NCERT Solutions for Class 11 Biology Chapter 19: Chemical Coordination and Integration
Complete NCERT solutions for Class 11 Biology Chapter 19 Chemical Coordination and Integration — all 9 exercise questions with detailed topper-style answers, every NCERT figure (19.1–19.5) redrawn as an original diagram with PDF page links, comparison tables, flow charts, exam tips and full chapter-at-a-glance revision notes.
Chapter at a glance — complete revision notes
Neural coordination is fast but short-lived; nerve fibres do not innervate all cells of the body, and cellular functions need continuous regulation. This special coordination and integration is provided by hormones; the neural system and the endocrine system together coordinate and regulate physiological functions.
19.1 Endocrine glands and hormones
- Endocrine glands lack ducts (ductless glands); their secretions are hormones.
- Classical definition: a chemical produced by endocrine glands, released into the blood and transported to a distantly located target organ. Current definition: hormones are non-nutrient chemicals which act as intercellular messengers and are produced in trace amounts; it also covers molecules from non-endocrine tissues.
- Invertebrates have simple endocrine systems with few hormones; vertebrates use a large number of chemicals as hormones.
19.2 Human endocrine system
The endocrine glands and hormone-producing diffused tissues/cells constitute the endocrine system. Organised endocrine bodies: pituitary, pineal, thyroid, adrenal, pancreas, parathyroid, thymus and gonads (testis in males, ovary in females). The gastrointestinal tract, liver, kidney and heart also produce hormones.
19.2.1 The hypothalamus
- Basal part of the diencephalon (forebrain); contains groups of neurosecretory cells called nuclei that produce hormones regulating the synthesis and secretion of pituitary hormones.
- Two types: releasing hormones (stimulate pituitary secretion; e.g. GnRH stimulates the release of gonadotrophins) and inhibiting hormones (e.g. somatostatin inhibits release of growth hormone).
- These hormones pass through axons and are released from nerve endings, reaching the anterior pituitary through a portal circulatory system; the posterior pituitary is under direct neural regulation of the hypothalamus.
19.2.2 The pituitary gland
- Lies in a bony cavity, the sella tursica, attached to the hypothalamus by a stalk. Divided into adenohypophysis (pars distalis + pars intermedia) and neurohypophysis (pars nervosa).
- Pars distalis (anterior pituitary): GH, prolactin (PRL), TSH, ACTH, LH and FSH. Pars intermedia: MSH only (almost merged with pars distalis in humans). Posterior pituitary: stores and releases oxytocin and vasopressin, which are synthesised by the hypothalamus and transported axonally.
| Hormone | Action |
|---|---|
| Growth hormone (GH) | Over-secretion: gigantism; low secretion: pituitary dwarfism; excess in adults (middle age): acromegaly (severe disfigurement, especially of face) |
| Prolactin (PRL) | Growth of mammary glands and formation of milk |
| TSH | Stimulates synthesis and secretion of thyroid hormones |
| ACTH | Stimulates synthesis and secretion of glucocorticoids from adrenal cortex |
| LH and FSH (gonadotrophins) | Stimulate gonadal activity. Male: LH → androgens from testis; FSH + androgens regulate spermatogenesis. Female: LH induces ovulation of Graafian follicle and maintains the corpus luteum; FSH stimulates growth and development of ovarian follicles |
| MSH | Acts on melanocytes; regulates skin pigmentation |
| Oxytocin | Contraction of smooth muscles: vigorous uterine contractions at childbirth; milk ejection from mammary gland |
| Vasopressin (ADH) | Acts on kidney: reabsorption of water and electrolytes by distal tubules, reducing diuresis. Impairment causes diabetes insipidus |
19.2.3 The pineal gland
Located on the dorsal side of the forebrain; secretes melatonin, which regulates the 24-hour (diurnal) rhythm (sleep–wake cycle, body temperature) and also influences metabolism, pigmentation, the menstrual cycle and defence capability.
19.2.4 Thyroid gland
- Two lobes on either side of the trachea joined by the isthmus; composed of follicles (follicular cells enclosing a cavity) and stromal tissue. Follicular cells synthesise thyroxine (T4, tetraiodothyronine) and triiodothyronine (T3); iodine is essential.
- Iodine deficiency → hypothyroidism and enlargement of the gland: goitre. Hypothyroidism during pregnancy → cretinism (stunted growth, mental retardation, low IQ, abnormal skin, deaf-mutism); in adult women irregular menstrual cycle. Hyperthyroidism (thyroid cancer or nodules); exophthalmic goitre (Graves’ disease): enlarged thyroid, protruding eyeballs, increased BMR, weight loss.
- Functions: regulate basal metabolic rate, support RBC formation, control metabolism of carbohydrates, proteins and fats, water and electrolyte balance; the gland also secretes thyrocalcitonin (TCT) which regulates blood calcium (lowers it).
19.2.5 Parathyroid gland
Four glands on the back of the thyroid (a pair in each lobe) secrete parathyroid hormone (PTH), a peptide hormone regulated by circulating Ca2+ levels. PTH increases blood Ca2+ (hypercalcemic hormone): stimulates bone resorption, renal reabsorption of Ca2+ and Ca2+ absorption from digested food. With TCT it maintains calcium balance.
19.2.6 Thymus
A lobular gland between the lungs behind the sternum on the ventral side of the aorta; secretes peptide hormones thymosins, which promote the differentiation of T-lymphocytes (cell-mediated immunity) and production of antibodies (humoral immunity). The thymus degenerates in old age, reducing thymosin production and weakening immune responses.
19.2.7 Adrenal gland
- One pair, one above each kidney; adrenal medulla (centre) and adrenal cortex (outside).
- Medulla: adrenaline (epinephrine) and noradrenaline (norepinephrine), the catecholamines; emergency hormones or hormones of fight or flight: increase alertness, pupillary dilation, piloerection, sweating, heart rate, strength of heart contraction, rate of respiration; stimulate breakdown of glycogen (raise blood glucose), lipids and proteins.
- Cortex has three layers: zona reticularis (inner), zona fasciculata (middle), zona glomerulosa (outer). Glucocorticoids (main: cortisol): gluconeogenesis, lipolysis, proteolysis; anti-inflammatory and immunosuppressive; stimulate RBC production; maintain cardiovascular system and kidney function. Mineralocorticoids (main: aldosterone): reabsorption of Na+ and water, excretion of K+ and phosphate; maintain electrolytes, body fluid volume, osmotic pressure and blood pressure. Small amounts of androgenic steroids promote axial, pubic and facial hair growth at puberty.
- Under-production of cortical hormones: Addison’s disease (acute weakness and fatigue).
19.2.8 Pancreas
- Composite gland: exocrine and endocrine. Endocrine part = islets of Langerhans (1–2 million; 1–2% of pancreatic tissue): α-cells secrete glucagon, β-cells secrete insulin.
- Glucagon (peptide): acts on hepatocytes, stimulates glycogenolysis and gluconeogenesis, reduces cellular glucose uptake — hyperglycemic hormone.
- Insulin (peptide): acts on hepatocytes and adipocytes, enhances cellular glucose uptake and utilisation, stimulates conversion of glucose to glycogen (glycogenesis) — lowers blood glucose (hypoglycemia). Prolonged hyperglycemia → diabetes mellitus (loss of glucose in urine, ketone bodies); treated with insulin therapy.
19.2.9 Testis and 19.2.10 Ovary
- Testis: primary sex organ and endocrine gland, in the scrotal sac; Leydig (interstitial) cells produce androgens, mainly testosterone, which regulate development, maturation and functions of male accessory sex organs (epididymis, vas deferens, seminal vesicles, prostate, urethra), stimulate muscular growth, facial and axillary hair, aggressiveness, low pitch of voice, play a major role in spermatogenesis, influence male sexual behaviour (libido) and have anabolic effects on protein and carbohydrate metabolism.
- Ovary: primary female sex organ producing one ovum per menstrual cycle; secretes estrogen (mainly from growing follicles) and progesterone (from the corpus luteum). Estrogens: growth and activity of female secondary sex organs, development of follicles, secondary sex characters (high pitch of voice), mammary gland development, female sexual behaviour. Progesterone: supports pregnancy; stimulates formation of alveoli and milk secretion in mammary glands.
19.3 Hormones of heart, kidney and gastrointestinal tract
| Source | Hormone | Action |
|---|---|---|
| Atrial wall of heart | Atrial natriuretic factor (ANF) | Dilates blood vessels; decreases blood pressure |
| Juxtaglomerular cells of kidney | Erythropoietin | Stimulates erythropoiesis (RBC formation) |
| GI tract | Gastrin | Stimulates gastric glands to secrete HCl and pepsinogen |
| GI tract | Secretin | Acts on exocrine pancreas: water and bicarbonate secretion |
| GI tract | Cholecystokinin (CCK) | Acts on pancreas and gall bladder: pancreatic enzymes and bile juice |
| GI tract | Gastric inhibitory peptide (GIP) | Inhibits gastric secretion and motility |
| Non-endocrine tissues | Growth factors | Normal growth, repair and regeneration of tissues |
19.4 Mechanism of hormone action
- Hormones act by binding to specific proteins called hormone receptors in target tissues only; membrane-bound receptors (cell membrane) and intracellular receptors (mostly nuclear). Each receptor is specific to one hormone; the hormone–receptor complex causes biochemical changes that regulate target tissue metabolism and physiological functions.
- Chemical nature: (i) peptide, polypeptide, protein hormones (insulin, glucagon, pituitary and hypothalamic hormones); (ii) steroids (cortisol, testosterone, estradiol, progesterone); (iii) iodothyronines (thyroid hormones); (iv) amino-acid derivatives (epinephrine).
- Hormones with membrane-bound receptors normally do not enter the cell but generate second messengers (cyclic AMP, IP3, Ca++) which regulate cellular metabolism. Hormones with intracellular receptors (steroids, iodothyronines) mostly regulate gene expression or chromosome function through the hormone–receptor complex interacting with the genome.
Define the following: (a) Exocrine gland (b) Endocrine gland (c) Hormone
Concept. The glands of the body are classified according to how they release their secretions. Those that pour their secretions into ducts are exocrine glands; those without ducts that release their secretions directly into the blood are endocrine glands, and the chemical messengers they release are called hormones.
(a) Exocrine gland. An exocrine gland is a gland that has ducts and releases its secretion through the duct to the surface of the body or into a cavity (e.g. a body cavity or the lumen of a tube) rather than into the blood. Examples: salivary glands, sweat glands, sebaceous glands, gastric glands, the liver (bile) and the exocrine part of the pancreas (pancreatic juice).
(b) Endocrine gland. An endocrine gland is a ductless gland; it lacks ducts and releases its secretions, the hormones, directly into the blood (or tissue fluid), which transports them to the target organs. Examples: pituitary, pineal, thyroid, parathyroid, adrenal, thymus, and the gonads (testis and ovary); the pancreas is a composite gland, acting as both exocrine and endocrine.
(c) Hormone. The classical definition is a chemical produced by endocrine glands and released into the blood and transported to a distantly located target organ. The current scientific definition is: hormones are non-nutrient chemicals which act as intercellular messengers and are produced in trace amounts. The new definition covers a number of molecules in addition to the hormones secreted by organised endocrine glands (e.g. hormones of the heart, kidney and gastrointestinal tract, and growth factors).
| Point | Exocrine gland | Endocrine gland |
|---|---|---|
| Ducts | Present | Absent (ductless) |
| Secretion | Enzymes, mucus, sweat, bile etc. | Hormones |
| Release into | Duct, then body surface or cavity | Blood / tissue fluid |
| Examples | Salivary gland, sweat gland, liver | Pituitary, thyroid, adrenal |
| Mixed gland | Pancreas acts as both (composite gland) | — |
Extra depth. Hormones act in very small (trace) amounts, are not used as nutrients or as sources of energy, and carry information from one cell to another — hence “intercellular messengers”. Invertebrates have simple endocrine systems with few hormones whereas vertebrates have a large number.
Conclusion: Exocrine glands release secretions through ducts, endocrine glands are ductless and release hormones into the blood, and hormones are non-nutrient chemicals acting as intercellular messengers in trace amounts.
Diagrammatically indicate the location of the various endocrine glands in our body.
Concept. The endocrine glands and hormone-producing tissues are distributed from the head to the pelvis. The organised endocrine bodies are the hypothalamus and pituitary, pineal, thyroid and parathyroid, thymus, adrenal, pancreas and the gonads (testis in males and ovary in females). The diagram shows their positions in the body.
| Gland | Location in the body |
|---|---|
| Hypothalamus | Basal part of the diencephalon (forebrain), at the base of the thalamus |
| Pituitary | In the sella tursica (bony cavity), attached to the hypothalamus by a stalk |
| Pineal | On the dorsal side of the forebrain |
| Thyroid | Two lobes on either side of the trachea, joined by the isthmus (neck) |
| Parathyroid | Four glands on the back of the thyroid, a pair in each lobe |
| Thymus | Between the lungs behind the sternum, on the ventral side of the aorta |
| Adrenal | One above each kidney |
| Pancreas | Behind the stomach, in the abdomen (near the duodenum) |
| Testis | Scrotal sac, outside the abdomen (males) |
| Ovary | In the abdomen (pelvic region) of females |
Extra depth. In addition to these, the gastrointestinal tract, liver, kidney and heart also produce hormones. The hypothalamus is the link between the neural and endocrine systems because its neurons secrete hormones that control the pituitary.
Conclusion: The endocrine glands lie from the brain (hypothalamus, pituitary, pineal) through the neck (thyroid, parathyroid) and chest (thymus) to the abdomen (adrenals, pancreas) and pelvis (ovaries or testes).
List the hormones secreted by the following: (a) Hypothalamus (b) Pituitary (c) Thyroid (d) Parathyroid (e) Adrenal (f) Pancreas (g) Testis (h) Ovary (i) Thymus (j) Atrium (k) Kidney (l) G-I Tract
Concept. Each endocrine gland or tissue secretes specific hormones that regulate particular functions. The hormones are listed gland by gland; the main function is added for revision.
| Gland / tissue | Hormones secreted | Main function |
|---|---|---|
| (a) Hypothalamus | Releasing hormones (e.g. GnRH) and inhibiting hormones (e.g. somatostatin); oxytocin and vasopressin are synthesised here and released from the posterior pituitary | Regulate secretion of pituitary hormones |
| (b) Pituitary | Anterior (pars distalis): GH, PRL, TSH, ACTH, LH, FSH; pars intermedia: MSH; posterior: oxytocin and vasopressin (ADH) | Growth, lactation, control of other glands, pigmentation, uterine contraction, water balance |
| (c) Thyroid | Thyroxine (T4), triiodothyronine (T3), thyrocalcitonin (TCT) | BMR, metabolism; TCT lowers blood calcium |
| (d) Parathyroid | Parathyroid hormone (PTH) | Raises blood Ca2+ |
| (e) Adrenal | Medulla: adrenaline (epinephrine), noradrenaline (norepinephrine). Cortex: glucocorticoids (cortisol), mineralocorticoids (aldosterone), small amounts of androgenic steroids | Emergency response; carbohydrate metabolism; water and electrolyte balance |
| (f) Pancreas | Insulin (β-cells), glucagon (α-cells) | Blood glucose regulation |
| (g) Testis | Androgens (mainly testosterone) from Leydig cells | Male sex organs, secondary sex characters, spermatogenesis |
| (h) Ovary | Estrogen (follicles), progesterone (corpus luteum) | Female sex organs and characters; maintain pregnancy |
| (i) Thymus | Thymosins | Differentiation of T-lymphocytes; immunity |
| (j) Atrium (heart) | Atrial natriuretic factor (ANF) | Dilates blood vessels, lowers blood pressure |
| (k) Kidney | Erythropoietin | Stimulates RBC formation |
| (l) G-I tract | Gastrin, secretin, cholecystokinin (CCK), gastric inhibitory peptide (GIP) | Regulate digestive secretions and motility |
Extra depth. The pineal gland secretes melatonin (24-hour rhythm), though it is not in the list. Growth factors are secreted by several non-endocrine tissues for growth and repair.
Conclusion: The hypothalamus secretes releasing and inhibiting hormones, the pituitary six anterior hormones, MSH, oxytocin and vasopressin, the thyroid T4, T3 and TCT, the parathyroid PTH, the adrenal catecholamines and corticoids, the pancreas insulin and glucagon, the testis androgens, the ovary estrogen and progesterone, the thymus thymosins, the atrium ANF, the kidney erythropoietin and the GI tract gastrin, secretin, CCK and GIP.
Fill in the blanks: Hormones — Target gland: (a) Hypothalamic hormones ______ (b) Thyrotrophin (TSH) ______ (c) Corticotrophin (ACTH) ______ (d) Gonadotrophins (LH, FSH) ______ (e) Melanotrophin (MSH) ______
Concept. The hormones of the hypothalamus and the anterior pituitary are often called trophic hormones because they stimulate other glands or tissues. A hypothalamic hormone acts on the pituitary; pituitary hormones in turn regulate the thyroid, adrenal cortex and gonads — a “hierarchy” of control.
| Hormone | Target gland / tissue | Action |
|---|---|---|
| (a) Hypothalamic hormones | Pituitary gland (mainly the anterior pituitary) | Releasing hormones stimulate and inhibiting hormones inhibit the synthesis and secretion of pituitary hormones (e.g. GnRH, somatostatin); they reach it through the portal circulation |
| (b) Thyrotrophin (TSH) | Thyroid gland | Stimulates synthesis and secretion of thyroid hormones (T3, T4) |
| (c) Corticotrophin (ACTH) | Adrenal cortex | Stimulates synthesis and secretion of glucocorticoids (cortisol) |
| (d) Gonadotrophins (LH, FSH) | Gonads (testis in males, ovary in females) | Stimulate gonadal activity: LH → androgens in testis, ovulation and corpus luteum in ovary; FSH → spermatogenesis, ovarian follicle growth |
| (e) Melanotrophin (MSH) | Melanocytes (melanin-containing cells of the skin) | Regulates pigmentation of the skin |
- (a) Pituitary. The hypothalamus produces releasing hormones (e.g. gonadotrophin-releasing hormone, GnRH, which stimulates the synthesis and release of gonadotrophins) and inhibiting hormones (e.g. somatostatin, which inhibits release of growth hormone). They regulate the functions of the pituitary, especially the anterior lobe.
- (b) Thyroid. TSH from the anterior pituitary stimulates the thyroid to make thyroxine and triiodothyronine.
- (c) Adrenal cortex. ACTH stimulates the cortex to synthesise and secrete steroid hormones called glucocorticoids.
- (d) Gonads. LH and FSH are gonadotrophins; they stimulate testis and ovary.
- (e) Melanocytes of the skin. MSH (from the pars intermedia) acts on melanocytes. Note that melanocytes are cells (not a gland), so the “target” is the pigment cells of the skin.
Conclusion: Hypothalamic hormones act on the pituitary, TSH on the thyroid, ACTH on the adrenal cortex, LH and FSH on the gonads and MSH on the melanocytes of the skin.
Write short notes on the functions of the following hormones: (a) Parathyroid hormone (PTH) (b) Thyroid hormones (c) Thymosins (d) Androgens (e) Estrogens (f) Insulin and Glucagon
(a) Parathyroid hormone (PTH). A peptide hormone secreted by the four parathyroid glands; its secretion is regulated by the circulating levels of Ca2+. PTH increases the blood Ca2+ level (a hypercalcemic hormone): it acts on bones and stimulates bone resorption (dissolution/demineralisation), stimulates reabsorption of Ca2+ by the renal tubules, and increases Ca2+ absorption from the digested food. Together with thyrocalcitonin (TCT) it maintains calcium balance.
(b) Thyroid hormones (T4 and T3). Synthesised by the follicular cells with the help of iodine. They regulate the basal metabolic rate (BMR), support the formation of red blood cells, control the metabolism of carbohydrates, proteins and fats, influence the maintenance of water and electrolyte balance, and are needed for normal development and maturation of the central nervous system and the menstrual cycle. Deficiency causes hypothyroidism (goitre, cretinism); excess causes hyperthyroidism (exophthalmic goitre). The thyroid also secretes thyrocalcitonin which lowers blood calcium.
(c) Thymosins. Peptide hormones of the thymus gland; they play a major role in the differentiation of T-lymphocytes, which provide cell-mediated immunity, and promote the production of antibodies (humoral immunity). Since the thymus degenerates with age, thymosin production falls and the immune responses of old people become weak.
(d) Androgens (mainly testosterone). Produced by the Leydig (interstitial) cells of the testis. They regulate the development, maturation and functions of the male accessory sex organs (epididymis, vas deferens, seminal vesicles, prostate gland, urethra); stimulate muscular growth, growth of facial and axillary hair, aggressiveness and low pitch of voice (male secondary sex characters); play a major stimulatory role in spermatogenesis; influence male sexual behaviour (libido); and have anabolic effects on protein and carbohydrate metabolism.
(e) Estrogens. Synthesised and secreted mainly by the growing ovarian follicles. They stimulate growth and activities of female secondary sex organs, development of the growing ovarian follicles, appearance of female secondary sex characters (e.g. high pitch of voice) and mammary gland development, and regulate female sexual behaviour.
(f) Insulin and glucagon. Secreted by the β-cells and α-cells of the islets of Langerhans, respectively; together they maintain glucose homeostasis. Insulin acts on hepatocytes and adipocytes, enhances cellular glucose uptake and utilisation and stimulates conversion of glucose to glycogen (glycogenesis), lowering blood glucose (hypoglycemic hormone). Glucagon acts on the liver, stimulates glycogenolysis and gluconeogenesis and reduces cellular glucose uptake, raising blood glucose (hyperglycemic hormone). Insulin deficiency causes diabetes mellitus.
| Hormone | Source | Key function |
|---|---|---|
| PTH | Parathyroid | Raises blood Ca2+ (bone resorption, renal reabsorption, intestinal absorption) |
| T3/T4 | Thyroid | BMR, metabolism, RBC formation |
| Thymosins | Thymus | T-lymphocyte differentiation, immunity |
| Androgens | Leydig cells of testis | Male sex organs/characters, spermatogenesis |
| Estrogens | Ovarian follicles | Female sex organs/characters, follicle growth |
| Insulin | β-cells of pancreas | Lowers blood glucose |
| Glucagon | α-cells of pancreas | Raises blood glucose |
Conclusion: PTH raises blood calcium, thyroid hormones regulate BMR and metabolism, thymosins make T-lymphocytes and boost immunity, androgens and estrogens develop and maintain male and female sexual characters, and insulin and glucagon together keep blood glucose normal.
Give example(s) of: (a) Hyperglycemic hormone and hypoglycemic hormone (b) Hypercalcemic hormone (c) Gonadotrophic hormones (d) Progestational hormone (e) Blood pressure lowering hormone (f) Androgens and estrogens
Concept. Hormones are often described by the effect they have on the blood level of a substance (hyper- = raises, hypo- = lowers) or by the gland they stimulate (trophic hormones). The examples are given below.
| Part | Type | Example | Reason |
|---|---|---|---|
| (a) | Hyperglycemic hormone | Glucagon | Stimulates glycogenolysis and gluconeogenesis, raising blood glucose |
| (a) | Hypoglycemic hormone | Insulin | Enhances glucose uptake and glycogenesis, lowering blood glucose |
| (b) | Hypercalcemic hormone | Parathyroid hormone (PTH) | Increases blood Ca2+ |
| (c) | Gonadotrophic hormones | LH (luteinizing hormone) and FSH (follicle stimulating hormone) | Stimulate gonadal activity |
| (d) | Progestational hormone | Progesterone | Supports pregnancy (from corpus luteum) |
| (e) | Blood pressure lowering hormone | Atrial natriuretic factor (ANF) | Causes vasodilation and decreases blood pressure |
| (f) | Androgens | Testosterone (also androstenedione, general knowledge) | Male hormone from Leydig cells |
| (f) | Estrogens | Estradiol (also estrone, estriol, general knowledge) | Female hormone from ovarian follicles |
- (a) Glucagon is the hyperglycemic hormone; insulin is the hypoglycemic hormone.
- (b) PTH raises blood calcium (by bone resorption, renal reabsorption and intestinal absorption); thyrocalcitonin is the opposite (hypocalcemic).
- (c) LH and FSH are called gonadotrophins because they stimulate the gonads; GnRH from the hypothalamus controls their release.
- (d) Progesterone from the corpus luteum maintains pregnancy and stimulates alveoli formation and milk secretion in mammary glands.
- (e) ANF from the atrial wall of the heart dilates blood vessels and lowers blood pressure; it checks the renin–angiotensin mechanism.
- (f) Androgens: testosterone (testis); estrogens: estradiol (ovary).
Conclusion: Glucagon is hyperglycemic and insulin hypoglycemic, PTH is hypercalcemic, LH and FSH are gonadotrophins, progesterone is progestational, ANF lowers blood pressure, and testosterone and estrogen are the androgen and estrogen.
Which hormonal deficiency is responsible for the following: (a) Diabetes mellitus (b) Goitre (c) Cretinism
Concept. Each of these disorders results from an inadequate supply or action of a particular hormone. Hormone deficiency (hyposecretion) disturbs the processes the hormone regulates.
| Disorder | Hormone deficiency | Cause and effects |
|---|---|---|
| (a) Diabetes mellitus | Insulin (deficiency and/or insulin resistance) | Blood glucose stays high (prolonged hyperglycemia); glucose is lost in urine (glycosuria) and harmful ketone bodies form; treated with insulin therapy |
| (b) Goitre | Thyroid hormones (T4/T3) — due to iodine deficiency in the diet | Hypothyroidism; the gland enlarges (goitre) in an attempt to make more hormone |
| (c) Cretinism | Thyroid hormones (thyroxine) deficiency during pregnancy / infancy | Defective development and maturation of the growing baby: stunted growth, mental retardation, low IQ, abnormal skin, deaf-mutism |
- (a) Diabetes mellitus — insulin. Insulin, from the β-cells of the islets of Langerhans, enhances cellular glucose uptake and utilisation and promotes glycogenesis. When it is deficient, or the cells fail to respond (insulin resistance), glucose cannot enter hepatocytes and adipocytes and blood glucose rises. The complex disorder is associated with loss of glucose through urine and the formation of ketone bodies.
- (b) Goitre — thyroid hormone (iodine) deficiency. Iodine is essential for the normal rate of hormone synthesis in the thyroid. Deficiency of iodine in the diet results in hypothyroidism and enlargement of the thyroid gland, commonly called goitre. Iodised salt prevents it.
- (c) Cretinism — thyroid hormone deficiency in the foetus/infant. Hypothyroidism during pregnancy causes defective development and maturation of the growing baby, leading to stunted growth (cretinism), mental retardation, low intelligence quotient, abnormal skin and deaf-mutism.
Extra depth. Other deficiency disorders in the chapter: low GH → pituitary dwarfism; ADH impairment → diabetes insipidus; adrenal cortex underproduction → Addison’s disease. Excess disorders: GH → gigantism/acromegaly; thyroid hormone → Graves’ (exophthalmic goitre).
Conclusion: Diabetes mellitus is caused by insulin deficiency, goitre by deficiency of thyroid hormones due to iodine deficiency, and cretinism by deficiency of thyroid hormones during pregnancy/infancy.
Briefly mention the mechanism of action of FSH.
Concept. FSH (follicle stimulating hormone) is a glycoprotein (protein) gonadotrophin secreted by the anterior pituitary. In females it stimulates the growth and development of the ovarian follicles; in males, together with androgens, it regulates spermatogenesis. Like other protein hormones, FSH cannot cross the cell membrane, so it works through a membrane-bound receptor and a second messenger (Fig. 19.5a).
- Binding to the receptor. FSH binds to its specific membrane-bound receptor present on the cell membrane of the target (ovarian) cell. Each receptor is specific to one hormone, so only target cells respond.
- Hormone–receptor complex. Binding leads to the formation of the hormone–receptor complex on the outer surface of the membrane. FSH does not enter the target cell.
- Generation of a second messenger. The complex produces a first response inside the membrane, i.e. generation of a second messenger such as cyclic AMP (or Ca++).
- Biochemical responses. The second messenger regulates cellular metabolism by changing the activity of enzymes and other proteins in the cell.
- Physiological response. The cumulative biochemical changes produce the physiological response, e.g. ovarian (follicle) growth and development.
| Hormone type | Receptor | Examples | Mode of action |
|---|---|---|---|
| Peptide / protein (FSH, LH, insulin, glucagon) | Membrane-bound | FSH | Second messengers (cAMP, IP3, Ca++); hormone does not enter cell |
| Steroid, iodothyronines | Intracellular (mostly nuclear) | Estrogen, cortisol, thyroid hormones | Hormone–receptor complex regulates gene expression |
Conclusion: FSH, a protein hormone, binds to its specific membrane-bound receptor on ovarian cells, forming a hormone–receptor complex that generates a second messenger (cyclic AMP or Ca++), leading to biochemical changes and physiological responses such as follicle growth.
Match the following: (a) T4 – (i) Hypothalamus; (b) PTH – (ii) Thyroid; (c) GnRH – (iii) Pituitary; (d) LH – (iv) Parathyroid
Concept. Each hormone in Column I is produced by a specific endocrine gland given in Column II. Note that the printed question lists the glands in the order (i) hypothalamus, (ii) thyroid, (iii) pituitary, (iv) parathyroid.
| Column I (hormone) | Column II (source gland) | Reason |
|---|---|---|
| (a) T4 (thyroxine) | (ii) Thyroid | Follicular cells of the thyroid synthesise T4 (tetraiodothyronine) and T3 |
| (b) PTH | (iv) Parathyroid | Parathyroid glands secrete the peptide parathyroid hormone |
| (c) GnRH | (i) Hypothalamus | Gonadotrophin releasing hormone is a hypothalamic releasing hormone |
| (d) LH | (iii) Pituitary | Luteinizing hormone is secreted by the anterior pituitary (pars distalis) |
- (a) T4 – Thyroid. Thyroxine (tetraiodothyronine) is secreted by the thyroid follicles and regulates BMR.
- (b) PTH – Parathyroid. PTH raises blood Ca2+.
- (c) GnRH – Hypothalamus. GnRH stimulates the pituitary to synthesise and release gonadotrophins (LH and FSH).
- (d) LH – Pituitary. LH is a gonadotrophin from the anterior pituitary that induces ovulation and maintains the corpus luteum in females and stimulates androgen secretion in males.
Conclusion: (a) T4 – thyroid (ii), (b) PTH – parathyroid (iv), (c) GnRH – hypothalamus (i), (d) LH – pituitary (iii).