Intro to HPEO Axis Flashcards

1
Q

HPEO axis involves what 3 parts of the body

A

Hypothalamus
Anterior pituitary
One of the end organs (thyroid, adrenal cortex, gonads, liver)

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2
Q

Sella turcica

A

“Turk’s saddle” of the sphenoid bone
Just below the hypothalamus
Encloses the pituitary gland

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3
Q

Infundibulum

A

Connecting stalk that attaches the pituitary to the hypothalamus

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4
Q

Adenohypophysis

what part of the pituitary, where does it develop from, what does it do

A

Anterior pituitary
Develops from oral ectoderm (Rathke’s pouch)
Composed of glandular tissue that produces and releases 6 major hormones

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5
Q

Neurohypophysis

what part of the pituitary, where does it develop from, what does it do

A

Posterior pituitary
Develops from neural ectoderm
Maintains neural connection to the brain
Site of storage and release of ADH and oxytocin (both are made by the hypothalamus)

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6
Q

3 parts of the vascular connection between the hypothalamus and anterior pituitary

A

Primary capillary plexus (in inferior hypothalamus)
Secondary capillary plexus (in anterior pit)
Hypophyseal portal veins (connect the 2 plexuses)
Collectively referred to as the hypothalamic-hypophyseal portal system

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7
Q

6 hormones of the anterior pituitary

A
Growth hormone (or somatotropin)
Thyroid stimulating hormone
Adrenocorticotropic hormone
Follicle stimulating hormone
Luteinizing hormone
Prolactin
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8
Q

What hypothalamic hormones regulate each of the anterior pituitary hormones?

A

GH: + GH-releasing hormone, - somatostatin
TSH: + Thyrotropin-releasing hormone, - somatostain
ACTH: + Corticotropin-releasing hormone
FSH and LH: + Gonadotropin-releasing hormone
PRL: + PRL-releasing hromone, - dopamine

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9
Q

Dopamine negatively inhibits what anterior pituitary hormone?

A

Prolactin

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10
Q

What cell type makes

  1. GH
  2. TSH
  3. FSH and LH
  4. ACTH
  5. PRL
A
  1. Somatotrophs
  2. Thyrotrophs
  3. Gonadotropins
  4. Corticotrophs
  5. Lactotrophs
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11
Q

Growth hormone

A

Made by somatotrophs of the anterior pituitary
GH has direct actions on the liver (stimulates gluconeogenesis, increases lipolysis, and increases amino acid uptake and protein synthesis)
Indirectly related to growth - mediated by increasing the synthesis of insulin-like growth factors by liver (and bone and cartilage)

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12
Q

How can GH lead to T2D?

A

Chronic over secretion of GH leads to glucose intolerance and insulin resistance
Causes T2D

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13
Q

Thyroid-stimulating hormone

A

Produced by thyrotrophs

Stimulates the thyroid to make T4 (main) and T3

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14
Q

Adrenocorticotropic hormone

A

Produced by corticotrophs

Stimulates the cortex of the adrenal gland to produce glucocorticoid hormones, especially cortisol

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15
Q

Prolactin

A

Produced by lactotrophs

Main function is to stimulate breast development and lactogenesis

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16
Q

How does prolactin influence fertility

A

Suckling blocks the secretion of dopamine
This increases the PRL lecels
Decreases GnRH and gonadotropin secretion (HP axis)
Reduces fertility

17
Q

Galatorrhea

A

Inappropriate milk production in women

Due to high levels of PRL that have nothing to do with pregnancy

18
Q

Which anterior pit hormone can do short loop negative feedback?

A

Growth hormone

Can negatively inhibit the anterior pituitary