Published by Patrick Mutisya · 8 days ago
Describe the features of the endocrine system with reference to the hormones ADH, glucagon and insulin (see 14.1.8, 14.1.9 and 14.1.10).
The endocrine system is a network of glands that secrete chemical messengers called hormones directly into the bloodstream. These hormones travel to distant target cells and regulate a wide range of physiological processes.
Source: Synthesised in the hypothalamus and stored in the posterior pituitary.
Target organ: Kidneys (collecting ducts).
Primary action: Increases water re‑absorption by inserting aquaporin‑2 channels into the apical membrane of collecting‑duct cells, reducing urine volume and concentrating the urine.
Regulation: Plasma osmolality is the main stimulus; osmoreceptors in the hypothalamus detect increased osmolality and trigger ADH release. Low blood volume (via baroreceptors) also stimulates release.
Clinical relevance: Deficiency leads to diabetes insipidus (excessive dilute urine); excess can cause water intoxication.
Source: Alpha cells of the pancreatic islets of Langerhans.
Target organ: Liver (also kidney and adipose tissue).
Primary action: Stimulates glycogenolysis and gluconeogenesis, raising blood glucose levels.
Regulation: Low blood glucose (< 4 mmol L⁻¹) triggers secretion; high glucose and insulin inhibit release.
Clinical relevance: Used therapeutically in severe hypoglycaemia; chronic excess can contribute to hyperglycaemia in diabetes mellitus.
Source: Beta cells of the pancreatic islets of Langerhans.
Target organs: Liver, skeletal muscle, adipose tissue.
Primary action: Promotes glucose uptake (via GLUT4 translocation), glycogen synthesis, lipogenesis and protein synthesis; lowers blood glucose.
Regulation: Elevated blood glucose (> 5 mmol L⁻¹) after a meal stimulates release; glucagon, sympathetic activity and somatostatin inhibit secretion.
Clinical relevance: Deficiency or resistance leads to diabetes mellitus type 1 (autoimmune destruction of β‑cells) or type 2 (insulin resistance).
| Hormone | Source (Gland/Cell) | Target Organ(s) | Principal Effect | Main Regulator(s) |
|---|---|---|---|---|
| ADH (Antidiuretic Hormone) | Posterior pituitary (synthesised in hypothalamus) | Kidney collecting ducts | Increases water re‑absorption → concentrates urine | Plasma osmolality, blood volume (baroreceptors) |
| Glucagon | Alpha cells of pancreatic islets | Liver (also kidney, adipose) | Stimulates glycogenolysis & gluconeogenesis → raises blood glucose | Low blood glucose; inhibited by insulin & high glucose |
| Insulin | Beta cells of pancreatic islets | Liver, skeletal muscle, adipose tissue | Promotes glucose uptake & storage → lowers blood glucose | High blood glucose; inhibited by glucagon, sympathetic activity |
The balance between insulin and glucagon maintains blood glucose within a narrow range (≈ 4–6 mmol L⁻¹). The process can be summarised by the following equations:
\$\text{When }[Glucose] \uparrow \Rightarrow \text{Insulin secretion} \uparrow \Rightarrow \text{Glucose uptake} \uparrow\$
\$\text{When }[Glucose] \downarrow \Rightarrow \text{Glucagon secretion} \uparrow \Rightarrow \text{Hepatic glucose output} \uparrow\$
These opposing actions constitute a classic negative‑feedback loop: the deviation from the set point triggers a hormonal response that restores the set point.