Essential Endocrinology and Diabetes. Richard I. G. Holt

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       Tissue distribution of receptor dictates the scope of hormone action:The thyroid‐stimulating hormone (TSH) receptor is expressed almost exclusively in the thyroid, therefore TSH action is largely restricted to the thyroidThyroid hormone receptor expression is widespread and therefore thyroid hormone action is diverse

       Binding of hormone induces conformational changes in the receptor to initiate downstream signalling

       Downstream signalling can differ across different cell‐types to produce diverse hormone‐mediated effects

       Control is exerted in part through the ongoing synthesis, degradation and localization of hormone receptors – most target cells have 2000–100,000 receptors for a particular hormone

       Cell surface hormone receptors

       Bind water‐soluble hormones (e.g. peptides):

       Transduce signal through membrane (that is otherwise impermeable to water‐soluble hormones)

       Activate intracellular signalling pathways

       Fast responses (seconds) possible

       Nuclear hormone receptors

       Bind lipid‐soluble hormones (e.g. steroid and thyroid hormones) which can pass through cell membranesFunction as transcription factors in the nucleusActivate or repress gene expression

       Relatively slow responses (hours)

Schematic illustration of the basic components of a membrane-spanning cell-surface receptor. The hormone acts as ligand. The ligand-binding pocket in the extracellular domain tends to be comparatively rich in cysteine residues that form internal disulphide bonds as part of a precise three-dimensional folded structure.

       High affinity: hormones circulate at relatively low concentrations – receptors are like ‘capture systems’

       Reversible binding: one reason for the transient nature of endocrine responses

       Specificity: receptors distinguish between closely related molecular structures

Graph depicts hormone–receptor systems are saturable. Increasing amounts of labelled hormone are incubated with a constant amount of receptor. The amount of bound labelled hormone increases as more is added until the system is saturated. Graph depicts hormone–receptor interactions are reversible. Constant amounts of labelled hormone and receptors are incubated together for different times. The bound label increases with time until it reaches a plateau, when the bound and free hormone has reached a dynamic equilibrium. In a dynamic equilibrium, hormone continually associates and dissociates from its receptor.

       Tyrosine kinase receptors

       Signal via phosphorylation of the amino acid, tyrosine

       G‐protein–coupled receptors

       Activate or inhibit adenylate cyclase and/or phospholipase C (PLC)

       Signal via second messengers: cyclic adenosine monophosphate (cAMP), inositol triphosphate

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