what is the function of endocrine system
–> regulate sodium and water balance
–> regulate calcium and phosphoate balance
–> regulate energy balance
–> coordinate stress response
–> regulate reproduction, development, growth and senescence
endocrine glands general
transport of hormones
ENDOCRINE = within cell
Autocrine = acts on same cell
paracrine = distant cell
hormone half life
Hormone metabolism (where it ocurs)
–> liver
–> site of action
Excretion
–> urinary excretion (most thorugh urine; can measure hormone levels via urine)
–> biliary excretion (some steroids)
peptide hormone characteristics
Steroid hormone characteristics
amino acid derived hormones characteristics
–> hydrophilic, Circulate free, cell surface receptors
–> Hydrophilic, circulate BOUND, intracellular receptors (can’t pass through membrane… requires transporter)
G-Protein coupled receptors (GPCRs)
Receptor protein tyrosine kinases (RTKs)
Intracellular receptors
**regulate gene transcription**
Hormone release
–> neural
–> hormonal
–> nutrient/ion regulation

Nuronal regulation of hormone release
–> pituitary releases prolactin –> rise in prolactin levels –> increase DA release on hypothalamus –> shuts down pituitary release of prolactin
hormonal regulation of hormonal release
–> can have positive (feed forward) or negative feedback

Nutrient or ion regulation of hormone release
–> Parathryoid gland releases PTH which acts on bone to release Ca++ —> acts on parathyroid glands to inhibit PTH release
FEEDBACK LOOPS

ENDOCRINE DYSFUNTIOn
–> abnormal hormone production, change in the receptor numbers, change in the signaling molecule function
–> change in receptor number, decreased enzyme/down stream target of receptor, presence of non-competitive inhibitor, decreased target cells
–> due to decreased receptor affinity, increased hormone degradation, increased competitive inhibitor
How to interpret hormone measurements**********
measure trophic hormone and trophic hormone release

high pituitary hormone
–> low = fairlue of target oran
–> high = autonomous secretion of pituitary hormone or resistance to target hormone action
low pituitary hormone
–> low = pituitary failure
–> high = autonomous secretion by target endocrine organ
what are some other considerations during testing the endocrine system
–> glucose and insulin
–> calcium and PTH
–> estradiol and LH
–> glucose and insulin