Growth hormone Flashcards

1
Q

Factors that control the growth of the brain, Gonads, and the body?

A

Brain: neurotrophic factors
Gonads: gonadotropins -> LH and FSH
Body: somatotropin

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2
Q

Where are growth hormones produced?

A

The pituitary gland, the brain determines the amount of produced hormones -> distributed through blood

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3
Q

Explain the structure of a growth hormone

A

4 alpha helices and 2 disulfide bonds (from Cysteine!!)

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4
Q

When during the day is GH secreted?

A

It follows a daily circadian rhythm, peeking early at night time during !deep sleep! in children and young adults

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5
Q

Explain sexual dimorphism related to GH?

A

males: pulse often more frequent with higher amplitude

female: higher through the level (baseline) with similar amplitude, but greater total GH area under the curve

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6
Q

How important is the pulsatile secretion of GH and how is it controlled?

A

pulsatile secretion leads to more growth shown in mouse experiment,
stimulated by GH-releasing hormone
inhibited by SRIH somatotropin releasing inhibiting hormone

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7
Q

Name the only hormone that is regulated positively and negatively

A

GH, (+) by GHRH (-) by Somatostatin

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8
Q

Explain neuroendocrine regulation

A

arcuate nucleus (ARC) contains GHRH neurons

anterior periventricular nucleus (PeN) contains SS
-> transported through Hypothalamo-pituitary portal vessel

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9
Q

Explain the pulsatility of GH secretion

A

It is based on switching ON and OFF GHRH and Somatostatin

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10
Q

Where and what are the effects of GH in the body?

A
  1. Liver: secretion of IGF-1
  2. organs and tissues: protein synthesis, carbohydrate and lipid metabolism
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11
Q

Explain the direct and indirect effects of GH

A

direct: GH binds to GH receptor on liver, muscles, adipose tissue,..
and stimulate metabolic activity

indirect effects through secreted IGF´s

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12
Q

How do long bones grow?

A

GH stimulates cell division of osteoblasts and chondrocytes in the Epihysial growth plate

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13
Q

When and how is bone growth regulated?

A

The increase of hormones of maturing gonads leads to epiphysial closure
–> closed plates cant respond to GH

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14
Q

Anabolic and catabolic effects of GH

A

Liver: catabolic production of energy to fuel -> anabolic production of proteins, etc + make IGF´s work on other tissues

Bone: cell division to increase the size and anabolic biosynthesis (DNA, proteins, cell membrane) to make growth possible

Adipose tissue: catabolic production of energy to fuel anabolic reactions

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15
Q

What causes giantism?

A

Excess of GH, in case of Alton giant: pituitary tumor of GH producing cells (somatroph)

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16
Q

What is acromegaly?

A

growth of specific sites due to excess of Gh, with open epiphyses after puberty: hands, fee, nose, jaw bone, and brow

17
Q

How is acromegaly treated?

A

With somatostatin (Octreotide - turn off), which also affects other pituitary hormones

18
Q

How can growth be stimulated?

A

treatment with recombinant human GH