hypothalamic pituitary axis growth hormone Flashcards

1
Q

what is the hypothalamic pituitary axis

A

link between endocrine and nervous system
hypothalamus is situated below the thalamus and its role is to monitor the state of the body by integrating sensory pathway
pituitary is below the hypothalamus

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2
Q

what is the exact location of the pituitary gland

A

beneath the hypothalamus in a socket of bone called the sella turcica

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3
Q

process’ that the hypothalamus and pituitary gland modulate

A
body growth 
reproduction 
adrenal gland function 
water homeostasis 
milk secretion 
lactation 
thyroid gland function 
puberty
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4
Q

embryological origin of the posterior pituitary

A

originates from neuroectoderm - primitive brain tissue. its physically connected to the hypothalamus since during development the hypothalamus drops down though the inufunibulum*? to form the posterior pituitary

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5
Q

embryological origin of the anterior pituitary

A

arises from evagination of the oral ectoderm (rathkes pouch) - primitive gut tissue

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6
Q

what is the nuerocrine function of the posterior pituitary

A

connected to hypo via cell axons
oxytocin and ADH produced by neurosecretory cells in supraoptic and paraventricular nuclei of the hypothalamus. these are transported to pos pit via nerve cells. then stored and released into circulation by pospit

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7
Q

anterior pituitary function

A

hypothalamus releases hormone
travels through portal system
stimulates pituitary to release hormones

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8
Q

what are the posterior pituitary hormones from the hypo

A

oxytocin - milk and uterus contraction in birth

ADH - regulation of body water vol

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9
Q

tropic hormones of the hypo which travel to the anterior pit and which hormone is released in response

A

TRH (thyrotropin releasing hormone) - causes release of TSH
PIH (prolactin release inhibiting) - inhibits release of prolactin
CRH - (corticotropin releasing) - causes release of ACTH (adrenal glands)
GnRH - (gonadotropin releasing) - LH(sex hormones) and FSH (eggs and sperm) which stimulate ovaries and testes
GHRH (growth hormone releasing) - GH
GHIH (growth hormone inhibiting) -inhibits GH
these all have direct effect on release of anterior pituitary hormones

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10
Q

how are the release of these tropic and anterior posterior pituitary hormones regulated

A

by negative feedback. one goes to anterior pituitary and one to hypothalamus to prevent more release if gets too high (cortisol for example)

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11
Q

factors affecting growth

A

genetics
environment
hormones
nutrition

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12
Q

where is growth hormone produced?

A

produced in the AP
stimulated by GHRH and inhibitied by somatostatin

its produced in somatotropin cells in anterior pituitary.

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13
Q

response to GH

A

liver and skeletal muscle secrete IGF’s (insulin like growth factors) which help maintain muscle and bone mass swell as healing and tissue repair

GH stimulate long bone growth
IGF’s promote bone and cartilage growth

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14
Q

control of GH secretion

A

obvs GHRH and somatostatin
CNS regulates GH secretion

increase in GH secretion ;
exercise 
stress 
glucose decrease 
fatty acid decrease 
fasting
decrease in GH secretion;
REM sleep 
increase in glucose 
increase in fatty acids 
obesity
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15
Q

what is the long loop of negative feedback

A

mediated by IGF’s

they inhibit release of GHRH from hypo and stimulate release of somatostatin. also inhibit GH release from anterior pit

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16
Q

what is the short loop of negative feedback

A

mediated by GH which stimulates somatostatin release from hypo

17
Q

what happens in growth hormone deficiency

A
pituitary dwarfism 
can be complete or partial 
responds to GH therapy 
signs; 
height below 3rd percentile 
growth rate slower than expected 
delayed/ no sexual development in teens
18
Q

what happens un growth hormone excess

A
gigantism 
v rare, can be caused by pituitary ademoa 
signs; 
v tall 
acromegaly (large extremities e.g feet)
19
Q

describe GH effect on cells

A

GH receptors activate Janus kinases (JAKS) which they are bound by GH. leads to transcription factor activation of IGF
IGF2- fetal growth
IGF1- growth factor in adults

20
Q

IGF action on cells

A
paracrine, autocrine or endocrine 
act through IGF receptors and modulate 
hypertrophy 
hyperplasia 
protein synthesis (increase rate) 
lipolysis (increase rate)
21
Q

different types of IGF receptors

A

insulin receptor - has metabolic and mitogenic effects
hybrid receptor- has mitogenic and metabolic effects
IGF1 receptro - has metabolic and mitogenic effects
IGF2 receptor - no tyrosine kinase activity ???