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642  Unit 3  Control and Regulation

     produce their effects by this mechanism. The increase in            In this way, they change the pattern of protein synthesis. Altera-
     cAMP levels is usually short-lived, because the cytoplasm con-      tions in the synthesis of enzymes or structural proteins directly
     tains another enzyme, phosphodiesterase (PDE), which                affect both the metabolic activity and the structure of the target
     inactivates cyclic AMP by converting it to AMP (adenosine           cell. For example, the sex hormone testosterone stimulates the
     monophosphate).                                                     production of enzymes and structural proteins in skeletal mus-
                                                                         cle fibers, causing muscle size and strength to increase.
          Spotlight Figure 18–3 (center) depicts one way the activa-
     tion of a G protein can lower the concentration of cAMP within           Thyroid hormones cross the plasma membrane primar-
     the cell. In this case, the activated G protein stimulates PDE      ily by a transport mechanism. Once in the cytoplasm, these
     activity and inhibits adenylate cyclase activity. Levels of cAMP    hormones bind to receptors within the nucleus and on mito-
     then decline, because cAMP breakdown accelerates while cAMP         chondria (Figure 18–4b). The hormone–receptor complexes
     synthesis is prevented. The decline has an inhibitory effect on     in the nucleus activate specific genes or change the rate of
     the cell, because without phosphorylation, key enzymes remain       transcription. The change in transcription rate affects the
     inactive. This mechanism is responsible for the inhibitory effects  metabolic activities of the cell by increasing or decreasing
     that follow when epinephrine and norepinephrine stimulate α2        the concentration of specific enzymes. Thyroid hormones
     adrenergic receptors, as discussed in Chapter 16. p. 567            bound to mitochondria increase the mitochondrial rates of
                                                                         ATP production.
	18  G Proteins and Calcium Ions.  An activated G protein can trig-
     ger either the opening of calcium ion channels in the plasma        Control of Endocrine Activity
                                                                         by Endocrine Reflexes
     membrane or the release of calcium ions from intracellular
     compartments. Spotlight Figure 18–3 (right panel) diagrams          As noted earlier, the functional organization of the nervous
                                                                         system parallels that of the endocrine system in many ways. In
     the steps involved. The G protein first activates the enzyme        Chapter 13, we considered the basic operation of neural reflex
                                                                         arcs, the simplest organizational units in the nervous system.
     phospholipase C (PLC). This enzyme triggers a receptor cascade
     that begins with the production of diacylglycerol (DAG) and            p. 475 The most direct arrangement was a monosynaptic
     inositol triphosphate (IP3) from membrane phospholipids.            reflex, such as the stretch reflex. Polysynaptic reflexes provide
     The cascade then proceeds as follows:                               more complex and variable responses to stimuli. Higher cen-
                                                                         ters, which integrate multiple inputs, can facilitate or inhibit
     	 IP3 diffuses into the cytoplasm and triggers the release          these reflexes as needed.

       of Ca2+ from intracellular reserves, such as those in the              Endocrine reflexes are the functional counterparts of neu-
       smooth endoplasmic reticulum of many cells.                       ral reflexes. Endocrine reflexes can be triggered by (1) humoral
                                                                         stimuli (changes in the composition of the extracellular fluid),
     	 The combination of DAG and intracellular calcium ions             (2) hormonal stimuli (the arrival or removal of a specific hor-
                                                                         mone), or (3) neural stimuli (the arrival of neurotransmitters
       activates another membrane protein: protein kinase C              at neuroglandular junctions). In most cases, negative feedback
       (PKC). The activation of PKC leads to the phosphorylation         controls endocrine reflexes: A stimulus triggers the production
       of calcium channel proteins, a process that opens the chan-       of a hormone, and the direct or indirect effects of the hormone
       nels and permits extracellular Ca2+ to enter the cell. This       reduce the intensity of the stimulus.
       sets up a positive feedback loop that rapidly elevates intra-
       cellular calcium ion concentrations.                                   A simple endocrine reflex involves only one hormone. The
                                                                         endocrine cells involved respond directly to changes in the
     	 The calcium ions themselves serve as messengers, gener-           composition of the extracellular fluid. The secreted hormone
                                                                         adjusts the activities of target cells and restores homeostasis.
       ally in combination with an intracellular protein called          Simple endocrine reflexes control hormone secretion by the
       calmodulin. Once it has bound calcium ions, calmodulin            heart, pancreas, parathyroid glands, and digestive tract.
       can activate specific cytoplasmic enzymes. This chain of
       events is responsible for the stimulatory effects that follow          More complex endocrine reflexes involve one or more in-
       when epinephrine or norepinephrine activates α1 receptors.        termediary steps and two or more hormones.

          p. 567 Calmodulin activation is also involved in the                The hypothalamus provides the highest level of endocrine
       responses to oxytocin and to several regulatory hormones          control. It integrates the activities of the nervous and endocrine
       secreted by the hypothalamus.                                     systems in three ways (Figure 18–5):

     Hormones and Intracellular Receptors                                	1.	 The hypothalamus itself acts as an endocrine organ.
                                                                              ­Hypothalamic neurons synthesize hormones and trans-
     Steroid hormones diffuse across the lipid part of the plasma             port them along axons to the posterior lobe of the
     membrane and bind to receptors in the cytoplasm or nucleus.
     The hormone–receptor complexes then activate or deactivate
     specific genes (Figure 18–4a). By this mechanism, steroid hor-
     mones can alter the rate of DNA transcription in the nucleus.
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