L51 - Neuroendocrine Regulation And The Pituitary FINISH Flashcards

1
Q

What is the neuroendocrine system like?

A

modified neuronal secretory cells to release hormones

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2
Q

What is the hypothalamus? (4)

A
  • at base of the brain
  • receives many inputs
  • secretes multiple hormones to control homeostatic functions
  • uses pituitary gland as an output organ
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3
Q

What is the secretion of hormones like of HPA? (6)

A
  • hypothalamus - released by supraoptic/ paraventricular nuclei/ neuroendocrine regulation
  • posterior pituitary synapse to blood vessels (release hormones to blood)
  • to median eminence - stores releases
  • blood travels hypothalamo-hypophyseal portal vessels
  • anterior to venous circulation and heart
  • posterior pituitary to venous circulation and heart
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4
Q

What are the connections of the hypothalamus? (2)

A
  • paraventricular nucleus of the hypothalamus
  • suprachiasmatic nucleus of the hypothalamus
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5
Q

What does the paraventricular nucleus if the hypothalamus do? (2)

A
  • neuroendocrine role - secretes CRH, TRH
  • integrates sympathetic and parasympathetic output - controls ANS activity
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6
Q

What does the suprachiasmatic nucleus of the hypothalamus do? (2)

A
  • receives light input from retina
  • synchronises circadian rhytms in light dark cycle
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7
Q

What are the endocrine functions of the hypothalamus?

A
  • indirect - release of regulatory hormones - to anterior pituitary - release of RH and primary H - target endocrine cells
  • direct - release PH oxytocin and ADH directly onto posterior pituitary
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8
Q

What are the different types of regulatory hormones?

A
  • releasing factors
  • inhibiting factors
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9
Q

What are the releasing factors regulatory hormones? (5)

A
  • CRF - corticotropin rf (adrenal)
  • TRH - thryrotropin rh (pituitary-thyroid hormone)
  • GHRH - growth hrh (PH GH)
  • GnRH - gonadotropin rh (pituitary-FSH, LH)
  • PRF - prolactin rf (pituitary PH PRL)
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10
Q

What are the inhibiting factors regulatory hormones?

A
  • GHIH - growth hih
  • PIH - prolacting ih
  • MSH-IH - melanocyte stimulating hih (hypothalamus controlled)
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11
Q

What is the anatomy of pituitary gland?

A
  • hypothalamus
  • pituitary stalk
  • posterior pituitary, anterior pituitary
  • pars nervosa - nerve like - ADH, oxytocin
  • pars intermedia - MSH
  • pars distalis - granulated - others
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12
Q

What are the different anterior pituitary hormones? (2)

A
  • four trophic hormones
  • two primary hormones
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13
Q

What are the four trophic hormones? (4)

A
  • TSH - thyroid sh
  • ACTH - adrenocorticotrophic h
  • FSH - follicle sh
  • LH - lutenising h
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14
Q

What are the 2 primary hormones?

A
  • GH - growth h
  • PRL - prolactin
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15
Q

What is hormone secretion by the anterior pituitary gland like? (5)

A
  • hypothalamic neuron releases onto hypothalamo-pituitary portal vessels
  • travels by vessel into anterior pituitary
  • anterior pituitary releases hormone into capillaries
  • venous outflow to heart
  • (transport driven by arterial inflow from heart)
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16
Q

What is the secretion of hormones from HPA? (5)

A
  • GnRH - LH, FSH, - testis, ovary
  • TRH - TSH - thyroid
  • CRF - ACTH - adrenal
  • GHRH, SRIF (GHIH) - GH (somatropin) - multiple tissues
  • PRF, PIH - PRL - breast
17
Q

What is feedback control like in HPA? (3)

A
  • hypothalamus -ve fb from hormone
  • hypothalamus -ve fb from pituitary hormone
  • anterior pituitary -ve fb from hormone
18
Q

What are the effects of growth hormone? (4)

A
  • inc cell size, num and differentiation
  • stim protein synthesis
  • stim fat utilisation
  • alter carbohydrate metabolism
19
Q

What are insulin-like growth factor? (4)

A
  • IGF - polypeptide hormones primarily produced by liver, response to GH
  • IGF-1 and GH at cell surface receptor tyrosine kinases
  • long half life compared to GH
  • IGF-1 important in bone growth
20
Q

What is growth hormone like? (4)

A
  • Polypeptide hormone that acts at a receptor tyrosine kinase
  • IGF - acts via receptor tyrosine kinase
  • GH binds to receptor - phosphorylated subunit
  • causes chemical cascade
21
Q

How does GH affect protein synthesis? (3)

A
  • inc a/a uptake by transporter
  • inc translation - inc protein synthesis
  • inc transcription of specific gene in cell growth - inc ribosome - inc protein synthesis
22
Q

What are the indirect and direct effects of GH? (3,3)

A
  • indirect - growth effect - inc cell size, num, dif, inc protein synthesis, bone growth
  • direct - metabolic effect - inc protein synthesis, fat breakdown, blood glucose
23
Q

What is GH secretion like? (5)

A
  • released in response to GHRH (regulated by)
  • dec by GHIH or somatostatin (SST)
  • released from ventromedial hypothalamus
  • GH regulated by short feedback loop
  • controlled by factors - sleep, exercise, stress
24
Q

What is GH secretion like? (7)

A
  • stimulus (exercise, stress, fasting, low plasma glucose, sleep
  • hypothalamus - inc GRH sec, dec SST sec
  • inc plasma GHRH, dec plasma SST
  • anterior pituitary - inc GH secretion
  • inc plasma GH
  • liver and other cells - inc IGF-1 secretion
  • inc plasma IGF-1
25
Why is GH important?
can have deficit or excess GH and affects growth
26
What is deficit of gh like? (2)
- dwarfism - general anterior pituitary dysfunction, specific GH deficit, hereditary IGF deficit - accelerated aging - loss of hg after adolescence - dec protein synthesis
27
What is excess GH like? (2)
- gigantism - early life pituitary tumour - acromegaly - pituitary tumour after adolescence