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

A

E storage

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

A

sparing

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

A

increase

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
Q

GH activates growth primarily via…?

A

Somatomedins (IGF-1)

26
Q

increased growth after the fusion of epiphyseal plates, often associated with DM type II and PD/PU

A

acromegaly

27
Q

Testosterone w/ GH in the liver ____IGH-1 secretion

A

enhances

28
Q

Testosterone ____ release of GH from pituitary

A

stimulates

29
Q

Effect of epinephrine in liver

A

decreased GH related IGF-1 secretion

30
Q

what is the role of thyroid hormone in growth?

A

facilitates linear growth of bone byincreasing the activity of cartilage chondrocytes in the growth plate

31
Q

Can growth occur without thyroid hormone, if GH is present?

A

no

32
Q

positive effects of glucocorticoids on growth

A

induce GH gene expression
induce GHRH and ghrelin receptor on somatotropes

33
Q

effects of excessive glucocorticoids on GH

A
  • increase hypothalamic somatostatin (inhibits GH)
  • decreases GH receptor expression in peripheral tissue
  • Cushings
  • exogenous glucocorts suppress growth in kids
34
Q

effects of a deficiency of glucocorticoids on growth

A

decreased expression of GHRH and ghrelin receptors in pit
associated w/ low ACTH