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Encyclopedia of Health and Medicine

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L–O<br />

luteinizing hormone (LH) A peptide HORMONE<br />

the anterior lobe <strong>of</strong> the PITUITARY GLAND produces<br />

that stimulates hormonal activity related to reproduction.<br />

In men, LH stimulates the development<br />

<strong>and</strong> function <strong>of</strong> interstitial cells in the TESTES that<br />

synthesize <strong>and</strong> release TESTOSTERONE, the primary<br />

male sex hormone. In menstruating women, a<br />

mid–menstrual cycle surge <strong>of</strong> LH stimulates OVU-<br />

LATION (the maturation <strong>and</strong> release <strong>of</strong> an ovum, or<br />

egg). In a woman who is pregnant, the PLACENTA<br />

also produces LH. The HYPOTHALAMUS’s release <strong>of</strong><br />

GONADOTROPIN-RELEASING HORMONE (GNRH) stimulates<br />

the pituitary gl<strong>and</strong> to secrete LH. Rising levels<br />

<strong>of</strong> the sex hormones (ESTROGENS, PROGESTERONE,<br />

<strong>and</strong> TESTOSTERONE) <strong>and</strong> INHIBIN cause the hypothalamus<br />

to stop releasing GnHR, ending the pituitary<br />

gl<strong>and</strong>’s secretion <strong>of</strong> LH.<br />

For further discussion <strong>of</strong> LH within the context<br />

<strong>of</strong> the endocrine system’s structure <strong>and</strong> function,<br />

please see the overview section “The Endocrine<br />

System.”<br />

See also ADRENOCORTICOTROPIN HORMONE (ACTH);<br />

ANABOLIC STEROIDS AND STEROID PRECURSORS; ANTIDI-<br />

URETIC HORMONE (AH); CHORIONIC GONADOTROPIN; FOL-<br />

LICLE-STIMULATING HORMONE (FSH); GROWTH HORMONE<br />

(GH); MENSTRUATION; OXYTOCIN; PROLACTIN; RELAXIN;<br />

THYROID-STIMULATING HORMONE (TSH).<br />

melatonin A peptide HORMONE that the PINEAL<br />

GLAND secretes, the primary function <strong>of</strong> which is to<br />

regulate the body’s circadian cycle (pattern <strong>of</strong><br />

sleep <strong>and</strong> wake). The pineal gl<strong>and</strong> synthesizes<br />

melatonin from the amino acid tryptophan. The<br />

OPTIC NERVE appears to convey NERVE messages <strong>of</strong><br />

outside light <strong>and</strong> dark from the RETINA to a section<br />

<strong>of</strong> the HYPOTHALAMUS called the suprachiasmatic<br />

nucleus (SCN). The SCN sends nerve signals to the<br />

pineal gl<strong>and</strong>, which suspends melatonin synthesis.<br />

Darkness causes the nerve messages from the<br />

optic nerve to stop, which in turn ends the signals<br />

from the SCN. When receiving signals from the<br />

SCN, the pineal gl<strong>and</strong> stops melatonin production.<br />

When the signals from the SCN end, the pineal<br />

gl<strong>and</strong> resumes melatonin production. Researchers<br />

believe melatonin causes sleepiness by slowing cell<br />

METABOLISM. Other endocrine processes, such as<br />

the adrenocorticosteroid hormonal cascade that<br />

regulates CORTISOL levels, also slow in conjunction<br />

with the circadian cycle, though researchers are<br />

uncertain about how these processes may be<br />

interrelated.<br />

For further discussion <strong>of</strong> melatonin within the<br />

context <strong>of</strong> the endocrine system’s structure <strong>and</strong><br />

function please see the overview section “The<br />

Endocrine System.”<br />

See also MELATONIN SUPPLEMENT; STRESS RESPONSE<br />

HORMONAL CASCADE.<br />

multiple endocrine neoplasia (MEN) An inherited<br />

genetic disorder in which numerous tumors<br />

form in various endocrine gl<strong>and</strong>s. Several GENE<br />

mutations are responsible for the errant growth <strong>of</strong><br />

gl<strong>and</strong>ular tissue, which may take the form <strong>of</strong><br />

tumors or hypertrophy (overgrowth). Oversecretion<br />

<strong>of</strong> the affected gl<strong>and</strong>’s hormones then occurs.<br />

The three forms <strong>of</strong> MEN are<br />

• MEN-1, in which adenomas develop in the<br />

PITUITARY GLAND, PARATHYROID GLANDS, <strong>and</strong> ISLETS<br />

OF LANGERHANS in the PANCREAS<br />

• MEN-2a, characterized by HYPERPARATHYROIDISM,<br />

PHEOCHROMOCYTOMA, <strong>and</strong> medullary THYROID<br />

CANCER<br />

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