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NPB101 cummulative note

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NPB101 cummulative note

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Lecture 4:Endocrinology
SIGNALING:how the
ENDOCRINE body communicates VOCAD:
via hormones & neurohormones Hormone:extracellular signaling molecule transpor
-

secreted by dedicated endocrine glands red vial circ. system & acts in distal tissues by
↳ pituitary, Adrenal binding a target cell'sreceptor to have a physic.
-organs mother functions response
↳ stomach, intestines




I
⑱ hyotrophilic ⑧ hydrophobic
-water-soluble, a lipid solubility -


lipid soluble, a water so ability
-

amino acid derivatives -




inyroid hormones

-peptide hormones -"Steroid"hormones-from cholestrol

-stored in secretion vesicles ↳
steroidogenesis
-

soluble in plasma
-


diffused "out"during synthesis
-cleared by proteases to bed active -protein-bound as they circulate in the plasma
-ractive:cleared by specific proteolitic -become more water-soluble & lostin urine to be
↓ active
enzymes (new structures
-



targets cell membrane receptors -modified win cells by enzymes to modify structure
* FASTER A to be more active
floating
around
in the plasma,
-


target intracellular receptors nucleus affect
in cell's -




so don't
need proteins,
NO ENTRY ing cell'stranscription
but phospholipid bilayer doesn't
diffuse in longer lasting effects
blood/plasma
=entry but slower onset

so cell membrane diffuse into
phospholipid bilayer
receptor

A big amplification
possible &




19.125

targetcell membrane receptor enzyme
complexy
· -



physiological,second messenger
19128
response cascade


regulating Endocrine FXS:
a. Negative Feedback control:sensing changes in controlled variable
b. Neuroendocrine reflexes can promote hormone secretion
↳s sudden increase in hormone secretion due to stimulus
c. circadian rhythms:diff. hormones secreted a diff. times of day
d. concentration ofreceptors #Of receptors (availability)

other hormonesa manow noter
e.

to function & optimale permissiveness
synergism:greater effecttogether
or

or antagonism:blocking receptors so hormone doesn't work

* may need to be activated
A lipophilic needs to be unbound
* inactivated & removed

, Lecture 5:Endocrine pancreas
·

regulating blood glucose by switching between stored forms and readily available forms
to maintain a relatively constantsupply ofnutrients
Anabolic building
protein carbohydrates triglyceride fat catabolic:breaking down
↓ S
12
forms
amino absorbable
glUCOSe
T, Monoglycerides body'smetabolic fuel
acids ofthe
most
BRAIN CAN
ONLY USE
↑ is stored in fat -
77%

FOR FUEL

hypoglycemia:low sugar hyperglycemia:a blood sugar
-
neuro problems
-


glUCOtOxiCity
-

cOMA ↳ retinopathies -
peripheral nerve damage
-

death ↳
poor kidney fxn 3 atherosclerosis


insulin:(pancreatic hormone) allows fuels to be




Speptide
stored appropriately reactions of Fuel metabolism
↳islets ofLangerhans (pancreatic endocrine cells)
B-cells make & Secrete insulin Glycogenesis:glucose- glycogen
hormone:hy drophilic glycogen being made
AlIOWS uptake ofglucose Glycogenolysis:glycogene glucose
glycogen breakdown
Gluconeogenesis:amino acid glucose
protein synthesis:amino acide protein
protein degradation:protein - amino acids
* alter the localization of
the transporter lipogenesis:fatty acide triglycerides
Protein GLUT4 in body tissues to enhance lipolysis:triglyceride - fatty acid
gIUCOse uptake GENESIS:to make
LYSIS:breakdown




Insulin Effects on:
carbs:↑ glucose uptake via GLUT4
↑ liver & skeletal glycogenesis promotes anabolic
liver & muscle & stops catabolic
x glycogenolysis
x liver gluconeogenesis


#At: glucose uptake in adipocytes for triglyceride
synthesis
↑ adipocyte triglyc synthesis
breakdown of
x lipids
·glut z insulin
=



independent
glut 4:insulin dependent protein:amino acid uptake into muscle & liver
↑ protein synth
Absorptive state:(after a meal breakdown of
x proteins
-




glucose is very present & acts as a major energy----------
SOUrCe insulin =d(X) in blood & become
Anabolic catabolic storage fuels

, Lecture 6:Endocrine pancreas * glucose-major regulator
Absorptive :


fed state -cells from pancreas secrete glucagon but a fatty acids & amino
·
anabolism in liver:a glycogen synthesis acids blood, also trigger
in
insulin is released ↑ glycogenolysis glucagon secretion a
post-absorptive:fasting state ↑ amino acid catabolism
CA+AbOliSm &gluconeogenesis (amino acid is glucosel
glucagon is released in fat:doesn't directly acton the adipose tissue
↓ triglyceride synthesis Post Absorptive Break-
insuline glucagon work together ↑ liPOLYSIS down
to keep blood glucose a homes in muscle:no direct effects on muscle ① glycogen in liver+
↓Creducedglucose uptake muscle
↑ protein degradation ② fatty acids as triglyc
in adipose
in brain,nothing really, butif peripheral muscle & protein
organs:good, brain:happy


Diabetes mellitus:a blood glucose level (sweet urinel




I
Type Idiabetes:no B-cells to produce insulin impaired 2) feedback:
-


younger age (autoimmunel ↑ glucagon-> catabolism
-insulin injections, exercise, dietto treat stored fuels
of

Type II diabetes:insulin receptors aren'tworking (resistance)
adulthood -




-

diet, exercise, mightneed insulin
insulin function:
-

enhance glucose uptake via Glu+4, so withoutit:
hyperglycemia doesn'timmediately effectthe brain
-




-liver:can uptake via GLUT2 butcan'tbe stored as glycogenstriglycerides & fatty liver


untreated diabetS:
metabolism:↑
·Carbohydrate blood glucose
-Excessive urination
-

Excessive Hunger
-

Excessive thirst

Lipid metabolism:& FATYACIdS be body is

weightloss breaking down proteine fatfor
-




-

Retoacids (by productused energy, who glycogen
sweetas fuel for brain)
breath
·protein metabolism:↑ amino acids
-weight loss
-


muscle degradation

, Brain:




puthniamn
Lecture 7:Hypothalamus -



Pituitary Axis
10:hormones ofhypothalamus, post pit, target organs, & effects
Is releasing & inhibiting hormones of hypothalamus
understand it feedback
11) key players in growth hormone axis

posterior pituitary:Neuro secretory Neuronal cell bodies menian
eminence
neuronormones in vesicles sent into blood (circ.) based posterior:directly
anterior:pituitary released from
on electrical signals
based on release gland hypothalamus
rasopressin + oxytocin (hydrophilic and inhibiting blood
into
BPCONtrol
↳* &permeability
vasoconstriction via arterities
distale collecting tubules via
FACTORS

kidney
↓DP
Vol
vasopressin neuron
of nephrons in ~
T
oxytocin:pair bonding & parent-offspring
↳ blood pressure ↑plasma
tising reflex child birth
Interines, milk ejection (mammary glands)
vasopressin

ysiOtrOpIC:pithitary nourishing
Anterior pituitary. A
app*
vasoconstriction
signal from hypothalamus - endocrine organ, passes signal finnibit/release hormones]


.
.neurons
-



I increaup
neuro secretory
Posterior Pit: (hydrophilic:faster response)




se in
Hypothalam e


menence: use portal
system
Hormone

I



PathWAY: Posterior pit
->
Ambrathalamus disorder ↓
(-) Hormone I
tocin
Releasel inhibit CRH ↓
Hormones
↓ Target organs
It portal system - - -




rid circulation
-> anterior pituitary zo disorder
tropic hormones. N


!pairbond
-




↓ effect
Hormone I ACTH ·regulate
hormone
secretion by another --------

&
endocrine gland
-




target endocrine
grand order. Stim/maintain it's
targettissues

Hormone 2 COrtiSOl
↳make big ger A
↓ Hypothalamus:integrator for neuronal input

I circulates/targetstress relief

effect

- very important to
multiple systems
regulate
who competingnegative
feedback

Document information

Uploaded on
July 13, 2026
Number of pages
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Written in
2024/2025
Type
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Professor(s)
Dr. debello and dr. mark huising
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