Pituitary Anatomy and Physiology Flashcards
Describe the anatomical position of the pituitary gland
In the pituitary fossa (sella turcica) in the sphenoid bone.
What connects the pituitary to the hypothalamus
The pituitary stalk
How does venous blood drain from the pituitary gland
By a number of veins into the cavernous sinus
What is the anterior pituitary gland derived from
An upward growth of the ectoderm of the roof of the oropharynx (Rathke’s pouch) which becomes pinched off
What is the posterior pituitary gland derived from
Down growth of neuroectoderm of the floor of the third ventricle
Name the hormones secreted by the anterior pituitary
Growth hormone (GH) Prolactin Adrenocorticotrophin hormone (ACTH) Thyroid stimulating hormone (TSH) Luteinizing hormone (LH) and follicle stimulating hormone (FSH)
What is the most abundant hormone secreted by the anterior pituitary gland
Growth hormone
What does GH stimulate
hepatic synthesis and secretion of insulin-like growth factor 1
Epiphyseal prechondrocyte differentiation and linear bone growth in children
lipolysis
increases protein synthesis
antagonises insulin action
phosphate, water and sodium retention
How does GH work
It binds to its plasma membrane receptor (usually in the liver) which leads to receptor dimerisation
What happens after receptor dimerisation ?
It is followed by a phosphorylation cascade mediated by Janus kinds (JAK) and components of the signal transduction and activators of transcription (STAT) family, which translocate to the nucleus and regulate target gene expression
How is the secretion of GH stimulated
BY hypothalamic GH releasing hormone
How does hypothalamic GH releasing hormone work
It acts via a G-protein coupled receptor and increases cyclic AMP leaves
What factors may stimulate GH release
stress
exercise
sleep
prolonged fasting
What inhibits GH secretion
IGF-1 and hypothalamic somatostatin
Describe the release of GH
pulsatile
What does prolactin stimulate
the proliferation of the breast lobule-alveolar epithelium and lactation
What does prolactin suppress
Gonadotrophin-releasing hormone (GnRH)
Pituitary gonadotrophin secretion
How does prolactin work
In the same way as GH - It binds to its plasma membrane receptor which leads to receptor dimerisation which is followed by a phosphorylation cascade
What inhibits prolactin secretion
Hypothalamic dopamine binding to D2 receptors
What stimulates prolactin secretion
hypothalamic thyrotrophin releasing hormone (TRH) and others including oestrogen, opiates, serotonin and ACh
When might prolactin levels be high
in stress during sleep following a suckling stimulus exercise meals sex epileptic fit
When are the prolactin secretory peaks
during rapid eye movement sleep (between 4 and 6am)