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Powers, Chapter 5. Hormonal Responses to Exercise. Neuroendocrinology 神經內分泌學. Sense information, organize appropriate responses, deliver messages to proper organs or tissues Endocrine glands 腺體 release hormones directly into the blood
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Powers, Chapter 5 Hormonal Responses to Exercise
Neuroendocrinology 神經內分泌學 • Sense information, organize appropriate responses, deliver messages to proper organs or tissues • Endocrine glands 腺體 release hormones directly into the blood • Hormones alter the activity of tissues that possess receptors to which the hormone can bind • The plasma hormone concentration determines the magnitude of the effect at the tissue level
Blood Hormone Concentration Determined by: • Rate of secretion of hormone from endocrine gland • Rate of metabolism or excretion of hormone • Quantity of transport protein • Changes in plasma volume
Control of Hormone Secretion • Rate of insulin secretion from the pancreas is dependent on: • Magnitude of input • Stimulatory vs. inhibitory
Hormone-Receptor Interactions • Trigger events at the cell • Magnitude of effect dependent on: • Concentration of the hormone • Number of receptors on the cell • Affinity of the receptor for the hormone • Down-regulation of receptor number • decreased when exposed to chronically elevated hormone concentrations • Up-regulation of receptor number • Chronic exposure to low hormone concentrations
Hormone-Receptor Interactions • Hormones bring about effects by: • Altering membrane transport • Stimulating DNA to increase protein synthesis • Activating second messengers • Cyclic AMP(cAMP) • Ca++ • Inositol triphosphate • Diacylglycerol
Hormones: Regulation and Action • Hormones are secreted from endocrine glands • Hypothalamus 下視丘 and pituitary glands腦下垂體 • Thyroid 甲狀腺 and parathyroid glands 副甲狀腺 • Adrenal glands (adrenal medulla and adrenal cortex) 腎上腺 • Pancreas 胰臟 • Testes 睪丸 and Ovaries卵巢
Hypothalamus • Controls activity of the anterior and posterior pituitary glands • Influenced by positive and negative input
Growth Hormone 生長激素 • Secreted from the anterior pituitary gland • Essential for normal growth • Stimulates protein synthesis and long bone growth • Increases during exercise • Mobilizes fatty acids from adipose tissue • Aids in the maintenance of blood glucose
Posterior Pituitary Gland腦下垂體後葉 • Secretes antidiuretic hormone (ADH)抗利尿激素 • Reduces water loss from the body to maintain plasma volume • Stimulated by: • High plasma osmolality and low plasma volume due to sweating • Exercise
Thyroid Gland • Triiodothyronine (T3) & thyroxine (T4) 甲狀腺素 • Important in maintaining metabolic rate and allowing full effect of other hormones • Calcitonin抑鈣素, 降血鈣素 • Regulation of plasma Ca++ • Parathyroid Hormone 副甲狀腺素 • Also involved in plasma Ca++ regulation
Adrenal Gland • Adrenal medulla 腎上腺髓質 • Secretes catecholamines:Epinephrine 腎上腺素and norepinephrine 正腎上腺素 • Adrenal cortex腎上腺皮質 • Secretes steroid hormones:Mineralcorticoids礦物性皮質素, glucocorticoids糖皮質素
Adrenal Medulla • Part of the sympathetic nervous system • Secrete catecholamines • Epinephrine (E) and norepinephrine (NE) • Bind to receptors on effector organs • Alpha () and beta () receptors • Bring about changes in cellular activity via second messengers
Adrenal Cortex • Mineralcorticoids (aldosterone醛固酮) • Promote reabsorption of Na+ and K+ in kidney, Involved in maintaining plasma Na+ and K+ • Part of the renin-angiotensin-aldosterone system of blood pressure regulation
Adrenal Cortex • Glucocorticoids (Cortisol) 可體松 • Stimulated by exercise and long-term fasting • Promotes the use of free fatty acids as fuel • Stimulates glucose synthesis • Promotes protein breakdown for gluconeogenesis and tissue repair
Pancreas Insulin 胰島素 • Secreted by the cells of the islets of Langerhans • Promotes the storage of glucose, amino acids, and fats • Diabetes mellitus is characterized as a lack of insulin (Type 1) or a lack of insulin receptors (Type 2) • Results in high blood glucose levels • Considered a significant health risk Glucagon升糖激素 • Released from the cells of the islets of Langerhans • Promotes the mobilization of fatty acids and glucose
Testes • Release testosterone 睪固酮 • Anabolic steroid • Promotes tissue (muscle) building • Performance enhancement • Androgenic steroid • Promotes masculine characteristics
Estrogen 女性荷爾蒙 • Establish and maintain reproductive function • Levels vary throughout the menstrual cycle
Muscle Glycogen Utilization • Breakdown of muscle glycogen is under dual control • Epinephrine-cyclic AMP • Fig 5.13, 5.14 • Ca++-calmodulin • Delivery of glucose parallels activation of muscle contraction • Glycogenolysis can still occur in presence of -blocking agent • Propranolol, fig 5.15
Muscle Glycogen Utilization • Glycogen breakdown is related to exercise intensity • High-intensity exercise results in greater and more rapid glycogen depletion
Maintenance of Plasma Glucose During Exercise • Mobilization of glucose from liver glycogen stores • Mobilization of FFA (free fatty acid 游離脂肪酸) from adipose tissue • Spares blood glucose • Gluconeogenesis from amino acids, lactic acid, and glycerol • Blocking the entry of glucose into cells • Forces use of FFA as a fuel
Blood Glucose Homeostasis During Exercise • Permissive and slow-acting hormones • Thyroxine 甲狀腺素 • Cortisol • Growth hormone • Act in a permissive manner to support actions of other hormones
Cortisol • Stimulates FFA mobilization from adipose tissue • Mobilizes amino acids for gluconeogenesis • Blocks entry of glucose into cells
Plasma Cortisol During Exercise • At low intensity:↓plasma cortisol • At high intensity:↑plasma cortisol
Growth Hormone • Important in the maintenance of plasma glucose • ↓ glucose uptake, ↑FFA mobilization, ↑gluconeogenesis
Blood Glucose Homeostasis During Exercise • Fast-acting hormones • Norepinephrine and epinephrine • Insulin and glucagon • Maintain plasma glucose • Increasing liver glucose mobilization • Increased levels of plasma FFA • Decreasing glucose uptake • Increasing gluconeogenesis
Epinephrine & Norepinephrine During Ex • Increase linearly during exercise • Favor the mobilization of FFA and maintenance of plasma glucose
Epinephrine & Norepinephrine Following Training • Decreased plasma levels in response to exercise bout • Parallels reduction in glucose mobilization • Physical training, stimulates the sympathetic nervous system, increases the capacity to respond to extreme challenges
Insulin During Exercise • Plasma insulin decreases during exercise • Prevents rapid uptake of plasma glucose • Favors mobilization of glucose and FFA
Free Fatty Acid Mobilization During Exercise • FFA mobilization decreases during heavy exercise • This occurs in spite of persisting hormonal stimulation for FFA mobilization • Could be due to high levels of lactic acid • Promotes resynthesis of triglycerides