Introduction to the Endocrine System


Objectives

  • 1.

    List the main endocrine glands of the body.

  • 2.

    List the chemical nature of the major hormones.

  • 3.

    Describe how the chemical nature influences hormone synthesis, storage, secretion, transport, clearance, mechanism of action, and appropriate route of exogenous hormone administration.

  • 4.

    Explain the significance of hormone binding to plasma proteins.

  • 5.

    Describe the major signal transduction pathways, and their mechanism for termination, for different classes of hormones and provide a specific example of each.

Endocrine glands secrete chemical messengers, called hormones ( Box 1.1 ), into the extracellular fluid in a highly regulated manner. Secreted hormones gain access to the circulation, often via fenestrated capillaries, and regulate target organs throughout the body. The endocrine system is composed of the pituitary gland , the thyroid gland , parathyroid glands , and adrenal glands ( Fig. 1.1 ). The endocrine system also includes the ovary and testis , which carry out a gametogenic function that is absolutely dependent on their endogenous endocrine function. In addition to dedicated endocrine glands, endocrine cells reside as a minor component (in terms of mass) in other organs, either as groups of cells (the islets of Langerhans in the pancreas) or as individual cells spread throughout several glands, including the gastrointestinal (GI) tract, kidney, heart, adipose tissue , and liver . In addition, there are several types of hypothalamic neuroendocrine neurons that produce hormones. The placenta serves as a transitory exchange organ, but also functions as an important endocrine structure of pregnancy.

BOX 1.1
A List of Most Hormones and Their Sites of Production

Hormones Synthesized and Secreted by Dedicated Endocrine Glands

Pituitary Gland

  • Growth hormone (GH)

  • Prolactin

  • Adrenocorticotropic hormone (ACTH)

  • Thyroid-stimulating hormone (TSH)

  • Follicle-stimulating hormone (FSH)

  • Luteinizing hormone (LH)

Thyroid Gland

  • Tetraiodothyronine (T 4 ; thyroxine)

  • Triiodothyronine (T 3 )

  • Calcitonin

Parathyroid Glands

  • Parathyroid hormone (PTH)

Islets of Langerhans (Endocrine Pancreas)

  • Insulin

  • Glucagon

  • Somatostatin

Adrenal Gland

  • Epinephrine

  • Norepinephrine

  • Cortisol

  • Aldosterone

  • Dehydroepiandrosterone sulfate (DHEAS)

Hormones Synthesized by Gonads

  • Ovaries

  • Estradiol-17β

  • Progesterone

  • Inhibin

  • Testes

  • Testosterone

  • Antimüllerian hormone (AMH)

  • Inhibin

Hormones Synthesized in Organs with a Primary Function Other Than Endocrine

Brain (Hypothalamus)

  • Antidiuretic hormone (ADH; vasopressin)

  • Oxytocin

  • Corticotropin-releasing hormone (CRH)

  • Thyrotropin-releasing hormone

  • Gonadotropin-releasing hormone (GnRH)

  • Growth hormone–releasing hormone (GHRH)

  • Somatostatin

  • Dopamine

Brain (Pineal Gland)

  • Melatonin

Heart

  • Atrial natriuretic peptide (ANP)

Kidney

  • Erythropoietin

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