Oxytocin and ADH Flashcards

1
Q

What is the difference between OT and AVP?

A

Two different AA side chains

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where are both AVP and OT synthesized?

A
Supraoptic nucleus (mainly AVP)
Paraventricular nucleus (mainly OT)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is OT transported?

A

Created in the paraventricular nucleus and sent in vesicles down the magnocellular axon to the posterior pituitary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When does OT have a burst in males?

A

At ejaculation to produce contractions for sperm release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mechanism which OT binds and causes smooth muscle contraction?

A

OT bind OTR-> GPCR-> IP3 (Ca channels open) and DAG-> Prostaglandin (PGF2a)-> uterine and smooth muscle contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the Ferguson reflex?

A
  1. ) Head of baby pushes against cervix
  2. ) Nerve impulses from cervix transmitter to brain
  3. ) Brain stimulates release of oxytocin (hypothalamus)
  4. ) Oxytocin carried in bloodstream to uterus
  5. ) Oxytocin simulates uterine contractions and pushes baby towards cervix
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the secretory unit of the breast?

A

The alveolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What surrounds the alveolus of the breast?

A

Myoepithelial cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does OT cause contraction of to cause the let down reflex?

A

Myoepithelial cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Characteristics of the four stages of labor:

A

0: Uterine tranquility and refractoriness
1: Uterine awakening, extending to complete cervical dilation
2: Active labor, from complete cervical dilation to delivery of newborn
3: From delivery of fetus to expulsion of placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What physiologically is occurring during each of the four stages of labor?

A

0: Progesterone and relaxin promote inactivity
1: Estrogens increase OT receptors by 80x at 36 weeks
2: Oxytocin, prostaglandins, estrogen increases OT receptors 200X during early labor
3: Oxytocin increases especially in last stage of labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What effect does estrogen have in the OT cycle?

A

It up regulates OT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What affect does progestogens have in the OT cycle?

A

Decreases response of smooth muscle from OT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does suckling cause OT release?

A

Suckling stimulates PRL release by removing the inhibition of DA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does suckling affect the menstrual cycle?

A

GnRH is inhibited by suckling reducing LH and FSH release inhibiting the ovarian menstrual cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When is relaxin released and what are its affects?

A

It is released during pregnancy to keep the uterus in a quiet state also during labor in the cervix to dilate it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the half-life of OT?

A

3-6 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where is ADH mainly produced?

A

Supraoptic nucleus

19
Q

What is ADH produced as?

A

A preprohormone

20
Q

What does the preprohormone of ADH consist of?

A

Signal peptide
ADH
Neurophysin II

21
Q

What causes the most cases of hereditary hypothalamic diabetes insipidus?

A

A point mutation in neurophysin II

22
Q

What is neurophysin II?

A

A carrier of ADH

23
Q

What is the primary signal for secretion of ADH?

A

An increase in ECF osmolality

24
Q

What inhibits ADH release?

A

High fluid volume or blood pressure

25
What transports AVP from hypothalamus to neurohypophysis?
Magnocellular neurons
26
What are the receptors for AVP?
V2R in the renal collecting duct
27
Sequence of events for AVP action in renal tubules?
1. ) ADH binds V2R 2. ) Activates PKA 3. ) Phosphorylation of CREB stimulates transcription of mRNA to produce more AQP2
28
What is the threshold at which ADH can be released?
When osmolality increases as little as 1% from 280 mEq/L
29
ADH is also released when blood volume is decreased by what percent and what senses this?
Reduced by 10% by baroreceptors in the atria
30
ADH half-life:
18 minutes
31
What breaks down ADH and what can occur in this organ failure?
Kidneys and Liver | Failure in these organs can lead to high ADH levels
32
In pregnancy, what hormone causes the changes in osmolarity and volume?
Relaxin
33
What occurs to ADH in aging adults?
The kidneys become less sensitive to nocturnal plasma levels of ADH
34
Two types of diabetes insipidus:
Central | Nephrogenic
35
What causes central DI?
Failure of AVP secretion
36
What causes nephrogenic DI?
Kidneys not adequately responding to ADH levels
37
What is the differential diagnosis following water deprivation in DI?
Central: decreased plasma ADH low urine osmolality Nephrogenic: increased plasma ADH extremely low urine osmolality
38
What does SIADH stand for?
Syndrome of inappropriate ADH secretion
39
What is SIADh essentially?
The opposite of DI
40
What occurs in SIADH?
Secretion of inappropriately high levels of ADH
41
What is the sign of SIADH?
Any urine with greater than 100 Osm with hyponatremia is SIADH
42
Why is urine Na osmolality so high in SIADH?
Because the volume expansion causes a release of ANP increasing natriuresis
43
Treatment of SIADH?
Fluid restriction
44
Drug treatment of SIADH?
V2 receptor antagonists: Conivaptan and Tolvaptan