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M 7.1
| Question | Answer |
|---|---|
| What is the primary function of a control system in the body | Maintains body homeostasis. |
| What does a control system regulate | Variables like blood glucose and body temperature. |
| What level does a control system maintain variables at | An optimal level. |
| What does a control system establish for each variable | A specific or near set point. |
| What are the three main components of a control system | Receptor, Control centre, Effector. |
| What is the role of the receptor in a control system | To sense the signal or variable. |
| What is the role of the control centre in a control system | Monitors variables and adjusts them accordingly. |
| What is the role of the effector in a control system | To carry out the adjustment. |
| What is the role of the Receptor (sensor) in a control system | To monitor the controlled variable, e.g., thermoreceptors. |
| What must a control system be able to do regarding actual and set values | Compare the actual value with what it should be. |
| What is an example of a Control centre | The hypothalamus (control of the endocrine system). |
| What is the function of the Effector in a control system | To change the controlled variable. |
| What is an example of an Effector | Sweat glands. |
| What is the stimulus in the feedback loop example | Body temperature exceeds $37^{\circ} \mathrm{C}$. |
| What acts as the sensor when body temperature exceeds $37^{\circ} \mathrm{C}$ | Nerve cells with endings in the skin and brain. |
| What is the control center for body temperature regulation | Temperature regulatory center in brain. |
| What is the effector in the body temperature regulation feedback loop | Sweat glands throughout body. |
| What process is being regulated by this feedback loop | Body temperature regulation. |
| What is essential for a control system to work | Effective communication between its components. |
| How do components communicate when they come into contact | Via cell surface chemicals (e.g., immune cells). |
| How do components communicate when they are close | Local diffusion of chemical messengers (paracrine via hormones). |
| How do components communicate when they are far apart | Chemical messengers in the bloodstream (endocrine via hormones) or neurotransmitters. |
| What is an example of communication via cell surface chemicals | Immune cells. |
| What type of chemical messengers are involved in local diffusion | Paracrine via hormones. |
| What type of chemical messengers are involved in communication over long distances via blood | Endocrine via hormones. |
| Besides hormones in the bloodstream, what else facilitates communication over long distances | Neurotransmitters. |
| What are hormones | Chemical signals produced in endocrine glands. |
| What are the three types of effects hormones may have | Endocrine, paracrine, or autocrine effect. |
| How do hormones travel to affect other tissues | They travel in the bloodstream. |
| Can hormones have different effects in different places | Yes, they can have different effects. |
| What determines the effect a hormone has on a target cell | Its concentration in the bloodstream. |
| Are hormones normally present at high or low concentration in the bloodstream | Normally present at low concentration. |
| What hormones does the HYPOTHALAMUS produce | ADH, oxytocin, and regulatory hormones. |
| What hormone do the PARATHYROID GLANDS produce | Parathyroid hormone (PTH). |
| What hormones does the HEART produce | Natriuretic peptides: ANP and BNP. |
| What hormones does the THYROID GLAND produce | Thyroxine (T4), Triiodothyronine (T3), Calcitonin (CT). |
| What hormones does the KIDNEY produce | Renin, Erythropoietin (EPO), Calcitriol. |
| What hormone does the THYMUS produce | Thymosins. |
| What hormones does ADIPOSE TISSUE produce | Leptin, Resistin. |
| What hormones do the PANCREATIC ISLETS produce | Insulin, glucagon. |
| What hormone does the PINEAL GLAND produce | Melatonin. |
| What hormones does the Anterior lobe of the PITUITARY GLAND produce | ACTH, TSH, GH, PRL, FSH, LH, and MSH. |
| What hormones does the Posterior lobe of the PITUITARY GLAND release | Oxytocin and ADH. |
| What hormones does the Adrenal medulla produce | Epinephrine (E), Norepinephrine (NE). |
| What hormones does the Adrenal cortex produce | Cortisol, corticosterone, aldosterone, androgens. |
| What hormones do the Testes (male) produce | Androgens (especially testosterone), inhibin. |
| What hormones do the Ovaries (female) produce | Estrogens, progestins, inhibin. |
| What is the core chemistry/structure of Peptide/Polypeptide hormones | Single-chain peptides; variable length (3-191 aa). |
| How are Peptide/Polypeptide hormones stored and released | Synthesized as prohormones; stored in vesicles; released by exocytosis. |
| What is the solubility of Peptide/Polypeptide hormones | Hydrophilic. |
| What is the mechanism/receptors for Peptide/Polypeptide hormones | Bind cell-surface (membrane) receptors $\to$ second messengers. |
| Name a representative example of a Peptide/Polypeptide hormone.aa). | TRH (3 aa), Glucagon (29 aa), Insulin (51 aa), GH (191 |
| What is the core chemistry/structure of Glycoprotein hormones | Two polypeptide chains ($\alpha$ and $\beta$) with carbohydrate side chains. |
| How are Glycoprotein hormones stored and released | Synthesized and stored; secreted on demand. |
| What is the solubility of Glycoprotein hormones | Hydrophilic. |
| What is the mechanism/receptors for Glycoprotein hormones | Cell-surface receptors; $\beta$-subunit confers specificity. |
| Name a representative example of a Glycoprotein hormone. TSH, FSH, LH, hCG. | |
| What is the core chemistry/structure of Amino acid derivatives (tyrosine-derived) hormones | Derived from tyrosine. |
| How are Amino acid derivatives hormones stored and released | Mixed: some stored in vesicles; thyroid hormones stored bound to thyroglobulin. |
| What is the solubility of Amino acid derivatives hormones | Mixed: catecholamines hydrophilic; thyroid hormones lipophilic. |
| What is the mechanism/receptors for Amino acid derivatives hormones | Catecholamines $\to$ membrane receptors; thyroid hormones $\to$ nuclear receptors. |
| Name a representative example of an Amino acid derivative hormone. | T3, T4, Adrenaline. |
| What is the core chemistry/structure of Steroid hormones | Synthesized from cholesterol; not stored. |
| How are Steroid hormones stored and released | Produced on demand from cholesterol esters. |
| What is the solubility of Steroid hormones | Hydrophobic (lipophilic). |
| What is the mechanism/receptors for Steroid hormones | Intracellular (cytosolic/nuclear) receptors $\to$ gene transcription. |
| Name a representative example of a Steroid hormone. | Cortisol, Aldosterone, Oestrogen, Testosterone. |
| What primarily stimulates endocrine cells to release hormones | Chemical stimulation, mainly by another hormone. |
| What mechanism controls hormonal secretion | A negative feedback loop. |
| What stimulates parathyroid hormone (PTH) secretion | Decreased blood calcium levels. |
| What organs does PTH act on to increase blood calcium | Bone and kidney. |
| What effect does increased blood calcium have on PTH secretion | It reduces its own secretion. |
| What are tropic hormones controlled by | The hormones they control. |
| How does the hypothalamus control pituitary gland hormone secretion | Via hypothalamic releasing and inhibiting hormones. |
| What is an example of a hypothalamic releasing hormone | TRH (Thyrotropin-releasing hormone). |
| What does TRH stimulate the release of | TSH (Thyroid-stimulating hormone). |
| Which hormones are soluble enough to travel in simple solution in the blood | Peptide/polypeptide, glycoprotein, and adrenaline hormones. |
| What type of hormones are adrenaline | Amino acid derivative hormones. |
| Which hormones must bind to proteins in the blood | Steroids and thyroid hormones. |
| Where can hormone inactivation occur | Target tissues and other tissues, especially the liver. |
| How are peptides/polypeptides and glycoprotein hormones inactivated | Degraded to amino acids. |
| What happens to amino acids from degraded peptide/polypeptide hormones | Reused for protein synthesis. |
| How are steroid hormones and amino-acid derivatives inactivated | Small changes in structure. |
| What happens to inactivated steroid hormones and amino-acid derivatives | Recycled or excreted. |
| What are the two main systems the pancreas is part of | Digestive and endocrine systems. |
| What is the approximate weight of a healthy adult pancreas | $\sim 200-300 \mathrm{~g}$. |
| What is the approximate length of a healthy adult pancreas | $\sim 15-20 \mathrm{~cm}$. |
| What are the anatomical divisions of the pancreas | Head, body, and tail. |
| What percentage of the pancreas is endocrine tissue | $2 \%$. |
| What hormones are produced by the endocrine part of the pancreas | Insulin, glucagon, somatostatin, pancreatic polypeptide, ghrelin, and amylin. |
| What percentage of the pancreas is exocrine tissue | $98 \%$. |
| What does the exocrine part of the pancreas produce | Digestive enzymes (amylases, lipases, proteases). |
| What are the anatomical divisions of the pancreas | Tail, Body, Head. |
| Which duct is associated with the pancreas | Pancreatic duct. |
| What is the main artery supplying the pancreas | Celiac trunk. |
| Which artery branches from the celiac trunk to supply the pancreas | Splenic artery, Common hepatic artery. |
| What artery branches from the common hepatic artery | Gastroduodenal artery. |
| Which artery is located dorsally to the pancreas | Dorsal pancreatic artery. |
| What is the large artery supplying the pancreas | Pancreatica magna artery. |
| What is the major artery inferior to the pancreas | Superior mesenteric artery. |
| What type of branch connects arteries in the pancreatic vasculature | Anastomotic branch. |
| What is the name of the duct associated with the dorsal pancreas | Duct of dorsal pancreas |
| What structure develops from the hepatic outgrowth | Bile duct |
| Which bud is located dorsally in the developing pancreas | Dorsal pancreatic bud |
| Which bud is located ventrally in the developing pancreas | Ventral pancreatic bud |
| What part of the duodenum is mentioned in the context of pancreatic development | Second part of duodenum |
| What is the name of the duct associated with the ventral pancreas | Duct of ventral pancreas |
| What process involves the ventral duct during development | Rotation of the ventral duct |
| What is an abnormality of buds fusion | Annular Pancreas |
| What is the consequence of buds forming a ring around the duodenum | Bowel obstruction in infancy |
| What is the process called when the dorsal and ventral buds merge | Fusion of buds |
| What is the exocrine component of the pancreas | Acini |
| What is the endocrine component of the pancreas | Islets of Langerhans |
| Which cells are found in the Islets of Langerhans | \(\alpha\)-cells and \(\beta\)-cells |
| What percentage of Islet of Langerhans cells are glucagon-secreting $\alpha$-cells | 20-25% |
| What do $\beta$-cells in the Islet of Langerhans secrete | Insulin |
| Which cells in the Islet of Langerhans secrete somatostatin | $\delta$-cells |
| Which cells are responsible for the regulation of appetite | Ghrelin-secreting $\varepsilon$-cells and Pancreatic Polypeptide-secreting PP cells |
| What hormone raises blood sugar | Glucagon |
| What organ releases glucagon | Pancreas |
| What does glucagon stimulate in the liver | Glycogen breakdown |
| What hormone lowers blood sugar | Insulin |
| What does insulin promote | Glucose uptake from blood |
| What is the half-life of insulin | ~5 minutes |
| What cells release glucagon | a-cells |
| What cells release insulin | B-cells |
| What tissues are insulin sensitive | Adipose, skeletal muscle, liver |
| What is the physiologic state associated with insulin | Feeding (post-prandial) |
| What is the physiologic state associated with glucagon | Fasting / low glucose |
| What is the overall role of insulin | Anabolic - promotes storage |
| What is the overall role of glucagon | Catabolic - mobilises stores |
| What are the primary targets of insulin | Liver, skeletal muscle, adipose tissue |
| What are the primary targets of glucagon | Liver, adipose tissue |
| How does insulin affect glycogen synthesis | Increases glycogen synthesis (liver, muscle) |
| How does glucagon affect glycogen breakdown | Increases glycogen breakdown (liver) |
| How does insulin affect hepatic gluconeogenesis | Decreases hepatic gluconeogenesis |
| How does glucagon affect hepatic gluconeogenesis | Increases hepatic gluconeogenesis |
| How does insulin affect lipolysis | Decreases lipolysis |
| How does glucagon affect lipolysis | Increases lipolysis |
| What is the net effect of insulin on blood glucose | Decreases |
| What is the net effect of glucagon on blood glucose | Increases |
| What is the first form of insulin synthesized | Preproinsulin |
| What does preproinsulin process into | Proinsulin |
| What does proinsulin process into | Insulin |
| What is removed during the conversion of preproinsulin to proinsulin | Signal peptide |
| How many amino acids are in preproinsulin | 109 a.a. |
| How many amino acids are in proinsulin | 86 a.a. |
| How many amino acids are in mature insulin | 51 a.a. |
| What chains are present in preproinsulin | Signal peptide, B chain, C chain, A chain |
| What chains are present in proinsulin | B chain, C chain, A chain |
| What chains are present in mature insulin | A chain and B chain |
| What type of bonds connect the A and B chains in mature insulin | Inter-chain disulfide bridges |
| What type of bond is found within the A chain of insulin | Intra-chain disulfide bridge |
| What is the role of the C chain in insulin synthesis | It is removed during maturation from proinsulin to insulin. |
| What is the first step in insulin secretion | mRNA production and preproinsulin gene transcription in the nucleus. |
| Where is preproinsulin synthesized and disulfide bonds formed | Endoplasmic reticulum. |
| What happens to proinsulin in the Golgi apparatus | Proinsulin is converted to insulin and packaged into granules. |
| What structures are involved in transporting proinsulin to the Golgi | Transfer vesicles. |
| What role do microtubules play in insulin secretion | Secretory vesicles move along microtubules towards the plasma membrane. |
| What stimulates the \(\beta\)-cell to release insulin | Glucose, which causes calcium to enter the cell. |
| What do calcium ions induce in the \(\beta\)-cell | Contraction of microfilaments. |
| What is the final step of insulin release from the \(\beta\)-cell | Exocytosis of insulin and peptide C from vesicles. |
| What happens when vesicle membranes fuse with the plasma membrane | Insulin and peptide C are released. |
| What is the function of transfer vesicles | Transport of proinsulin to the Golgi. |
| How does glucose enter the $\beta$-cell | Facilitated diffusion via GLUT2. |
| What happens to glucose inside the $\beta$-cell | It is utilized to produce ATP. |
| What is the effect of ATP on $\mathrm{K}^{+}$ channels | ATP closes the $\mathrm{K}^{+}$ channels. |
| What does increased intracellular $\mathrm{K}^{+}$ levels cause | Membrane depolarization. |
| What follows membrane depolarization in $\beta$-cells | Influx of extracellular $\mathrm{Ca}^{2+}$. |
| What triggers the release of insulin from secretory granules | Increased intracellular $\mathrm{Ca}^{2+}$. |
| What are sulphonylureas used for | To treat type 2 diabetes. |
| How do sulphonylureas work | They are insulin secretagogues. |
| What type of receptor is the insulin receptor | Tyrosine kinase receptor. |
| Where is the insulin receptor located | On the target cell. |
| What is the structure of the insulin receptor | A transmembrane dimer. |
| How many identical monomers make up the insulin receptor | Two. |
| What does each monomer of the insulin receptor consist of | One $\alpha$-subunit and one $\beta$-subunit. |
| What connects the $\alpha$-subunit and $\beta$-subunit in a monomer | A single disulfide bond. |
| Where is the $\alpha$-subunit located and what is its function | Extracellular and insulin binding. |
| Where is the $\beta$-subunit located | Intracellular. |
| What activity does the $\beta$-subunit possess | Tyrosine kinase activity. |
| What does the insulin receptor span | The plasma membrane. |
| What is the first step in insulin receptor activation | Dimerization. |
| What happens after dimerization of the insulin receptor | Phosphorylation. |
| What does an active relay protein facilitate | Cellular response. |
| What is consumed during the activation of the insulin receptor | ATP is converted to ADP. |
| What is the first step in glucose uptake via GLUT4 | Insulin binds to receptor. |
| What happens after insulin binds to the receptor in glucose uptake | Glucose entry is permitted. |
| What follows the signal cascade in glucose uptake via GLUT4 | Glucose utilisation. |
| What is the final step in glucose uptake via GLUT4 after glucose utilisation | Exocytosis. |
| Where is glucagon synthesized | In \(\alpha\)-cells. |
| What is the large precursor of glucagon | Pre-proglucagon. |
| How many amino acids are in a single polypeptide chain of glucagon | 29 amino acids. |
| Does glucagon have di-sulfide bridges | No, it has a flexible structure. |
| Where is glucagon synthesized within the cell | In the RER. |
| Where is glucagon transported after RER synthesis | To the Golgi. |
| How is glucagon packaged after the Golgi | In secretory vesicles. |
| How do secretory granules release glucagon into the blood | By exocytosis. |
| What is the full length of Proglucagon | 1-160. |
| What does glucagon bind to | G-protein coupled receptor (GPCR). |
| Which subunit activates adenylate cyclase | The $\alpha$-subunit. |
| What does adenylate cyclase produce | cAMP. |
| What does cAMP activate | PKA. |
| What does PKA activation lead to | Signalling cascade and metabolic effects. |
| What is a clinical sign of high insulin levels | High insulin levels result in hypoglycaemia. |
| What is a clinical sign of low insulin levels | Low insulin levels result in hyperglycaemia (diabetes mellitus). |
| What is a clinical sign of insulin resistance | Insulin resistance results in hyperglycaemia and hyperinsulinaemia. |
| What is a clinical sign of high glucagon levels | High glucagon levels worsen diabetes. |
| What is a clinical sign of low glucagon levels | Low glucagon levels may contribute to hypoglycaemia. |
| Which endocrine glands are located in the head and neck | Pituitary, pineal, thyroid, and parathyroid glands. |
| Which two parts make up the pituitary gland | The anterior and posterior pituitary. |
| What links the nervous system to the endocrine system | The hypothalamus. |
| How does the hypothalamus link the nervous and endocrine systems | Via the pituitary gland. |
| Which endocrine glands are located in the abdomen | Adrenal glands, pancreas, kidney, and gut. |
| What are the two parts of the adrenal glands | Cortex and medulla. |
| Which endocrine glands are found in the pelvis | Gonads (ovaries, testes), uterus, and placenta. |
| Name the gonads that are endocrine glands. | Ovaries and testes. |
| Where is adrenaline stored | In vesicles in adrenal medulla (chromaffin cells). |
| Is adrenaline hydrophilic or hydrophobic | Hydrophilic. |
| How are thyroid hormones stored | As thyroglobulin (prohormone) extracellularly in follicles in the thyroid gland as colloid. |