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> > Endocrine System
The endocrine system is instrumental in regulating mood, growth
and development, tissue function, and metabolism, as well as sexual
function and reproductive processes.
The major glands that make up the human endocrine system are the
hypothalamus, pituitary, thyroid, parathyroids, adrenals, pineal
body, and the reproductive glands, which include the ovaries and
testes.
The pancreas is also part of this hormone-secreting system, even
though it is also associated with the digestive system because it
also produces and secretes digestive enzymes.
The glands of the endocrine system and the hormones they release
influence almost every cell, organ, and function of our bodies.
In general, the endocrine system is in charge of body processes
that happen slowly, such as cell growth. Faster processes like breathing
and body movement are monitored by the nervous system. But even
though the nervous system and endocrine system are separate systems,
they often work together to help the body function properly.
What Is the Endocrine System?
The foundations of the endocrine system are the hormones and glands.
As the body's chemical messengers, hormones transfer information
and instructions from one set of cells to another. Although many
different hormones circulate throughout the bloodstream, each one
affects only the cells that are genetically programmed to receive
and respond to its message.
Hormone levels can be influenced by factors such as stress, infection,
and changes in the balance of fluid and minerals in blood.
A gland is a group of cells that produces and secretes, or gives
off, chemicals. A gland selects and removes materials from the blood,
processes them, and secretes the finished chemical product for use
somewhere in the body. Some types of glands release their secretions
in specific areas. For instance, exocrine glands, such as the sweat
and salivary glands, release secretions in the skin or inside of
the mouth. Endocrine glands, on the other hand, release more than
20 major hormones directly into the bloodstream where they can be
transported to cells in other parts of the body.
Although the endocrine glands are the body's main hormone producers,
some non-endocrine organs - such as the brain, heart, lungs, kidneys,
liver, thymus, skin, and placenta - also produce and release hormones.
The hypothalamus, a collection of specialized cells that is located
in the lower central part of the brain, is the primary link between
the endocrine and nervous systems. Nerve cells in the hypothalamus
control the pituitary gland by producing chemicals that either stimulate
or suppress hormone secretions from the pituitary.
Although it is no bigger than a pea, the pituitary gland, located
at the base of the brain just beneath the hypothalamus, is considered
the most important part of the endocrine system.
It's often called the "master gland" because it makes
hormones that control several other endocrine glands. The production
and secretion of pituitary hormones can be influenced by factors
such as emotions and seasonal changes. To accomplish this, the hypothalamus
relays information sensed by the brain (such as environmental temperature,
light exposure patterns, and feelings) to the pituitary.
The tiny pituitary is divided into two parts: the anterior lobe
and the posterior lobe. The anterior lobe regulates the activity
of the thyroid, adrenals, and reproductive glands.
Among the hormones it produces are:
- growth hormone stimulates the growth of bone and other body
tissues and plays a role in the body's handling of nutrients and
minerals
- prolactin activates milk production in women who are breastfeeding
- thyrotropin stimulates the thyroid gland to produce thyroid
hormones
- corticotropin stimulates the adrenal gland to produce certain
hormones
- The pituitary also secretes endorphins, chemicals that act on
the nervous system to reduce sensitivity to pain.
In addition, the pituitary secretes hormones that signal the ovaries
and testes to make sex hormones. The pituitary gland also controls
ovulation and the menstrual cycle in women.
The posterior lobe of the pituitary releases antidiuretic hormone,
which helps control body water balance through its effect on the
kidneys and urine output; and oxytocin, which triggers the contractions
of the uterus that occur during labor.
The thyroid, located in the front part of the lower neck, is shaped
like a bowtie or butterfly and produces the thyroid hormones thyroxine
and triiodothyronine. These hormones control the rate at which cells
burn fuels from food to produce energy. As the level of thyroid
hormones increases in the bloodstream, so does the speed at which
chemical reactions occur in the body. The production and release
of thyroid hormones is controlled by thyrotropin, which is secreted
by the pituitary gland.
Attached to the thyroid are four tiny glands that function together
called the parathyroids. They release parathyroid hormone, which
regulates the level of calcium in the blood with the help of calcitonin,
which is produced in the thyroid.
The body has two triangular adrenal glands, one on top of each
kidney. The adrenal glands have two parts, each of which produces
a set of hormones and has a different function. The outer part,
the adrenal cortex, produces hormones called corticosteroids that
influence or regulate salt and water balance in the body, the body's
response to stress, metabolism, the immune system, and sexual development
and function. The inner part, the adrenal medulla, produces catecholamines,
such as epinephrine.
Also called adrenaline, epinephrine increases blood pressure and
heart rate when the body experiences stress. (Epinephrine injections
are often used to counteract a severe allergic reaction.)
The pineal gland, is located in the middle of the brain. It secretes
melatonin, a hormone that may help regulate the wake-sleep cycle.
The gonads are the main source of sex hormones. In males, they
are located in the scrotum. Male gonads, or testes, secrete hormones
called androgens, the most important of which is testosterone. These
hormones regulate body changes associated with sexual development,
including enlargement of the penis, the growth spurt that occurs
during puberty, and the appearance of other male secondary sex characteristics
such as deepening of the voice, growth of facial and pubic hair,
and the increase in muscle growth and strength. Working with hormones
from the pituitary gland, testosterone also supports the production
of sperm by the testes.
The female gonads, the ovaries, are located in the pelvis. They
produce eggs and secrete the female hormones estrogen and progesterone.
Estrogen is involved in the development of female sexual features
such as breast growth, the accumulation of body fat around the hips
and thighs, and the growth spurt that occurs during puberty. Both
estrogen and progesterone are also involved in pregnancy and the
regulation of the menstrual cycle.
Among others, the pancreas produces two important hormones, insulin
and glucagon. They work together to maintain a steady level of glucose,
or sugar, in the blood and to keep the body supplied with fuel to
produce and maintain stores of energy.
How does the Endocrine System Work?
Once a hormone is secreted, it travels from the endocrine gland
through the bloodstream to the cells designed to receive its message.
These cells are called target cells. Along the way to the target
cells, special proteins bind to some of the hormones. The special
proteins act as carriers that control the amount of hormone that
is available to interact with and affect the target cells. Also,
the target cells have receptors that latch onto only specific hormones,
and each hormone has its own receptor, so that each hormone will
communicate only with specific target cells that possess receptors
for that hormone. When the hormone reaches its target cell, it locks
onto the cell's specific receptors and these hormone-receptor combinations
transmit chemical instructions to the inner workings of the cell.
When hormone levels reach a certain normal or necessary amount,
further secretion is controlled by important body mechanisms to
maintain that level of hormone in the blood. This regulation of
hormone secretion may involve the hormone itself or another substance
in the blood related to the hormone. For example, if the thyroid
gland has secreted adequate amounts of thyroid hormones into the
blood, the pituitary gland senses the normal levels of thyroid hormone
in the bloodstream and adjusts its release of thyrotropin, the pituitary
hormone that stimulates the thyroid gland to produce thyroid hormones.
Another example is parathyroid hormone, which increases the level
of calcium in the blood. When the blood calcium level rises, the
parathyroid glands sense the change and decrease their secretion
of parathyroid hormone. This turnoff process is called a negative
feedback system.
Problems with the Endocrine System
Too much or too little of any hormone can be harmful to the body.
For example, if the pituitary gland produces too much growth hormone,
a child may grow excessively tall. If it produces too little, a
child may be abnormally short.
Adrenal insufficiency. This condition is characterized
by decreased function of the adrenal cortex and the consequent underproduction
of adrenal corticosteroid hormones. The symptoms of adrenal insufficiency
may include weakness, fatigue, abdominal pain, nausea, dehydration,
and skin changes.
Cushing syndrome. Excessive amounts of glucocorticoid
hormones in the body can lead to Cushing syndrome. In children,
it most often results when a child takes large doses of synthetic
corticosteroid drugs (such as prednisone) to treat autoimmune diseases
such as lupus. If the condition is due to a tumor in the pituitary
gland that produces excessive amounts of corticotropin and stimulates
the adrenals to overproduce corticosteroids, it's known as Cushing
disease. Symptoms may take years to develop and include obesity,
growth failure, muscle weakness, easy bruising of the skin, acne,
high blood pressure, and psychological changes.
Type 1 diabetes. When the pancreas fails to produce
enough insulin, type 1 diabetes occurs. Symptoms include excessive
thirst, hunger, urination, and weight loss. In children and teens,
the condition is usually an autoimmune disorder in which specific
immune system cells and antibodies produced by the child's immune
system attack and destroy the cells of the pancreas that produce
insulin. The disease can cause long-term complications including
kidney problems, nerve damage, blindness, and early coronary heart
disease and stroke.
Type 2 diabetes. Unlike type 1 diabetes, in which
the body can't produce normal amounts of insulin, in type 2 diabetes
the body is unable to respond to insulin normally. It is believed
that excess body fat plays a role in the insulin resistance that
characterizes the disease. In fact, the rising prevalence of this
type of diabetes in children has paralleled the dramatically increasing
rates of obesity among children and teens in recent years. The symptoms
and possible complications of type 2 diabetes are basically the
same as those of type 1.
Hyperthyroidism. Hyperthyroidism is a condition
in which the levels of thyroid hormones in the blood are excessively
high. Symptoms may include weight loss, nervousness, tremors, excessive
sweating, increased heart rate and blood pressure, protruding eyes,
and a swelling in the neck from an enlarged thyroid gland (goiter).
Hypothyroidism. Hypothyroidism is a condition
in which the levels of thyroid hormones in the blood are abnormally
low. Thyroid hormone deficiency slows body processes and may lead
to fatigue, a slow heart rate, dry skin, weight gain, constipation,
and, in children, slowing of growth and delayed puberty. Hashimoto
thyroiditis is the most common cause of hypothyroidism in the United
States. Hashimoto's thyroiditis is 5–10 times more common
in women than in men and most often starts in adulthood. Blood drawn
from patients with Hashimoto's throiditis reveals an increased number
of antibodies to the enzyme, thyroid peroxidase an enzyme (protein)
found within the thyroid gland. As result of the antibodies' interaction
with the enzyme, inflammation develops in the thyroid gland, the
thyroid gland is destroyed, and the patient ultimately is rendered
hypothyroid (too little thyroid hormone).
Precocious puberty. Body changes associated with
puberty may occur at an abnormally young age in some children if
the pituitary hormones that stimulate the gonads to produce sex
hormones rise prematurely.
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