Lecture 29-The Posterior Pituitary Flashcards

1
Q

How does vasotocin function in animals?

A
  • mating

- childrearing

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2
Q

What are the similarities between the pre-propeptides of AVP and oxytocin?

A

AVP: 1 peptide, AVP, Neurophysin II, glycosylation

oxytocin: 1 peptide, oxytocin, Neurophysin I

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3
Q

Describe the AVP V1a Rs.

A
  • Gq PLC Stimulation Liver, smooth muscle, CNS, vasoconstriction
  • Gi AC inhibitory Liver
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4
Q

Describe the AVP V1b R

A

Gq PLC stimulatory On corticotrophs of anterior pituitary-stimulate ACTH release

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5
Q

Describe the AVP V2 R

A

Gs AC stimulatory Distal collecting tubules of kidney, salt and water balance

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6
Q

Describe the oxytocin R

A

Gq PLC stimulatory smooth muscle contraction, uterus, mammary glands, CNS

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7
Q

Where do magnocellular neurons receive input to regulate output of hormone?

A

very sensitive osmoreceptors in the anterior hypothalamaus, non-osmoreceptors (eg. baroreceptors) into the ascending brainstem.
- drug and hormone effects affect both baroreceptor and osmoreceptor activity as well as the magnocellular neuron directly

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8
Q

what are the circumventricular organs and what are their functions?

A
  • organum vasculosum laminae terminalis (OVLT) and subfornical organ (SFO)
  • these are a window through the BBB and test blood for various things. When high osmolarity is detected they stimulate the magnocellular neurons and cause release of AVP in a linear fashion.
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9
Q

What is the normal plasma osmolality, [AVP], and urine osmolality?

A

plasma: 287 mOsm/kg
[AVP]: 2.0 pg/ml
urine osmolality: 500 mOsm/kg

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10
Q

[AVP] changes linearly with _____ and exponentially with ______.

A

linear relationship with: blood osmolality

exponential relationship with: MAP; however, at any given bp the change in AVP remains linear

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11
Q

where are AVP receptors located in the kidney?

A

Cortical collecting duct and inner medullary collecting ducts.

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12
Q

What plays into the regulation of salt homeostasis, bp, and blood volume? (8)

A
  • AVP
  • ANP
  • renin-angiotensin
  • kinins
  • NO system
  • endothelins
  • prostaglandins
  • adrenergic NS
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13
Q

Central DI

A

Also referred to as neurogenic DI

  • some complication with AVP production or secretion
  • Usually its a genetic mutation but brain tumors are also common as well as autoimmune diseases
  • If the stalk is severed then there can still be AVP release into blood since the H is synthesized in the hypothalamus
  • often treated with AVP agonists
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14
Q

Nephrogenic DI

A
  • Inability of the kidneys to use AVP whether its the inability of V2 receptors to bind AVP or a mutation in AQP2 synthesis
  • Mutations are often associated with this and they are generally in the transmembrane areas of the receptors
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15
Q

How does oxytocin activate partuition?

A
  • High progesterone throughout pregnancy decreases
  • Causes both an increase in uterine oxytocin receptors and exocytosis of OT from magnocellular neurons
  • upregulation of OT receptors in the uterus causes more OT that has now been secreted in the blood to bind and cause uterine contractions
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16
Q

Other than progesterone decrease (signaling term arrival in pregnancy) activating partuition, how else is oxytocin release stimulated by magnocellular neurons?

A
  • suckling –> spinal reflex –> cholinergic inputs –> OT release
    or
  • cervical distension –> cholinergic inputs –> OT release
17
Q

What is the main difference between oxytocin signal transduction in mammary vs. uterine epithelium?

A

In mammary and uterine epithelium, PLC is activated to cleave PIP2 and cause Ca release that will regulate contractions
- in uterine epithelium, PLA2 is also activated that cleaves DAG into arachadonic acid. This is then converted into PGE2 and PGF2alpha that will further help uterine contractions

18
Q

Dopameridone

A

dopamine receptor antagonist

- prevents dopamine from inhibiting prolactin so one can adoptive breast feed

19
Q

TRH

A

directly stimulates lactotrophs to allow for adoptive breast feeding

20
Q

Metoclopramide, sulpiride, chlorpromazine

A

All inhibit dopamine mediated inhibition of prolactin secretion