AAP Module 9 Supplement
AAP Module 9 Supplement
AAP Module 9 Supplement
T
Exercise 4:
™
he endocrine system consists of ductless endocrine glands that secrete Endocrine System Physiology
hormones directly into the bloodstream. Hormones are chemical signals that PEx Activity 1: Metabolism and Thyroid
regulate the functions of other cells as long as those cells have receptors for Hormone
PEx Activity 2: Plasma Glucose, Insulin,
the specific hormone. Some endocrine structures are composed of nervous tissue and Diabetes Mellitus
and are called neuroendocrine organs; their major function is the release of neuro- PEx Activity 3: Hormone Replacement
hormones, chemicals produced by nervous tissue that act as hormones. Together, Therapy
the endocrine and nervous systems maintain homeostasis by regulating physiologi- PEx Activity 4: Measuring Cortisol and
Adrenocorticotropic Hormone
cal events throughout the body.
In this unit you will be studying the gross and microscopic anatomy of endo-
crine and neuroendocrine organs. As you explore the anatomy of each organ, you
will identify the major hormones produced by each. Additionally, you will describe
the specific source, target, and biological action of each hormone and then use this
knowledge to investigate some endocrine case studies.
389
PRE-LAB ASSIGNMENTS Pre-lab quizzes are also assignable
in
To maximize learning, BEFORE your lab period carefully read this entire lab unit
and complete these pre-lab assignments using your textbook, lecture notes, and
prior knowledge.
d
b
e
c Anterior
view f
Posterior
view
g
2. Endocrine glands:
a. release substances onto internal and external body d. synthesize and secrete hormones.
surfaces. e. produce enzymes.
b. are also classified as exocrine glands.
c. contain ducts.
390
UNIT 19 | The Endocrine System 391
3. Which endocrine organ is regulated both hormonally 4. Which hormone is correctly matched with its source?
and neurally? a. luteinizing hormone – ovary
a. pituitary gland b. epinephrine – adrenal medulla
b. pancreas c. glucagon – liver
c. thyroid gland d. thyroid-stimulating hormone – thyroid gland
d. testis e. cortisol – pineal gland
e. ovary
Hypothalamus
Thyroid gland
Anterior view
Parathyroid
glands
Ovaries
(female)
Testes
(male)
Corticotropin-releasing hormone (CRH) Anterior pituitary Stimulates release of adrenocorticotropic hormone (ACTH).
Thyrotropin-releasing hormone (TRH) Anterior pituitary Stimulates release of thyroid-stimulating hormone (TSH).
Growth hormone–releasing hormone Anterior pituitary Stimulates release of growth hormone (GH).
(GHRH)
Antidiuretic hormone (ADH) Kidney Stimulates water retention (or decreased urine output).
Oxytocin (OXY) Uterus and mammary glands Stimulates uterine smooth muscle contraction; stimulates
myoepithelial cells in mammary glands.
UNIT 19 | The Endocrine System 393
Sella turcica of
sphenoid bone
(a) Locations of hypothalamus and pituitary
gland in the brain
LM (400×)
Luteinizing hormone (LH) Ovaries, testes Stimulates ovary to produce estrogen and progesterone;
stimulates testis to produce testosterone; stimulates
ovulation.
Thyroid-stimulating hormone (TSH) Thyroid gland Stimulates the thyroid gland to secrete thyroid hormones
(T3 and T4).
Adrenocorticotropic hormone (ACTH) Adrenal gland (adrenal cortex) Stimulates release of hormones such as cortisol and
aldosterone from the adrenal cortex.
Growth hormone (GH) Bone, muscle, adipose tissue, liver, cartilage Stimulates growth.
Pineal Gland and thyroxine (T4). The thyroid hormones regulate metabolic
rate and thermoregulation and promote growth and develop-
The pineal gland (see Figure 19-1) is a small cone-shaped ment. Between the follicles are parafollicular cells that secrete
organ located in the epithalamus along the roof of the third calcitonin, a hormone that decreases blood calcium levels.
ventricle in the brain. It secretes melatonin, a neurohor-
mone thought to control the daily sleep/wake cycle, although
its exact role in humans is still controversial. Parathyroid Glands
Embedded on the posterior surface of the thyroid gland
Thymus are three to five pea-shaped structures called parathyroid
glands (Figure 19-5a). These glands contain chief cells (see
The thymus gland (see Figure 19-1) is an irregularly shaped Figure 19-5b), which secrete parathyroid hormone (PTH).
gland in the mediastinum just posterior to the sternum. It PTH elevates blood calcium levels by targeting bones, the
produces hormones called thymosin and thymopoietin, kidneys, and the small intestine. In bones, PTH stimulates
which stimulate the maturation of T lymphocytes, a type of osteoclasts to break down bone and release calcium into the
leukocyte involved in the immune response. The thymus is blood; in the kidneys, PTH stimulates calcium reabsorption
relatively large in children but begins to atrophy at puberty; from the blood; and in the small intestine, PTH stimulates
eventually it is mostly replaced by adipose and fibrous con- the absorption of calcium from food.
nective tissues.
Adrenal Glands
Thyroid Gland The roughly pyramid-shaped adrenal glands (Figure 19-6)
The thyroid gland is a bi-lobed organ located anterior to the lie superior to the kidneys. Each adrenal gland is sur-
trachea and inferior to the thyroid cartilage (Adam’s apple) of rounded by a dense irregular connective tissue capsule that
the larynx (Figure 19-4a). The two lobes are connected by a protects it and anchors it to the kidney. An adrenal gland is
narrow isthmus. Histologically, the thyroid gland consists of actually composed of two separate regions: an outer adrenal
abundant thyroid follicles that are filled with an iodine-rich cortex and an inner adrenal medulla (Figure 19-6a). The
gelatinous material called colloid and are lined with simple outer adrenal cortex is composed of typical glandular epi-
cuboidal epithelial cells called follicle cells (see Figure 19-4b). thelium arranged into three distinct zones—the zona glo-
Thyroid-stimulating hormone (TSH) from the anterior pitu- merulosa, the zona fasciculata, and the zona reticularis
itary gland stimulates the follicle cells to secrete thyroglobulin, (Figure 19-6b)—each of which produces steroid hormones
a precursor molecule that is then combined with iodine mole- derived from cholesterol.
cules to produce the thyroid hormones triiodothyronine (T3)
Parafollicular
cells
Anterior view
Larynx Blood
vessel
Superior
thyroid
artery
Thyroid
gland
(right lobe)
Isthmus Follicle
cells
Trachea
Thyroid follicle
containing colloid LM (390×)
(a) Gross structure of thyroid gland (b) Thyroid follicles
Posterior
pharnyx
(throat)
Posterior view
Thyroid gland
Thyroid Parathyroid gland Chief cells
Parathyroid gland
glands (right lobe)
LM (100×)
(b) Light micrograph of parathyroid gland
Esophagus
Trachea
Adrenal
Adrenal
cortex:
gland
Capsule
Zona
glomerulosa
Kidney
Zona
fasciculata
Capsule
Adrenal
cortex
Adrenal
medulla
Zona
reticularis
(a) Gross structure of the adrenal gland
Adrenal
medulla
LM (160×)
(b) Histology of the adrenal gland: illustration (left) and light micrograph (right)
The outer zona glomerulosa consists of balls of cells that or as neurotransmitters released into a synapse, increase
produce a class of hormones known as mineralocorticoids, heart rate, blood pressure, and respiratory rate, and decrease
which regulate mineral balance. The major mineralocorticoid— digestive activity.
aldosterone—stimulates cells of the kidneys to reabsorb so-
dium ions; water follows the resorbed sodium ions via osmosis.
As a result, both blood volume and blood pressure increase as
Pancreas
urine volume decreases. The middle zona fasciculata consists The pancreas (Figure 19-7a), a club-shaped gland located
of bundles of cells that produce a class of hormones known as posterior to the stomach, is both an exocrine gland and an
glucocorticoids, which regulate glucose metabolism. The main endocrine gland. The exocrine cells are called acinar cells;
glucocorticoid—cortisol—targets liver, muscle, and adipose we will study the exocrine pancreas, which produces diges-
cells. Cortisol’s actions include gluconeogenesis (production of tive enzymes that reach the intestines via ducts, in Units 28
glucose from amino acids and fatty acids) in the liver, the break- and 29. We focus here on the endocrine pancreas.
down of muscle proteins to release amino acids into the blood- The hormone-producing portion of the pancreas, the
stream, and the breakdown of lipids to release fatty acids into pancreatic islets (see Figure 19-7b), contains several cell
the bloodstream. The deep zona reticularis consist of a net- types; the most abundant are alpha cells and beta cells, which
work of cells that predominantly produce androgens (male sex produce hormones that regulate blood glucose levels. The
hormones). alpha (α) cells secrete glucagon, which raises blood glu-
The chromaffin cells of the adrenal medulla produce two cose levels by triggering the release of glucose from glycogen
catecholamines—epinephrine and norepinephrine—which stored in the liver. The beta (β) cells secrete insulin, which
are neurohormones that contribute to the fight-or-flight lowers blood glucose levels by stimulating body cells to take
response to stress. These chemical messengers, whether up glucose and liver cells to take up and convert glucose to
they act as neurohormones released into the bloodstream glycogen for storage. The delta (δ) cells secrete somatostatin.
Body of pancreas
Tail of
pancreas
Stomach
Pancreas
Pancreatic artery
Head of
pancreas
Duodenum
(a) Gross structure of the pancreas
Acinar cells
α Cell
β Cell Pancreatic
islet
δ Cell
Pancreatic
blood vessel
LM (285×)
(b) Histology of pancreatic islet and acinar cells: illustration (left) and light micrograph (right)
The two major functions of the testes (male gonads) are gam- organ. ________________________________________
ete (sperm) production and testosterone production. The mi- _____________________________________________
croscopic anatomy of the testis is presented in Unit 32; here
we focus on the pathways involving the testis and the endo- _____________________________________________
crine system—designated the hypothalamic–hypophyseal– _____________________________________________
testicular axis. Recall that the hypothalamus produces
releasing factors that control the release of hormones from 3. Why is the hypothalamus classified as a neuroendocrine
the anterior pituitary gland. In this case, GnRH released organ? ________________________________________
into the bloodstream reaches the anterior pituitary gland,
where it stimulates the secretion of the gonadotropins FSH _____________________________________________
and LH, which target the testis. FSH aids in sperm develop- _____________________________________________
ment, whereas LH stimulates testosterone secretion. Testos-
terone stimulates spermatogenesis (sperm production) and is B. Pituitary Gland
responsible for such secondary sex characteristics as enlarge- 1. Identify the pituitary gland on an anatomical model.
ment of the larynx, increased muscle mass, and facial hair. Describe its location using at least three directional
terms. _______________________________________
Ovaries _____________________________________________
The two major functions of the ovaries (female gonads) are _____________________________________________
production of gametes (oocytes) and production of estrogen
and progesterone. As in males, GnRH stimulates the ante- 2. From which brain region does the pituitary gland
rior pituitary gland to produce FSH and LH. In females, FSH extend? ______________________________________
stimulates gamete formation and the secretion of estrogens
from developing follicles; LH stimulates the secretion of pro- 3. Do you agree that the pituitary gland could be consid-
gesterone and estrogens. Progesterone and estrogens regulate ered to be two separate endocrine glands? Why or why
the female reproductive cycle and are responsible for such not? _________________________________________
secondary sex characteristics as breast development and the
deposition of adipose tissue around the hips and thighs. _____________________________________________
_____________________________________________
ACTIVITY 1 _____________________________________________
Triiodothyronine (T3 )
and thyroxine (T4 )
Parathyroid hormone
(PTH)
Cortisol
(Continued )
400 U NI T 1 9 | The Endocrine System
Insulin
Glucagon
Estrogen Ovary
Progesterone
Optional Activity
Practice labeling endocrine structures on human cadavers
™
at > > Study Area > Practice Anatomy
Lab > Human Cadaver > Endocrine System
b. Sketch the adrenal gland under high power and label Describe the appearance of the cells in each layer and
the adrenal capsule, adrenal cortex, zona glomeru- name the major hormone secreted by each layer.
losa, zona fasciculata, zona reticularis, and adrenal
Zona glomerulosa ______________________________
medulla.
_____________________________________________
Zona fasciculata ________________________________
_____________________________________________
Zona reticularis ________________________________
_____________________________________________
Describe the appearance of the cells in the adrenal
medulla. ______________________________________
_____________________________________________
Name the hormones produced in the adrenal
medulla.______________________________________
Total magnification: _____ × _____________________________________________
LabbooST
Microscopic Anatomy of the Adrenal Cortex The contains a net-like arrangement of cells. You learned about
microscopic anatomy of the adrenal cortex contains terms reticular connective tissue in Unit 6 when you studied differ-
that you have encountered in previous units and one that you ent types of connective tissue. Reticular fibers form a support
will encounter in Unit 30 when you study the urinary system. network on which cells of connective tissue sit. In Unit 30,
The zona fasciculata contains cord-like rows (bundles) of you will learn that the kidney contains specialized “balls” of
cells. The term fascicle means “bundle” and you learned about capillaries called glomeruli. These glomeruli appear similar in
bundles of muscle fibers (Unit 11) and bundles of nerve fibers shape to the clusters of cells in the zona glomerulosa of the
(Unit 14), both of which are called fascicles. The zona reticularis adrenal cortex.
Muscle
fibers Reticular Glomeruli
fibers
(a) Fascicle = bundle of muscle fibers (b) Reticular tissue = net-like (c) Glomeruli = balls of capillaries
appearance of fibers and cells
UNIT 19 | The Endocrine System 403
Materials Needed
□ Your class notes, lab manual, and textbook
Instructions
Endocrine disorders often result when a gland produces
too much or too little of a specific hormone, producing a
hormone imbalance. Sometimes such imbalances can result
from a medication or synthetic hormone. Normally, if there
is too much or too little of a given hormone in the body,
feedback mechanisms within the endocrine system correct
hormone levels. Hormone imbalances can also occur if the
feedback system cannot correctly regulate hormone levels in
Total magnification: _____ × the blood or if the body cannot properly clear the blood of
hormones.
b. Now, increase the magnification to high power. Read each of the following clinical scenarios and answer
Describe the appearance of the acinar cells. the accompanying question set:
c. How can anabolic steroid abuse lead to infertility? c. Identify different causes of this disorder.
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
___________________________________________
___________________________________________ EXERCISE 4
2. Molly, a 31-year-old mother of three children, has been Endocrine System Physiology
working out with a trainer and following a moderate,
balanced diet for approximately a year. Despite her The PhysioEx 9.1 Laboratory Simulations in Physiology are
disciplined approach to diet and exercise, Molly has easy-to-use laboratory simulations that can be used as an al-
experienced significant weight gain during the past ternative to or as a supplement to wet lab activities in this
4 months. Especially noticeable are the fat that has ac- unit. Each simulation allows you to investigate important
cumulated between her shoulder blades and excess hair physiological concepts, repeat labs as often as you like, and
growth on her face, neck, and chest. Cuts take a long conduct experiments that are difficult to perform in a wet
time to heal and she bruises easily. Her menstrual cycles lab environment because of time, cost, or safety concerns.
have become very irregular and she feels anxious and
stressed most of the time.
Access the simulations in these activities at
a. What is your diagnosis? _______________________ > Study Area > PhysioEx 9.1
f
c
d
g
Posterior view
2. Match each of the following endocrine organs to the hormone(s) that it produces:
__________________ a. thyroid gland 1. estrogen 10. T3
__________________ b. pituitary gland 2. oxytocin 11. epinephrine
__________________ c. hypothalamus 3. glucagon 12. prolactin
__________________ d. pineal gland 4. parathyroid hormone 13. T4
__________________ e. pancreas 5. calcitonin 14. cortisol
__________________ f. parathyroid gland 6. thyroid-releasing hormone 15. growth hormone
__________________ g. adrenal gland 7. testosterone
__________________ h. ovary 8. aldosterone
__________________ i. testis 9. melatonin
405
406 U N I T 1 9 | The Endocrine System
3. Indicate whether the release of each of the following hormones is controlled neurally, humorally, or
hormonally.
__________________ a. Epinephrine
__________________ b. Thyroid-stimulating hormone
__________________ c. Insulin
__________________ d. Antidiuretic hormone
__________________ e. Parathyroid hormone
Activity 2: Examining the Microscopic Anatomy of the Pituitary Gland, Thyroid Gland,
Parathyroid Gland, Adrenal Gland, and Pancreas
g. ________________________________
h. ________________________________
LM (100×)
g
d
h
LM (1000×)
LM (100×)
2. Match each of the following cell types to the hormone(s) that it produces.
_____ a. beta cells 1. parathyroid hormone
_____ b. follicle cells 2. epinephrine
_____ c. parafollicular cells 3. insulin
_____ d. chief cells 4. calcitonin
_____ e. neuroendocrine cells 5. oxytocin
_____ f. chromaffin cells 6. thyroid hormones
UNIT 19 | The Endocrine System 407
1. For each of the following pairs of endocrine disorders, list the gland(s) and hormone(s) involved,
and then indicate one difference between the disorders.
a. Diabetes mellitus and diabetes insipidus _________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
b. Cushing syndrome and Addison disease _________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
c. Hypothyroidism and hyperthyroidism __________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
1. How are the adrenal gland and the pituitary gland similar? ____________________________________
___________________________________________________________________________________
Insulin
T3 and T4
Epinephrine
Prolactin
Aldosterone
408 U NI T 1 9 | The Endocrine System
4. Explain why hypothyroidism is often associated with elevated TSH levels. _____________________
___________________________________________________________________________________
___________________________________________________________________________________
B. Concept Mapping
1. Fill in the blanks to complete this concept map outlining the regulation of reproductive
hormone function.
Releases
GnRH
Which
targets
FSH
Classified
And stimulates as
release of
LH
Which
targets
And stimulates
release of
2. Construct a unit concept map to show the relationships among the following set of
terms. Include all of the terms in your diagram. Your instructor may choose to assign
additional terms.
parafollicular cells parathyroid gland thymus gland thyroid hormones zona glomerulosa