Growth Hormone - IN Flashcards

1
Q

what is the structure of growth hormone

A

single chain polypeptide produced in anterior pituitary, T1/2 = 20 min

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2
Q

what causes gigantism

A

an excess in GH during childhood

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3
Q

what causes acromegaly

A

an excess in GH during adulthood

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4
Q

what causes dwarfism

A

a deficiency in GH

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5
Q

what are the 2 functions of GH

A

longitudinal growth/development, metabolism regulation

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6
Q

what causes pygmies

A

severe underexpression of GH RECEPTOR

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7
Q

where is GH regulated

A

Hypothalamoose
Stimulatory = GHRH
Inhibitory = Somatostatin

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8
Q

How does Ghrelin affect GH

A

stimulates release, Ghrelin secreted from stomach/pancreas

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9
Q

What actions stimulate GH

A

deep sleep, exercise, sex steroids, fasting, hypoglycemia, AAs, stress, a-adrenergic agonists, dopamine agonists

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10
Q

what actions inhibit GH

A

IGF-1, obesity, glucocorticoids, hyperglycemia, FFA, GH, B-adrenergic agonists

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11
Q

what are the temporal factors of GH regulation

A

pulses primarily at night, #pulses/day constant, larger pulse amplitude during puberty, strenuous exercise causes GH surge

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12
Q

what does GHRH do

A

increase GH gene transcription, promotes GH release, stimulates production of GHRH receptor, stimulates somatostatin release

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13
Q

what does somatostatin do

A

decreases pulse frequency and amplitude, no impact on GH synthesis, inhibits GHRH release

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14
Q

what does Ghrelin do, specifically

A

produced in stomach/pancreas, stimulates hunger, levels increase before meal and decrease after, acts on GH secretagogue receptor, more important for feeding behavior and energy regulation than GH secretion

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15
Q

what does GH do in animals that lack insulin or carbohydrates

A

does NOT induce growth

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16
Q

what is the function of IGF-1

A

induce growth - anorexia DRASTICALLY reduces circulating IGF-1

17
Q

what is the metabolic action of GH

A

counteracts insulin on lipid/glucose metabolism, decreases muscle glucose utilization, stimulates hepatic glucose production

18
Q

what are direct targets of GH

A

liver (produce IGF1), fat (lipogenesis reduced), skeletal muscle (anabolic action), bone (supports differentiation of stem cells)

19
Q

what is Laron syndrome

A

autosomal recessive disorder of GH insensitivity via point mutation in GH receptor gene
results in low IGF1, elevated GH

20
Q

how does aging affect GH

A

as you age, GH levels drop

21
Q

what causes short stature in turner syndrome

A

haploinsufficiency of SHOX gene