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Endocrine and Reproductive Physiology E-Book

Endocrine and Reproductive Physiology E-Book

Bruce White | John R Harrison | Lisa Mehlmann

(2018)

Additional Information

Abstract

  • Helps you easily master the material in a systems-based curriculum with learning objectives, Clinical Concept boxes, highlighted key words and concepts, chapter summaries, self-study questions, and a comprehensive exam.
  • Includes nearly 200 clear, 2-color diagrams that simplify complex concepts.
  • Features clinical commentaries that show you how to apply what you've learned to real-life clinical situations.
  • Keeps you current with recent advances in endocrine physiology with expanded material on reproductive endocrinology and metabolism, and many updates at the molecular and cellular level.
  • Covers the latest developments in fertilization, pregnancy, and lactation, as well as fetal development, puberty, and the decline of reproductive function with age.

Complete the Mosby Physiology Series! Systems-based and portable, these titles are ideal for integrated programs.

    • Blaustein, Kao, & Matteson: Cellular Physiology and Neurophysiology
    • Johnson: Gastrointestinal Physiology
    • Koeppen & Stanton: Renal Physiology
    • Cloutier: Respiratory Physiology
    • Pappano & Weir: Cardiovascular Physiology
    • Hudnall: Hematology: A Pathophysiologic Approach

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC ES1
Series Page i
Endocrine and Reproductive Physiology iii
Copyright iv
PREFACE v
CONTENTS vi
1 - Introduction to the Endocrine System 1
CHEMICAL NATURE OF HORMONES 3
Proteins/Peptides 3
Catecholamines 5
Steroid Hormones 5
Thyroid Hormones 7
TRANSPORT OF HORMONES IN THE CIRCULATION 7
CELLULAR RESPONSES TO HORMONES 7
Transmembrane Receptors 9
Transmembrane Receptors Using G Proteins 13
Receptor Tyrosine Kinases 14
Receptors Associated with Cytoplasmic Tyrosine Kinases 15
Receptor Serine/Threonine Kinase Receptors 17
Membrane Guanylyl Cyclase Receptors 17
Signaling from Intracellular Receptors 17
Overview of the Termination Signals 21
2 - Endocrine Function of the Gastrointestinal Tract 25
ENTEROENDOCRINE HORMONE FAMILIES AND THEIR RECEPTORS 27
GASTRIN AND THE REGULATION OF GASTRIC FUNCTION 28
Overview of Regulation of Gastric Secretion and Motility 28
Gastrin and the Stimulation of Gastric Function 29
ENTEROENDOCRINE REGULATION OF THE EXOCRINE PANCREAS AND GALLBLADDER 32
Secretin 33
Cholecystokinin 34
INSULINOTROPIC ACTIONS OF GASTROINTESTINAL PEPTIDES (INCRETIN ACTION) 35
Gastric Inhibitory Peptide/Glucose-Dependent Insulinotropic Peptide 35
Glucagon-like Peptide-1 35
ENTEROTROPIC ACTIONS OF GASTROINTESTINAL HORMONES 36
Gastrin 36
Secretin and Cholecystokinin 37
Glucagon-like Peptide-1 37
Glucagon-like Peptide-2 37
3 - Energy Metabolism 40
Cell-Specific Metabolism of Primary Fuels 41
Nutrient Partitioning: The Digestive Phase 41
Nutrient Partitioning: The Fasting Phase 42
Insulin 43
Insulin Structure, Synthesis, and Secretion 44
Insulin Receptor 46
Glucagon 48
Glucagon Structure, Synthesis, and Secretion 48
Glucagon Receptor 48
Epinephrine and Norepinephrine 48
Intracellular Sensors and Regulators 48
METABOLIC HOMEOSTASIS: THE INTEGRATED OUTCOME OF HORMONAL AND SUBSTRATE/PRODUCT REGULATION OF METABOLIC PATHWAYS 50
Energy Metabolism During the Digestive Phase 50
Utilization of Glucose 51
Overview of Metabolism of Selected Amino Acids During the Digestive Phase 52
Overview of Long-Chain Free Fatty Acid Metabolism During the Digestive Phase 53
Storage of Glucose as Glycogen 54
Glycolysis 55
Entry of Pyruvate into the Tricarboxylic Acid Cycle 57
Tricarboxylic Acid Cycle 57
De Novo Lipogenesis 58
NADPH PRODUCTION THROUGH THE PENTOSE PHOSPHATE PATHWAY 58
Skeletal Muscle Metabolism During The Digestive Phase 59
Adipocyte Metabolism During the Digestive Phase 59
Adipocyte Metabolism During the Fasting Phase 63
Skeletal Muscle Metabolism During the Fasting Phase 64
ADIPOSE TISSUE–DERIVED HORMONES AND ADIPOKINES 67
APPETITE CONTROL AND OBESITY 69
Body Mass Index 69
Hypothalamic Neurons and Appetite Control 69
Long-Term Sequelae of Diabetes Mellitus 70
4 - Calcium and Phosphate Homeostasis 77
PHYSIOLOGIC REGULATION OF CALCIUM AND PHOSPHATE: PARATHYROID HORMONE, 1,25-DIHYDROXYVITAMIN D, AND FGF23 78
Parathyroid Hormone 78
Parathyroid Glands 78
Parathyroid Hormone Receptor 80
Vitamin D 80
Structure, Synthesis, and Transport of Active Vitamin D Metabolites 80
Vitamin D Receptor 83
SMALL INTESTINE, BONE, AND KIDNEY DETERMINE CA2+ AND PI LEVELS 83
Handling of Ca2+ and Pi by the Small Intestine 83
Handling of Ca2+ and Pi by Bone 83
Histophysiology of Adult Bone 83
Handling of Ca2+ and Pi by the Kidneys 87
Regulation of Ca2+/Pi Metabolism by Immune and Inflammatory Cells 91
Regulation of Ca2+/Pi Metabolism by Gonadal and Adrenal Steroid Hormones 91
Pseudohypoparathyroidism 93
Hypoparathyroidism 93
Vitamin D Deficiency 93
Paget Disease 93
Bone Problems of Renal Failure (Renal Osteodystrophy) 94
5 - Hypothalamus-Pituitary Complex 97
NEUROHYPOPHYSIS 99
Synthesis of Antidiuretic Hormone (Vasopressin) and Oxytocin 99
Regulation of Antidiuretic Hormone Secretion 102
Relationship Between Osmotic and Volume Stimuli 103
Other Factors Altering Antidiuretic Hormone Secretion 103
Regulation of Thirst 103
Degradation 104
Oxytocin 105
Oxytocin and Uterine Motility 105
Oxytocin and Milk Letdown 105
Degradation 105
Pathologic Conditions Involving Oxytocin 105
ADENOHYPOPHYSIS 106
Endocrine Axes 106
Endocrine Function of the Anterior Pituitary 108
Corticotropes 109
Thyrotropes 110
Gonadotropes 112
Somatotropes 114
Effects of Growth Hormone on Growth 118
Insulin-like Growth Factors 118
Interaction of Role of Growth Hormone, Insulin-like Growth Factor, and Insulin in Different Metabolic States 118
Pathologic Conditions Involving Growth Hormone 119
Growth Hormone Deficiency 119
Growth Hormone Deficiency in Adults 119
Growth Hormone Excess Before Puberty 119
Acromegaly 120
Lactotropes 121
Growth 122
6 - The Thyroid Gland 125
ANATOMY AND HISTOLOGY OF THE THYROID GLAND 125
PRODUCTION OF THYROID HORMONES 126
Iodide Balance 127
Overview of Thyroid Hormone Synthesis 128
Synthesis of Iodothyronines Within a Thyroglobulin Backbone 128
Secretion of Thyroid Hormones 130
TRANSPORT AND METABOLISM OF THYROID HORMONES 131
Regulation of Thyroid Function 132
Mechanism of Thyroid Hormone Action 134
Physiologic Effects of Thyroid Hormone 135
Cardiovascular Effects 135
Effects on Basal Metabolic Rate 135
Respiratory Effects 136
Skeletal Muscle Function 136
Effects on the Autonomic Nervous System and Catecholamine Action 136
Effects on Growth and Maturation 138
Effects on Bone, Hard Tissues, and Dermis 138
Effects on the Nervous System 138
Effects on Reproductive Organs and Endocrine Glands 139
7 - The Adrenal Gland 142
ANATOMY 142
ADRENAL MEDULLA 144
Synthesis of Epinephrine 144
Mechanism of Action of Catecholamines 145
Physiologic Actions of Adrenomedullary Catecholamines 146
Metabolism of Catecholamines 147
ADRENAL CORTEX 149
Transport and Metabolism of Cortisol 153
Mechanism of Action of Cortisol 153
Physiologic Actions of Cortisol 153
Actions on Muscle 155
Regulation of Cortisol Production 156
Zona Reticularis 156
The Zona Reticularis Makes Adrenal Androgens 157
Metabolism and Fate: DHEAS and DHEA 157
Physiologic Actions of Adrenal Androgens 159
Regulation of Zona Reticularis Function 159
ZONA GLOMERULOSA 159
The Zona Glomerulosa Makes Aldosterone 160
Transport and Metabolism of Aldosterone 160
Mechanism of Aldosterone Action 160
Actions on Other Epithelia 162
Actions on Heart Muscle 163
Regulation of Aldosterone Secretion 163
Conn Syndrome 167
Congenital Adrenal Hyperplasia 167
8 - Life Cycle of the Male and Female Reproductive Systems 170
GENERAL COMPONENTS OF A REPRODUCTIVE SYSTEM 170
OVERVIEW OF MEIOSIS 170
The Female Reproductive System 173
SEXUAL DEVELOPMENT IN UTERO 174
Male Development 174
FEMALE DEVELOPMENT 176
Physiologic Changes Associated With Puberty 181
Males 181
Females 182
Andropause 183
9 - The Male Reproductive System 186
HISTOPHYSIOLOGY OF THE TESTIS 186
The Intratubular Compartment 188
Developing Sperm Cells 188
The Sertoli Cell 188
The Peritubular Compartment 191
The Leydig Cell 191
Peripheral Conversion to Estrogen 193
Peripheral Conversion to Dihydrotestosterone 193
Peripheral Testosterone Actions 193
Mechanism of Androgen Action 194
Transport and Metabolism of Androgens 194
HYPOTHALAMUS-PITUITARY-TESTIS AXIS 195
Regulation of Leydig Cell Function 195
Regulation of Sertoli Cell Function 197
MALE REPRODUCTIVE TRACT 198
10 - The Female Reproductive System 204
ANATOMY AND HISTOLOGY OF THE OVARY 204
GROWTH, DEVELOPMENT, AND FUNCTION OF THE OVARIAN FOLLICLE 204
11 - Fertilization, Pregnancy, and Lactation 227
Fertilization 228
Early Embryogenesis and Implantation 231
Structure of the Mature Placenta 233
Endocrine Function of the Placenta 237
Human Chorionic Gonadotropin 237
Progesterone 238
Estrogen 238
Human Placental Lactogen 241
Other Placental Hormones 242
PLACENTAL TRANSPORT 242
THE FETAL ENDOCRINE SYSTEM 242
Thyroid Gland 242
Adrenal Gland 243
MATERNAL PHYSIOLOGIC CHANGES DURING PREGNANCY 244
Cardiovascular Changes 244
Respiratory Changes 244
Renal Changes 244
Gastrointestinal Changes 245
Diabetogenicity of Pregnancy 245
PARTURITION 245
Placental Corticotropin–Releasing Hormone and the Fetal Adrenal Axis 245
Estrogen 245
Oxytocin 245
Prostaglandins 246
Uterine Size 246
Hormonal Regulation of Mammary Gland Development 246
Oral Contraceptives 248
Hormonal Treatment for Emergency Contraception and Abortion 249
IN VITRO FERTILIZATION 249
A - ANSWERS TO SELF-STUDY PROBLEMS 251
CHAPTER 1 251
CHAPTER 2 251
CHAPTER 3 252
CHAPTER 4 252
CHAPTER 5 253
CHAPTER 6 254
CHAPTER 7 255
CHAPTER 8 255
CHAPTER 9 256
CHAPTER 10 256
CHAPTER 11 257
B - Comprehensive Multiple-Choice Examination 258
ANSWERS TO COMPREHENSIVE MULTIPLE-CHOICE EXAMINATION 263
C - Abbreviations and Symbols 264
INDEX 267
A 267
B 267
C 268
D 269
E 269
F 270
G 270
H 271
I 271
J 272
K 272
L 272
M 272
N 273
O 273
P 273
R 275
S 275
T 276
U 276
V 276
W 277
X 277
Z 277