Endocrine System: Glands and Hormones

Complete anatomy of the endocrine system - hypothalamus, pituitary, thyroid, parathyroid, adrenal, pancreas, pineal, and gonads. Hormone synthesis, regulation, and feedback.

This content is for informational purposes only. Always consult a healthcare professional.

Hypothalamus-Pituitary Axis

Hypothalamus

Nucleus Hormone Target
Paraventricular TRH, CRH, oxytocin Anterior pituitary, posterior pituitary
Supraoptic ADH (vasopressin) Posterior pituitary (kidney)
Arcuate GHRH, dopamine (PIF) Anterior pituitary
Preoptic GnRH Anterior pituitary
Ventromedial Somatostatin (GHIH) Anterior pituitary

Pituitary Gland (Hypophysis)

Feature Description
Location Sella turcica (sphenoid bone)
Size 1 × 1.5 × 0.5 cm
Weight ~0.5 g
Connection Infundibulum (pituitary stalk) to hypothalamus
Blood supply Superior/inferior hypophyseal arteries (from internal carotid)

Anterior pituitary (adenohypophysis):

Cell Hormone Target Function
Somatotroph Growth hormone (GH) Liver, tissues Growth, metabolism
Lactotroph Prolactin (PRL) Breast Lactation
Corticotroph Adrenocorticotropic (ACTH) Adrenal cortex Cortisol release
Thyrotroph Thyroid-stimulating (TSH) Thyroid T3/T4 release
Gonadotroph FSH, LH Gonads Reproduction

Posterior pituitary (neurohypophysis):

  • Stores and releases ADH and oxytocin (synthesized in hypothalamus)
  • Neural tissue (axons from paraventricular and supraoptic nuclei)

Thyroid Gland

Feature Description
Location Anterior neck (C5-T1), below thyroid cartilage
Weight 15-25 g
Lobes 2 (right, left) + isthmus
Blood supply Superior thyroid (external carotid), inferior thyroid (thyrocervical trunk)
Innervation Sympathetic (superior/middle cervical ganglia)

Follicular cells: Produce T3 (triiodothyronine) and T4 (thyroxine) Parafollicular (C) cells: Produce calcitonin (↓ blood Ca²⁺)

Parathyroid Glands

Feature Description
Number 4 (usually)
Location Posterior to thyroid (2 superior, 2 inferior)
Size 3-5 mm each
Blood supply Inferior thyroid artery

Chief cells: Parathyroid hormone (PTH) - ↑ blood Ca²⁺ (bone resorption, kidney reabsorption, vitamin D activation)

Adrenal (Suprarenal) Glands

Feature Description
Location Superior pole of each kidney
Weight 4-5 g each
Blood supply Superior (inferior phrenic), middle (aorta), inferior (renal) arteries

Cortex (90%):

Zone Hormone Function
Zona glomerulosa (outer) Aldosterone (mineralocorticoid) Na⁺ retention, K⁺ excretion
Zona fasciculata (middle) Cortisol (glucocorticoid) Stress response, metabolism, immune suppression
Zona reticularis (inner) DHEA, androgens (androstenedione) Sex hormone precursors

Medulla (10%):

  • Chromaffin cells (modified postganglionic sympathetic neurons)
  • Epinephrine (80%) and norepinephrine (20%)
  • Stress response (fight or flight)

Pineal Gland

Feature Description
Location Roof of third ventricle (epithalamus)
Size 5-8 mm
Hormone Melatonin
Function Circadian rhythm regulation
Calcification Pineal sand (visible on imaging, age-related)

Pancreatic Islets (Islets of Langerhans)

See digestive system for details. Distributed throughout pancreas (1-2% of pancreatic mass).

Gonads

Ovaries (Female)

Feature Description
Location Pelvis (lateral to uterus)
Hormones Estrogen, progesterone, inhibin, relaxin
Function Follicle development, ovulation, menstrual cycle

Testes (Male)

Feature Description
Location Scrotum
Hormones Testosterone, inhibin
Function Spermatogenesis, male secondary characteristics

Hormone Regulation

Feedback Loops

Type Description Example
Negative feedback Output inhibits input (most common) TSH → T4 → ↓ TRH/TSH
Positive feedback Output amplifies input (rare) Oxytocin during labor
Feed-forward Anticipatory regulation Insulin before meals

Hormone Types

Type Examples Mechanism
Peptide/protein Insulin, GH, ACTH Cell surface receptors (cAMP, tyrosine kinase)
Steroid Cortisol, estrogen, testosterone Intracellular receptors (gene transcription)
Amino acid derivative T3/T4, epinephrine, melatonin Both surface and intracellular