pituitary gland Flashcards

1
Q

hormone actions on whole body level

A

Regulation and integration of :

  • Ionic and fluid balance
  • Energy balance (metabolism)
  • Coping with the environment
  • Growth and development
  • Reproduction
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2
Q

hormone actions on cellular level :

A

Regulation of :

  • Cell division
  • Differentiation
  • Death (apoptosis)
  • Motility
  • Secretion
  • Nutrient uptake
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3
Q

hormone actions on molecluar level:

A

Hormone receptor is within the cell nucleus therefore effect on :

  • Regulation of
    • Gene transcription
    • Protein synthesis & degradation
    • Enzyme activity
    • Protein conformation
    • Protein:protein interactions
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4
Q

what are autocrine hormones

A

hormones that act on the same organ they are produced by

cell produces a hormone but is also influenced by that hormone

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5
Q

what are paracrine hormones?

A
  • adjacent or near to
  • hormone that has an effect on neighbouring cells
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6
Q

what are endocrine hormones?

A

hormones in circulation

act on far off organs

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7
Q

What is the significance of hormones which are bound to a plasma protein in circulation??

A
  • effective as the hormone is not immediately excreted
  • stays in circulation for longer
  • glomerulus does not allow large proteins to pass through
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8
Q

fill

A
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9
Q

how does endocrine feedback work?

A
  1. Sensory receptors gather external/internal information
  2. Integrated by neurons of CNS
  3. Hormone produced
  • nervous system and endocrine system are tightly integrated
    • hypothalamus bridges both systems
      • with anterior pituitary
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10
Q

location of pituitary gland

A

small structure at base of brain

  • lies inferior to the hypothalamus with the optic chiasm between

optic chiasm = crossing of optic nerves

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11
Q

what does the pituitary gland do

A
  • which releases hormones that, in turn,
    • controls the activity of the body’s other hormone glands
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12
Q

structure of the pituitary gland

A

Anterior lobe (pars distalis)

  • Portal blood vessels connect pituitary and hypothalamic capillary beds
  • Connected to hypothalamus by series of bleed vessels

Posterior lobe (pars nervosa)

  • Nerve fibres originate in the hypothalamus and transport hormones to posterior pituitary
  • Series of nerve fibres which transport hormone
  • Hormones travel within a nerve fibre
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13
Q

what hormones does the posterior pituitary release?

where are they produced?

A

oxytocin

vasopressin

both produced in hypothalamus

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14
Q

role of oxytocin

A
  • controls milk release from lactating breast
  • controls uterine contraction at onset of labour
    • essential for childbirth
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15
Q

role of vasopressin

A
  • anti-diuretic hormone (ADH)
  • acts on kidneys to reaborb water

Regulates blood osmolarity and urine output

Needed if dehydrated or haemorrhaging as we don’t want to lose plasma volume

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16
Q

when are hormones from the posterior pituitary gland released?

A

in response to nerve impulses

hormones come down nerve axons

action potentials release hormones into the capillary bed and out into circulation

17
Q

how does the interaction of oxytocin with its receptors lead to a response to the stimuli?

A
  • suckling -> nerve impulses
  • hypothalamus produces oxytocin
  • oxytocin released by posterior pituitary gland
  • binds to receptors
  • actives secondary messengers
  • raises level of intracellular calcium in myoepithelial cells of the mammary gland
  • myoepithelial cells contract forcing milk into ducts
18
Q

describe the neuro-endocrine reflex with vasopressin

A
  • increased plasma osmolarity stimulates osmoreceptors in hypothalamus
    • dehydration
  • hypothalamus and posterior pituitary release vasopressin
  • water selectively reabsorbed in distal tubules and collecting ducts of kidney
    • action of aquaporins
  • urine becomes more concentrated and urine volume decreases = decreased plasma osmolarity
19
Q

name an inhibitor of ADH from the posterior pituitary

A

alcohol

20
Q

what hormones does the anterior pituitary secrete?

what are their target organs?

A
  • Growth Hormone
  • Prolactin
  • Adenocorticotropic hormone (ACTH)
    • Stimulates the adrenal cortex
  • Thyroid stimulating hormone (TSH)
  • Follicle stimulating hormone (FSH)
    • Stimulates the ovaries & testes
  • Luteinising hormone (LH)
    • Stimulates the ovaries & testes
21
Q

what cells in the anterior pituitary release which hormones?

A
22
Q

What are ‘releasing hormones’?

A
  • Stay within private circulation of the hypothalamus and anterior pituitary
  • Stimulate release of anterior pituitary hormone
23
Q

what releasing hormones are able to stimulate or inhibit anterior pituitary hormones?

A
  • GH has a inhibitory and stimulatory hormone from the hypothalamus
    • SS and SHRH
  • Prolactin
    • Has no stimulatory but has inhibitory
    • DA
  • E.g. if not breastfeeding
    • Has high levels of dopamine in circulation to suppress prolactin (milk production)
    • Dopamine antagonists
      • Suppress dopamine function
      • Will produce milk
24
Q

differences between the posterior and anterior lobe of the pituitary gland

A

Posterior lobe

  • Connects hypothalamus by nerve fibres
  • 2 hormones

Anterior lobe

  • Releasing hormones produced in hypothalamus
  • Travel through private network of vessels
  • Stimulate release of anterior pituitary hormones
25
Q

When is growth hormone necessary for normal growth?

what occurs when there is insufficient growth hormone during these times?

A
  • from ages 2-11
  • during puberty
  • short stature
26
Q

extent of growth also depends on other hormones :

how do they affect growth?

A

Thyroxine

  • (lack inhibits growth)

Cortisol

  • (excess inhibits growth)

Insulin

  • (excess stimulates growth)
27
Q

direct metabolic effects of growth hormone:

A
  • Anabolic
    • Conserve glucose for CNS
      • Stops cells taking up glucose
    • Glucose sparing with an anti-insulin action
  • Muscle
    • Decreases glucose uptake
    • Stimulates aa uptake/protein synthesis
    • Inhibits protein breakdown
      • = increased muscle mass
  • Adipose tissue
    • Decreases glucose uptake
    • Increases lipolysis
      • = Decrease in fat deposits
  • Liver
    • Increases gluconeogenesis
    • Increases protein synthesis
      • Simulates IGF production
        • Insulin like growth factor
  • GH protects against hypoglycaemia
    • Stops fat and muscle up-taking glucose in circulation and conserves it for the CNS
28
Q

indirect effects of growth hormone

A

stimulates liver to release insulin like growth factor (IGF-1,IGF-2) –>

  • Skeletal growth
    • Cartilage formation
      • Increase chondrocyte mitosis & matrix production
    • Bone deposition
      • Lengthening and thickening of long bones
  • Soft tissue growth
    • Protein synthesis
    • Cell proliferation
  • Growth promoting
    • Bone response to GH ceases when growth plates fuse
    • Occurs at 18/19 years old
29
Q

what is somatopause

what occurs due to it

A

Natural decline in growth hormone with age

  • Decrease in lean body mass
  • Decline in bone mineral density
  • Increase in body fat
  • Sleep disturbance
30
Q

draw endocrine feedback for growth hormone release and action

A
31
Q

how do growth hormone disorders usually occur

A

usually due to pituitary tumour secreting growth hormone

32
Q

what is gigantism and how does it occur

A
  • Gigantism refers to abnormally high linear growth due to excessive action of IGF while the epiphyseal growth plates are open during (children)
    • Usually in children who have pituitary tumour secreting excess GH
      • Therefore high IGF in circulation too
      • Therefore individuals are taller
  • Normal body proportions as soft tissues are also affected
33
Q

what is acromegaly and how is it caused.

what symptoms?

A
  • Increased growth hormone later in life after fusion of epiphyses
  • Effect on skeletal elements which don’t grow by endochondral ossification
  • Has effect on soft tissues as well
  • Acromegaly
    • course facial features
    • enlarged hands and feet
    • protruding jaw and separation of teeth
    • enlarged tongue and thickened lips
    • deep voice
    • cardiomegaly
    • Diabetes
      • Excess glucose in circulation as cells do not uptake it
  • Usually due to pituitary tumour
34
Q

what is the consequences of a growth hormone insufficiency in adults?

A

no major symptoms

somatopause

35
Q

what is the consequences of a growth hormone insufficiency in children?

A

= pituitary dwarfism

  • Slow growth rate below 3rd centile on age/height or bone chart
  • Normal body proportions
    • Characteristic
    • Result of slow growth / slow rate of GH production
  • Poor muscle development, excess subcutaneous fat
36
Q

Growth hormone disorders in oral cavity

A
  • Hypo- and hyper-pituitarism
  • Decreased facial and cranial base growth
  • Gaps, delayed eruption, incomplete root formation.
  • Overgrown gum tissue
  • Missing teeth

Dental professionals can be the first see the signs and symptoms of these growth disorders and can correctly diagnose the serious underlying disease