That Chronic Stress Disrupts Badly Satish Kalra Homeostasis • Optimal functioning of body physiology depends on variables like body temperature, fluid balance, pH of extracellular fluid, concentrations of sodium, potassium and calcium ions, and blood sugar level. • Each of these variables is controlled by regulators. • Homeostasis is the balance of bodily functions. Hormones play important role in Homeostasis • Endocrine System: It is a group of glands that sustains response of autonomic nervous system through hormones. • Feed back loop: Hormones are maintained within in a stable range all the times. Feedback loop is the mechanism that controls hormone production. – Negative response: When there is decrease in the level of a hormone, the releasing gland is stimulated to release more hormone. – Positive response: When there is increase in the level of a hormone, the releasing gland is instructed to reduce the release of the hormone. Four levels of hierarchical control of hormones • Hypothalamus: This part of the brain produces neurohormones in response to stimuli • Pituitary Gland: On instructions from neurohormones, pituitary sends hormones to target endocrine glands • Target Endocrine Glands: Target endocrine glands release the designated hormones. They also provide feedback to hypothalamus and pituitary to act according to new situation. • Target Organs and Tissues Endocrine system secrete three classes of Hormones • Hormones that maintain internal metabolic balance and regulate physiology • Sex hormones that control reproductive functions and sexual appearance and identity • Stress hormones that are secreted in times of stress Hypothalamus-Pituitary Axis - Neuroendocrine control
Gland Hormone(s) produced Function
Pituitary gland Growth stimulating Growth A protrusion off the hormone bottom of the hypothalamus Adrenocorticotropin Regulates adrenal Size of pea – weight 0.5. Thyroid stimulating Regulates thyroid gland Produces large no of hormone (TSH) hormones, all under control of hypothalamus Luteinizing hormone Reproductive systems Mediates stress Follicle stimulating response via hormone hypothalamic-pituitary- adrenal axis Endocrine system
Gland Hormone(s) produced Function
Pineal gland Melatonin Sleep Pattern Thyroid Thyroxin Metabolism Parathyroid gland Parathyroid hormone Bone and calcium metabolism Thymus Thymosin Disease fighting T cells
Adrenal gland Corticosteroids Salt balance and blood
volume Metabolism Adrenalin Stress/ Flight or fight response Pancreas Insulin Sugar control
Ovary/ Testes Sex hormones Sex related
Some Examples of Homeostasis Thermoregulation • Core temperature is regulated and stabilized by the hypothalamus. • When core temperature deviates from the set point, endocrine production initiates control mechanisms so that the temperature reaches toward the set point. • When body temperature goes up in hot weather, mechanisms for heat loss become operative – Secretion of sweat brings about heat loss via evaporative cooling – Increase of blood flow to the skin brings about heat loss by convection and conduction • When body temperature goes down in cold weather, mechanisms for heat conservation become operative – Decrease in sweat production – Decrease in blood flow to skin prevent heat loss to the surroundings – Muscles receive messages from the thermoregulatory center to cause shivering to produce heat Blood gases • Changes in the levels of oxygen, carbon dioxide and plasma pH are sent to the respiratory center in the brain. • Change in the partial pressure of carbon dioxide is detected as altered pH in the cerebrospinal fluid. • Information is sent to the respiratory center which activates the effector organs – the diaphragm and other muscles of respiration. • An increased level of carbon dioxide in the blood, or a decreased level of oxygen result in deeper breathing and increased respiratory rate to bring the blood gases back to equilibrium. • At altitudes above 2500 m, the monitoring of the partial pressure of oxygen takes priority, and hyperventilation keeps the oxygen level constant. Arterial blood pressure • High bleed pressure is detected when the walls of the arteries stretch due to an increase in blood volume. – Reduction in blood volume: Heart muscle cells secrete the hormone that acts on the kidneys to inhibit the secretion of hormones causing the release of sodium, and with that water into the urine; blood volume gets reduced as a result. – Dilation of arterioles: Information is conveyed to the brain and instructions are passed on to ANS. Arterioles are stimulated to dilate making it easier for blood to leave the arteries and bring the blood pressure down. – Slowing of heart beat: Heart is stimulated via parasympathetic nerves to beat more slowly, ensuring that the inflow of blood into the arteries is reduced. • Low pressure in the arteries causes the opposite reflex of constriction of the arterioles, and a speeding up of the heart rate. • In cased of very rapid and excessive drop in pressure, the sympathetic system is stimulated to secrete adrenaline into the blood. This hormone enhances the tachycardia and causes severe vasoconstriction of the arterioles to all except vital organs like heart, lungs and brain. Calcium • The sensor situated in the parathyroid glands sense the Ca2+ level. • In case of fall in plasma Ca2+ level • The parathyroid cells secrete parathyroid hormone • Parathyroid hormone causes bone resorption to release calcium into the plasma. • It also cause the excretion of phosphate ions via the urine; since phosphates combine with calcium ions to form insoluble salts, a decrease in the level of phosphates in the blood releases free calcium ions into the plasma ionized calcium pool. • It also stimulates the manufacture and release of calcitriol hormone by the kidneys; this hormone acts on the upper small intestine, increasing their capacity to absorb calcium from the gut contents. • In case of increase in Ca2+ level , thyroid gland releases calcitonin into the blood. • I acts primarily on bone, causing the rapid removal of calcium from the blood and depositing it, in insoluble form, in the bones. • The skeleton acts as an extremely large calcium store (about 1 kg) compared with the plasma calcium store (about 180 mg). Blood glucose • The primary sensors for regulation of blood sugar level are in pancreas. • Rise in blood sugar level – Insulin secretion is increased and glucagon secretion inhibited. This combination of high blood insulin levels and low glucagon levels act fat cells and muscle cells. – The liver stops producing glucose and instead starts converting it to glycogen and triglycerides. While the glycogen is stored in the liver, the triglycerides are secreted into the blood as very low-density lipoprotein (VLDL) particles to be taken up by adipose tissue for storage as fats. – Muscle cells stores glucose as muscle glycogen. • Fall in blood glucose – Insulin secretion is stopped, and glucagon secretion increased. – The liver starts manufacturing glucose from glycogen. The glucose so produced is discharged into the blood correcting the detected hypoglycemia. • The glycogen stored in muscles however, remains in the muscles, and is only broken down, during exercise to glucose. Homeostasis is threatened by stressors Physiology of Stress Hypothalamic hormone stimulates pituitary gland to secrete ACTH. ACTH stimulates the adrenal to produce glucocorticoids. glucocorticoids Glucocorticoid stimulates several processes that collectively serve to increase and maintain normal concentrations of glucose in blood. Adrenaline increases blood flow to muscles, output of the heart, pupil dilation, and blood sugar.