10-minggu xiii dan xiv - biokimia

Upload: desy-kumala-sari

Post on 03-Jun-2018

237 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    1/77

    ENDOCRINE

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    2/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    3/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    4/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    5/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    6/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    7/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    8/77

    Endocrine, paracrine and autocrine hormone effects

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    9/77

    hydrophilic

    lipophilic

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    10/77

    Determinants of the Concentration of a Hormone

    at Target Cells

    Rate of synthesis and secretion

    Proximity of target cell (dilution effect)

    Dissociation constants ofhormone-transport protein

    Conversion of inactive forms fully active form

    Rate of clearance

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    11/77

    Determinants of Target Cell Response

    The number/relative activity/state of

    occupancy of the specific receptors

    Metabolism of hormone in target cell

    Other factors necessary for hormone response

    Up/down regulation of receptor

    Postreceptor desensitization

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    12/77

    Hormonal Regulation System

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    13/77

    Plasma Level Dynamics

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    14/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    15/77

    Principles of Hormone Action

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    16/77

    I. Hormones that bind to intracellular receptors

    Androgens

    Calcitriol

    Estrogens

    Glucocorticoids

    Mineralocorticoids

    Progestins

    Retinoic acid

    Thyroid hormones (T3 and T4)

    II H h bi d ll f

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    17/77

    II. Hormones that bind to cell surface receptors

    A. The second messenger is cAMP :

    2-Adrenergic catecholamines

    -Adrenergic catecholamines

    Adrenocorticotropic hormones

    ADH

    Calcitonin

    hCG

    Corticotropin-releasing hormone

    FSHGlucagon

    Lipotropin

    LH

    MSH

    Parathyroid hormoneSomatostatin

    TSH

    B. The second messenger is cGMP :

    Atrial natriuretic factor

    Nitric oxide

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    18/77

    C. The second messenger is calcium or phosphatidyl-

    inositols (or both) :

    Acetylcholine (muscarinic)1-Adrenergic catecholamines

    Angiotensin II

    ADH (vasopressin)

    Cholecystokinin

    Gastrin

    Gonadotropin-releasing hormone

    Oxytocin

    Platelet-derived growth factor

    Substance P

    Thyrotropin-releasing hormone

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    19/77

    D. The second messenger is a kinase or phosphatase

    cascade :

    Chorionic somatomammotropin

    Epidermal growth factor

    Erythropoietin

    Fibroblast growth factor

    GH

    Inslin

    Insulin-like growth factor I and II

    Nerve growth factor

    Platelet-derived growth factor

    Prolactin

    G l F t f H Cl

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    20/77

    General Features of Hormone Classes

    Group I Group II

    Types Steroid, iodothyronines,

    calcitriols, retinoids

    Polypeptides, proteins,

    glycoproteins, catechol-

    amines

    Solubility Lipophilic Hydrophilic

    Transportproteins

    Yes No

    Plasma halflife Long (hours to days) Short (minutes)

    Receptor Intracellular Plasma membrane

    Mediator Receptor-hormone

    complex

    cAMP, cGMP, Ca2+,

    Metabolites of complex

    phosphoinositols,

    kinase cascades

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    21/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    22/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    23/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    24/77

    H hi h

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    25/77

    Hormone hierarchy

    Hypothalamus

    Hypophysis

    Peripheral gland

    Target cell

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    26/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    27/77

    HYPOPHYSIS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    28/77

    HYPOPHYSIS

    LOBUS ANTERIOR :

    1. GH

    2. TROPINS

    2.1 LTH (prolactin)

    2.2 GONADOTROPIN :

    2.2.1 FSH

    2.2.2 LH

    2.3 TSH

    2.4 ACTH

    LOBUS INTERMEDIUS :

    1. MSH LOBUS POSTERIOR

    1. VASOPRESSIN (pitressin)

    2. OXYTOCIN

    ADENOHYPOPHYSIS

    NEUROHYPOPHYSIS

    GH (G th H )

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    29/77

    Targets : bones / soft tissues

    Accelerates body growth by:

    cells amino acids uptake

    protein synthesis

    Deficiency : dwarfism / pygmis

    Excess : since childhood gigantism

    adult acromegali

    GH (Growth Hormone)

    TROPINS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    30/77

    Prolactin Pregnancy : regulate placental hormones

    Mammary glands / milk production

    FSH Ovaries : Growth of ovarian follicles

    Testes : Spermatogenesis

    LH Ovaries : Follicles maturation / ovulation

    Stimulates corpus luteum to secrete

    estrogens and progesterone

    Testes : Interstitial cells secrete testosterone

    TROPINS

    Gonadoptropins

    TROPINS con

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    31/77

    TSH Thyroid gland : synthesis / release

    thyroid hormones

    ACTH Adrenal cortex : secretion of

    glucocorticoids

    MSH Melanocytes : Melanine

    TROPINS .. con

    LOBUS INTERMEDIUS

    LOBUS POSTERIOR

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    32/77

    ADH Kidney tubules : water reabsorption

    Peripheral vasoconstrictionStimulated by : dehydration / plasma osmlarity

    stress (psycho- / physical)

    morphine / nicotine

    Deficiency : Diabetes Insipidus

    OXYTOSIN Uterus : contractionMammary glands : secretion of milk

    LOBUS POSTERIOR

    THYROID GLAND

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    33/77

    triodothyronine (T3)and

    tetraiodothyronine (T4 or thyroxine)

    metabolic rate

    glucose absorption

    body temperatureaffect growth and development

    (mRNA & protein synthesis )

    Excess : Toxic goiterDeficiency : Endemic goiter

    Cretinism

    Myxedema

    THYROID GLAND

    PARATHYROID GLANDS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    34/77

    Parathyroid hormone (PTH)

    plasma calcium levelby : 1. formation / activity of osteoclasts

    2. kidney tubules calcium reabsorption

    3. synthesis 1,25-dihydroxycholecalciferol

    PARATHYROID GLANDS

    Calsitonin

    (parathyroid / thyroid / thymus)

    effect ??

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    35/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    36/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    37/77

    SEX HORMONES

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    38/77

    SEX HORMONES

    TESTIS : Testosterone

    DHEA

    Effect : androgenic

    metabolic : protein synthesis

    glycolysis

    OVARY : 1. Estrogenic (follicle)Estradiol / Estrol / Estrone

    Effect : second. Sex

    uterus prep.

    2. Progestational (corp. luteum)

    Progesterone

    Effect : uterus prep.

    PANCREAS (i l t f L h )

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    39/77

    Glucagon ( cells) :

    Stimulate glycogenolysis

    Insulin( cells) :

    Stimulate glucose transport, glycolysis(lowers blood glucose level)

    Somatostatin ( cells) :

    Stimulate incorporation of sulfur into cartilage

    and collagen formation

    PANCREAS (islets of Langerhans)

    Hormonal Regulation of Glucose Metabolism in the Liver

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    40/77

    Hormonal Regulation of Glucose Metabolism in the Liver

    Hormones : overview

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    41/77

    Hormones : overview

    Regulatory Circui t

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    42/77

    Regulatory Circui t

    Lipophilic Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    43/77

    p p

    Lipophilic Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    44/77

    p p

    Lipophilic Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    45/77

    Lipophilic Hormones

    Biosynthesis of Steroid Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    46/77

    Inactivation of Steroid Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    47/77

    Mechanism of Action of Lipophilic Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    48/77

    Receptors of Lipophilic Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    49/77

    p p p

    Signaling Substances Derived from Amino Acids

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    50/77

    Signaling Substances Derived from Amino Acids

    Examples of Peptide Hormones and Proteohormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    51/77

    Metabolism of Peptide Hormones

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    52/77

    Biosynthesis

    Degradation and Inactivation

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    53/77

    g

    Mechanisms of Action

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    54/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    55/77

    Second Messengers

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    56/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    57/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    58/77

    Signal Cascades

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    59/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    60/77

    Eicosanoids

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    61/77

    Cytokines

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    62/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    63/77

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    64/77

    XENOBIOTICS

    XENOBIOTICS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    65/77

    XENOBIOTICS

    foreign substances: pharmaceuticalsfood additives

    cosmetics

    anutrients

    pestisites

    port dentree: food

    lungsskin

    BIOTRANSFORMATIONS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    66/77

    BIOTRANSFORMATIONS

    inactivating & excreting

    (similar with endogenous substances)

    mainly in the liver

    metabolism: 1. phase I reactions (interconversion)

    2. phase II reactions (conjugations)

    Phase I

    X2 Oxidation

    X3 Reduction

    X4 Hydrolysis

    Phase II

    ConjugationX1Excretion

    INTERCONVERSION REACTIONS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    67/77

    not always a detoxification process

    Toxicity/ Toxicity/

    LD50(g/kg rat) Xenobiotic Metabolite LD50(g/kg rat)

    2.0 benzoic acid hipuric acid 4.15

    2.85 p-amino benzoic acid p-amino benzoic acid 4.93

    1.8 sulfadiazine acetylsulfadiazine 0.61.2 piridine methylpiridine chloride 0.22

    Cytochrome P450 systems

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    68/77

    Hydroxylation is the chief reaction involved

    The reaction catalyzed

    by a monooxygenase (cytochrome P450)

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    69/77

    Isoforms of Cytochrome P450 Make Up a Superfamily ofHeme Containing Enzymes

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    70/77

    Heme-Containing Enzymes

    about 150 isoforms

    have a systematic nomenclaturefor isoforms of P450

    and for their genes

    CYP1A1 CYP1A1

    gene encoding (i tal ic)cytochrome P450

    family

    subfamily

    individual P450s

    CYP

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    71/77

    arehemoproteins

    highest amount inliver

    Mainly in the membranes of the smooth endoplasmic

    reticulum

    NADPH, not NADH, is involved in the reactionmechanism

    Most isoforms are inducible

    Lipids are also components of the CYP. The preferred lipid is

    phosphatidylcholine

    Certain CYPs exist in polymorphic forms(genetic isoforms)

    Induction of CYP has Important Clinical Implications

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    72/77

    a biochemical mechanism of drug interaction

    warfarin (anticoagulant)

    metabolized by CYP2C9

    epilepsy phenobarbital CYP2C9

    (inducer of CYP)

    warfarin

    components found in tobacco smoke

    induction CYP2E1

    carcinogens

    ethanol

    REDUCTION and HYDROLYSIS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    73/77

    Reduction of carbonyl, azo-, or nitro- compounds,

    dehalogenation

    R-NO2 R-NO- R-NHOH R-NH2

    Hydrlysis of ether, ester, peptide bonds

    PHASE II CONJUGATIONS

    2

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    74/77

    GLUCURONIDATION

    2 ways:

    1. X activation Xactive + CM X-CM

    2. CM activation CMactive+ X X-CM

    the most frequent conjugation reaction

    PHASE II CONJUGATIONS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    75/77

    Methylations

    PHASE II CONJUGATIONS

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    76/77

    OTHERS CONJUGATE MOLECULES:

    Glucoside

    Glycine

    Glutamine

    Glutathione

    Asetil

    Sulfat

    RESUME

  • 8/11/2019 10-Minggu XIII Dan XIV - Biokimia

    77/77

    XENOBIOTICS

    ENDOGENOUS

    SUBSTANCES

    BIOTRANSFORMATION

    CONJUGATION

    (DETOXICATION)

    WATER SOLUBLE,

    INACTIVE,

    NON-TOXIC