1.1 Hypothalamus and Pituitary Flashcards

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1
Q

Described the spatial relationship between the pituitary gland and the:
- Hypothalamus
- Optic chiasm
- Sphenoidal sinus
- Cavernous sinus

A
  • Hypothalamus is superior
  • Optic chiasm is superior
  • Sphenoidal sinus is inferoanterior (in the sphenoid bone)
  • Cavernous sinus is lateral (runs around the pituitary)
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2
Q

What are the four “pars” sections of the pituitary. How does this tie in with the two lobes?

A
  • Anterior lobe (adenohypohysis): pars distalis, pars intermedia
  • Posterior lobe (neurohypophysis): pars nervosa
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3
Q

Which vessels supply blood to the pituitary (?origin), and where does blood drain? What is unusual about the blood supply to the anterior pituitary?

A
  • Supplied by superior (mostly adeno-) and inferior (mostly neuro-) hypophyseal arteries (which originate from the internal carotid artery)
  • Blood drains predominantly into surrounding cavernous sinus
  • Unusually, when blood travels from the sup. hypophyseal artery to reach the adenohypophysis, it travels through two separate capillary networks in the process (why might this be?…)
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4
Q

Which hormones from the adenohypophysis are direct acting vs control other glands?

A

Direct acting = clean = PG = prolactin and GH

Control other glands: ACTH, TSH, FSH, LH

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5
Q

Which hormones are released from the neurohypophysis? Describe their production, storage, and release

A
  • Vasopressin and oxytocin are made there
  • Produced in cell bodies in the hypothalamus, and transported to the nerve endings of cells in the posterior pituitary
  • Here, they are stored in vesicles known as Herring bodies. When an AP is released, these hormones can be released into the bloodstream, draining into the venous capillary network
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6
Q

Briefly outline the embryonic development of the pituitary glands two lobes

A
  • Roof of oral cavity invaginates to form the hypophyseal diverticulum
  • Floor of third ventricle invaginates to form the neurohypophyseal diverticulum
  • They wrap around one another forming, the pars tuberalis the infundibulum etc.
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7
Q

What is the name of the type of glial cell that makes up most of the posterior pituitary? What does it do? Does it produce hormones?

A
  • Pituicyte
  • Important for storage and release of hormones from the neurohypophysis
  • Does not produce hormones
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8
Q

Parvocellular vs magnocellular neurons in relation to the lobes/functions of the pituitary

A

Parvo (small): release hypophysiotropic hormones into the hypothalamo-hypophyseal portal system

Magno (large; adductor magnus etc.): release vasopressin and oxytocin

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9
Q

What are the names of the two hypothalamic nuclei where the hormones of the neurohypophysis are produced?

A
  • Paraventricular nucleus
  • Supraoptic (chiasm) nucleus
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10
Q

List three functions of oxytocin (and the triggers of the main two)

A
  • Contraction of myoepithelial cells to allow milk release from the breast (triggered by suckling)
  • Contraction of myometrium during childbirth (clamping vessels also prevents excess blood loss) (triggered by stretching of uterus)
  • Bonding (parental, romantic, platonic etc.)
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11
Q

Which structural type of receptor does oxytocin act on?

A

G protein coupled receptors

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12
Q

What two stimuli can trigger ADH release? What/where are the receptors that detect this?

A
  1. Increased plasma solute concentration (detected by osmoreceptors in the hypothalamus)
  2. Decreased blood pressure (detected by baroreceptors in blood vessels e.g. carotid sinuses)
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13
Q

Why does it make sense that ADH increases ACTH release?

A
  • ACTH exerts a modest effect on aldosterone
  • Aldosterone causes increased retention of Na+ ions (and therefore water)
  • Since ADH aims to retain water, this makes sense
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14
Q

What are the three main actions of ADH?

A
  • Increased water reabsorption from renal collecting tubules (via aquaporin insertion)
  • Arteriolar vasoconstriction (vasoPRESSin); this increases blood pressure
  • Increased ACTH release from anterior pituitary
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15
Q

Hormonally, why do drunk people often piss in public?

A

Inhibited ADH release -> more water lost in urine

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16
Q

Describe Syndrome of Inappropriate ADH

A
  • Increased ADH secretion due to ectopic release from tumour/brain infection/stroke
  • Causes release of Atrial Natriuretic Peptide, decreassing sodium
  • Also causes decreased renin, meaning less aldosterone and more sodium lost
  • Over time, hyponatremia can cause confusion, convulsions, and death
17
Q

Outline the two basic mechs of diabetes insipidus. Does it have anything to do with blood sugar?

A
  1. Loss of sensitivity of the kidneys to ADH
  2. Decreased release of ADH from neurohypophysis (e.g. trauma, infection, tumour etc.)