6. Growth hormone and IGF Flashcards

1
Q

how is growth hormone regulate

A
  • hypothalamus sends signal to anterior pituitary
  • anterior pituitary releases growth hormone
  • growth hormone acts on liver which produces IGF-1`
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2
Q

what are the effects of growth hormone

A

long term:
- promotes growth
- growing animals
- protein synthesis

short term:
- starvation response
- lipolysis
- insulin resistance

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3
Q

is growth hormone water or lipid soluble

A

water soluble –> receptor on outside of cell

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4
Q

growth hormone promotes protein synthesis for growth by:

A
  • increasing nuclear transcription
  • increasing translation
  • increasing amino acid transport through cell membrane
  • decrease catabolism of proteins and amino acids
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5
Q

what is the physiological effect of growth hormone for growth response

A

slower, long lasting hypertrophic actions
- mostly mediated by insulin-like growth factor
- some direct growth hormone action

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6
Q

what are the stimuli for growth hormone to be released in the starvation response

A
  • decreased blood glucose
  • decreased free fatty acids
  • decreased protein
  • trauma, stress and excitements
  • exercise
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7
Q

what are the physiological effects of growth hormone in the starvation response

A
  • rapid catabolic actions = hyperglycemia
  • increase rate of protein synthesis and use of protein (quick)
  • enhances fat use (slow) increasing lipolysis
  • promotes hyperglycemia by decreasing glucose transport across cell membranes, increasing insulin antagonism and increases gluconeogenesis
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8
Q

what are the effects of growth hormone

A
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9
Q

what do insulin like growth factors do/what are they

A
  • mimic effects of insulin on growth
  • stimulated by growth hormone
  • produced by different tissues but mainly liver
  • has paracrine and autocrine effects
  • bound to carrier proteins (increase their half life)
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10
Q

what does IGF-1 do

A
  • mainly made in the liver
  • increases condrogenesis and growth
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11
Q

what is the mechanism behind IGF-1 and condrogenesis/growth

A
  1. increase chondrocytes and osteogenic cell replication
  2. increase chondrocytes and osteogenic cell proteins deposition to promote bone growth
  3. convert chondrocytes to osteoblasts and form new bone
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12
Q

what is the signalment for pituitary dwarfism

A
  • spontaneous mutation (congenital)
  • more common in min pins, weimaraners and cats
  • hereditary in german sheps
  • autosomal recessive condition
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13
Q

what is pituitary dwarfism

A
  • dwarfism is most likely caused by mutation of a gene coding for a transcription factor that regulates pituitary stem cell differentiation
  • defect occurs after corticotrope differentiation (ACTH not affected)
  • decreases GH, TSH, prolactin, gonadotropins but ACTH preserved
  • dwarfism can be accompanied by a cyst
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14
Q

what are the clinical features of pituitary dwarfism

A
  • proportionate growth retardation
  • soft woolly hair coat (lack of guard hairs, retention of secondary hairs and easily epilated)
  • initially bright and alert
  • first detected at 2-3 months of age
  • become lethargic, have a decreased appetite and appear systemically ill (runt, can have secondary hypothyroidism)
  • can live until 5 years of age if treated
  • owner may opt for euth
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15
Q

`

discuss the reproductive function of pituitary dwarfism

A

males: uni/bilateral cryptorchidism
females: persistent oestrus, failure to ovulate (low progesterone)

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16
Q

how do you diagnose pituitary dwarfism

A
  • decreased GH (but pulsatile and needs specific radio-immunoassay)
  • decreased IGF-1:preferred
17
Q

growth hormone excess causes

A
  • overgrowth of bone, connective tissue and viscera leading to acromegaly
18
Q

what is acromegaly

A
  • pituiatry disorder that develops AFTER closure of epiphyses
  • long bones can no longer grow
  • membranous bones continue to grow
  • increased facial soft tissues
  • internal organomegaly
19
Q

discuss acromegaly in cats

A
  • middle aged to old cats
  • mostly males
  • most often caused by pituitary tumour secreting excess GH
  • usually diabetic at presentation (most common cause of insulin resistance in cats)
20
Q

discuss canine acromegaly

A
  • middle aged to old dogs
  • always females!
  • due to excess endogenous/exogenous progesterone
  • caused by induction of GH gene in mammary glands
  • mammary GH idential to pituitary GH
21
Q

how is acromegaly diagnosed

A
  • IGF-1 concentration
  • GH concentration (special handling, not practical)
  • supportive vlinical signs and lab work with normal thyroid/adrenal testing
  • history of natural or exogenous progesterone exposure (in dogs)
  • CT or MRI brain scan for cats
22
Q

what are the clinical signs of acromegaly

A
  • broad coarsened facial features
  • prognathism and icnreased soft tissue over eyes
  • macroglossia (big tongue)