NEURO: Neurohormones Flashcards

1
Q

Describe neurohormones.

A

Neurohormones are produced by specialised nerve cells called neurosecretory cells and are released into the blood. Because they are defined as hormones, they are secreted into the blood and have their effect on cells some distance away.
The same compounds can also act as neurotransmitters or as autocrine (self) or paracrine (local) messengers.

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2
Q

Describe the two main control systems of the body (compare and contrast).

A

The body has two main control system: the endocrine system and the nervous system.

ENDOCRINE SYSTEM:

  • mediators travel within blood vessels
  • utilises chemical mediators (hormones)
  • slow communication
  • effects can be long-lasting

NERVOUS SYSTEM:

  • signalling along the nerve fibres
  • transmission of electrical impulses
  • fast communication
  • effects are generally short-acting
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3
Q

Describe the different types of hormones.

A

PROTEIN & PEPTIDE HORMONES:

  • vary considerably in size
  • can be synthesised as a large precursor and processed prior to secretion (eg. GH, somatostatin, insulin)
  • can be post-translationally modified (eg. glycosylation)
  • can have multiple subunits synthesised independently and assembled (eg. FSH, LH, TSH)

AMINO ACID DERIVATIVES:

  • mostly tyrosine-derived
  • neurotransmitter that can also act as a hormone
  • eg. epinephrine, norepinephrine, dopamine

STEROID HORMONES:

  • steroids are a class of lipids derived from cholesterol
  • includes cortisol, aldosterone, testosterone, progesterone, oestradiol
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4
Q

Describe endocrine rhythms.

A

Most, if not all, bodily activities show periodic rhythms or cyclic changes. Many of the hormones show periodicity.

CIRCADIAN RHYTHMS: based on a 24-hour cycle (eg. secretion of cortisol, GH, PRL)

PULSATILE (ULTRADIAN) RHYTHMS: periodicity of fewer than 24 hours (usually every 1/2 to 2 hours) (eg. secretion of gonadotrophin in adults)

INFRADIAN RHYTHMS: periodicity of longer than 24 hours (eg. menstrual cycle)

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5
Q

List some of the principal endocrine organs in the body.

A
  • hypothalamus
  • pituitary gland
  • thyroid gland
  • parathyroid glands
  • adrenal gland
  • pancreas
  • ovary (females)
  • testes (males)
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6
Q

How are hormone signals sent to both parts of the pituitary?

A

With the anterior pituitary, we have the hypophyseal portal circulation. Hormones are released into these blood vessels, which transport them to the anterior pituitary, where they act.

With the posterior pituitary, we have neurones called magnocellular neurons, which project from the hypothalamus directly into your posterior pituitary. The hormones are released into the PP, where they travel through the capillary network and get released straight into the blood circulation.

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7
Q

List the hormones that control the pituitary, and what effect they have.

A

ANTERIOR PITUITARY:
- corticotrophin releasing hormone (CRH):
a peptide that controls the release of adrenocorticotrophin (ACTH)

  • thyrotrophin releasing hormone (TRH):
    a peptide that controls the release of thryoid stimulating hormone (TSH) and prolactin (PRL)
  • gonadotrophin releasing hormone (GnRH):
    a peptide that controls the release of luteinising hormone (LH) and follicle-stimulating hormone (FSH)
  • growth hormone releasing hormone (GHRH):
    a peptide that controls the release of growth hormone (GH)
  • growth hormone inhibitin hormone (somatostatin):
    a petide that inhibits the release of GH, gastrin vasoactive intestinal polypeptide (VIP), glucagon, insulin, TSH and PRL
  • dopamine (DA):
    a monoamine that inhibits the release of PRL

POSTERIOR PITUITARY:
The posterior pituitary releases vasopressin (which has an antidiuretic effect) and oxytocin (which acts on the uterus to induce uterine contraction, and acts on the mammary glands to induce milk ejection).

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8
Q

List the specialised cells of the anterior pituitary and what they release.

A

GONADOTROPH cells that secrete LH and FSH in response to GnRH.
SOMATOTROPHS that control GH secretion in response to GHRH.
CORTICOTROPHS that control ACTH secretion in response to CRH.
THYROTROPHS that regulate TSH secretion in response to TRH.
LACTOTROPHS that control the secretion of prolactin in response to TRH, somatostatin and dopamine.

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9
Q

As a recap, describe the role of ACTH in the release of cortisol.

A

Hypothalamic neurones release corticotrophin-releasing hormone (CRH) to stimulate pituitary corticotrophs to release ACTH into the circulation.

ACTH stimulates the production of glucocorticoid (cortisol) and sex hormone from the zona fasciculata of the adrenal cortex.

Cortisol provides negative feedback to the hypothalamus and pituitary, reducing the amount of CRH and ACTH released.

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10
Q

As a recap, describe the regulation of TSH and thyroid secretion by negative feedback.

A

Thyrotropic releasing hormone (TRH) from the hypothalamus stimulates the anterior pituitary to release thyroid-stimulating hormone (TSH).
TSH acts on the thyroid to increase T3/T4 secretion, T3 is the most potent thyroid hormone, and targets the tissues containing a deiodinase enzyme (DI) to convert T4 to T3.

The pituitary also expresses deiodinase to convert T4 to T3 to facilitate negative feedback.

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11
Q

As a recap, what happens when you have too much or too little thyroxine?

A

If you have too much thyroxine, it can lead to hyperthyroidism, tachycardia, anxiety, etc.

If you have too little thyroxine, it can lead to weight gain, low energy, cognitive impairment, etc.

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12
Q

As a recap, describe prolactin and its regulation.

A

It is released by the lactotrophs in the anterior pituitary.
It stimulates mammary gland development during puberty. It also maintains lactation (synergised by glucocorticoids, inhibited by oestrogen and progesterone - we get a decrease in both after parturition).

It sregulation is under the dominant negative control of dopamine. It’s increased during pregnancy and lactation.

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13
Q

Describe the synthesis and transport of the neurohormones of the posterior pituitary.

A

The neurohormones of the posterior pituitary are vasopressin and oxytocin.

They are synthesised in the supraoptic and paraventricular nuclei in the hypothalamus.
They’re transported to the terminals of the nerve fibres located in the posterior pituitary.

Structurally, they’re quite similar (only a 2 amino acid difference in a 9 amino acid structure), yet they have very different functions.

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14
Q

As a recap, describe vasopressin.

A

It is also known as the anti-diuretic hormone (ADH). Its release is stimulated by changes in the activity of the osmoreceptor complex in the hypothalamus.

It controls plasma osmolality by regulating water excretion and drinking behaviour.

It stimulates vascular smooth muscle contraction in the distal tubules of the kidney to reduce loss of water and raise blood pressure.

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15
Q

As a recap, describe oxytocin.

A

Normally, it’s undetectable, but its levels are elevated during parturition, lactation and mating.
It is released in response to peripheral stimuli of the cervical stretch receptors and suckling at the breast. It may also be involved in responses to stroking, caressing, grooming, etc.

It regulates the contraction of smooth muscles (e.g. uterus during labour, myoepithelial cells lining the mammary duct, contraction of reproductive tract during sperm ejaculation).

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16
Q

Describe the two-way interaction between the kidneys and the hypothalamus.

A

The kidneys secrete renin (in response to low BP, etc.).
The renin converts angiotensinogen to angiotensin I. Angiotensin I is converted to angiotensin II.

Angiotensin II is detected by the subfornical organ in the brain. The subfornical organ projects to vasopressin cells and neurons in the lateral hypothalamus. The vasopressin then goes to affect the kidneys and cause them to retain more water.

17
Q

How is oxytocin involved in child birth?

A

When it is ready for birth, the foetus pushes on the walls of the uterus, causing the release of oxytocin.

This stimulates uterine contractions. It also stimulates the release of more oxytocin (positive feedback) and only stops when the baby have been delivered.

18
Q

List some CNS effects of oxytocin.

A
  • antidepressant
  • anitpsychotic
  • social cognition
  • induces trust
  • anti-OCD
  • treatment of autism
  • anxiolytic (reduces anxiety)
  • hypnotic
19
Q

The mechanism of action of the neurohormones at the cellular level depends on the classes of the hormones and their receptors.
Describe the mechanism of action of peptide/protein hormones (eg. GH).

A

Peptide and protein hormones bind to surface receptors and activate intracellular signalling mechanisms that result in alteration of target protein and/or enzyme activities.

Binding of insulin and growth hormone to its cell surface receptors leads to the dimerisation of the receptors, subsequently recruiting tyrosine kinases (e.g. JAK2 or MAPK) which phosphorylate a target protein (e.g. STAT) to induce a biological response.

Mutations in the G receptor gene can result in defective hormone binding or reduced efficiency of receptor dimerisation (e.g. GH resistance = “Laron Syndrome”).

20
Q

The mechanism of action of the neurohormones at the cellular level depends on the classes of the hormones and their receptors.
Describe the mechanism of action of TSH and ACTH.

A

Binding of hormones to GPCRs results in conformational changes in the receptor, leading to GTP exchange for GDP and catalytic activation of adenylate cyclase.

TSH and ACTH bind to cell sirface GPCRs and activate G-proteins that stimulate or inhibit adenylate cyclase. Stimulation of adenylate cyclase increases intracellular cAMP levels that activate protein kinase A. This phosphorylates target proteins (eg. CREB) to initiate specific gene expressions and biological responses.

Activating mutations of the TSH receptor can lead to thyroid adenomas (constitutively on).
Inactivating mutations of the TSH receptor can lead to resistance to TSH.

21
Q

The mechanism of action of the neurohormones at the cellular level depends on the classes of the hormones and their receptors.
Describe the mechanism of action of oxytocin and GnRH.

A

Oxytocin and GnRH bind to cell surface GPCRs and stimulate phospholipase C. It converts phosphatidylinositol biphosphate (PIP2) into inositol triphosphate (IP3) and diaglycerol (DAG).

IP3 stimulates Ca2+ release from intracellular stores, particularly the endoplasmic reticulum. DAG activates PKC. These stimulate the phosphorylation of proteins and alter enzyme activities to initiate a biological response.

Loss-of-function mutations in GnRHR can lead to sex hormone deficiencies and delayed puberty (hypogonadotrophic hypogonadism).

22
Q

The mechanism of action of the neurohormones at the cellular level depends on the classes of the hormones and their receptors.
Describe the mechanism of action of cytoplasmic/nuclear receptors.

A

Steroid and thyroid hormones can diffuse across the plasma membrane of target cells and bind to intracellular receptors in the cytoplasm or the nucleus.

These receptors function as hormone-regulated transcription factors, controlling gene expression. Nuclear receptors commonly share a transcriptional activation domain (AF1), a Zn2+ finger DNA binding domain and a ligand (hormone) binding/dimerisation domain.

23
Q

What can happen as a result of pituitary adenoma?

A
  • loss of visual field (pressure on the optic nerve)
  • too much GH (gigantism and acromegaly)
  • hypogonadism and infertility
  • hypopituitarism (reduced pituitary function)
  • too much PRL (hyperprolactinaemia)
  • too much ACTH causing excess cortisol secretion (Cushing Syndrome)
24
Q

What happens when you have hyposecretion of thyroxine from your thyroid glands?

A

Hypothyroidism occurs if there is too little thyroid hormone.
The most common cause is Hashimoto’s Disease, an autoimmune disease in which the immune system makes antibodies to the thyroid. It is seen more often in women and those with a family history of the disease.

In older people it may follow radioactive iodine treatment, thyroid surgery or pituitary dysfunction. Sometimes, it’s accompanied with goitre, heart failure, depression and slowed mental functioning, myxedema, birth defects, etc. Babies may be stillborn or premature with a lower IQ in later life.

The brain mechanisms underlying these changes in function are not well understood.

25
Q

What happens when you have hypersecretion of thyroxine from your thyroid glands?

A

Hypersecretion occurs if there is too much thyroid hormone. This is known as hyperthyroidism or Grave’s Disease.

CAUSE:
Grave’s diseases is also an autoimmune disease. Antibodies attack the thyroid gland and mimic TSH so the gland makes too much thyroid hormone. It often occurs in women (20-50; with a family history of the disease).

SIGNS AND SYMPTOMS:

  • goitre (enlarged thyroid gland)
  • difficulty breathing
  • anxiety, irritability
  • difficulty sleeping, fatigue
  • rapid or irregular heartbeat
  • trembling fingers
  • excess perspiration, heat sensitivity
  • weight loss despite normal food intake

COMPLICATIONS:
heart failure
- osteoporosis
- pregnant women with uncontrolled Grave’s disease are at greater risk of a miscarriage, premature birth and babies with low birth weight
- Grave’s opthalmopathy (occurs if untreated, bulging eyes, relatively rare).

26
Q

What happens when there is a deficiency in adrenal hormones?

A

Adrenal insufficiency (AI) is also known as Addison’s disease. It occurs when the adrenals do not secrete enough steroids.

CAUSE:
The most common cause of primary AI is autoimmune.

SYMPTOMS:

  • fatigue
  • muscle weakness
  • decreased appetite and weight loss
  • nausea and vomiting and diarrhoea
  • muscle and joint pain
  • low BP, dizziness
  • low blood glucose
  • sweating
  • darkened skin on the face, neck, and back of hands
  • irregular menstruation
27
Q

What happens when there is the hypersecretion in adrenal hormones?

A

Cushing’s Syndrome results from having excess cortisol secretion.

Exogenous Cushing’s Syndrome occurs in patients taking cortisol-like medications such as Prednisone for the treatment of inflammatory disorders (eg. asthma and rheumatoid arthritis or after an organ transplant).

It can also occur with pituitary tumours that produce too much ACTH (Cushing’s Disease).

SIGNS AND SYMPTOMS:

  • weight gain
  • rounded face and extra fat on the upper back and above the clavicles
  • diabetes, hypertension
  • osteoporosis
  • muscle loss and weakness
  • thin, fragile skin that bruises easily
  • purple-red stretch marks
  • facial hair in women
  • irregular menstruation