2 - Hypothalamo-adenohypophysial System Flashcards

1
Q

What is the anatomy of the anterior pituitary gland?

A
  • derived from buccal cavity
  • pars distalis is body
  • pars tuberalis wraps around pituitary stalk
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2
Q

What are the labels of the anterior pituitary?

A
  1. hypothalamic nuclei
  2. hypothalamic neurones
  3. pars tuberalis
  4. region of median eminence
  5. adenohypophysis anterior pituitary (secretory cells)
  6. neurohypophysis posterior pituitary (nerve axons and terminals)
  7. pars distalis
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3
Q

What is the blood flow through the anterior pituitary?

A
  • blood arrives in superior hypophyseal artery entering primary capillary plexus in median eminence
  • blood drains from median eminence to second capillary plexus in anterior pituitary (portal network)
  • blood flows out of capillaries to carvernous sinus and back to heart
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4
Q

What is the neuronal pathway associated with the anterior pituitary and what does it achieve?

A
  • short hypothalamic neurones terminate at median eminence on surface of primary capillary plexus
  • allows for neurosecretion to reach anterior pituitary
  • neurosecretions exert effects when stimulated (stimulate hormones here)
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5
Q

What are the labels for the hypothalamic portal circulation?

A
  1. median eminence
  2. superior hypophyseal artery
  3. cavernous sinus (then out via jugular veins)
  4. primary capillary plexus (fenestrated)
  5. long portal veins
  6. secondary capillary plexus (fenestrated)
  7. anterior pituitary
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6
Q

What are the adenohypophysial hormones and which cells are they produced from?

A
  • growth hormone (somatotrophin): somatotroph cells
  • prolactin: lactotroph cells
  • thyroid stimulating hormone (TSH, thyrtrophin): thyrotroph cells
  • luteinising hormone (LH) and follicle stimulating hormone (FSH): gonadotroph cells
  • adrenocorticotrophic hormone (ACTH, cortotrophin): corticotroph cells
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7
Q

Which hormones stimulate and inhibit somatotrophin?

A
  • stimulate: growth hormone releasing hormone (GHRH)
  • inhibit: somatostatin
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8
Q

Which hormones stimulate and inhibit prolactin?

A
  • stimulate: thyrotrophin releasing hormone (TRH)
  • inhibit: dopamine (DOMINANT SIGNAL)
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9
Q

Which hormone stimulates thyrotrophin?

A

thyrotrophin releasing hormone (TRH)

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10
Q

Which hormone stimulates LH and FSH?

A

gonadotrophin releasing hormone (GnRH)

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11
Q

Which hormones stimulates ACTH?

A
  • corticotrophin releasing hormone (CRH)
  • vasopressin
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12
Q

What is the mechanism of action of somatotrophin?

A
  • targets body tissues and liver
  • binding onto receptors on hepatocytes causes somatomedin production (IGF-1 and 2)
  • somatomedins have indirect effect on metabolic actions and negative effect on GH
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13
Q

What are the metabolic actions of somatotrophin?

A
  • stimulation of amin acid transport
  • protein synthesis
  • lipolysis (increased FA production)
  • increased gluconeogenesis
  • increased cartilaginous growth
  • increased somatic cell growth
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14
Q

What stimulates the release of somatotrophin?

A
  • sleep
  • stress
  • oestrogens
  • exercise
  • hypoglycaemia
  • amino acids
  • ghrelin
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15
Q

What is the mechanism of action of prolactin?

A
  • targets breasts in lactating women
  • tactile receptors on nipples associated with afferent neural pathway to hypothalamus
  • efferent endocrine pathway from brain forms neuro-endocrine reflec arc
  • acts as natural contraceptive (inhibits LH release, upregulates LH receptors in gonads and decreases sexual behaviour)
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16
Q

What is the mechanism of action of TSH?

A
  • targets the thyroid
  • T3 (triiodothyronine)
  • T4 (thyroxine)
17
Q

What is the mechanism of action of LH and FSH?

A
  • targets testes in men (inhibin and testosterone have negative feedback effects)
  • targets ovaries in women
18
Q

What is the mechanism of action of ACTH?

A
  • targets adrenal cortex
  • cortisol
19
Q

What are the labels of the brain?

A
  1. brain
  2. 3rd ventricle
  3. hypothalamus
  4. optic chiasm
  5. mamillary body
  6. anterior lobe
  7. posterior lobe
  8. pituitary gland