Endokrein K28

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    FUNGSI HORMON

    YETTY MACHRINA

    DEPARTEMEN FISIOLOGIFAKULTAS KEDOKTERAN USU

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    Fungsi Hormon

    Metabolisme (KH, Lemak, Protein)

    Keseimbangan cairan

    Pertumbuhan, produksi sel darah merah

    Stabilitas lingkungan internal (Kadar glukosadarah,tekanan darah, Kadar mineral, dll)

    Kontrol sirkulasi dan pencernaan /

    penyerapam makanan. Ketahanan thd Stress

    Perkembangan Seksual dan Reproduksi

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    HORMON : suatu zat kimia yang di sekresikan

    oleh kelenjar endokrin, masuk ke dalam

    peredaran darah ke seluruh tubuh, untuk

    merangsang atau menghambataktifitas

    sel/jaringan tertentu .

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    Hormon bersirkulasi ke semua jaringan, tapihanya sel-sel target yang dapat diaktifkan.

    Sel target harus memiliki reseptor spesifikyang dapat ditempati hormon.

    Reseptor-reseptor ini terletak di intrasel ataudi membran plasma.

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    Contoh-contoh aktivitas hormon :

    Reseptor ACTH hanya ada di sel-sel

    tertentu pada korteks adrenal. Reseptor Thyroxin dijumpai pada hampir

    semua sel-sel tubuh.

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    Classification

    Hormones can be classified by several properties

    1. Classification by site of action.

    Autocrine secretion - substance released by cell that

    affects the secreting cell itself

    (e.g. norepinephrine is released by a neurosecretory cell in

    the adrenal medulla, and norepinephrine itself inhibitsfurther release by that cell - this is also an example of

    direct negative feedback)

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    Paracrinesecretion - substance released by cell that affects

    neighboring cells. Not released into bloodstream(e.g. histamine released at site of injury to constrict blood

    vessel walls and stop bleeding)

    Endocrine secretion - substance released by cell intobloodstream that affects distant cells.

    (e.g. testosterone is secreted by Leydig cells in testis, makes

    hair grow on your back)

    Though hormones may also have autocrine or paracrine

    actions, we're mainly concerned with endocrine actions

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    Exocrinesecretion - substance released by cell into a duct

    that leads to epithelial surface

    (onto skin or into gut). Action doesnt depend on receptors intarget tissue. (e.g. sweat, saliva)

    Endocrine and exocrine secretions are glandular

    secretions; they come from specialized secretory cells thatare clumped together to form a gland. Endocrine glands are

    sometimes called ductless glands.

    Note that a secretion may have several sites of action

    simultaneously.Example of norepinephrine above - autocrineaction causes

    negative feedback on secretion. Simultaneously, endocrine

    action causes respiration rate to , peripheral blood vessels

    to contract, etc.

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    Circulating hormones

    act on distant targets

    travel in blood

    Local hormones

    act on neighboringcells or same cell thatsecreted them

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    2. Classification by origin.

    Another set of terms, related to those just discussed, is

    commonly used to classify secretions, based both on

    originand site of action

    Neurohormones- endocrine, source = nerve

    Glandular hormones- endocrine, source = gland

    Local Hormones- paracrine (source may not be gland)

    Pheromones- exocrine

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    Chemical signaling by hormones: (a) Endocrine hormones are produced by cells ofendocrine glands and transported by the blood to target cells. (b) Some hormones arereleased by neurosecretory cells, which function in both the nervous and endocrinesystems. (c) A few hormones are secreted over short distances through tissue fluid.

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    Tipe hormon berdasarkan struktur

    molekul:

    1. Asam Amino ; sebagian besar hormon

    contoh : insulin, growth hormone, prolactin

    2.Steroid ; derivat kolesterol

    Contoh :hormon yg dihasilkan gonad (testosterone,

    estrogen) dan korteks adrenal (hormon

    adrenokortikal)

    3.Eikosanoid ; sekresi lokal-bekerja lokal-hormondisekresi oleh semua membran sel

    contoh : leukotrien dan prostaglandin

    4. Amin ; katekolamin dan hormon tiroid.

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    Action of Lipid-Soluble Hormones

    Hormone diffuses

    through phospholipid

    bilayer & into cell

    Binds to receptor

    turning on/off specificgenes

    Gene copies are formed

    & direct synthesis of

    new proteins

    New protein alters cells

    activity

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    Action of Lipid-

    insoluble Hormones

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    The mechanism of peptide hormones(1) Peptide hormones are produced by an endocrine gland and carried by the blood. (2)

    Receptors on the plasma membrane of a target cell bind with the hormone. The hormone

    itself does not enter the cell. (3) An enzyme in the plasma membrane changes ATP to cyclic

    AMP (cAMP). The cAMP molecule is the secondmessenger, carrying the hormones signal

    through the cell. (4) Enzymes are activated, triggering a series of reactions. (5) These

    reactions bring about the changes controlled by the hormone.

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    The mechanism of steroid hormones(1) Steroid hormones are released by endocrine cells and carried by the blood. (2)Because of their size and structure, steroid hormones enter the cell. (3) The hormonesenter the nucleus, where they bind to receptor molecules. The hormone-receptor complex

    binds to DNA and regulates gene expression. (4) If the gene is switchedon it will betranscribed and translated to protein. (5) The protein made in this way is the effect of thehormones release.

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    Konsentrasi hormon yang beredar dalam

    darah menggambarkan :

    Kecepatan penglepasan hormon

    Kecepatan inaktivasi dan pengeluaran dari

    tubuh

    Hormon dikeluarkan dari darah :

    Enzim peng-degradasi Ginjal

    Sistem enzim hepar

    Konsentrasi hormon dalam Darah

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    Kadar hormon dalam darah,secara umum :

    Diatur dengan sistem umpan balik negatifYaitu adanya kontrol penglepasan hormon oleh:

    1. stimulus humoral

    2. stimulus neural

    3. stimulus hormonal

    Kontrol terhadap penglepasan hormon

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    Stimulasi Humoral

    Sekresi hormon sebagai respon terhadap

    perubahan kadar ion dan nutrien dalam

    darah.

    Contoh : konsentrasi ion Kalsium dalam

    darah mempengaruhi

    pelepasan PTH atau calcitonin

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    Stimulasi Neural

    Serabut saraf menstimuli

    penglepasan hormon

    Contoh : serat saraf simpatetikmenstimulasi medula adrenal

    untuk mensekresi

    katekolamin.

    Figure 16.4b

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    Penglepasan hormon sebagai respon

    terhadap hormon lain yg dihasilkan

    organ endokrin berbeda.

    Contoh :

    Hormon-hormon hipotalamus

    menstimulasi hipofise anterior.

    Sebaliknya, hormon hipofisemenstimulasi berbagai organ endokrin

    lain untuk mensekresi lebih banyak

    hormon lain.

    Stimuli Hormonal

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    Contohpengaturan

    dengan umpanbalik negatif :

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    Pulsatility in

    GnRH & LH release

    0

    2

    4

    6

    8

    10

    12

    14 GnRH (pg/10 min)

    LH (ng/ml)

    12:00 16:0014:00

    Time of day

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    Gangguan endokrin disebabkan oleh :

    Kelebihan hormon

    Resistensi thd hormon.

    defisiensi hormon

    Cara diagnosa

    Menentukan aktivitas kelenjar endokrin :

    Aktivitas menurun

    Aktivitas meningkat

    Mengukur kadar, dalam :

    darah

    urine

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    Location of Major Endrocrine Organs

    Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 9.3

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