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07/10/2014

POWERPOINT LECTURE SLIDE PRESENTATION


by LYNN CIALDELLA, MA, MBA, The University of Texas at Austin

UNIT 4

4b

Control Endocrino
del Crecimiento y
Metabolismo

HUMAN PHYSIOLOGY
AN INTEGRATED APPROACH

FOURTH EDITION

DEE UNGLAUB SILVERTHORN


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Crecimiento Normal: Tiroides


Importancia relativa de las hormonas tiroideas, de la hormona del crecimiento y de
los andrgenos y estrgenos en varias fases de crecimiento.

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07/10/2014

Glndula Tiroides: Estructura

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Figure 23-7a

Glndula Tiroides: Estructura

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Figure 23-7b

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Glndula Tiroides: Hormonas


Las hormonas tiroideas combinan I+tirosina

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Figure 23-8

Tiroides:
Hormonas

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Figure 23-8

07/10/2014

Glndula Tiroides: Hormonas


La sntesis de hormonas tiroideas sucede en el coloide
del folculo tiroideo
Blood

Na+

2
1

T3 T4 6

Follicular cell synthesizes enzymes


and thyroglobulin for colloid.

is co-transported into the cell with


Na+ and transported into colloid.

T3 T4
-

Protein
synthesis
5
Enzymes,
Thyroglobulin

Enzymes

T3 T4

Enzymes add iodine to thyroglobulin


to make T3 and T4.

Thyroglobulin is taken back into


the cell.

Intracellular enzymes separate T 3


and T4 from the protein.

Free T3 and T4 enter the circulation.

4
Follicular
cells

Thyroglobulin + 3
Colloid

Figure 23-9

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T3 T4 T4Inc., publishing as Benjamin Cummings

Glndula Tiroides: Hormonas


Blood

Follicular cell synthesizes enzymes


and thyroglobulin for colloid.

1
Protein
synthesis

Enzymes,
Thyroglobulin

Follicular
cells

Thyroglobulin

Colloid
Copyright 2007 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23-9, step 1

07/10/2014

Glndula Tiroides: Hormonas


Blood

Na+

2
1

Follicular cell synthesizes enzymes


and thyroglobulin for colloid.

is co-transported into the cell with


Na+ and transported into colloid.

Protein
synthesis

Enzymes,
Thyroglobulin

Follicular
cells

Thyroglobulin

+ -

Colloid

Figure 23-9, steps 12

Copyright 2007 Pearson Education, Inc., publishing as Benjamin Cummings

Glndula Tiroides: Hormonas


Blood

Na+

2
1

Follicular cell synthesizes enzymes


and thyroglobulin for colloid.

is co-transported into the cell with


Na+ and transported into colloid.

Enzymes add iodine to thyroglobulin


to make T3 and T4.

Protein
synthesis

Enzymes,
Thyroglobulin

Follicular
cells

Thyroglobulin

+ -

3
Colloid

T3 T4 T4 Inc., publishing as Benjamin Cummings


Copyright 2007 Pearson Education,

Figure 23-9, steps 13

07/10/2014

Glndula Tiroides: Hormonas


Blood

Na+

2
1

Follicular cell synthesizes enzymes


and thyroglobulin for colloid.

is co-transported into the cell with


Na+ and transported into colloid.

Enzymes add iodine to thyroglobulin


to make T3 and T4.

Thyroglobulin is taken back into


the cell.

Protein
synthesis

Enzymes,
Thyroglobulin
T3 T4
4
Follicular
cells

+ -

Thyroglobulin

3
Colloid

T3 T4 T4 Inc., publishing as Benjamin Cummings


Copyright 2007 Pearson Education,

Figure 23-9, steps 14

Glndula Tiroides: Hormonas


Blood

Na+

2
1

Follicular cell synthesizes enzymes


and thyroglobulin for colloid.

is co-transported into the cell with


Na+ and transported into colloid.

Enzymes add iodine to thyroglobulin


to make T3 and T4.

Thyroglobulin is taken back into


the cell.

Intracellular enzymes separate T 3


and T4 from the protein.

T3 T4
-

Protein
synthesis
5
Enzymes

Enzymes,
Thyroglobulin

T3 T4
4
Follicular
cells

Thyroglobulin

+ -

3
Colloid

T3 T4 T4 Inc., publishing as Benjamin Cummings


Copyright 2007 Pearson Education,

Figure 23-9, steps 15

07/10/2014

Glndula Tiroides: Hormonas


Blood

Na+

2
1

T3

T4

Follicular cell synthesizes enzymes


and thyroglobulin for colloid.

is co-transported into the cell with


Na+ and transported into colloid.

Enzymes add iodine to thyroglobulin


to make T3 and T4.

Thyroglobulin is taken back into


the cell.

Intracellular enzymes separate T 3


and T4 from the protein.

Free T3 and T4 enter the circulation.

T3 T4
-

Protein
synthesis
5
Enzymes

Enzymes,
Thyroglobulin

T3 T4
4
Follicular
cells

Thyroglobulin

+ -

3
Colloid

T3 T4 T4 Inc., publishing as Benjamin Cummings


Copyright 2007 Pearson Education,

Figure 23-9, steps 16

Glndula Tiroides: Hormonas


Formacin de T3 y T4

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Figure 23-10

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Formacin de T3 y T4

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Figure 23-10

Resumen

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Figure 23-10

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Glndula Tiroides:
Hormonas

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Control de la secrecin
tiroidea

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Figure 23-12

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Control de la secrecin tiroidea

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Figure 23-12

Hipertiroidismo
Aumenta el consumo de oxgeno y la produccin de
calor metablico
Incrementa el catabolismo proteico y causa debilidad
muscular
Reflejos hiperexcitables y alteraciones psicolgicas
Influencia receptores -adrenrgicos en el corazn:
taquicardia

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Hipertiroidismo: enfermedad de Graves

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Hipertiroidismo:
enfermedad de Graves

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Hipotiroidismo
Reduce la tasa metablica y el consumo de oxgeno
Reduce la sntesis proteica
Reflejos lentos, enlentecimiento del habla y
pensamiento, fatiga
Cretinismo en nios

Bradicardia

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Hipotiroidismo

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Hiper e Hipotiroidismo

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Hiper e Hipotiroidismo

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Cretinismo

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Resumen: acciones hormonales sobre la placa


epifisaria

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Control de la secrecin tiroidea


Bocio por excesiva estimulacin de TSH: deficiencia de I

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Figure 23-13

Control de la secrecin tiroidea

El bocio puede suceder


en hiper o hipotiroidismo

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Figure 23-14a

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Deficiencia de I-

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Figure 23-14a

Control de la secrecin tiroidea

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Figure 23-14b

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Hipertiroidismo: enfermedad de Graves


Exoftalmos, causado por hipertrofia de tejidos dentro de
la rbita, is un signo de Graves

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Figure 23-15

Hipertiroidismo: enfermedad de Graves

Copyright 2007 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23-15

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07/10/2014

Crecimiento Normal: GH
Importancia relativa de las hormonas tiroideas, de la hormona del crecimiento y de
los andrgenos y estrgenos en varias fases de crecimiento.

Copyright 2007 Pearson Education, Inc., publishing as Benjamin Cummings

Control de la Growth Hormone

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Figure 23-16

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Control de la GH

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Figure 23-16

Control de la GH

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Figure 23-16

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Growth Hormone

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Growth Hormone: efectos fisiolgicos

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Growth Hormone: efectos fisiolgicos

Copyright 2007 Pearson Education, Inc., publishing as Benjamin Cummings

Growth Hormone
Esquema de la actividad de la
hormona del crecimiento (GH) y del
factor de crecimiento similar a la
insulina I (IGF-I) sobre el cartlago
de crecimiento. La GH estimula la
multiplicacin de los
precondroblastos, que expresan el
receptor para IGF-I, producido
tambin por las clulas diferenciadas
precondroblsticas, y facilita la
maduracin y multiplicacin celular.
La GH estimula la formacin de la
protena transportadora del IGF-I,
que forma un complejo con la
subunidad ALS; el complejo de 150
kDa escindido se desacopla y deja
IGF-I libre, que puede actuar sobre
las clulas objetivo.
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Growth Hormone
La deficiencia severa produce enanismo hipofisario
La hipersecrecin de GH en nios produce
gigantismo hipofisario
La hipersecrecin de GH en adultos produce
acromegalia

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Growth Hormone

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Growth Hormone

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Growth Hormone

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Acromegalia

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Figure 23-17

Acromegalia

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Figure 23-17

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Resumen: acciones hormonales sobre la placa


epifisaria

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