{"id":4826,"date":"2019-06-24T14:59:38","date_gmt":"2019-06-24T14:59:38","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/11-4-pituitary-gland-3\/"},"modified":"2023-11-30T18:52:36","modified_gmt":"2023-11-30T18:52:36","slug":"11-4-pituitary-gland-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/11-4-pituitary-gland-3\/","title":{"raw":"9.4\u00a0Pituitary Gland","rendered":"9.4\u00a0Pituitary Gland"},"content":{"raw":"&nbsp;\r\n<div>\r\n\r\n[caption id=\"attachment_3444\" align=\"aligncenter\" width=\"333\"]<img class=\"wp-image-3444\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Breastfeeding-2.jpg\" alt=\"Figure 9.4.1 Breastfeeding\" width=\"333\" height=\"500\" \/> <em>Figure 9.4.1 Mother's milk is best for infants.<\/em>[\/caption]\r\n<h1>Milk on Demand<\/h1>\r\n<\/div>\r\nThis adorable nursing infant (Figure 9.4.1) is part of a [pb_glossary id=\"2962\"]positive feedback loop[\/pb_glossary]. When he suckles on the [pb_glossary id=\"3433\"]nipple[\/pb_glossary], it sends nerve impulses to his mother\u2019s [pb_glossary id=\"2937\"]hypothalamus[\/pb_glossary]. Those nerve impulses \u201ctell\u201d her [pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary] to release the hormone [pb_glossary id=\"3431\"]prolactin[\/pb_glossary] into her bloodstream. Prolactin travels to the [pb_glossary id=\"3432\"]mammary glands[\/pb_glossary] in the breasts and stimulates milk production, which motivates the infant to keep suckling.\r\n<div>\r\n<h1>What Is the Pituitary Gland?<\/h1>\r\n<\/div>\r\nThe\u00a0<strong>[pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary]<\/strong>\u00a0is the master gland of the\u00a0[pb_glossary id=\"5985\"]endocrine system[\/pb_glossary], which is the system of glands that secrete [pb_glossary id=\"5661\"]hormones[\/pb_glossary] 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.\r\n<div>\r\n<h1>Structure and Function of the Pituitary Gland<\/h1>\r\n<\/div>\r\nThe 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.\r\n\r\n[caption id=\"attachment_3445\" align=\"aligncenter\" width=\"759\"]<img class=\" wp-image-3445\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Hypothalamus-Pituitary_Complex-2.jpg\" alt=\"Hypothalamus and Pituitary Gland\" width=\"759\" height=\"441\" \/> <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>[\/caption]\r\n<h2>Anterior Lobe<\/h2>\r\nThe\u00a0<strong>[pb_glossary id=\"5887\"]anterior pituitary[\/pb_glossary]<\/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.\r\n\r\n<strong>Table 9.4.1<\/strong>\r\n\r\n<em>Endocrine Hormones Released by the Anterior Pituitary, and Their Targets and Effects.<\/em>\r\n<table class=\"grid\" style=\"border-collapse: collapse; width: 77.5925%; height: 337px;\" border=\"0\">\r\n<tbody>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 33.3333%; height: 14px;\"><strong>Anterior Pituitary Hormone<\/strong><\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\"><strong>Target<\/strong><\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\"><strong>Effect<\/strong><\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 33.3333%; height: 14px;\">Adrenocorticotropic hormone (ACTH)<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Adrenal glands<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Stimulates the cortex of each adrenal gland to secrete its hormones.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 33.3333%; height: 14px;\">Thyroid-stimulating hormone (TSH)<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Thyroid gland<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Stimulates the thyroid gland to secrete thyroid hormone.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 33.3333%; height: 14px;\">Growth hormone (GH)<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Body cells<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Stimulates body cells to synthesize proteins and grow.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 33.3333%; height: 14px;\">Follicle-stimulating hormone (FSH)<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Ovaries, testes<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Stimulates the ovaries to develop mature eggs.\u00a0 stimulates the testes to produce sperm.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 33.3333%; height: 14px;\">Luteinizing hormone (LH)<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Ovaries, testes<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Stimulates the ovaries and testes to secrete sex hormones; stimulates the ovaries to release eggs.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 33.3333%; height: 14px;\">Prolactin (PRL)<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Mammary glands<\/td>\r\n<td style=\"width: 33.3333%; height: 14px;\">Stimulates the mammary glands to produce milk.<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nThe [pb_glossary id=\"5889\"]anterior pituitary gland[\/pb_glossary] is regulated mainly by [pb_glossary id=\"5661\"]hormones[\/pb_glossary] from the [pb_glossary id=\"2937\"]hypothalamus[\/pb_glossary]. 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.\r\n\r\n<strong>Table 9.4.2 <\/strong>\r\n\r\n<em>Hypothalamic Hormones and Their Effects on the Anterior Pituitary<\/em>\r\n<table class=\"grid\" style=\"width: 77.5925%; height: 236px;\">\r\n<tbody>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\"><strong>Hypothalamic Hormone<\/strong><\/td>\r\n<td style=\"width: 784.375px; height: 14px;\"><strong>Effect on Anterior Pituitary<\/strong><\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\">Thyrotropin releasing hormone (TRH)<\/td>\r\n<td style=\"width: 784.375px; height: 14px;\">Release of thyroid stimulating hormone (TSH)<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\">Corticotropin releasing hormone (CRH)<\/td>\r\n<td style=\"width: 784.375px; height: 14px;\">Release of adrenocorticotropic hormone (ACTH)<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\">Gonadotropin releasing hormone (GnRH)<\/td>\r\n<td style=\"width: 784.375px; height: 14px;\">Release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\">Growth hormone releasing hormone (GHRH)<\/td>\r\n<td style=\"width: 784.375px; height: 14px;\">Release of growth hormone (GH)<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\">Growth hormone inhibiting hormone (GHIH) (Somatostatin)<\/td>\r\n<td style=\"width: 784.375px; height: 14px;\">Stopping of growth hormone release<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\">Prolactin releasing hormone (PRH)<\/td>\r\n<td style=\"width: 784.375px; height: 14px;\">Release of prolactin<\/td>\r\n<\/tr>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 258.375px; height: 14px;\">Prolactin inhibiting hormone (PIH) (Dopamine)<\/td>\r\n<td style=\"width: 784.375px; height: 14px;\">Stopping of prolactin release<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h2>Posterior Lobe<\/h2>\r\nThe\u00a0<strong>[pb_glossary id=\"3447\"]posterior pituitary[\/pb_glossary]<\/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.\r\n<ul>\r\n \t<li><strong>[pb_glossary id=\"3448\"]Vasopressin[\/pb_glossary]<\/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>\r\n \t<li><strong>[pb_glossary id=\"3093\"]Oxytocin[\/pb_glossary]<\/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>\r\n<\/ul>\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;\">9.4 Summary<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>The [pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary] is the master gland of the\u00a0[pb_glossary id=\"5985\"]endocrine system[\/pb_glossary], because most of its [pb_glossary id=\"5661\"]hormones[\/pb_glossary] control other\u00a0endocrine glands.<\/li>\r\n \t<li>The pituitary gland is at the\u00a0base\u00a0of the brain, where it is connected to the [pb_glossary id=\"2937\"]hypothalamus[\/pb_glossary] by nerves and capillaries. It has an [pb_glossary id=\"5889\"]anterior[\/pb_glossary] (front) lobe that synthesizes and secretes pituitary hormones and a [pb_glossary id=\"3401\"]posterior[\/pb_glossary] (back) lobe that stores and secretes hormones from the hypothalamus.<\/li>\r\n \t<li>Hormones synthesized and secreted by the anterior pituitary include [pb_glossary id=\"3415\"]growth hormone[\/pb_glossary], which stimulates cell growth throughout the body, and [pb_glossary id=\"3429\"]thyroid stimulating hormone[\/pb_glossary] (TSH), which stimulates the thyroid gland to secrete its hormones.<\/li>\r\n \t<li>Hypothalamic hormones stored and secreted by the posterior pituitary gland include [pb_glossary id=\"3448\"]vasopressin[\/pb_glossary], which helps maintain homeostasis in body water, and [pb_glossary id=\"3093\"]oxytocin[\/pb_glossary], which stimulates uterine contractions during birth, as well as the letdown of milk during lactation.<\/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;\">9.4 Review Questions<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>[h5p id=\"574\"]<\/li>\r\n \t<li>[h5p id=\"575\"]<\/li>\r\n \t<li>Explain why the pituitary gland is called the master gland of the endocrine system.<\/li>\r\n \t<li>Compare and contrast the two lobes of the pituitary gland and their general functions.<\/li>\r\n \t<li>Identify two hormones released by the anterior pituitary, their targets, and their effects.<\/li>\r\n \t<li>Explain how the hypothalamus influences the output of hormones by the anterior lobe of the pituitary gland.<\/li>\r\n \t<li>Name and give the function of two hypothalamic hormones released by the posterior pituitary gland.<\/li>\r\n \t<li>Answer the following questions about prolactin releasing hormone (PRH) and prolactin inhibiting hormone (PIH).\r\n<ol type=\"a\">\r\n \t<li>Where are these hormones produced?<\/li>\r\n \t<li>Where are their target\u00a0cells located?<\/li>\r\n \t<li>What are their effects on their target cells?<\/li>\r\n \t<li>What are their ultimate effects on milk production? Explain your answer.<\/li>\r\n \t<li>When a baby nurses, which of these hormones is most likely released in the mother? Explain your answer.<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t<li>For each of the following hormones, state whether it is synthesized in the pituitary or the hypothalamus.\r\n<ol type=\"a\">\r\n \t<li>gonadotropin releasing hormone\u00a0(GnRH)<\/li>\r\n \t<li>growth hormone (GH)<\/li>\r\n \t<li>oxytocin<\/li>\r\n \t<li>adrenocorticotropic hormone\u00a0(ACTH)<\/li>\r\n<\/ol>\r\n<\/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;\">9.4 Explore More<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=jUKQFkmBuww&amp;feature=emb_logo\r\n<p style=\"text-align: center;\">Common Pituitary Diseases, Swedish, 2012.<\/p>\r\nhttps:\/\/www.youtube.com\/watch?v=v41AJGP-XmI&amp;amp;feature=emb_logo\r\n<p style=\"text-align: center;\">Diagnosing and Treating Pituitary Tumors - California Center for Pituitary Disorders at UCSF, UCSF Neurosurgery, 2015.<\/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 9.4.1<\/strong>\r\n\r\n<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\r\nPublic Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en) license.\r\n\r\n<strong>Figure 9.4.2<\/strong>\r\n\r\n<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.\r\n<h2>References<\/h2>\r\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>\r\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>\r\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>\r\n<p class=\"hanging-indent\"><\/p>","rendered":"<p>&nbsp;<\/p>\n<div>\n<figure id=\"attachment_3444\" aria-describedby=\"caption-attachment-3444\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3444\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Breastfeeding-2.jpg\" alt=\"Figure 9.4.1 Breastfeeding\" width=\"333\" height=\"500\" \/><figcaption id=\"caption-attachment-3444\" class=\"wp-caption-text\"><em>Figure 9.4.1 Mother&#8217;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_4826_2962\">positive feedback loop<\/a>. When he suckles on the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_3433\">nipple<\/a>, it sends nerve impulses to his mother\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2937\">hypothalamus<\/a>. Those nerve impulses \u201ctell\u201d her <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2938\">pituitary gland<\/a> to release the hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_3431\">prolactin<\/a> into her bloodstream. Prolactin travels to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_2938\">pituitary gland<\/a><\/strong>\u00a0is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_5985\">endocrine system<\/a>, which is the system of glands that secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_5661\">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_3445\" aria-describedby=\"caption-attachment-3445\" style=\"width: 759px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3445\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Hypothalamus-Pituitary_Complex-2.jpg\" alt=\"Hypothalamus and Pituitary Gland\" width=\"759\" height=\"441\" \/><figcaption id=\"caption-attachment-3445\" 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_4826_5887\">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;\">\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_4826_5889\">anterior pituitary gland<\/a> is regulated mainly by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_5661\">hormones<\/a> from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_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_4826_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_4826_2938\">pituitary gland<\/a> is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_5985\">endocrine system<\/a>, because most of its <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_5661\">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_4826_2937\">hypothalamus<\/a> by nerves and capillaries. It has an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_5889\">anterior<\/a> (front) lobe that synthesizes and secretes pituitary hormones and a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_3415\">growth hormone<\/a>, which stimulates cell growth throughout the body, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_3448\">vasopressin<\/a>, which helps maintain homeostasis in body water, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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-574\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-574\" class=\"h5p-iframe\" data-content-id=\"574\" 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-575\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-575\" class=\"h5p-iframe\" data-content-id=\"575\" 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><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Common Pituitary Diseases\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/jUKQFkmBuww?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Common Pituitary Diseases, Swedish, 2012.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-2\" title=\"Diagnosing and Treating Pituitary Tumors - California Center for Pituitary Disorders at UCSF\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/v41AJGP-XmI?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Diagnosing and Treating Pituitary Tumors &#8211; 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 &#8211; 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 class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_4826_2962\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_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_4826_2962\">positive feedback loop<\/a>. When he suckles on the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_3433\">nipple<\/a>, it sends nerve impulses to his mother\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2937\">hypothalamus<\/a>. Those nerve impulses \u201ctell\u201d her <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2938\">pituitary gland<\/a> to release the hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_3431\">prolactin<\/a> into her bloodstream. Prolactin travels to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_2938\">pituitary gland<\/a><\/strong>\u00a0is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2648\">endocrine system<\/a>, which is the system of glands that secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_2521\">anterior pituitary gland<\/a> is regulated mainly by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2218\">hormones<\/a> from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_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_4826_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_4826_2938\">pituitary gland<\/a> is the master gland of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2648\">endocrine system<\/a>, because most of its <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_2937\">hypothalamus<\/a> by nerves and capillaries. It has an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_3415\">growth hormone<\/a>, which stimulates cell growth throughout the body, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_3448\">vasopressin<\/a>, which helps maintain homeostasis in body water, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_3433\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_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_4826_2937\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_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_4826_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_4826_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_4826_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_4826_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_4826_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_4826_2474\">heterozygotes<\/a> for a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2035\">gene<\/a> with two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_2474\">heterozygote<\/a> <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_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_4826_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_4826_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_4826_2938\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_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_4826_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_4826_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_4826_2035\">gene<\/a>(s), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_1942\">alleles<\/a>, and possible <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2715\">genotypes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_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_4826_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_4826_2703\">blood type<\/a> depends on which <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_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_4826_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_4826_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_4826_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_4826_2686\">founder effect<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_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_4826_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_4826_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_4826_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_4826_2035\">gene<\/a>(s), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_1942\">alleles<\/a>, and possible <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_2715\">genotypes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4826_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_4826_3431\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_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_4826_3432\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_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_4826_5985\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_5985\"><div tabindex=\"-1\"><p>The body system which acts as a chemical messenger system comprising feedback loops of the hormones released by internal glands of an organism directly into the circulatory system, regulating distant target organs. In humans, the major endocrine glands are the thyroid gland and the adrenal glands.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4826_5661\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_5661\"><div tabindex=\"-1\"><p>A hormone is a signaling molecule produced by glands in multicellular organisms that target distant organs to regulate physiology and behavior.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4826_5887\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_5887\"><div tabindex=\"-1\"><p>The front lobe of the pituitary gland that synthesizes and secretes pituitary hormones.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4826_5889\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_5889\"><div tabindex=\"-1\"><p>The front lobe of the pituitary gland that synthesizes and secretes pituitary hormones.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4826_3447\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_3447\"><div tabindex=\"-1\"><p>A type of white blood cell and, specifically, a type of lymphocyte.<\/p>\n<p>Many B cells mature into what are called plasma cells that produce antibodies (proteins) necessary to fight off infections while other B cells mature into memory B 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_4826_3448\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_3448\"><div tabindex=\"-1\"><p>A type of white blood cell and, specifically, a type of lymphocyte.<\/p>\n<p>Many B cells mature into what are called plasma cells that produce antibodies (proteins) necessary to fight off infections while other B cells mature into memory B 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_4826_3093\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_3093\"><div tabindex=\"-1\"><p>Image shows a diagram of the gallbladder and it's connection to the cystic duct and then the common bile duct.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4826_3401\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_3401\"><div tabindex=\"-1\"><p>A membrane protein involved in the movement of ions, small molecules, or macromolecules, such as another protein, across a biological membrane.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4826_3415\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_3415\"><div tabindex=\"-1\"><p>An expression that gives the identities and quantities of the substances involved in a reaction. A chemical equation shows the starting compound(s)\u2014the reactants\u2014on the left and the final compound(s)\u2014the products\u2014on the right, separated by an arrow.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4826_3429\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4826_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><\/div>","protected":false},"author":32,"menu_order":4,"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-4826","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\/4826","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\/4826\/revisions"}],"predecessor-version":[{"id":6446,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4826\/revisions\/6446"}],"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\/4826\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=4826"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=4826"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=4826"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=4826"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}