Overview of the Endocrine System
Overview of the Endocrine System
Endocrine System
Endocrinology is the branch of biology and medicine that studies normal production andfunctions of hormones and their
disturbances. The endocrine system is a collection of glands which secretes hormones. The name "endocrine rerers to the
Tact that these glands do not have ducts that lead to the outside of the body. rather they secrete their produCtS airectly into
secreted to the blood
tne extracellular fluid. Hormone is a molecule that is produced bv an endocrine gland (e.g., thyroid),
Circulation and transported to other parts of the body. and recognized there by a specific receptor proteln. Ine association
is the biological action oT the hormone.
Or hormone with receptor induces in the target organ afunctional change, which
These actions maintain the normal functional balance of the organism, i.e, homeostasIs.
1. ENDOCRINE HORMONES
The endocrine system comprises the following
major glands: the endocrine pancreas, parathyroid -Pineal gland
glands, pituitary gland (associated with Hypothalamus Posterior pituitary
hypothalamic nuclei), thyroid gland, adrenal
glands, and gonads (testes or ovaries) (Figure 1). Anterior pituitary
These endocrine glands synthesize and secrete
bioactive hormones. Except for the gonads, which
also perform gametogenic functions, these glands Parathyroid Thyroid
are dedicated solely to hormone production (Table
1). Additionally, the placenta, a transitory organ,
performs significant endocrine functions during Skin
pregnancy. Thymus
circulation of
The secretion, diffusion, and
hormones are relatively slower than the Heart
Stomach
transmission of nerve impulses, making Liver
actions
hormones unsuitable for regulating quick Adrenal cortex
hormones are
like child fighting behavior. Instead,
long-term developmental Pancreas
essential for organizing
or physiological processes. Adrenal medulla
Small intestine
endocrine glands, there
In addition to dedicated primarily
organs
are endocrine cells within
functions (Table 1).
performing non-endocrine atrial
that produce
These include heart cells
that produce
natriuretic peptide, liver cells
(1GF-I), kidney
insulin-like growth factor type I
erythropoietin, and various
cells that produce produce
that
cells within the gastrointestinal tracthypothalamus
gastrointestinal hormones. The
or nuclei,
also contains collections of cell bodies,
neurohormones into capillaries
that secrete Figure 1: Glands of endocrine system
associated with the pituitary gland.
A third component of the endocrine system
includes numerous cell types that express highly active
inactive precursors or less active hormones into
jntfacellular, ectoenzymes, or secreted enzymes modifyingangiotensin Il Trom the inactive polypeptide angiotensinogen
generation of
hormones (Table 1). Examples include the in the liver and kidney to
and the activation of vitamin D by tWo hydroxylation reactions
tnrough two proteolytic cleavages
produce the bioactive hormone 1,25-dihydroxyvitamin D(vitamin D).
Endocrine System 265
h o r m m o n e s
Amine
Calcitonin Peptide
Parathyroid glands Parathyroid hormone (PTH) Protein
Steroid
Adrenal gland Epinephrine, Norepinephrine sulfate (DHEAS)
Dehydroepiandrosterone
Cortisol, Aldosterone, Steroid
Protein
Dvaries
Estradiol-17B, Progesterone
Inhibin Steroid
Protein
Testes Testosterone
Antimüllerian hormone (AMH), Inhibin
Primary Function Other Than Endocrine Peptide
Hormones Synthesized in Organswitha
Antidiuretic hormone (ADH; vasopressin) Peptide
Brain (hypothalamus)
Corticotropin-releasing hormone(CRH) Peptide
Oxytocin,
Thyrotropin-releasing hormone (TRH) Peptide
-releasinghormone (GrnRH) Peptide
Gonadotropin re hormone (GHRH),
Somatostatin
Growth hormone releasing Amine
Amine
Dopamine
Melatonin Peptide
Brain (pineal gland) (ANP)
Atrial natriuretic peptide Protein
Heart Erythropoietin Protein
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For example, in the hypothalamic-pituitary-gonadal axis. hypothalamic gonadotropin-releasing hormone (GnRH) stimulates
the anteior pituitary to produce follicle-stimulating hormóne (FSH) and lutelntzlng hormohe (LM), which in turn stlmulate
sex hormone production in the ovaries and testes. Increased levels of gonacdal sex hormones Inhiblt hyYpothalamle GnAH
secretion, maintaining balance in the regulatory circuit.
Positive feedback loops also exist in endocrine regulation, where hormone XIncreases levels of componernt Y, and
component Yfurtherstimulates hormone Xsecretion, This creates Instabilty and is typlcally Involved In processes like folele
rupture or childbirth. For instance, in childbirth, increased pressure on the cervlx stimulates oxytocln release, whlch
increases uterine contractions and further pressure on the cervix,escalating untl the baby is born.
There are two basic configurations of negative feedback loops within the endocrine systern: physiological response drlven
feedback loops and endocrine axis-driven feedback loops (Figure 2). In the response-drlven feedback loop,secretlon of a
hormone is stimulated or inhibited by changes in specific extracellular parameters. For example, an Increase in blood glucose
stimulates insulin secretion from pancreatic islets. The altered hormone levels change the physlology of target organs, such
as decreasing hepatic gluconeogenesis and increasing glucose uptake by muscle,whlch regulates the parameter in question.
As blood glucose levels decrease, insulin secretion is inhibited, malntaining glucose homeostasls.
In the endocrine axis-driven feedback loop, hormones produced at one level of the axis regulate the secretion of hormones
at another level,ensuring the entire axis remains in balance. An example is the hypothalamic-pltultary-thyroid axis, where
thyroid
(TSH),
hormone levels regulate the secretion of thyrotropin-releasing hormone (TRH) and thyrold-stimulating hormone
maintaining thyroid function within a normal range.
Piysioiogical Response Driven Negative Feedback Endocrine Axis Drlven Negatlve Feedback
|Releasing Hormone
Hormone Circulating components [Target Organ)
(eg. biood glucose) Negative
Target organs
Pituatory gland}eedback -Hormone
Physiological effect
Tropic Hormone) Perlpheral
Endocrine glands
An important feature of endocrine axes is the modulation of hypothalamic releasing hormones by neuronal signals. The
suprachiasmatic nucleus (SCN) in the hypothalamus imposes a circadian rhythm on these hormones and the endocrine axes
they control. Stress, whether systemic (e.g, hemorrhage, inflammation) or processive (e.g., fear, anxiety), also affects
hormone release. Major stress overrides circadian rhythms, leading to persistent hormone release that mobilzes fuels like
glucose and fatty acids while suppressing growth and reproduction. Addititonaly, cytokines from inflammatory or inmmune
responses directly regulate the release of hypothalamic and pituitary hormones.
Chemical nature of hormones
Hormones belong structurally to several categories (Table 1). They are either peptides (short chains of amino acids).
proteins (long chains of amino acids), steroids (derivatives of cholesterol), fatty acid derivatives (eicosanoids), or derivatives
of single amino acids (e.g., thyroxine), catecholamines, iodothyronines. The chemical nature of a hormone determines (1)
howitis svnthesized, stored, and released; (2) how it is transported in blood; (3) ts biological half-life and mode of clearance;
of action.
and (4) its cellular mechanism
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enTi homan ain s tram th prima nint
naNNNtNN
ñTNinS a ONling
Amines Thñroic hormones which are
ANNVVN
homoEs aT SN•riysb in S
of thegcoprotein thyrogobulin ThyrTic NN O N i N R S
hormonebìnding iabuln (T) The ha
bnging proteins primarily thyroic mO N SA N 0 A Ý AN N
riipdhronine T3 = 18 hours). Like steroc hormones thvro
transor1ption factors
Nomone Recetors
Hormone Response Pathways Invohving Intracellular
N YM N
an horOns tha Sin
itraneliar hormone receptors are iocatec KSIe the cal iNinN N
cholestero, ad thyro hamns whh ntaÌn
membrane Steroid hormones, oertved trom N
lpi biizyer ot the memrane
Tines are ipid-solubie and can reaðily omuse through the W i
transortin tats
3a These intraceluiar hormone reCeptors act as ligand-acthated
en anuar nt
dimerize and bind to reguiztory regions of their target genes atering gene
bin t e r N Y Y
Steroid and throId hormoné binding IOCations difter slghty Stero homnes an N e s W A N N N N
that
he nuceus. in ether iocation, thiS inaing torms a hormone rereta omoe
thyroIC hormones bind to reetors a ratah N N
a snerifc segment of DNA in Contrest
hnes the binding of the hormone receptor compiex to DNA triggers transOrton ot a tang wM
ribosomes
to the cotoso and directS protein SynthesS by
t h a N NN
Steroid hormones directly initiate protein production within target cells They dise
their receotors in the cytosol, and form a receptor-hormone compiex Ths compler antey the nwhs Sins tat
Ree nthe DNA, and initiates transcription of the gene, creating messenger Athat s transiat iNtO h e N
within the cytopiasm.
Second messenger
Steroid Hormones
Immediate
response
Stimuius DNA
Production in smooth
Bound to
enddopiasmic reticuum plasma protein
Response
Figure 3: Signaling by peptides and steroid
Iike cAMP. DAG activates protein hormones
to be released from storage sites
kínases that initiate a phosphorylation
within the cytosol, such as from withincascade. At the same time. IP3 causes
the smooth endoplasmic calcium ions
ions then act as second messengers reticulum. The calcium
in two ways: they Can inriuence
can bind to calcium-binding proteins, the most common enzymatic and other cellular activities
madilate protein kinase within the cell. of which is
calmodulin. directlv, or they
Examples of
Upon binding calcium, calmodulin
hormones that use is able to
include angiotensin ll (Vascutar SmoothPhospholipase Cmediated DAG and calcium ions
as a second messenger system
(GHRH), Catecholamines (a receptors), Gonadotropin-releasing muscle), growth hormonereleasing
hormone hormone
hormone (TRH) and Vasopressin (V1 receptor, vascular smooth muscle). (GnRH), Oxytocin,
Thyrotropin releasing
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AON ralease
Hypothalamus
Teiease
Infundibulum
Hypothalamohypophyseal
tract
Posterior
pituitary
Pituitary
Anterior pituitary gland
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Transcription,
excision, splicing
slici
PrusasLSR
CryomosnE
AVP-NH
Fndeglasmic
ptutary tak
dendrites
resnonse tostimuli detected primarily at the cell bodies and
ADH and OXytocin are released from the parsnervosa in hypothalamus. These stimuli are mainly neurotransmtles
in the supraoptic (SON)and paraventricular nuclej (PVN)othe all av
stimulatión occurs, neurons depolar1ze and propagale stimulus
released trom hypothalamic intermeurons, When sufficient triggering a
action notential increases intracellular (Ca"], extracellular Tiuid OT
potential down the axon. At the axonal ternini. this into the
of ADH or oxvtocin. along with neurophysins,
secrenon response that results in the exOCvtosis neurophysinsthen enter the peripheral circulation and can be measured in tne
hormones and
the pars hervosa (Figure 6). The
blood.
Structuralsimilarity in Antidiuretic Hormone and Oxytocin amino acid
polvpeptides, each containing nine amino acids. Their
(Arginine vasopressin-AVP) are
Botn oxytocin and ADH
sequences are the following:
-GlyNH2
Vasopressin: Cys-Tyr- Phe-Gln-Asn-Cys-Pro- Arg
-GlyNH2
Oxytocin: ys-Tyr- Ile -Gln-Asn-Cys-Pro- Leu replace isoleucine
vasopressin, phenylalanine and arginine
that in
are almost identical except
Note that these two hormones
and leucine at3rd and 8th position of the oxytocin molecule.
Hormone (ADH)
Physiological Effect of Antidiuretic preventing dehydration.
When
kidneys to retain water (antidiuresis), signal
hormone, primarily acts on
the osmoreceptors
ADH, or antidiuretic vomiting, a salty meal, or prolonged standing, to water and
to dehydration,exercise,
permeability
kidneys, increasing their
blood osmolarity is high due targets tubular cells in the excreted in the urine,
the posterior pituitary
to release ADH, ADH
water being returned to
the blood and less being
results in more
enhancing water reabsorption,This
constricts
thus lowering blood osmolarity. concentrations, ADH also
by the kidneys. At higher
conservation ADH release
concentrations, ADH
promotes water
which is why it is also known as vasopressin.
At low pressure, sense the change
body, increasing arterial osmolarity decreases, hypothalamicosmoreceptors
arterioles throughout the
feedback loop. When blood
controlled by anegative water reabsorption.
secretion, leading to less dehydration, and
and reduce ADH causing increased urine production,
secretion. Alcohol inhibits
ADH release,
chronic underproduction
of ADH, leads to chronic
Drugs can affect ADH condition characterized by their kidneys do not
Diabetes insipidus, a but without sufficient ADH,
potentially ahangover. and drink more fluids,
this condition feel thirsty electrolyte imbalances.
dehydration. Patients with solute concentrations and potential
high blood
leading to persistent
reabsorb enough water,
Physiologicaleffects of
oxytocin contractions and cervical
hormone oxytocin stimulates uterine
complete, the
peptide-derived
uterus. However, towards
the end of
When fetal development is receptors are not highly expressed in the oxytocin. Oxytocin is
pregnancy, oxytocin to
dilation. During most of uterine smooth muscle cells more sensitive
increases, making the
pregnancy, their synthesis feedback mechanism.
during childbirth through a positive the
released continuously
stretches the cervix and triggers
push the fetal head towards the cervix, which contractions and
Oxvtocin-induced uterine contractions This increases the intensity of
oxytocin from the pituitary.
hypothalamus to produce and release more birth.
continuing the feedback loop until
further ilates the cervix, maternal and newborn health. It is
decrease, but oxytocin remains important for
After birth, the mother's oxytocin levels newborn suckles, sensory receptors
in breastfeeding women. When the
essential for the milk ejection reflex, or "let-down," bloodstream. This causes cells
hypothalamus, prompting the release of oxytocin into the
in the nipples send signals tothe
milk into the infant'smouth.
inthe milk ducts to contract,ejecting attachment, and is involved in
feelings of love,
plays a role in parent-newborn bonding, known as
Additionally, oxytocin
closeness, and the sexual response in
both males and females.
The Adenohypophysis
Because of the histological
endocrine celi types that produce six hormones (Table 2).
The pars distalis is composed of five referred to as pituitary basophils,
corticotropes, thyrÍtropes, and gonadotropes are
characteristics of the cell types, the
açidophil.
lactotropes are referred to as pituitary
whereas the somatotropes and
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$SH MSH
(13) CLIP
a MSH
Figure 9: The original gene transcript of proopiomelanocortin contains structures of multiple bioactive compounds. ACTH.
adrenocorticotropic hormone; CLIP, corticotropin-like intermediate peptide; MSH, melanocyte-stimulating hormone.
Thyrotropes
B-TSH subunit TSH TSH receptor
Thyrotropes regulate thyroid function by
secreting thyroid-stimulating hormone (TSH,
also called thyrotropin) as part of the B-FSH subunit FSH FSH receptor
Pus
hypothalamus-pituitary-thyroid axis. TSH is one a-glycoprotein
of three pituitary glycoprotein hormones, along subunit
with follicle-stimulating hormone (FSH) and B-LH subunit (o-GSU) LH
>LH receptor
luteinizing hormone (LH) (Table 2). TSH is a
heterodimer composed of an a subunit (a-GSU) B-hCG subunit hCG LH receptor
common to TSH, FSH, and LH, anda Bsubunit (B
TSH)specific to TSH (Figure 10). Glycosylation of Figure 10: Pituitary glycoprotein hormones.
these subunits enhances their stability in circulation and increases the
receptors. The half-lives of TSH, FSH, and LH range from tens affinity and specificity of the hormones for their
of minutes to several hours.
TSH binds tothe TSH receptor on thyroidepithelial cells,
stimulating all aspects of thyroid function, including hypertrophy,
hyperplasia, and survival of these cells. In regions with limited iodide
feedback, potentially causing goiter, a noticeable thyroid enlargementavailability, TSH levels elevate due to reduced negative
in the neck.
The pituitary thyrotrope is stimulated by
thyrotropin-releasing hormone (TRH) (Table 2), produced by parvicellular
hypothalamic neurons. TRH is a tripeptide synthesized as
receptor on thyrotropes, and its release follows adiurnala larger prohormone containing six TRH Copies. TRH binds to its
dinnertime. Various types of stress, including physical stresS, rhythm, peaking overnight and reaching its lowest around
starvation, and infection, inhibit TRH secretion.
The active form of thyroid hormone,
triiodothyronine
TRH-producing neurons. T3 suppresses B-TSH expression(T3), provides negative feedback on both
and reduces thyrotrope sensitivity to TRHpituitary thyrotropes and
while also inhibiting TRH
production and secretion.
The Gonadotrope
Gonadotropes secrete follicle-stimulating hormone (Fs) and
gonadotropins, in response to gonadotropin-releasing hormone (GnRH)luteinizing hormone (LH). colectively known a5
the function of gonads in both sexes. GnRH is secreted during from the hypothalamus.
infancy and from puberty These hormones regulate
active at all stages of development. During embryonic development,
GnRH
onward, although the pituitary i5
hypothalamus from the nasal placode. In Kallmann syndrome, mutations in the neurons migrate to the mediobasal
tertiary hypogonadotropic hypogonadism and anosmia (loss of ismell),
s KAL gene disrupt this migration, leading to
resulting in lower levels of circulating gonadotropints.