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Endocrine Physiology lecture 4

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  1. Endocrine Physiologylecture 4 Dale Buchanan Hales, PhD Department of Physiology & Biophysics

  2. Antidiuretic hormone and the mineralcorticoids

  3. Synthesis of ADH • It is synthesized as pre-prohormone and processed into a nonapeptide (nine amino acids). • Six of the amino acids form a ring structure, joined by disulfide bonds. • It is very similar in structure to oxytocin, differing only in amino acid #3 and #8. • ADH synthesized in the cell bodies of hypothalamic neurons in the supraoptic nucleus • ADH is stored in the neurohypophysis (posterior pituitary)—forms the most readily released ADH pool

  4. Hypothalamus and posterior pituitary

  5. Structure of ADH

  6. Synthesis of ADH • Mechanical disruption or the neurohypohyseal tract by trauma, tumor, or surgery temporarily causes ADH deficiency. • ADH will be restored after regeneration of the axons (about 2 weeks). • But if disruption happens at a high enough level, the cell bodies die in the hypothalamus resulting in permanent ADH deficiency

  7. Antidiuretic Hormone: ADH • ADH is also known as arginine vasopressin (AVP = ADH) because of its vasopressive activity, but its major effect is on the kidney in preventing water loss.

  8. ADH: conserve body water and regulate tonicity of body fluids • Regulated by osmotic and volume stimuli • Water deprivation increases osmolality of plasma which activates hypothalmic osmoreceptors to stimulate ADH release

  9. ADH increases renal tubular absorption of water

  10. Primary action of ADH: antidiuresis • ADH binds to V2 receptors on the peritubular (serosal) surface of cells of the distal convoluted tubules and medullary collecting ducts. • Via adenylate cyclase/cAMP induces production and insertion of AQUAPORIN into the luminal membrane and enhances permeability of cell to water. • Increased membrane permeability to water permits back diffusion of solute-free water, resulting in increased urine osmolality (concentrates urine).

  11. ADH: conserve body water and regulate tonicity of body fluids • Regulated by osmotic and volume stimuli • Water deprivation increases osmolality of plasma which activates hypothalmic osmoreceptors to stimulate ADH release

  12. Secretion of ADH • The biological action of ADH is to conserve body water and regulate tonicity of body fluids. • It is primarily regulated by osmotic and volume stimuli. • Water deprivation increases osmolality of plasma which activates hypothalmic osmoreceptors to stimulate ADH release.

  13. Secretion of ADH • Conversely, water ingestion suppresses osmoreceptor firing and consequently shuts off ADH release. • ADH is initially suppressed by reflex neural stimulation shortly after water is swallowed. • Plasma ADH then declines further after water is absorbed and osmolality falls

  14. Pathway by which ADH secretion is lowered and water excretion raised when excess water is ingested

  15. Secretion of ADH– osmolality control • If plasma osmolality is directly increased by administration of solutes, only those solutes that do not freely or rapidly penetrate cell membranes, such as sodium, cause ADH release. • Conversely, substances that enter cells rapidly, such as urea, do not change osmotic equilibrium and thus do not stimulate ADH release. • ADH secretion is exquisitely sensitive to changes in osmolality. • Changes of 1-2% result in increased ADH secretion.

  16. ADH and plasma osmolality

  17. Secretion of ADH—hemodynamic control • ADH is stimulated by a decrease in blood volume, cardiac output, or blood pressure. • Hemorrhage is a potent stimulus of ADH release. • Activities, which reduce blood pressure, increase ADH secretion. • Conversely, activities or agents that increase blood pressure, suppresses ADH secretion.

  18. ADH and blood pressure

  19. Pathway by which ADH secretion and tubular permeability to water is increased when plasma volume decreases

  20. Secretion of ADH • Hypovolemia is perceived by “pressure receptors” -- carotid and aortic baroreceptors, and stretch receptors in left atrium and pulmonary veins. • Normally, pressure receptors tonically inhibit ADH release. • Decrease in blood pressure induces ADH secretion by reducing input from pressure receptors. • The reduced neural input to baroreceptors relieves the source of tonic inhibition on hypothalamic cells that secrete ADH. • Sensitivity to baroreceptors is less than osmoreceptors– senses 5 to 10% change in volume

  21. Hypothalamus, posterior pituitary and ADH secretion– connection with baroreceptors

  22. Secretion of ADH • Hypovolemia also stimulates the generation of renin and angiotensin directly within the brain. • This local angiotensin II enhances ADH release in addition to stimulating thirst. • Volume regulation is also reinforced by atrial naturetic peptide (ANP). • When circulating volume is increased, ANP is released by cardiac myocytes, this ANP along with the ANP produced locally in the brain, acts to inhibit ADH release.

  23. Secretion of ADH • The two major stimuli of ADH secretion interact. • Changes in volume reinforce osmolar changes. • Hypovolemia sensitizes the ADH response to hyperosmolarity.

  24. Plasma Osmolality vs. ADH The set point of the system is defined as the plasma osmolality value at which ADH secretion begins to increase. Above this point slope is steep reflecting sensitivity of system. Set point varies from 280 to 290 mOsm/kg H2O

  25. Blood volume vs. ADH When blood volume or arterial pressure decreases, inhibitory input from baroreceptors is over ridden and ADH secretion is stimulated. Normally, signals from baroreceptors tonically inhibit ADH secretion.

  26. Interaction between osmolar and blood volume/pressure stimuli With a decrease in blood volume, set point shifts to lower osmolality and slope is steeper. During circulatory collapse kidney continues to conserve water despite reduction in osmolality. With increase in blood volume, set point shifts to higher point and sensitivity is decreased.

  27. Actions of ADH • The major action of ADH is on renal cells that are responsible for reabsorbing free (osmotically unencumbered) water from the glomerular filtrate. • ADH responsive cells line the distal convoluted tubules and collecting ducts of the renal medulla. • ADH increases the permeability of these cells to water. • The increase in membrane permeability to water permits back diffusion of water along an osmotic gradient. • ADH significantly reduces free-water clearance by the kidney

  28. Actions of ADH • ADH action in the kidney is mediated by its binding to V2 receptors, coupled to adenylate cyclase and cAMP production. • cAMP activates protein kinase A which prompts the insertion of water channels into the apical membrane of the cell. • When ADH is removed, the water channels withdraw from the membrane and the apical surface of the cell becomes impermeable to water once again. .

  29. Actions of ADH • This mechanism of shuttling water channels into and out of the apical membrane provides a very rapid means to control water permeability • The basolateral membrane of the ductal cells are freely permeable to water, so any water that enters via the apical membrane exits the cell across the basolateral membrane, resulting in the net absorption of water from the tubule lumen into the peritubular blood.

  30. Actions of ADH • Water deprivation stimulates ADH secretion, decreases free-water clearance, and enhances water conservation. • ADH and water form a negative feedback loop.

  31. Inputs reflexly controlling thirst.

  32. Actions of ADH • ADH deficiency is caused by destruction or dysfunction of the supraoptic and parventricular nuclei of the hypothalamus. Inability to produce concentrated urine is a hallmark of ADH deficiency and is referred to as diabetes insipidus. • ADH also acts on the anterior pituitary to stimulate the secretion of ACTH.

  33. Aldosterone and the mineralocorticoids • The mineralocorticoid, aldosterone is vital to maintaining sodium and potassium balance and extracellular fluid volume. • Aldosterone is an adrenal corticosteroid, synthesized and secreted by the adrenal cortex.

  34. Cross section through the adrenal gland– cortex and medulla salt sugar sex

  35. Aldosterone • The adrenal cortex is composed of three major zones, differentiated by the histological appearance and type of corticosteroid they produce. • The outermost is the zona glomerulosa, is very thin and consists of small cells with elongated mitochondria.

  36. Adrenal zones • The middle zona fasiculata is the widest zone and consists of columnar cells that are highly vacuolated with numerous lipid droplets. • These lipid droplets are composed of cholesterol esters the substrate for adrenal steroid hormone biosynthesis.

  37. Adrenal zones • The innermost zona reticularis contains fewer lipid droplets than fasiculata cells, but have similar mitochondria. • ACTH has trophic effects on the zona fasiculata and reticularis.

  38. Aldosterone synthesis • Aldosterone is synthesized and secreted by the zona glomerulosa . • The synthesis of aldosterone from cholesterol to corticosterone is identical to the synthesis of glucocorticoids in the zona fasiculata. • The C18 methyl group of corticosterone is hydroxylated and converted to an aldehyde yielding aldosterone.

  39. Aldosterone synthesis • ACTH also stimulates aldosterone synthesis. • However the ACTH stimulation is more transient than the other stimuli and is diminished within several days. • ACTH provides a tonic control of aldosterone synthesis. • In the absence of ACTH, sodium depletion still activates renin-angiotensin system to stimulate aldosterone synthesis. • Aldosterone levels fluctuate diurnally—highest concentration being at 8 AM, lowest at 11 PM, in parallel to cortisol rhythms.

  40. Aldosterone synthesis in the adrenal zona glomerulosa

  41. Aldosterone function • The principal function of aldosterone is to sustain extracellular fluid volume by conserving body sodium. • Aldosterone is largely secreted in response to signals that arise from the kidney when a reduction in circulating fluid volume is sensed. • When body sodium is depleted, the fall in extracellular fluid and plasma volume decreases renal arterial blood flow and pressure.

  42. Aldosterone action • Aldosterone binds to the mineralocorticoid receptor in target cells and affects transcriptional changes typical of steroid hormone action. • The kidney is the major site of mineralocorticoid activity.

  43. Aldosterone action • Increased blood pressure results from excess aldosterone. • Hypertension is an indirect consequence of sodium retention and expansion of extracellular fluid volume.

  44. Regulation of aldosterone secretion: Activation of renin-angiotensin system in response to hypovolemia is predominant stimulus for aldosterone synthesis.

  45. Components of renin-angiotensin-aldosterone system

  46. Aldosterone and renin-AII • The juxtaglomerular cells of the kidney respond to hypovolemia by secreting renin. Renin acts on angiotensinogen (which is secreted by the liver) to form angiotensin I which is further cleaved by angiotensin converting enzyme (which is secreted by the lungs) to angiotensin II.

  47. Aldosterone • Angiotensin II acts on the zona glomerulosa to stimulate aldosterone synthesis. • Angiotensin II acts via increased intracellular cAMP to stimulate aldosterone synthesis.

  48. Aldosterone • ANP reinforces the effects of the renin-angiotensin system on aldosterone secretion. • In response to volume expansion, artrial myocytes secrete ANP which binds to receptors in the zona glomerulosa to inhibit aldosterone synthesis. • ANP acts via increased intracellular cGMP which opposes cAMP and inhibits aldosterone synthesis. • ANP also reduces aldosterone indirectly by inhibiting renin release.

  49. Action of aldosterone on the renal tubule. Sodium reabsorption from tubular urine into the tubular cells is stimulated. At the same time, potassium secretion from the tubular cell into urine is increased. Na+/K+-ATPase, and Na+ channels work together to increase volume and pressure, and decrease K+.

  50. Aldosterone mechanism • The aldosterone-induced proteins serum and glucocorticoid-inducible kinase (Sgk), corticosteroid hormone-induced factor (CHIF), and Kirsten Ras (Ki-Ras) increase the activity and/or no. of these transport proteins during the early phase of action