Fox Chapter 11, part of chapters 2, 9, 19, 20
Metazoans (animals with more cells than protozoans) require systems of integration
INTEGRATION: Hormones, paracrine (local) & nervous system
"endocrine" - ductless, into blood stream
vs. exocrine (like digestive - saliva etc.)
cells with blood vessels for release
hormone transported in the circulation
target cell with receptor
(1) receptor molecule on membrane
(2) enter cell and bind receptor
TRANSPARENCY (From intro bio)
I. Traditionally, this material starts with a picture of the major glands
II. Then it covers Pituitary three ways
(1) posterior pituitary
(2) anterior pituitary as "master gland" (and the other glands
(3) anterior pituitary (affects not mediated through other glands)
III. Then it covers other glands (not controlled by the pituitary)
IV. I will then give you a dose of "signal transduction" concentrating
on steroids, thyroid and retinoic acid.
V. I will cover sex hormones in detail last (after glossing over them under
A later lecture outline, Reproduction, will take off beyond III. and V.
(related to kidney coverage)
neurosecretion from hypothalamus (peptides)
"suprachiasmatic" means over the optic chiasm
"paraventricular" means near the (third) ventricle
oxytocin (milk, delivery)
(synthetic to induce labor)
Covered in Excretion lecture: ADH action on kidney
vasopressin (ADH), H2O and blood pressure
alcohol, caffein inhibit anti [diuresis] hormone
Median eminence from hypothalamus to pituitary
Secretion of releasing (and inhibiting) hormones (peptides) at pituitary
Anterior pituitary and its hormones (peptides)
(on right of figure) Master gland to show glands controlled by pituitary
(thyroid, adrenals, ovary, testes) Trophic (tropins like "gonadotropins")
(on left of figure) not using other endocrine glands (Growth hormone and
(not where pituitary acts as master gland to control other glands)
GH - 200 a.a. -bone, muscle, not fat, -> liver to make somatomedins
GH - gigantism (bones grow long if too much GH when young), dwarfism (if
too little GH when young), acromegaly (bones grow too thick if too much
GH when already grown up, danger of GH abuse), abuse by body builders, dangers
of extracts,, now available through recombinant DNA research
Prolactin - milk production, like GH (same ancestral gene)
(like gonadotropins) "Master Gland"
sex hormones from pituitary (more details later):
LH (female) = ICSH (male); (luteinizing) (interstitial cell)
non-sex trophic hormones from pituitary:
ACTH (adrenal cortex)
TRANSPARENCY (From intro book)
Review - same material, intro course
(recall that thyroid was used as hormone example in first lecture outline)
Influence on metabolism, but not as obviously as epinephrine, insulin, glucagon
or even glucocorticoids.
Negative feedback with pituitary
Hypothalamus -TRF-> + Ant. Pituit. -TSH->+ Thyroid -> thyroxine-
- neck thyroxin (T4), triiodothyroxine (T3) iodine, sea food (and iodized
Fig. 11.3 (also shown in an earlier lecture)
T3 and T4
Figs 11.24, 11.26
Goiter (thyroid overgrows if too little iodine in diet)
Cretinism if too little in infant, hypothyroid, hyperthyroid
Change in salmon during salt to fresh water change, metamorphosis in frog
Problem of radioactive iodine (like from reactor leaks) - helps to take
large doses of non-radioactive iodine to compete
Adrenal cortex - Glucocorticoids stimulate metabolism, inhibits inflamation.
JFKennedy had too little glucocorticoids (needed replacement therapy) which
would create a situation of no feedback Addison's
- too much ACTH (darkens skin like MSH).
pro-opiomelanocortin - big peptide cleaved to ACTH, MSH, endorphins, enkephalins
Emphasize regulation, negative feedback
Zona glomerulosa - mineralocorticoids
Zona fasciculata and reticularis - glucocorticoids and androgens
Mineralocorticoids, the best known being Aldosterone helps kidney retain
Adrenalectomy causes salt loss and salt appetite.
Sweat glands are not as efficient at retaining salt as kidney.
That is why "Gatorade" (electrolyte) is used by athletes.
Salt is also lost in cystic fibrosis (mutation of CFTR (cystic fibrosis
transmembrane conductance regulator)
Female reproductive cycle
good example of Regulation, Negative feedback
Hypothalamus - RF's (peptides)
(chaulkboard diagram is also here,
peptides in black, steroids in red)
Pituitary makes peptide hormones "gonado-trophic hormones" (gonadotropins,
FSH and LH)
gonads (ovaries) make steroid hormones (estrogen and progesterone)
Feedback system plus effects on endometrium (lining of uterus)
FSH (follicle stimulating hormone) stimulates estrogen release from follicle
estrogen inhibits FSH
estrogen turns on LH (lutenizing hormone) release
estrogen begins buildup of endometrium
surge of LH causes ovulation
then follicle becomes corpus luteum that puts out progesterone
progesterone inhibits LH and FSH
progesterone also stimulates buildup of endometrium
to finish cycle, low FSH & LH which lets estrogen and progesterone go
(corpus luteum starts to go away)
with low estrogen and progesterone, endometrium breaks down (menstruation)
with low estrogen and progesterone, pituitary is not inhibited so FSH starts
(if pregnant, HCG [human corionic gonadotropin] maintains corpus luteum
progesterone (from maintained corpus luteum) maintains endometrium
Here is a primary
follicle, a growing
mature follicle, and the
corpus luteum from our histology course.
Human corionic gonadotropin
Menstruation in primates
Estrus cycle - dogs heat 2x/yr, cats 3x/yr
Rabbits reflex ovulators
Pill Progesterone and Estrogen inhibit ovulation
28 day pill 7 duds: 1st 4 days, last 3
Weight gain, circulation problems
lower proportion of estrogen
Rhythm - sperm viable 48 hr, ovum 15 hr: 3-4 day abstinance
The male pattern
FSH for spermatogenesis
LH (ICSH) to stimulate interstitial cells to release testosterone
Glands not controlled by pituitary
while on the topic of the adrenal gland,
Adrenal medulla (vs cortex under pituitary control)- Epinephrine, (alias
adrenalin) - activates body
Autonomic (vs voluntary) motor control: sympathetic (vs parasympathetic)
Sympathetic nervous system uses norepinephrine at postganglionic synapses.
Sympathetic - "fight or flight"
Helps in metabolism to release glucose to blood stream
Muscles activity up, peripheral circulation and digestion inhibited
Heart rate goes up
Glucose (insulin and Glucagon) and diabetes
was moved from here to earlier
TRANSPARENCY (From introductory book)
Thyroid 2 glands (pituit - thyroxine TSH) vs:
Thyroid - thyrocalcitonin - blood Ca2+ down
Parathyroid - parathormone - blood Ca2+ up (from bones)
near thyroid gland in neck
Vitamin D sunlight, rickets, fish oil, hormone, absorption from gut
Osteoporosis - bone deterioration with age especially in women
Ca2+ very important, muscle (later), nerve (later)
review, parathyroid hormone
PTH increases blood Ca2+
Osteoclast uses enzymes and acid to dissolve bone CaPO4
When calcium is needed a lot, bone depleted.
Osteoporosis, more common in women because of Ca2+ use in lactation.
PTH effect on bone shown again here plus:
In kidneys, Ca2+ reabsorption is increased
In kidneys, 1,25-Dihydroxyvitamin D3 is made
(and that, in turn, increases intestinal absorption)
Working the vitamin D topic backward:
kidney enzyme (1-alpha-hydroxylase) acts on 25-hyrdoxyvitamin D (from liver)
Vitamin D from sunlight in skin
(plus liver and kidney shown in this figure)
Calcitonin from the thyroid does the opposite
structures of steroids
Structures of cholesterol, cortisol, testosterone, estradiol
reactions of steroids
shows structures and locations of secretion
Interestingly, Cholesterol -> -> Progersteone (corpus luteum) ->
->Testosterone (Leydig cells) -> estradiol (follicles).
steroid hormone receptor is protein that dimerizes
each receptor binds an HRE (hormone response element) (DNA sequence)
mechanism of hormone action is to activate gene transcription (into mRNA)
Menopause (pause in the menes) ["change of life" at about 50]
- lack of estrogen.
(Some hysterectomy or ovarian cancer surgeries might also deplete because
Many symptoms, hot flashes most obvious short term effect.
Osteoporosis most obvious long term effect.
For me, this site worked with explorer, not netscape - estrogen
(hormone) replacement therapy
Hotly contested (a lot of negative press lately), partly because estrogen
increases chances of breast cancer.
There is a drug, Tamoxifen
that blocks estrogen's effects, differently in different tissues.
J.L.Turgeon, D.P.McDonnell, K.A.Martin & P.M.Wise, Hormone therapy:
Physiological complexity belies theraputic strategy, Science 304, 1269-1273,
Estrogen and progesterone receptors in cardiovascular, neural, immune, gastrointestinal
and musculoskeletal systems.
Menopause (average age 51) vasomotor flashes, vaginal dryness, urinary symptoms,
osteoporosis, CHD (coronary heart disease.
Hence chronic estrogen therapy (ET) for CHD and osteoporosis.
A well intentioned study, WHI (women's health initiative) tested placebo,
estrogen & estrogen-progestin.
Discontinued because of increase in breasst cancer, CHD, stroke and venous
thromboembolism (but they did decrease fractures and colon cancer)
Human ovary: 17beta-estradiol.(E2) AND estrone (E1)
Study used conjugated equine estrogen (CEE) extracted from pregnant horse
urine, many estrogens including sulfated estrogens.
Why this matters is that there are several types of estrogen receptors differentially
activated by different estrogens.
Study used continuous oral administration, and hormone through hepatic portal
system highly activates estrogen receptors in the liver, changing important
proteins like angiotensin precursor.
Transdermal patch would be very different.
Women is study were fatter than usual.
Human progesterone vs study's medoxyprogersteone acetate (MPA), again affecting
different receptors differently, also MPA activates glucocorticoid receptor.
There are several estrogen receptors, alpha and beta. and many ways they
"Antiestrogen" tamoxifen is antagonist in breast but agonist in
bone and uterus, so now called SERM (selective estrogen receptor modulator).
Better SERMs are being found.
Anabolic steroids - muscle growth, bone growth, increased hemoglobin
There is an androgen from the adrenal - DHEA dehydroepiandrosterone
Increased secretion of testosterone at puberty has many obvious effects
including on larynx
Absence of androgens by castration decreases seminal vesicle and prostate
The whitish structure in this figure is the seminal
In this figure, the seminal vesicle of castrated
and normal mice are compared
Interestingly, many of testosterone's effects are mediated by estradiol-17beta,
made by aromatase (in a process called "aromatization," note aromatic
[in the organic chemistry sense] ring).
DHT (and several subsequent metabolites) made by 5alpha-reductase
This step takes place in cells
When I typed "five alpha reductase" or the like into my search
engine, I got hits on hair loss, concerning male pattern hair loss (androgenetic
alopecia) accelerated by DHT and alleviated by a drug, Propecia
Some wierd disorders
deficiency -> "testes-at-twelve" (at puberty, testes descend,
clitoris becomes penis etc when there is enough testosterone to overcome
deficit) There is a pedigree in the
androgen receptor mutation (androgen insensitivity syndrome [AIS])
-> testicular feminization, children think they are females until there
is no menstruation
There are androgens from adrenal, so with Congenital adrenal hyperplasia,
CAH, clitoris is large and behavior is "tomboy"
TRANSPARENCY (From introductory book)
sequence coding for protein (mRNA) is copied from exons with introns spliced
"upstream" of gene, proteins binding promoter and enhancer regulate
Carrier protein, receptor, DNA
Carrier protein-T4, receptor-T3, DNA
involves retinoic acid
Remember signal transduction for G protein coupled receptor
TRANSPARENCY (From introductory book)
integrates the above point with epinephrine evolution of glucose
prostaglandins (mediators of inflammation) are derived from fatty acid (arachidonic
acid, 20:4) using cyclooxygenase (COX)
Prostaglandins have different actions in different places; take platelet
aggregation -- TXA2 stimulates clumping, PGI2 prevents them from sticking
to walls of vessels; it is the TXA2 aspect that is why you take aspirin
to prevent heart attack and should not take aspirin before surgery (etc.).
leukotrienes (mediators of inflammation) ... use lipoxygenase
NSAIDS (non-steroidal anti-inflammtory drugs) aspirin, ibuprofen, inhibit
prostaglandin synthesis by inhibiting cyclooxygenase (COX-1 & 2) nonspecifically,
problems in stomach
Celebrex, Vioxx, Bextra inhibit prostaglandin synthesis by inhibiting cyclooxygenase
(COX-2); popular for arthritus, but Merck pulled Vioxx 10/04 for increasing
cardiovascular problems, and later Bextra was pulled.
Aspirin is anti-inflammatory, anallgesic, antipyretic, anticoagulant, implicated
The Biology department's primary expert on endocrinology is Dr.
Asa who is director of research at the St. Louis Zoo. As an adjunct
Professor in SLU's Biology department, she teaches the popular course, "Introductory
Endocrinology" BL A450-01
Exam questions from 2004 - 2010 relevant to this outline
The kidney and the liver are two of the three organs used to make 1,25-Dihydrovitamin
D3. What is the third organ?
A gland in the neck puts out a hormone that inhibits the dissolution of
CaPO4 from bone. Name EITHER (1) the gland or (2) the hormone.
What female hormone is a precursor of testosterone?
What are the gonadotropins for spermatogenesis and testosterone secretion?
FSH and LH (ICSH)
Triiodothyroxine binds to a receptor that binds to the half site of a response
element. What binds to the receptor that occupies the other half of the
Androgens come from the testes and (where else?).
5alpha-reductase is required for normal function because it makes (what?)
out of (what?) [answer both].
DHT from testosterone
Why is an enzyme (as well as acid) a useful secretion of an osteoclast?
Digest the collagen that the calcium phosphate was embedded in
Why were COX-2 inhibitors initially considered to be an important advancement
beyond drugs like ibuprofen in the treatment of arthritis?
Since they did not inhibit COX-1, they helped in arthritis treatment without
In its effects in the mammary gland and uterus, what kind of cell is affected
If a body builder abuses growth hormone, what is likely to happen to his
or her bones?
they will grow in thickness
What is a general term that takes into account the trophic influence for
both males and females of FSH, LH, ICSH and HCG?
What happens if there is too little thyroid hormone during an infant's development?
brain development is compromised (cretinism)
"The follicle includes a 'rind' of cells and the egg enclosed in this
rind." What does this rind do?
"There is a surge of LH." Answer one (1) Where did this LH come
from? (2) What kind of molecule is that LH? Or (3) Name one of the effects
that has on the ovary.
pituitary, peptide, convert flooicle to corpus luteum, cause ovulation
Would the endometrium build up and break down in women who are taking the
pill? (Include in your answer why or why not.)
yes, steroids would cause build up and duds (without steroids) would allow
What happens to the corpus luteum after implantation?
It is maintained and continues to secrete progesterone under the influence
What kind of molecules, biochemically, are the hormones released by the
One capillary net is in the infundibulum and receives its hormones as neurosecretions
from the paraventricular and preoptic areas of the hypothalamus. Obviously,
I am describing a portal system. Where is the second capillary net?
Why did former President Kennedy seem to have a nice sun tan?
With low cortisol from Addisons disease, little feedback resulted in too
much ACTH which overlaps with MSH (melanocyte SH)
Would the corpus luteum build up and break down in women who are taking
the pill? (Include in your answer why or why not.)
no b/c steroids of the pill inhibit FSH and LH which would build follicle
into corpus luteum
A gland in the neck puts out a hormone that causes the dissolution of CaPO4
from bone to increase blood calcium. Name EITHER (1) the gland, (2) the
hormone, or (3) the cell that mediates dissolution of the bone.
Parathyroid, parathyroid hormone, osteoclast
What is the hormone from the adrenal medulla?
Why would a transdermal patch be better than oral administration for estrogen
Less conversion by liver
A steroid hormone binds to a receptor that is located in the cytoplasm of
the cell. State one of the next things that happens with this hormone-receptor
Goes to the nucleus and binds response element, a place in the promoter
What does "20:4" signify when referring to the precursor of prostaglandin?
Arachidonic acid, a fairly long chain fatty acid, is 20 carbons long and
has 4 double bonds
What is the function of a signal known as "inhibin?"
feedback on FSHs effectiveness on seminiferous tubules
Loss of what hormone would cause an adrenalectomized animal to crave salt?
What is the name of the disorder of too much growth hormone as an adult?
Vitamin D helps to keep the blood levels of what substance correct?
On what kind of molecule would you find a sequence known as a "hormone
response element (HRE)?"
Historically, shortage of what mineral caused some inland people to develop
Why are alcoholic beverages contraindicated to stay hydrated in times of
heat stress? (Make sure your answer says what happens to the relevant hormone
alcohol inhibits ADH, more water is lost through kidney
Non-steroidal antiinflammatory drugs (NSAIDs) block converrsion of what
fatty acid to prostaglandins?
After ovulation, the estrogen secreting follicle turns into a tissue that
secretes what hormone?
In the process where epinephrine causes glucose release from liver, what
enzyme does cAMP activate?
protein kinase A
What kind of chemical is a gonadotropin?
The birth control pill feeds back to inhibit what pituitary peptide (to
prevent maturation of the follicle)?
What does the osteoclast do to assist in Ca2+ homeostasis?
cause bone to release Ca2+
A receptor (protein) for T3 makes a heterodimer with a receptor for what
Hyperplasia of what gland would androgenize a female?
What pituitary hormone maintains the cells that secrete testosterone?
What syndrome results from 5a-reductase deficiency?
testes at twelve
What treatment has been standard for relief of hot flashes?
estrogen replacement therapy
Name one molecule in the biosynthetic pathway between cholesterol and testosterone.
Within the ovary, what tissue produces estrogen?
Why is the term "anabolic" applied to some hormones?
growth (muscles, bone, hemoglobin)
Where are the cell bodies of the cells whose axon terminals release ADH
To mediate many of the effects of testosterone, aromatase converts it to
After the alpha subunit of the heterotrimeric G protein binds GTP, what
does it do to GTP?
breaks it to GDP (and P)
What close relative of retinal (retinene, the part of rhodopsin that absorbs
light) is important in the activation of the hormone response element by
ACTH triggers the release of what hormone from its target gland?
What is the tissue responsible for producing the gonadotropin that supports
the corpus luteum early in pregnancy?
Why is such a small amount of thyrotropin-releasing hormone TRH needed?
because portal system delivers straight to anterior pituitary
Although dopamine is a transmitter itself, it can be converted into what
other neurotransmitter by the enzyme dopamine beta-hydroxylase?
What hormone would put calcium back into bones?
A surge of what peptide leads to ovulation?
What second messenger activates protein kinase when the beta-adrenergic
receptor of a liver cell binds epinephrine?
Increased testosterone at puberty affect what organ to turn sopranos into
What would happen to the TSH level if dietary iodine were deficient?
go up since negative feedback from thyroxine is decreased
What cleavage product of pro-opiomelanocortin would be high in Addison's
How would calcitonin regulate Ca2+ at the level of the kidney?
In the term "gonadotropin," what does the suffix "tropin"
has trophic effect
What would happen instead of increase in bone length if growth hormone were
too high in the adult?
bones would get thicker
In the old days, what would cod liver oil be used for?
vitamin D (and A) replacement
In the pathway 7-dehydrocholesterol -> vitamin D3 -> 25-hydroxyvitamin
D3 ->1,25-dihydroxyvitamin D3, where does the first conversion take place?
in the skin
Osteoclasts contribute to the breakdown of CaPO4 plus what additional component,
a protein, in bone?
A surge of LH mediates ovulation plus the conversion of the follicle into
What is it called when, because of low progesterone, the endometrium is
no longer supported?
What hormone supports the endometrium during pregnancy?
What effect does calcitonin have on the kidney?
Allows for CaPO4 loss in urine
Testosterone is converted to dihydrotestosterone (DHT) by what enzyme?
Tamoxifen used to be called an antiestrogen but might now be better referred
to as a SERM (selective estrogen receptor modulator). Why?
antagonist in some tissues but agonist in others
A heterodimer of receptors for thyroid hormone and retinoic acid (together
with their respective ligands, thyroid hormone and retinoic acid) binds
to what specific location on what molecule?
response element on DNA
Estradiol-17b is made by aromatase from what steroid (the immediate precursor)?
Give a reason why the exact same mixture of hormones might have different
effects in a woman if given orally vs via a transdermal patch.
would go to liver by hepatic portal vessel if taken by mouth
A steroid hormone receptor is famous for binding the hormone as well as
what major macromolecule?
Give the name of a class of molecules produced by enzymes acting on arachidonic
What type of chemical is the product of the Leydig (interstitial) cells?
In terms of how they inhibit prostaglandin synthesis, how would a COX2 inhibitor
differ from traditional NSAIDS like aspirin?
aspirin was non-specific (COX1 & 2)
Chemically, what type of molecule is a gonadotropin?
Where is the receptor for steroid hormones?
inside the cell
What would be the most common reason to administer oxytocin (or a synthetic
version of this hormone)?
Why would very small amounts of TRH be needed for adequate homeostatic control?
portal vessel from hypothalamus to pituitary means that it is not diluted
by the systemic circulation
Although steroids in the birth control pill would have a trophic effect,
building up the endometrium, they block pregnancy. By what mechanism?
by inhibiting FSH and LH, they prevent ovulation
What is the effect of the hormone of the adrenal medulla on heart rate?
adrenalin increases heart rate, of course
A lot of hormone from the parathyroid gland would decrease calcium in what
notable reservoir in the body?
Ovulation, as well as the conversion of the follicle to the corpus luteum,
is induced by a surge in what pituitary peptide?
PTH, the hormone of the parathyroid, acts on the kidney to stimulate Ca2+
reabsorption and inhibit PO4- reabsorption. What other effect does PTH have
on kidney to help to increase plasma Ca2+?
formation of 1,25-dihydroxyvitamin D3 (increase 1alpha-hydroxylase activity
What famous steroid hormone is an intermediate in the conversion of progesterone
testosterone (also androstenedione)
A DNA-binding domain is a hallmark of what kind of molecule that binds to
a hormone response element?
steroid hormone receptor protein
Testosterone is converted by 5alpha-reductase or by aromatase into (name
one of these steroids)?
How does cAMP activate the kinase?
binds to and removes inhibitory subunit from catalytic subunit
Answer one of the following for the precursor that cyclooxygenase turns
to prostaglandins and lipoxygenase turns into leukotrienes - (1) name it,
or (2) say what kind of molecule it is, or (3) where does it come from?
arachidonic acid ((20:4), fatty acid, from membrane phospholipid
Who would suffer from acromegaly?
adults with too much growth hormone
Why would your skin be dark if you had Addison's disease (inadequate cortisol,
no feedback, too much ACTH)?
ACTH mimics melanocyte stimulating hormone
Chemically, what type of hormones are the hormones of the adrenal cortex?
If estrogen and progesterone maintain the endometrium, how come women taking
the birth control pill still have menstruation?
estrogen and progesterone are not given for a few days
Why would hyperplasia of the adrenal masculinize a female?
adrenal cortex makes anabolic steroids like testosterone, too much if there
Why is the area upstream of a gene's coding sequence relevant to the actions
of retinoic acid, thyroxine and steroid hormones?
this area is the promoter where steroid hormone receptors , retinoic acid
receptors, etc bind
The G protein coupled receptor signals to the next molecule in the cascade,
namely the G protein. Why is it called a G protein?
Why is the term "neurosecretion" used for some hormones and give
neurons with axons release chemicals from their terminals near blood vessels,
ADH, oxytocin, releasing hormones
What happens if there is too much growth hormone in the fully-grown adult?
bones grow in thickness, not length, acromegaly
What leads to hypertrophy of the thyroid gland (goiter)?
deficiency of iodine
Why do they need to build fish ladders beside tall dams?
salmon go up their native stream to spawn
What type of chemical is the hormone secreted by the follicle?
After implantation, what peptide stimulates the corpus luteum to continue
human chorionic gonadotropin
What important cell, other than the hormone-secreting cells, is present
in the follicle?
What type of chemical is the hormone that has a trophic effect, causing
the Leydig cells (interstitial cells) to release their hormone?
H2CO3 is split in osteoclasts. Where do the two portions go and why?
H+ for acidity into bone on one side of the osteoclast, HCO3- exchange with
Cl- on the other side to start Cl- toward the bone to make HCl
Which hormone from a gland inside the neck has the same effect on plasma
calcium ion concentration as 1,25-dihydroxyvitaminD3?
Describe why the system of the hepatic portal vessel might be relevant in
estrogen replacement therapy.
Any chemicals, if taken orally, might be converted to other things by the
Testosterone gets converted to other steroids for its activity. Tell me
one of the enzymes that effects these conversions.
5-alpha reductase (to 5 alpha DHT) or aromatase (to estradiol-17beta
One part of the retinoid X receptor (RXR) binds 9-cis retinoic acid. What
does the other part of this molecule bind?
DNA (the RARE)
Why doesn't the alpha subunit of the heterotrimeric G protein activate the
adenylate cyclase indefinitely?
it has GTPase activity (etc.)
Why would a selective estrogen receptor modulator (SERM) be so potentially
useful for bone health?
have the beneficial effect on osteoblasts but not promote breast cancer
or cardiovascular problems
Why might you want to inhibit the normal function of osteoclasts?
to stave off osteoporosis
Many hormone receptors are on the cell membrane. How can steroid hormone
receptors work when they are inside the cell?
by binding steroid hormones and also binding DNA at hormone response element
ACTH is cleaved from what peptide precursor?
What organ are the steroid-secreting zona fasciculate and zona reticularis
Out of a long laundry list, tell me one precursor of the hormone from the
tyrosine, l-DOPA, dopamine, norepnephrine
Tell me one of several molecules that are precursors for all of these: hydrocortisone,
testosterone, and estradiol-17beta.
cholesterol, pregnenolone, progesterone
"A gene is the coding sequence for a protein." The truth but not
the whole truth. Relative to this, where is the hormone response element?
upstream of the coding sequence
What is the precursor of leukotrienes, and where (in the cell's anatomy)
does it come from?
arachidonic acid, in membrane lipid
Why did COX-2 inhibitors show so much promise, and why were some pulled
from the market?
reliece arthritic inflammation without interfering with gastric mucosa,
increased chance of heart attack
By what mechanism is estrogen good for bones?
it promotes osteoblasts
What is it called when a hypothyroid condition as an infant leads to deficient
What is the condition where there is too much ACTH? - Answer one: (1) name
of condition (2) What is there too little of? Or (3) Why does the skin get
Addison's disease, too little cortisol, ACTH is like MSH (melanocyte stimulating
The adrenal cortex is famous for producing androgens, glucocorticoids and
Norepinephrine is converted to epinephrine to be the major hormone of what
Why would cod liver oil be a useful dietary supplement for some people?
Why was there the conventional wisdom that estrogen by patch was safer than
Swallowed, the liver could make many other products
Why was the women's health initiative study discontinued?
Increase in breast cancer, coronary heart disease
For "androgenic alopecia" tell me either (1) what these words
mean, or (2) what an enzyme or the hormonal product it catalyses has to
do with that.
Male pattern baldness, 5 alpha reductase makes DHT
Address the terms "paraventricular" and "supraoptic"
in ONE of the following ways: (1) What part of the brain are they in? (2)
How did those nuclei get those names? (3) What structure is the output of
this neurosecretion? Or (4) What are the hormones?
hypothalamus, around the (third) ventricle and above the optic chiasm, posterior
pituitary, ADH or oxytocin
For one portal system, the first capillary bed is in the pituitary stalk.
Answer ONE of these (1) Where are the cell bodies responsible for secretion
into this vascular bed? Or (2) Where (specifically) is the second capillary
hypothalamus, anterior pituitary
Distinguish between what happens with too much growth hormone as a child
vs as an adult.
become a giant, acromegaly
How come women who took the birth control pill still menstruated?
out of the 28 days, the steroids are not in the last 5 days so the endometrium
is not supported
What are the two different functions of the pituitary gonadotropins in the
FSH spermatogenesis, LH getting the interstitial cells of Leydig to secrete
A surge in LH converts the follicle to the corpus luteum and (what else
does it achieve?).
Why doesn't the endometrium break down once FSH and LH stop maintaining
the corpus luteum when implantation has occurred?
HCG supports the corpus luteum, so there is still progesterone
Starting with 7-Dehydrocholesterol, what is the order of action of the 3
separate ORGANS in the production of the active form of vitamin D?
skin, liver, kidney
A hormone from the thyroid has (what effect on the kidney?) for calcium
calcitonin stimulates excretion of Ca2+
Progesterone is the precursor of what two sex steroids?
testosterone and estradiol
Where, specifically, is the hormone response element?
on the DNA upstream of the coding sequence for the protein
Why would a mutation in the receptor that caused insensitivity to androgens
have the effect it has in androgen insensitivity syndrome?
testicular feminization b/c there is no response to hormones like testosterone
Why at the time, was the availability of new COX-2 inhibitors heralded as
such an important development?
arthritis symptoms taken care of without the COX-1 interference with the
The thyroid receptor makes a heterodimer with a receptor for what signaling
"If the mother plans to breast feed, it is useful to give her the baby
to suckle right after delivery" for what endocrine reason?
to retract uterus
In what way would growth be different if there were too much growth hormone
as a child vs. too much growth hormone as an adult?
bones get longer vs thicker
In addition to its negative feedback control on the hypothalamus/pituitary,
what effect does estrogen have on the endometrium?
"The pill" ­p; one a day for 28 days: Why would women still
estrogens - build up of endometrium, duds, let it break down
In addition to triggering ovulation, a surge of LH does what (to the endocrine
structure/function of the ovary)?
follicle changes to corpus luteum
Once human chorionic gonadotropin "takes over," what is the status
of FSH and LH release by the pituitary?
they are still not released, inhibited by progesterone
Once human chorionic gonadotropin "takes over," what is the status
of FSH and LH release by the pituitary?
progesterone from the still functioning corpus luteum still inhibits Pituitary
FSH and LH
Estrogen and thyrocalcitonin (calcitonin) would affect bone, answer either
(1) With what cell type? Or (2) In what way (would they affect bone)?
osteoblasts, put in calcium
In the old days, some people would have had rickets. What aspect of their
life style (discounting diet) would have led them to have gotten this disorder
while other people would not?
winter, clothing, sun avoidance
Name a precursor of estradiol-17b.
testosterone, progesterone, cholesterol
"Steroid hormones affect transcription of certain genes. How?
bind receptor protein that binds response element
They used to call Tamoxifen an anti-estrogen, now they call it a SERM. Answer
either (1) How does SERM translate? Or (2) Why the change?
selective estrogen receptor modulator, it affects different tissues differently
Just like T4 is converted to T3 for receptor activation, testosterone is
converted. Name (1) one of the two active products of testosterone OR (2)
one of the two enzymes used to make these products from the precursor (testosterone).
dihydrotestosterone (5alpha-reductase) estradiol-17beta (aromatase)
For the precursor of prostaglandins, answer either (1) How many carbons
long? Or (2) How many double bonds?
Why was there such enthusiasm for Vioxx and Bextra and why were they eventually
by selectively blocking COX-2, arthritis could be selectively dosed without
inhibiting COX in the gastric mucosa, thee was increase in heart attacks
Zona facicularis and zona reticularis put out what hormone in addition to
What allows FSH to be released at the "beginning" of the cycle?
lack of inhibition because of lack of estrogen and progesterone
Why would osteoporosis become more of a potential problem after menopause?
lack of estrogen (which would have helped osteoblasts build bone calcium)
Several organs are involved in bioconversions of various molecules that
have the words "vitamin D." What is the original precursor of
all the vitamin D forms?
While estrogen replacement therapy was still widely accepted, the conventional
wisdom was that the transdermal patch was better than oral administration.
What is wrong (with oral administration), assuming the same hormone is in
hepatic portal vein delivers absorbed hormone liver that converts it to
lord knows what
What partners with the T3 (triiodothyroxine) receptor to activate the response
the retinoic acid receptor
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