Pituitary Hormones Flashcards
hypothalamus hormones
GHRH, SST, TRH, CRH, GnRH
anterior pituitary hormones
GH, TSH, ACTH, FSH, LH
GH
growth hormone, prolactin, increase lean body mass, decrease fat, mediated by producing IGF-1
growth hormone
what is mecasermin used for
recombinant IGF-1, used in deficiency, hypoglycemia may occur
acromegaly
abnormal growth of cartilage, bone, other organs
GH pituitary adenomas
pituitary tumors, can be treated with GH antagonists
somatostatin analogs
octreotide, lanreotide
GH antagonist
pegvisomant
FSH
hCG
growth hormone half life
short, 20-25 min
FSH, LH, hCG
10-40 hours
lutropin alpha
recombinant LH, used for infertile women
hCG
extracted from urine pregnant women
male infertility treatment
requires LH and FSH, injection of hCG then hMG
adverse effects ovulation induction
ovarian enlargemnt, multiple pregnancy
-relin
analogs of GnRH
GnRH use (pulsatile)
infertility in male and female, must be pulsatile
GnRH use supression
ovarian hyperstimulation, endometriosis, prostate cancer, central precoious puberty
-elix
GnRH antagonists
GnRH antagonist uses
controleled ovarian hyperstimulation, advanced prostate cancer
prolactin
what is prolactin responsible for
lactation
what inhibits prolactin
dopamine
hyperprolactinemia
too much prolactin, inhibit GnRH release
amenhorrea in women, loss libido and infertility in men
treated with dopamine agonists
posterior pituitary hormones
vasopressin and oxytocin
vasopressin physiological actions
reduce urine volume
increase blood volume
raise blood pressure
V1 receptor
increase Ca
increase blood pressure
V2 receptor
increase cAMP
incease water permeability
desmopressin is selective for ____ receptor
V2
clinical uses vasopressin
pituitary diabetes insipidus
nocturnal enuresis
coagulopathy
adverse effects vasopressin
water intoxification
abdominal cramping
allergic reaction
(dont use vasopressin if cardiovascular disease)
oxytocin clinical uses
induction labor
control uterine hemmorhage
milk ejection
adverse effects oxytocin
excessive stim of uterine contraction before delivery
activation of vasopressin receptors
contraindications: fetal stress, weird fetal position
adverse effects oxytocin
excessive stim of uterine contraction before delivery
activation of vasopressin receptors
contraindications: fetal stress, weird fetal position