Endocrinology: Prof - DR. Didik Tamtomo, DR PAK, MM, MKK Pakar Anatomi Kedokteran
Endocrinology: Prof - DR. Didik Tamtomo, DR PAK, MM, MKK Pakar Anatomi Kedokteran
Endocrinology: Prof - DR. Didik Tamtomo, DR PAK, MM, MKK Pakar Anatomi Kedokteran
Neuroendocrine
Hormon Hormone
e
Autocrine
Cell
Interstitial Fluid
Hormone
MECHANISM OF HORMONE
ACTION
These activate calcium release from the E.R. and protein kinases
in the cell which phosphorylates proteins
(adds PO4 )
STEROID HORMONES
Gland/Tissue Hormones
Adrenal Cortex Cortisol, Aldosterone, Androgens
Testes Testosterone
Kidney 1,25-Dihydroxycholecalciferol
AMINE HORMONES
Gland/Tissue Hormones
Hypothalamus Dopamine
Thyroid T3 , T 4
Adrenal medulla NE, EPI
PEPTIDE & PROTEIN HORMONES
Gland/Tissue Hormones Gland/Tissue Hormones
Hypothalamus TRH, GnRH, CRH Placenta HCG, HCS or
GHRH, HPL
Somatostatin,
Anterior pituitary ACTH, TSH, FSH, Kidney Renin
LH, PRL, GH
Posterior pituitary Oxytocin, ADH Heart ANP
Thyroid Calcitonin G.I. tract Gastrin, CCK,
Secretin, GIP,
Somatostatin
Pancreas Insulin,Glucagon
Liver Somatomedin C Adipocyte Leptin
(IGF-1)
Parathyroid PTH Adrenal medulla Norepinephrine,
epinephrine
PITUITARY GLAND
PITUITARY GLAND HORMONES
ACTH (Adrenocorticotropic hormone)
Stimulates adrenal glands to make Cortisol and
aldosterone
ADH (Antidiuretic hormone)
Causes kidneys to reabsorb more water
preventing dehydration
GH (Growth hormone)
Causes bone and muscle growth
TSH (Thyroid stimulating hormone)
(Stimulates thyroid gland to make T3 and T4)
LH (Luitenizing hormone)
Stimulates estrogen & progesterone secretion
from ovaries & testosterone secretion from
testes
FSH (Follicle stimulating hormone)
Egg & sperm production
Oxytocin
Causes uterine contractions & milk ejection
Prolactin
milk production
MSH (Melanocyte Stimulating Hormone)
Causes melanin production in skin
PATHOPHYSIOLOGY OF GROWTH
HORMONE
• Gigantism
• Acromegaly
• Dwarfism
GIGANTISM
ACROMEGALY
PITUITARY DWARFISM
PINEAL GLAND
Melatonin (Initiates sleep)
THYROID GLAND
THYROID HORMONE
T3 (Triiodothyronine) (Controls metabolism)
T4 (Thyroxin)
Glucose oxidation
• Increasing metabolic rate
• Heat production
• Maintaining blood pressure
• Regulating tissue growth
• Developing skeletal and nervous systems
• Maturation and reproductive capabilities
Bone
resorption ( osteoclasts)
osteocytic osteolysis
Kidney
Ca2+ reabsorption
phosphate reabsorption
Na+ reabsorption (weak effect)
1,25-(OH)2-D3
Intestine
Ca2+ absorption
phosphate absorption
THYMUS GLAND
Thymosin
Controls immune system
PANCREAS
Insulin
Allows glucose to enter cells;
LOWERS blood glucose
Glucagon
Stimulates liver to make glucose;
RAISES blood glucose
Progesterone
Thickens the uterus lining each month
HIRSUTISM
TERIMA KASIH