Peptide Hormones Flashcards

1
Q

What nucleus in the brain produces dopamine

A

Arcuate nucleus

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2
Q

What stimulates production of prolactin

A

High oestrogen at end of pregnancy

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3
Q

Growth Hormone polypeptide

A

Single Chain 191 AA polypeptide

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4
Q

What form of growth hormone dominates

A

Pituitary, GH-N

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5
Q

What two transcription factors are involved in development of somatotrophs

A

Prop1 and then Pit 1

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6
Q

What nuclei in hypothalamus releases GHRH

A

Arcuate nucleus

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7
Q

What enhances GH secretion

A

Starvation
Glucocorticoids
Ghrelin
Estradiol

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8
Q

What blunts GHRH secretion

A

Insulin
Glucose
Obesity
Somatostatin
Age

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9
Q

Why is Ghrelin synergistic with GHRH

A

It is a natural ligand of Growth Hormone Secretagogue Receptor

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10
Q

Where is somatostatin made in the hypothalamus

A

SST 14 in the PVN

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11
Q

What hormones or chemicals are suppressed by SST

A

Insulin
GH and TSH

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12
Q

What does the Phosphorylation cascade for GHR involve

A

JAK/SKAT

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13
Q

What proteins are IGF-1 bound to and what is increased by what hormone

A

IGFBP 1-6, IGFBP3 increased by GH

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14
Q

What pathway(s) does ligand binding of IGF-1 result in

A

AKT and MAPK

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15
Q

Is GH or IGF-1 involved in retention of ions and what ions

A

Sodium water and phosphate

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16
Q

Does IGF 1 or GH inhibit proteolysis

17
Q

What stimulates protein synthesis

A

Both GH and IGF 1

18
Q

Effect of IGF-1 OR GH on glucose

A

IGF-1 decreases blood glucose and improves insulin sensitivity

19
Q

What effect does IGF-1 have on protein synthesis

A

Reversed catabolic effects of glucocorticoids

20
Q

What three diseases can stimulate GH

A

Renal Failure
Liver Cirrhosis
Type 1 diabetes

21
Q

What is Laron Syndrome due to

A

Problems with GHR

22
Q

How are levels of GH, GHBP and IGF-1 in Laron Syndrome

A

GH normal but GHBP and IGF-1 low

23
Q

Symptoms of Laron Syndrome

A

Short limbs, mean high 119F 124 M, small head circumference, saddle nose, prominent forehead, delayed skeletal maturation, osteopenia and obesity

24
Q

What stimulatory test used for GH deficiency

A

GHRH-arginine test
IGF-1 lower than reference range confirms diagnosis in adults with pit disease

25
Most common cause of acromegaly - what disease
75% somatotroph macroadenomas
26
What are the classical clinical features of acromegaly
Facial changing, sweating, headache Sleep apnoea, diabetes, hypertension
27
Treatment of acromegaly
Pituitary surgery for adenoma as first line in most SST analogues like lanreotide to inhibit release of GH GHR antagonist like pegvisomant which improves binding in site 1 and impairs binding on site 2 so no downstream signalling on IGF-1
28
Where are the most powerful effects of ADH- what happens?
Collecting ducts, resorption of water due to opening of aquaporin channels
29
Where else does ADH work on in kidney
Thick ascending limb and loop of Henle by increasing NaCl and ureas absorption respectively. Na and K/H is reciprocal
30
What are the 4 V receptors and thjr functions
V1a - Vasopressor effects at vascular or cardiac muscle(egm splanchnic beds in abdomen) V2- Water retention in distal nephron V1b- Role in ACTH/stress receptors in Anterior Pituitary OT- Uterine contraction at birth at Myometrium
31
Two main types of vaptans and their effects
V2- selective (tol, lixi, sata) V1a+ V2 eg. Conivaptan
32
What nucleus links to SON and PVN and what does it link to
Posteriomedial nucleus- links to VLM for SNS and pain, and NTS for baroreceptor
33
How does BP change as AVP/ Osmolality increase
BP decreases
34
Should random GH be used for Acromegaly
No, used OGTT