Endocrinology: Hypothalamus and Pituitary Flashcards

1
Q

Location of hypothalamus

A
  • Central location within the brain
  • Sits in a cavity: bone = sella turcica
  • Located a few cm behind the eyes
  • Pituitary gland is essentially attached to hypothalamus through pituitary stalk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Function of the hypothalamus

A
  • Link between the nervous and endocrine system: receives lots of information from higher brain centres (electrical signals = nervous system) and secretes hormones (endocrine) to regulate the anterior pituitary
  • Has many neural connections to other areas of the brain
  • Major control centre for autonomic-mediated functions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does the hypothalamus regulate?

A

o Hormone production and release from pituitary; in turn influences thyroid gland (metabolism), adrenal gland (stress), gonads (reproduction)
o Contraction of uterus during labour
o Milk production and release
o Kidneys (water retention, sodium, and potassium balance
o Growth and development
o Biological rhythms
o Body temperature
o Circulation
o Food-water intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are hypothalamic control centres?

A
  • Hypothalamic control centres are clusters of neurons. Each cluster is identified as a nucleus, e.g., paraventricular nucleus, supraoptic nucleus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Link between hypothalamus and pituitary

A
  • Extensive neural connections exist between the hypothalamus and the rest of the brain.
  • Hypothalamus is surrounded by the limbic lobe (associated with emotions)
  • The pituitary is mainly controlled by the hypothalamus
  • Physically connected via pituitary stalk/ infundibulum
  • Many hormones released from the pituitary influence secretion from the other endocrine glands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Development of the pituitary

A
  • Anterior pituitary: up growth from oral cavity; has vascular connection with the hypothalamus
  • Posterior pituitary: down growth from the brain; has neural connection with the hypothalamus
  • Two glands distinct from each other, front; secretary epithelial cells, up growth from root of mouth, back: neural tissues, down growth
  • As (front) moves upwards, becomes physically connected to the other portion of the gland; connections develop
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Histology of posterior pituitary

A
  • Nervous tissue: axons of neurosecretory cells
  • Pituicytes are a kind of glial cells: support
  • Capillaries are fenestrated: no blood-brain-barrier in posterior pituitary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Histology of anterior pituitary

A
  • Chromophils (cells which take up stain; actively secreting hormones)
    o Acidophils (somatotrophs ~40-50%, lactotrophs (aka mammotrophs ~10-15%)
    o Basophils (corticotrophs ~15-20%, thyrotrophs ~3-5%, gonadotrophs ~10-15%)
  • Chromophobes (resting/ degranulated chromophils)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Neural connections between hypothalamus and pituitary

A
  • Paraventricular nucleus and supraoptic nucleus of the hypothalamus: terminal endings in the posterior pituitary
  • Hypothalamus communicates with pituitary gland via neural connections involving axonal projections
  • Specialised neurons in the hypothalamus produce and release specific regulatory hormones (hypothalamic releasing/ inhibiting hormones)
  • These hormones travel along axons through a tract
  • Axons of hypothalamic neurons terminate in the median eminence; at the base of hypothalamus, where they release their hormones into the blood vessels of the hypothalamic-pituitary portal systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Vascular connections between the hypothalamus and pituitary

A
  • Anterior lobe of pituitary is larger, more vascular, glandular epithelial cells, anterior posterior hormones synthesised
  • The hypothalamic-pituitary portal system is a complex network of blood vessels that allows direct communication between the hypothalamus and the anterior pituitary gland
  • Consists of a network of capillaries in the median eminence, which receive hypothalamic hormones released by neurons
  • Capillaries coalesce to form portal veins, which carry the hypothalamic hormones to a second capillary bed in the anterior pituitary gland
  • In the anterior pituitary gland, the hypothalamic hormones act on specific cells, known as endocrine cells or pituitary cells, to regulate the secretion of pituitary hormones
  • Anterior pituitary gland then releases its own hormones into systemic circulation, where they exert their effects on target organs throughout the body
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Posterior pituitary role

A
  • An ‘extension’ of the hypothalamus
  • Doesn’t synthesis hormones
  • Stores hormones formed in the hypothalamic neurons
  • Secretes hormones directly into the blood
  • Releases 2 neurohormones: antidiuretic hormone (ADH aka vasopressin), oxytocin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Role of anterior pituitary

A
  • Short axon neurons synthesise hypophysiotropic hormones and release them into capillaries of the hypothalamic-hypophyseal portal system
  • Portal vessels carry hypophysiotropic hormones to the anterior pituitary
  • Endocrine cells of the anterior pituitary are controlled by hypophysiotropic hormones
  • They secrete anterior pituitary hormones into systemic blood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Another name for posterior pituitary

A

Neurohypophysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Another name for anterior pituitary

A

Adenohypophysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hypophysiotropic hormones

A
  • Top of the hormonal hierarchy
  • Peptide neurohormones
  • Released in very small quantities
  • Two types: releasing (stimulates release) and inhibiting (suppresses release) hormones
  • This is a neuroendocrine system (fast and specific)
  • Part of a three hormone chain system with multiple feedback loops (short and long loop)
  • Evolution has conserved use of molecules, e.g., ‘prolatin inhibiting hormone’ is dopamine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Posterior pituitary hormones

A

ADH (vasopressin) and oxytocin
These are peptide hormones; 9 amino acids each

17
Q

ADH

A

o Produced by neurosecretory cells with cell bodies in the hypothalamic nuclei (SON and PVN)
o Release is stimulated by increase osmolarity, decreased blood pressure, increased stressors (adrenergic)
o Acts on kidneys: V2 receptor activation, increase cAMP, increase insertion of aquaporin in luminal membrane of collecting tubules –> increased water reabsorption
o Acts on blood vessels (including renal blood vessels): V1 receptor activation, increase IP3/DAG, increase calcium, increase vascular tone –> increase vasoconstriction
o Acts on the anterior pituitary gland: increase secretion of adrenocorticotropic hormone (ACTH), leads to increase aldosterone secretion –> increase conservation of sodium and water

18
Q

Oxytocin

A

o Contraction of the wall of the uterus is promoted by a hormone called oxytocin
o Oxytocin is released from the posterior pituitary due to the activation of hypothalamic neurons
o These hypothalamic neurons are activated by parts of the brain which receive neural input from the stretched cervix (via sensory afferent neurons)
o Positive feedback system
o Promotes ejection (smooth muscle contraction) of milk from the mammary glands
o Involved in other behaviours (e.g., bonding attachment, coping with fearful situations): oxytocin reduce brain activity associated with fearful response
o Note that the hypothalamus is being regulated by very complex neural processes
o Role in male reproduction and ejaculation

19
Q

Cells in the anterior pituitary that secrete hormones

A

thyrotrophs, cortiotrophs, lactotrophs, gonadotrophs, sommatotrophs
these are endocrine cells

20
Q

What hormones do each of the endocrine cells in the anterior pituitary secrete? What are the percentages of each cell in the anterior pituitary?

A
  • Thyrotroph (<10%)
    o TSH –> thyroid gland –> thyroid hormone (T3 and T4) –> metabolic rate
  • Cortiotroph (15-20%)
    o ACTH –> adrenal cortex –> cortisol –> metabolic actions; stress response
  • Lactotroph (10-25%)
    o Prolactin –> mammary glands –> breast growth and milk secretion
  • Gonadotroph (10-15%)
    o LH –> gonads (ovaries in females, testes in males) –> sex hormone secretion (estrogen and progesterone in females, testosterone in males)
    o FSH –> gonads –> gamete production (ova in females, sperm in males)
  • Somatotroph (50%)
    o Growth hormone –> liver –> somatomedins –> bone/ soft tissues –> growth
    o Growth hormone –> many tissues –> metabolic actions
21
Q

What hormones are from the thyrotrophs? What are their effect?

A

TSH –> thyroid gland –> thyroid hormone (T3 and T4) –> metabolic rate

22
Q

What hormones are from the corticotrophs? What are their effect?

A

ACTH –> adrenal cortex –> cortisol –> metabolic actions; stress response

23
Q

What hormones are from the lactorophs? What are their effect?

A

Prolactin –> mammary glands –> breast growth and milk secretion

24
Q

What hormones are from the gonadotrophs? What are their effect?

A

LH –> gonads (ovaries in females, testes in males) –> sex hormone secretion (estrogen and progesterone, or testosterone)
FSH –> gonads –> gamete production (ova in females, sperm in males)

25
Q

What hormones are from the somatotrophs? What are their effect?

A

Growth hormone –> liver –> somatomedins –> bone/ soft tissues –> growth
Growth hormone –> many tissues –> metabolic actions