Lecture 18: Endocrinology Flashcards
Describe the differences between the 2 pituitary components
Anterior pituitary (adenoohypophysis): true endocrine gland, releases ACTH, FSH, LH, TSH, prolactin, and GH
Posterior pituitary (neurohypophysis): neural tissue. composed of axon terminals from the hypothalamus, release neurohormones: ADH and oxytocin. has pars nervosa: where neurohormones are relased to the capillary
Describe the 2 hormones released by the posterior pituitary
signals sent via supraoptic and paravertebral nuclei to cause release.
ADH: increase water uptake in distal convoluted tubule and collecting duct. Also causes vasoconstriction. osmoreceptors in supraoptic/paraventricular nuclei and baroreceptors in carotid sinus, aorta, left atrium trigger ADH release due to osmolarity and blood pressure.
Oxytocin: produced by cell bodies in the hypothalamus. creates uterine contractions, milk let-down/expulsion.
Describe the 6 hormones released by the anterior pituitary
Corticotropes: Corticotropin-releasing hormone –> ACTH (adrenocorticotropic hormone) –> cortisol, acts at liver
thyrotrope: thyrotropin releasing hormone (TRH) –> thyroid stimulating hormone (TSH) –> T3 and thyroxine, acts at thyroid
gonadotrope: gonadotropin-releasing hormone –> FSH/LH –> estrogen/progesterone/testosterone, acts at ovaries and testes
somatotrope: growth hormone releasing hormone –> growth hormone–> IGF-1
lactotrope: dopamine –> prolactin
How does feedback control regulate hormone levels?
can be either short or long loop feedback, tropic hormone feeds back to hypothalamus, long loop feedback goes to pituitary gland and hypothalamus
Describe the different levels of endocrine dysfunction
Primary: problem with the endocrine gland
secondary: problem with the anterior pituitary
tertiary: problem with the hypothalamus
Describe what happens in gigantism, acromegaly, and dwarfism
gigantism: too much GH as child
acromegaly: too much GH after puberty, results in bone formation, arthritis
dwarfism: too little GH before puberty, lack of bone/muscle formation (in adults)
Describe the regulation of food intake
Hunger center = lateral hypothalamic nuclei
satiety center = ventromedial hypothalamic nuclei
food intake determined by blood glucose levels, also pancreatic polypeptides, inhibited by cholecystokinins
Describe the growth hormone pathway
somatostatins inhibit PKA, growth hormone releasing hormone stimulates PKA to create more GH. GH eventually causes IGF-1 to negative feedback onto PKA
increase blood glucose, decrease fat stores, promote protein synthesis