Module 12: The Endocrine System

Lesson 9: The Endocrine Pancreas

Tuyến Tụy Nội Tiết

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Dưới đây là danh sách những thuật ngữ Y khoa của module The Endocrine System.
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Medical Terminology: The Endocrine System

acromegaly
disorder in adults caused when abnormally high levels of GH trigger growth of bones in the face, hands, and feet
adenylyl cyclase
membrane-bound enzyme that converts ATP to cyclic AMP, creating cAMP, as a result of G-protein activation
adrenal cortex
outer region of the adrenal glands consisting of multiple layers of epithelial cells and capillary networks that produces mineralocorticoids and glucocorticoids
adrenal glands
endocrine glands located at the top of each kidney that are important for the regulation of the stress response, blood pressure and blood volume, water homeostasis, and electrolyte levels
adrenal medulla
inner layer of the adrenal glands that plays an important role in the stress response by producing epinephrine and norepinephrine
adrenocorticotropic hormone (ACTH)
anterior pituitary hormone that stimulates the adrenal cortex to secrete corticosteroid hormones (also called corticotropin)
alarm reaction
the short-term stress, or the fight-or-flight response, of stage one of the general adaptation syndrome mediated by the hormones epinephrine and norepinephrine
aldosterone
hormone produced and secreted by the adrenal cortex that stimulates sodium and fluid retention and increases blood volume and blood pressure
alpha cell
pancreatic islet cell type that produces the hormone glucagon
angiotensin-converting enzyme
the enzyme that converts angiotensin I to angiotensin II
antidiuretic hormone (ADH)
hypothalamic hormone that is stored by the posterior pituitary and that signals the kidneys to reabsorb water
atrial natriuretic peptide (ANP)
peptide hormone produced by the walls of the atria in response to high blood pressure, blood volume, or blood sodium that reduces the reabsorption of sodium and water in the kidneys and promotes vasodilation
autocrine
chemical signal that elicits a response in the same cell that secreted it
beta cell
pancreatic islet cell type that produces the hormone insulin
calcitonin
peptide hormone produced and secreted by the parafollicular cells (C cells) of the thyroid gland that functions to decrease blood calcium levels
chromaffin
neuroendocrine cells of the adrenal medulla
colloid
viscous fluid in the central cavity of thyroid follicles, containing the glycoprotein thyroglobulin
cortisol
glucocorticoid important in gluconeogenesis, the catabolism of glycogen, and downregulation of the immune system
cyclic adenosine monophosphate (cAMP)
second messenger that, in response to adenylyl cyclase activation, triggers a phosphorylation cascade
delta cell
minor cell type in the pancreas that secretes the hormone somatostatin
diabetes mellitus
condition caused by destruction or dysfunction of the beta cells of the pancreas or cellular resistance to insulin that results in abnormally high blood glucose levels
diacylglycerol (DAG)
molecule that, like cAMP, activates protein kinases, thereby initiating a phosphorylation cascade
downregulation
decrease in the number of hormone receptors, typically in response to chronically excessive levels of a hormone
endocrine gland
tissue or organ that secretes hormones into the blood and lymph without ducts such that they may be transported to organs distant from the site of secretion
endocrine system
cells, tissues, and organs that secrete hormones as a primary or secondary function and play an integral role in normal bodily processes
epinephrine
primary and most potent catecholamine hormone secreted by the adrenal medulla in response to short-term stress; also called adrenaline
erythropoietin (EPO)
protein hormone secreted in response to low oxygen levels that triggers the bone marrow to produce red blood cells
estrogens
class of predominantly female sex hormones important for the development and growth of the female reproductive tract, secondary sex characteristics, the female reproductive cycle, and the maintenance of pregnancy
exocrine system
cells, tissues, and organs that secrete substances directly to target tissues via glandular ducts
first messenger
hormone that binds to a cell membrane hormone receptor and triggers activation of a second messenger system
follicle-stimulating hormone (FSH)
anterior pituitary hormone that stimulates the production and maturation of sex cells
G protein
protein associated with a cell membrane hormone receptor that initiates the next step in a second messenger system upon activation by hormone–receptor binding
general adaptation syndrome (GAS)
the human body’s three-stage response pattern to short- and long-term stress
gigantism
disorder in children caused when abnormally high levels of GH prompt excessive growth
glucagon
pancreatic hormone that stimulates the catabolism of glycogen to glucose, thereby increasing blood glucose levels
glucocorticoids
hormones produced by the zona fasciculata of the adrenal cortex that influence glucose metabolism
goiter
enlargement of the thyroid gland either as a result of iodine deficiency or hyperthyroidism
gonadotropins
hormones that regulate the function of the gonads
growth hormone (GH)
anterior pituitary hormone that promotes tissue building and influences nutrient metabolism (also called somatotropin)
hormone
secretion of an endocrine organ that travels via the bloodstream or lymphatics to induce a response in target cells or tissues in another part of the body
hormone receptor
protein within a cell or on the cell membrane that binds a hormone, initiating the target cell response
hyperglycemia
abnormally high blood glucose levels
hyperparathyroidism
disorder caused by overproduction of PTH that results in abnormally elevated blood calcium
hyperthyroidism
clinically abnormal, elevated level of thyroid hormone in the blood; characterized by an increased metabolic rate, excess body heat, sweating, diarrhea, weight loss, and increased heart rate
hypoparathyroidism
disorder caused by underproduction of PTH that results in abnormally low blood calcium
hypophyseal portal system
network of blood vessels that enables hypothalamic hormones to travel into the anterior lobe of the pituitary without entering the systemic circulation
hypothalamus
region of the diencephalon inferior to the thalamus that functions in neural and endocrine signaling
hypothyroidism
clinically abnormal, low level of thyroid hormone in the blood; characterized by low metabolic rate, weight gain, cold extremities, constipation, and reduced mental activity
infundibulum
stalk containing vasculature and neural tissue that connects the pituitary gland to the hypothalamus (also called the pituitary stalk)
inhibin
hormone secreted by the male and female gonads that inhibits FSH production by the anterior pituitary
inositol triphosphate (IP3)
molecule that initiates the release of calcium ions from intracellular stores
insulin
pancreatic hormone that enhances the cellular uptake and utilization of glucose, thereby decreasing blood glucose levels
insulin-like growth factors (IGF)
protein that enhances cellular proliferation, inhibits apoptosis, and stimulates the cellular uptake of amino acids for protein synthesis
leptin
protein hormone secreted by adipose tissues in response to food consumption that promotes satiety
luteinizing hormone (LH)
anterior pituitary hormone that triggers ovulation and the production of ovarian hormones, and the production of testosterone
melatonin
amino acid–derived hormone that is secreted in response to low light and causes drowsiness
mineralocorticoids
hormones produced by the zona glomerulosa cells of the adrenal cortex that influence fluid and electrolyte balance
neonatal hypothyroidism
condition characterized by cognitive deficits, short stature, and other signs and symptoms in people born to people who were iodine-deficient during pregnancy
norepinephrine
secondary catecholamine hormone secreted by the adrenal medulla in response to short-term stress; also called noradrenaline
osmoreceptor
hypothalamic sensory receptor that is stimulated by changes in solute concentration (osmotic pressure) in the blood
oxytocin
hypothalamic hormone stored in the posterior pituitary gland and important in stimulating uterine contractions in labor, milk ejection during breastfeeding, and feelings of attachment (produced by males and females)
pancreas
organ with both exocrine and endocrine functions located posterior to the stomach that is important for digestion and the regulation of blood glucose
pancreatic islets
specialized clusters of pancreatic cells that have endocrine functions; also called islets of Langerhans
paracrine
chemical signal that elicits a response in neighboring cells; also called paracrine factor
parathyroid glands
small, round glands embedded in the posterior thyroid gland that produce parathyroid hormone (PTH)
parathyroid hormone (PTH)
peptide hormone produced and secreted by the parathyroid glands in response to low blood calcium levels
phosphodiesterase (PDE)
cytosolic enzyme that deactivates and degrades cAMP
phosphorylation cascade
signaling event in which multiple protein kinases phosphorylate the next protein substrate by transferring a phosphate group from ATP to the protein
pineal gland
endocrine gland that secretes melatonin, which is important in regulating the sleep-wake cycle
pinealocyte
cell of the pineal gland that produces and secretes the hormone melatonin
pituitary dwarfism
disorder in children caused when abnormally low levels of GH result in growth retardation
pituitary gland
bean-sized organ suspended from the hypothalamus that produces, stores, and secretes hormones in response to hypothalamic stimulation (also called hypophysis)
PP cell
minor cell type in the pancreas that secretes the hormone pancreatic polypeptide
progesterone
predominantly female sex hormone important in regulating the female reproductive cycle and the maintenance of pregnancy
prolactin (PRL)
anterior pituitary hormone that promotes development of the mammary glands and the production of breast milk
protein kinase
enzyme that initiates a phosphorylation cascade upon activation
second messenger
molecule that initiates a signaling cascade in response to hormone binding on a cell membrane receptor and activation of a G protein
stage of exhaustion
stage three of the general adaptation syndrome; the body’s long-term response to stress mediated by the hormones of the adrenal cortex
stage of resistance
stage two of the general adaptation syndrome; the body’s continued response to stress after stage one diminishes
testosterone
steroid hormone secreted by the testes and important in the maturation of sperm cells, growth and development of the reproductive system, and the development of secondary sex characteristics
thymosins
hormones produced and secreted by the thymus that play an important role in the development and differentiation of T cells
thymus
organ that is involved in the development and maturation of T-cells and is particularly active during infancy and childhood
thyroid gland
large endocrine gland responsible for the synthesis of thyroid hormones
thyroid-stimulating hormone (TSH)
anterior pituitary hormone that triggers secretion of thyroid hormones by the thyroid gland (also called thyrotropin)
thyroxine
(also, tetraiodothyronine, T4) amino acid–derived thyroid hormone that is more abundant but less potent than T3 and often converted to T3 by target cells
triiodothyronine
(also, T3) amino acid–derived thyroid hormone that is less abundant but more potent than T4
upregulation
increase in the number of hormone receptors, typically in response to chronically reduced levels of a hormone
zona fasciculata
intermediate region of the adrenal cortex that produce hormones called glucocorticoids
zona glomerulosa
most superficial region of the adrenal cortex, which produces the hormones collectively referred to as mineralocorticoids
zona reticularis
deepest region of the adrenal cortex, which produces the steroid sex hormones called androgens
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Dưới đây là các bài văn nằm ở bên trái. Ở bên phải là các bài luyện tập (practice) để đánh giá khả năng đọc hiểu của bạn. Sẽ khó khăn trong thời gian đầu nếu vốn từ vựng của bạn còn hạn chế, đặc biệt là từ vựng Y khoa. Hãy kiên nhẫn và đọc nhiều nhất có kể, lượng kiến thức tích tụ dần sẽ giúp bạn đọc thoải mái hơn.
The pancreas is a long, slender organ, most of which is located posterior to the bottom half of the stomach (Figure 1). Although it is primarily an exocrine gland, secreting a variety of digestive enzymes, the pancreas has an endocrine function. Its pancreatic islets—clusters of cells formerly known as the islets of Langerhans—secrete the hormones glucagon, insulin, somatostatin, and pancreatic polypeptide (PP).
The pancreatic islets each contain four varieties of cells:

  • The alpha cell produces the hormone glucagon and makes up approximately 20 percent of each islet. Glucagon plays an important role in blood glucose regulation; low blood glucose levels stimulate its release.
  • The beta cell produces the hormone insulin and makes up approximately 75 percent of each islet. Elevated blood glucose levels stimulate the release of insulin.
  • The delta cell accounts for four percent of the islet cells and secretes the peptide hormone somatostatin. Recall that somatostatin is also released by the hypothalamus (as GHIH), and the stomach and intestines also secrete it. An inhibiting hormone, pancreatic somatostatin inhibits the release of both glucagon and insulin.
  • The PP cell accounts for about one percent of islet cells and secretes the pancreatic polypeptide hormone. It is thought to play a role in appetite, as well as in the regulation of pancreatic exocrine and endocrine secretions. Pancreatic polypeptide released following a meal may reduce further food consumption; however, it is also released in response to fasting.
Glucose is required for cellular respiration and is the preferred fuel for all body cells. The body derives glucose from the breakdown of the carbohydrate-containing foods and drinks we consume. Glucose not immediately taken up by cells for fuel can be stored by the liver and muscles as glycogen, or converted to triglycerides and stored in the adipose tissue. Hormones regulate both the storage and the utilization of glucose as required. Receptors located in the pancreas sense blood glucose levels, and subsequently the pancreatic cells secrete glucagon or insulin to maintain normal levels.

A. Glucagon

Receptors in the pancreas can sense the decline in blood glucose levels, such as during periods of fasting or during prolonged labor or exercise (Figure 2). In response, the alpha cells of the pancreas secrete the hormone glucagon, which has several effects:

  • It stimulates the liver to convert its stores of glycogen back into glucose. This response is known as glycogenolysis. The glucose is then released into the circulation for use by body cells.
  • It stimulates the liver to take up amino acids from the blood and convert them into glucose. This response is known as gluconeogenesis.
  • It stimulates lipolysis, the breakdown of stored triglycerides into free fatty acids and glycerol. Some of the free glycerol released into the bloodstream travels to the liver, which converts it into glucose. This is also a form of gluconeogenesis.

Taken together, these actions increase blood glucose levels. The activity of glucagon is regulated through a negative feedback mechanism; rising blood glucose levels inhibit further glucagon production and secretion.

B. Insulin

The primary function of insulin is to facilitate the uptake of glucose into body cells. Red blood cells, as well as cells of the brain, liver, kidneys, and the lining of the small intestine, do not have insulin receptors on their cell membranes and do not require insulin for glucose uptake. Although all other body cells do require insulin if they are to take glucose from the bloodstream, skeletal muscle cells and adipose cells are the primary targets of insulin.

The presence of food in the intestine triggers the release of gastrointestinal tract hormones such as glucose-dependent insulinotropic peptide (previously known as gastric inhibitory peptide). This is in turn the initial trigger for insulin production and secretion by the beta cells of the pancreas. Once nutrient absorption occurs, the resulting surge in blood glucose levels further stimulates insulin secretion.

Precisely how insulin facilitates glucose uptake is not entirely clear. However, insulin appears to activate a tyrosine kinase receptor, triggering the phosphorylation of many substrates within the cell. These multiple biochemical reactions converge to support the movement of intracellular vesicles containing facilitative glucose transporters to the cell membrane. In the absence of insulin, these transport proteins are normally recycled slowly between the cell membrane and cell interior. Insulin triggers the rapid movement of a pool of glucose transporter vesicles to the cell membrane, where they fuse and expose the glucose transporters to the extracellular fluid. The transporters then move glucose by facilitated diffusion into the cell interior.

Insulin also reduces blood glucose levels by stimulating glycolysis, the metabolism of glucose for generation of ATP. Moreover, it stimulates the liver to convert excess glucose into glycogen for storage, and it inhibits enzymes involved in glycogenolysis and gluconeogenesis. Finally, insulin promotes triglyceride and protein synthesis. The secretion of insulin is regulated through a negative feedback mechanism. As blood glucose levels decrease, further insulin release is inhibited. The pancreatic hormones are summarized in Table 1.

OpenStax. (2022). Anatomy and Physiology 2e. Rice University. Retrieved June 15, 2023. ISBN-13: 978-1-711494-06-7 (Hardcover) ISBN-13: 978-1-711494-05-0 (Paperback) ISBN-13: 978-1-951693-42-8 (Digital). License: Attribution 4.0 International (CC BY 4.0). Access for free at openstax.org.

The pancreatic exocrine function involves the acinar cells secreting digestive enzymes that are transported into the small intestine by the pancreatic duct. Its endocrine function involves the secretion of insulin (produced by beta cells) and glucagon (produced by alpha cells) within the pancreatic islets. These two hormones regulate the rate of glucose metabolism in the body. The micrograph reveals pancreatic islets. LM × 760. (Micrograph provided by the Regents of University of Michigan Medical School © 2012)

Blood glucose concentration is tightly maintained between 70 mg/dL and 110 mg/dL. If blood glucose concentration rises above this range, insulin is released, which stimulates body cells to remove glucose from the blood. If blood glucose concentration drops below this range, glucagon is released, which stimulates body cells to release glucose into the blood.

Associated hormonesChemical classEffect
Insulin (beta cells)ProteinReduces blood glucose levels
Glucagon (alpha cells)ProteinIncreases blood glucose levels
Somatostatin (delta cells)ProteinInhibits insulin and glucagon release
Pancreatic polypeptide (PP cells)ProteinRole in appetite

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Script:
  1. The pancreas has both exocrine and endocrine functions.
  2. The pancreatic islet cell types include alpha cells producing glucagon; beta cells producing insulin; delta cells producing somatostatin, and pancreatic polypeptide cells (or PP cells) producing pancreatic polypeptide.
  3. Insulin and glucagon are involved in the regulation of glucose metabolism.
  4. Insulin is produced by the beta cells in response to high blood glucose levels.
  5. It enhances glucose uptake and utilization by target cells, as well as the storage of excess glucose for later use.
  6. Dysfunction of the production of insulin or target cell resistance to the effects of insulin causes diabetes mellitus, a disorder characterized by high blood glucose levels.
  7. The hormone glucagon is produced and secreted by the alpha cells of the pancreas in response to low blood glucose levels.
  8. Glucagon stimulates mechanisms that increase blood glucose levels, such as the catabolism of glycogen into glucose.
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