Lecture 18: Endocrinology Flashcards

1
Q

Describe the differences between the 2 pituitary components

A

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

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2
Q

Describe the 2 hormones released by the posterior pituitary

A

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.

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3
Q

Describe the 6 hormones released by the anterior pituitary

A

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

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4
Q

How does feedback control regulate hormone levels?

A

can be either short or long loop feedback, tropic hormone feeds back to hypothalamus, long loop feedback goes to pituitary gland and hypothalamus

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5
Q

Describe the different levels of endocrine dysfunction

A

Primary: problem with the endocrine gland

secondary: problem with the anterior pituitary
tertiary: problem with the hypothalamus

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6
Q

Describe what happens in gigantism, acromegaly, and dwarfism

A

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)

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7
Q

Describe the regulation of food intake

A

Hunger center = lateral hypothalamic nuclei
satiety center = ventromedial hypothalamic nuclei
food intake determined by blood glucose levels, also pancreatic polypeptides, inhibited by cholecystokinins

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8
Q

Describe the growth hormone pathway

A

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

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