RT Book, Section A1 Bartz, Sarah A1 Chan, Christine M. A1 Cree-Green, Melanie A1 Davis, Shanlee A1 Hsu, Stephanie A2 Bunik, Maya A2 Hay, William W. A2 Levin, Myron J. A2 Abzug, Mark J. SR Print(0) ID 1190368946 T1 Endocrine Disorders T2 Current Diagnosis & Treatment: Pediatrics, 26e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269983 LK accesspediatrics.mhmedical.com/content.aspx?aid=1190368946 RD 2024/04/23 AB The classic biology concept that endocrine effects are the result of substances secreted into the blood which act on distant target cells has been updated to account for additional ways in which hormonal effects occur. Specifically, paracrine systems involve the stimulation or inhibition of metabolic processes in neighboring cells (eg, within the pancreatic islets or cartilage). Autocrine hormone effects reflect the action of hormones on the same cells that produced them. The discoveries of local production of ghrelin, somatostatin, cholecystokinin, incretins, and many other hormones in the brain and gut support the concept of paracrine and autocrine processes in these tissues.