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Endocrinology
Function of endocrine organs, hormones and receptors
Hormones are molecules that act as signals from one type of cells to another. Most hormones reach their targets via the blood.
All multicellular organisms need "coordinating systems to regulate and
integrate the function of differentiating cells." Two mechanisms
perform this function in higher animals: the nervous system and the
endocrine system. The endocrine system acts through the release
(generally into the blood) of chemical agents and is vital to the
proper development and function of organisms. As Hadley notes,[1] the
integration of developmental events such as proliferation, growth, and
differentiation (including histogenesis and organogenesis) and the
coordination of metabolism, respiration, excretion, movement,
reproduction, and sensory perception depend on "chemical cues,
substances synthesised and secreted by the specialised cells within the
animals hair."
Endocrinology is concerned with the study of
the biosynthesis, storage, chemistry, and physiological function of
hormones and with the cells of the endocrine glands and tissues that
secrete them.
The endocrine system consists of several glands,
in different parts of the body, that secrete hormones directly into the
blood rather than into a duct system. Hormones have many different
functions and modes of action; one hormone may have several effects on
different target organs, and, conversely, one target organ may be
affected by more than one hormone.
In the original 1902
definition by Bayliss and Starling (see below), they specified that, to
be classified as a hormone, a chemical must be produced by an organ, be
released (in small amounts) into the blood, and be transported by the
blood to a distant organ to exert its specific function. This
definition holds for most 'classical' hormones, but there are also
paracrine mechanisms (chemical communication between cells within a
tissue or organ), autocrine signals (a chemical that acts on the same
cell), and intracrine signals (a chemical that acts within the same
cell).[2] A neuroendocrine signal is a 'classical' hormone that is
released into the blood by a neurosecretory neuron (see article on
Neuroendocrinology).
Hormones act by binding to specific
receptors in the target organ. As Baulieu notes, a receptor has at
least two basic constituents:
* a recognition site, to which the hormone binds
* an effector site, which precipitates the modification of cellular function.
Between these is a "transduction mechanism" in which hormone binding
induces allosteric modification that, in turn, produces the appropriate
response.
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- Ifeanyi C. Obiakor, MD, Chairman/CEO
- Angela Meikle, MBA, MD, Obstetrics & Gynecology
- Shazia Amar, DPM, Podiatrist
- Henry Sardar, DO
- Tauqeer Ahmad, MD
- Ofem Ajah, MD, Gastroenterologist
- Ioanis Atoynatan, MD, FACPeds, Pediatrician
- Oluyemi Badero, MD, FACC, Cardiologist
- Andrew Dawson, MD, Neurologist
- Robert Dorfman, DO, FACOG. Obstetrics & Gynecology
- Eric Goldberg, MD
- Kelvin Jack, MD, FACOG. Obstetrics & Gynecology
- Ankuware Ketosugbo, MD, MA, FACS, Vascular Surgeon
- Daniel Khodadadian, MD, Ophthalmologist
- Jerald Korman, MD
- Michael Mizhiritsky, MD, FAAPM&R, physiatrist
- Leone Popovitz, MD, Orthopedic Surgeon
- Zewge Shiferaw-Deribe, MD, MD, Endocrinology
- Tamara M. Simpson, MPH, RD, CDN
- Steven M. Weissman, MD, FAAD, Dermatologist
- Marian Williams, RDMS, RDCS, Chief Sonographer
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