hypothalamus & pituitary Flashcards

1
Q

where is the pituitary gland located

A

The pituitary gland is located in the middle of the base of the brain, below the hypothalamus

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2
Q

why is the hypothalamus important

A
  1. has inputs from the thalamus, reticular activating system, limbic system, eyes
  2. Close to the regions controlling: autonomic nervous system, emotional response, temperature, food intake, water balance, sleep-wake cycles
  3. Has connections with pituitary via hypothalamic-hypophyseal tract, hypophyseal portal system
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3
Q

what are the posterior pituitary hormones

A
  1. antidiuretic hormone (ADH)

2. Oxytocin

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4
Q

what is antidiuretic hormone

A

acts on the kidneys to stimulate water reabsorption

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5
Q

what is oxytocin

A

acts on the uterus to contract and acts on the ducts of the breasts to cause milk ejection

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6
Q

how are antidiuretic and oxytocin similar

A

both peptides
cyclical structures
9 amino acids with 2 different

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7
Q

how is oxytocin and ADH transported to the posterior pituitary

A

via the hypothalamic hypophyseal tract

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8
Q

where is oxytocin and ADH stored

A

in the nerve terminals of the posterior pituitary

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9
Q

how is oxytocin and ADH released

A

activity in the nerves of the hypothalamus induces the release of hormones from the pituitary

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10
Q

where is oxytocin synthesised

A

mainly in the paraventricular nucleus

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11
Q

where is ADH synthesised

A

mainly in the supraoptic nucleus

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12
Q

how does oxytocin induced contractions

A

uses IP3/DAG second messengers

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13
Q

what are the actions of oxytocin

A
  1. Stimulates myoepithelial cells of ducts in the breast to contract
  2. Suckling stimulates the release
  3. Contracts uterus
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14
Q

what is the stimulus for release of the antidiuretic hormone

A
  1. rise in blood osmolality
    normal = 280mOsm/L
  2. Fall in blood volume
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15
Q

what are the actions of antidiuretic hormone

A
  1. increase the permeability of collecting ducts in kidney and promotes water retention
    via V2 receptors (cAMP second messenger), increase the number of aquaporins.
  2. vasoconstriction, V1 receptor (IP3/DAG second messenger)
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16
Q

what is diabetes insipidus

A

when the body can’t properly balance fluid levels

17
Q

what are the symptoms of diabetes insipidus

A

inability to retain water (thirsty and excrete large amounts of urine

similar to nephrogenic diabetes insipidus

18
Q

what are the causes of diabetes insipidus

A
  • Neurological damage (injury or neurosurgery) to pituitary or hypothalamic pathways causing ADH deficiency
  • Nephrogenic DI due to renal damage.
19
Q

what is the treatment for diabetes insipidus

A

synthetic ADH - Desmopressin

20
Q

what are the hormones of the anterior pituitary

A

growth hormone
adrenocorticotropic hormone (ACTH)
Melanocyte stimulating hormone (MSH)

21
Q

what is growth hormone

A
  • made by the pituitary somatotropes

- acts on all cells of the body to stimulate growth

22
Q

what is adrenocorticotropic hormone

A
  • synthesized by pituitary corticotropes
  • acts on the adrenal cortex to stimulate the release of cortisol
  • synthesized as a large preprohormone
23
Q

what is melanocyte stimulating hormone

A
  • a product of the same preprohormone as ACTH
  • acts on melanocytes to stimulate darkening of the skin
  • diverse effects throughout the body
24
Q

what are the tropic hormones of the anterior pituitary

A
  • thyroid-stimulating hormone (TSH)
  • luteinizing hormone (LH) & follicle-stimulating Hormone (FSH)
  • prolactin