hypothalamic-pituitary relationships Flashcards

1
Q

the connections between the hypothalaus and posterior lobe are what

A

neural

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2
Q

the connections between the hypothalamus and anterior lobe are what

A

both neural and endocrine

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3
Q

what kind of cells release growth hormone

A

somatorophs

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4
Q

what part of the adrenal gland does ACTH stimulate

A

cortex and medulla

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5
Q

the TRH receptor is what kind of second messenger

A

Gq–> PLC and calcium and PKC

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6
Q

the TSH receptor is what kind of second messenger

A

Gs, adenylate cyclase, PKA

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7
Q

what inhibits GnRH neurons

A

opoids, prolactin, stress

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8
Q

regulation of GH secretion what + stimulates hypothalamus

A

GH and somatomedins (IGF)

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9
Q

regulation of GH secretion what inhibits AP

A

somatodmedins (IGF) and Somatostatin

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10
Q

actions of GH: diabetogenic effect

A
  • causes insulin resistance
  • decreases glucose uptake and utilization by target tissues
  • incresases lipolysis in adipose tissue
  • results in increased blood insulin levels**
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11
Q

other actions of GH

A

1) increased protein synthesis and organ growh
- increase uptake aa,
2) increases linear growth
- increases metabolism in cartilage forming cells and chondrocyte proliferation

  • both stimulate DNA,RNA, and protein synthesis
  • both mediated by somatomedins
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12
Q

what is a somatostatin analogue that inhibits GH

A

octreotide

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13
Q

prolactin negatively or positvely stimulates hypothalamus

A

positvely stimulates to increase more prolactin release

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14
Q

what inhibits prolactin and what are 3 main sources

A

dopamine

1) hypothalamus secretes dopamine to median eminence
2) dopamine neurons release dopamine from posterior pituit –>AP through portal veins
3) lactotrophs can release dopamine, (paracrine mech)

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15
Q

why doesn’t lactation occur during pregnancy?

A

even though prolactin levels are high, progesterone and estrogen down regulate prolactin receptors
-at birth inhibition released when estrogen and progesterone levels drop

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16
Q

prolactin deficiency results in inability to __ and caused by what

A

lactate

-caused by destruction of AP or desruction of lactotrophs

17
Q

prolactin excess can lead to what

A

galactorrhea and infertility

18
Q

prolactin excess caused by

A

destruction of hypothalamus resulting in loss of dopamine inhibtion
-prolactinomas (prolactin secreting tumor)

19
Q

what is a receptor agonist that can be used to treat prolactin excess

A

bromocriptine

20
Q

what is a craniopharyngioma

A

most common tumor affecting the HP axis in children

-causes hypopituitarism

21
Q

sheehan syndrome

A

pituitary in pregnancy is enlarged and more vulnerable to infarction. AP gland cells are hypertrophic and become necrotice

22
Q

most pituitary adenomas are benign or malignant?

A

benign and slow growing

23
Q

precursor peptide of ADH

A

preprossophysin

24
Q

precursor peptide of oxytocin

A

prepro-oxyphysin

25
Q

precursor of ADH has another fragment ____ so when precursor is cleaved there ADH is stored with this in the vesicle in the posterior pituitary

A

Neruophysin II

26
Q

what are the triggers of ADH secretion

A

1) increased osmolarity –>hypothalamic osmoreceptors –>interneurons to hypothalamus
2) decreased BP–>cardiac and aortic baroreceptors–>sensory neuron to hypothal
3) decreased arterial stretch due to low blood volume–>atrial stretch receptors–>sensory neuron to hyothalamus
4) increased angiotensin II
5) sympathetic stimulation
6) dehydration

27
Q

what receptor does ADH bind on blood vessels and causes what

A

V1 causes vasoconstriction

28
Q

what receptor does ADH bind on kindey and causes what

A

V2 and causes increased water reabsorption

29
Q

what is the mechanism of ADH in renal collecting duct

A

ADH binds V2 recetpors coupled to Gs proteins

  • leads to aquaporin 2 on apical side, water into cell
  • aquaporin 3 on BL side sends water from cell to blood
30
Q

oxytocin is stored in the PP with what after cleavage

A

NP1