Pengantar Endokrinologi
Pugud Samodro Bag/SMF Ilmu Penyakit Dalam FKIK Unsoed/RSUD Prof Margono Soekarjo Purwokerto
ENDOKRINOLOGI Cab. Ilmu kedokteran yang pelajari fungsi kelenjar buntu dalam keadaan fisiologis dan patologis. HORMON Zat yang dihasilkan oleh kelenjar buntu yang dapat pengaruhi sel/jaringan/organ tubuh melalui reseptor khusus RESEPTOR KHUSUS Reseptor yang terletak pada sel yang jadi sasaran (membran sel/intra sel)
No cell lives in isolation
to Cells depend on signaling systems to adapt changing environmental conditions
Why are signals important?
Controlling e.g., metabolism, differentiation, cell division Development of immunity and Eradication of pathogens Prevent excessive growth Elimination of superfluous cells by inducing cell death
Components of Signalling
Signal = Ligand Ligand- A molecule that binds to a specific site on another molecule, usually a protein, ie receptor
What can be the Signal? External message to the c Peptides / Proteins- Growth Factors Amino acid derivatives - epinephrine, histamine Other small biomolecules - ATP Steroids, prostaglandins Gases - Nitric Oxide (NO) Photons Damaged DNA Odorants, tastants
modes of cell-cell signaling
Direct
cell-cell or cell-matrix
Secreted molecules.
Endocrine signaling. The signaling molecules are hormones secreted by endocrine cells and carried through the circulation system to act on target cells at distant body sites. Paracrine signaling. The signaling molecules released by one cell act on neighboring target cells (neurotransmitters). Autocrine signaling. Cells respond to signaling molecules that they themselves produce (response of the immune system to foreign antigens and cancer cells).
Direct communication
(Gap Junction & CAMs)
Gap junction
Contact dependent / Protein channels Cell-Adhesion connexin Direct flow to neighbor Molecules
Electrical- ions (charge) Signal chemicals
Need direct surface contact Signal chemical
Means of cell to cell communication:
Chemical : extra cellular signaling
Autocrine & Paracrine: local signaling Endocrine system: distant, diffuse target
Electrical
Gap junction: local Nervous system: fast, specific, distant target
Autocrine & paracrine
Local communication Signal chemicals diffuse to target Example: Cytokines
Autocrinereceptor on same cell Paracrine neighboring cells
Long distance communication : hormones
Signal Chemicals Made in endocrine cells Transported via blood Receptors on target cells
oct08
12
Long distance communication: neuronal
Neurons
Electrical signal down axon Signal molecule (neurotransmitter) to target cell
Long distance communication : neurohormones
Chemical and electrical signals down axon Hormone transported via blood to target
pembawa Kelenjar H * globulin (>>) * prealbumin * albumin H R post reseptor
Generic Signal Transduction
PENYAKIT ENDOKRIN Dapat terlihat jelas/ tertutup Mudah diobati bila diagnosis tegak sebab terjadinya gangguan :
kelebihan atau kekurangan hormon terbentuknya hormon biologik inaktif antibodi terhadap hormon gangguan reseptor sel (defect reseptor/post reseptor) gangguan pada reseptor sel blocking/antibodi terhadap reseptor yang bersifat simulasi
Efek berkurang :
pabrik rusak pabrik membuat namun kualitas menurun pembawanya kurang Reseptornya kurang Post reseptor kurang
Efek berlebih :
produksi pabriknya berlebihan
Secara etiologik kelainan endokrin : 1. Hipofungsi - atrofi kelenjar/sebab umum, idiopatik - destruksi kelenjar (infeksi, trauma, tumor) - kongenital 2. Hiperfungsi - hiperplasia - adenoma aktif - tumor ganas
SEKRESI HORMON
Hormon tidak keluar terus-menerus, ada pemicu : 1. Neuronal : catecholamine 2. Biokimiawi : insulin terhadap glukosa 3. Hormonal : respon terhadap releasing & inhibiting hormon 4. Kerusakan sel : tiroiditis 5. Pengeluaran hormon secara : - pulsatil : GnRH - siklik : cortisol