Growth Flashcards
What is hyperplasia?
Increase in cell numbers
What is hypertrophy?
Increase in cell size
Name factors that affect growth
Genes, heredity
Environment: nutrition, disease, growth factors, hormones
Which hormones influence growth?
Thyroid hormones, growth hormones, sex hormones
Others: cortisol, insulin, vitamin D, parathyroid hormone
What do thyroid hormones do?
- Essential for normal growth and development
- Essential for protein synthesis in brain of foetus and infant
- Required for normal development of neurons
- Necessary for childhood growth
- Indirect effects on growth
- Facilitates actions of GH and sympathetic NS
What is hypothyroidism?
Condition where the thyroid gland is unable to produce sufficient thyroid hormones
Describe the effects of foetal/neonate hypothyroidism
- Sparse hair
- Large tongue
- Permanent mental impairments
Describe the effects of childhood hypothyroidism
- Impedes both brain development and skeletal growth
- Delayed tooth eruption
- Growth defects can be rectified by thyroxine supplements
- Some improvements in mental functions
What does growth hormone (GH) do?
- GH has metabolic and growth-promoting actions
- Main growth-promoting effects in postnatal period, infancy and adolescence
- Metabolic effects include: increase blood glucose levels, decreased glucose uptake by cells, increased lipolysis, facilitates uptake of amino acids for protein synthesis
Why is growth hormone described as ‘anti-insulin’?
GH increases blood glucose levels and decreases glucose uptake by cells (opposite effect of insulin)
Describe the growth promoting effects of growth hormone (GH)
- Growth-promoting effects are mainly indirect
- Some effects are exerted by IGF-1 produced in the liver
- Cartilage, bone, soft tissues, viscera
- IGF-1 -> cartilage proliferation in long bones
What are the ‘growth centres’ of long bones called?
Epiphyses
What are the two types of dwarfism?
- Hypothyroid: thyroid hormones deficiency
- Hypopituitary: growth hormone deficiency
Where is growth hormone produced?
Anterior pituitary gland
Testosterone and oestrogen are examples of what?
Sex hormones