APP hypothalamus Flashcards

1
Q

Name the nuclei and their functions

A
  1. Suprachiasmatic nucleus (biological clock, input from light-sensitive retinal ganglion cells).
  2. Anterior hypothalamus (thermoregulation). Fever
  3. Posterior hypothalamic area (sympathetic) - fear and aggression.
  4. Supraoptic/paraventricular nucleus (posterior pituitary secretion oxytocin & Anti-diuretic hormone).
  5. Median eminence/arcuate nucleus/paraventricular nucleus (control of appetite, metabolic rate, anterior pituitary).
  6. Ventromedial nucleus (satiety ‘centre’).
  7. Lateral hypothalamus (hunger ‘centre’); Orexin-hypocretin.
  8. Mammillary body (memory); Korsakov syndrome
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2
Q

Afferents

A

From sensory receptors, visceral (via reticular formation and solitary tract);

from brainstem (locus coeruleus, raphe, periaqueductal
grey); 

higher centres (hippocampal formation, amygdala, orbitofrontal cortex via mediodorsal thalamus).

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3
Q

Efferents

A

Endocrine control via posterior pituitary, and anterior pituitary via portal system;

descending control of autonomic centres in brainstem and
spinal cord;

mammillothalamic tract

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4
Q

Blood supply of hypothalamus

A
  • from the internal carotid → gives superior and interior hypophyseal arteries
  • inferior = posterior pituitary directly
  • superior = hypothalamus including the CAPILLARY PLEXUS IN THE MEDIAN EMINENCE from which port veins pass to the anterior pituitary
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5
Q

Death of neurons in which nuclei would lead to diabetes insipidus?

A

SO/PVN

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6
Q

Broadly speaking, what does the hypothalamus have roles in?

A
Homeostasis 
Rhythms 
Development (e.g. puberty)
Metabolism 
Control of the autonomic nervous system
Endocrine system control
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7
Q

What does the hypothalamus secrete to control the anterior pituitary?

A
Releasing hormones: 
GnRH
GHRH
TRH
CRH

Inhibiting factors:
DA
Somatostatin

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8
Q

Which two releasing hormones are released from the paraventricular nucleus (also doing OXY and ADH)?

A

CRH and TRH

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9
Q

Which releasing hormone comes from the anterior HT?

A

Somatostatin

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10
Q

How do cells in the SO and PVN know that blood osmolarity has changed?

A

Osmosensitive neurons - osmosensitive neurons in the OVLT, SFO and NTS project directly to SO and PVN

They are sensitive as shrinking + swelling can cause changes in stretch in gated ion channels

Candidate ion channels TRPV1 (hypertonic stimulus), TRPV4 (opens in response to hypotonic stimulus)

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11
Q

Give the pathway leading to ADH release

A

Increased blood osmolarity → OVLT neuron shrinking → TRPV1 open and APs → make connections with SO nuclei → promotes ADH release

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12
Q

What does FSH do?

A

Males - sperm production

Females - follicle ovum maturation

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13
Q

What does LH do?

A

Males - testosterone secretion

Females - ovulation

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14
Q

What does GH do?

A

Growth of tissue and secretion of IGF-1

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15
Q

What does TSH do?

A

Secretion of thyroid hormones which regulate base metabolic rate

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16
Q

What does ACTH do?

A

Secretion of glucocorticoids, mainly cortisol, and production of androgens

17
Q

What does PRL do?

A

Milk production in females

18
Q

What inhibits PRL release?

19
Q

Describe the negative feedback loops within the hypothalamus

Give an example

A

The ultra-short feedback loop is mediated by the hypothalamic releasing factors limiting their own release by a type of autocrine effect on targets in the hypothalamus.

Inhibition of releasing-factor secretion by pituitary hormones comprises short loop feedback.

Finally, peripheral hormone inhibition of pituitary secretion comprises the direct long-loop feedback and inhibition on hypothalamic secretion of the releasing factors comprises the indirect long-loop feedback.

The regulation of GHRH release by somatostatin is an example of ultra-short loop feedback, regulation of release by GH is an example of short-loop feedback, and regulation by IGF is an example of indirect long loop feedback.

20
Q

Describe release and role of oxytocin

A

release: stimulated by suckling, & by +ve feedback during labour, as well as by
different sexual stimuli.

In females: induces contractions during labour & lactation, central effects
on food intake & maternal & reproductive behaviour.

Men: influence sexual arousal & ejaculation.

21
Q

What does ADH do?

A

acts on kidney, acts to inc aquaporin expression & insertion to membrane of collecting
duct, inc retention of water in response to either decreased volume or increased osmolarity of
blood.

22
Q

What non-endocrine roles does the hypothalamus play?

A

Food and drink intake
Thermoregulation
Circadian rhythms
(ANS control)

23
Q

Describe the lateral hypothalamic area?

A

‘Hunger centre’

Recieves olfactory input via the medial forebrain bundle

24
Q

Describe the VMN?

A

‘Satiety centre’

Receptors for glucose and FFAs

25
Describe role of arcuate nucleus in food intake?
Receptors for leptin (adipose tissue) and insulin
26
What does suckling do to dopamine release?
Causes a reduction in the release of DA and therefore an increase in the secretion of prolactin
27
Discuss pituitary tumours
most common = GH and PRL = unexpected bone growth and lactation May have visual field defects - classically, bitemporal hemianopsia, due to optic nerve compression at chiasma
28
Describe Cushing's
Pituitary adenoma - excess ACTH - excess cortisol - can lead to hypertension
29
Adenoma of GH-producing cells
Gigantism (before puberty) | Acromegaly (after pubery, disproporitonate growth of hands, jaw and feet)
30
Adenomas of PRH-producing cells
Galactorrhoea, amenorrhoea, loss of libido, infertility
31
Discuss effects of hypothalamic lesions on autonomic functions
In the eye (pupil, lacrimation); osmotic regulation and cardiovascular system; thermoregulation; alimentary system (salivation, peristalsis); genital system (erection, emission); urinary system; sleep-wake; aggressive behaviour (sham rage).
32
What part of the hypothalamus is responsible for stimulation of the sympathetic nervous system?
Posterior nucleus
33
What part of the hypothalamus is responsible for stimulation of the parasympathetic nervous system?
Anterior nucleus