8. The hypothalamic pituitary axis Flashcards

1
Q

Describe the location of the pituitary.

A

Beneath the hypothalamus in a socket of bone - the sella turcica.

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2
Q

What are the embryological origins of the anterior and posterior lobes of the pituitary.

A

anterior lobe: projection of ectoderm (Rathke’s pouch) growing upward from roof of mouth

posterior lobe: ectodermal tissue growing downwards from diencephalon of developing brain

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3
Q

Which structure connects the hypothalamus and pituitary?

A

infandibulum (pituitary stalk)

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4
Q

What does the posterior pituitary consist of?

A
  1. axons and terminals that originate in hypothalamus

2. specialised glial cells - pituicytes

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5
Q

Which 2 hormones are released from the posterior pituitary (and what hormone type are they)?

A
  1. oxytocin (peptide)

2. anti-diuretic hormone (peptide)

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6
Q

Where are oxytocin and ADH synthesised in the hypothalamus?

A
  • ADH: supraoptic nucleus

- oxytocin: paraventricular nucleus

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7
Q

What stimulates oxytocin release from the posterior pituitary?

A
  1. suckling (milk let-down reflex) - stimulus is transmitted via neurons from the breast to the hypothalamus
  2. during childbirth: pressure on cervix and uterine wall
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8
Q

What is the effect of oxytocin release?

A
  1. activates oxytocin Rs on myoepithelial cells surrounding mammary alveoli… contraction to squeeze milk into duct system
  2. during childbirth: activates oxytocin Rs on uterine SM cells… powerful uterine contractions
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9
Q

Why is synthetic oxytocin (pitocin) often administered after birth?

A

increase uterine tone and control bleeding

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10
Q

What is the effect of ADH release?

A

reduction in urine production:
activates Rs on distal tubular epithelium of collecting ducts in kidneys… translocation of aquaporin water channels in plasma membrane of collecting duct cells (increased permeability)… reabsorption of water into blood

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11
Q

Why does drinking alcohol increase urination and lead to dehydration?

A

inhibits ADH release from posterior pituitary

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12
Q

How is blood osmolality regulated?

A

OsmoRs in hypothalamus detect changes in plasma osmolality…

  1. If high: stimulates ADH release from posterior pituitary (and stimulates thirst)… increased H2O reabsorption from collecting ducts
  2. If low: inhibits ADH release from posterior pituitary (and inhibits thirst)… decreased H2O reabsorption from collecting ducts
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13
Q

How is hypothalamus control of anterior pit. different to control of posterior pit.?

A
  • posterior pit.: neuronal control

- anterior pit.: tropic hormone control

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14
Q

Where are hypothalamus hormones destined for AP stored?

A

median eminence just above AP

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15
Q

What are hormones stored in median eminence released into?

A

hypophyseal portal system

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16
Q

What type of R do hypothalamic tropic hormones bind to in the AP?

A

hormone-specific GPCRs

17
Q

Name the 7 hypothalamic tropic hormones.

A
  1. thyrotropin-releasing hormone (TRH)
  2. corticotropin-releasing hormone (CRH)
  3. gonadotropin-releasing hormone (GnRH)
  4. prolactin-releasing hormone (PRH)
  5. prolactin release-inhibiting hormone (PIH)
  6. growth hormone-releasing hormone (GHRH)
  7. growth hormone inhibitory hormone (GHIH) / somatostatin
18
Q

Describe the downstream effects of TRH release.

A

i. TRH binds R on AP thyrotropes…
ii. release of TSH (thyroid stimulating hormone)…
iii. binds R on thyroid follicular cells…
iv. T3 and T4 release

19
Q

Describe the downstream effects of CRH release.

A

i. CRH binds R on AP corticotropes…
ii. release of ACTH (adrenocorticotropin hormone)…
iii. binds R on adrenal cortex cells…
iv. glucorticoid (mainly cortisol) release

20
Q

Describe the downstream effects of GnRH release.

A

i. GnRH binds R on AP gonadotropes…
ii. release of LH (luteinising hormone) and FSH (follicle stimulating hormone)…
iii. bind Rs on gonad cells…
iv. LH: stimulates progesterone and oestrogen production and ovulation (females) or testosterone production (males)
FSH: stimulates gamete production (eggs or sperm)

21
Q

What system regulates hormone release in the HPA?

A

negative feedback loops:

  1. ultra-short loop: hypothalamic tropic hormone limits own production in autocrine/paracrine fashion within hypothalamus
  2. short loop: AP hormone inhibits production of hypothalamic releasing hormone or stimulates production of hypothalamic inhibiting hormone
  3. direct long loop: peripheral effector hormone inhibits production of AP hormone
    indirect long loop: peripheral effector hormone inhibits production of hypothalamic tropic hormone