Lecture 17: Growth Hormone Flashcards

1
Q

what is the long-term controller of GH secretion

A

long term nutritional state, particularly protein nutrition

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2
Q

what is the primary regulator of GH release

A

Somatostatin

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3
Q

hypothalamic signaling of pituitary somatotrophs involved what two opposing trophic hormones

A

GHRH binds Gs protein coupled receptor
GHIH(somatostatin) binds Gi protein coupled receptor

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4
Q

how is GH synthesized?

A

using a pre-prohormone mRNA as the template

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5
Q

GHRH (GH releasing Hormone) is secreted from where

A

medial preoptic area (POA) and the arcuate/infundibular nucleus of the hypothalamus

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6
Q

what inhibits the release of GHRH

A

emotion, stress, trauma

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7
Q

what increases release of GHRH

A

catecholamines, dopamine, serotonin

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8
Q

indirect effects of GH

A

stimulates liver to promote growth positive effects via insulin like growth factor (IGF-1, (somatomedin)

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9
Q

Direct effects of GH

A

Directly effects intermediary fuel metbolism by binding the growth hormone receptors in tissue

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10
Q

GH effects on blood glucose

A

decreases glucose uptake by muscles
increases glucose sparing

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11
Q

GH effects on fatty acids

A

increases lipolysis

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12
Q

GH effects on amino acids

A

increased uptake of aas into cells
decreases blood amino acids

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13
Q

GH effects on muscle protein

A

increases protein synthesis
decreases protein degradation
increases RNA and DNA synthesis

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14
Q

GH facilitates insulin action to ….

A

promote growth

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15
Q

in a fed state, when protein and E intake are ample, protein _______ is favored

A

synthesis

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16
Q

in a fed state, when carbohydrates alone are consumed, ________ is favored

17
Q

hyperglycemia suppresses ________ release while ______ is released to promote the storage of CHOs

A

GH, insulin

18
Q

during fasting states, glucose ________ is favored

19
Q

in fasting, _______ and ______ levels are low and caloric deficiency decreases the production of ________

A

insulin and glucose
IGF-1

20
Q

hypoglycemia _______ GH secretion

A

stimulates

21
Q

famine, fasting and catabolic state all _______ plasma GH

22
Q

Ghrelin ________ GH release

A

promotes, by acute stimulatory effects on pituitary somatotrophs, influencing fuel metabolism indirectly to maintain blood glucose levels

23
Q

hypoglycemia from fasting ____ GH secretion

A

stimulates
- effects of GH under fasting conditions are catabolic and glucose sparing

24
Q

in a hypoglycemic state (fasting) what does GH do

A
  • stimulates lipolysis
  • stimulates gluconeogenesis
  • inhibits glucose uptake
25
GH activates growth primarily via...?
Somatomedins (IGF-1)
26
increased growth after the fusion of epiphyseal plates, often associated with DM type II and PD/PU
acromegaly
27
Testosterone w/ GH in the liver ____IGH-1 secretion
enhances
28
Testosterone ____ release of GH from pituitary
stimulates
29
Effect of epinephrine in liver
decreased GH related IGF-1 secretion
30
what is the role of thyroid hormone in growth?
facilitates linear growth of bone by**increasing the activity of cartilage chondrocytes in the growth plate**
31
Can growth occur without thyroid hormone, if GH is present?
no
32
positive effects of glucocorticoids on growth
induce GH gene expression induce GHRH and ghrelin receptor on somatotropes
33
effects of excessive glucocorticoids on GH
* increase hypothalamic somatostatin (inhibits GH) * decreases GH receptor expression in peripheral tissue * Cushings * exogenous glucocorts suppress growth in kids
34
effects of a deficiency of glucocorticoids on growth
decreased expression of GHRH and ghrelin receptors in pit associated w/ low ACTH