Hypothalamic Flashcards
secreted from anterior pituitary
associated with JAK tyrosine
somatotropin
responsible for long bone growth
IGF-1
stimulates the liver to produce IGF-1
anabolic effects in muscle
catabolic effects in adipose tissue, reduced adiposity, increase muscle mass
Somatotropin
useful in GH def and idiopathic short stature, increasing growth in Turner syndrome, increasing growth in Prader Willi syndrome
Somatotropin
malignancy, papilledema, visual disturbances, GH replacement therapy can cause diabetes mellitus
used in chronic renal failure
toxicity of somatotropin
treats growth failure due to severe IGF-1 deficiency
can cause hypoglycemia
mescasermin
causes acromegaly and gigantism
GH secreting pituitary adenoma
treats acromegaly and gigantism, VIPoma, carcinoid tumors, insulinoma, glucagonoma, gastronome, and can control bleeding of esophageal varices
octreotide
inhibits secretion and production of GH
octreotide
ADR: GI side effects, nausea, vomiting, abdominal pain, causes steatorrhea
octreotide
blocks GH receptor (antagonists)
treats acromegaly
toxicity: increase liver enzymes
pegvisomant
blocks oxytocin receptor
decreases uterine contractions
given IV
used: tocolysis for preterm labor
toxicity: increase rates of infant death
atosiban
released from posterior pituitary
activates V receptors coupled by Gq
ADH/ vasopressin
causes vasoconstriction and increased BP
used to control variceal or colonic bleeding
SE: HTN, bradycardia
ADH activates V1 receptor on vascular smooth muscles
causes translocation of aquaporin 2 to the apical membrane and reabsorption of free water
used in central DI
ADH activates V2 receptor on basolateral membrane in collecting duct