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Title: Hormone Action
Description: Hormone action notes for endocrinology modules - suitable for first/second year medical students or as a revision recap!
Description: Hormone action notes for endocrinology modules - suitable for first/second year medical students or as a revision recap!
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ENDOCRINOLOGY
Mechanisms of Hormone Action
Hormone: chemical substance classified as peptide/steroid/amine; synthesized and
secreted by endocrine cells commonly found in endocrine glands (hypothalamus;
anterior + posterior lobes of pituitary; thyroid; parathyroid; adrenal cortex; adrenal
medulla; gonads; placenta; pancreas; kidney)
Affinity: ability of the receptor to bind to ligand
Specificity: hormone can act at more than one receptor
Modes of cytokine action:
• Autocrine: cytokine act on cell which produces it
• Paracrine: cytokine act on adjacent cells
• Juxtacrine: cytokine released from cell by exocytosis and docks onto receptors
on adjacent cells
• Endocrine: cytokine enters circulation to reach distant targets
Second Messenger Action
Major mechanisms of hormone action and associated second messengers
• Adenylyl cyclase mechanism: cAMP
o Hormone binds to a receptor; coupling by Gs/Gi protein;
activation/inhibition of adenylyl cyclase; increases/decreases in
intracellular cAMP; cAMP amplifies hormonal signal
o Hormone binds to receptor à conformational change in αs subunit
which is replaced by GTP à αs-‐GTP complex migrates and binds
to/activates adenylyl cyclase which then converts ATP to cAMP à
activation of PKA by cAMP à phosphorylation of intracellular proteins
o cAMP degraded to inactive 5’AMP by phosphodiesterase
• Phospholipase C mechanism: IP3/Calcium
o Hormone binds receptor à conformational change in α-‐subunità GDP
released from α-‐subunit and replaced by GTP; αq subunit detaches from
Gq proteinà αq-‐GTP complex migrates, binds and activates PLCà PLC
frees DAG and IP3 from PIP2 à IP3 increases intracellular calcium via
release of calcium from intracellular ER/SR storesà calcium and DAG
activate PKC à protein phosphorylation
• Steroid hormone mechanism: insulin and IGFs (via tyrosine kinase
mechanism)
o Steroid hormone diffuses across cell membrane and binds close to C-‐
terminus of target receptor protein in cytosol/nucleus at steroid
responsive elements (SREs; found at 5’ region of target genes); hormone-‐
receptor complex = transcription factor regulating rate of gene
transcription; new mRNA is transcribed, leaves nucleus, is translated to
new proteins
• Guanylate cyclase: cGMP
o Extracellular domain of guanylyl cyclase receptor domain has binding
site for ANP; intracellular domain has guanylyl cyclase activity
o ANP binds à activates guanylyl cyclase à GTP converted to cyclic GMP
à cGMP activates cGMP-‐dependent kinase à protein phosphorylation
Title: Hormone Action
Description: Hormone action notes for endocrinology modules - suitable for first/second year medical students or as a revision recap!
Description: Hormone action notes for endocrinology modules - suitable for first/second year medical students or as a revision recap!