INTRODUCTION
Life processes are more complex, and that endocrinological solutions to physiological problems require integration of a large variety of simultaneous events Integration: coordination of reactions to separate physiological demands into a balanced overall response or group of responses
PERMISSIVENESS
A hormone acts permissively when its presence is necessary for, or permits, a response to occur, even though the hormone itself does not initiate the response Eg : Cortisol is indispensable as a permissive agent for the actions of glucagon and catecholamines on gluconeogenesis and glycogenolysis.
MODULATION OF SENSITIVITY
Modulation of sensitivity by altering the number of receptor s on the cell sur face (down regulation / up regulation). Eg: Insulin in hyperinsulinemia Increase in adrenergic receptor following dener vation and exaggerated response on rener vation for epinephrin A hormone can regulate the number of receptor of other hormone Eg: T3 decreases the sensitivity of the thyrotrope of the pituitar y to TRH Eg: The ovarian hormone progesterone may down-regulate both its own receptor and that of estrogen as well
SPARE RECEPTORS
Af finity reflects the tightness of binding or the likelihood that an encounter between a hormone and its receptor will result in binding, and usually is quantified in terms of the concentrati on of hormone at which half of the available receptor s are occupied by hormone. When fewer than 100% of the receptor s need to be occupied to obtain a maximum response, cells are said to express spare receptor s . For example, glucose uptake by the fat cell is stimulated in a dose -dependent manner by insulin, but the response reaches a maximum when only a small percentage of available receptor s are occupied by insulin . The magnitude of a cellular response to a hormone is determined by summation of the signals generated by each of the occupied receptor s, and therefore is related to the number of receptor s that are activate d rather than the fraction of the total receptor pool that is bound to hormone.
REDUNDANCY
Duplicative, overlapping control s ensures that the crucial functions are always preser ved Liver glycogen to Blood glucose by epinephrin (adrenal medula) and glucogon (alpha cells of pancreas) Via Increase in cAMP levels activates phosphor yl ase catalyzes glycogenolysi s Two dif ferent hormones from two dif ferent tissues during dif ferent conditions result in same end result Molecular level : Epinephrin can activate phosphor yl ase via stimulating -adrenergic receptor or 1-adrenergic receptor
IMPLICATIONS OF REDUNDANCY
Complete failure one mechanism is compensated by increased reliance on other mechanism Example: Knock out of impor tant protein results in no apparent functional changes Functional deficiencies will be masked by redundant mechanisms Conversely, strategies for therapeutic inter ventions designed to increase or decrease the rate of a process must take into account the redundant inputs that regulate that process Merely accelerating or blocking one regulator y input may not produce the desired ef fect since independent adjustments in redundant pathways may completely compensate for the inter vention.
REINFORCEMENT
A hormone may produce radically dif ferent responses at dif ferent locales, which never theless reinforce each other from the perspective of the whole organism. A good example of this is the action of glucocor ticoid hormones to promote gluconeogenesis. Glucocor ticoids promotes protein breakdown in muscle and lymphoid tissues and the consequent release of amino acids into the blood. In adipose tissue glucocor ticoids promote triglyceride lipolysis and the release of glycerol. In the liver, glucocor ticoids induce the formation of the enzymes necessar y to convert amino acids, glycerol, and other substrates into glucose . Complementar y actions increase the overall magnitude and speed of the response.
PUSH-PULL MECHANISMS
Many critical processes are under dual control by agents that act antagonistically either to stimulate or to inhibit. Such dual control allows for more precise regulation through negative feedback than would be possible with a single control system Eg: Hepatic production of glucose, which is increased by glucagon and inhibited by insulin.
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