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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)

                                    Biochemical classification of Hormones


                               1-  Steroid hormones                  2-  Protein/peptide hormones

           Synthesis        from cholesterol on demand                  derived from amino acids

                                     lipid soluble                             water soluble
                         a.  cross cell membranes                a.  unable to cross the cell membranes
                            readily & bind to intracellular          bind to receptors on the

                            receptors                               membrane surface
                         b.  Insoluble in blood                 b.  circulate in the blood in unbound
                            transported in the blood                form  have short half-lives.

                            bound to proteins  have
           character        long half-lives.
                         c.  not preformed & stored for          c.  Preformed & stored for future use

                            future use within the                   in membrane-bound secretory
                            endocrine gland  Because               granules  When needed, they are

                            they could diffuse out of the           released by exocytosis.
                            cells and physiological
                            regulation of their release
                            would not be possible

                         d.  Absorbed easily by the              d.  cannot be administered orally
                            gastrointestinal tract  so,            because they would be digested in

                            administered orally.                    the gastrointestinal tract.   Instead,
                                                                 1-  Administered by injection (e.g.,
                                                                    insulin).
           Synthetic                                             2-  Because small peptides are able to

             forms                                                  cross through mucus membranes,
                                                                    they may be given sublingually or

                                                                    intranasally.
                                                                   For example, Miacalcin (synthetic
                                                                    form of calcitonin, prepared as
                                                                    nasal spray).

                         adrenal cortex, testes, ovaries,        Hypothalamus, pituitary gland, thyroid
          production
                         and placenta                            gland, parathyroid glands & pancreas











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