1-27 Hypothalamus & Pituitary DSA Flashcards

1
Q

What are the 7 hormones of the anterior pituitary?

A
TSH
FSH
LH
ACTH
MSH
Growth Hormone
Prolactin
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2
Q

What is the target/action of TSH?

A

Thyroid Stimulating Hormone

Stimulates synthesis and secretion of thyroid hormones

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3
Q

What is the target/action of FSH?

A

Follicle Stimulating Hormone

Stimulates sperm maturation in Sertoli cells of testes

Stimulates follicular development and estrogen synthesis in ovaries

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4
Q

What is the target/action of LH?

A

Luteinizing Hormone

Stimulates testosterone synthesis in Leydig cells of testes

Stimulates ovulation, formation of corpus luteum, estrogen, and progesterone synthesis in ovaries

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5
Q

What is the target/action of growth hormone?

A

Stimulates protein synthesis and overall growth

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6
Q

What is the target/action of prolactin?

A

Stimulates milk production and secretion in breasts

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7
Q

What is the target/action of ACTH?

A

Stimulates synthesis and secretion of adrenal cortical hormones - cortisol, androgens, and aldosterone

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8
Q

What is the target/actions of MSH?

A

Stimulates melanin synthesis

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9
Q

What are the hormones released by the posterior pituitary?

A

Oxytocin

ADH

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10
Q

What is the target/actions of oxytocin?

A

Stimulates milk ejection from the breasts and uterine contractions

(birth and milk)

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11
Q

What is the target/actions of ADH?

A

Vasopressin or antidiuretic hormone

Stimulates water reabsorption in principal cells of collecting ducts and constriction of arterioles

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12
Q

What is the difference between the anterior and posterior pituitary gland in terms of relationship to the hypothalamus?

A

Anterior:
Hypothalamus sends releasing/anti-releasing hormones to ant. pit. via hypothalamical-hypophysial portal vessels

Ant. pit. then releases hormones to target tissues

Posterior:
Hypothalamus synapses on post. pit and triggers release of neuropeptides ADH or oxytocin

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13
Q

What is the difference between the hormones released from anterior or posterior pituitary? (Hint: think general classification, not specific hormones.)

A

Post pit. - releases neuropeptides

Ant. pit. - releases mostly trophic peptide hormones, some of which act directly on glands to induce further hormone release, or act on target tissues directly

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14
Q

What are the differences in how hormones are released from anterior and posterior pituitary glands?

A

Anterior
released in response to hormone-releasing hormones derived from the hypothalamus

Posterior
originate in the hypothalamus and are transported down neurons to the posterior pituitary for release

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15
Q

How is the structure-function relationship different between anterior and posterior pituitary in regards to the hypothalamus?

A

Anterior - connected to hypothalamus via infundibulum and portal system

Posterior - connected directly to hypothalamus via neurons

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16
Q

How is the blood flow different to each region of the pituitary gland?

A

Anterior:
linked via hypothalamic-hypophysial portal blood vessels
- provides most of the blood supply
- hypothalamic hormones are delivered to ant. pit. directly and in high concentrations
- hypothalamic hormones are not in high concentrations in systemic circulation

Posterior
- not important enough to mention in the text, apparently

17
Q

What are the hormones that are released by the hypothalamus? What are their target cells?

A

GhRH

  • growth hormone releasing hormone
  • works on somatotrophs

TRH

  • thyrotropin releasing hormone
  • works on thyrotrophs

PIF

  • Dopamine/prolactin inhibiting factor
  • works on lactotrophs

CRH

  • Corticotropin releasing hormone
  • works on corticotrophs

SRIF
- Somatostatin/somatotropin release-inhibiting factor

18
Q

Describe the stimulatory factors for hypothalamic regulation of GH release from somatotrophs.

A

GHRH release from hypothalamus is stimulatory to GH release from ant. pit.

19
Q

Describe the inhibitory factors for hypothalamic regulation of GH release from gonadotrophs.

A

Somatostatin/somatotropin release inhibiting factor is inhibitory to GH

20
Q

What factors stimulate GH release?

A
Decreased glucose conc
decreased FFa conc
arginine
fasting/starvation
puberty hormones
exercise
stress 
Stage 3 and 4 sleep
alpha adrenergic agonists
21
Q

What factors inhibit GH release?

A
Increased glucose conc
Increased FFA conc
obesity
senescence
somatostatin
somatomedins
GH
beta adrenergic agonists
pregnancy
22
Q

What are the patterns of GH release?

A

Pulsatile

  • 1 burst ~2 hours
  • largest within 1 hour of falling asleep
23
Q

What are the patterns of GH release over a lifetime?

A

Increases steadily from birth into early childhood
- stabilizes

Boost in puberty

  • estrogen/testosterone
  • responsible for growth spurt

Declines to steady level afterward
- lowest level in senescence

24
Q

What is the metabolic action of GH in relationship to IGF-1? What is it’s effect on insulin levels?

A

GH promotes release of IGF-1/somatomedin from liver
- IGF-1 causes feedback inhibition

Causes:

  • insulin resistance (diabetogenic effect)
  • increased protein synthesis and organ growth
  • increased linear growth
25
Define how the pattern of GnRH determines FSH and LH secretion .
Pulsatile release of GnRH necessary for LH & FSH release Frequency ofGnRH pulse determines LH or FSH release Estrogen, testosterone, and inhibins feed back to regulate GnRH release
26
Describe the production and release of prolactin from the anterior pituitary.
``` Stimulatory for secretion: pregnancy breast feeding stress dopamine antagonists TRH ``` PRL stimulates dopamine synthesis, which inhibits ant pit and PRL release
27
What are inhibitory factors for prolactin?
``` Inhibitory: dopamine dopamine agonists: - bromocriptine - somatostatin ```
28
Describe the production and release of oxytocin from the posterior pituitary.
Synthesized in cell bodies of paraventricular nuclei - initially created as preprohormone - pre- cleaved in golgi - packaged in vesicles - travel down axon - released when AP triggers Ca++ release
29
What is the synthesis and release of ADH?
Secreted by post. pit in response to increase in serum osmolarity Synthesis is similar to oxytocin, mostly synthesized by supraoptic nuclei
30
What stimulates release of ADH?
``` Increased serum osmolarity decreased ECH volume Ang II pain nausea hypoglycemia nicotine opiates antineoplastic drugs ```
31
What inhibits release of ADH?
Decreased serum osmolarity Ethanol alpha adrenergic agonists ANP
32
What are the actions of ADH on the vasculature and kidney?
Acts on principle cells of late distal tubules and collecting duct to increase water reabsorption Contracts vascular smooth muscle - via V receptor coupled to phospholipase C on a Gq protein - 2nd messenger: Ip/Ca++ - increases total peripheral resistance
33
Where are the receptors for ADH located? How are they different:
Principle cells: V receptor coupled to Gs protein and adenylyl cyclase - cAMP as 2nd messenger Vascular smooth muscle: V receptor coupled to Gq protein with phospholipase C - Ip/Ca++ as 2nd messenger
34
How are the clinical features of central diabetes insipidus related to ADH?
Failure of post pit to secrete ADH - circulating ADH low - collecting ducts impermeable to water - urine can't be concentrated - serum osmolarity increases
35
How are the clinical features of nephrogenic diabetes insipidus related to ADH?
Principle cells unresponsive to ADH - circulating ADH high - collecting ducts impermeable to water - urine can't be concentrated - serum osmolarity increases
36
What is SIADH?
Excess ADH secreted from autonomous/neoplastic site - high ADH causes excess reabsorption of water - dilution of body fluids