3. Dwarfism: Deficiency of GH secretion.  Shortness of stature  Small genitalia  Delicate extremities.
  • 20. Hormones of anterior pituitary continue… 2. Prolactin: Actions of prolactin: Prolactin plays an important role in the development of the mammary gland and in milk synthesis.
  • 21. prolactin continue… Control of prolactin secretion: A. Stimulating factors: They act via stimulating Prolactin releasing factor. e.g. Exercise, emotional stress, pregnancy and
  • 22. continue … B. Inhibitory factors: which is released by the hypothalamus inhibits prolactin secretion from the anterior pituitary Dopamine may be the main prolactin inhibiting factor.
  • 23. Hormones of anterior pituitary continue… 3.Thyroid-stimulating hormone(TSH) : It stimulates the thyroid gland to produce:  Thyroxin (T4), and  Triiodothyronine (T3)
  • 24. Hormones of anterior pituitary continue… 4. ADRENOCORTICOTROPHIC HORMONE(ACTH): It is secreted by the anterior pituitary gland. It is often produced in response to biological stress. Its principal effects are increased production and
  • 25. Hormones of anterior pituitary continue… 5. FOLLICLE STIMULATING HORMONE(FSH):  It is synthesized and secreted by anterior pituitary gland  FSH regulates the development, growth, pubertal maturation and reproductive processes of the body
  • 26. Hormones of anterior pituitary continue… 6. LUTEINIZING HORMONE(LH):  It is a hormone produced by the anterior pituitary gland.  In females, an acute rise of LH triggers ovulation and development of the corpus luteum  In males, it stimulates the production of testosterone
  • 28. intermediate lobe continue… HORMONES OF INTERMEDIATE LOBE: It secretes:  α melanocyte stimulating hormone  β melanocyte stimulating hormone Function: They stimulate the production of melanin by melanocytes in skin and hair  MSH signals to the brain have effects on appetite.
  • 30. HORMONES OF POSTERIOR PITUITARY: A. Anti-diuretic hormone (ADH) /vasopressin:  It is a hypothalamic hormone synthesized in the cells of the supra optic nucleus  ADH is stored in the posterior pituitary
  • 31. ADH continue… Functions of ADH: Its two primary functions-  To retain water in the body  To constrict blood vessel.
  • 32. DISEASES RELATED TO ADH:  Diabetes Insipidus: It is a condition characterized by-  Excessive thirst  Excretion of large amounts of severely diluted urine
  • 33. diseases continue…  Polyuria: It is the excessive or abnormally large production of urine (at least 2.5 or 3L /in adults)
  • 34. Hormones of posterior pituitary continue… B. OXYTOCIN: -  Oxytocin is synthesized in the hypothalamus  Stored in the posterior lobe of pituitary gland
  • 35. oxytocin continue… Action of oxytocin:  Oxytocin stimulates contraction of mammary gland to produce milk.  Stimulate contraction of the smooth muscles of the uterus
  • 37.
  • 38. Each lobe is about 5cm long, 3cm wide and 2cmthick. The thyroid gland is a butterfly-shaped organ. The thyroid gland is found in the neck, below the thyroid cartilage (which forms “Adam’s apple”). It secretes throxine hormone also called T4 The thyroid also produces calcitonin, which plays arole in calcium homeostasis.
  • 39. Thyroid gland continue… ANATOMY OF THE THYROID GLAND: -  The thyroid gland is situated in the neck in front of the larynx and trachea  It weighs about 25g  It looks like butterfly in shape  Consisting of two lobes  The lobes are joined by a narrow isthmus
  • 40. THYROID HORMONES  Triiodothyronine (T3): It affects almost every physiological process in the body:  Growth and development,  Metabolism,  Body temperature, and  Heart rate  Thyroxin (T4):  Controls development and maturation  Excess thyroxin results rapid development  Deficiency of thyroxin results in delayed development
  • 41. hormones continue…  Calcitonin: It is a hormone secreted by the C cells of the thyroid gland Its main actions are :  to increase bone calcium  to decrease blood calcium levels Calcitonin opposes the effects of parathyroid hormone, which acts to increase the blood level of calcium.
  • 42. Thyroid gland continue… Thyroid is not absolutely essential for life, but its removal in adults leads to :  Poor resistance to cold  Mental and physical slowing. and in children’s:  Mental retardation  Dwarfism
  • 43. REGULATION OF THYROID SECRETION Thyroid stimulating hormone (TSH) controls the regulation of thyroid hormones. The release of TSH by the anterior lobe of the pituitary, is regulated by the hypothalamus via negative feedback mechanism. It is a reaction that causes a decrease in function. It occurs in response to some kind of stimulus.
  • 44. DISEASES RELATED TO THYROID GLAND 1. GOITER: - Any enlargement of the thyroid gland is called goiter Caused by iodine deficiency. Characteristic features: - Swelling in the neck Breathing difficulties Cough Hoarseness Swallowing difficulties
  • 45. diseases continue… 2. HYPOTHYROIDISM: - It is the condition resulting from reduced circulating levels of T3 and T4. Characteristic features: - Goiter Puffiness of face with Periorbital swelling Loss of scalp hairs Ptosis, i.e., drooping of upper eyelid. Dry, thickened, rough and yellow skin
  • 46. diseases continue… 3. HYPERTHYROIDISM/GRAVES DISEASE: - It is the condition resulting from increased circulating level of T3 and T4 Characteristic features: - Moderate enlargement of thyroid gland Exophthalmos(Lid retraction)
  • 47. PARATHYROID GLANDS  In humans there are 4 parathyroid glands  Parathyroid glands are essential for life, as their removal can cause death from asphyxia
  • 48. FUNCTION OF PARATHYROID HORMONE  Parathyroid glands contains chief cells which secrete parathyroid hormone.  The main function of parathyroid hormone is to increase the blood calcium level
  • 49. DISEASES RELATED TO PARATHYROID GLAND 1.RICKETS:  It is a disease characterized mainly by bone deformities in young children’s  The disease of children sets in about 6th month of life Characteristic features: -  Deformed bones  Thick wrist and ankles  Retarded growth
  • 50. diseases continue… 2. OSTEOMALACIA: - This is due to inadequate absorption of calcium due to deficiency of Vitamin D and Calcium in the diet The disease is limited to females, usually appears after multiple pregnancies and lactation.
  • 51. diseases continue… • 3. HYPERPARATHYROIDISM: - • Excessive secretion of parathyroid hormone. • Characteristic features: -  Formation of renal calculi  Polyuria  Polydipsia  Anorexia  Muscle weakness  General fatigue  Calcification of soft tissue
  • 53. ANATOMY OF PANCREASES There are approximately 0.5 to 1.5 million Islets of Langerhans There are four types of cells: 70-80% beta- cells secrete Insulin 15-20%, alpha –cells secrete Glucagon 1-8% delta- cells secrete Somatostatin and gastrin 1-2% f- cells. These cells secrete pancreatic polypeptide which decreases the absorption of food from the GIT
  • 54. PANCREATIC HORMONES 1. INSULIN: Actions:  On carbohydrate metabolism:  Insulin increases the glucose entry into most of body cells  Insulin produce hypoglycemia  On protein metabolism:  Insulin promotes amino-acid uptake  It decrease protein breakdown  It promotes protein synthesis especially in muscles
  • 55. DISEASES RELATED TO INSULIN: - DIABETES MELLITUS It is a group of metabolic diseases in which there are high blood sugar over a prolonged period. This high blood sugar produces the symptoms of  frequent urination,  increased thirst, and  increased hunger.
  • 56. hormones continue… 2. GLUCAGON: - Glucagon act mostly on the liver and adipose tissues where it antagonizes the actions of insulin  Stimulate glycogenolysis  Promotes gluconeogenesis
  • 57. hormones continue… 3. SOMATOSTATIN: A hormone that is widely distributed throughout the body, especially in the hypothalamus and pancreas Action:  It regulates the endocrine and Nervous system functions
  • 58. ADRENAL GLANDS  There are two adrenal glands,  About 4 cm long and 3 cm thick  It has two parts:  outer part is cortex and  the inner part is medulla.
  • 59. adrenal glands continue… 1. ADRENAL CORTEX: - It produces three hormones:  Glucocorticoids  Mineralocorticoids  Sex hormones (androgens) These are collectively called as adrenocorticoids
  • 60. adrenal cortex continue… A. Glucocorticoids: -  Cortisol, corticosterone and cortisone are the main Glucocorticoids  They are essential for life, regulating metabolism and stress  They are high in between 4 to 8 am  Lowest between midnight and 3 am
  • 61. glucocorticoids continue… Effects:  Gluconeogenesis (formation of new sugar) Lipolysis (breakdown of triglycerides into fatty acids and glycerol for energy production). In pathology and pharmacology: Have an anti-inflammatory action. Suppress the immune response. Suppress the response of tissue to injury. Delay wound healing.
  • 62. adrenal glands continue… B. Mineralocorticoids (aldosterone): - Aldosterone is the main mineralocorticoids  It maintains Water and electrolyte balance
  • 63. adrenal glands continue… C. Sex hormones: -  Androgens are the main sex hormones  They contribute to the onset of puberty
  • 64. DISORDERS OF ADRENAL CORTEX 1. Cushing’s syndrome: - It is caused due to hyper secretion of glucocorticoids Characteristic features:  Pain in face, neck and abdomen  Pathological fractures  Diminished protein synthesis  Suppression of growth  Hypertension  Menstrual disturbance  Peptic ulcers
  • 65. disorders of adrenal cortex 2. Conn’s syndrome: - This is due to excessive secretion of mineralocorticoids. It is usually caused by tumor affecting only one adrenal gland
  • 66. disorders of adrenal cortex 3. Addison’s disease:  It is due to hypo secretion of glucocorticoids and mineralocorticoids  Caused by autoimmune disease Effects: Muscle weakness. Vomiting and diarrhea. Tiredness. Mental confusion. Low blood volume. Hypotension. Loss of body hairs in women.
  • 67. adrenal glands continue… 2. ADRENAL MEDULLA: - It is surrounded by the cortex It produces two hormones  adrenaline and  noradrenaline.
  • 68. adrenal medulla continue… Adrenaline and noradrenaline:  Noradrenaline and adrenaline are released into the blood  They are structurally very similar and have similar effects  Together they potentiate by:  Increasing heart rate  Increasing blood pressure  Increasing metabolic rate  Dilating the pupils
  • 69. DISORDERS OF ADRENAL MEDULLA: - The effects of excess adrenaline and noradrenaline are: -  Hypertension  Hyperglycemia  Raised metabolic rate  Nervousness  Headache
  • 70. THYMUS GLAND Thymus is located in the anterior part of the upper mediastinum  At birth it weighs 10-12 gms  During childhood and adolescence 20-30 gms  During old age it weighs 3-6 gms
  • 71. thymus gland continue… Functions:- It initiates and maintain T- lymphocytes HORMONE : - Thymosin:- It is required for the development of T-lymphocytes for cell mediated immunity