Endocrine System Continued
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2 Surgical Anatomy
2 Surgical Anatomy Nancy Dugal Perrier, Michael Sean Boger contents 2.2 Morphology 2.1 Introduction . 7 The paired retroperitoneal adrenal glands are found 2.2 Morphology ...7 in the middle of the abdominal cavity, residing on 2.3 Relationship of the Adrenal Glands to the Kidneys ...10 the superior medial aspect of the upper pole of each 2.4 Blood Supply, Innervation, and Lymphatics ...10 kidney (Fig. 1). However, this location may vary 2.4.1 Arterial . 10 depending on the depth of adipose tissue.By means of 2.4.2 Venous ...10 pararenal fat and perirenal fascia,the adrenals contact 2.4.3 Innervation ...11 the superior portion of the abdominal wall. These 2.4.4 Lymphatic . 11 structures separate the adrenals from the pleural re- 2.5 Left Adrenal Gland Relationships ...11 flection, ribs, and the subcostal, sacrospinalis, and 2.6 Right Adrenal Gland Relationships ...14 latissimus dorsi muscles [2].Posteriorly,the glands lie 2.7 Summary ...17 References . 17 near the diaphragmatic crus and arcuate ligament [10]. Laterally, the right adrenal resides in front of the 12th rib and the left gland is in front of the 11th and 12th ribs [2]. Each adrenal gland weighs approximately 2.1 Introduction Liver Adrenal gland The small paired adrenal glands have a grand history. Eustachius published the first anatomical drawings of the adrenal glands in the mid-sixteenth century [17].In 1586, Piccolomineus and Baunin named them the suprarenal glands. Nearly two-and-a-half centuries later, Cuvier described the anatomical division of each gland into the cortex and medulla. -
Effects of Streptozotocin-Induced Diabetes on the Pineal Gland in the Domestic Pig
International Journal of Molecular Sciences Article Effects of Streptozotocin-Induced Diabetes on the Pineal Gland in the Domestic Pig Bogdan Lewczuk 1,* , Magdalena Prusik 1 , Natalia Ziółkowska 1, Michał D ˛abrowski 2, Kamila Martniuk 1, Maria Hanuszewska 1 and Łukasz Zielonka 2 1 Department of Histology and Embryology, Faculty of Veterinary Medicine, University of Warmia and Mazury in Olsztyn, Oczapowskiego 13, 10-719 Olsztyn, Poland; [email protected] (M.P.); [email protected] (N.Z.); [email protected] (K.M.); [email protected] (M.H.) 2 Department of Veterinary Prevention and Feed Hygiene, Faculty of Veterinary Medicine, University of Warmia and Mazury in Olsztyn, Oczapowskiego 13, 10-719 Olsztyn, Poland; [email protected] (M.D.); [email protected] (Ł.Z.) * Correspondence: [email protected]; Tel.: +48-89-523-39-49; Fax: +48-89-523-34-40 Received: 15 July 2018; Accepted: 5 October 2018; Published: 9 October 2018 Abstract: Several observations from experiments in rodents and human patients suggest that diabetes affects pineal gland function, including melatonin secretion; however, the accumulated data are not consistent. The aim of the present study was to determine the effects of streptozotocin-induced diabetes on the pineal gland in the domestic pig, a species widely used as a model in various biomedical studies. The study was performed on 10 juvenile pigs, which were divided into two groups: control and diabetic. Diabetes was evoked by administration of streptozotocin (150 mg/kg of body weight). After six weeks, the animals were euthanized between 12.00 and 14.00, and the pineal glands were removed and divided into two equal parts, which were used for biochemical analyses and for preparation of explants for the superfusion culture. -
Anatomical Variations in the Arterial Supply of the Suprarenal Gland. Int J Health Sci Res
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Anatomical Variations in the Arterial Supply of the Suprarenal Gland Sushma R.K1, Mahesh Dhoot2, Hemant Ashish Harode2, Antony Sylvan D’Souza3, Mamatha H4 1Lecturer, 2Postgraduate, 3Professor & Head, 4Assistant Professor; Department of Anatomy, Kasturba Medical College, Manipal University, Manipal-576104, Karnataka, India. Corresponding Author: Mamatha H Received: 29/03//2014 Revised: 17/04/2014 Accepted: 21/04/2014 ABSTRACT Introduction: Suprarenal gland is normally supplied by superior, middle and inferior suprarenal arteries which are the branches of inferior phrenic, abdominal aorta and renal artery respectively. However the arterial supply of the suprarenal gland may show variations. Therefore a study was conducted to find the variations in the arterial supply of Suprarenal Gland. Materials and methods: 20 Formalin fixed cadavers, were dissected bilaterally in the department of Anatomy, Kasturba Medical College, Manipal to study the arterial supply of the suprarenal gland, which were photographed and different variations were noted. Results: Out of 20 cadavers variations were observed in five cases in the arterial pattern of supra renal gland. We found that in one cadaver superior supra renal artery on the left side was arising directly from the coeliac trunk. Another variation was observed on the right side ina cadaver that inferior and middle suprarenal arteries were arising from accessory renal artery and on the right side it gave another small branch to the gland. Conclusion: Variations in the arterial pattern of suprarenal gland are significant for radiological and surgical interventions. KEY WORDS: Suprarenal gland, suprarenal artery, renal artery, abdominal aorta, inferior phrenic artery INTRODUCTION accessory renal arteries (ARA). -
Expression Pattern of Delta-Like 1 Homolog in Developing Sympathetic Neurons and Chromaffin Cells
Published in "Gene Expression Patterns 30: 49–54, 2018" which should be cited to refer to this work. Expression pattern of delta-like 1 homolog in developing sympathetic neurons and chromaffin cells ∗ Tehani El Faitwria,b, Katrin Hubera,c, a Institute of Anatomy & Cell Biology, Albert-Ludwigs-University Freiburg, Albert-Str. 17, 79104, Freiburg, Germany b Department of Histology and Anatomy, Faculty of Medicine, Benghazi University, Benghazi, Libya c Department of Medicine, University of Fribourg, Route Albert-Gockel 1, 1700, Fribourg, Switzerland ABSTRACT Keywords: Delta-like 1 homolog (DLK1) is a member of the epidermal growth factor (EGF)-like family and an atypical notch Sympathetic neurons ligand that is widely expressed during early mammalian development with putative functions in the regulation Chromaffin cells of cell differentiation and proliferation. During later stages of development, DLK1 is downregulated and becomes DLK1 increasingly restricted to specific cell types, including several types of endocrine cells. DLK1 has been linked to Adrenal gland various tumors and associated with tumor stem cell features. Sympathoadrenal precursors are neural crest de- Organ of Zuckerkandl rived cells that give rise to either sympathetic neurons of the autonomic nervous system or the endocrine Development ffi Neural crest chroma n cells located in the adrenal medulla or extraadrenal positions. As these cells are the putative cellular Phox2B origin of neuroblastoma, one of the most common malignant tumors in early childhood, their molecular char- acterization is of high clinical importance. In this study we have examined the precise spatiotemporal expression of DLK1 in developing sympathoadrenal cells. We show that DLK1 mRNA is highly expressed in early sympa- thetic neuron progenitors and that its expression depends on the presence of Phox2B. -
Adrenal Metastasis from an Esophageal Squamous Cell Carcinoma - a Case Report and Review of Literature
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 15, Issue 10 Ver. VII (October. 2016), PP 20-22 www.iosrjournals.org Adrenal Metastasis from an Esophageal Squamous Cell Carcinoma - A Case Report and Review of Literature Prof. Subbiah Shanmugam MS Mch1, Dr Sujay Susikar MS Mch2, Dr. H Prasanna Srinivasa Rao Mch Post Graduate2 1,2Department Of Surgical Oncology, Centre For Oncology, Government Royapettah Hospital & Kilpauk Medical College, Chennai, India Abstract: Adrenal metastasis from esophageal carcinoma is quite uncommon. The identification of adrenal metastasis and their differentiation from incidentally detected benign adrenal tumors is challenging especially when functional imaging facilities are unavailable. Here we present a case report of a 43 year old male presenting with adrenal metastasis from an esophageal squamous cell carcinoma. The use of minimally invasive surgery to confirm the metastatic nature of disease in a resource limited setup has been described. Keywords: adrenal metastasis, adrenalectomy, esophageal squamous cell carcinoma I. Introduction Adrenal metastases have been reported in various malignancies; most commonly from cancers of lung, breast but uncommonly from esophageal primary. The diagnostic difficulties in the identification of adrenal secondaries are due to the small size of the lesion, difficulty in differentiating benign from malignant adrenal lesions based on computed tomography findings alone and the anatomical position of adrenal making it difficult to target for biopsy under image guidance. The functional scans (PET CT) not only reliably differentiate metastatic adrenal lesions, but also light up other areas of metastasis. Such information is definitely needed before deciding on the intent of treatment and the surgery for the primary lesion. -
TEE UNIVERSITY of OKLAHOMA GRADUATE Coiiiege ' A
TEE UNIVERSITY OF OKLAHOMA GRADUATE COIIiEGE ' A COMPARATIVE HISTOLOGICAL AND HISTOCHEMICAL STUDY OF THE ADRENAL GLANDS OF NATIVE RABBITS A THESIS SUBMITTED TO THE GRADUATE FACULTY ±n partial fiolflllment of the requirements for the degree of DOCTOR OF PHILOSOPHY BY I. ERNEST GONZALEZ Oklahoma City, Oklahoma 1955 A COMPARATIVE HISTOLOGICAL AND HISTOCHEMICAL STUDY OF THE ADRENAL GLANDS OF NATIVE RABBITS APEROVED BY THESIS COMMIT' ACKN0WEE33GEMENT The writer wishes to express his profound appreciation and sincere thanks to Dr. Kenneth M. Richter, Department of Anatomy, University of Oklahoma Medical School, for his valuable time, coopera- I _ ition, helpful criticisms, and timely suggestions during the course of j I this investigation; to Dr. Ernest Lachman, Chairman of the Department of Anatomy, for his encouragement and cooperation; to Dr. Garman Daron, Professor of Anatomy, for his many helpful suggestions % and to the University of Oklahoma for a University scholarship. Many other persons have cooperated indirectly in making this investigation possible, and the writer would like to acknowledge also the assistance of Dr. C. Lynn Hayward and Dr. D. Eldon Beck, Depart ment of Zoology, Brigham Young University, for procuring and identify ing many of the native rabbit species; of Mr. Ernest Reiser for his advice during the preparation of the graphic models; and of Mr. Neil Woodward for his assistance with the photomicrographic reproductions. ill TABLE OF CONTENTS Page CHAPTER I 1 Introduction CHAPTER II Materials and MetHods CHAPTER III Observations .............................. 7 Ocbbtona princeps ............»...... ...... 7 Pexicapsular tissue^ capsule, and stroma 7 Vasculature . ......... ............. 8 Innervation............... .... ........ 9 Cortex ........ , . ... ........ ... .. 9 Zona glomerulosa....... ............ 9 Zona fasciculata ............. -
The Morphology, Androgenic Function, Hyperplasia, and Tumors of the Human Ovarian Hilus Cells * William H
THE MORPHOLOGY, ANDROGENIC FUNCTION, HYPERPLASIA, AND TUMORS OF THE HUMAN OVARIAN HILUS CELLS * WILLIAM H. STERNBERG, M.D. (From the Department of Pathology, School of Medicine, Tulane University of Louisiana and the Charity Hospital of Louisiana, New Orleans, La.) The hilus of the human ovary contains nests of cells morphologically identical with testicular Leydig cells, and which, in all probability, pro- duce androgens. Multiple sections through the ovarian hilus and meso- varium will reveal these small nests microscopically in at least 8o per cent of adult ovaries; probably in all adult ovaries if sufficient sections are made. Although they had been noted previously by a number of authors (Aichel,l Bucura,2 and von Winiwarter 3"4) who failed to recog- nize their significance, Berger,5-9 in 1922 and in subsequent years, pre- sented the first sound morphologic studies of the ovarian hilus cells. Nevertheless, there is comparatively little reference to these cells in the American medical literature, and they are not mentioned in stand- ard textbooks of histology, gynecologic pathology, nor in monographs on ovarian tumors (with the exception of Selye's recent "Atlas of Ovarian Tumors"10). The hilus cells are found in clusters along the length of the ovarian hilus and in the adjacent mesovarium. They are, almost without excep- tion, found in contiguity with the nonmyelinated nerves of the hilus, often in intimate relationship to the abundant vascular and lymphatic spaces in this area. Cytologically, a point for point correspondence with the testicular Leydig cells can be established in terms of nuclear and cyto- plasmic detail, lipids, lipochrome pigment, and crystalloids of Reinke. -
I. Introduction B. Adrenal Cortex
I. Introduction Adrenal Glands • suprarenal – they sit on top of the kidneys • each is composed of 2 distinct regions: A. Adrenal Medulla - the inner region - comprises 20% of the gland - secretes epinephrine and norepinephrine - derived from ectoderm B. Adrenal Cortex 1) Zona Glomerulosa (outermost region) - produces mineralocorticoids (aldosterone) • the outer region 2) Zona Fasiculata (middle region) - produces glucocorticoids (cortisol) as well as • comprises 80% of the gland estrogens and androgens • secretes corticosteroids 3) Zona Reticularis (innermost region) • derived from mesoderm - same function as zona fasiculata DHEA – dehydroepiandrosterone • an adrenal androgen in females • responsible for growth of pubic and axillary hair C. Pathologies Associated with Adrenal II. Mineralocorticoids (Aldosterone) Androgen Hypersecretion A. Functions 1.Adrenogenital Syndrome - promotes reabsorption of Na+ and - hypersecretion of androgens or estrogens secretion of K+ from the distal portion of the a) in the adult female: nephron..primary regulator of salt balance and extracellular volume - masculinization (i.e. hirsutism) -Similar (but less important) effect on salt b) in the female embryo: transport in colon, salivary glands, and - female pseudohermaphroditism sweat glands. c) in the adult male: - no effect d) in young boys: - precocious pseudopuberty 1 II. Mineralocorticoids (Aldosterone) C. Pathologies B. Regulation of Secretion 1. Hypersecretion 1. Renin Angiotensin a. primary hyperaldosteronism - Angiotensin II stimulates aldost. secretion - Conn’s syndrome 2. Potassium - usually due to a tumor on the gland + - high levels of K induce aldost. secretion - too much secretion of gland itself 3. ACTH –no direct role b. secondary hyperaldosteronism - default in renin angiotensin system - most common in atherosclerosis of renal arteries C. Pathologies III. Glucocorticoids (Cortisol) 1. -
HYPOTHALAMUS – PITUITARY-ADRENAL AXIS Learning Objectives OVERVIEW FUNCTIONAL ANATOMY
Introductory Human Physiology ©copyright Emma Jakoi HYPOTHALAMUS – PITUITARY-ADRENAL AXIS Emma R. Jakoi, Ph.D. Learning objectives • Describe the structural and functional organization of the adrenal gland. • Describe the synthesis and secretion of cortical adrenal hormones. • Describe the mechanism of action and physiologic effects of adrenal hormones. • Explain the control of adrenal hormone synthesis and secretion. Describe the major feedback loops that integrate the hypothalamic axis and body homeostasis. • Explain the physiologic roles of the adrenal hormones in normal physiology. OVERVIEW The adrenal glands maintain homeostasis in response to stress. Three major classes of hormones are secreted by these glands: aldosterone (mineralocorticoid), cortisol (glucocorticoid), DHEA (weak androgen), and catecholamines (epinephrine and norepinephrine). FUNCTIONAL ANATOMY The adrenal gland is located on top of the kidney. Like the pituitary, two distinct tissues merge during development to form the adrenal cortex (glandular tissue) and medulla (modified neuronal tissue) (Fig 1). 1 2 cortex 3 medulla Figure 1. Structure of the adrenal gland. The cortex secretes three steroid hormones: 1. aldosterone, 2. cortisol, 3. a weak androgen, DHEA. The medulla secretes epinephrine (Epi) and norepinephrine (NorEpi). 1 Introductory Human Physiology ©copyright Emma Jakoi MINERALOCORTICOIDS The major mineralocorticoid in humans is aldosterone. Aldosterone is NOT under the hypothalamus- pituitary control and does not mediate a negative feedback to this axis. Aldosterone secretion is increased by the vasoconstrictor, angiotensin II, and by elevated plasma K+ concentration. Elevated plasma Na+ inhibits the secretion of aldosterone. Aldosterone, acts in the kidney to promote secretion of K+ into the urine from the blood and the reabsorption of Na+ from the urine into the blood. -
Vocabulario De Morfoloxía, Anatomía E Citoloxía Veterinaria
Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) Servizo de Normalización Lingüística Universidade de Santiago de Compostela COLECCIÓN VOCABULARIOS TEMÁTICOS N.º 4 SERVIZO DE NORMALIZACIÓN LINGÜÍSTICA Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) 2008 UNIVERSIDADE DE SANTIAGO DE COMPOSTELA VOCABULARIO de morfoloxía, anatomía e citoloxía veterinaria : (galego-español- inglés) / coordinador Xusto A. Rodríguez Río, Servizo de Normalización Lingüística ; autores Matilde Lombardero Fernández ... [et al.]. – Santiago de Compostela : Universidade de Santiago de Compostela, Servizo de Publicacións e Intercambio Científico, 2008. – 369 p. ; 21 cm. – (Vocabularios temáticos ; 4). - D.L. C 2458-2008. – ISBN 978-84-9887-018-3 1.Medicina �������������������������������������������������������������������������veterinaria-Diccionarios�������������������������������������������������. 2.Galego (Lingua)-Glosarios, vocabularios, etc. políglotas. I.Lombardero Fernández, Matilde. II.Rodríguez Rio, Xusto A. coord. III. Universidade de Santiago de Compostela. Servizo de Normalización Lingüística, coord. IV.Universidade de Santiago de Compostela. Servizo de Publicacións e Intercambio Científico, ed. V.Serie. 591.4(038)=699=60=20 Coordinador Xusto A. Rodríguez Río (Área de Terminoloxía. Servizo de Normalización Lingüística. Universidade de Santiago de Compostela) Autoras/res Matilde Lombardero Fernández (doutora en Veterinaria e profesora do Departamento de Anatomía e Produción Animal. -
Gross Anatomy of the Suprarenal Glands
Edited by: Malak Shalfawi, Noor Adnan Gross Anatomy of the suprarenal glands 5/10/2020 Dr. shatarat. The University of Jordan In the sagittal section below, you can see the retroperitoneal space (encircled by a blue line), which contains structures that lie deep on the posterior abdominal wall and are called retroperitoneal structures, they are the kidneys and suprarenal (adrenal) glands. ➔ The adrenal glands are two small triangular structures located retroperitoneally at the upper poles of the kidneys. [notice the black arrow] 5/10/2020 Dr. shatarat. The University of Jordan You can again notice the kidneys (lying on the posterior abdominal wall and covered by fat), The peritoneum and retroperitoneal space. ➔ The adrenal glands are covered with a thick connective tissue capsule from which the trabeculae extend into the parenchyma carrying blood vessels and nerves. **Extra note: all soft structures in the abdomen, such as the spleen, kidneys and suprarenal glands, have hilum into which all blood vessels and nerve supply getting in or out of them. But each one of these soft structures has its specific modifications on its In this section, you can see the hilum. For example, the ureter getting vertebral column and the muscles of out from the kidneys. the posterior abdominal wall (quadratus lumborum and Psoas 5/10/2020 Dr. shatarat. The University of Jordan major) ➔ Adrenal glands are found on the posterior parietal wall, on each side of the vertebral column, at the level of the 11th thoracic rib and lateral to the first lumber vertebra. They are in the upper part of the abdomen, almost near the diaphragm, NOT in the middle and NOT inferior!!!! ➔ They have flattened triangular shape and are embedded in the perirenal fat at the superior poles of the kidneys. -
Chapter 45-Hormones and the Endocrine System Pathway Example – Simple Hormone Pathways Stimulus Low Ph in Duodenum
Chapter 45-Hormones and the Endocrine System Pathway Example – Simple Hormone Pathways Stimulus Low pH in duodenum •Hormones are released from an endocrine cell, S cells of duodenum travel through the bloodstream, and interact with secrete secretin ( ) Endocrine the receptor or a target cell to cause a physiological cell response Blood vessel A negative feedback loop Target Pancreas cells Response Bicarbonate release Insulin and Glucagon: Control of Blood Glucose Body cells •Insulin and glucagon are take up more Insulin antagonistic hormones that help glucose. maintain glucose homeostasis Beta cells of pancreas release insulin into the blood. The pancreas has clusters of endocrine cells called Liver takes islets of Langerhans up glucose and stores it as glycogen. STIMULUS: Blood glucose Blood glucose level level declines. rises. Target Tissues for Insulin and Glucagon Homeostasis: Blood glucose level Insulin reduces blood glucose levels by: (about 90 mg/100 mL) Promoting the cellular uptake of glucose Blood glucose STIMULUS: Slowing glycogen breakdown in the liver level rises. Blood glucose level falls. Promoting fat storage Alpha cells of pancreas release glucagon. Liver breaks down glycogen and releases glucose. Glucagon Glucagon increases blood glucose levels by: Stimulating conversion of glycogen to glucose in the liver Stimulating breakdown of fat and protein into glucose Diabetes Mellitus Type I diabetes mellitus (insulin-dependent) is an autoimmune disorder in which the immune system destroys pancreatic beta cells Type II diabetes