Hypothalamic-pituitary-gonadal axis I Flashcards

1
Q

What is the HPG axis?

A

Hypothalamus-pituitary-gonad axis, the negative feedback loop that regulates sex-hormone production.

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2
Q

Describe the steps of the HPG axis.

A
  • Hypothalamus releases GnRH to pituitary
  • FSH and LH produced in anterior pituitary
  • FSH and LH act on gonads
  • Steroid hormones synthesized (oestrogen, progesterone, androgens)
  • Steroid hormones exhibit negative feedback on pituitary and hypothalamus
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3
Q

Which neurones secrete GnRH from hypothalamus?

A

Parvocellular neurones

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4
Q

What is kisspeptin?

A

A hypothalamic peptide hormones that acts upstream of GnRH neurones and facilitates the release of GnRH, increasing gonadotrophin secretion by anterior pituitary

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5
Q

Where is kisspeptin expressed?

A

In the hypothalamus:

  • Arcuate nucleus (AN)
  • Anteroventral periventricular nucleus (APVN)
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6
Q

What is Kisspeptin synthesized as?

A

prepro-protein

-undergoes cleavage into active forms

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7
Q

Why is kisspeptin used in research?

A

Kp-54 used in clinical research because it crosses blood brain barrier

Kp-10 can’t cross barrier and so used in in vitro cell culture studies (cheaper to make 10 amino acid protein than 54 amino acid protein)

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8
Q

How is GnRH released from the hypothalamus?

A

in a pulsatile fashion from parvocellular neurones

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9
Q

What is GnRH synthesized as?

A

prepro-protein

  • undergoes further cleavage into decapeptide
  • secreted along with GAP protein (GnRH associated protein)
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10
Q

What does slow frequency pulse of GnRH secretion favour?

A

FSH secretion

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11
Q

What does rapid frequency pulse of GnRH secretion favour?

A

LH secretion

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12
Q

What does continuous release of GnRH result in?

A

Cessation of FSH and LH response

-shuts down HPG axis

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13
Q

Describe Synthetic GnRH.

A
  • pulsatile administration
  • used in stimulatory fashion in those with pubertal delay or failed to undergo puberty; or those with mutations in GnRH production/secretion
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14
Q

What are GnRH Analogues (agonists + antagonists)?

A
  • single bolus administration
  • used in inhibitory fashion (i.e. shuts down HPG axis for IVF stimulation and hormone dependent cancer treatments)

Agonists: binds GnRH receptor, INITIAL increase in GnRH activity, however shortly after they uncouple receptor from the G protein signalling, and there is shutdown of HPG axis

Antagonists: bind GnRH receptor and block receptor, inhibiting any activity

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15
Q

Describe the Structure of Gonadotrophins.

A

Heterodimeric peptides containing:

  • common alpha subunit
  • hormone specific beta subunit
  • N-linked carbohydrate side chains
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16
Q

What is the Significance of N-linked carbohydrate side chains in gonadotrophins?

A

Important for biological function, and if gonadotrophin is de-glycosylated, it would cease to be active

17
Q

What gives gonadotrophins their unique hormonal properties?

A

hormone specific beta subunit

18
Q

How are alpha and beta subunits of gonadotrophins synthesized?

A

Alpha subunits synthesized in excess via constitutive secretion

Bets subunits synthesized in a limited fashion because it is GnRH dependent:

  • slow GnRH pulse causes FSHβ expression
  • fast GnRH pulse causes LHβ expression
19
Q

How are the gonadotrophins released?

A

In a pulsatile fashion (due to pulsatile release of GnRH)

20
Q

What are the Functions of LH on testis and ovaries?

A

Testis: stimulates Leydig cells for androgen (testosterone) synthesis

Ovaries

  • stimulates theca cells for androgen synthesis
  • stimulates corpus luteum for progesterone synthesis
  • ovulation
21
Q

What are the Functions of FSH on testis and ovaries?

A

Testis: stimulates Sertoli cells which convert androgens to oestrogens and also regulate spermatogenesis

Ovaries: stimulates granulosa cells for oestrogen synthesis (hence follicular maturation)