{"id":4822,"date":"2019-06-24T14:57:46","date_gmt":"2019-06-24T14:57:46","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/11-3-endocrine-hormones-3\/"},"modified":"2023-11-30T18:52:22","modified_gmt":"2023-11-30T18:52:22","slug":"11-3-endocrine-hormones-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/11-3-endocrine-hormones-3\/","title":{"raw":"9.3\u00a0Endocrine Hormones","rendered":"9.3\u00a0Endocrine Hormones"},"content":{"raw":"&nbsp;\r\n\r\n[caption id=\"attachment_3421\" align=\"aligncenter\" width=\"353\"]<img class=\"wp-image-3421\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Glass_bottle_for_Progynon_pills_United_Kingdom_1928-1948_Wellcome_L0058274-scaled-3.jpg\" alt=\"Figure 9.3.1 \" width=\"353\" height=\"468\" \/> <em>Figure 9.3.1 Pills from pee?<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Pills from Pee<\/h1>\r\n<\/div>\r\nThe medication pictured in Figure 9.3.1 with the brand name Progynon was a drug used to control the effects of menopause in women. The pills first appeared in 1928 and contained the human sex hormone estrogen. Estrogen secretion declines in women around the time of menopause and may cause symptoms like mood swings and hot flashes. The pills were supposed to ease the symptoms by supplementing [pb_glossary id=\"5995\"]estrogen[\/pb_glossary] in the body. The manufacturer of Progynon obtained estrogen for the pills from the urine of pregnant women, because it was a cheap source of the hormone. Progynon is still used today to treat menopausal symptoms. Although the drug has been improved over the years, it still contains estrogen, which is an example of an endocrine hormone.\r\n<div>\r\n<h1>How Do\u00a0Endocrine Hormones\u00a0Work?<\/h1>\r\n<\/div>\r\nEndocrine hormones\u00a0like estrogen are messenger molecules secreted by\u00a0endocrine glands\u00a0into the bloodstream. They travel throughout the body in the\u00a0circulation. Although they reach virtually every cell in the body in this way, each hormone affects only certain cells, called target cells. A\u00a0<strong>[pb_glossary id=\"3422\"]target cell[\/pb_glossary]<\/strong>\u00a0is the type of cell on which a hormone has an effect. A target cell is affected by a particular hormone because it has receptor proteins\u00a0\u2014\u00a0either on the cell surface or within the cell\u00a0\u2014\u00a0that are specific to that hormone. An endocrine hormone travels through the bloodstream until it finds a target cell with a matching receptor to which it can bind. When the hormone binds to the receptor, it causes changes within the cell. The manner in which it changes the cell depends on whether the hormone is a steroid hormone or a non-steroid hormone.\r\n<h2>Steroid Hormones<\/h2>\r\nA\u00a0<strong>[pb_glossary id=\"3423\"]steroid hormone[\/pb_glossary]<\/strong> (such as estrogen) is made of [pb_glossary id=\"5651\"]lipids[\/pb_glossary]. It is fat soluble, so it can diffuse across a target cell\u2019s [pb_glossary id=\"5489\"]plasma membrane[\/pb_glossary], which is also made of lipids. Once inside the cell, a steroid hormone binds with receptor proteins in the [pb_glossary id=\"5465\"]cytoplasm[\/pb_glossary]. As you can see in Figure 9.3.2, the steroid hormone and its receptor form a complex \u2014 called a steroid complex \u2014 which moves into the [pb_glossary id=\"5797\"]nucleus[\/pb_glossary], where it influences the expression of genes. Examples of steroid hormones include [pb_glossary id=\"5959\"]cortisol[\/pb_glossary], which is secreted by the [pb_glossary id=\"5869\"]adrenal glands[\/pb_glossary], and sex hormones, which are secreted by the [pb_glossary id=\"3408\"]gonads[\/pb_glossary].\r\n\r\n&nbsp;\r\n\r\n[caption id=\"attachment_3424\" align=\"aligncenter\" width=\"653\"]<img class=\" wp-image-3424\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Regulation_of_gene_expression_by_steroid_hormone_receptor.svg_-2.png\" alt=\"Steroid Hormone regulates gene expression\" width=\"653\" height=\"816\" \/> <em>Figure 9.3.2 A steroid hormone crosses the plasma membrane of a target cell, binds with a receptor protein within the cytoplasm, and forms a complex that moves to the nucleus, where it affects gene expression.<\/em>[\/caption]\r\n<h2>Non-Steroid Hormones<\/h2>\r\n[caption id=\"attachment_3426\" align=\"alignright\" width=\"381\"]<img class=\" wp-image-3426\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Non-steroid-hormone-pathway-2.png\" alt=\"\" width=\"381\" height=\"237\" \/> <em>Figure 9.3.3 A non-steroid hormone binds with a receptor on the plasma membrane of a target cell. Then, a secondary messenger affects cell processes.<\/em>[\/caption]\r\n\r\nA\u00a0<strong>[pb_glossary id=\"3425\"]non-steroid hormone[\/pb_glossary]<\/strong><span style=\"text-align: initial; font-size: 1em;\">is made of\u00a0[pb_glossary id=\"5707\"]amino acids[\/pb_glossary]. It is not fat soluble, so it cannot diffuse across the\u00a0plasma membrane\u00a0of a target cell. Instead, it binds to a receptor\u00a0protein\u00a0on the\u00a0cell membrane. In <span style=\"font-size: 1em;\">the Figure 9.3.3<\/span>\u00a0diagram, you can see that the binding of the hormone with the receptor activates an\u00a0[pb_glossary id=\"5757\"]enzyme[\/pb_glossary]\u00a0in the cell membrane. The enzyme then stimulates another molecule, called the second messenger, which influences processes inside the cell. Most endocrine hormones are non-steroid hormones. Examples include [pb_glossary id=\"6043\"]glucagon[\/pb_glossary] and [pb_glossary id=\"2590\"]insulin[\/pb_glossary], both produced by the\u00a0[pb_glossary id=\"3197\"]pancreas[\/pb_glossary].<\/span>\r\n<div>\r\n<h1>Regulation of Endocrine Hormones<\/h1>\r\n<\/div>\r\nEndocrine hormones regulate many body processes, but what regulates the secretion of endocrine hormones? Most endocrine hormones are controlled by [pb_glossary id=\"6007\"]feedback mechanism[\/pb_glossary]s. A feedback mechanism is a loop in which a product feeds back to control its own production. Feedback loops may be either negative or positive.\r\n<ul>\r\n \t<li>Most endocrine hormones are regulated by [pb_glossary id=\"2955\"]negative feedback[\/pb_glossary] loops. Negative feedback keeps the\u00a0concentration\u00a0of a hormone within a relatively narrow range, and maintains\u00a0[pb_glossary id=\"5761\"]homeostasis[\/pb_glossary].<\/li>\r\n \t<li>Very few endocrine hormones are regulated by [pb_glossary id=\"2962\"]positive feedback[\/pb_glossary] loops. Positive feedback causes the\u00a0concentration\u00a0of a hormone to become increasingly higher.<\/li>\r\n<\/ul>\r\n<h2>Regulation by Negative Feedback<\/h2>\r\n[caption id=\"attachment_3430\" align=\"alignleft\" width=\"320\"]<img class=\" wp-image-3430\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Thyroid-Negative-Feedback-Loop-2.jpg\" alt=\"\" width=\"320\" height=\"333\" \/> <em>Figure 9.3.4 This diagram shows how the thyroid gland is regulated by a negative feedback loop that also involves the hypothalamus and pituitary gland.<\/em>[\/caption]\r\n\r\nA [pb_glossary id=\"2955\"]negative feedback[\/pb_glossary] loop controls the synthesis and secretion of hormones by the [pb_glossary id=\"2958\"]thyroid gland[\/pb_glossary]. This loop includes the [pb_glossary id=\"2937\"]hypothalamus[\/pb_glossary] and [pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary], in addition to the thyroid, as shown in the diagram (Figure 9.3.4). When the levels of thyroid hormones circulating in the blood fall too low, the hypothalamus secretes [pb_glossary id=\"3428\"]thyrotropin releasing hormone[\/pb_glossary] (TRH). This hormone travels directly to the pituitary gland through the thin stalk connecting the two structures. In the pituitary gland, TRH stimulates the pituitary to secrete [pb_glossary id=\"3429\"]thyroid stimulating hormone[\/pb_glossary] (TSH). TSH, in turn, travels through the bloodstream to the thyroid gland, and stimulates it to secrete thyroid hormones. This continues until the blood levels of thyroid hormones are high enough. At that point, the thyroid hormones feed back to stop the hypothalamus from secreting TRH and the pituitary from secreting TSH. Without the stimulation of TSH, the thyroid gland stops secreting its hormones. Eventually, the levels of thyroid hormones in the blood start to fall too low again. When that happens, the hypothalamus releases TRH, and the loop repeats.\r\n\r\n&nbsp;\r\n<div>\r\n\r\n<span style=\"font-size: 1.424em; font-weight: bold;\">Regulation by Positive Feedback<\/span>\r\n\r\n<\/div>\r\n[pb_glossary id=\"3431\"]Prolactin[\/pb_glossary] is a non-steroid endocrine hormone secreted by the\u00a0[pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary]. One of the functions of prolactin is to stimulate a nursing mother\u2019s [pb_glossary id=\"3432\"]mammary glands[\/pb_glossary]\u00a0to produce milk. The regulation of prolactin in the mother is controlled by a [pb_glossary id=\"2962\"]positive feedback loop[\/pb_glossary] that involves the [pb_glossary id=\"3433\"]nipples[\/pb_glossary], [pb_glossary id=\"2937\"]hypothalamus[\/pb_glossary], [pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary], and [pb_glossary id=\"3432\"]mammary glands[\/pb_glossary]. Positive feedback begins when a baby suckles on the mother\u2019s nipple.\u00a0Nerve impulses\u00a0from the nipple reach the hypothalamus, which stimulates the pituitary gland to secrete prolactin. Prolactin travels in the\u00a0blood\u00a0to the mammary glands and stimulates them to produce milk. The release of milk causes the baby to continue suckling, which causes more prolactin to be secreted and more milk to be produced. The positive feedback loop continues until the baby stops suckling at the breast.\r\n\r\n&nbsp;\r\n\r\n[caption id=\"attachment_3437\" align=\"aligncenter\" width=\"679\"]<img class=\"wp-image-3437\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Lactation-Positive-Feedback-Loop-2.png\" alt=\"Lactation Positive Feedback Loop\" width=\"679\" height=\"849\" \/> <em>Figure 9.3.5 The positive feedback loop for lactation involves the suckling, the breast and the pituitary gland.<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Feature: Myth vs. Reality<\/h1>\r\n<\/div>\r\n[pb_glossary id=\"3438\"]Anabolic steroids[\/pb_glossary] are synthetic versions of the naturally occurring male sex hormone [pb_glossary id=\"3409\"]testosterone[\/pb_glossary]. Male hormones have androgenic (or masculinizing) effects, but they also have anabolic (or muscle-building) effects. The anabolic effects are the reason that synthetic steroids are used by athletes. In addition to building\u00a0muscles, they also accelerate the\u00a0development\u00a0of\u00a0[pb_glossary id=\"5913\"]bones[\/pb_glossary]\u00a0and [pb_glossary id=\"3439\"]red blood cells[\/pb_glossary], increase endurance so athletes can train harder and longer, and\u00a0speed\u00a0up muscle recovery. Unfortunately, these benefits of steroid use come with costs. If you ever consider taking anabolic steroids to build muscles and improve athletic performance, consider the following myths and corresponding realities.\r\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 73.188%; height: 506px;\" border=\"0\">\r\n<tbody>\r\n<tr>\r\n<td style=\"width: 20.9935%;\">\r\n<h2><span style=\"color: #ff0000;\"><strong>Myth\u00a0<\/strong><\/span><\/h2>\r\n<\/td>\r\n<td style=\"width: 36.947%;\">\r\n<h2><span style=\"color: #008000;\"><strong>Reality<\/strong><\/span><\/h2>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">\"Steroids are safe.\"<\/span><\/em><\/td>\r\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Steroid use may cause several serious side effects. Prolonged use may increase the risk of liver\u00a0cancer,\u00a0heart\u00a0disease, and high\u00a0blood pressure.<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">\"Steroids will not stunt your growth.\"<\/span><\/em><\/td>\r\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Teens who take steroids before they have finished growing in height may have their growth stunted so they remain shorter throughout life than they would otherwise have been. Such stunting occurs because steroids increase the rate at which skeletal maturity is reached. Once skeletal maturity occurs, additional growth in height is impossible.<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">\"Steroids do not cause drug dependency.\"<\/span><\/em><\/td>\r\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Steroid use may cause dependency, as evidenced by the negative effects of stopping steroid use. These negative effects may include insomnia, fatigue, and depressed mood, among others.<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">\"There is no such thing as 'roid rage.'\"<\/span><\/em><\/td>\r\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Steroid use has been shown to increase aggressiveness in some people. It has also been implicated in a number of violent acts committed by people who had not demonstrated violent tendencies until they started using steroids.<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">\"Only males use steroids.\"<\/span><\/em><\/td>\r\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Although steroid use is more common in males than females, some females also use steroids. They use them to build muscle and improve physical performance, generally either for athletic\u00a0competition\u00a0or for self-defense.<\/strong><\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n&nbsp;\r\n<div>\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">9.3 Summary<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>Endocrine hormones are messenger molecules secreted by\u00a0endocrine glands\u00a0into the bloodstream. They travel throughout the body but affect only certain cells, called [pb_glossary id=\"3422\"]target cells[\/pb_glossary], which have receptors specific to particular hormones.<\/li>\r\n \t<li>[pb_glossary id=\"3423\"]Steroid hormones[\/pb_glossary] such as [pb_glossary id=\"5995\"]estrogen[\/pb_glossary] are endocrine hormones made of\u00a0[pb_glossary id=\"5651\"]lipids[\/pb_glossary]\u00a0that cross\u00a0[pb_glossary id=\"5489\"]plasma membranes[\/pb_glossary]\u00a0and bind to receptors inside target cells. The hormone-receptor complexes then move into the\u00a0[pb_glossary id=\"5797\"]nucleus[\/pb_glossary], where they influence\u00a0[pb_glossary id=\"6031\"]gene expression[\/pb_glossary].<\/li>\r\n \t<li>[pb_glossary id=\"3425\"]Non-steroid hormones[\/pb_glossary]\u00a0(such as [pb_glossary id=\"2590\"]insulin[\/pb_glossary]) are endocrine hormones made of\u00a0[pb_glossary id=\"5707\"]amino acids[\/pb_glossary]\u00a0that bind to receptors on the surface of target cells. This activates an\u00a0[pb_glossary id=\"5757\"]enzyme[\/pb_glossary]\u00a0in the\u00a0plasma membrane, and the enzyme controls a second messenger molecule, which influences cell processes.<\/li>\r\n \t<li>Most endocrine hormones are controlled by [pb_glossary id=\"2956\"]negative feedback loops[\/pb_glossary] in which rising levels of a hormone feed back to stop its own production \u2014 and vice-versa. For example, a negative feedback loop controls production of [pb_glossary id=\"2958\"]thyroid[\/pb_glossary] hormones. The loop includes the [pb_glossary id=\"2937\"]hypothalamus[\/pb_glossary],\u00a0[pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary], and\u00a0thyroid gland.<\/li>\r\n \t<li>Only a few endocrine hormones are controlled by [pb_glossary id=\"2962\"]positive feedback loops[\/pb_glossary], in which rising levels of a hormone feed back to stimulate continued production of the hormone. [pb_glossary id=\"3431\"]Prolactin[\/pb_glossary], the pituitary hormone that stimulates milk production by mammary glands, is controlled by a positive feedback loop. The loop includes the [pb_glossary id=\"3433\"]nipples[\/pb_glossary], hypothalamus, pituitary gland, and [pb_glossary id=\"3432\"]mammary glands[\/pb_glossary].<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">9.3 Review Questions<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\n&nbsp;\r\n<ol>\r\n \t<li>[h5p id=\"572\"]<\/li>\r\n \t<li>[h5p id=\"573\"]<\/li>\r\n \t<li>Explain how steroid hormones influence target cells.<\/li>\r\n \t<li>How do non-steroid hormones affect target cells?<\/li>\r\n \t<li>Compare and contrast negative and positive feedback loops.<\/li>\r\n \t<li>Outline the way feedback controls the production of thyroid hormones.<\/li>\r\n \t<li>Describe the feedback mechanism that controls milk production by the mammary glands.<\/li>\r\n \t<li>People with a condition called hyperthyroidism produce too much thyroid hormone. What do you think this does to the level of TSH? Explain your answer.<\/li>\r\n \t<li>Which is more likely to maintain\u00a0homeostasis\u2014 negative feedback or positive feedback? Explain your answer.<\/li>\r\n \t<li>Does testosterone bind to receptors on the plasma membrane of target cells or in the cytoplasm of target cells? Explain your answer.<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">9.3 Explore More<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=WVrlHH14q3o&amp;feature=emb_logo\r\n<p style=\"text-align: center;\">Great Glands - Your Endocrine System: CrashCourse Biology #33, CrashCourse, 2012.<\/p>\r\nhttps:\/\/www.youtube.com\/watch?v=qXaDDa3FB5Q&amp;feature=emb_logo\r\n<p style=\"text-align: center;\">National Geographic | Benefits and Side Effects of Steroids Use 2015, 24 Physic.<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n&nbsp;\r\n\r\n<\/div>\r\n<h2>Attributions<\/h2>\r\n<strong>Figure 9.3.1<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Glass_bottle_for_%27Progynon%27_pills,_United_Kingdom,_1928-1948_Wellcome_L0058274.jpg\" rel=\"cc:attributionURL\">L0058274 Glass bottle for \u2018Progynon\u2019 pills, United Kingdom, 1928-1948<\/a> by <a href=\"https:\/\/wellcomecollection.org\/works\/zzzx2g6s\">Wellcome Collection gallery (2018-03-29)\/<\/a> <a href=\"https:\/\/wellcomecollection.org\/works\/zzzx2g6s\">Science Museum, London<\/a> on Wikimedia Commons is used under a \u00a0<a class=\"external text\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"nofollow\">CC-BY-4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.\r\n\r\n<strong>Figure 9.3.2<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Regulation_of_gene_expression_by_steroid_hormone_receptor.svg\" rel=\"cc:attributionURL\">Regulation_of_gene_expression_by_steroid_hormone_receptor.svg<\/a> by <a class=\"mw-redirect\" title=\"User:Ali Zifan\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Ali_Zifan\">Ali Zifan<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\" rel=\"license\">CC BY-SA 4.0\u00a0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.\r\n\r\n<strong>Figure 9.3.3<\/strong>\r\n\r\n<a href=\"https:\/\/flexbooks.ck12.org\/cbook\/ck-12-biology-flexbook-2.0\/section\/13.21\/primary\/lesson\/hormones-bio\" rel=\"cc:attributionURL\">Non-steroid hormone pathway<\/a> by <a href=\"https:\/\/flexbooks.ck12.org\/cbook\/ck-12-biology-flexbook-2.0\/section\/13.21\/primary\/lesson\/hormones-bio\">CK-12 Foundation, Biology for High School <\/a>is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.\r\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\r\n<strong>Figure 9.3.4<\/strong>\r\n\r\n<a href=\"https:\/\/www.ck12.org\/book\/ck-12-human-biology\/section\/11.3\/\" rel=\"cc:attributionURL\">Thyroid Negative Feedback Loop<\/a> by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-human-biology\/section\/11.3\/\">CK-12 Foundation, College Human Biology<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.\r\n\r\n<img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a>\r\n\r\n<strong>Figure 9.3.5<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Lactation_Positive_Feedback_Loop.png\" rel=\"cc:attributionURL\">Lactation Positive Feedback Loop<\/a> by <a class=\"mw-userlink\" title=\"User:Christinelmiller\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Christinelmiller\">Christinelmiller<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.\r\n<h2>References<\/h2>\r\n<p class=\"hanging-indent\">24 Physic. (2015,July 19). National Geographic | Benefits and side effects of steroids use 2015. YouTube. https:\/\/www.youtube.com\/watch?v=qXaDDa3FB5Q&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016, August 15). Figure 4 Thyroid negative feedback loop [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 11.3 Endocrine hormones). CK12.org. https:\/\/www.ck12.org\/book\/ck-12-human-biology\/section\/11.3\/<\/p>\r\n<p class=\"hanging-indent\">CK-12 Foundation. (2019, March 5). Figure 3 A non-steroid hormone binds with a receptor on the plasma membrane of a target cell [digital image]. In <em>Flexbook 2.0: CK-12 Biology For High School <\/em>(Section 13.21 Hormone). CK12. https:\/\/flexbooks.ck12.org\/cbook\/ck-12-biology-flexbook-2.0\/section\/13.21\/primary\/lesson\/hormones-bio<\/p>\r\n<p class=\"hanging-indent\">CrashCourse. (2012, September 10). Great glands - Your endocrine system: CrashCourse Biology #33. YouTube. https:\/\/www.youtube.com\/watch?v=WVrlHH14q3o&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\">TED-Ed. (2018, June 21). How do your hormones work? - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=-SPRPkLoKp8&amp;feature=youtu.be<\/p>","rendered":"<p>&nbsp;<\/p>\n<figure id=\"attachment_3421\" aria-describedby=\"caption-attachment-3421\" style=\"width: 353px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3421\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Glass_bottle_for_Progynon_pills_United_Kingdom_1928-1948_Wellcome_L0058274-scaled-3.jpg\" alt=\"Figure 9.3.1\" width=\"353\" height=\"468\" \/><figcaption id=\"caption-attachment-3421\" class=\"wp-caption-text\"><em>Figure 9.3.1 Pills from pee?<\/em><\/figcaption><\/figure>\n<div>\n<h1>Pills from Pee<\/h1>\n<\/div>\n<p>The medication pictured in Figure 9.3.1 with the brand name Progynon was a drug used to control the effects of menopause in women. The pills first appeared in 1928 and contained the human sex hormone estrogen. Estrogen secretion declines in women around the time of menopause and may cause symptoms like mood swings and hot flashes. The pills were supposed to ease the symptoms by supplementing <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5995\">estrogen<\/a> in the body. The manufacturer of Progynon obtained estrogen for the pills from the urine of pregnant women, because it was a cheap source of the hormone. Progynon is still used today to treat menopausal symptoms. Although the drug has been improved over the years, it still contains estrogen, which is an example of an endocrine hormone.<\/p>\n<div>\n<h1>How Do\u00a0Endocrine Hormones\u00a0Work?<\/h1>\n<\/div>\n<p>Endocrine hormones\u00a0like estrogen are messenger molecules secreted by\u00a0endocrine glands\u00a0into the bloodstream. They travel throughout the body in the\u00a0circulation. Although they reach virtually every cell in the body in this way, each hormone affects only certain cells, called target cells. A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3422\">target cell<\/a><\/strong>\u00a0is the type of cell on which a hormone has an effect. A target cell is affected by a particular hormone because it has receptor proteins\u00a0\u2014\u00a0either on the cell surface or within the cell\u00a0\u2014\u00a0that are specific to that hormone. An endocrine hormone travels through the bloodstream until it finds a target cell with a matching receptor to which it can bind. When the hormone binds to the receptor, it causes changes within the cell. The manner in which it changes the cell depends on whether the hormone is a steroid hormone or a non-steroid hormone.<\/p>\n<h2>Steroid Hormones<\/h2>\n<p>A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3423\">steroid hormone<\/a><\/strong> (such as estrogen) is made of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5651\">lipids<\/a>. It is fat soluble, so it can diffuse across a target cell\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5489\">plasma membrane<\/a>, which is also made of lipids. Once inside the cell, a steroid hormone binds with receptor proteins in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5465\">cytoplasm<\/a>. As you can see in Figure 9.3.2, the steroid hormone and its receptor form a complex \u2014 called a steroid complex \u2014 which moves into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5797\">nucleus<\/a>, where it influences the expression of genes. Examples of steroid hormones include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5959\">cortisol<\/a>, which is secreted by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5869\">adrenal glands<\/a>, and sex hormones, which are secreted by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3408\">gonads<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3424\" aria-describedby=\"caption-attachment-3424\" style=\"width: 653px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3424\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Regulation_of_gene_expression_by_steroid_hormone_receptor.svg_-2.png\" alt=\"Steroid Hormone regulates gene expression\" width=\"653\" height=\"816\" \/><figcaption id=\"caption-attachment-3424\" class=\"wp-caption-text\"><em>Figure 9.3.2 A steroid hormone crosses the plasma membrane of a target cell, binds with a receptor protein within the cytoplasm, and forms a complex that moves to the nucleus, where it affects gene expression.<\/em><\/figcaption><\/figure>\n<h2>Non-Steroid Hormones<\/h2>\n<figure id=\"attachment_3426\" aria-describedby=\"caption-attachment-3426\" style=\"width: 381px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3426\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Non-steroid-hormone-pathway-2.png\" alt=\"\" width=\"381\" height=\"237\" \/><figcaption id=\"caption-attachment-3426\" class=\"wp-caption-text\"><em>Figure 9.3.3 A non-steroid hormone binds with a receptor on the plasma membrane of a target cell. Then, a secondary messenger affects cell processes.<\/em><\/figcaption><\/figure>\n<p>A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3425\">non-steroid hormone<\/a><\/strong><span style=\"text-align: initial; font-size: 1em;\">is made of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5707\">amino acids<\/a>. It is not fat soluble, so it cannot diffuse across the\u00a0plasma membrane\u00a0of a target cell. Instead, it binds to a receptor\u00a0protein\u00a0on the\u00a0cell membrane. In <span style=\"font-size: 1em;\">the Figure 9.3.3<\/span>\u00a0diagram, you can see that the binding of the hormone with the receptor activates an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5757\">enzyme<\/a>\u00a0in the cell membrane. The enzyme then stimulates another molecule, called the second messenger, which influences processes inside the cell. Most endocrine hormones are non-steroid hormones. Examples include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_6043\">glucagon<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2590\">insulin<\/a>, both produced by the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3197\">pancreas<\/a>.<\/span><\/p>\n<div>\n<h1>Regulation of Endocrine Hormones<\/h1>\n<\/div>\n<p>Endocrine hormones regulate many body processes, but what regulates the secretion of endocrine hormones? Most endocrine hormones are controlled by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_6007\">feedback mechanism<\/a>s. A feedback mechanism is a loop in which a product feeds back to control its own production. Feedback loops may be either negative or positive.<\/p>\n<ul>\n<li>Most endocrine hormones are regulated by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2955\">negative feedback<\/a> loops. Negative feedback keeps the\u00a0concentration\u00a0of a hormone within a relatively narrow range, and maintains\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5761\">homeostasis<\/a>.<\/li>\n<li>Very few endocrine hormones are regulated by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2962\">positive feedback<\/a> loops. Positive feedback causes the\u00a0concentration\u00a0of a hormone to become increasingly higher.<\/li>\n<\/ul>\n<h2>Regulation by Negative Feedback<\/h2>\n<figure id=\"attachment_3430\" aria-describedby=\"caption-attachment-3430\" style=\"width: 320px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3430\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Thyroid-Negative-Feedback-Loop-2.jpg\" alt=\"\" width=\"320\" height=\"333\" \/><figcaption id=\"caption-attachment-3430\" class=\"wp-caption-text\"><em>Figure 9.3.4 This diagram shows how the thyroid gland is regulated by a negative feedback loop that also involves the hypothalamus and pituitary gland.<\/em><\/figcaption><\/figure>\n<p>A <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2955\">negative feedback<\/a> loop controls the synthesis and secretion of hormones by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2958\">thyroid gland<\/a>. This loop includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2937\">hypothalamus<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2938\">pituitary gland<\/a>, in addition to the thyroid, as shown in the diagram (Figure 9.3.4). When the levels of thyroid hormones circulating in the blood fall too low, the hypothalamus secretes <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3428\">thyrotropin releasing hormone<\/a> (TRH). This hormone travels directly to the pituitary gland through the thin stalk connecting the two structures. In the pituitary gland, TRH stimulates the pituitary to secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3429\">thyroid stimulating hormone<\/a> (TSH). TSH, in turn, travels through the bloodstream to the thyroid gland, and stimulates it to secrete thyroid hormones. This continues until the blood levels of thyroid hormones are high enough. At that point, the thyroid hormones feed back to stop the hypothalamus from secreting TRH and the pituitary from secreting TSH. Without the stimulation of TSH, the thyroid gland stops secreting its hormones. Eventually, the levels of thyroid hormones in the blood start to fall too low again. When that happens, the hypothalamus releases TRH, and the loop repeats.<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p><span style=\"font-size: 1.424em; font-weight: bold;\">Regulation by Positive Feedback<\/span><\/p>\n<\/div>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3431\">Prolactin<\/a> is a non-steroid endocrine hormone secreted by the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2938\">pituitary gland<\/a>. One of the functions of prolactin is to stimulate a nursing mother\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3432\">mammary glands<\/a>\u00a0to produce milk. The regulation of prolactin in the mother is controlled by a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2962\">positive feedback loop<\/a> that involves the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3433\">nipples<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2937\">hypothalamus<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2938\">pituitary gland<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3432\">mammary glands<\/a>. Positive feedback begins when a baby suckles on the mother\u2019s nipple.\u00a0Nerve impulses\u00a0from the nipple reach the hypothalamus, which stimulates the pituitary gland to secrete prolactin. Prolactin travels in the\u00a0blood\u00a0to the mammary glands and stimulates them to produce milk. The release of milk causes the baby to continue suckling, which causes more prolactin to be secreted and more milk to be produced. The positive feedback loop continues until the baby stops suckling at the breast.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3437\" aria-describedby=\"caption-attachment-3437\" style=\"width: 679px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3437\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Lactation-Positive-Feedback-Loop-2.png\" alt=\"Lactation Positive Feedback Loop\" width=\"679\" height=\"849\" \/><figcaption id=\"caption-attachment-3437\" class=\"wp-caption-text\"><em>Figure 9.3.5 The positive feedback loop for lactation involves the suckling, the breast and the pituitary gland.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Feature: Myth vs. Reality<\/h1>\n<\/div>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3438\">Anabolic steroids<\/a> are synthetic versions of the naturally occurring male sex hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3409\">testosterone<\/a>. Male hormones have androgenic (or masculinizing) effects, but they also have anabolic (or muscle-building) effects. The anabolic effects are the reason that synthetic steroids are used by athletes. In addition to building\u00a0muscles, they also accelerate the\u00a0development\u00a0of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5913\">bones<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3439\">red blood cells<\/a>, increase endurance so athletes can train harder and longer, and\u00a0speed\u00a0up muscle recovery. Unfortunately, these benefits of steroid use come with costs. If you ever consider taking anabolic steroids to build muscles and improve athletic performance, consider the following myths and corresponding realities.<\/p>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 73.188%; height: 506px;\">\n<tbody>\n<tr>\n<td style=\"width: 20.9935%;\">\n<h2><span style=\"color: #ff0000;\"><strong>Myth\u00a0<\/strong><\/span><\/h2>\n<\/td>\n<td style=\"width: 36.947%;\">\n<h2><span style=\"color: #008000;\"><strong>Reality<\/strong><\/span><\/h2>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">&#8220;Steroids are safe.&#8221;<\/span><\/em><\/td>\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Steroid use may cause several serious side effects. Prolonged use may increase the risk of liver\u00a0cancer,\u00a0heart\u00a0disease, and high\u00a0blood pressure.<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">&#8220;Steroids will not stunt your growth.&#8221;<\/span><\/em><\/td>\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Teens who take steroids before they have finished growing in height may have their growth stunted so they remain shorter throughout life than they would otherwise have been. Such stunting occurs because steroids increase the rate at which skeletal maturity is reached. Once skeletal maturity occurs, additional growth in height is impossible.<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">&#8220;Steroids do not cause drug dependency.&#8221;<\/span><\/em><\/td>\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Steroid use may cause dependency, as evidenced by the negative effects of stopping steroid use. These negative effects may include insomnia, fatigue, and depressed mood, among others.<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">&#8220;There is no such thing as &#8216;roid rage.'&#8221;<\/span><\/em><\/td>\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Steroid use has been shown to increase aggressiveness in some people. It has also been implicated in a number of violent acts committed by people who had not demonstrated violent tendencies until they started using steroids.<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.9935%;\"><em><span style=\"color: #000000;\">&#8220;Only males use steroids.&#8221;<\/span><\/em><\/td>\n<td style=\"width: 36.947%;\"><span style=\"color: #000000;\"><strong>Although steroid use is more common in males than females, some females also use steroids. They use them to build muscle and improve physical performance, generally either for athletic\u00a0competition\u00a0or for self-defense.<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">9.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Endocrine hormones are messenger molecules secreted by\u00a0endocrine glands\u00a0into the bloodstream. They travel throughout the body but affect only certain cells, called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3422\">target cells<\/a>, which have receptors specific to particular hormones.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3423\">Steroid hormones<\/a> such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5995\">estrogen<\/a> are endocrine hormones made of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5651\">lipids<\/a>\u00a0that cross\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5489\">plasma membranes<\/a>\u00a0and bind to receptors inside target cells. The hormone-receptor complexes then move into the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5797\">nucleus<\/a>, where they influence\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_6031\">gene expression<\/a>.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3425\">Non-steroid hormones<\/a>\u00a0(such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2590\">insulin<\/a>) are endocrine hormones made of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5707\">amino acids<\/a>\u00a0that bind to receptors on the surface of target cells. This activates an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_5757\">enzyme<\/a>\u00a0in the\u00a0plasma membrane, and the enzyme controls a second messenger molecule, which influences cell processes.<\/li>\n<li>Most endocrine hormones are controlled by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2956\">negative feedback loops<\/a> in which rising levels of a hormone feed back to stop its own production \u2014 and vice-versa. For example, a negative feedback loop controls production of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2958\">thyroid<\/a> hormones. The loop includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2937\">hypothalamus<\/a>,\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2938\">pituitary gland<\/a>, and\u00a0thyroid gland.<\/li>\n<li>Only a few endocrine hormones are controlled by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2962\">positive feedback loops<\/a>, in which rising levels of a hormone feed back to stimulate continued production of the hormone. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3431\">Prolactin<\/a>, the pituitary hormone that stimulates milk production by mammary glands, is controlled by a positive feedback loop. The loop includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3433\">nipples<\/a>, hypothalamus, pituitary gland, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3432\">mammary glands<\/a>.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">9.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>&nbsp;<\/p>\n<ol>\n<li>\n<div id=\"h5p-572\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-572\" class=\"h5p-iframe\" data-content-id=\"572\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.3 Definition Flashcards\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>\n<div id=\"h5p-573\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-573\" class=\"h5p-iframe\" data-content-id=\"573\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.3 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain how steroid hormones influence target cells.<\/li>\n<li>How do non-steroid hormones affect target cells?<\/li>\n<li>Compare and contrast negative and positive feedback loops.<\/li>\n<li>Outline the way feedback controls the production of thyroid hormones.<\/li>\n<li>Describe the feedback mechanism that controls milk production by the mammary glands.<\/li>\n<li>People with a condition called hyperthyroidism produce too much thyroid hormone. What do you think this does to the level of TSH? Explain your answer.<\/li>\n<li>Which is more likely to maintain\u00a0homeostasis\u2014 negative feedback or positive feedback? Explain your answer.<\/li>\n<li>Does testosterone bind to receptors on the plasma membrane of target cells or in the cytoplasm of target cells? Explain your answer.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">9.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Great Glands - Your Endocrine System: CrashCourse Biology #33\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/WVrlHH14q3o?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Great Glands &#8211; Your Endocrine System: CrashCourse Biology #33, CrashCourse, 2012.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=qXaDDa3FB5Q&#38;feature=emb_logo<\/p>\n<p style=\"text-align: center;\">National Geographic | Benefits and Side Effects of Steroids Use 2015, 24 Physic.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 9.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Glass_bottle_for_%27Progynon%27_pills,_United_Kingdom,_1928-1948_Wellcome_L0058274.jpg\" rel=\"cc:attributionURL\">L0058274 Glass bottle for \u2018Progynon\u2019 pills, United Kingdom, 1928-1948<\/a> by <a href=\"https:\/\/wellcomecollection.org\/works\/zzzx2g6s\">Wellcome Collection gallery (2018-03-29)\/<\/a> <a href=\"https:\/\/wellcomecollection.org\/works\/zzzx2g6s\">Science Museum, London<\/a> on Wikimedia Commons is used under a \u00a0<a class=\"external text\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"nofollow\">CC-BY-4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 9.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Regulation_of_gene_expression_by_steroid_hormone_receptor.svg\" rel=\"cc:attributionURL\">Regulation_of_gene_expression_by_steroid_hormone_receptor.svg<\/a> by <a class=\"mw-redirect\" title=\"User:Ali Zifan\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Ali_Zifan\">Ali Zifan<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\" rel=\"license\">CC BY-SA 4.0\u00a0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 9.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/flexbooks.ck12.org\/cbook\/ck-12-biology-flexbook-2.0\/section\/13.21\/primary\/lesson\/hormones-bio\" rel=\"cc:attributionURL\">Non-steroid hormone pathway<\/a> by <a href=\"https:\/\/flexbooks.ck12.org\/cbook\/ck-12-biology-flexbook-2.0\/section\/13.21\/primary\/lesson\/hormones-bio\">CK-12 Foundation, Biology for High School <\/a>is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img decoding=\"async\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img decoding=\"async\" class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 9.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-human-biology\/section\/11.3\/\" rel=\"cc:attributionURL\">Thyroid Negative Feedback Loop<\/a> by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-human-biology\/section\/11.3\/\">CK-12 Foundation, College Human Biology<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\" \/> <span style=\"font-size: 1em;\">\u00a9<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em;\">Licensed under\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img decoding=\"async\" class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" \/><\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em;\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em;\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/p>\n<p><strong>Figure 9.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Lactation_Positive_Feedback_Loop.png\" rel=\"cc:attributionURL\">Lactation Positive Feedback Loop<\/a> by <a class=\"mw-userlink\" title=\"User:Christinelmiller\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Christinelmiller\">Christinelmiller<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">24 Physic. (2015,July 19). National Geographic | Benefits and side effects of steroids use 2015. YouTube. https:\/\/www.youtube.com\/watch?v=qXaDDa3FB5Q&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016, August 15). Figure 4 Thyroid negative feedback loop [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 11.3 Endocrine hormones). CK12.org. https:\/\/www.ck12.org\/book\/ck-12-human-biology\/section\/11.3\/<\/p>\n<p class=\"hanging-indent\">CK-12 Foundation. (2019, March 5). Figure 3 A non-steroid hormone binds with a receptor on the plasma membrane of a target cell [digital image]. In <em>Flexbook 2.0: CK-12 Biology For High School <\/em>(Section 13.21 Hormone). CK12. https:\/\/flexbooks.ck12.org\/cbook\/ck-12-biology-flexbook-2.0\/section\/13.21\/primary\/lesson\/hormones-bio<\/p>\n<p class=\"hanging-indent\">CrashCourse. (2012, September 10). Great glands &#8211; Your endocrine system: CrashCourse Biology #33. YouTube. https:\/\/www.youtube.com\/watch?v=WVrlHH14q3o&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2018, June 21). How do your hormones work? &#8211; Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=-SPRPkLoKp8&amp;feature=youtu.be<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_4822_5995\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5995\"><div tabindex=\"-1\"><p>The female sex hormone secreted mainly by the ovaries.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3422\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3422\"><div tabindex=\"-1\"><p>A chemical reaction that releases energy through light or heat.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3423\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3423\"><div tabindex=\"-1\"><p>A type of immune cell that has granules (small particles) with enzymes that can kill tumor cells or cells infected with a virus. A natural killer cell is a type of white blood cell.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5651\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5651\"><div tabindex=\"-1\"><p>A substance that is insoluble in water.  Examples include fats, oils and cholesterol.  Lipids are made from monomers such as glycerol and fatty acids.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5489\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5489\"><div tabindex=\"-1\"><p>A semi-permeable lipid bilayer that separates the interior of all cells from their surroundings.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5465\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5465\"><div tabindex=\"-1\"><p>The jellylike material that makes up much of a cell inside the cell membrane, and, in eukaryotic cells, surrounds the nucleus. The organelles of eukaryotic cells, such as mitochondria, the endoplasmic reticulum, and (in green plants) chloroplasts, are contained in the cytoplasm.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5797\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5797\"><div tabindex=\"-1\"><p>A central organelle containing   hereditary material.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5959\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5959\"><div tabindex=\"-1\"><p>A glucocorticoid hormone produced by the cortex of the adrenal gland that is released in response to stress and also helps control metabolic rate, suppression of the immune system, and other functions<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5869\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5869\"><div tabindex=\"-1\"><p>one of a pair of glands located on top of the kidneys that secretes hormones such as cortisol and adrenaline<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3408\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3408\"><div tabindex=\"-1\"><p>A type of disease in which cells of the central nervous system stop working or die. Neurodegenerative disorders usually get worse over time and have no cure. They may be genetic or be caused by a tumor or stroke.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3425\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3425\"><div tabindex=\"-1\"><p>Any reaction which requires or absorbs energy from its surroundings, usually in the form of heat.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5707\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5707\"><div tabindex=\"-1\"><p>Amino acids are organic compounds that combine to form proteins.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5757\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5757\"><div tabindex=\"-1\"><p>Biological molecules that lower amount the energy required for a reaction to occur.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_6043\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_6043\"><div tabindex=\"-1\"><p>A peptide hormone, produced by alpha cells of the pancreas. It works to raise the concentration of glucose and fatty acids in the bloodstream, and is considered to be the main catabolic hormone of the body. It is also used as a medication to treat a number of health conditions.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_2590\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_2590\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_4378\" aria-describedby=\"caption-attachment-4378\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4378\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/aircraft-1583871_1920-1.jpg\" alt=\"14.1.1 Airplane Exercise\" width=\"400\" height=\"226\"><figcaption id=\"caption-attachment-4378\" class=\"wp-caption-text\"><em>Figure 14.1.1 Got to keep that blood moving!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study: Flight Risk<\/h1>\n<\/div>\n<p>Nineteen-year-old Malcolm is about to take his first plane flight. Shortly after he boards the plane and sits down, a man in his late sixties sits next to him in the aisle seat. About half an hour after the plane takes off, the pilot announces that she is turning the seat belt light off, and that it is safe to move around the cabin.<\/p>\n<p>The man in the aisle seat \u2014 who has introduced himself to Malcolm as Willie \u2014 immediately unbuckles his seat belt and paces up and down the aisle a few times before returning to his seat. After about 45 minutes, Willie gets up again, walks some more, then sits back down and does some foot and leg exercises. After the third time Willie gets up and paces the aisles, Malcolm asks him whether he is walking so much to accumulate steps on a pedometer or fitness tracking device. Willie laughs and says no. He is actually trying to do something even more important for his health \u2014 prevent a blood clot from forming in his legs.<\/p>\n<p>Willie explains that he has a chronic condition: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_4219\">heart failure<\/a>. Although it sounds scary, his condition is currently well-managed, and he is able to lead a relatively normal lifestyle. However, it <em>does<\/em> put him at risk of developing other serious health conditions, such as deep vein thrombosis (DVT), which is when a blood clot occurs in the deep veins, usually in the legs. Air travel \u2014\u00a0and\u00a0other situations where a person has to sit for a long period of time \u2014 increases the risk of DVT. Willie\u2019s doctor said that he is healthy enough to fly, but that he should walk frequently and do leg exercises to help avoid a blood clot.<\/p>\n<p>As you read this chapter, you will learn about the heart, blood vessels, and blood that make up the cardiovascular system, as well as disorders of the cardiovascular system, such as heart failure. At the end of the chapter you will learn more about why DVT occurs, why Willie has to take extra precautions when he flies, and what can be done to lower the risk of DVT and its potentially deadly consequences.<\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter Overview: Cardiovascular System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the cardiovascular system, which transports substances throughout the body. Specifically, you will learn about:<\/p>\n<ul>\n<li>The major components of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2910\">cardiovascular system<\/a>: the heart, blood vessels, and blood.<\/li>\n<li>The functions of the cardiovascular system, including transporting needed substances (such as oxygen and nutrients) to the cells of the body, and picking up waste products.<\/li>\n<li>How blood is oxygenated through the pulmonary circulation, which transports blood between the heart and lungs.<\/li>\n<li>How blood is circulated throughout the body through the systemic circulation.<\/li>\n<li>The components of blood \u2014 including plasma, red blood cells, white blood cells, and platelets \u2014 and their specific functions.<\/li>\n<li>Types of blood vessels \u2014 including arteries, veins, and capillaries \u2014 and their functions, similarities, and differences.<\/li>\n<li>The structure of the heart, how it pumps blood, and how contractions of the heart are controlled.<\/li>\n<li>What blood pressure is and how it is regulated.<\/li>\n<li>Blood disorders, including anemia, HIV, and leukemia.<\/li>\n<li>Cardiovascular diseases (including heart attack, stroke, and angina), and the risk factors and precursors \u2014 such as high blood pressure and atherosclerosis \u2014 that contribute to them.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read the chapter, think about the following questions:<\/p>\n<ol>\n<li>What is heart failure?Why\u00a0do you think it increases the risk of DVT?<\/li>\n<li>What is a blood clot? What are possible health consequences of blood clots?<\/li>\n<li>Why do you think sitting for long periods of time increases the risk of DVT? Why does walking and exercising the legs help reduce this risk?<\/li>\n<\/ol>\n<\/div>\n<h2>Attribution<\/h2>\n<p><strong>Figure 14.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/pixabay.com\/photos\/aircraft-interior-seats-1583871\/\" rel=\"cc:attributionURL\">aircraft-1583871_1920<\/a> [photo] by <a href=\"https:\/\/pixabay.com\/users\/olivier89-3075816\/?utm_source=link-attribution&amp;utm_medium=referral&amp;utm_campaign=image&amp;utm_content=1583871\" rel=\"dc:creator\">olivier89<\/a> from <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/de\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/de\/service\/license\/).<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3197\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3197\"><div tabindex=\"-1\"><p>Image shows a diagram of Killer T Cell funtion.  An infected cell displays a pathogen antigen on an MHC.  The Killer T Cell interacts with the MHC and in response produces perforin ( a protein that pokes holes in cell membranes) and granzymes (proteins that instruct a cell to carry out programmed cell death). The infected cell dies from the combination of these substances, and as it dies, so does the pathogen inside the infected cell.  The Killer T Cell is free to move on and find and destroy other infected cells.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_6007\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_6007\"><div tabindex=\"-1\"><p>A loop system wherein the system responds to a perturbation. The response may be in the same direction (as in positive feedback) or in the opposite direction (as in negative feedback). A feedback mechanism may be observed at the level of cells, organisms, ecosystems, or the biosphere.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_2955\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_2955\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-661\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Kids-piant-duet-by-PJMixer-on-Unsplash.jpg\" alt=\"\" width=\"400\" height=\"268\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.1 A duet with the peripheral nervous system.\u00a0<\/em><\/figcaption><\/figure>\n<h1>One Piano, Four Hands<\/h1>\n<p>Did you ever see two people play the same piano? How do they coordinate all the movements of their own fingers \u2014 let alone synchronize them with those of their partner? The peripheral nervous system plays an important part in this challenge.<\/p>\n<div>\n<h1>What Is the Peripheral Nervous System?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3009\">peripheral nervous system<\/a> (PNS)<\/strong>\u00a0consists of all the nervous tissue that lies outside of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2579\">central nervous system<\/a>\u00a0(CNS). The main function of the PNS is to connect the CNS to the rest of the organism. It serves as a\u00a0communication\u00a0relay, going back and forth between the CNS and\u00a0muscles, organs, and glands throughout the body.<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 421px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-663\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nervous_system_diagram.png\" alt=\"Peripheral Nervous System\" width=\"421\" height=\"695\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.2 The nerves of the peripheral nervous system are shown in blue in this diagram.<\/em><\/figcaption><\/figure>\n<div><\/div>\n<div>\n<h1>Tissues of the Peripheral Nervous System<\/h1>\n<\/div>\n<p>The PNS is mostly made up of cable-like bundles of axons called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3011\">nerves<\/a><\/strong>,\u00a0as well as\u00a0clusters of neuronal cell bodies called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2699\">ganglia<\/a><\/strong>\u00a0(singular,\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2701\">ganglion<\/a><\/strong>). Nerves are generally classified\u00a0as sensory, motor, or mixed nerves\u00a0based on\u00a0the direction in which they carry\u00a0nerve impulses.<\/p>\n<ul>\n<li><strong>Sensory nerves<\/strong>\u00a0transmit information from sensory receptors in the body to the CNS. Sensory nerves are also called afferent nerves. You can see an example in the figure\u00a0below.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3111\">Motor nerves<\/a><\/strong>\u00a0transmit information from the CNS to\u00a0muscles, organs, and glands. Motor nerves are also called efferent nerves. You can see one in the figure\u00a0below.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3112\">Mixed nerves<\/a><\/strong>\u00a0contain both sensory and motor neurons, so they can transmit information in both directions. They have both afferent and efferent functions.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<div>\n<figure id=\"attachment_665\" aria-describedby=\"caption-attachment-665\" style=\"width: 868px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-665\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Afferent_and_efferent_neurons_en.svg_.png\" alt=\"Afferent and Efferent Neurons\" width=\"868\" height=\"533\"><figcaption id=\"caption-attachment-665\" class=\"wp-caption-text\"><em>Figure 8.6.3 In this diagram, each nerve is depicted as a single neuron for simplicity. This afferent neuron sends nerve impulses from sensory receptors in the skin to the CNS. The efferent neuron is a motor neuron that sends nerve impulses from the CNS to a muscle. The cell body of the afferent neuron is located in a ganglion (not pictured), while the cell body of the motor neuron is located in the spinal cord.<\/em><\/figcaption><\/figure>\n<\/div>\n<div>\n<h1>Divisions of the Peripheral Nervous System<\/h1>\n<\/div>\n<p>The PNS is divided into two major systems, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2533\">autonomic nervous system<\/a> and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3014\">somatic nervous system<\/a>. In the diagram\u00a0below, the autonomic system is shown on the left, and the somatic system on the right. Both systems of the PNS interact with the CNS and include sensory and motor neurons, but they use different\u00a0circuits\u00a0of nerves and ganglia.<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 1075px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-667\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Autonomic-and-Somatic-Nervous-System.png\" alt=\"Autonomic and Somatic Nervous System\" width=\"1075\" height=\"510\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.4 The two major divisions of the PNS are the autonomic and sensory nervous systems.<\/em><\/figcaption><\/figure>\n<h2>Somatic Nervous System<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3014\">somatic nervous system<\/a><\/strong>\u00a0primarily\u00a0senses\u00a0the external environment and controls voluntary activities about which decisions and commands come from the cerebral cortex of the brain. When you feel too warm, for example, you decide to turn on the air conditioner. As you walk across the room to the thermostat, you are using your somatic nervous system. In general, the somatic nervous system is responsible for all of your\u00a0<em>conscious<\/em>\u00a0perceptions of the outside world, as well as all of the voluntary motor activities you perform in response. Whether it\u2019s playing a piano, driving a car, or playing basketball, you can thank your somatic nervous system for making it possible.<\/p>\n<p>Somatic sensory and motor information is transmitted through\u00a012 pairs of cranial nerves and 31 pairs of spinal nerves. Cranial nerves are in the head and neck and connect directly to the brain. Sensory components of cranial nerves\u00a0transmit information about\u00a0smells, tastes, light, sounds, and body position. Motor components of cranial nerves control\u00a0skeletal muscles\u00a0of the face, tongue, eyeballs, throat, head, and shoulders. Motor components of cranial nerves also control the salivary glands and swallowing. Four of the 12 cranial nerves participate in both sensory and motor functions as mixed nerves, having both sensory and motor neurons.<\/p>\n<p>Spinal nerves emanate from the spinal column between vertebrae. All of the spinal nerves are mixed nerves, containing both sensory and motor neurons. The areas of skin innervated by the 31 pairs of spinal nerves are shown in the figure\u00a0below. These include sensory nerves in the skin that sense pressure,\u00a0temperature, vibrations, and pain. Other sensory nerves are in the\u00a0muscles, and they sense stretching and tension. Spinal nerves also include motor nerves that stimulate\u00a0skeletal muscles\u00a0to contract, allowing for voluntary body movements.<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-669\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dermatoms.svg_.png\" alt=\"Nerves\" width=\"550\" height=\"778\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.5 This drawing shows the areas of the skin innervated by sensory spinal nerves of the somatic nervous system. The left half of the figure shows the nerves in the front of the body, and the right half shows the nerves in the back of the body. The area that each spinal nerve innervates is shown in a different colour.<\/em><\/figcaption><\/figure>\n<h2>Autonomic Nervous System<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2533\">autonomic nervous system<\/a><\/strong>\u00a0primarily\u00a0senses\u00a0the internal environment and controls involuntary activities. It is responsible for monitoring conditions in the internal environment and bringing about appropriate changes in them. In general, the\u00a0autonomic\u00a0nervous system is responsible for all the activities that go on inside your body\u00a0<em>without<\/em>\u00a0your conscious awareness or voluntary participation.<\/p>\n<p>Structurally, the autonomic nervous system consists of sensory and motor nerves that run between the CNS (especially the hypothalamus in the brain), internal organs (such as the\u00a0heart, lungs, and digestive organs), and glands (such as the\u00a0pancreas\u00a0and sweat glands). <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3030\">Sensory neurons<\/a> in the autonomic system detect internal body conditions and send messages to the brain. Motor nerves in the autonomic system affect appropriate responses by controlling contractions of smooth or cardiac muscle, or glandular tissue. For example, when sensory nerves of the autonomic system detect a rise in body\u00a0temperature, motor nerves signal smooth muscles in\u00a0blood vessels\u00a0near the body surface to undergo vasodilation, and the sweat glands in the skin to secrete more sweat to cool the body.<\/p>\n<p>The autonomic nervous system, in turn, has three subdivisions: the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3015\">sympathetic division<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3016\">parasympathetic division<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2650\">enteric division<\/a>. The first two subdivisions of the autonomic system are summarized in the figure\u00a0below. Both affect the same organs and glands, but they generally do so in opposite ways.<\/p>\n<ul>\n<li>The\u00a0<strong>sympathetic division<\/strong>\u00a0controls the fight-or-flight response. Changes occur in organs and glands throughout the body that prepare the body to fight or flee in response to a perceived danger. For example, the\u00a0heart\u00a0rate speeds up, air passages in the lungs become wider, more\u00a0blood\u00a0flows to the\u00a0skeletal muscles, and the\u00a0digestive system temporarily shuts down.<\/li>\n<li>The\u00a0<strong>parasympathetic division<\/strong>\u00a0returns the body to normal after the fight-or-flight response has occurred. For example, it slows down the\u00a0heart\u00a0rate, narrows air passages in the lungs, reduces\u00a0blood\u00a0flow to the skeletal muscles, and stimulates the\u00a0digestive system\u00a0to start working again. The parasympathetic division also maintains internal\u00a0homeostasis\u00a0of the body at other times.<\/li>\n<li>The\u00a0<strong>enteric division<\/strong> is made up of nerve fibres that supply the organs of the digestive system. This division allows for the local control of many digestive functions.<\/li>\n<\/ul>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 597px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-671\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Autonomic_Nervous_System.jpg\" alt=\"The autonomic nervous system\" width=\"597\" height=\"598\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.6 This diagram summarizes the structures and functions controlled by the parasympathetic and sympathetic divisions of the autonomic nervous system.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Disorders of the Peripheral Nervous System<\/span><\/p>\n<p>Unlike the CNS \u2014 which is protected by\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2552\">bone<\/a>s, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2929\">meninges<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2589\">cerebrospinal fluid<\/a> \u2014 the PNS has no such protections. The PNS also has no blood-brain barrier to protect it from toxins and pathogens in the\u00a0blood. Therefore, the PNS is more subject to injury and disease than is the CNS. Causes of nerve injury include\u00a0<a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/diabetes\/symptoms-causes\/syc-20371444\">diabetes<\/a>,\u00a0infectious diseases\u00a0(such as <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/shingles\/symptoms-causes\/syc-20353054\">shingles<\/a>), and poisoning by toxins (such as heavy metals). PNS disorders often have symptoms\u00a0like\u00a0loss of feeling, tingling, burning sensations, or muscle weakness. If a traumatic injury results in a nerve being transected (cut all the way through), it may regenerate, but this is a very slow process and may take many months.<\/p>\n<p>Two other diseases of the PNS are Guillain-Barre syndrome and Charcot-Marie-Tooth disease.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/guillain-barre-syndrome\/symptoms-causes\/syc-20362793\">Guillain-Barre syndrome<\/a> is a rare disease in which the immune system attacks nerves of the PNS, leading to muscle weakness and even paralysis. The exact cause of Guillain-Barre syndrome is unknown, but it often occurs after a viral or bacterial infection. There is no known cure for the syndrome, but most people eventually make a full recovery. Recovery can be slow, however, lasting anywhere from several weeks to several years.<\/li>\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/charcot-marie-tooth-disease\/symptoms-causes\/syc-20350517\">Charcot-Marie-Tooth disease<\/a> is a hereditary disorder of the nerves, and one of the most common inherited neurological disorders. It affects predominantly the nerves in the feet and legs,\u00a0and often\u00a0in the hands and arms, as well. The disease is characterized by loss of muscle tissue and sense of touch. It is presently incurable.<\/li>\n<\/ul>\n<div>\n<h1>Feature: My\u00a0Human Body<\/h1>\n<\/div>\n<p>The autonomic nervous system is considered to be involuntary because it doesn't require conscious input. However, it\u00a0<em>is<\/em>\u00a0possible to exert some voluntary control over it. People who practice yoga or other so-called mind-body techniques, for example,\u00a0can\u00a0reduce their heart rate and certain other autonomic functions. Slowing down these otherwise involuntary responses is a good way to relieve stress and reduce the wear-and-tear that stress can place on the body. Such techniques may also be useful for controlling post-traumatic stress disorder and chronic pain. Three types of integrative practices for these purposes\u00a0are\u00a0breathing exercises, body-based tension modulation exercises, and mindfulness techniques.<\/p>\n<p>Breathing exercises can help control the rapid, shallow breathing that often occurs when you are anxious or under stress. These exercises can be learned quickly, and they provide immediate feelings of relief. Specific breathing exercises include paced breath, diaphragmatic breathing, and Breathe2Relax or Chill Zone on MindShift\u2122 CBT, which are downloadable breathing practice mobile applications, or \"Apps\". Try syncing your breathing with Eric Klassen's \"Triangle breathing, 1 minute\" video:<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=u9Q8D6n-3qw<\/p>\n<p style=\"text-align: center\">Triangle breathing, 1 minute, Erin Klassen, 2015.<\/p>\n<p>Body-based tension modulation exercises include yoga postures (also known as \u201casanas\u201d) and tension manipulation exercises. The latter include the Trauma\/Tension Release\u00a0Exercise\u00a0(TRE) and the Trauma Resiliency Model (TRM). Watch this video for a brief \u2014 but informative \u2014 introduction to the TRE program:<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=67R974D8swM&amp;feature=youtu.be<\/p>\n<p style=\"text-align: center\">TRE\u00ae : Tension and Trauma Releasing Exercises, an Introduction with Jessica Schaffer, Jessica Schaffer Nervous System RESET, 2015.<\/p>\n<p>Mindfulness techniques have been shown to reduce symptoms of depression, as well as those of anxiety and stress. They have also been shown to be useful for pain management and performance enhancement. Specific mindfulness programs include Mindfulness Based Stress Reduction (MBSR) and Mindfulness Mind-Fitness Training (MMFT). You can learn more about MBSR by watching the video below.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=0TA7P-iCCcY&amp;feature=youtu.be<\/p>\n<p style=\"text-align: center\">Mindfulness-Based Stress Reduction (UMass Medical School, Center for Mindfulness), Palouse Mindfulness, 2017.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">8.6 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3009\">peripheral nervous system<\/a> (PNS) consists of all the nervous tissue that lies outside the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2579\">central nervous system<\/a> (CNS). Its main function is to connect the CNS to the rest of the organism.<\/li>\n<li>The PNS is made up of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3011\">nerves<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2699\">ganglia<\/a>. Nerves are bundles of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2535\">axons<\/a>, and ganglia are groups of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2576\">cell bodies<\/a>. Nerves are classified as sensory, motor, or a mix of the two.<\/li>\n<li>The PNS is divided into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3014\">somatic<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2533\">autonomic nervous systems<\/a>. The somatic system controls <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3004\">voluntary<\/a> activities, whereas the autonomic system controls <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3005\">involuntary<\/a> activities.<\/li>\n<li>The autonomic nervous system is further divided into <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3015\">sympathetic<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3016\">parasympathetic<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2650\">enteric divisions<\/a>. The sympathetic division controls <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2682\">fight-or-flight responses<\/a>\u00a0during emergencies, the parasympathetic system controls routine body functions the rest of the time, and the enteric division provides local control over the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2628\">digestive system<\/a>.<\/li>\n<li>The PNS is not as well protected physically or chemically as the CNS, so it is more prone to injury and disease. PNS problems include injury from\u00a0diabetes, shingles, and heavy metal poisoning. Two disorders of the PNS are Guillain-Barre syndrome and Charcot-Marie-Tooth disease.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">8.6 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Describe the general structure of the peripheral nervous system. State its primary function.<\/li>\n<li>What are ganglia?<\/li>\n<li>Identify three types of nerves based on the direction in which they carry\u00a0nerve impulses.<\/li>\n<li>Outline all of the divisions of the peripheral nervous system.<\/li>\n<li>Compare and contrast the somatic and autonomic nervous systems.<\/li>\n<li>When and how does the sympathetic division of the autonomic nervous system affect the body?<\/li>\n<li>What is the function of the parasympathetic division of the autonomic nervous system?\u00a0Specifically, how does it affect the body?<\/li>\n<li>Name and describe two peripheral nervous system disorders.<\/li>\n<li>Give one example of how the CNS interacts with the PNS to control a function in the body.<\/li>\n<li>For each of the following types of information, identify whether the neuron carrying it is sensory or motor, and whether it is most likely in the somatic or autonomic nervous system:\n<ol type=\"a\">\n<li>Visual information<\/li>\n<li>Blood pressure information<\/li>\n<li>Information that causes muscle contraction in digestive organs after eating<\/li>\n<li>Information that causes muscle contraction in skeletal muscles based on the person\u2019s decision to make a movement<\/li>\n<\/ol>\n<\/li>\n<li>\n<div id=\"h5p-142\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-142\" class=\"h5p-iframe\" data-content-id=\"142\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"8.6 Peripheral Nervous System\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\" style=\"text-align: left\"><span style=\"color: #ffffff\">8.6 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=ySIDMU2cy0Y&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Phantom Limbs Explained, Plethrons, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?time_continue=1&amp;v=73yo5nJne6c&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Why Do Hot Peppers Cause Pain? Reactions, 2015.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 8.6.1<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/pjmixer\/4460758776\" rel=\"cc:attributionURL\">Kid\u2019s piant duet<\/a> by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/pjmixer\/\" rel=\"dc:creator\">PJMixer<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/\" rel=\"license\">CC BY-NC-ND 2.0<\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/) license.<\/p>\n<p><strong>Figure 8.6.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Nervous_system_diagram.png\" rel=\"cc:attributionURL\">Nervous_system_diagram<\/a> by <a class=\"extiw\" title=\"en:User:Persian Poet Gal\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Persian_Poet_Gal\"><span style=\"font-family: comic sans ms\"><span style=\"color: purple\">\u00a4~Persian Poet Gal<\/span><\/span><\/a>\u00a0 on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\"><br \/>\nFigure 8.6.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Afferent_and_efferent_neurons_en.svg\" rel=\"cc:attributionURL\">Afferent_and_efferent_neurons_en.svg<\/a> by <a title=\"User:Helixitta\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Helixitta\">Helixitta<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0 <\/a>\u00a0 (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 8.6.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Autonomic_and_Somatic_Nervous_System.png\" rel=\"cc:attributionURL\">Autonomic and Somatic Nervous System<\/a> by <a title=\"User:Christinelmiller\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Christinelmiller\">Christinelmiller<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 8.6.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Dermatoms.svg\" rel=\"cc:attributionURL\">Dermatoms.svg<\/a> by Ralf Stephan (mailto:ralf@ark.in-berlin.de) on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 8.6.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:The_Autonomic_Nervous_System.jpg\" rel=\"cc:attributionURL\">The_Autonomic_Nervous_System<\/a> by <a title=\"User:Geo-Science-International\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Geo-Science-International\">Geo-Science-International<\/a> on Wikimedia Commons is used and adapted by Christine Miller under a\u00a0<a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal<br \/>\nPublic Domain Dedication license (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/).<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Erin Klassen. (2015, December 15). Triangle breathing, 1 minute. YouTube. https:\/\/www.youtube.com\/watch?v=u9Q8D6n-3qw&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Jessica Schaffer Nervous System RESET. (2015, January 15). TRE\u00ae : Tension and trauma releasing exercises, an Introduction with Jessica Schaffer. YouTube. https:\/\/www.youtube.com\/watch?v=67R974D8swM&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Charcot-Marie-Tooth disease [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/charcot-marie-tooth-disease\/symptoms-causes\/syc-20350517<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Diabetes [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/diabetes\/symptoms-causes\/syc-20371444<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Guillain-Barre syndrome [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/guillain-barre-syndrome\/symptoms-causes\/syc-20362793<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Shingles [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/shingles\/symptoms-causes\/syc-20353054<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Stroke [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/stroke\/symptoms-causes\/syc-20350113<\/p>\n<p class=\"hanging-indent\">Palouse Mindfulness. (2017, March 25).\u00a0 Mindfulness-based stress reduction (UMass Medical School, Center for Mindfulness), YouTube. https:\/\/www.youtube.com\/watch?v=0TA7P-iCCcY&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Plethrons, (2015, March 23). Phantom limbs explained. YouTube. https:\/\/www.youtube.com\/watch?v=ySIDMU2cy0Y&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Reactions. (2015, December 1). Why do hot peppers cause pain? YouTube. https:\/\/www.youtube.com\/watch?v=73yo5nJne6c&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5761\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5761\"><div tabindex=\"-1\"><p>The ability of an organism to maintain constant internal conditions despite external changes.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_2962\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_2962\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<div>\n<figure id=\"attachment_753\" aria-describedby=\"caption-attachment-753\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-753\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Breastfeeding.jpg\" alt=\"Figure 9.4.1 Breastfeeding\" width=\"333\" height=\"500\"><figcaption id=\"caption-attachment-753\" class=\"wp-caption-text\"><em>Figure 9.4.1 Mother's milk is best for infants.<\/em><\/figcaption><\/figure>\n<h1>Milk on Demand<\/h1>\n<\/div>\n<p>This adorable nursing infant (Figure 9.4.1) is part of a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2962\">positive feedback loop<\/a>. When he suckles on the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3433\">nipple<\/a>, it sends nerve impulses to his mother\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2937\">hypothalamus<\/a>. Those nerve impulses \u201ctell\u201d her <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2938\">pituitary gland<\/a> to release the hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3431\">prolactin<\/a> into her bloodstream. Prolactin travels to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3432\">mammary glands<\/a> in the breasts and stimulates milk production, which motivates the infant to keep suckling.<\/p>\n<div>\n<h1>What Is the Pituitary Gland?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2938\">pituitary gland<\/a><\/strong>\u00a0is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2648\">endocrine system<\/a>, which is the system of glands that secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2218\">hormones<\/a> into the bloodstream.\u00a0Endocrine hormones\u00a0control virtually all physiological processes. They control growth, sexual maturation,\u00a0reproduction, body\u00a0temperature,\u00a0blood pressure, and metabolism. The pituitary gland is considered the master gland of the endocrine system, because it controls the rest of the endocrine system. Many pituitary hormones either promote or inhibit\u00a0hormone\u00a0secretion by other\u00a0endocrine glands.<\/p>\n<div>\n<h1>Structure and Function of the Pituitary Gland<\/h1>\n<\/div>\n<p>The pituitary gland is about the size of a pea. It protrudes from the bottom of the hypothalamus at the base of the inner brain (see Figure 9.4.2). The pituitary is connected to the hypothalamus by a thin stalk (called the infundibulum). Blood vessels and nerves in the stalk allow direct connections between the hypothalamus and pituitary gland.<\/p>\n<figure id=\"attachment_755\" aria-describedby=\"caption-attachment-755\" style=\"width: 759px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-755\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Hypothalamus-Pituitary_Complex.jpg\" alt=\"Hypothalamus and Pituitary Gland\" width=\"759\" height=\"441\"><figcaption id=\"caption-attachment-755\" class=\"wp-caption-text\"><em>Figure 9.4.2 The pituitary gland in the endocrine system is closely connected to the hypothalamus in the brain. Both anterior and posterior lobes of the pituitary gland are directly connected to the hypothalamus by capillaries (anterior lobe) and nerve axons (posterior lobe).<\/em><\/figcaption><\/figure>\n<h2>Anterior Lobe<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2518\">anterior pituitary<\/a><\/strong> is the lobe is at the front of the pituitary gland. It synthesizes and releases hormones into the blood. Table 9.4.1 shows some of the endocrine hormones released by the anterior pituitary, including their targets and effects.<\/p>\n<p><strong>Table 9.4.1<\/strong><\/p>\n<p><em>Endocrine Hormones Released by the Anterior Pituitary, and Their Targets and Effects.<\/em><\/p>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 77.5925%;height: 337px\" border=\"0\">\n<tbody>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\"><strong>Anterior Pituitary Hormone<\/strong><\/td>\n<td style=\"width: 33.3333%;height: 14px\"><strong>Target<\/strong><\/td>\n<td style=\"width: 33.3333%;height: 14px\"><strong>Effect<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Adrenocorticotropic hormone (ACTH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Adrenal glands<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the cortex of each adrenal gland to secrete its hormones.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Thyroid-stimulating hormone (TSH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Thyroid gland<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the thyroid gland to secrete thyroid hormone.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Growth hormone (GH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Body cells<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates body cells to synthesize proteins and grow.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Follicle-stimulating hormone (FSH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Ovaries, testes<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the ovaries to develop mature eggs.\u00a0 stimulates the testes to produce sperm.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Luteinizing hormone (LH)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Ovaries, testes<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the ovaries and testes to secrete sex hormones; stimulates the ovaries to release eggs.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.3333%;height: 14px\">Prolactin (PRL)<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Mammary glands<\/td>\n<td style=\"width: 33.3333%;height: 14px\">Stimulates the mammary glands to produce milk.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2521\">anterior pituitary gland<\/a> is regulated mainly by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2218\">hormones<\/a> from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2937\">hypothalamus<\/a>. The hypothalamus secretes hormones (called releasing hormones and inhibiting hormones) that travel through capillaries directly to the anterior lobe of the pituitary gland. The hormones stimulate the anterior pituitary to either release or stop releasing particular pituitary hormones. Several of these hypothalamic hormones and their effects on the anterior pituitary are shown in the table below.<\/p>\n<p><strong>Table 9.4.2 <\/strong><\/p>\n<p><em>Hypothalamic Hormones and Their Effects on the Anterior Pituitary<\/em><\/p>\n<table class=\"grid\" style=\"width: 77.5925%;height: 236px\">\n<tbody>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\"><strong>Hypothalamic Hormone<\/strong><\/td>\n<td style=\"width: 784.375px;height: 14px\"><strong>Effect on Anterior Pituitary<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Thyrotropin releasing hormone (TRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of thyroid stimulating hormone (TSH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Corticotropin releasing hormone (CRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of adrenocorticotropic hormone (ACTH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Gonadotropin releasing hormone (GnRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Growth hormone releasing hormone (GHRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of growth hormone (GH)<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Growth hormone inhibiting hormone (GHIH) (Somatostatin)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Stopping of growth hormone release<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Prolactin releasing hormone (PRH)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Release of prolactin<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 258.375px;height: 14px\">Prolactin inhibiting hormone (PIH) (Dopamine)<\/td>\n<td style=\"width: 784.375px;height: 14px\">Stopping of prolactin release<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Posterior Lobe<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3447\">posterior pituitary<\/a><\/strong> is the lobe is at the back of the pituitary gland. This lobe does not synthesize any hormones. Instead, the posterior lobe stores hormones that come from the hypothalamus along the axons of nerves connecting the two structures (also shown in Figure 9.4.2). The posterior pituitary then secretes the hormones into the bloodstream as needed. Hypothalamic hormones secreted by the posterior pituitary include vasopressin and oxytocin.<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3448\">Vasopressin<\/a><\/strong>\u00a0(also called antidiuretic hormone, or ADH) helps maintain\u00a0homeostasis\u00a0in body\u00a0water. It stimulates the\u00a0kidneys\u00a0to conserve water by producing more concentrated urine. Specifically, vasopressin targets ducts in the kidneys and makes them more permeable to water. This allows more water to be resorbed by the body, rather than excreted in urine.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3093\">Oxytocin<\/a><\/strong>\u00a0(OXY) targets\u00a0cells\u00a0in the uterus to stimulate uterine contractions, as in childbirth. It also targets cells in the breasts of a nursing mother to stimulate the letdown of milk.<\/li>\n<\/ul>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.4 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2938\">pituitary gland<\/a> is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2648\">endocrine system<\/a>, because most of its <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2218\">hormones<\/a> control other\u00a0endocrine glands.<\/li>\n<li>The pituitary gland is at the\u00a0base\u00a0of the brain, where it is connected to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2937\">hypothalamus<\/a> by nerves and capillaries. It has an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2521\">anterior<\/a> (front) lobe that synthesizes and secretes pituitary hormones and a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3401\">posterior<\/a> (back) lobe that stores and secretes hormones from the hypothalamus.<\/li>\n<li>Hormones synthesized and secreted by the anterior pituitary include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3415\">growth hormone<\/a>, which stimulates cell growth throughout the body, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3429\">thyroid stimulating hormone<\/a> (TSH), which stimulates the thyroid gland to secrete its hormones.<\/li>\n<li>Hypothalamic hormones stored and secreted by the posterior pituitary gland include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3448\">vasopressin<\/a>, which helps maintain homeostasis in body water, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3093\">oxytocin<\/a>, which stimulates uterine contractions during birth, as well as the letdown of milk during lactation.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-157\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-157\" class=\"h5p-iframe\" data-content-id=\"157\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.4 Vocab\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>\n<div id=\"h5p-158\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-158\" class=\"h5p-iframe\" data-content-id=\"158\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.4 Review Questions\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain why the pituitary gland is called the master gland of the endocrine system.<\/li>\n<li>Compare and contrast the two lobes of the pituitary gland and their general functions.<\/li>\n<li>Identify two hormones released by the anterior pituitary, their targets, and their effects.<\/li>\n<li>Explain how the hypothalamus influences the output of hormones by the anterior lobe of the pituitary gland.<\/li>\n<li>Name and give the function of two hypothalamic hormones released by the posterior pituitary gland.<\/li>\n<li>Answer the following questions about prolactin releasing hormone (PRH) and prolactin inhibiting hormone (PIH).\n<ol type=\"a\">\n<li>Where are these hormones produced?<\/li>\n<li>Where are their target\u00a0cells located?<\/li>\n<li>What are their effects on their target cells?<\/li>\n<li>What are their ultimate effects on milk production? Explain your answer.<\/li>\n<li>When a baby nurses, which of these hormones is most likely released in the mother? Explain your answer.<\/li>\n<\/ol>\n<\/li>\n<li>For each of the following hormones, state whether it is synthesized in the pituitary or the hypothalamus.\n<ol type=\"a\">\n<li>gonadotropin releasing hormone\u00a0(GnRH)<\/li>\n<li>growth hormone (GH)<\/li>\n<li>oxytocin<\/li>\n<li>adrenocorticotropic hormone\u00a0(ACTH)<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=jUKQFkmBuww&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Common Pituitary Diseases, Swedish, 2012.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=v41AJGP-XmI&amp;amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Diagnosing and Treating Pituitary Tumors - California Center for Pituitary Disorders at UCSF, UCSF Neurosurgery, 2015.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 9.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Breastfeeding.jpg\" rel=\"cc:attributionURL\">Breastfeeding<\/a> by <a href=\"https:\/\/www.publicdomainpictures.net\/en\/browse-author.php?a=1&amp;fbclid=IwAR2-Y2yR8Jl9sznSsCeJtPvpVBi-M7w3jVIsRHzBpeSv5StJ9FHd2nfALbk\">Petr Kratochvil\u00a0<\/a>\u00a0on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\">CC0 1.0<\/a> Universal<br \/>\nPublic Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en) license.<\/p>\n<p><strong>Figure 9.4.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1806_The_Hypothalamus-Pituitary_Complex.jpg\" rel=\"cc:attributionURL\">The_Hypothalamus-Pituitary_Complex<\/a> by OpenStax College on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure 17.7 Hypothalamus\u2013pituitary complex [digital image]. In <em>Anatomy and Physiology<\/em> (Section 17.3). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/17-3-the-pituitary-gland-and-hypothalamus<\/p>\n<p class=\"hanging-indent\">Swedish. (2012, April 19). Common pituitary diseases. YouTube. https:\/\/www.youtube.com\/watch?v=jUKQFkmBuww&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">UCSF Neurosurgery. (2015, May 13). Diagnosing and treating pituitary tumors - California Center for Pituitary Disorders at UCSF. YouTube. https:\/\/www.youtube.com\/watch?v=v41AJGP-XmI&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_2958\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_2958\"><div tabindex=\"-1\"><p>Image shows a diagram of Thrombocytes in their normal state and activated.<br \/>\n Thrombocytes (platelets) are typically ovoid during normal circulation, but when activated become super fibrous.  The not activated platelets look like very smooth and the activated platelets look like sea anemones- lots of little projects sticking out of their surface.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_2937\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_2937\"><div tabindex=\"-1\"><p>Created by: CK-12\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-455\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Free_Awesome_Girl_With_Braces_Close_Up.jpg\" alt=\"\" width=\"400\" height=\"409\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.1 Brace yourself!\u00a0<\/em><\/figcaption><\/figure>\n<h1>Oh, the Agony!<\/h1>\n<p>Wearing braces can be very uncomfortable, but it is usually worth it. Braces and other orthodontic treatments can re-align the teeth and jaws to improve bite and appearance. Braces can change the position of the teeth and the shape of the jaws because the human body is malleable. Many phenotypic traits \u2014 even those that have a strong genetic basis \u2014 can be molded by the environment. Changing the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2477\">phenotype<\/a> in response to the environment is just one of several ways we respond to environmental stress.<\/p>\n<div>\n<h1>Types of Responses to Environmental Stress<\/h1>\n<\/div>\n<p>There are four different types of responses that humans may make to cope with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2653\">environmental stress<\/a>:<\/p>\n<ol>\n<li>Adaptation<\/li>\n<li>Developmental adjustment<\/li>\n<li>Acclimatization<\/li>\n<li>Cultural responses<\/li>\n<\/ol>\n<p>The first three types of responses are biological in nature, and the fourth type is cultural. Only adaptation involves genetic change and occurs at the level of the population or species. The other three responses do not require genetic change, and they occur at the individual level.<\/p>\n<div>\n<h1>Adaptation<\/h1>\n<\/div>\n<p>An\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2486\">adaptation<\/a><\/strong>\u00a0is a genetically-based trait that has evolved because it helps living things survive and reproduce in a given environment. Adaptations generally evolve in a population over many generations in response to stresses that last for a long period of time. Adaptations come about through <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2633\">natural selection<\/a>. Those individuals who inherit a trait that confers an advantage in coping with an environmental stress are likely to live longer and reproduce more. As a result, more of their genes pass on to the next generation. Over many generations, the genes and the trait they control become more frequent in the population.<\/p>\n<h2>A Classic Example: Hemoglobin S and Malaria<\/h2>\n<p>Probably the most frequently-cited example of a genetic adaptation to an environmental stress is sickle cell trait. As you read in the previous section, people with sickle cell trait have one abnormal allele (S) and one normal allele (A) for hemoglobin, the red blood cell protein that carries oxygen in the blood. Sickle cell trait is an adaptation to the environmental stress of malaria, because people with the trait have resistance to this parasitic disease. In areas where malaria is endemic (present year-round), the sickle cell trait and its <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_1942\">allele<\/a> have evolved to relatively high frequencies. \u00a0It is a classic example of natural selection favoring <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2474\">heterozygotes<\/a> for a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2035\">gene<\/a> with two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_1942\">alleles<\/a>. This type of selection keeps both alleles at relatively high frequencies in a population.<\/p>\n<h2>To Taste or Not to Taste<\/h2>\n<p>Another example of an adaptation in humans is the ability to taste bitter compounds. Plants produce a variety of toxic compounds in order to protect themselves from being eaten, and these toxic compounds often have a bitter taste. The ability to taste bitter compounds is thought to have evolved as an adaptation, because it prevented people from eating poisonous plants. Humans have many different genes that code for bitter taste receptors, allowing us to taste a wide variety of bitter compounds.<\/p>\n<p>A harmless bitter compound\u00a0called\u00a0<strong>phenylthiocarbamide (PTC)<\/strong>\u00a0is not found naturally in plants, but it is similar to toxic bitter compounds that\u00a0<em>are<\/em> found in plants. Humans' ability to taste this harmless substance has been tested in many different populations. In virtually every population studied, there are some people who can taste PTC (called tasters), and some people who cannot taste PTC, (called nontasters). The ratio of tasters to non-tasters varies among populations, but on average, 75 per cent of people can taste PTC and 25 per cent cannot.<\/p>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 272px\" class=\"wp-caption alignright\"><img class=\" wp-image-456\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Tongue.jpg\" alt=\"Tongue\" width=\"272\" height=\"288\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.2 The tiny red dots on the surface of the tongue consist of clumps of taste buds that contain receptor proteins for certain chemicals. We can taste those chemicals that bind strongly with any of the receptors.<\/em><\/figcaption><\/figure>\n<p>Like many scientific discoveries, human variation in PTC-taster status was discovered by chance. Around 1930, a chemist named Arthur Fox was working with powdered PTC in his lab. Some of the powder accidentally blew into the air. Another lab worker noticed that the powdered PTC tasted bitter, but Fox couldn't detect any taste at all. Fox wondered\u00a0how to explain\u00a0this difference in PTC-tasting ability. Geneticists soon determined that PTC-taster status is controlled by a single <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2035\">gene<\/a> with two common alleles, usually represented by the letters\u00a0<em>T<\/em>\u00a0and\u00a0<em>t<\/em>. The\u00a0<em>T<\/em> allele encodes a chemical receptor protein (found in taste buds on the tongue, as illustrated in Figure 6.4.2) that can strongly bind to PTC. The other allele, <em>t<\/em>, encodes a version of the receptor protein that cannot bind as strongly to PTC. The particular combination of these two alleles that a person inherits determines whether the person finds PTC to taste very bitter (<em>TT<\/em>), somewhat bitter\u00a0<em>(Tt),<\/em>\u00a0or not bitter at all\u00a0<em>(tt).<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>If the ability to taste bitter compounds is advantageous, why does every human population studied contain a significant percentage of people who are nontasters?\u00a0Why has the nontasting allele been preserved in human populations at all? Some scientists hypothesize that the nontaster allele actually confers the ability to taste some other, yet-to-be identified, bitter compound in plants. People who inherit both alleles would presumably be able to taste a wider range of bitter compounds, so they would have the greatest ability to avoid plant toxins. In other words, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2474\">heterozygote<\/a> <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2715\">genotype<\/a> for the taster gene would be the most fit and favored by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2633\">natural selection<\/a>.<\/p>\n<p>Most people no longer have to worry whether the plants they eat contain toxins. The produce you grow in your garden or buy at the supermarket consists of known varieties that are safe to eat. However, natural selection may still be at work in human populations for the PTC-taster gene, because PTC tasters may be more sensitive than nontasters to bitter compounds in tobacco and vegetables in the cabbage family (that is, cruciferous vegetables, such as the broccoli, cauliflower, and cabbage pictured in Figure 6.4.3).<\/p>\n<ul>\n<li>People who find PTC to taste very bitter are less likely to smoke tobacco, presumably because tobacco smoke has a stronger bitter taste to these individuals. In this case, selection would favor taster genotypes, because tasters would be more likely to avoid smoking and its serious health risks.<\/li>\n<li>Strong tasters find cruciferous vegetables to taste bitter. As a result, they may avoid eating these vegetables (and perhaps other foods, as well), presumably resulting in a diet that is less varied and nutritious. In this scenario, natural selection\u00a0might\u00a0work against taster genotypes.<\/li>\n<\/ul>\n<p><span style=\"text-align: initial;font-size: 1em\"><\/p>\n<div id=\"h5p-86\">\n<div class=\"h5p-content\" data-content-id=\"86\"><\/div>\n<\/div>\n<p><\/span><\/p>\n<p><em>Figure 6.4.3 Cruciferous vegetables.<\/em><\/p>\n<div>\n<h1>Developmental Adjustment<\/h1>\n<\/div>\n<p>It takes a relatively long time for genetic change in response to environmental stress to produce a population with adaptations. Fortunately, we can adjust to some environmental stresses more quickly by changing in nongenetic ways. One type of nongenetic response to stress is\u00a0<strong>developmental adjustment.<\/strong>\u00a0This refers to phenotypic change that occurs during development in infancy or childhood, and that may persist into adulthood. This type of change may be irreversible by adulthood.<\/p>\n<h2>Phenotypic Plasticity<\/h2>\n<p>Developmental adjustment is possible because humans have a high degree of\u00a0<strong>phenotypic plasticity,<\/strong>\u00a0which is\u00a0the ability to alter\u00a0the<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2477\"> phenotype<\/a> in response to changes in the environment. Phenotypic plasticity allows us to respond to changes that occur within our lifetime, and it is particularly important for species\u00a0(like our own)\u00a0that have a long generation time. With long generations, evolution of genetic adaptations may occur too slowly to keep up with changing environmental stresses.<\/p>\n<h2>Developmental Adjustment and Cultural Practices<\/h2>\n<p>Developmental adjustment may be the result of naturally occurring environmental stresses or cultural practices, including medical or dental treatments. Like our example at the beginning of this section, using braces to change the shape of the jaw and the position of the teeth is an example of a dental practice that brings about a developmental adjustment. Another example of developmental adjustment is the use of a back brace to treat scoliosis (see images in <em>Figure 6.4.4<\/em>). Scoliosis is an abnormal curvature from side to side in the spine. If the problem is not too severe, a brace, if worn correctly, should prevent the curvature from worsening as a child grows, although it cannot straighten a curve that is already present. Surgery may be required to do that.<\/p>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 651px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-457\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Scoliosis_patient_in_cheneau_brace_correcting_from_56_to_27_deg.png\" alt=\"\" width=\"651\" height=\"342\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.4 Scoliosis can be prevented from worsening by shaping the phenotype with a back brace.<\/em><\/figcaption><\/figure>\n<h2>Developmental Adjustment and Nutritional Stress<\/h2>\n<p>An important example of developmental adjustment that results from a naturally occurring environmental stress is the cessation of physical growth that occurs in children who are under nutritional stress. Children who lack adequate food to fuel both growth and basic metabolic processes are likely to slow down in their growth rate \u2014 or even to stop growing entirely. Shunting all available calories and nutrients into essential life functions may keep the child alive at the expense of increasing body size.<\/p>\n<p>Table 6.4.1 shows the effects of inadequate diet on children's' growth in several countries worldwide. For each country, the table gives the prevalence of <strong>stunting<\/strong>\u00a0in children under\u00a0the age of five. Children are considered stunted if their height is at least two standard deviations below the median height for their age in an international reference population.<\/p>\n<p><strong>Table 6.4.1<\/strong><\/p>\n<p><em>Percentage of Stunting in Young Children in Selected Countries (2011-2015)<\/em><\/p>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse;width: 53.0094%;height: 142px\" border=\"0\">\n<tbody>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 52.9369%;text-align: center\" colspan=\"2\"><strong>Percentage of Stunting in Young Children in Selected Countries (2011-2015)<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 16px\">\n<td style=\"height: 16px;width: 22.19%\"><strong>Country<\/strong><\/td>\n<td style=\"height: 16px;width: 30.7469%\"><strong>Per cent of Children Under Age 5 with Stunting<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">United States<\/td>\n<td style=\"height: 14px;width: 30.7469%\">2.1<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Turkey<\/td>\n<td style=\"height: 14px;width: 30.7469%\">9.5<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Mexico<\/td>\n<td style=\"height: 14px;width: 30.7469%\">13.6<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Thailand<\/td>\n<td style=\"height: 14px;width: 30.7469%\">16.3<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Iraq<\/td>\n<td style=\"height: 14px;width: 30.7469%\">22.6<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Philippines<\/td>\n<td style=\"height: 14px;width: 30.7469%\">33.6<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Pakistan<\/td>\n<td style=\"height: 14px;width: 30.7469%\">45.0<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Papua New Guinea<\/td>\n<td style=\"height: 14px;width: 30.7469%\">49.5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>After a growth slow-down occurs and if adequate food becomes available, a child may be able to make up the loss of growth. If food is plentiful, the child may grow more rapidly than normal until the original, genetically-determined growth trajectory is reached. If the inadequate diet persists, however, the failure of growth may become chronic, and the child may never reach his or her full potential adult size.<\/p>\n<p>Phenotypic plasticity of body size in response to dietary change has been observed in successive generations within populations. For example, children in Japan were taller, on average, in each successive generation\u00a0after\u00a0the end of World War II. Boys aged 14-15 years old in 1986 were an average of about 18 cm (7 in.) taller than boys of the same age in 1959, a generation earlier. This is a highly significant difference, and it occurred too quickly to be accounted for by genetic change. Instead, the increase in height is a developmental adjustment, thought to be largely attributable to changes in the Japanese diet since World War II. During this period, there was an increase in the amount of animal protein and fat, as well as in the total calories consumed.<\/p>\n<div>\n<h1>Acclimatization<\/h1>\n<\/div>\n<p>Other responses to environmental stress are reversible and not permanent, whether they occur in childhood or adulthood. The development of reversible changes to environmental stress is called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2483\">acclimatization<\/a>.<\/strong>\u00a0Acclimatization generally develops over a relatively short period of time.\u00a0It may take just a few days or weeks to attain a maximum response to a stress. When the stress is no longer present, the acclimatized state declines, and the body returns to its normal baseline state. Generally, the shorter the time for acclimatization to occur, the more quickly the condition is reversed when the environmental stress is removed.<\/p>\n<h2>Acclimatization to UV Light<\/h2>\n<p>A common example of acclimatization is tanning of the skin (see Figure 6.4.5). This occurs in many people in response to exposure to ultraviolet radiation from the sun. Special pigment cells in the skin, called melanocytes, produce more of the brown pigment melanin when exposed to sunlight. The melanin collects near the surface of the skin where it absorbs UV radiation so it cannot penetrate and potentially damage deeper skin structures. Tanning is a reversible change in the phenotype that helps the body deal temporarily with the environmental stress of high levels of UV radiation. When the skin is no longer exposed to the sun\u2019s rays, the tan fades, generally over a period of a few weeks or months.<\/p>\n<div id=\"h5p-87\">\n<div class=\"h5p-content\" data-content-id=\"87\"><\/div>\n<\/div>\n<p><em>Figure 6.4.5 Tanning of the skin occurs in many people in response to exposure to ultraviolet radiation from the sun.<\/em><\/p>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Acclimatization to Heat<\/span><\/p>\n<\/div>\n<p>Another common example of acclimatization occurs in response to heat. Changes that occur with heat acclimatization include increased sweat output and earlier onset of sweat production, which helps the body stay cool because evaporation of sweat takes heat from the body\u2019s surface in a process called evaporative cooling. It generally takes a couple of weeks for maximum heat acclimatization to come about by gradually working out harder and longer at high air temperatures. The changes that occur with acclimatization just as quickly subside when the body is no longer exposed to excessive heat.<\/p>\n<h2>Acclimatization to High Altitude<\/h2>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 420px\" class=\"wp-caption alignleft\"><img class=\" wp-image-458\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nepalese-base-camp-by-Mark-Horrell-on-Flickr-CC-BY-NC-SA-.jpg\" alt=\"Base camp in Nepal\" width=\"420\" height=\"315\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.6 Mountaineers must spend 4-5 days acclimatizing to high altitude before attempting to climb to the summit of Mount Everest.<\/em><\/figcaption><\/figure>\n<p>Short term acclimatization to high altitude occurs as a response to low levels of oxygen in the blood.\u00a0 This reduced level of oxygen is detected by carotid bodies, which will trigger in increase in breathing and heart rate.\u00a0 Over a period of weeks the body will compensate by increasing red blood cell production, thereby improving the oxygen-carrying capacity of the blood.\u00a0 This is why mountaineers wishing to climb to the peak of Mount Everest must complete the full climb in portions; it is recommended that climbers spend 2-3 days acclimatizing for every 600 metres of elevation increase.\u00a0 In addition, the higher to altitude, the longer it make take to acclimatize; climbers are advised to spend 4-5 days acclimatizing at base camp (whether the base camp in Nepal or China) before completing the final leg of the climb to the peak.\u00a0 The concentration of red blood cells gradually decreases to normal levels once a climber returns to their normal elevation.<\/p>\n<div>\n<h1>Cultural Responses<\/h1>\n<\/div>\n<p>More than any other species, humans respond to environmental stresses with learned behaviors and technology. These cultural responses allow us to change our environments to control stresses, rather than changing our bodies genetically or physiologically to cope with the stresses. Even archaic humans responded to some environmental stresses in this way. For example, Neanderthals used shelters, fires, and animal hides as clothing to stay warm in the cold climate in Europe during the last ice age. Today, we use more sophisticated technologies to stay warm in cold climates while retaining our essentially tropical-animal anatomy and physiology. We also use technology (such as furnaces and air conditioners) to avoid temperature stress and stay comfortable in hot or cold climates.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.4 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Humans may respond to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2653\">environmental stress <\/a>in four different ways: adaptation, developmental adjustment, acclimatization, and cultural responses.<\/li>\n<li>An adaptation is a genetically based trait that has evolved because it helps living things survive and reproduce in a given environment. Adaptations evolve by natural selection in populations over a relatively long period to time. Examples of adaptations include sickle cell trait as an adaptation to the stress of endemic malaria and the ability to taste bitter compounds as an adaptation to the stress of bitter-tasting toxins in plants.<\/li>\n<li>A developmental adjustment is a non-genetic response to stress that occurs during infancy or childhood, and that may persist into adulthood. This type of change may be irreversible. Developmental adjustment is possible because humans have a high degree of phenotypic plasticity. It may be the result of environmental stresses (such as inadequate food), which may stunt growth, or cultural practices (such as orthodontic treatments), which re-align the teeth and jaws.<\/li>\n<li>Acclimatization is the development of reversible changes to environmental stress that develop over a relatively short period of time. The changes revert to the normal baseline state after the stress is removed. Examples of acclimatization include tanning of the skin and physiological changes (such as increased sweating) that occur with heat acclimatization.<\/li>\n<li>More than any other species, humans respond to environmental stress with learned behaviors and technology, which are cultural responses. These responses allow us to change our environment to control stress, rather than changing our bodies genetically or physiologically to cope with stress. Examples include using shelter, fire, and clothing to cope with a cold climate.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>List four different types of responses that humans may make to cope with environmental stress.<\/li>\n<li>Define adaptation.<\/li>\n<li>\n<div id=\"h5p-88\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-88\" class=\"h5p-iframe\" data-content-id=\"88\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Human Responses to Environmental Stress\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain how natural selection may have resulted in most human populations having people who can and people who cannot taste PTC.<\/li>\n<li>What is a developmental adjustment?<\/li>\n<li>Define phenotypic plasticity.<\/li>\n<li>Explain why phenotypic plasticity may be particularly important in a species with a long generation time.<\/li>\n<li>Why may stunting of growth occur in children who have an inadequate diet? Why is stunting preferable to the alternative?<\/li>\n<li>What is acclimatization?<\/li>\n<li>How does acclimatization to heat come about, and what are two physiological changes that occur in heat acclimatization?<\/li>\n<li>Give an example of a cultural response to heat stress.<\/li>\n<li>Which is more likely to be reversible \u2014 a change due to acclimatization, or a change due to developmental adjustment? Explain your answer.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=upp9-w6GPhU<\/p>\n<p style=\"text-align: center\">Could we survive prolonged space travel? - Lisa Nip, TED-Ed, 2016.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=hRnrIpUMyZQ&amp;t=182s<\/p>\n<p style=\"text-align: center\">How this disease changes the shape of your cells - Amber M. Yates, TED-Ed, 2019.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 6.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Free_Awesome_Girl_With_Braces_Close_Up.jpg\" rel=\"cc:attributionURL\">Free_Awesome_Girl_With_Braces_Close_Up<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/40645538@N00\" rel=\"nofollow\">D. Sharon Pruitt<\/a> from Hill Air Force Base, Utah, USA on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en\" rel=\"license\">CC BY 2.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en) license.<\/p>\n<p><strong>Figure 6.4.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:%D8%B2%D8%A8%D8%A7%D9%86_tongue.jpg\" rel=\"cc:attributionURL\">Tongue<\/a> by <a class=\"new\" title=\"User:Mahdiabbasinv (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Mahdiabbasinv&amp;action=edit&amp;redlink=1\">Mahdiabbasinv<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 6.4.3<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/PT-GXFtQj-s\">White cauliflower on brown wooden chopping board<\/a> by <a href=\"https:\/\/unsplash.com\/@louishansel\">Louis Hansel @shotsoflouis<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/LpHYbY6Qu_o\">Broccoli on wooden chopping board<\/a> by <a href=\"https:\/\/unsplash.com\/@louishansel\">Louis Hansel @shotsoflouis<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/knGwkn2j4ro\">Green cabbage close up<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@photoliphecjd\">Craig Dimmick<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/2Qzk3EJLNGE\">Cabbage hybrid\/ brussel sprouts<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@darkersolstice\">Solstice Hannan<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/_zV74zUnwmc\">Kale<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@lauramakoj\">Laura Johnston<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/v25z8P-CPB4\">Tiny bok choy at the Asian market<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@twoluckyspoons\">Jodie Morgan<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<\/ul>\n<p><strong>Figure 6.4.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Scoliosis_patient_in_cheneau_brace_correcting_from_56_to_27_deg.png\" rel=\"cc:attributionURL\">Scoliosis_patient_in_cheneau_brace_correcting_from_56_to_27_deg<\/a> by Weiss H.R. from <a href=\"https:\/\/scoliosisjournal.biomedcentral.com\/articles\/10.1186\/1748-7161-2-19\">Scoliosis Journal\/BioMed Central Ltd<\/a>. on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en\" rel=\"license\">CC BY 2.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 6.4.5<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/21077319@N02\/3667901661\">Tan Lines<\/a> by <a class=\"owner-name truncate\" title=\"Go to k.steudel's photostream\" href=\"https:\/\/www.flickr.com\/photos\/snaks\/\" data-track=\"attributionNameClick\">k.steudel<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/3760162521\/sizes\/l\/\">Twin tan lines (all sizes)<\/a> by <a class=\"owner-name truncate\" title=\"Go to Quinn Dombrowski's photostream\" href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/\" data-track=\"attributionNameClick\">Quinn Dombrowski<\/a>\u00a0on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/\">CC BY-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/14518898810\">Wedding ring tan line<\/a> by <a class=\"owner-name truncate\" title=\"Go to Quinn Dombrowski's photostream\" href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/\" data-track=\"attributionNameClick\">Quinn Dombrowski<\/a>\u00a0on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/\">CC BY-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/29333334@N06\/3792695572\">Tan<\/a> by <a class=\"owner-name truncate\" title=\"Go to Evil Erin's photostream\" href=\"https:\/\/www.flickr.com\/photos\/evilerin\/\" data-track=\"attributionNameClick\">Evil Erin<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/li>\n<\/ul>\n<p><strong style=\"text-align: initial;font-size: 1em\">Figure 6.4.6<\/strong><\/p>\n<p><a style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/www.flickr.com\/photos\/markhorrell\/18787430274\/in\/photostream\/\" rel=\"cc:attributionURL\">Nepalese base camp<\/a> by <a class=\"owner-name truncate\" title=\"Go to Mark Horrell's photostream\" href=\"https:\/\/www.flickr.com\/photos\/markhorrell\/\" data-track=\"attributionNameClick\">Mark Horrell<\/a><span style=\"text-align: initial;font-size: 1em\">\u00a0on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a\u00a0<\/span><a style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/\" rel=\"license\">CC BY-NC-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">TED-Ed. (2016, October 4). Could we survive prolonged space travel? - Lisa Nip. YouTube. https:\/\/www.youtube.com\/watch?v=upp9-w6GPhU&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2019, May 6). How this disease changes the shape of your cells - Amber M. Yates. YouTube. https:\/\/www.youtube.com\/watch?v=hRnrIpUMyZQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Weiss, H. (2007). Is there a body of evidence for the treatment of patients with Adolescent Idiopathic Scoliosis (AIS)? [Figure 2 - digital photograph],\u00a0 <i>Scoliosis, <\/i>2(19).\u00a0https:\/\/doi.org\/10.1186\/1748-7161-2-19<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_2938\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_2938\"><div tabindex=\"-1\"><p>Created by: CK-12\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 602px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-461\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Blood-Donation-by-USA-Department-of-Defence-Public-Domain.jpg\" alt=\"Blood donation\" width=\"602\" height=\"401\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.1 A phlebotomist draws blood from a blood donor.<\/em><\/figcaption><\/figure>\n<h1>Giving the Gift of Life<\/h1>\n<p>Did you ever donate blood? If you did, then you probably know that your blood type is an important factor in blood transfusions. People vary in the type of blood they inherit, and this determines which type(s) of blood they can safely receive in a transfusion. Do you know your blood type?<\/p>\n<div>\n<h1>What Are Blood Types?<\/h1>\n<\/div>\n<p style=\"text-align: left\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2702\">Blood<\/a> is composed of cells suspended in a liquid called plasma. There are three types of cells in blood: red blood cells, which carry oxygen; white blood cells, which fight infections and other threats; and platelets, which are cell fragments that help blood clot.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2703\">Blood type<\/a><\/strong>\u00a0(or blood group) is a genetic characteristic associated with the presence or absence of certain molecules, called antigens, on the surface of red blood cells. These molecules may help maintain the integrity of the cell membrane, act as receptors, or have other biological functions. A\u00a0<strong>blood group system<\/strong>\u00a0refers to all of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2035\">gene<\/a>(s), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_1942\">alleles<\/a>, and possible <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2715\">genotypes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2477\">phenotypes<\/a>\u00a0that exist for a particular set of blood type antigens. Human blood group systems include the well-known ABO and Rhesus (Rh) systems, as well as at least 33 others that are less well known.<\/p>\n<h2>Antigens and Antibodies<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2704\">Antigens<\/a><\/strong>\u00a0\u2014<strong>\u00a0<\/strong>such as those on the red blood cells \u2014 are molecules that the immune system identifies as either self (produced by your own body) or non-self (not produced by your own body). Blood group antigens may be proteins, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2210\">carbohydrates<\/a>, glycoproteins (proteins attached to chains of sugars), or glycolipids (lipids attached to chains of sugars), depending on the particular blood group system. If antigens are identified as non-self, the immune system responds by forming antibodies that are specific to the non-self antigens. <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2215\">Antibodies<\/a><\/strong> are large, Y-shaped proteins produced by the immune system that recognize and bind to non-self antigens. The analogy of a lock and key is often used to represent how an antibody and antigen fit together, as shown in the illustration below (Figure 6.5.2). When antibodies bind to antigens, it marks them for destruction by other immune system cells. Non-self antigens may enter your body on pathogens (such as bacteria or viruses), on foods, or on red blood cells in a blood transfusion from someone with a different blood type than your own. The last way is virtually impossible nowadays because of effective blood typing and screening protocols.<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 492px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-462\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Antibody.svg_.png\" alt=\"Antibody Lock and Key model\" width=\"492\" height=\"694\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.2 Model of antigen and matching antibody. Antibodies will detect antigens based on a match in 3-dimensional shape, as per the lock and key model.<\/em><\/figcaption><\/figure>\n<h2>Genetics of Blood Type<\/h2>\n<p>An individual\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2703\">blood type<\/a> depends on which <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_1942\">alleles<\/a> for a blood group system were inherited from their parents. Generally, blood type is controlled by alleles for a single <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2035\">gene<\/a>, or for two or more very closely linked genes. Closely linked genes are almost always inherited together, because there is little or no recombination between them. Like other genetic traits, a person\u2019s blood type is generally fixed for life, but there are rare instances in which blood type can change. This could happen, for example, if an individual receives a bone marrow transplant to treat a disease, such as leukemia. If the bone marrow comes from a donor who has a different blood type, the patient\u2019s blood type may eventually convert to the donor\u2019s blood type, because red blood cells are produced in bone marrow.<\/p>\n<div>\n<h1>ABO Blood Group System<\/h1>\n<\/div>\n<p>The\u00a0<strong>ABO blood group system<\/strong> is the best known human blood group system. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2704\">Antigens<\/a> in this system are glycoproteins. These antigens are shown in the list below. There are four common blood types for the ABO system:<\/p>\n<ol>\n<li>Type A, in which only the A antigen is present.<\/li>\n<li>Type B, in which only the B antigen is present.<\/li>\n<li>Type AB, in which both the A and B antigens are present.<\/li>\n<li>Type O, in which neither the A nor the B antigen is present.<\/li>\n<\/ol>\n<h2>Genetics of the ABO System<\/h2>\n<p>The ABO blood group system is controlled by a single<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2035\"> gene<\/a> on <a href=\"https:\/\/en.wikipedia.org\/wiki\/Chromosome_9\">chromosome 9<\/a>. There are three common <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_1942\">alleles<\/a> for the gene, often represented by the letters A , B , and O. With three alleles, there are six possible genotypes for ABO blood group. Alleles A and B, however, are both dominant to allele O and codominant to each other. This results in just four possible phenotypes (blood types) for the ABO system. These genotypes and phenotypes are shown in Table 6.5.1.<\/p>\n<p><strong>Table 6.5.1<\/strong><\/p>\n<p><em>ABO Blood Group System: Genotypes and Phenotypes<\/em><\/p>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 49.9637%\" border=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 35.8231%;text-align: center\" colspan=\"2\"><strong>ABO Blood Group System<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\"><strong>Genotype<\/strong><\/td>\n<td style=\"width: 20.8122%\"><strong>Phenotype (Blood Type, or Group)<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">AA<\/td>\n<td style=\"width: 20.8122%\">A<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">AO<\/td>\n<td style=\"width: 20.8122%\">A<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">BB<\/td>\n<td style=\"width: 20.8122%\">B<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">BO<\/td>\n<td style=\"width: 20.8122%\">B<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">OO<\/td>\n<td style=\"width: 20.8122%\">O<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">AB<\/td>\n<td style=\"width: 20.8122%\">AB<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The diagram below (Figure 6.5.3) shows an example of how ABO blood type is inherited. In this particular example, the father has blood type A (genotype AO) and the mother has blood type B (genotype BO). This mating type can produce children with each of the four possible ABO <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2477\">phenotypes<\/a>, although in any given family, not all phenotypes may be present in the children.<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 590px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-463\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ABO_system_codominance.svg_.png\" alt=\"Example of the ABO system codominance\" width=\"590\" height=\"588\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.3 Example of ABO blood group inheritance.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Medical Significance of ABO Blood Type<\/span><\/p>\n<\/div>\n<p>The ABO system is the most important blood group system in blood transfusions. If red blood cells containing a particular ABO antigen are transfused into a person who lacks that antigen, the person\u2019s immune system will recognize the antigen on the red blood cells as non-self. Antibodies specific to that antigen will attack the red blood cells, causing them to agglutinate (or clump) and break apart. If a unit of incompatible blood were to be accidentally transfused into a patient, a severe reaction (called <a href=\"https:\/\/medlineplus.gov\/ency\/article\/001303.htm\">acute hemolytic transfusion reaction<\/a>) is likely to occur, in which many red blood cells are destroyed. This may result in kidney failure, shock, and even death. Fortunately, such medical accidents virtually never occur today.<\/p>\n<p>These antibodies are often spontaneously produced in the first years of life, after exposure to common microorganisms in the environment that have antigens similar to blood antigens. Specifically, a person with type A blood will produce anti-B antibodies, while a person with type B blood will produce anti-A antibodies. A person with type AB blood does not produce either antibody, while a person with type O blood produces both anti-A and anti-B antibodies. Once the antibodies have been produced, they circulate in the plasma. The relationship between ABO red blood cell antigens and plasma antibodies is shown in Figure 6.5.4.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 1016px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-412\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ABO_blood_type.svg_.png\" alt=\"Image shows a table of each blood type, which antigens and antibodies are present, and acceptable blood donor types.\" width=\"1016\" height=\"653\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.4 The relationship between ABO red blood cell antigens and plasma antibodies.<\/em><\/figcaption><\/figure>\n<div>\n<p><em>The antibodies that circulate in the plasma are for different antigens than those on red blood cells, which are recognized as self antigens.<\/em><\/p>\n<\/div>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 273px\" class=\"wp-caption alignright\"><img class=\"wp-image-464 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blood-Donor-and-recipient-ABO-e1588625024858.png\" alt=\"Blood donors and recipients\" width=\"273\" height=\"272\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.5 You can always donate blood to someone who has the same blood type as yours, but you may or may not be able to donate to people who have other blood types, as indicated in this diagram.<\/em><\/figcaption><\/figure>\n<p>Which blood types are compatible and which are not? Type O blood contains both anti-A and anti-B antibodies, so people with type O blood can only receive type O blood. However, they can\u00a0<em>donate<\/em>\u00a0blood to people of\u00a0<em>any<\/em>\u00a0ABO blood type, which is why individuals with type O blood are called\u00a0<strong>universal donors.<\/strong>\u00a0Type AB blood contains neither anti-A nor anti-B antibodies, so people with type AB blood can receive blood from people of any ABO blood type. That\u2019s why individuals with type AB blood are called\u00a0<strong>universal recipients.<\/strong>\u00a0They can donate blood, however,\u00a0<em>only<\/em> to people who also have type AB blood. These and other relationships between blood types of donors and recipients are summarized in the simple diagram to the right.<\/p>\n<h3>Geographic Distribution of ABO Blood Groups<\/h3>\n<p>The frequencies of blood groups for the ABO system vary around the world. You can see how the A and B alleles and the blood group O are distributed geographically on the maps in Figure 6.5.6.<\/p>\n<ul>\n<li>Worldwide, B is the rarest ABO allele, so type B blood is the least common ABO blood type. Only about 16 per cent of all people have the B allele. Its highest frequency is in Asia. Its lowest frequency is among the indigenous people of Australia and the Americas.<\/li>\n<li>The A allele is somewhat more common around the world than the B allele, so type A blood is also more common than type B blood. The highest frequencies of the A allele are in Australian Aborigines, the Lapps (Sami) of Northern Scandinavia, and Blackfoot Native Americans in North America. The allele is nearly absent among Native Americans in Central and South America.<\/li>\n<li>The O allele is the most common ABO allele around the world, and type O blood is the most common ABO blood type. Almost two-thirds of people have at least one copy of the O allele. It is especially common in Native Americans in Central and South America, where it reaches frequencies close to 100 per cent. It also has relatively high frequencies in Australian Aborigines and Western Europeans. Its frequencies are lowest in Eastern Europe and Central Asia.<\/li>\n<\/ul>\n<div>\n<div id=\"h5p-89\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-89\" class=\"h5p-iframe\" data-content-id=\"89\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Global Distribution or Blood Groups\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 6.5.6 Maps of populations that have the A, B and O alleles.\u00a0<\/em><\/p>\n<\/div>\n<h2>Evolution of the ABO Blood Group System<\/h2>\n<p>The geographic distribution of ABO blood type alleles provides indirect evidence for the evolutionary history of these alleles. Evolutionary biologists hypothesize that the allele for blood type A evolved first, followed by the allele for blood type O, and then by the allele for blood type B. This chronology accounts for the percentages of people worldwide with each blood group, and is also consistent with known patterns of early population movements.<\/p>\n<p>The evolutionary forces of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2686\">founder effect<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2710\">genetic drift<\/a> have no doubt played a significant role in the current distribution of ABO blood types worldwide. Geographic variation in ABO blood groups is also likely to be influenced by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2633\">natural selection<\/a>, because different blood types are thought to vary in their susceptibility to certain diseases. For example:<\/p>\n<ul>\n<li>People with type O blood may be more susceptible to cholera and plague. They are also more likely to develop gastrointestinal ulcers.<\/li>\n<li>People with type A blood may be more susceptible to smallpox and more likely to develop certain cancers.<\/li>\n<li>People with types A, B, and AB blood appear to be less likely to form blood clots that can cause strokes. However, early in our history, the ability of blood to form clots \u2014 which appears greater in people with type O blood \u2014 may have been a survival advantage.<\/li>\n<li>Perhaps the greatest natural selective force associated with ABO blood types is malaria. There is considerable evidence to suggest that people with type O blood are somewhat resistant to malaria, giving them a selective advantage where malaria is endemic.<\/li>\n<\/ul>\n<div>\n<h1>Rhesus Blood Group System<\/h1>\n<\/div>\n<p>Another well-known blood group system is the\u00a0<strong>Rhesus (Rh) blood group system<\/strong>. The Rhesus system has dozens of different antigens, but only five main antigens (called\u00a0D, C, c, E, and e). The major Rhesus antigen is the D antigen. People with the D antigen are called Rh positive (Rh+), and people who lack the D antigen are called Rh negative (Rh-). Rhesus antigens are thought to play a role in transporting ions across cell membranes by acting as channel proteins.<\/p>\n<p>The Rhesus blood group system is controlled by two linked genes on <a href=\"https:\/\/en.wikipedia.org\/wiki\/Chromosome_1\">chromosome 1<\/a>. One gene, called RHD, produces a single antigen, antigen D. The other gene, called RHCE, produces the other four relatively common Rhesus antigens (C, c, E, and e), depending on which alleles for this gene are inherited.<\/p>\n<h2>Rhesus Blood Group and Transfusions<\/h2>\n<p>After the ABO system, the Rhesus system is the second most important blood group system in blood transfusions. The D antigen is the one most likely to provoke an immune response in people who lack the antigen. People who have the D antigen (Rh+) can be safely transfused with either Rh+ or Rh- blood, whereas people who lack the D antigen (Rh-) can be safely transfused only with Rh- blood.<\/p>\n<p>Unlike anti-A and anti-B antibodies to ABO antigens, anti-D antibodies for the Rhesus system are not usually produced by sensitization to environmental substances.\u00a0People who lack the D antigen (Rh-), however, may produce anti-D antibodies if exposed to Rh+ blood. This may happen accidentally in a blood transfusion, although this is extremely unlikely today. It may also happen during pregnancy with an Rh+ fetus if some of the fetal blood cells pass into the mother\u2019s blood circulation.<\/p>\n<h2>Hemolytic Disease of the Newborn<\/h2>\n<p>If a woman who is Rh- is carrying an Rh+ fetus, the fetus may be at risk. This is especially likely if the mother has formed anti-D antibodies during a prior pregnancy because of a mixing of maternal and fetal blood during childbirth. Unlike antibodies against ABO antigens, antibodies against the Rhesus D antigen can cross the placenta and enter the blood of the fetus. This may cause\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK2266\/\"><strong>hemolytic disease of the newborn (HDN)<\/strong><\/a>, also called erythroblastosis fetalis, an illness in which fetal red blood cells are destroyed by maternal antibodies, causing <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2061\">anemia<\/a>. This illness may range from mild to severe. If it is severe, it may cause brain damage and is sometimes fatal for the fetus or newborn. Fortunately, HDN can be prevented by preventing the formation of anti-D antibodies in the Rh- mother. This is achieved\u00a0by injecting the\u00a0mother\u00a0with\u00a0a medication called Rho(D) immune globulin.<\/p>\n<h2>Geographic Distribution of Rhesus Blood Types<\/h2>\n<p>The majority of people worldwide are Rh+, but there is regional variation in this blood group system, as there is with the ABO system. The aboriginal inhabitants of the Americas and Australia originally had very close to 100 per cent Rh+ blood. The frequency of the Rh+ blood type is also very high in African populations, at about 97 to 99 per cent. In East Asia, the frequency of Rh+ is slightly lower, at about 93 to 99 per cent. Europeans have the lowest frequency of the Rh+ blood type at about 83 to 85 per cent.<\/p>\n<p>What explains the population variation in Rhesus blood types? Prior to the advent of modern medicine, Rh+ positive children conceived by Rh- women were at risk of fetal or newborn death or impairment from HDN. This\u00a0was\u00a0an enigma, because presumably, natural selection would work to\u00a0<em>remove<\/em>\u00a0the rarer phenotype (Rh-) from populations. However, the frequency of this phenotype is relatively high in many populations.<\/p>\n<p>Recent studies have found evidence that natural selection may actually favor heterozygotes for the Rhesus D antigen. The selective agent in this case is thought to be\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2718\">toxoplasmosis<\/a>,<\/strong>\u00a0a parasitic disease caused by the protozoan\u00a0<em>Toxoplasma gondii,<\/em> which is very common worldwide. You can see a life cycle diagram of the parasite in Figure 6.5.7. Infection by this parasite often causes no symptoms at all, or it may cause flu-like symptoms for a few days or weeks. Exposure to the parasite has been linked, however, to increased risk of mental disorders (such as schizophrenia), neurological disorders (such as Alzheimer\u2019s), and other neurological problems, including delayed reaction times. One study found that people who tested positive for antibodies to the parasite were more than twice as likely to be involved in traffic accidents.<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 627px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-465\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Toxoplasma_gondii_Life_cycle_PHIL_3421_lores.jpg\" alt=\"Toxoplasmosis Life Cycle\" width=\"627\" height=\"822\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.7 Toxoplasmosis (toxoplasma gondii): Infective and diagnostic stages.\u00a0<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"text-align: initial;font-size: 1em\">People who are heterozygous for the D antigen appear less likely to develop the negative neurological and mental effects of <em style=\"text-align: initial;font-size: 1em\">Toxoplasma gondii <\/em>infection<\/span><span style=\"text-align: initial;font-size: 1em\">. This could help explain why both phenotypes (Rh+ and Rh-) are maintained in most populations. There are also striking geographic differences in the prevalence of <a href=\"https:\/\/www.cdc.gov\/parasites\/toxoplasmosis\/gen_info\/faqs.html\">toxoplasmosis<\/a> worldwide, ranging from zero to 95 per cent in different regions. This could explain geographic variation in the D antigen worldwide, because its strength as a selective agent would vary with its prevalence.<\/span><\/p>\n<\/div>\n<div>\n<h1>Feature: Myth vs. Reality<\/h1>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 140px\" border=\"0\">\n<tbody>\n<tr style=\"height: 98px\">\n<td style=\"width: 33.1116%;height: 98px\">\n<h2><span style=\"color: #ff0000\">Myth<\/span><\/h2>\n<\/td>\n<td style=\"width: 66.8884%;height: 98px\">\n<h2><span style=\"color: #339966\">Reality<\/span><\/h2>\n<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.1116%;height: 14px\"><em><span style=\"font-size: 16px\">\"Your nutritional needs can be determined by your ABO blood type. Knowing your blood type allows you to choose the appropriate foods that will help you lose weight, increase your energy, and live a longer, healthier life.\"<\/span><\/em><\/td>\n<td style=\"width: 66.8884%;height: 14px\"><strong><span style=\"font-size: 16px\">This idea was proposed in 1996 in a\u00a0<\/span><em style=\"font-size: 16px\">New York Times<\/em><span style=\"font-size: 16px\">\u00a0bestseller\u00a0<\/span><em style=\"font-size: 16px\">Eat Right for Your Type<\/em><span style=\"font-size: 16px\">, by Peter D\u2019Adamo, a naturopath. Naturopathy is a method of treating disorders that involves the use of herbs, sunlight, fresh air, and other natural substances. Some medical doctors consider naturopathy a pseudoscience. A major scientific review of the blood type diet could find no evidence to support it. In one study, adults eating the diet designed for blood type A showed improved health \u2014 but this occurred in everyone, regardless of their blood type. Because the blood type diet is based solely on blood type, it fails to account for other factors that might require dietary adjustments or restrictions. For example, people with diabetes \u2014 but different blood types \u2014 would follow different diets, and one or both of the diets might conflict with standard diabetes dietary recommendations and be dangerous.<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.1116%;height: 14px\"><em><span style=\"font-size: 16px\">\"ABO blood type is associated with certain personality traits. People with blood type A, for example, are patient and responsible, but may also be stubborn and tense, whereas people with blood type B are energetic and creative, but may also be irresponsible and unforgiving. In selecting a spouse, both your own and your potential mate\u2019s blood type should be taken into account to ensure compatibility of your personalities.\"<\/span><\/em><\/td>\n<td style=\"width: 66.8884%;height: 14px\"><strong><span style=\"font-size: 16px\">The belief that blood type is correlated with personality is widely held in Japan and other East Asian countries. The idea was originally introduced in the 1920s in a study commissioned by the Japanese government, but it was later shown to have no scientific support. The idea was revived in the 1970s by a Japanese broadcaster, who wrote popular books about it. There is no scientific basis for the idea, and it is generally dismissed as pseudoscience by the scientific community. Nonetheless, it remains popular in East Asian countries, just as astrology is popular in many other countries.<\/span><\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.5 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Blood type (or blood group) is a genetic characteristic associated with the presence or absence of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2704\">antigens<\/a> on the surface of red blood cells. A blood group system refers to all of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2035\">gene<\/a>(s), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_1942\">alleles<\/a>, and possible <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2715\">genotypes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2477\">phenotype<\/a>s that exist for a particular set of blood type antigens.<\/li>\n<li>Antigens are molecules that the immune system identifies as either self or non-self. If antigens are identified as non-self, the immune system responds by forming antibodies that are specific to the non-self antigens, leading to the destruction of cells bearing the antigens.<\/li>\n<li>The ABO blood group system is a system of red blood cell antigens controlled by a single gene with three common alleles on chromosome 9. There are four possible ABO blood types: A, B, AB, and O. The ABO system is the most important blood group system in blood transfusions. People with type O blood are universal donors, and people with type AB blood are universal recipients.<\/li>\n<li>The frequencies of ABO blood type alleles and blood groups vary around the world. The allele for the B antigen is least common, and blood type O is the most common. The evolutionary forces of founder effect, genetic drift, and natural selection are responsible for the geographic distribution of ABO alleles and blood types.\u00a0People with type O blood, for example, may be somewhat resistant to malaria, possibly giving them a selective advantage where malaria is endemic.<\/li>\n<li>The Rhesus blood group system is a system of red blood cell antigens controlled by two genes with many alleles on chromosome 1. There are five common Rhesus antigens, of which antigen D is most significant. Individuals who have antigen D are called Rh+, and individuals who lack antigen D are called Rh-. Rh- mothers of Rh+ fetuses may produce antibodies against the D antigen in the fetal blood, causing hemolytic disease of the newborn (HDN).<\/li>\n<li>The majority of people worldwide are Rh+, but there is regional variation in this blood group system. This variation may be explained by natural selection that favors heterozygotes for the D antigen, because this genotype seems to be protected against some of the neurological\u00a0consequences\u00a0of the common parasitic infection toxoplasmosis.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.5 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Define blood type and blood group system.<\/li>\n<li>Explain the relationship between antigens and antibodies.<\/li>\n<li>Identify the alleles, genotypes, and phenotypes in the ABO blood group system.<\/li>\n<li>Discuss the medical significance of the ABO blood group system.<\/li>\n<li>Compare the relative worldwide frequencies of the three ABO alleles.<\/li>\n<li>Give examples of how different ABO blood types vary in their susceptibility to diseases.<\/li>\n<li>Describe the Rhesus blood group system.<\/li>\n<li>Relate Rhesus blood groups to blood transfusions.<\/li>\n<li>What causes hemolytic disease of the newborn?<\/li>\n<li>Describe\u00a0how toxoplasmosis may explain the persistence of the Rh- blood type in human populations.<\/li>\n<li>A woman is blood type O and Rh-, and her husband is blood type AB and Rh+. Answer the following questions about this couple and their offspring.\n<ol type=\"a\">\n<li>What are the possible genotypes of their offspring in terms of ABO blood group?<\/li>\n<li>What are the possible phenotypes of their offspring in terms of ABO blood group?<\/li>\n<li>Can the woman donate blood to her husband? Explain your answer.<\/li>\n<li>Can the man donate blood to his wife? Explain your answer.<\/li>\n<\/ol>\n<\/li>\n<li>Type O blood is characterized by the presence of O antigens \u2014 explain why this statement is false.<\/li>\n<li>Explain why newborn hemolytic disease may be more likely to occur in a second pregnancy than in a first.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.5 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=xfZhb6lmxjk<\/p>\n<p style=\"text-align: center\">Why do blood types matter? - Natalie S. Hodge, TED-Ed, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=qcZKbjYyOfE<\/p>\n<p class=\"title style-scope ytd-video-primary-info-renderer\" style=\"text-align: center\">How do blood transfusions work? - Bill Schutt, TED-Ed, 2020.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributes<\/h2>\n<p><strong>Figure 6.5.1<\/strong><\/p>\n<p><a href=\"https:\/\/www.defense.gov\/Explore\/News\/Article\/Article\/604005\/\" rel=\"cc:attributionURL\">Following the Blood Donation Trail<\/a> by <i>EJ Hersom\/<\/i> USA Department of Defense is in the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a>. [<a href=\"https:\/\/www.dimoc.mil\/resources\/limitations\/\">Disclaimer<\/a>: The appearance of U.S. Department of Defense (DoD) visual information does not imply or constitute DoD endorsement.]<\/p>\n<p><strong>Figure 6.5.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Antibody.svg\" rel=\"cc:attributionURL\">Antibody<\/a> by <a title=\"User:Fvasconcellos\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Fvasconcellos\">Fvasconcellos<\/a>\u00a0 on Wikimedia Commons is released into\u00a0the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 6.5.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:ABO_system_codominance.svg\">ABO system codominance.svg<\/a>, adapted by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:YassineMrabet\">YassineMrabet<\/a> (original \"Codominant\" image from <a href=\"https:\/\/ghr.nlm.nih.gov\/primer\/inheritance\/riskassessment\">US National Library of Medicine)<\/a>\u00a0<i>on Wikimedia Commons is in the\u00a0<\/i><a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<i>.<\/i><\/p>\n<p><strong>Figure 6.5.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:ABO_blood_type.svg\" rel=\"cc:attributionURL\">ABO_blood_type.svg<\/a> by <a class=\"new\" title=\"User:InvictaHOG (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:InvictaHOG&amp;action=edit&amp;redlink=1\">InvictaHOG<\/a> on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<i>.<\/i><\/p>\n<p><strong>Figure 6.5.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/8.6\/\" rel=\"cc:attributionURL\">Blood Donor and recipient ABO<\/a>\u00a0by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/8.6\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 6.5.6<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/File:Map_of_blood_group_a.gif\">Map of Blood Group A<\/a> by <a class=\"extiw\" title=\"en:User:Muntuwandi\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Muntuwandi\">Muntuwandi<\/a>\u00a0at\u00a0<a class=\"external text\" href=\"https:\/\/en.wikipedia.org\/\">en.wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Map_of_blood_group_b.gif\">Map of Blood Group B<\/a> by <a class=\"extiw\" title=\"en:User:Muntuwandi\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Muntuwandi\">Muntuwandi<\/a>\u00a0at\u00a0<a class=\"external text\" href=\"https:\/\/en.wikipedia.org\/\">en.wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/li>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/File:Map_of_blood_group_o.gif\">Map of Blood Group O<\/a> by anthro palomar at\u00a0<a class=\"external text\" href=\"https:\/\/en.wikipedia.org\/\">en.wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/li>\n<\/ul>\n<p><strong>Figure 6.5.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Toxoplasma_gondii_Life_cycle_PHIL_3421_lores.jpg\" rel=\"cc:attributionURL\">Toxoplasma_gondii_Life_cycle_PHIL_3421_lores<\/a> by Alexander J. da Silva, PhD\/Melanie Moser, <a class=\"extiw\" title=\"w:Centers for Disease Control and Prevention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Centers_for_Disease_Control_and_Prevention\">Centers for Disease Control and Prevention<\/a>'s\u00a0<a class=\"external text\" href=\"https:\/\/phil.cdc.gov\/\" rel=\"nofollow\">Public Health Image Library<\/a> (PHIL<b><a class=\"external text\" href=\"https:\/\/phil.cdc.gov\/details.aspx?pid=3421\" rel=\"nofollow\">#3421<\/a><\/b>) on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Table 6.5.1\u00a0<\/strong><\/p>\n<p><em>ABO Blood Group System: Genotypes and Phenotypes<\/em> was created by Christine Miller.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 1.424em;font-weight: bold;text-align: initial\">References<\/span><\/p>\n<p class=\"hanging-indent\">Dean, L. (2005). Chapter 4 Hemolytic disease of the newborn. In <em>Blood Groups and Red Cell Antigens<\/em> [Internet]. National Center for Biotechnology Information (US). https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK2266\/<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Toxoplasmosis [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/toxoplasmosis\/symptoms-causes\/syc-20356249<\/p>\n<p class=\"hanging-indent\">MedlinePlus. (2019, January 29). Hemolytic transfusion reaction [online article]. U.S. National Library of Medicine. https:\/\/en.wikipedia.org\/w\/index.php?title=Chromosome_9&amp;oldid=946440619<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, June 29). Why do blood types matter? - Natalie S. Hodge. YouTube. https:\/\/www.youtube.com\/watch?v=xfZhb6lmxjk&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2020, February 18). How do blood transfusions work? - Bill Schutt. YouTube. https:\/\/www.youtube.com\/watch?v=qcZKbjYyOfE&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, May 10). Chromosome 1. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Chromosome_1&amp;oldid=955942444<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, March 20). Chromosome 9. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Chromosome_9&amp;oldid=946440619<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3428\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3428\"><div tabindex=\"-1\"><p>The minimum energy required to cause a reaction to occur.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3429\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3429\"><div tabindex=\"-1\"><p>A sequence of nucleotides in DNA or RNA that codes for a molecule that has a function.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3431\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3431\"><div tabindex=\"-1\"><p>Genes causing a trait or disorder which are present on the X sex determining chromosome.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3432\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3432\"><div tabindex=\"-1\"><p>Genes causing a trait or disorder which are present on the X sex determining chromosome.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3433\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3433\"><div tabindex=\"-1\"><p>The shape formed by two parallel lines that twist around each other.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3438\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3438\"><div tabindex=\"-1\"><p>A type of immune cell that has granules (small particles) with enzymes that are released during infections, allergic reactions, and asthma. An eosinophil is a type of white blood cell and a type of granulocyte.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3409\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3409\"><div tabindex=\"-1\"><p>A substance that takes part in and undergoes change during a chemical reaction.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_5913\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_5913\"><div tabindex=\"-1\"><p>A rigid organ that constitutes part of the vertebrate skeleton in animals.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_3439\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_3439\"><div tabindex=\"-1\"><p>A lipid. Cholesterol and its derivatives are important constituents of cell membranes and precursors of other steroid compounds, but a high proportion in the blood of low-density lipoprotein (which transports cholesterol to the tissues) is associated with an increased risk of coronary heart disease.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_6031\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_6031\"><div tabindex=\"-1\"><p>The process by which information from a gene is used in the synthesis of a functional protein.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4822_2956\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4822_2956\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-675 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Bee-Stereogram.jpg\" alt=\"\" width=\"700\" height=\"500\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.1 This stereogram contains a hidden image, BEE-lieve it or not.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Seeing Is Believing<\/span><\/p>\n<p>At first glance, Figure 8.7.1 appears to be just random dots of colour, but hidden within it is the three-dimensional shape of a bee. Can you see it among the dots? This figure is an example of a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3121\">stereogram<\/a>, which is a two-dimensional picture that, when viewed correctly, reveals a three-dimensional object. If you can\u2019t see the hidden image, it doesn\u2019t mean that there is anything wrong with your eyes. It\u2019s all in how your brain interprets what your eyes are sensing. The eyes are special sensory organs, and vision is one of our special senses.<\/p>\n<div>\n<h1>Special and\u00a0General Senses<\/h1>\n<\/div>\n<p>The\u00a0human body\u00a0has two basic types of senses, called special senses and general senses.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3122\">Special senses<\/a><\/strong>\u00a0have specialized sense organs that gather sensory information and change it into\u00a0nerve impulses. Special senses include vision (for which the\u00a0eyes\u00a0are the specialized sense organs), hearing (ears), balance (ears), taste (tongue), and smell (nasal passages).\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3123\">General senses<\/a>,<\/strong>\u00a0in contrast, are all associated with the sense of touch. They lack special sense organs. Instead, sensory information about touch is gathered by the skin and other\u00a0body tissues, all of which have important functions besides gathering sense information. Whether the senses are special or general, however,\u00a0they all\u00a0depend on\u00a0cells called sensory receptors.<\/p>\n<div>\n<h1>Sensory Receptors<\/h1>\n<\/div>\n<p>A\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3006\">sensory receptor<\/a><\/strong>\u00a0is a specialized nerve cell that responds to a stimulus in the internal or external environment by generating a\u00a0nerve impulse. The nerve impulse then travels along the sensory (afferent) nerve to the\u00a0central nervous system\u00a0for processing and to form a response.<\/p>\n<p>There are several different types of sensory receptors that respond to different kinds of stimuli:<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3124\">Mechanoreceptors<\/a><\/strong>\u00a0respond to mechanical forces, such as pressure, roughness, vibration, and stretching. Most mechanoreceptors are found in the skin and are needed for the sense of touch. Mechanoreceptors are also found in the inner ear, where they are needed for the senses of\u00a0hearing and balance.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3125\">Thermoreceptors<\/a><\/strong>\u00a0respond to variations in\u00a0temperature. They are found mostly in the skin and detect temperatures that are above or below body temperature.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3126\">Nociceptors<\/a><\/strong>\u00a0respond to potentially damaging stimuli, which are generally perceived as pain. They are found in internal organs, as well as on the surface of the body. Different nociceptors are activated depending on the particular stimulus.\u00a0Some detect damaging\u00a0heat\u00a0or cold, others detect excessive pressure, and still others detect painful chemicals (such as very hot spices in food).<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3127\">Photoreceptors<\/a><\/strong>\u00a0detect and respond to light. Most photoreceptors are found in the\u00a0eyes\u00a0and are needed for the sense of vision.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3128\">Chemoreceptors<\/a><\/strong>\u00a0respond to certain chemicals. They are found mainly in taste buds on the tongue \u2014 where they are needed for the sense of taste \u2014 and in nasal passages, where they are needed for the sense of smell.<\/li>\n<\/ul>\n<div>\n<h1>Touch<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3129\">Touch<\/a><\/strong> is the ability to sense pressure, vibration, temperature, pain, and other tactile stimuli. These types of stimuli are detected by mechanoreceptors, thermoreceptors, and nociceptors all over the body, most noticeably in the skin. These receptors are especially concentrated on the tongue, lips, face, palms of the hands, and soles of the feet. Various types of tactile receptors in the skin are shown in Figure 8.7.2.<\/p>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 787px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-3130\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Skin_TactileReceptors.png\" alt=\"\" width=\"787\" height=\"787\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.2 Tactile receptors in the skin include free nerve endings, Merkel cells, Meissner\u2019s corpuscles, Pacinian corpuscles, root hair plexuses, and Ruffini corpuscles. Each type of sensory receptor responds to a different kind of tactile stimulus. For example, free nerve endings generally respond to pain and temperature variations, whereas Merkel cells are associated with the sense of light touch and the discrimination of shapes and textures.<\/em><\/figcaption><\/figure>\n<div>\n<figure id=\"attachment_3131\" aria-describedby=\"caption-attachment-3131\" style=\"width: 216px\" class=\"wp-caption alignright\"><img class=\"wp-image-3131\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Eye-by-Victor-Freitas-on-Unsplash-scaled-1.jpg\" alt=\"\" width=\"216\" height=\"144\"><figcaption id=\"caption-attachment-3131\" class=\"wp-caption-text\"><em>Figure 8.7.3 The human eye is a sensory organ that collects and focusses light, forms images,\u00a0and changes them to nerve impulses.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Vision<\/span><\/p>\n<\/div>\n<p><strong>Vision<\/strong>\u00a0(or sight) is the ability to sense light and see. The\u00a0<strong>eye<\/strong> is the special sensory organ that collects and focuses light and forms images. The eye, however, is not sufficient for us to see. The brain also plays a necessary role in vision.\u00a0 Vision is our primary sense and more than 50 per cent of the cerebral cortex is devoted to processing visual information.\u00a0 A person with normal colour vision can differentiate between hundreds of thousands of different colours, hues, and shades.<\/p>\n<h2>How the Eye Works<\/h2>\n<p>Figure 8.7.4 (below) shows the anatomy of the human eye in cross-section. The eye gathers and focuses light to form an image, and then changes the image to nerve impulses that travel to the brain. The eye's functions are summarized in the following steps.<\/p>\n<ol>\n<li>Light passes first through the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2606\">cornea<\/a><\/strong>, which is a clear outer layer that protects the eye and helps to focus the light by refracting (or bending) it.<\/li>\n<li>Next, light enters the interior of the eye through an opening called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3134\">pupil<\/a><\/strong>. The size of this opening is controlled by the coloured part of the eye (called the <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3135\">iris<\/a><\/strong>), which adjusts the size based on the brightness of the light. The iris causes the pupil to narrow in bright light and widen in dim light.\u00a0 Filling the space between the cornea and the iris is a semi-gelatinous fluid called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2528\">aqueous humor<\/a> and functions to maintain the shape of the eye.<\/li>\n<li>The light then passes through the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3137\">lens<\/a><\/strong>, which refracts the light even more and focuses it on the retina at the back of the eye, as an inverted image. Sitting behind the lens is a gelatinous fluid called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3138\">vitreous humor<\/a>, which functions to maintain the shape of the eye.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3139\">retina<\/a><\/strong> contains two types of photoreceptors: rod and cone cells . <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3140\">Rod cells<\/a><\/strong>, which are found mainly in all areas of the retina other than the very center, are particularly sensitive to low levels of light.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3141\">Cone cells<\/a><\/strong>, which are found mainly in the center of the retina, are sensitive to light of different colours, and allow colour vision. The rods and cones convert the light that strikes them to nerve impulses.<\/li>\n<li>The nerve impulses from the rods and cones travel to the optic nerve via the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3142\">optic disc<\/a> <\/strong>(also known as the optic nerve), which is a circular area at the back of the eye where the optic nerve connects to the retina.<\/li>\n<\/ol>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 675px\" class=\"wp-caption alignnone\"><img class=\" wp-image-685\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/EyeAnatomy_01.png\" alt=\"Diagram of the Eye\" width=\"675\" height=\"506\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.4 Trace the path of light through the eye as you read about in the five steps above.<\/em><\/figcaption><\/figure>\n<h2>Colour Vision<\/h2>\n<p>Humans have colour vision because we have three types of cone cells:\u00a0 blue, green and red.\u00a0 Each of these types of cone cell detects a specific wavelength of light, for which they are named.\u00a0 The combined stimulus\u00a0 is then perceived as a specific colour, based on the ratio of the amount stimulus coming from each of the three types of cone cells.\u00a0 Do you know what else uses these same three pieces of information to communicate colour?\u00a0 Your computer monitor!\u00a0 When working in a creative program, such as Paint, these three reference points of red (R), green (G), and blue (B), can be used to create any of the million colours the human eye can perceive, as illustrated in Figure 8.7.5. Take a look at each of the numerical values for red, green, and blue and what colour their combined values create:<\/p>\n<div id=\"h5p-146\">\n<div class=\"h5p-content\" data-content-id=\"146\"><\/div>\n<\/div>\n<p><em>Figure 8.7.5 RGB colours.\u00a0<\/em><\/p>\n<h2>Role of the Brain in Vision<\/h2>\n<p>The optic nerves from both eyes meet and cross just below the bottom of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2937\">hypothalamus<\/a> in the brain. The information from both eyes is sent to the visual cortex in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3090\">occipital lobe<\/a> of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2592\">cerebrum<\/a>, which is part of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2586\">cerebral cortex<\/a>. The visual cortex is the largest system in the human brain, and is responsible for processing visual images. It interprets messages from both eyes and \u201ctells\u201d us what we are seeing.<\/p>\n<h2>Vision Problems<\/h2>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 279px\" class=\"wp-caption alignright\"><img class=\" wp-image-3146\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Glasses-by-dmitry-ratushny-wpi3sDUrSEk-unsplash-scaled-1.jpg\" alt=\"Vision Problems\" width=\"279\" height=\"185\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.6 The three vision problems described are typically solved by using glasses.<\/em><\/figcaption><\/figure>\n<p>Vision problems are very common. Two of the most common are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3144\">myopia<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3145\">hyperopia<\/a>, and they often start in\u00a0childhood\u00a0or adolescence. Another common problem, called presbyopia, occurs in most people, beginning\u00a0in middle\u00a0adulthood. In all three conditions, the eyes fail to focus images correctly on the retina, resulting in blurred vision.<\/p>\n<h3>Myopia<\/h3>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 398px\" class=\"wp-caption alignleft\"><img class=\"wp-image-691 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Myopia_Diagram.jpg\" alt=\"Myopia Diagram\" width=\"398\" height=\"307\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.7 In a patient who is nearsighted, the image is focused in front of the retina, resulting in distant objects appearing out of focus.<\/em><\/figcaption><\/figure>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3144\"><strong>Myopia<\/strong><\/a> (or nearsightedness) occurs when the light that comes into the eye does not directly focus\u00a0<em>on<\/em>\u00a0the retina, but\u00a0<em>in front<\/em> of it, as shown in Figure 8.7.7. As a result, distant objects may appear out of focus, but the focus of close objects is not affected. Myopia may occur because the eyeball is elongated from front to back, or because the cornea is too curved. Myopia can be corrected with the use of corrective lenses, either eyeglasses or contact lenses. Myopia can also be corrected by refractive surgery performed with a laser.<\/p>\n<h3>Hyperopia<\/h3>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 400px\" class=\"wp-caption alignright\"><img class=\"size-full wp-image-692\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Hyperopia.gif\" alt=\"Hyperopia\" width=\"400\" height=\"308\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.8 In a patient who exhibits hyperopia, the image focuses at a point somewhere behind the retina, causing close objects to appear blurry.<\/em><\/figcaption><\/figure>\n<p><strong>Hyperopia<\/strong>\u00a0(or farsightedness)\u00a0happens\u00a0when the light\u00a0coming\u00a0into the eye does not directly focus\u00a0<em>on<\/em>\u00a0the retina but\u00a0<em>behind<\/em> it, as shown in Figure 8.7.8. This causes close objects to appear out of focus, but does not affect the focus of distant objects. Hyperopia may occur because the eyeball is too short from front to back, or because the lens is not curved enough. Hyperopia can be corrected through the use of corrective lenses or laser surgery.<\/p>\n<div><\/div>\n<h3>Presbyopia<\/h3>\n<p><strong>Presbyopia<\/strong> is a vision problem associated with aging, in which the eye gradually loses its ability to focus on close objects. The precise\u00a0origin\u00a0of presbyopia is not known for certain, but evidence suggests that the lens may become less elastic with age, causing the\u00a0muscles\u00a0that control the lens\u00a0to\u00a0lose power as people grow older. The first signs of presbyopia \u2014 eyestrain, difficulty seeing in dim light, problems focusing on small objects and fine print \u2014 are usually first noticed between the ages of 40 and 50. Most older people with this problem use corrective lenses to focus on close objects, because surgical procedures to correct presbyopia have not been as successful as those for myopia and hyperopia.<\/p>\n<div>\n<h1>Hearing<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3151\">Hearing<\/a><\/strong>\u00a0is the ability to sense\u00a0sound waves, and the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2637\">ear<\/a><\/strong> is the organ that senses sound. Sound waves enter the ear through the ear canal and travel to the eardrum (see the diagram of the ear Figure 8.7.9). The sound waves strike the eardrum, and make it vibrate. The vibrations then travel through the three tiny bones (incus, malleus and stapes) of the middle ear, which amplify the vibrations. From the middle ear, the vibrations pass to the cochlea in the inner ear. The <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_2602\">cochlea<\/a><\/strong>\u00a0is a coiled tube filled with\u00a0liquid. The liquid moves in response to the vibrations, causing tiny\u00a0hair\u00a0cells(which are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3124\">mechanoreceptors<\/a>) lining the cochlea to bend. In response, the hair cells send nerve impulses to the auditory nerve, which carries the impulses to the brain. The brain interprets the impulses and \u201ctells\u201d us what we are hearing.<\/p>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 480px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-694\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/AnatomyHumanEar.gif\" alt=\"\" width=\"480\" height=\"344\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.9 Most of the structures of the ear are involved in hearing. Only the semicircular canals are not involved in hearing. Instead, they sense head position, which is used to monitor balance.<\/em><\/figcaption><\/figure>\n<div>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Balance<\/span><\/p>\n<\/div>\n<p>The ears are also responsible for the sense of balance.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3155\">Balance<\/a><\/strong>\u00a0is the ability to sense and maintain an appropriate body position. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3156\">semicircular canals<\/a> inside the ear (see the figure\u00a0above) contain fluid that moves when the head changes position. Tiny hairs lining the semicircular canals sense movement of the fluid. In response, they send nerve impulses to the vestibular nerve, which carries the impulses to the brain. The brain interprets the impulses and sends messages to the\u00a0peripheral nervous system, which triggers contractions of\u00a0skeletal muscles\u00a0as needed to maintain balance.<\/p>\n<div>\n<h1>Taste and\u00a0Smell<\/h1>\n<\/div>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3157\"><strong>Taste<\/strong><\/a> and <strong>smell<\/strong>\u00a0are both abilities to sense chemicals, so both taste and olfactory (odor) receptors are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3128\">chemoreceptors<\/a>. Both types of chemoreceptors send nerve impulses to the brain along sensory nerves, and the brain \u201ctells\u201d us what we are tasting or smelling.<\/p>\n<p>Taste receptors are found in tiny bumps on the tongue called\u00a0<strong>taste buds.<\/strong>You can see a diagram of a taste receptor cell and related structures in Figure 8.7.10. Taste receptor cells make contact with chemicals in food through tiny openings called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3160\">taste pores<\/a><\/strong>. When certain chemicals bind with taste receptor cells, it generates nerve impulses that travel through afferent nerves to the CNS. There are separate taste receptors for sweet, salty, sour, bitter, and meaty tastes. The meaty \u2014 or savory \u2014 taste is called umami.<\/p>\n<figure id=\"attachment_695\" aria-describedby=\"caption-attachment-695\" style=\"width: 532px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-695\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Taste_bud_2_eng.svg_.png\" alt=\"\" width=\"532\" height=\"627\"><figcaption id=\"caption-attachment-695\" class=\"wp-caption-text\"><em>Figure 8.7.10 Taste receptor cells are located in taste buds on the tongue. Basal cells are not involved in tasting, but differentiate into taste receptor cells. Taste receptor cells are replaced about every nine to ten days.<\/em><\/figcaption><\/figure>\n<div>\n<figure id=\"attachment_698\" aria-describedby=\"caption-attachment-698\" style=\"width: 518px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-698\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Head_olfactory_nerve.jpg\" alt=\"Olfactory Cells\" width=\"518\" height=\"590\"><figcaption id=\"caption-attachment-698\" class=\"wp-caption-text\"><em>Figure 8.7.11 The yellow structures inside this drawing of the nasal passages are an olfactory nerve with many nerve endings. The nerve endings sense chemicals in the air as it passes through the nasal cavities.<\/em><\/figcaption><\/figure>\n<\/div>\n<div>\n<h1>Feature: Human Biology in the News<\/h1>\n<\/div>\n<p>The most common cause of blindness in the Western hemisphere is\u00a0<strong><a href=\"https:\/\/www.webmd.com\/eye-health\/macular-degeneration\/age-related-macular-degeneration-overview#1\">age-related macular degeneration<\/a> (AMD).<\/strong> Approximately 1.4 million people in Canada have this type of blindness, and 196 million people are affected worldwide and is expected to increase to 288 millions people by the year 2040. At present, there is no cure for AMD. The disease occurs with the death of a layer of cells called retinal pigment epithelium, which normally provides nutrients and other support to the macula of the eye. The macula is an oval-shaped pigmented area near the center of the retina that is specialized for high visual acuity and has the retina\u2019s greatest concentration of cones. When the epithelial cells die and the macula is no longer supported or nourished, the macula also starts to die. Patients experience a black spot in the center of their vision, and as the disease progresses, the black spot grows outward. Patients eventually lose the ability to read and even to recognize familiar faces before developing total blindness.<\/p>\n<p>In 2016, a landmark surgery was performed as a trial on a patient with severe AMD. In the first ever operation of its kind, Dr. Pete Coffey of the University of London implanted a tiny patch of cells behind the retina in each of the patient\u2019s eyes. The cells were retinal pigmented epithelial cells that had been grown in a lab from\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3163\">stem cells<\/a>,<\/strong>\u00a0which are undifferentiated cells that\u00a0can\u00a0develop into other cell types.\u00a0Within\u00a0six months\u00a0of\u00a0the operation, the new cells were still surviving, and the doctor was hopeful that the patient\u2019s vision loss would stop and even be reversed. At that point, several other operations had already been planned to test the new procedure. If these cases are a success, Dr. Coffey predicts that the surgery will become as routine as cataract surgery, and that it will prevent millions of patients from losing their vision.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">8.7 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The\u00a0human body\u00a0has two major types of senses: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3122\">special senses<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3123\">general senses<\/a>. Special senses have specialized sense organs and include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3164\">vision<\/a> (eyes), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3151\">hearing<\/a> (ears), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3155\">balance<\/a> (ears), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3157\">taste<\/a> (tongue), and smell (nasal passages). General senses are all associated with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3129\">touch<\/a> and lack special sense organs. Touch receptors are found throughout the body, but particularly in the skin.<\/li>\n<li>All senses depend on sensory receptor cells to detect sensory stimuli and transform them into nerve impulses. Types of sensory receptors include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3124\">mechanoreceptors<\/a>\u00a0(mechanical forces), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3125\">thermoreceptors<\/a>\u00a0(temperature), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3126\">nociceptors<\/a>\u00a0(pain), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3127\">photoreceptors<\/a>\u00a0(light), and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3128\">chemoreceptors<\/a>\u00a0(chemicals).<\/li>\n<li>Touch\u00a0is\u00a0the ability to sense pressure, vibration,\u00a0temperature, pain, and other tactile stimuli. The skin includes several different types of touch receptor cells.<\/li>\n<li>Vision is the ability to sense light and see. The eye is the special sensory organ that collects and focuses light, forms images, and changes them to nerve impulses. Optic nerves send information from the eyes to the brain, which processes the visual information and \u201ctells\u201d us what we are seeing.<\/li>\n<li>Common vision problems include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3144\">myopia<\/a> (nearsightedness), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3145\">hyperopia<\/a> (farsightedness), and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4822_3165\">presbyopia<\/a> (age-related decline in close vision). Vision problems can be corrected with lenses (eyeglasses or contacts) or \u2014 in many cases \u2014 with laser surgery.<\/li>\n<li>Hearing is the ability to sense sound waves, and the ear is the organ that senses sound. It changes sound waves to vibrations that trigger nerve impulses, which travel to the brain through the auditory nerve. The brain processes the information and \u201ctells\u201d us what we are hearing.<\/li>\n<li>The ear is also the organ responsible for the sense of balance, which is the ability to sense and maintain an appropriate body position. The ears send impulses about head position to the brain, which sends messages to\u00a0skeletal muscles\u00a0via the\u00a0peripheral nervous system. The\u00a0muscles\u00a0respond by contracting to maintain balance.<\/li>\n<li>Taste and smell\u00a0are both abilities to sense chemicals. Taste receptors in taste buds on the tongue sense chemicals in food,\u00a0while\u00a0olfactory receptors in the nasal passages sense chemicals in the air.\u00a0Sense of smell contributes significantly to sense of taste.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">8.7 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>Compare and contrast special senses and general senses.<\/li>\n<li>What are sensory receptors?<\/li>\n<li>\n<div id=\"h5p-147\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-147\" class=\"h5p-iframe\" data-content-id=\"147\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"8.7 Sensory Receptors\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe the\u00a0range of tactile stimuli detected in the sense of touch.<\/li>\n<li>Explain how the eye collects and focuses light to form an image, and how it converts it to nerve impulses.<\/li>\n<li>Identify two common vision problems,along with\u00a0their causes and their effects on vision.<\/li>\n<li>\n<div id=\"h5p-148\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-148\" class=\"h5p-iframe\" data-content-id=\"148\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"8.7 Eye Diagram\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain how structures of the ear collect and amplify sound waves and transform them to nerve impulses.<\/li>\n<li>What role does the ear play in balance? Which structures of the ear are involved in balance?<\/li>\n<li>Describe two ways that the body senses chemicals. What are the special sense organs involved in these senses?<\/li>\n<li>Explain why your skin can detect different types of stimuli, such as pressure and temperature.<\/li>\n<li>Is sensory information sent to the central nervous system via efferent or afferent nerves?<\/li>\n<li>Identify a mechanoreceptor used in two different human senses. Describe the type of mechanical stimuli that each detects.<\/li>\n<li>If a person is blind, but their retina is functioning properly, where do you think the damage might be? Explain your answer.<\/li>\n<li>When you see colours, what receptor cells are activated? Where are these receptors located? What lobe of the brain is primarily used to process visual information?<\/li>\n<li>The auditory nerve carries _______________.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"list-style-type: none\">\n<ol type=\"a\">\n<li>smell information<\/li>\n<li>taste information<\/li>\n<li>balance information<\/li>\n<li>sound information<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">8.7 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?time_continue=4&amp;v=rkRbebvoYqI&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">What color is Tuesday? Exploring synesthesia - Richard E. Cytowic, TED-Ed, 2013.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=UL8YSLhqa5U&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">What Is Vertigo &amp; Why Do We Get It?, Seeker, 2016.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=t3CjTU7TaNA<\/p>\n<p style=\"text-align: center\">How do animals see in the dark? - Anna St\u00f6ckl, TED-Ed,\u00a0 2016.<\/p>\n<p>https:\/\/youtu.be\/Y6e_m9iq-4Q<\/p>\n<p style=\"text-align: center\">What are those floaty things in your eye? - Michael Mauser, TED-Ed, 2014.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 8.7.1<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/78717264@N00\/2361310483\/in\/photostream\/\" rel=\"cc:attributionURL\">Bee Stereogram<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/78717264@N00\/\" rel=\"dc:creator\">Be Mosaic<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/\" rel=\"license\">CC BY-NC-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/) license.<\/p>\n<p><strong>Figure 8.7.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0809_Skin_TactileReceptors.png\" rel=\"cc:attributionURL\">Skin_TactileReceptors<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\" rel=\"license\">CC BY 3.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 8.7.3<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/jxQFMN7xzJc\">Macro shot photograph of someone's right eye <\/a>[photo] by <a href=\"https:\/\/unsplash.com\/@whitfieldjordan?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\" rel=\"dc:creator\">Jordan Whitfield<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 8.7.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0388_EyeAnatomy_01.png\" rel=\"cc:attributionURL\">EyeAnatomy_01<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\" rel=\"license\">CC BY 3.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 8.7.5<\/strong><\/p>\n<p>RGB colours [screenshots] from Microsoft Paint.<\/p>\n<p><strong>Figure 8.7.6<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/wpi3sDUrSEk\" rel=\"cc:attributionURL\">Through the reading glasses<\/a>\u00a0[photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@ratushny\">Dmitry Ratushny<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 8.7.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Myopia_Diagram.jpg\" rel=\"cc:attributionURL\">Myopia_Diagram<\/a> by <a class=\"owner-name truncate no-outline\" title=\"Go to National Eye Institute's photostream\" href=\"https:\/\/www.flickr.com\/photos\/nationaleyeinstitute\/\" data-track=\"attributionNameClick\">National Eye Institute<\/a>\/ National Institutes of Health on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en\" rel=\"license\">CC BY 2.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 8.7.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Hyperopia.gif\" rel=\"cc:attributionURL\">Hyperopia<\/a> by <a href=\"https:\/\/www.nei.nih.gov\/\">National Institute of Health\/NIH<\/a> on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:en:Public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 8.7.9<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:AnatomyHumanEar.gif\" rel=\"cc:attributionURL\">AnatomyHumanEar<\/a> by unknown author from <a href=\"https:\/\/www.osha.gov\/dts\/osta\/otm\/new_noise\/\">Occupational Safety &amp; Health Administration<\/a> on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:en:Public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\">Figure 8.7.10<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Taste_bud_2_eng.svg\" rel=\"cc:attributionURL\">Taste_bud_2_eng.svg<\/a> by <a class=\"new\" title=\"User:Jonas T\u00f6le (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Jonas_T%C3%B6le&amp;action=edit&amp;redlink=1\">Jonas T\u00f6le<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\">CC0 1.0<\/a> Universal Public Domain Dedication license (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en).<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\"><br \/>\nFigure 8.7.11<br \/>\n<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Head_olfactory_nerve.jpg\" rel=\"cc:attributionURL\">Head_olfactory_nerve<\/a> by <a class=\"mw-userlink\" title=\"User:Patrick.lynch\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Patrick.lynch\">Patrick.lynch<\/a>, medical illustrator on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.5\/deed.en\" rel=\"license\">CC BY 2.5<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.5\/deed.en) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Age-Related Macular Degeneration. (n.d.). WebMD. https:\/\/www.webmd.com\/eye-health\/macular-degeneration\/age-related-macular-degeneration-overview#3 (Reviewed by Alan Kozarsky, MD on October 26, 2019)<\/p>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">da Cruz, L., Fynes, K., Georgiadis, O. et al. (2018, March 19). Phase 1 clinical study of an embryonic stem cell\u2013derived retinal pigment epithelium patch in age-related macular degeneration. <em>Natural Biotechnology, 36<\/em>, 328\u2013337. https:\/\/doi.org\/10.1038\/nbt.4114<\/p>\n<p class=\"hanging-indent\">File:Eye Diagram without text.gif. (2018, February 9).\u00a0<i>Wikimedia Commons.<\/i> https:\/\/commons.wikimedia.org\/w\/index.php?title=File:Eye_Diagram_without_text.gif&amp;oldid=286008241 (original image from\u00a0National Eye Institute\u00a0- modified by\u00a0User:Nordelch) [public domain (https:\/\/en.wikipedia.org\/wiki\/Public_domain)]<\/p>\n<p class=\"hanging-indent\">Occupational Health and Safety Administration. (n.d.). Figure 7. Anatomy of the human ear [diagram]. In <em>OSHA Technical Manual<\/em> (Section III, Chapter 5 - Noise). United States Department of Labour [online]. https:\/\/www.osha.gov\/dts\/osta\/otm\/new_noise\/<\/p>\n<p class=\"hanging-indent\">Seeker. (2016, March 18). What is vertigo &amp; why do we get it? YouTube. https:\/\/www.youtube.com\/watch?v=UL8YSLhqa5U&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2013, June 10). What color is Tuesday? Exploring synesthesia - Richard E. Cytowic. YouTube. https:\/\/www.youtube.com\/watch?v=rkRbebvoYqI&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2014, December 1). What are those floaty things in your eye? - Michael Mauser. YouTube. https:\/\/www.youtube.com\/watch?v=Y6e_m9iq-4Q&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2016, August 25). How do animals see in the dark? - Anna St\u00f6ckl\u200b. YouTube. https:\/\/www.youtube.com\/watch?v=t3CjTU7TaNA&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[48],"contributor":[],"license":[55],"class_list":["post-4822","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","license-cc-by-nc"],"part":4807,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4822","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4822\/revisions"}],"predecessor-version":[{"id":6445,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4822\/revisions\/6445"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/parts\/4807"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4822\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=4822"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=4822"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=4822"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=4822"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}