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Chapter 9 Selected Diseases and Disorders of the Endocrine System

9.1c Endocrine System – Thyroid, Parathyroid, and Adrenal Gland

Zoë Soon

The Thyroid Gland

  • Located in the neck region.
  • Produces two main thyroid hormones: T4 (Thyroxine) and T3 (Triiodothyronine).

a) Function of Thyroid Hormones:

    • Regulate metabolic rate.
    • Control the basal metabolic rate, which is the rate of reactions throughout the body.
    • Play a key role in thermoregulation (body heat regulation).
    • Influence cellular function by dictating enzymatic reaction rates.

Importance in Development

  • Essential during childhood for growth and nervous system development.
  • Regulating cellular reactions helps prevent large issues in growth and function.

b) Calcitonin

  • Secreted by the thyroid gland.
  • Function:
    • Regulates calcium ion levels in the blood.
    • When blood calcium is high: Calcitonin is released to lower calcium levels by inhibiting osteoclast activity.
    • Critical for bone healthheart functionnervous system, and skeletal muscle activity.

c) Parathyroid Glands

  • Four small glands located on top of the thyroid gland.
  • Secrete parathyroid hormone (PTH).
  • Function:
    • Opposes calcitonin.
    • When blood calcium is low:
      1. PTH is released to increase calcium levels by stimulating osteoblasts to release RANKL which increases osteoclast activity.
      2. PTH stimulates an increase in calcitriol release by the kidneys.
        • Calcitriol is a hormone that increase the absorption of dietary calcium by intestinal cells.
      3. PTH stimulates kidneys to reabsorb more calcium, resulting in less calcium being excreted in urine.
    • Vital for bonenerve, and muscle function.
    • Maintains serum calcium homeostasis.

The Adrenal Glands

  • Located on top of the kidneys.
  • Consist of two main parts:

a) The Adrenal Medulla (Inner part)

  • Secretes epinephrine (adrenaline) and norepinephrine.
  • These act as both neurotransmitters and hormones.
  • Function during “Fight or Flight”:
    • When in SNS mode, these hormones are released into the bloodstream.
    • Prepare the body for rapid activity (increased heart rate, energy mobilization).

b) The Adrenal Cortex (Outer part)

  • Produces cortisolaldosterone, and androgens.

Functions of Adrenal Cortex Hormones

Cortisol (a glucocorticoid)

  • Anti-inflammatory.
  • Suppresses immune response.
  • Catabolic: Breaks down proteins into glucose for energy.
  • Involved in metabolic control and resistance to stress (e.g., during starvation).
  • Categories: Cortisone and cortisol.

Aldosterone

  • Regulates salt-water balance in blood.
  • Works alongside antidiuretic hormone and cortisol.
  • Supports metabolic processes.

Androgens

  • Include hormones like testosterone.
  • Secreted by the adrenal cortex.
  • In females, provide a small amount of testosterone.
  • Important for skeletal muscle maintenance and growth.

The Adrenal Gland – Stress Response and Catabolism

  • During biological stress (such as starvation), glucocorticoids promote catabolism, generating glucose from proteins.
  • This process helps survive stressful conditions.

The Adrenal Medulla and Fight or Flight

  • During SNS activation, the medulla secretes epinephrine and norepinephrine.
  • These hormones prepare the body for rapid response during fight or flight situations.

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