Endocrine System

MedicoPlexus

Human Anatomy & Histology

102. Endocrine glands.

The endocrine system includes all of the glands of the body and the hormones produced by those glands. The glands are controlled directly by stimulation from the nervous system as well as by chemical receptors in the blood and hormones produced by other glands. By regulating the functions of organs in the body, these glands help to maintain the body’s homeostasis. Cellular metabolism, reproduction, sexual development, sugar and mineral homeostasis, heart rate, and digestion are among.

Hypothalamus

The hypothalamus is a part of the brain located superior and anterior to the brain stem and inferior to the thalamus. It serves many different functions in the nervous system and is also responsible for the direct control of the endocrine system through the pituitary gland. The hypothalamus contains special cells called neurosecretory cells—neurons that secrete hormones:

Thyrotropin-releasing hormone (TRH)

Growth hormone-releasing hormone (GHRH)

Growth hormone-inhibiting hormone (GHIH)

Gonadotropin-releasing hormone (GnRH)

Corticotropin-releasing hormone (CRH)

Oxytocin

Antidiuretic hormone (ADH)

All of the releasing and inhibiting hormones affect the function of the anterior pituitary gland. TRH stimulates the anterior pituitary gland to release thyroid-stimulating hormone. GHRH and GHIH work to regulate the release of growth hormone—GHRH stimulates growth hormone release, GHIH inhibits its release. GnRH stimulates the 

release of follicle stimulating hormone and luteinizing hormone while CRH stimulates the release of 

adrenocorticotropic hormone. The last two hormones—oxytocin and antidiuretic hormone—are produced by the hypothalamus and transported to the posterior pituitary, where they are stored and later released.

Pituitary Gland

The pituitary gland, also known as the hypophysis, is a small pea-sized lump of tissue connected to the inferior portion of the hypothalamus of the brain. Many blood vessels surround the pituitary gland to carry the hormones it releases throughout the body. Situated in a small depression in the sphenoid bone called the Sella turcica, the pituitary gland is actually made of 2 completely separate structures: the posterior and anterior pituitary glands.

Posterior Pituitary: The posterior pituitary gland is actually not glandular tissue at all, but nervous tissue instead. The posterior pituitary is a small extension of the hypothalamus through which the axons of some of the neurosecretory cells of the hypothalamus extend. These neurosecretory cells create 2 hormones in the hypothalamus that are stored and released by the posterior pituitary:  

Oxytocin triggers uterine contractions during childbirth and the release of milk during breastfeeding.

Antidiuretic hormone (ADH) prevents water loss in the body by increasing the re-uptake of water in the kidneys and reducing blood flow to sweat glands.

Anterior Pituitary: The anterior pituitary gland is the true glandular part of the pituitary gland. The function of the anterior pituitary gland is controlled by the releasing and inhibiting hormones of the hypothalamus. The anterior pituitary produces 6 important hormones: 

Thyroid stimulating hormone (TSH), as its name suggests, is a tropic hormone responsible for the stimulation of the thyroid gland.

Adrenocorticotropic hormone (ACTH) stimulates the adrenal cortex, the outer part of the adrenal gland, to produce its hormones.

Follicle stimulating hormone (FSH) stimulates the follicle cells of the gonads to produce gametes—ova in females and sperm in males.

Luteinizing hormone (LH) stimulates the gonads to produce the sex hormones—estrogens in females and testosterone in males.

Human growth hormone (HGH) affects many target cells throughout the body by stimulating their growth, repair, and reproduction.

Prolactin (PRL) has many effects on the body, chief of which is that it stimulates the mammary glands of the breast to produce milk.

Pineal Gland

The pineal gland is a small pinecone-shaped mass of glandular tissue found just posterior to the thalamus of the brain. The pineal gland produces the hormone melatonin that helps to regulate the human sleep-wake cycle known as the circadian rhythm. The activity of the pineal gland is inhibited by stimulation from the photoreceptors of the retina. This light sensitivity causes melatonin to be produced only in low light or darkness. Increased melatonin production causes humans to feel drowsy at nighttime when the pineal gland is active.

Thyroid Gland

The thyroid gland is a butterfly-shaped gland located at the base of the neck and wrapped around the lateral sides of the trachea. The thyroid gland produces 3 major hormones: 

Calcitonin

Triiodothyronine (T3)

Thyroxine (T4)

Calcitonin is released when calcium ion levels in the blood rise above a certain set point. Calcitonin functions to reduce the concentration of calcium ions in the blood by aiding the absorption of calcium into the matrix of bones. The hormones T3 and T4 work together to regulate the body’s metabolic rate. Increased levels of T3 and T4 lead to increased cellular activity and energy usage in the body.

Parathyroid Glands

The parathyroid glands are 4 small masses of glandular tissue found on the posterior side of the thyroid gland. The parathyroid glands produce the hormone parathyroid hormone (PTH), which is involved in calcium ion homeostasis. PTH is released from the parathyroid glands when calcium ion levels in the blood drop below a set point. PTH stimulates the osteoclasts to break down the calcium containing bone matrix to release free calcium ions into the bloodstream. PTH also triggers the kidneys to return calcium ions filtered out of the blood back to the bloodstream so that it is conserved.

Adrenal Glands

The adrenal glands are a pair of roughly triangular glands found immediately superior to the kidneys. The adrenal glands are each made of 2 distinct layers, each with their own unique functions: the outer adrenal cortex and inner adrenal medulla.

Adrenal cortex: The adrenal cortex produces many cortical hormones in 3 classes: glucocorticoids, mineralocorticoids, and androgens. 

Glucocorticoids have many diverse functions, including the breakdown of proteins and lipids to produce glucose. Glucocorticoids also function to reduce inflammation and immune response.

Mineralocorticoids, as their name suggests, are a group of hormones that help to regulate the concentration of mineral ions in the body.

Androgens, such as testosterone, are produced at low levels in the adrenal cortex to regulate the growth and activity of cells that are receptive to male hormones. In adult males, the amount of androgens produced by the testes is many times greater than the amount produced by the adrenal cortex, leading to the appearance of male secondary sex characteristics.

Adrenal medulla: The adrenal medulla produces the hormones epinephrine and norepinephrine under stimulation by the sympathetic division of the autonomic nervous system. Both of these hormones help to increase the flow of blood to the brain and muscles to improve the “fight-or-flight” response to stress. These hormones also work to increase heart rate, breathing rate, and blood pressure while decreasing the flow of blood to and function of organs that are not involved in responding to emergencies.

Pancreas

The pancreas is a large gland located in the abdominal cavity just inferior and posterior to the stomach. The pancreas is considered to be a heterocrine gland as it contains both endocrine and exocrine tissue. The endocrine cells of the pancreas make up just about 1% of the total mass of the pancreas and are found in small groups throughout the pancreas called islets of Langerhans. Within these islets are 2 types of cells—alpha and beta cells. The alpha cells produce the hormone glucagon, which is responsible for raising blood glucose levels. 

Glucagon triggers muscle and liver cells to break down the polysaccharide glycogen to release glucose into the bloodstream. The beta cells produce the hormone insulin, which is responsible for lowering blood glucose levels after a meal. Insulin triggers the absorption of glucose from the blood into cells, where it is added to glycogen molecules for storage.

Gonads

The gonads—ovaries in females and testes in males—are responsible for producing the sex hormones of the body. These sex hormones determine the secondary sex characteristics of adult females and adult males.

Testes: The testes are a pair of ellipsoid organs found in the scrotum of males that produce the androgen testosterone in males after the start of puberty. Testosterone has effects on many parts of the body, including the muscles, bones, sex organs, and hair follicles. This hormone causes growth and increases in strength of the bones and muscles, including the accelerated growth of long bones during adolescence. During puberty, testosterone controls the growth and development of the sex organs and body hair of males, including pubic, chest, and facial hair. In men who have inherited genes for baldness testosterone triggers the onset of androgenic alopecia, commonly known as male pattern baldness.

Ovaries: The ovaries are a pair of almond-shaped glands located in the pelvic body cavity lateral and superior to the uterus in females. The ovaries produce the female sex hormones progesterone and estrogens. Progesterone is most active in females during ovulation and pregnancy where it maintains appropriate conditions in the human body to support a developing fetus. Estrogens are a group of related hormones that function as the primary female sex hormones. The release of estrogen during puberty triggers the development of female secondary sex characteristics such as uterine development, breast development, and the growth of pubic hair. Estrogen also triggers the increased growth of bones during adolescence that lead to adult height and proportions.

Thymus

The thymus is a soft, triangular-shaped organ found in the chest posterior to the sternum. The thymus produces hormones called thymosins that help to train and develop T-lymphocytes during fetal development and childhood. The T-lymphocytes produced in the thymus go on to protect the body from pathogens throughout a person’s entire life. The thymus becomes inactive during puberty and is slowly replaced by adipose tissue throughout a person’s life. the heart and kidneys are among other hormone producing organs.

Hormone Properties

Once hormones have been produced by glands, they are distributed through the body via the bloodstream. As hormones travel through the body, they pass through cells or along the plasma membranes of cells until they encounter a receptor for that particular hormone. Hormones can only affect target cells that have the appropriate receptors. This property of hormones is known as specificity. Hormone specificity explains how each hormone can have specific effects in widespread parts of the body.

Many hormones produced by the endocrine system are classified as tropic hormones. A tropic hormone is a hormone that is able to trigger the release of another hormone in another gland. Tropic hormones provide a pathway of control for hormone production as well as a way for glands to be controlled in distant regions of the body. Many of the hormones produced by the pituitary gland, such as TSH, ACTH, and FSH are tropic hormones.

Hormonal Regulation

The levels of hormones in the body can be regulated by several factors. The nervous system can control hormone levels through the action of the hypothalamus and its releasing and inhibiting hormones.

103. pituitary gland – adenohypophysis 

The anterior pituitary is composed of three regions:

Pars distalis

Microanatomy of the pars distalis showing chromophobes, basophils and acidophils

The pars distalis, (distal part), comprises the majority of the anterior pituitary and is where the bulk of pituitary hormone production occurs. The pars distalis contains two types of cells including chromophobe cells and chromophil cells. The chromophils can be further divided into acidophils (alpha cells) and basophils (beta cells). These cells all together produce hormones of the anterior pituitary and release them into the blood stream.

Pars tuberalis

The pars tuberalis, (tubular part), forms a part of the sheath extending up from the pars distalis which joins with the pituitary stalk (also known as the infundibular stalk or infundibulum), arising from the posterior lobe. (The pituitary stalk connects the hypothalamus to the posterior pituitary). The function of the pars tuberalis is poorly understood. However, it has been seen to be important in receiving the endocrine signal in the form of TSHB (a β subunit of TSH) informing the pars tuberalis of the photoperiod (length of day). The expression of this subunit is regulated by the secretion of melatonin in response to light information transmitted to the pineal gland. Earlier studies have shown a localization of melatonin receptors in this region.

Pars intermedia

The pars intermedia, (intermediate part), sits between the pars distalis and the posterior pituitary, forming the boundary between the anterior and posterior pituitaries. It is very small and indistinct in humans.

Development

The anterior pituitary is derived from the ectoderm, more specifically from that of Rathke’s pouch, part of the developing hard palate in the embryo.

The pouch eventually loses its connection with the pharynx, giving rise to the anterior pituitary. The anterior wall of Rathke’s pouch proliferates, filling most of the pouch to form the pars distalis and the pars tuberalis. The posterior wall of the anterior pituitary forms the pars intermedia. Its formation from the soft tissues of the upper palate contrasts with the posterior pituitary, which originates from neuroectoderm. Function

Anterior

Pituitary Growth hormone Liver, adipose tissue Promotes growth (indirectly), control of protein, lipid and carbohydrate metabolism

Thyroid-stimulating hormone Thyroid gland Stimulates secretion of thyroid hormones

Adrenocorticotropic hormone Adrenal gland (cortex) Stimulates secretion of glucocorticoids

Prolactin Mammary gland Milk production

Luteinizing hormone Ovary and testis Control of reproductive function

Follicle-stimulating hormone Ovary and testis Control of reproductive function

The hypothalamic–pituitary–adrenal axis (HPA axis or HTPA axis), also known as the limbic–hypothalamic– pituitary–adrenal axis (LHPA axis), is a complex set of direct influences and feedback interactions among three endocrine glands: the hypothalamus, the pituitary gland (a pea-shaped structure located below the hypothalamus), and the adrenal (also called “suprarenal”) glands (small, conical organs on top of the kidneys).

The interactions among these organs constitute the HPA axis, a major part of the neuroendocrine system that controls reactions to stress and regulates many body processes, including digestion, the immune system, mood and emotions, sexuality, and energy storage and expenditure. It is the common mechanism for interactions among glands, hormones, and parts of the midbrain that mediate the general adaptation syndrome (GAS). While steroid hormones are produced mainly in vertebrates, the physiological role of the HPA axis and corticosteroids in stress response is so fundamental that analogous systems can be found in invertebrates and monocellular organisms as well.

104. Neurohypophysis

The posterior pituitary (or neurohypophysis) is the posterior lobe of the pituitary gland which is part of the endocrine system. The posterior pituitary is not glandular as is the anterior pituitary. Instead, it is largely a collection of axonal projections from the hypothalamus that terminate behind the anterior pituitary and is also a store for the later release of neurohypophysial hormones.

The posterior pituitary consists mainly of neuronal projections (axons) of magnocellular neurosecretory cells extending from the supraoptic and paraventricular nuclei of the hypothalamus. These axons store and release neurohypophysial hormones oxytocin and vasopressin into the neurohypohyseal capillaries, from there they get into the systemic circulation (and partly back into the hypophyseal portal system). In addition to axons, the posterior pituitary also contains pituicytes, specialized glial cells resembling astrocytes assisting in the storage and release of the hormones.

Classification of the posterior pituitary varies, but most sources include the two regions below:

Pars nervosa

Also called the neural lobe or posterior lobe, this region constitutes the majority of the posterior pituitary and is the storage site of oxytocin and vasopressin. Sometimes (incorrectly) considered synonymous with the posterior pituitary, the pars nervosa includes Herring bodies and pituicytes.

Infundibular stalk

Also known as the infundibulum or pituitary stalk, the infundibular stalk bridges the hypothalamic and hypophyseal systems.

Hormone Other names Symbol(s) Main targets Effect Source

Oxytocin OT Uterus, mammary glands Uterine contractions; lactation supraoptic and paraventricular nuclei

Vasopressin Antidiuretic hormone VP, AVP, ADH Kidneys and arterioles stimulates water retention; raises blood pressure by contracting arterioles supraoptic and paraventricular nuclei